How can proteinuria be stopped? Reaching 2 points, most people do not need to take medicine for life
What are the most typical symptoms of chronic kidney disease? Non-proteinuria belongs to almost every pathological type of kidney disease, including primary kidney disease and secondary kidney disease.
Proteinuria is not only an early symptom of renal disease, but also a "gold indicator" of renal function. Basically, it runs through the entire development process of renal disease and affects the final prognosis of renal function. Therefore, reducing proteinuria is essential to prevent renal failure.
Many kidney friends have such troubles, especially younger patients. Taking medicine also means a certain amount of consumption, and the dual pressures of physical and psychological are often unacceptable.
Should proteinuria patients take lifelong medication? Affected by these factors!
The type of pathology
Although proteinuria exists in a variety of renal diseases, the severity of proteinuria varies with different pathological types, with different degrees of damage.
Nephropathy also belongs to the type of nephrotic syndrome, among which membranous nephropathy, IgA nephropathy, and minimal change nephropathy have relatively good prognosis, while focal segmental glomerulosclerosis, membranous proliferative glomerulonephritis, etc. In this case, the proteinuria is poorly relieved, and long-term medication is required to maintain it.
The sensitivity to drugs
For the treatment of proteinuria of nephrotic syndrome type, the most commonly used combination of hormones and immunosuppressants is the combination of hormones and immunosuppressants. Most people are more sensitive to hormones. Four to eight weeks after treatment, proteinuria will decrease to varying degrees, and a small number will persist. Hormone dependence or even resistance requires long-term adherence to medication to maintain the stability of proteinuria. Resistant patients need to increase immunosuppressive agents to enhance immunity to enhance the efficacy of drugs.
Therefore, patients with hormone resistance or over-dependence must take the drug for a longer time.
The quality of nursing care
After most patients take it, proteinuria can be reduced to less than 1g or even lower, but it is a problem to keep it stable for a long time. Consolidating nursing work in the later stage is very important, such as diet management, infection prevention, and immunity improvement. If these situations are not taken seriously, it will lead to repeated proteinuria, and it will not be so easy to reduce the drug.
Patients with long-term proteinuria generally achieve these two points, and can consider stopping the drug:
The proteinuria value drops below 0.5g and does not fluctuate more than 0.2g. After evaluation, the impact on renal function is small, and the renal function is relatively stable with no obvious signs of deterioration.
There is no obvious repetition. If the urine protein is maintained below 0.5g, and there is no recurrence for more than 2 years, it can basically be considered to stop the drug.
However, for some special diseases such as diabetic nephropathy, hypertensive nephropathy, patients with renal failure and uremic dialysis, even if the condition is stable, they are basically long-term medication, which is not within the scope of discontinuation.
There is another point that kidney friends must pay attention to, do not stop the drug in a hurry, and ignore the condition after stopping the drug. Kidney disease can be stopped, but it does not mean a complete cure. It still requires long-term review and good kidney-protecting habits, which is the long-term solution for stable disease. If you are not strict with yourself, stopping the drug may not be a good thing.
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