Thank you.

Before answering this question, let's understand what rhabdomyolysis is

Rhabdomyolysis refers to the damage of the rhabdomyolysis muscle due to severe crushing (e.g., earthquake, large-scale car accident injuries, etc.), strenuous exercise (e.g., marathon races, recruit training, etc.), heatstroke and hyperthermia, eating special foods such as seafood (e.g., crayfish, seafood, etc.), use of certain special medications (e.g., lipid-lowering medications, diuretics, anesthesia medications, etc.), infections, venomous snake 🐍 bites, and venomous bee stings , causing muscle destruction and necrosis of muscle fibers, muscle cells within the material (such as hemoglobin, myoglobin, creatine kinase, potassium ions) into the blood circulation, caused by the human body environment chaos and acute renal failure of a group of clinical syndromes. A large amount of hemoglobinuria and myoglobinuria can block the renal tubules, causing acute renal failure. In severe cases, there may be consciousness disorder such as trance or even coma, diffuse intravascular coagulation (DIC), acute liver failure, acute respiratory distress syndrome (ARDS), respiratory and circulatory multi-organ failure (MODS), and even death in critical cases.

So when we encounter this situation, how to quickly recognize it and make accurate judgment and timely and effective treatment is related to whether the patient can be successfully rescued and the ultimate prognosis of the patient.

How to determine this can be done by following 7 points.

1, before the onset of trauma and extrusion, how much force impact, there is no prolonged pressure, excessive exercise or training, there is no sustained work in hot environments

2. Have eaten special food (crayfish, seafood, etc.), recent patients with some special drugs (such as lipid-lowering drugs, diuretics, sedative-hypnotic and other anesthetics, as well as antipsychotics, etc.)

3. Any recent history of infection, heavy drinking and unconsciousness, poisonous snake bites and bee stings.

4. History of cardiac infarction and renal disease,

5. History of generalized weakness, muscle weakness and myalgia

6. Any tea-colored or soy sauce-colored or dark-colored urine or hematuria or or washed flesh water urine

7. Auxiliary examination

✔ Increased blood creatine kinase (CK) is the most reliable, sensitive and valuable indicator of myocyte injury, which not only assists in diagnosis and guides further treatment, but also reflects and determines the prognosis of the disease.

CK begins to rise within 12 hours after muscle damage, reaches a peak value in about 1 to 3 days, and begins to decline gradually after 3 to 5 days. If the decline is slow or rises instead of falling, it suggests that there may be progressive muscle damage.

Rhabdomyolysis is diagnostic when CK exceeds more than 5 times the normal peak.

☞CK>1000U/L, suggesting muscle damage;

☞ CK > 20,000 U/L, myoglobinuria .

✔ A progressive increase or decrease in the ratio of blood urea nitrogen to blood creatinine, which is normally about 10:1 in humans, but drops to 6:1 or less in rhabdomyolysis.

✔ Electrolytes suggesting hyperkalemia, hypocalcemia

✔ Blood gas analysis suggests metabolic acidosis, lactic acidosis

✔ hypovolemic shock thrombocytopenia or DIC

✔ Blood count suggests thrombocytopenia, coagulation suggests decreased fibrinogen PT, APTT prolongation Ancillary tests Muscle biopsy

✔ Combined with history, physical examination and ancillary tests, the diagnosis can basically be made .

As for treatment, you have to scramble to call 120 or seek medical attention at the nearest available hospital (capable of hemodialysis or hemopurification) for this type of patient, and remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember to remember .......

Thanks for the invitation. Attention to social hotspots, focus on national health. A few days ago, a piece of news but again, everyone was shocked, the event is "Olympic champion Wu Minxia in the social platform to tell their own experience for her husband to sign the notice of death, the reason for its loved ones sick is to eat 3 pounds of crayfish". Crawfish once again became a hot food in society, why eat crayfish will appear weakness and fever symptoms, and even urine has become soy sauce color? When tasting crayfish encountered "rhabdomyolysis", there are some things you need to know.

