What should I do if the urine protein has dropped for two months, and it has risen to 2+ once the drug is stopped? Teach you 2 tricks
24-hour urine protein quantification is the most commonly used and key indicator for monitoring urinary protein in nephropathy. In the course of treatment, the change of urinary protein is an important indicator reflecting the glomerular filtration function. Excluding the influence of individual pathological factors, generally the higher the quantitative urine protein, the greater the harm to renal function, indicating that the glomerular filtration membrane is damaged more seriously. Therefore, reducing the quantitative urine protein is an important part of preventing the occurrence of renal failure.
However, some patients have been treated for a long time, but proteinuria is always repeated. Why?
Stabilize proteinuria, these 4 points must not be mistaken!
Correction:
The inspection is accurate, in order to drop quickly
The day before yesterday, a patient was found to have urine protein 2+, and the message said how to check the 24-hour urine protein quantitative, what should I pay attention to?
The 24-hour urine protein quantification is to measure the protein content by taking 24-hour urine and taking about one-third of the urine volume, and finally obtain the urine protein situation throughout the day. It should be noted that 24-hour urine is generally "leave the tail but not the head". If it is left at 7:00 am the previous day, the urine is not required at 7:00 am, and the urine at 7:00 am the next day should be kept. Of course there is no natural and no need to stay.
However, some patients always make mistakes, resulting in large errors in the test results, low quantification, and different dosages, which often delays the treatment of the disease. This is also an important reason for the repeated "artifacts" of urinary protein.
In addition, the weather is hot now, keep the urine as sealed as possible and put it in a cool place, and send it for inspection as soon as possible without delay.
24h urine protein quantification has nothing to do with drinking water
For some patients, the amount of re-examination has increased, and the first thing to think about is whether it has something to do with drinking more water. In fact, it really does not matter, 24-hour urine protein quantitative = urine protein concentration × urine volume. How much water you drink will affect the amount of urine, but the urine protein concentration will also be diluted, but the total amount will not change. Drinking less water, higher urine protein concentration, less urine output, the end result is the same.
On the contrary, urine protein + will be affected by the amount of water you drink and the amount of urine.
Therefore, if you find that there is an increase in urine foam at home, don’t mistakenly think that you drink too much water, you must check it in time, you can adjust the treatment, and try to control the condition stably.
Treatment chapter:
Reduce the risk of recurrence, pay attention to two points
There is a message from a patient, doctor, my urine protein has just dropped for 2 months, and it rose to 2+ after stopping the drug, what should I do?
Many kidney friends will encounter such a situation. Taking medicine can maintain a low level, and it will recur after a long time after stopping the medicine. There seems to be no good way to go back and forth. What is the source of repeated urinary protein?
The first is the characteristics of kidney disease, which is a disease of the immune system. Most of the patients have congenital immune deficiencies. What should we do? To make up the day after tomorrow, we usually pay more attention to improving immunity. Some people may have a cold and fever several times a year, and are prone to tonsillitis and respiratory tract infections, so they pay attention to prevention.
Secondly, repeated urinary protein is very serious drug dependence. Hormones can only temporarily reduce indicators, but they cannot solve the problem of poor immunity. At this time, it is necessary to pay attention to cooperating with traditional Chinese medicine to reduce the side effects of hormones and improve the efficacy of drugs. But I think 80% of the patients are treated with Western medicine.
Starting from these two points, the urine protein can be basically stabilized, and the recurrence rate is mostly reduced.
To maintain long-term stability of proteinuria, there is another point
Most patients can reduce proteinuria to less than 0.5g, or even return to normal. However, the improvement of urinary protein does not mean the complete recovery of kidney disease. In order to prevent kidney failure, kidney friends still pay attention to daily maintenance. For example, eat a lighter diet, eat less high-egg foods, avoid staying up late to damage immunity, and regularly review to prevent recurrence, etc. These small details are often more important.
(Note: See the watermark for the source of the picture in the article, if there is any infringement, please contact to delete it)
Reduce the risk of recurrence, pay attention to two points
There is a message from a patient, doctor, my urine protein has just dropped for 2 months, and it rose to 2+ after stopping the drug, what should I do?
Many kidney friends will encounter such a situation. Taking medicine can maintain a low level, and it will recur after a long time after stopping the medicine. There seems to be no good way to go back and forth. What is the source of repeated urinary protein?
The first is the characteristics of kidney disease, which is a disease of the immune system. Most of the patients have congenital immune deficiencies. What should we do? To make up the day after tomorrow, we usually pay more attention to improving immunity. Some people may have a cold and fever several times a year, and are prone to tonsillitis and respiratory tract infections, so they pay attention to prevention.
Secondly, repeated urinary protein is very serious drug dependence. Hormones can only temporarily reduce indicators, but they cannot solve the problem of poor immunity. At this time, it is necessary to pay attention to cooperating with traditional Chinese medicine to reduce the side effects of hormones and improve the efficacy of drugs. But I think 80% of the patients are treated with Western medicine.
Starting from these two points, the urine protein can be basically stabilized, and the recurrence rate is mostly reduced.
To maintain long-term stability of proteinuria, there is another point
Most patients can reduce proteinuria to less than 0.5g, or even return to normal. However, the improvement of urinary protein does not mean the complete recovery of kidney disease. In order to prevent kidney failure, kidney friends still pay attention to daily maintenance. For example, eat a lighter diet, eat less high-egg foods, avoid staying up late to damage immunity, and regularly review to prevent recurrence, etc. These small details are often more important.
(Note: See the watermark for the source of the picture in the article, if there is any infringement, please contact to delete it)