Author: Leo
Key words: nephropathy
Some patients physical examination, found hematuria, or protein 1 +, 2 +, no symptoms, blood pressure, renal function, immune indicators and other tests are normal, listen to the doctor said it was occult nephritis, their loss is not serious or not serious , To see the hidden three words seems to be serious, see the words of nephritis, and it seems very serious. This occult nephritis, what is the classification? It and we said that the relationship between chronic nephritis? It does not matter Check out how to do with occult nephritis? Do not worry, let's take a look.
1, what is occult nephritis?
Speaking of occult nephritis, is a more embarrassing call.
Generally, patients with hematuria, or hematuria accompanied by a slight proteinuria (24 hours urine protein less than 1 g / day), no high blood pressure, no renal function and other abnormal problems, known as occult nephritis.
Usually accidentally check out, without any symptoms.
It is embarrassing to name it because it is not well classified, it contains a lot of kidney disease type. But because most patients with mild clinical manifestations, and did not carry out renal puncture, go to the specific disease is unclear.
Occult nephritis, refers only to nephritis in a relatively mild clinical manifestations, not a specific disease name.
2, the performance of simple hematuria
For only pure hematuria, the need to first determine the stone, cancer and other surgical hematuria caused by, or is caused by glomerular hematuria.
To determine the glomerular hematuria, the doctor will ask history, as well as some laboratory tests. Exclusion of immune disease, excluding hereditary nephropathy, no hypertension, no renal dysfunction, and no proteinuria, will consider the possibility of primary nephritis hematuria is relatively large. Then the doctor will choose to observe it, this part of the prognosis of patients is very good, and healthy people basically no difference.
This type of simple hematuria patients need to do is, 3-6 months for urine, renal function, blood pressure examination. If there is urinary protein blood pressure renal function of these problems, in time to seek the help of doctors.
Simple hematuria is generally no need for renal puncture, in addition to a small part of suspected lupus, small vasculitis, hereditary nephropathy may require kidney puncture.
3, the performance of hematuria with proteinuria
Persistent hematuria with proteinuria is usually more complicated than simple hematuria.
If there is no secondary kidney disease in these cases, the protein is less than 0.5g, with or without hematuria, you can continue to observe the changes in the disease.
If the amount of proteinuria is greater than 0.5g, the doctor may recommend renal biopsy, clear pathology after targeted treatment. Kidney puncture technology is now more mature, many large hospitals can do, basically will not have an impact on renal function.
According to clinical manifestations, and renal biopsy, the final comprehensive judgment of the next treatment.
In general, as long as there is persistent urine protein, regardless of the degree of urinary protein, then the condition should be more complex than the simple hematuria, severe. But this does not mean that there is no cure or poor prognosis, but on behalf of you need to attract enough attention.
4, occult nephritis also light weight
Therefore, in general, part of the occult nephritis is very mild, can not be treated, only need to observe regularly.
And some need to be more active treatment, such as renal puncture to determine the treatment program.
Email:kdtinchina@yahoo.com
whatsapp:008615931093124
our website:
http://www.diabetickidney-china.com/kidney/index.html