What is rhabdomyolysis?

When it comes to "rhabdomyolysis", everyone should have a basic understanding of it. Rhabdomyolysis refers to "a series of hereditary or acquired diseases affecting the rhabdomyocellular membranes, membrane channels, and their energy supply, resulting in damage to the rhabdomyocellular muscle, which is often accompanied by acute renal failure and metabolic disorders".

What are the signs of rhabdomyolysis in the human body?

When attacked by rhabdomyolysis, the body develops the classic "triad" of symptoms:

1. Localized manifestations such as pain, muscle weakness, and muscle swelling in the affected muscle groups.

2. Systemic manifestations such as fever, nausea, vomiting, and generalized weakness.

3、Acute renal failure manifestations such as oliguria, anuria and dark urine.

Clarify the "cause of the disease":

In fact, there are many causes of rhabdomyolysis, which we categorize into "physical causes" and "non-physical causes".

"Physical causes" include excessive exercise, electric shock, extremes of body temperature (hyperthermia or hypothermia), and muscle crush injuries.

"Non-physical causes" include metabolic disorders such as hypothyroidism, hypokalemia, and diabetic ketoacidosis; infections; autoimmune disorders; toxins; and endocrine and genetic factors.

In fact, Wu Minxia's husband Zhang Xucheng was attacked by rhabdomyolysis, the key factor is "he ate crayfish after the gym for fitness"; it is worth noting that strenuous exercise can easily induce "rhabdomyolysis", and even lead to acute kidney injury. It is worth noting that strenuous exercise can easily induce rhabdomyolysis and even lead to acute kidney injury.

Two tips for preventing rhabdomyolysis in the general population:

• Be "mindful" when exercising:

Exercise is a good thing, we can not because of the fear of rhabdomyolysis and do not go to exercise, should do is "scientific exercise". Refuse to exercise strenuously, and start with small amount of exercise "step by step"; do a good warm-up before exercise (fully open the body), exercise process should be reasonable and appropriate amount of supplementation of water and electrolytes; once after the exercise of physical discomfort, especially when there is muscle weakness, muscle pain and urine color darkening and other problems, please consult a doctor in a timely manner.

• Emphasis on the "drug factor":

Clinical rhabdomyolysis caused by drugs is not uncommon, of course, such problems may vary from person to person, we should hold the attitude of "not to be belittled, not to be afraid". We should read the instructions carefully before taking the medication and follow the doctor's advice to take the medication according to the dosage and on time; once the symptoms of rhabdomyolysis are suspected to occur after using the medication, we should stop the medication immediately and seek medical treatment as soon as possible; once the diagnosis has been confirmed, we ask you to avoid using the same kind of medication next time you are sick and take the medication again.

Harvesting every detail about health, when "crayfish" meets "rhabdomyolysis", we should clarify the "principle of occurrence" and the "scientific truth". "Scientific truth". Safe tasting crayfish, away from trouble; scientific prevention of rhabdomyolysis, restore health. Crayfish is delicious, but safety must be the "fundamental meal".

Note: Wang Silu original content, I hope to help you; images from the network, if any infringement, please inform the deletion.

| I am the founder of Xiaohe Agriculture | As the Huai'an Comprehensive Experiment Station of Shrimp and Crab Industry Technology System | We specialize in shrimp and crab farming |

In recent years, there have been news reports about the relationship between eating crawfish and rhabdomyolysis every time it is crawfish season.

Can eating crawfish really cause rhabdomyolysis? There is only one truth:

The truth is that crawfish are innocent.

From the current reliable sources, there is no content to "eat crayfish induced rhabdomyolysis symptoms" test.

According to past news reports, a case of rhabdomyolysis, crayfish is the media's first object of suspicion. After a series of crayfish biochemical, physical and chemical analysis and testing, and finally concluded that there is no problem with the crayfish. More "report" is ultimately for the crayfish to clear the air.

"Shrimp Scrubs" thrown into the limelight.

