What is the early phenomenon of nephrotic syndrome?
When you appear edema and other symptoms of nephrotic syndrome, you will doubt that they had nephrotic syndrome, this time, you do not panic, please meditate, and then arrange a day to the hospital to do on the diagnosis of nephrotic syndrome necessary checks, and then symptomatic treatment , So what is the check that is often diagnosed with nephrotic syndrome?
(1) suspected of nephrotic syndrome, in order to confirm the diagnosis, often done check:
① urine routine examination: through the urine protein qualitative, urine sediment microscopy, you can initially determine whether there is glomerular lesions exist.
② 24 hours urine protein quantitative: nephrotic syndrome in patients with 24-hour urine protein quantitative more than 3.5g is a prerequisite for diagnosis.
③ plasma protein determination: nephrotic syndrome, plasma albumin less than 30g is a necessary condition for diagnosis.
④ lipid determination: nephrotic syndrome patients often lipid metabolism disorders, elevated blood lipids.
(2) in order to understand the renal function of renal function is damaged or damaged, to further confirm the diagnosis, differential diagnosis, to guide the development of treatment programs, estimated prognosis, depending on the specific circumstances to do the following checks:
① renal function tests: often do the project for the urea nitrogen (BUN), creatinine (Scr), which is often done one of the items used to understand whether the damage and the extent of renal function.
② electrolyte and CO2 binding force (CO2-CP) determination: used to understand whether there is electrolyte imbalance and acid-base balance disorders, in order to correct.
③ hemorheology examination: nephrotic syndrome patients with blood often hypercoagulable state, increased blood viscosity. This check helps to understand the situation.
④ The following items can be selected according to need: serum complement, serum immunoglobulin, selective proteinuria index, urinary protein polyacrylamide gel electrophoresis, urinary C3, urinary fibrin degradation products (FDP), urine enzymes, serum anti Kidney antibody and renal biopsy and so on.
We have to check the nephrotic syndrome, usually two parts, the first part is to check the infection is diagnosed with nephrotic syndrome, the second is to check the degree of damage to the kidneys, after these two checks, can be developed treatment and estimated prognosis.
(1) suspected of nephrotic syndrome, in order to confirm the diagnosis, often done check:
① urine routine examination: through the urine protein qualitative, urine sediment microscopy, you can initially determine whether there is glomerular lesions exist.
② 24 hours urine protein quantitative: nephrotic syndrome in patients with 24-hour urine protein quantitative more than 3.5g is a prerequisite for diagnosis.
③ plasma protein determination: nephrotic syndrome, plasma albumin less than 30g is a necessary condition for diagnosis.
④ lipid determination: nephrotic syndrome patients often lipid metabolism disorders, elevated blood lipids.
(2) in order to understand the renal function of renal function is damaged or damaged, to further confirm the diagnosis, differential diagnosis, to guide the development of treatment programs, estimated prognosis, depending on the specific circumstances to do the following checks:
① renal function tests: often do the project for the urea nitrogen (BUN), creatinine (Scr), which is often done one of the items used to understand whether the damage and the extent of renal function.
② electrolyte and CO2 binding force (CO2-CP) determination: used to understand whether there is electrolyte imbalance and acid-base balance disorders, in order to correct.
④ The following items can be selected according to need: serum complement, serum immunoglobulin, selective proteinuria index, urinary protein polyacrylamide gel electrophoresis, urinary C3, urinary fibrin degradation products (FDP), urine enzymes, serum anti Kidney antibody and renal biopsy and so on.
We have to check the nephrotic syndrome, usually two parts, the first part is to check the infection is diagnosed with nephrotic syndrome, the second is to check the degree of damage to the kidneys, after these two checks, can be developed treatment and estimated prognosis.
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