What is the reason for the color of urine sauce

summary

Urine sauce oil color is a common symptom in our life, and we don't have to worry too much about it. Middle aged men. Due to repeated excretion of sauce oil color urine for 15 years, fever and cough for more than 2 months, the patient had no obvious inducement to have dark yellow urine 15 years ago, and occasionally presented with sauce oil color, pale complexion, fatigue, palpitation and shortness of breath after activity. There was no bone pain and yellow stain. Let's share some experience about the reason why the color of urine sauce is oily.

What is the reason for the color of urine sauce

First: in such a situation, it is mainly symptomatic and supportive therapy, and try to avoid infection and other inducing factors. Besides increasing hemoglobin and maintaining tissue oxygen demand, blood transfusion can also inhibit erythropoiesis and indirectly reduce complement sensitive erythrocytes. However, the input plasma contains complement components necessary for hemolysis, so blood transfusion can often aggravate hemolysis, so it is necessary to strictly grasp the indications. At present, it is advocated to use red blood cell transfusion with plasma removed and washed with saline for three times.

Second: acute hemolytic attack can be reduced by taking or intravenous drip of 5% sodium bicarbonate. We must use drugs under the guidance of doctors, which is responsible for our own life safety.

Third: the use of adrenocortical hormone is only effective for a small number of patients, can reduce hemolysis. Prednisone 20-30mg / D is needed in general, and the dosage is reduced and maintained for 2-3 months after remission.

matters needing attention

Long term hemoglobinuria can lead to iron deficiency. However, iron can promote the production of reactive oxygen species; PNH cells are very sensitive to oxidative damage and easy to induce hemoglobinuria. If iron deficiency is confirmed, small dose of iron should be given, which is 1 / 3-1 / 10 of the conventional dose; if there is still reaction, it should be stopped. Allogeneic bone marrow transplantation can be considered.