Part of the crayfish in the sale of often dirty appearance, poor appearance directly affect sales. Aquatic business in order to better sales, will first use some substances on the crayfish cleaning before selling, the industry commonly known as "shrimp powder". Because of the aquatic traders use "shrimp powder" from unknown sources, so "shrimp powder" is pointed to contaminate the crayfish and thus induced rhabdomyolysis of the biggest "real culprits".

What's "shrimp detergent"?

Crawfish industry "shrimp powder" is mainly two types of substances, oxalic acid and citric acid.citrateGenerally not strange, for a kind of weak acid, a kind of food additives, used to wash crayfish certainly will not have a problem ah.hydrocyanic (prussic) acidWhat, listen to the name is very cautious, but oxalic acid itself is non-toxic. It comes from plant and animal metabolites, although mainly used in industry, but less measured for washing shrimp no problem ah. Even if the "shrimp wash powder" problem, that produces the most direct harm to the consumer is the oral cavity, digestive tract and other corrosion, after all, they belong to the acid substances, are corrosive. Instead of causing damage to cells leading to rhabdomyolysis.

There's only one truth.

So who exactly is the culprit? From the current point of view, medical experts point to personal constitution as the main reason.

The cause of rhabdomyolysis symptoms in the human body is not yet clear, strenuous exercise or seafood consumption have the possibility of inducing rhabdomyolysis disease, the truth remains to be seen.

So from a safety and security point of view, how can we consume crayfish safely?

1. Choose a formal restaurant to eat crayfish;

2. Do not eat crayfish that have died or have just died;

3. conditions to choose to eat green shrimp, although there are some differences in the meat and red shrimp, but the green shrimp will not appear as dirty as red shrimp, you need to use the shrimp washing powder to clean;

4. You can choose to purchase crayfish at the breeding ponds to go home and process them yourself;

5. Crayfish need to be cooked thoroughly at high temperatures to eliminate raw shrimp;

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Welcome to the headline: Bay Pond Valley, the expert for more lobster-related content.

Eating crayfish can cause rhabdomyolysis which is simply a form of food poisoning. It's not the ingredients in the crayfish themselves that cause the disease, but rather the fact that crayfish grown in certain waters are enriched with a toxin produced by other organisms. And it's not just crayfish that causes rhabdomyolysis. However, we should be careful to eat crayfish outside the regular place, do not be greedy.

"Rhabdomyolysis" of the "pot", should be crawfish "back"?

The term "rhabdomyolysis" is not new to us. Because every summer, it will form a pair of "CP" with crayfish, in the news reports. On the reported cases of rhabdomyolysis caused by consumption of crayfish, are in the consumption of crayfish a few hours to more than ten hours after the onset of disease. So some people think that "rhabdomyolysis" is eating out of the disease. But the first hospital affiliated with Jinan University, deputy chief physician, associate professor of nephrology Liu璠娜 told reporters.Rhabdomyolysis can be caused by more than two hundred causes, eating crayfish is not the only "culprit".

"The causes of rhabdomyolysis are mainly categorized into physical and nonphysical factors, and eating crayfish is a nonphysical factor. Eating certain aquatic products can lead to rhabdomyolysis, which has been documented in a variety of aquatic products, including crawfish, and is generally thought to be related to some endogenous toxin present in aquatic products. However, this condition occurs mostly when large quantities are consumed and does not occur frequently."

As for physical factors, Deputy Director Lievenna said, including extrusion, trauma, excessive exercise, electric shock, high or low temperatures, etc., of which the most typical case is localized muscle compression syndrome caused by earthquakes, landslides and other disasters, which can cause acute renal failure leading to death.

It is important to note thatProlonged, high-intensity exercise such as long-distance running and weight training can also cause this condition.

Text, picture /Guangzhou News full-media reporter Huang Lan

First of all, let's understand what is rhabdomyolysis, rhabdomyolysis (RM) refers to the rhabdomyosin cell membrane can be caused by a variety of etiological factors, dysfunction or even disintegration of the destruction of the cellular contents into the blood circulation, triggered by a series of clinical symptoms, the severe cases can appear hyperkalemia, acute decline and other acute and critical illnesses.

