What does kidney disease reexamine need to check

summary

Grandfather's health has not been very good. He has been suffering from kidney disease for many years. He has been using drugs to control the disease. From time to time, he will go to the hospital for examination, and his condition is still stable. So today I'll introduce to you what we need to check for kidney disease reexamination.

What does kidney disease reexamine need to check

First, the urine routine examination can find microscopic hematuria, IgA nephropathy is mainly malformed red blood cells, 60% of patients have proteinuria, but most of them are Microalbuminuria; serum IgA level: if the patient does not have liver disease, serum IgA continues to increase, the renal patients should be highly suspected of IgA nephropathy. Most scholars advocate that repeated examination of IgA, especially the detection of serum IgA after acute infection or acute onset, can improve the detection rate of increased serum IgA.

Second: to measure the level of circulating immune complex: the titer of IgA immune complex in the blood of patients with IgA nephropathy is increased, which exists in the attack and remission of the disease; to check the renal function: Patients with IgA nephropathy may have varying degrees of renal dysfunction. The main manifestations were the decrease of creatinine clearance rate and the gradual increase of serum creatinine and urea nitrogen. The increase of serum microglobulin, which often occurs in patients with glomerulosclerosis, is an indication of poor prognosis.

Third: biopsy if necessary: in the forearm volar skin biopsy, about 50% of the patients had IgA, C3, resolvent and fibrinogen deposition in the capillaries. Renal biopsy is the only way to diagnose IgA nephropathy. Light microscopy showed focal, segmental to diffuse and spherical mesangial hyperplasia, immunofluorescence showed diffuse deposition of IgA mainly in mesangial area, and electron dense deposition mainly in mesangial area under electron microscopy.

matters needing attention

Illness will cause great harm to our body, and some of the more serious will affect our daily life, even if the disease eased, we must regularly go to the hospital for review, to ensure that the body will not have abnormal.