2016年7月12日星期二

Clinical Classification of Proteinuria

First, physiological proteinuria: it usually presents in these cases, such as when someone takes in too much high protein food, when someone is pregnant, when someone does too much exercise or when the weather is cold. Its sediments present no inflammatory component and there is no the decline of renal function and symptom of hypertension.

Second, functional proteinuria: this type of proteinuria usually is caused by emotional stress, strenuous exercise, fever, cold and etc. These factors can cause the the change of renal haemodynamics and lead to the increase of albumin and plasma protein filtrated by glomerulus. After the elimination of these factors, this type of proteinuria will disappear itself.

Third, transient proteinuria: this type of proteinuria is common in children. The characteristic of it is: those who are examined are healthy and have no other symptoms. And when reexamined, the result is negative.

Forth, intermittent proteinnuria: this type of proteinuria has various causes and it may related to many kind of disease. Among them, slight glomerulus disease accounts for 39 percent, chronic glomerulonephritis accounts for 24 percent, chronic pyelonephritis accounts for 24 percent and focal hyperplasia type nephritis accounts for 13 percent. Most of these patients are young people and their blood pressure and renal function are normal. And most of the proteinnuria will disappear in a few years and the prognosis is relatively good. However, if the patients are accompanied with hypertension or renal insufficiency, there may be other uncertain disease. Patients should take examinations once or twice per year in order to prevent the development of persistence proteinuria, hypertension, renal insufficiency and other systematic disease.

Fifth, orthostatic proteinuria: this type is common among young people and it accounts for 60 percent of proteinuria of this age group. Its characteristic is that the protein in urine increases when the patients stand, and the protein will get normal when the patients lie on the back. Many patients with this symptom are tall and lean. Its prognosis is good and it has no clear reasons. But in clinical, we usually believe that it is resulted from the pressure of aorta and mesentery artery to the vein of left kidney, and the blood stasis of left kidney vein will cause the proteinururia.


Above all, the classification of proteinuria can help us know the Polycystic Kidney Disease more clearly. And it can help us to decide whether we have kidney disease in order to adopt treatment early. Because the early finding and treatment are the key points for patients.as for the treatment, at present, Shijiazhuang Kidney Disease Hospital has developed out a brand new therapy for kidney disease: Micro-Chinese Medicine Osmotherapy, which has the functions of expanding blood vessels, anti-inflammation, anticoagulation, degradation and repairing damaged inherent cells. This therapy can block the process of renal fibrosis and degrade the amount of extracellular matrix and clinical practice has proved its effective, because Micro-Chinese Medicine has its unique therapeutic method in treating kidney disease. We adopt the pure Chinese medicine that has the ability of regulating systemic immune function and repairing the damaged glomerular basement membrane, and micronize the medicine by the most advanced technology in the world. Then this medicine is permeated into the patient's kidney though the osmotherapy to achieve the goals of promoting blood circulation and removing blood stasis, dropping turbidity and detoxification and activating the renal function. By improving the microcirculation of damaged renal tissues, accelerating the metabolism of damaged kidney and giving full play to the medicine, repairing the glomerular and recovering the normal renal function, this therapy can treat this disease fundamentally.

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