So what's a rhabdomyolysis?

Transverse muscle is mainly distributed in the limbs and trunk, is fibrous with obvious transverse striations, so it is called the transverse muscle, but also because of its attachment to the bone, the main division of movement, so it is also known as skeletal muscle. In the process of movement, the contraction of the transverse muscle is the driving force of human movement, that is to say, the realization of the posture of human movement and the coordination of the body mostly depends on the function of the transverse muscle.

How does rhabdomyolysis destruction affect the body?

From the point of view of its physiological function, rhabdomyolysis will affect the body's movement, muscle pain, weakness and other symptoms; from the point of view of its cellular structure, the dysfunction or even disintegration of the cell membrane can appear the contents into the blood circulation, in which myoglobin is mainly discharged out of the body through the kidneys, and in the process of excessive myoglobin discharge is easy to block the renal tubules and affect the renal function of filtration, the emergence of brown or soy sauce-colored urine, the disease can be further developed, according to statistics, 10-40% appear acute renal failure, and children, it is up to 42-50%. The condition can be further developed, according to statistics, about 10-40% of acute renal failure, and children, it is up to 42-50%.

Why eating crawfish and doing squats can trigger rhabdomyolysis.

Rhabdomyolysis etiology is varied, but its physiological mechanism is the destruction of cell membranes, resulting in creatine kinase, myoglobin into the blood triggered by a series of clinical manifestations. Do hundreds of squats for especially long-term non-exercise people are relatively easy to fracture damage to muscle fibers, symptoms of rhabdomyolysis, and crayfish disease, although the specific mechanism is not clear, but reported on the production of lobster and sanitary conditions and sources of production, generally with the previous consumption of crayfish has nothing to do with there is no obvious evidence to confirm that the shrimp washing powder is the culprit, we do not have to talk about shrimp color change.

How can rhabdomyolysis syndrome be recognized early?

The main early symptoms of rhabdomyolysis are as follows:

1. Muscle pain and edema all over the body;

2. Brown or soy sauce colored urine;

3. Acute renal failure: nausea and vomiting, oliguria or even anuria

If you have any of the above symptoms, especially those of acute renal failure, you should be careful and seek medical attention promptly, except for rhabdomyolysis.

Respondent: Liu Jun Hua, M.S., M.A.

Welcome to Apricot Island for more interesting health facts!

Rhabdomyolysis is as scary as it sounds. There are more than a dozen types of rhabdomyolysis, usually caused by some kind of physiological or pathological stimulus (there are also news stories every year about rhabdomyolysis caused by overeating crayfish, and rhabdomyolysis can be caused by being struck by lightning or electrocuted).

Rhabdomyolysis due to excessive exercise is also known as Exertional Rhabdomyolysis (ER).

Moments of sudden increase in exercise (sedentary person suddenly goes to the gym and trains heavily, inexperienced squatting a hundred times deep, etc.)

Under stimuli that exceed the body's strength threshold, the permeability of the myocyte membrane changes and is "torn", and the cellular contents (myosin) flow out of the myocyte and into the bloodstream, making the blood viscous.

These large particles of protein enter the kidneys with the bloodstream and can lead to acute kidney failure. Death from severe rhabdomyolysis is usually due to acute kidney failure. People with rhabdomyolysis usually have "cola-colored" or "tea-colored" urine because the kidneys can't stop the large particles of myosin from passing out of the body.

There are three causes of muscle dissolution

1Insufficient glycogen reserves in muscle

An important causative factor in exhaustive rhabdomyolysis is the dysfunction of calcium channels on cell membranes due to energy deficiency.

This is why high-intensity exercise in a hungry state is not recommended. Also if done suddenly at high intensity for people who have not exercised for a long time or for beginners in exercising, it can lead to Rhabdomyolysis. Similarly, with the carb cycling diets that are prevalent nowadays, there is also the possibility of low-carb day training leading to Rhabdomyolysis of exhaustion.

