Monday, September 2, 2013

Check the patients with chronic glomerulonephritis

We all know that chronic nephritis is a kind of chronic kidney disease, if not treated, the result is very terrible, but has the characteristics of onset hidden chronic nephritis, typically develops without warning before, how do we find?
How to find the chronic nephritis, its usual can through inspection found that the specific inspection can be done are:
Urine routine inspection: generally no abnormal color of urine, urine protein quantity few, generally in the urine sediment leukocytosis (acute phase with vision, often chronic phase in five/high power field of vision), sometimes can be white tube type.
Urine bacteria test, when urine contains a large number of bacteria, by a gram stain in the urine sediment coating inspection, about 90% of the bacteria can be found. The relatively low proportion of urine, in 1.020 the following, more advanced disease is often fixed in 1.010. Urine protein trace ~ + + +. Has a tendency to red blood cells and urine tube type (particle type tube, transparent tube). Acute phase have obvious hematuria or visible to the naked eye hematuria.
Urine cell count: in recent years, more than 1 hour counting method, that is 12 hours urinary sediment count accurate and simple. The standard is white blood cell count is greater than 300000 / hour for positive, less than 200000 per hour can be considered part of the normal range between 20 ~ 300000 / hour should be combined with clinical judgment; Red blood cells is greater than 100000 / hour is positive.
Can also do other tests are:
Abnormal urinalysis, the urine is a basic sign of chronic nephritis. Proteinuria is the main basis of diagnosis of chronic nephritis, urine protein, generally in 1 ~ 3 g/d, urine sediment visible particles tube type and transparent tube type. Most of those with microscopic haematuria, between a few patient can have sex with macroscopic haematuria.
Renal function examination, most of the patients with chronic nephritis can have different degrees of glomerular filtration rate (GFR), early performance for creatinine clearance drop, then elevated serum creatinine. Can be associated with different degrees of renal tubular function decline, such as distal renal tubular urine concentration is reduced and (or) proximal renal tubular reabsorption function decline. Reduced glomerular filtration rate, endogenous creatinine clearance rate, higher blood urea nitrogen and creatinine, renal stage are compensated or decompensated period, phenol red excretion test urine concentration and dilution function were decreased.
In addition to notice that women should avoid the menstrual period, urine collection when not mixed with other impurities.
What chronic nephritis patients need to check, the above is the relevant experts, if you have any questions can consult our experts online, xi 'an tongji kidney disease hospital treatment, whether from efficacy, or direct lesions, and computer positioning is first-class, the curative effect of lasting, without any side effects. Consistent high praise by the majority of patients and the medical profession. What do you have questions or need help, please free consulting .

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