Proteinuria is found on the physical examination form, which means that the kidneys are severely damaged? Reminder: The real worry is this

In a healthy human body, there are two kidneys distributed on both sides of the lower abdominal cavity. Affected by the promotion of health care products and the health preservation of traditional Chinese medicine, many people mistakenly believe that the kidney is the organ that dominates "sex".

But in fact, there is no essential connection between kidney function and sex. Its real function is to detoxify and balance, and through it to generate urine, maintain the balance of water, electrolytes and blood pressure in the body.

From a clinical point of view, the basic function of the kidney is to produce urine! In the process of kidney examination, the most basic examination is "urine test".

According to clinical data research, the most likely symptom of chronic kidney disease in the early stage is "proteinuria", which means that the urine contains a large amount of protein substances, and proteinuria is also an independent risk factor for the development of kidney disease to renal failure!

A large amount of proteinuria that occurs for a long time will cause hyperfiltration of the glomerulus, promote the continuous hardening of the glomerulus, and lead to a continuous decline in renal function. Therefore, patients with chronic kidney disease are very concerned about the inspection value of "urinary protein". When the urine protein is found to be elevated and there is a + sign, they will worry that they have kidney failure!

Proteinuria+, in fact, it is not as scary as everyone imagined!

Proteinuria can be divided into two types clinically. One is physiological proteinuria, which usually occurs in people with high-protein diet, mental agitation and strenuous exercise. This kind of temporary proteinuria does not need to be overly worried.

What really needs to be vigilant is the proteinuria in patients with chronic kidney disease. Under normal circumstances, there are only 4 plus signs for proteinuria at most;

The more proteinuria plus signs appear, the more severe the symptoms will be. However, in the process of clinical treatment of kidney disease, the examination of urine protein is not as important as imagined. Because there are many interfering factors in urine routine, the standard for quantitative evaluation of urine protein is not a routine urine examination. Doctors pay more attention to 24-hour proteinuria quantification!

Therefore, what really requires patients to be vigilant is actually the 24-hour urine protein quantification!

This is not easy to be affected by the amount of drinking water and urine volume. The urine protein quantity of normal people in 24 hours is less than 150mg, usually between 40-80mg. Occasionally, the 24-hour urine protein quantity exceeds the standard, and it cannot be diagnosed as kidney disease; only after multiple inspections, the urine protein exceeds the normal range for more than three times within 24 hours, can it be judged that kidney disease has occurred!

In addition, urine protein itself cannot accurately reflect the degree of kidney damage, nor can it be used as a criterion for judging whether the curative effect is good or bad. Routine urine is only a means of auxiliary diagnosis. The reason why it occurs frequently is that routine urine examination is more convenient and quicker, and the most important thing is that it is cheap!

In addition to observing urine protein, patients also need blood vessels to check plasma albumin!

For patients with kidney disease, especially those with nephrotic syndrome, we must learn to observe the stability of plasma albumin. Because of long-term proteinuria, it is very easy to cause a decrease in plasma albumin and induce hypoalbuminemia.

This will not only cause high edema, but may also develop into cardiopulmonary failure, deep vein thrombosis, low immunity and many other problems!

In fact, there are many clinical examination methods for kidney disease, and proteinuria is only one of the warning signals sent by the body.

However, for patients with chronic kidney disease, the continuous increase of urinary protein is a dangerous situation. They should actively communicate with the attending doctor to adjust the treatment plan to avoid further development and deterioration of the disease, which will cause greater impact on the body.