Uremia and proteinuria diagnosis through treatment? Many patients do not believe that urinary protein can also be diagnosed with uremia, let experts help you to see how through urine protein diagnosed with uremia.
Urine mixed with semen or prostatic fluid, or the next urethritis secretions, urine protein response can be positive. This case, the patients with lower urinary tract or prostate disease manifestations, urinary sediment can be found in the sperm, more flattened epithelial cells, etc., can make the difference. Lymphatic urine, can be presented chyle containing less protein.
Morning after the night before bed and standing action urine 4-6 hours after the tests on urine protein compared by 3 consecutive days, if the former is negative urine protein, and the latter is positive, can be identified as postural proteinuria. If proteinuria is persistent, or accompanied by hematuria, edema or hypertension, such as performance, regardless of how much protein in urine, should be regarded as pathological, to actively identify the cause.
Urinary tract infection is also often seen proteinuria, acute urinary tract infection manifested as small or trace protein, mostly mucus protein, urine protein characterization in () or less. Chronic pyelonephritis, urinary protein increased, 24 and urinary protein excretion was still 1 g or less. The most common drugs are aminoglycoside antibiotics such as gentamicin, kanamycin, streptomycin, followed by anti-inflammatory drugs and imaging agents, should be avoided.
Uremia common infections with respiratory, digestive, urinary tract infection, found to be infected with an option to traditional Chinese medicine treatment, if treated with antibiotics, should be taken to avoid the use of nephrotoxic drugs, and to adjust the dosage. When kidney disease, the glomerular filtration membrane permeability, so a lot of protein into the glomerular filtrate filtration, tubular reabsorption capacity than the protein into the urine eventually cause proteinuria.
Handful nephritis patients complicated urinary tract infections, may appear massive proteinuria (≥ 3.5 克 / d), and even the performance of nephrotic syndrome can occur, often difficult to distinguish primary glomerular disease, renal biopsy diagnosis to be done to living tissue checks. Normal urine protein is less than 150mg / d, when the urinary protein excretion greater than 150mg / d, called proteinuria.
Urine mixed with blood, pus, inflammation or tumor secretions and menstrual blood, vaginal discharge, etc., can be positive conventional qualitative proteinuria. Urine seen a lot of red blood cells, white blood cells and squamous epithelial cells. Some drugs such as rifampicin, Hill and year from the urine, can make similar turbid urine proteinuria, but protein characterization negative reaction.
Early uremia, namely Ccr50 ~ 80 ml / min, serum creatinine, blood urea nitrogen normal, no clinical symptoms of the patient, without the need for a strict diet, but it should be properly controlled intake of protein and salt intake, protein intake to 0.6 per kg body weight per day to 0.8 grams. Functional proteinuria after the removal of the cause of proteinuria can disappear, common in fever, intense exercise or postural changes and so on.
From a small amount of urine protein (200mg / d) to the number of more than 10g per day, most of> 2g / d, which is characterized usually albumin-based. Urinary protein, people generally think of glomerular diseases. Not all diseases caused by glomerular proteinuria are made in other cases can also occur proteinuria, including urinary tract infections.
Placing or urine for a long time after cooling, can be precipitated salt crystals, so that urine was white turbid, easily mistaken for proteinuria, but add a little heat or acetic acid could make turbid urine, turned clear, to help distinguish. Normal glomerular filtration membrane filtration of plasma proteins are selectively effect, can effectively prevent the majority of the plasma proteins from the glomerular filtration, only a very small amount of plasma proteins into the glomerular filtrate.
Uremic patients that their condition, the general mood is very low, and some even give up on themselves want to give up treatment, this treatment of the disease is very unfavorable. Uremia is a great danger of the disease, treatment like to take early, do not wait until late to go to therapy, hurt themselves and hurt his family.
Beginning of the movement may cause the disease to fluctuate, but doing exercises to improve physical fitness, promote rehabilitation benefit. Early exercise therapy should be included in the agenda of uremia, about half an hour per day, reaching moderate exercise intensity. More stringent control salt intake. Appropriate to add trace elements iron, zinc and vitamin B, E.
Experts say that early treatment of disease in patients with uremia should establish confidence, good attitude treatment of the disease is very favorable. Beginning should be gradual, type of sport to walking, jogging, tai chi and other more appropriate. The most important thing is to change the concept, many people think uremia should not exercise, games worse.
No comments:
Post a Comment