For beginners or long-term sedentary less active people, exercise should not be gradual, in the beginning of exercise, if you feel the muscles appear more obvious soreness, should stop to rest. Especially for friends who want to lose weight, at first avoid high-intensity training, squatting a hundred times, open and close the jump dozens of times.

2 High-intensity training in summer with insufficient hydration

Summer is a time of high incidence of rhabdomyolysis. Exercising in the hot, muggy conditions of summer can easily lead to disruption of the body's internal environment, which may also lead to disruption of muscle cells

3. Genes

Scientists have identified three susceptibility genes that may lead to exhaustive rhabdomyolysis, but there are no drugs to treat them.

Overall, rhabdomyolysis, especially exercise-induced forceful rhabdomyolysis, is a more serious skeletal muscle injury, and without proper treatment, rhabdomyolysis can lead to serious kidney problems and even death.

But the way to prevent rhabdomyolysis is also very simple: exercise gradually, do not over-touch or even exceed your exercise limits, develop good habits of drinking water before, during and after exercise, and do not exercise for long periods of time at high intensity in hot and humid environments, and your muscles will not have problems.

Human muscle tissue is divided into 3 types: skeletal muscle, cardiac muscle, and smooth muscle, of which skeletal muscle and cardiac muscle belong to the rhabdomyolysis muscle, which is the most abundant tissue in the human body. Rhabdomyolysis syndrome refers to a series of multiple genetic or acquired diseases affecting rhabdomyocellular membranes, membrane channels, and their energy supply, resulting in rhabdomyocellular muscle damage, altered cell membrane integrity, and leakage of cellular contents (e.g., myoglobin, creatine kinase, small molecules, etc.), most often accompanied by acute renal failure and metabolic disorders.
The network rumors of eating crayfish will cause rhabdomyolysis, mainly because of the current crayfish, will use shrimp powder to clean, the original oxalic acid shrimp powder belongs to the more acidic. But mechanistically speaking, it is not found that it will directly lead to rhabdomyolysis of some mechanism.
So, crawfish can still be eaten, but don't be greedy and choose a clean restaurant if you do.

Also! These factors can also lead to rhabdomyolysis!
1. Fever and chills
Although acute gastroenteritis or fever does not usually cause rhabdomyolysis. However, after the fever, people will keep shivering, and some patients may even have convulsions, which can lead to rhabdomyolysis after repeated convulsions and spasms.
2、Overloaded exercise
It is that each person's organism has a different resistance to pressure, the amount of exercise or intensity of exercise that exceeds the capacity of their own muscles will cause some damage to the skeletal muscle, resulting in rupture and dissolution of part of the skeletal muscle phenomenon.
3. Heavy drinking
4. Taking certain lipid-lowering drugs
Hyperlipidemic patients taking lipid-lowering drugs, the doctor will explain to its - to pay attention to muscle pain or not, to come regularly to check some indicators. Because of statin, Bet type of lipid-lowering drugs, a long time to take, there will be the possibility of rhabdomyolysis.
HIV, immunodeficiency, including some specific SARS viruses, have these rhabdomyolysis.
The early signs of rhabdomyolysis are weakness, pain and swelling of the muscles.
If tea-colored urine is present, it is already a more serious symptom.
Milder cases of rhabdomyolysis usually recover in 3-7 days;
In more severe cases of rhabdomyolysis, recovery usually takes about 2 months.
Avoid heat, over-exercise, muscle damage, serious infections, and other harmful factors, and be sure to seek medical attention if you experience muscle weakness, swelling, or even tea-colored urine. Meanwhile, although there is no evidence that rhabdomyolysis is necessarily related to eating crayfish, it is still important to consume it in moderation to minimize unknown harm.

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Crayfish is high protein, low fat food, rich in purine nucleotides, eat more will induce gout, if then with beer will lead to uric acid increase faster. Allergic people are more likely to get rhabdomyolysis.