Some patients with nephropathy will have simple hematuria symptoms in the early stage. With the progress of the disease, proteinuria, hypertension and so on will appear one after another. If the treatment is not timely, it will lead to the progress of renal function, and then there will be more symptoms and complications. The worst case scenario is uremia.
Because hematuria has a scary "coat", many nephropathy patients often do not know what to do, think their condition has reached a very serious point. In fact, only simple hematuria can not be directly judged to be caused by kidney disease.
The criterion of hematuria is that there are three or more erythrocytes in the urine under high magnification centrifugation. There are two main causes of hematuria, one is urinary system disease, the other is renal disease. Kidney disease is mainly the destruction of the glomerulus, resulting in problems with the renal filtration system, accompanied by leakage of red blood cells in the urine.
In general, patients with chronic glomerulonephritis after early hematuria after active treatment, control does not affect renal function. But this is not to say that it can be ignored. If you have had simple hematuria and have not been treated for a long time, it will still cause hardening of the glomerulus over a long period of time, resulting in the progression of renal function and the risk of development of hyperuricemia.
Therefore, for the treatment of hematuria, the early stage must be promptly identified the cause of the disease, targeted treatment, some patients may have unexplained hematuria, the doctor said not to take the drug, but still need regular review and monitoring, so as not to cause serious consequences.
Compared to hematuria, the effect of proteinuria on renal function is obvious, and as an independent influencing factor, long-term poor treatment can cause direct damage to renal function.
The presence of proteinuria indicates problems with filtration of renal glomeruli and reabsorption of renal tubules, and large amounts of proteinuria can aggravate damage to these two tissues, leading to worsening renal function. Therefore, the timely control of proteinuria on the progress of renal function control and prevention of uremia is of great significance.
However, some patients are more extreme and they are too eager to change the indicators. They feel that only proteinuria is completely negative and that it is completely cured before the risk of uremia can be eliminated. However, in the early stages of kidney disease, when the renal function is not damaged or damaged, the chance of proteinuria becoming completely negative is large. When the kidney disease is 3rd stage, there is no possibility of reversal of renal function, and it is unrealistic to blindly click the protein.
In patients with large amounts of proteinuria (protein quantification exceeding 3.5 g), those whose proteinuria is controlled below 1 g are more likely to protect renal function. Patients with relatively low levels of proteinuria are more likely to have proteinuria below 0.5 g. Therefore, the earlier patients with proteinuria and hematuria, the sooner they are found, the lower the probability of treatment to uremic disease is earlier.
Beijing In China