How does urinary protein 2 + do? Nephrologists give you three tips to stay away from uremia

Urinary protein 2 +, that is, the measured urinary protein concentration is 1G-2G / L. Based on the average urine volume of 1.5L per day, the 24-hour urine protein quantity is about 1.5-3g. < / P > < p > this range belongs to moderate proteinuria. Although the progression to uremia is not rapid, it can also threaten renal function within a few years, so active treatment is necessary. < / P > < p > if your diagnosis is only “chronic nephritis”, it is incomplete and defective. If the urine protein is moderate, it is necessary to diagnose the pathological type in order to make treatment plan and evaluate prognosis. In order to diagnose pathological types, the relevant laboratory indexes should be checked first to assist in judgment. If the urine protein can not be relieved, or there is an unknown cause of acute renal function progression, renal biopsy can be considered for diagnosis. Membranous nephropathy and membranous proliferative nephropathy can also be manifested as proteinuria 2 +. “Pril / sartan drugs + traditional Chinese medicine” is still the basic treatment, and some patients with good drug reaction can reach the standard only with this kind of conventional drugs. Immunosuppressive therapy is recommended for IgA nephropathy if urinary protein is not reduced to mild level after conventional drug treatment. If it is not convenient to use immunosuppressants, consider taking high-purity fish oil from northern Europe. (2) < / P > < p > 3. Membranous nephropathy of urinary protein 2 + can not meet the standard of nephrotic syndrome. Conventional treatment can be used without the use of hormones and immunosuppressants. Treatment results can not be targeted at 0.5g urinary protein, urine protein can be reduced by half is also successful. In patients with tubulointerstitial damage, the pathogenic factors should be removed in time, and supportive treatment should be given in order to restore part or all renal function, and hormone should be used when necessary. After the acute phase, hormones and immunosuppressants were ineffective, and conventional drugs were used for treatment. Blood pressure. In addition to kidney disease, the progression factor also depends on blood pressure. Patients with chronic nephritis are prone to hypertension, especially when the renal function is not good, and hypertension is very harmful to the kidney. If the quantity of proteinuria in patients with nephropathy is more than 1G, the blood pressure should be controlled below 125 / 75mmhg and pril / sartan should be the first choice. Many patients do not pay attention to the treatment of hypertension, then blood pressure is equal to fueling the fire, renal failure naturally develops very quickly. < / P > < p > the dietary principle of urinary protein 2 + is consistent with the 1 + mentioned the day before yesterday. You can refer to my article the day before yesterday: how to find out urinary protein 1 +? “Three steps” should be taken quickly. One step is indispensable. Do you want to exercise? The patients with mild proteinuria should be treated with active proteinuria for less than 2 mg / 100mg, and the patients should be treated with active exercise for less than 2 mg / h. Patients with proteinuria 2 + are prone to relapse, so we must pay attention to the problem of infection, especially the latent infection that is not easy to find, such as chronic pharyngitis, otitis media, sinusitis, gingivitis, etc., because these infections can make the disease repeated or even aggravated. Luanban