Generally, there are four main symptoms for patients with nephrotic syndrome,
which go as follows: large protein in urine(>3.5g/24h); hypoproteinemia
(seralbumin<30g); obvious edema; hyperlipidaemia. Among the four mentioned
items, the first one is essential factor which can cause other following
ones.
1. a large amount of proteinuria
A large amount of proteinuria indicates that the filtration membrane have
been damaged. As we mentioned in the premier articles, from outside to inside,
renal filtration membrane can be divided into renal capillary endothelial cell,
basilar membrane, epithelial cell, and so on. In all of them, there are pores,
the diameter of which makes only small molecules pass. When the pores of them
change, protein will leak out, thus causing proteinuria.
2. hypoproteinemia
The decline of serum albumin is the result of proteinuria. In clinic, there
are also some cases that patients have a large amount of protein in urine but
their hypoalbuminemia is slight. Such patients are usually secondary focal
segmental sclerosis instead of primary kidney disease such as primary membrane
kidney disease or minimal change kidney disease. In addition, patients with
Nephrotic Syndrome can also have decreased appetite, insufficiency of protein
intake, poor absorption, and so on, which is caused by edema in mucous membrane
of gastrointestinal tract. In addition, researchers find out that patients also
lost albumin in the stomach and guts, which is also a factor which can worsen
hypoproteinemia( low protein in plasma).
3. edema or swelling
Patients with Nephrotic Syndrome have different degree of edema or swelling.
Generally, the retention of sodium and water as well as low protein in blood
will lead to the change of osmotic pressure, thus causing edema or swelling.
There is also another theory to explain why there is edema or swelling.
When patients are suffering from edema, the concentration of protein in
plasma will decrease and the plasma osmotic pressure will decrease as well.
Liquid flows towards where there is high protein, thus causing edema or swelling
in clinic and we can say that protein which is lost in urine causes a series of
symptoms such as low protein in plasma and edema in the body.
4. hyperlipidaemia
Hyperlipidaemia means that the concentration of lipoprotein is abnormal. When
patients are suffering from hyperlipidaemia, the elements of all kinds of
lipoproteins will increase.
If such symptoms last for a long time, patients will become serious, thus
even causing renal failure. Therefore, we should take effective measures to
treat it. In our hospital, we have researched out Chinese Medicine and stem cell
transplant, which are also part of immunotherapy in our hospital. For more
information, please consult us online or email us.
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