Except for Urine Routine These Indexes of Nephropathy Should Be Noted

2018-04-21 17:09

With the popularity of the Internet, many people who focus on health preservation have started the way of online medical treatment. In recent days, a reader in the background message asked me “my urine has foam, is it suffering from kidney disease? Would you be diagnosed that there is kidney disease provided the albuminuria is in rount urine test?" From his message, we can see that he has a preliminary understanding of nephropathy, but it is not comprehensive enough. Next, I will explain the diagnosis of nephropathy.

Urine routine

Urine routine is one of the most common examinations for diagnosing nephropathy.

Through urine protein index in the urine routine, we can initial determine whether it is nephropathy. If the presentation is -, it is a primary consideration as no nephrosis (but it is not a very accurate response to the proteinuria as a result of its high susceptibility to urine concertration and dilution).

If the presentation is + -, standing for a weak positive.

If the presentation is +, a protein leakage is considered. And you need to improve the loss degree of the protein, a 24 hour urine protein quantification is needed.

24 hour urine protein quantification

The 24 hour quantification includes the amount of protein excreted all day, and is not easy to be affected by the amount of water intakes and urine volume. It is called the golden standard for quantitative evaluation of urine protein.

The 24 hours urine protein of normal people is less than 150mg/24 h. It is worth noting that the patients need to take repeated checks if the test result is beyond normal and that nephropathy can be considered as long as there are three or more times showing that the result of 24 hour urine protein quantification is exceeded the normal range.

Microalbuminuria

It is mainly used for protein evaluation in the early stage of kidney disease. Microalbuminuria is more sensitive than total urinary protein, and it can be used as an early renal examination for hypertension patients, diabetes patients and other people at high risk of kidney disease. It is more beneficial to early detection of kidney disease.

Urine protein creatinine ratio

Kidney friends can observe this indicator when performing routine urine tests. This indicator can monitor urinary protein excretion at some point (the creatinine here is creatinine in urine, not serum creatinine).

Compared to 24 hours urine protein quantification, its advantage is that it can reduce the abnormal measurement caused by patients’ activities and other reasons.

So, if you really suspect you are ill with kidney disease, please take this set of tests first and thus you can get a the basis diagnosis.

If you want to gain more information about kidney disease, welcome to contact us directly. We are glad to help you.

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