Hematuria is what symptom does kidney problem have?

summary

There are no red blood cells in the urine of normal people or only a few red blood cells occasionally. If the urine into the blood, after centrifugation precipitation of urine, under the microscope every high power field has more than 3 red blood cells, called hematuria. Hematuria is divided into renal hematuria and non renal hematuria. Many people think that hematuria does not need to be treated. We think it is necessary to eliminate the cause of renal hematuria, because long-term pathological changes of glomerular basement membrane can also lead to glomerulosclerosis, thus causing renal damage. Therefore, renal hematuria must be treated early. Hematuria is what symptom does kidney problem have? Let's talk about it.

Hematuria is what symptom does kidney problem have?

1. Homogeneous red blood cell hematuria: the shape and size of red blood cells are normal, the shape is more consistent, similar to the shape of red blood cells on unstained peripheral blood. In a few cases, shadow red blood cells with hemoglobin loss or spinous red blood cells with slight shape change can also be seen. There are no more than two kinds of red blood cells in the whole urine. It was reported that the diagnostic coincidence rate of homogeneous red blood cells and renal biopsy was 92.6%.

2. Heterogeneous red blood cell hematuria: namely deformable red blood cell hematuria, red blood cell size is different, volume can differ 3-4 times, visible in urine more than 2 kinds of morphological polymorphous changes of red blood cells, such as large red blood cells, small red blood cells, spinous red blood cells, shrinking red blood cells. The coincidence rate of heterogeneous hematuria and renal biopsy was 96.6%.

3. Non glomerular hematuria: seen in: ① temporary microscopic hematuria, such as normal people, especially young people after strenuous exercise, rapid march, cold bath, long standing or heavy physical work. Female patients, should also pay attention to whether there is menstrual blood pollution in urine, should be distinguished by dynamic observation. ② Urinary system diseases. ③ Non renal hematuria is characterized by an increase in urine red blood cells, but no increase or obvious increase in protein.

matters needing attention

There are many reasons for hematuria, so don't panic when there is "red blood cell positive" on our physical examination report. Combined with their own general situation, first give yourself a comprehensive judgment! Of course, the most reliable thing is to let the doctor interpret the report for you!