How does nephritis plus return a responsibility?

summary

Chronic kidney disease is a disease that needs long-term management. As long as patients with kidney disease can insist on treatment, there is no problem in controlling the progress of the disease, and the renal function can be maintained to a sustained and stable level. Today, let me share with you how nephritis plus is going on?.

How does nephritis plus return a responsibility?

First: kidney disease is a more "delicate" disease, and it is easy to relapse if you are not careful. If you can grasp the opportunity of treatment and treat it correctly, the chance of relapse is very small. But I'm afraid that some patients can't control themselves, so that the renal function is getting worse and worse, and the condition is getting worse and worse, soon to the point that uremia has to be dialysis.

Second: there are all kinds of proteins in the human body. The main function of the kidney is to excrete metabolic waste. Under normal circumstances, the kidney can filter some proteins, and some useful proteins can be reabsorbed back into the body at a position called proximal renal tubule. In the end, there is only a small amount of protein in the urine of adults, and the total urinary protein excretion should be less than 150 mg / day. At this time, urine routine examination can not detect such a small amount of protein, in the urine routine report, "protein" should be negative. Once the amount of protein in urine increases, more than a certain concentration, the "protein" in urine routine will appear plus sign.

Third: proteinuria caused by glomerular damage. After the glomerulus is damaged by infection, toxin, immunity, metabolism and other factors, the capillary wall of glomerulus is ruptured, the pore size of filtration membrane is increased, the permeability is enhanced or the function of charge barrier is damaged, and the plasma protein (mainly albumin) with small molecular weight in blood is filtered out of the original urine. If the damage is serious, the filtration of globulin and a small amount of other macromolecular proteins will also increase, exceeding the reabsorption capacity of renal tubules and forming proteinuria. According to the severity of glomerular filtration membrane injury and the protein composition in urine, it can be divided into two categories. 　　

matters needing attention

Therefore, when a patient comes to see a doctor with proteinuria, the doctor will carefully identify whether proteinuria is related to exercise, fever and urinary tract infection, ask if there are basic diseases causing proteinuria, such as hypertension and diabetes, and check the amount of proteinuria for you, as well as whether there are kidney stones and extrarenal diseases, Conditional hospitals will also check the molecular weight of urinary protein to determine the source of urinary protein. If it is from the kidney, further diagnosis and treatment will be decided according to the severity of urinary protein.