Proteinuria is the presence of proteins in the urine. Protein is originally in the blood, as the blood flows through the body, nutrition supply.
Normally, blood flows through the kidney 50 times a day. Protein is filtered by the glomeruli, then reabsorbed by the renal tubules and re-entered the blood. Healthy people have no or very little protein in their urine. It is generally believed that 24-hour urine should not exceed 0.15 g of protein. If exceeded, it will be positive in the test, that is, there is a plus sign. If more than 3.5 grams, even a large amount of proteinuria, also known as renal proteinuria.
First, look at the physiological reasons. As has been said before, blood flows through the kidney 50 times a day, but if we engage in heavy physical work, or vigorous exercise, or emotional fluctuations, or eat stimulating food, it will lead to accelerated blood circulation, increase the number of blood flows through the kidney, which will increase the burden on the kidney.
Once the glomerular filtration rate exceeds the renal tubular reabsorption rate, protein leakage will occur. This is the physiological urinary protein, but it usually disappears quickly and usually does not exceed two plus marks.
Next comes the pathological reason, which is relatively simple, is the protein leakage caused by kidney damage. This kind of renal damage can be either glomerular damage or tubular damage. The symptoms and treatment methods of the two groups are different.
If the protein in your urine routine has a plus sign, you should pay attention to it. It can be identified according to the above situation.
Renal proteinuria often recurs, which is difficult to cure and accelerates renal failure. To explore the reasons, we need to combine the current clinical treatment of urinary protein in two cases:
The first is hormone inhibition, which is the most mainstream method at present, because the role of hormones is to reduce the permeability of kidney cells, which can forcibly prevent protein leakage. This has advantages and disadvantages. The advantage is that the effect is quick, and the method of hormone inhibition is mature, and the control of medication and dosage is relatively easy.
The disadvantage is easy to relapse, because inhibition is not a treatment after all, prevent protein leakage, and after the efficacy disappears or withdrawal, it will certainly relapse.
The second is comprehensive treatment, which can eliminate urinary protein by regulating renal cells, preventing their continued necrosis, maintaining the existing renal function, and maintaining the compensatory nature of the kidney. The advantages and disadvantages are that the treatment is thorough and not easy to relapse; the disadvantages are that the effect is slow, because it is regulated from the cellular level, so the choice of drugs or methods is relatively complex.
In the treatment of urinary protein, we should first determine the source of protein and the specific site of kidney damage, and then use traditional Chinese medicine to regulate and treat by various ways of administration, and cooperate with appropriate amount of Western medicine to improve the treatment speed. In this way, western medicine diagnosis, traditional Chinese medicine treatment and Western medicine cooperation can truly achieve the goal of reducing protein and keeping away from renal failure.
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