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4 Tips Really Help Relieve Proteinuria In CKD


2019-03-07 10:04

Relieve Proteinuria,CKD,4 TipsProteinuria quantification is a key indicator in the treatment of nephropathy. From the early stage to the end stage of nephropathy, proteinuria always exists in the whole process of nephropathy development. Therefore, patients with low levels of proteinuria tend to have stable renal function and better prognosis.

Proteinuria is not easy to fall down, and easy to relapse. How to treat albuminuria fundamentally

Why are some proteinuria difficult to drop? First of all, we should clarify these two questions:

Differentiation of pathological types of nephropathy

There are many kinds of chronic kidney disease, each of which contains multiple pathological types. The severity of different pathological types of kidney disease, the amount of proteinuria is not much, and the degree of difficulty of naturally decreasing protein is also different.

For example, patients with nephrotic syndrome are often accompanied by a large amount of proteinuria, including the pathological types of membranous nephropathy, minimal change nephropathy, mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis and so on. Taking membranous nephropathy as an example, in the first two stages, the condition is generally mild and proteinuria is less. Active treatment with hormones and immunosuppressants at this time will generally be better controlled. Renal insufficiency is obvious after the progression to the third stage. Proteinuria generally exceeds 3.5g/24h. It is difficult for proteinuria to turn negative completely, mainly for maintenance treatment.

In addition, patients with microlesions are more sensitive to hormones, urinary protein is easily negative, but if the recurrence rate of focal segmental glomerulosclerosis is high, protein reduction is often not optimistic.

Differentiation in treatment stage of nephropathy

Simply put, even if the same pathological type of nephropathy is in different stages of development, taking the same drugs, the final treatment results will certainly be different. Generally speaking, the first one of various pathological types of nephropathy is the period of treatment of proteinuria, with better effect, more stable proteinuria and lower recurrence rate. But once renal insufficiency occurs and the whole internal environment is unstable, it is not so easy to turn proteinuria completely negative.

Therefore, nephropathy patients should seize the opportunity of treatment, early treatment is the key to protein reduction.

1. We should adhere to the principle of low-protein diet. On the one hand, we should avoid taking too much protein to aggravate the burden of the kidney, which is not conducive to the stability of the disease. On the other hand, we should avoid the aggravation of protein leakage, which will aggravate the damage of renal function and form a vicious circle.

2. Protein-lowering drugs such as hormones, immunosuppressive agents, and other drugs such as Sartan and pril need to be taken consistently to be more effective, but we should also pay attention to not overtreat, so as not to cause immunity decline, increase the risk of recurrence such as infection, and lose.

3. Avoid infection, nephropathy patients themselves have low immunity, in addition to taking immune preparations drugs, more likely to occur infection and other situations, in order to reduce the risk of recurrence, Kidney Friends had better be prepared to prevent infection.

4. Protein deprivation should not neglect the treatment of other symptoms. Including edema, hypertension, hematuria, anemia and so on, which will affect the overall condition of the disease and the quality of renal function, nephropathy patients should adhere to comprehensive treatment.

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