Four Groups of People with Proteinuria Show the Highest Risk of Renal Failure

2018-10-08 14:47

Four Groups of People with Proteinuria Show the Highest Risk of Renal FailureClinically, acute renal failure is associated with a large amount of urinary protein leakage. On the one hand, when a large amount of urinary protein is released from the glomerular filtration membrane, the renal tubules can form tubular blockages, leading to acute renal failure. On the other hand, it may also be associated with severe hypoalbuminemia, which can decrease blood volume, and cause very severe edema. Edema can compress renal tubular, resulting in acute renal failure.

In particular, these four types of patients with urinary protein should pay more attention to the risk of renal failure:

1. Those who are too old or too young

Elderly patients and children patients are more common (it has been reported that patients over the average age of 58 years old are more likely to have acute renal failure). Such patients have already started to have renal function failure or have not yet mature, and a little bit of urinary protein is more likely to cause acute renal failure.

2. Those with large leakage of urine protein (usually greater than 10gh)

The pathological conditions of the patients are relatively serious, such as FSGS, Lupus Nephrotic Syndrome, Diabetic Nephropathy, etc., while the daily intake of protein could hardly guarantee the concentration of plasma albumin, leading to hypoalbuminemia, infections and other severe complications of acute renal failure.

3. Those with low plasma albumin (less than 20gL)

Such hypoproteinemia causes our blood to be very viscous and flow very slowly. 1. it is prone to embolism; 2. it is susceptible to infection; 3. it is highly susceptible to acute renal failure on the basis of the first two factors.

4. Those with hypovolemia

If there is insufficient blood volume, improper use of blood pressure medication or diuretic abuse can lead to prerenal acute renal failure. This is especially important for treating patients with large amounts of urinary protein.

Since the risk of urinary protein is so high, the treatment of urinary protein is of great importance. In particular, these three steps should be mastered:

1. To supplement protein: it can be done at home, which is mainly to maintain the normal body function.

2. Steroid therapy: at present, the technology of steroid lowering protein is very mature. Steroid can reduce the permeability of renal cells and inhibit protein leakage.

3. Comprehensive treatment: although the steroid treatment can reduce urinary protein temporarily, after the withdrawal of the drug, urinary protein often relapses. At this point, TCM decoction for syndrome differentiation can be used to eliminate toxins from the body, restore the internal environment for kidney self-healing, and avoid sustained damage to renal function.

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