Proteinuria is the main abnormality in patients with kidney disease. Proteinuria is also a major risk factor for uremia. During the period of kidney disease**, kidney friends have various questions and misunderstandings about proteinuria. Here are 5 common myths and truths about urine protein, and see which ones are different from what you know.
The proteinuria is gone, and the kidney disease is cured
Truth:The amount of proteinuria does not always correspond to the severity of the kidney lesion. The absence of protein in the urine does not necessarily mean that kidney disease is cured.
The severity of renal lesions should be comprehensively judged based on the amount of proteinuria, renal function, renal pathology, and general conditions. Some people do not have very severe protein in the urine, but they may have significantly reduced kidney function. In some people, proteinuria may be caused by acute or chronic interstitial nephritis, or hypertensive kidney damage, and even if the kidney damage is already severe, proteinuria in the urine is often very small. Therefore, it is important not to be negligent or fail to seek medical attention because there is not much proteinuria.
There is no edema and any discomfort, there is not much protein in the urine
Truth:When there is a large amount of proteinuria, it can cause edema in the lower limbs, eyelids and other parts. However, it is important to note that patients with little or moderate proteinuria, or even some large amounts of proteinuria, do not experience edema or other discomfort. Therefore, if you want to know the level of proteinuria, you still need to check it regularly, not wait for edema or discomfort.
Proteinuria is not painful or itchy, so don't care
Truth:The most terrible thing about kidney disease is that "there are few symptoms in the early and middle stages, no pain or itching", except for some patients with foamy urine, swollen eyelids and swollen lower limbs, proteinuria can give the body few warning symptoms. This has led many people to think that it doesn't matter if it doesn't hurt or itch, and proteinuria is not effectively controlled, causing kidney function to deteriorate.
Due to the influence of life patterns, environment and other aspects,Chronic kidney disease is a high incidence in China, 1 in 10 people have kidney disease, and only about 10% of them know that they have the disease. For most kidney patients, the only manifestation in the early stage is only urine protein, and there is no damage to kidney function, so there are few symptoms and must be found by physical examination.
Everyone should pay attention to kidney health screening, especially people with high-risk kidney diseases such as hypertension, diabetes, gout, long-term medication, family history of kidney disease, and premature birth. Check urine test and blood creatinine once a year, and see a doctor in time if you find a problem.
Managing urine protein depends on the medication
Truth:Drugs are not all, in the process of ailment, colds, diarrhea, fatigue, pregnancy, may lead to urine protein ** or aggravation, so drugs ** and life management are indispensable. Recently, there has been a high incidence of colds, and friends must take good precautions.
To treat proteinuria, corticosteroids must be used
Truth:Not all patients should be treated with hormones for protein in the urine. For example, some patients have chronic lesions, sclerosis and fibrosis account for more, and active lesions account for less, then, the addition of hormones not only can not effectively control urine protein, but also bear the risk of hormones.
Therefore, whether to use hormones or not is not a urine protein index that can be decided, and doctors need to comprehensively evaluate the overall condition of the patient and the pathology of renal puncture before making a decision.