Urinary Protein Plus Sign, Quantification, Creatinine Ratio, Ntau npaum li cas txog tus qauv
Dec 19, 2022
Urinary protein tsis yog tsuas yog tshwm sim ntawm lub raum o tab sis kuj ua rau lub raum cell tuag thiab raum tsis ua hauj lwm. Txawm hais tias cov zis muaj protein ntau los yog tsawg feem ntau txiav txim siab seb qhov kev loj hlob thiab qhov tshwm sim ntawm cov kab mob raum puas ruaj khov lossis loj hlob mus rau hauv uremia.
Nyem rau bioflavonoids ntsiav tshuaj rau mob raum
Qee qhov taw qhia ntawm kab mob raum yuav tsum tau tswj nyob rau hauv qee qhov ntau, xws li creatinine, ntshav siab, ntshav qab zib, thiab lwm yam, qis dhau lossis siab dhau tsis zoo.
Rau lwm qhov ntsuas, tsis muaj kev txwv qis, xws li cov zis protein, cov roj lipoprotein tsawg, thiab lwm yam. Txawm hais tias ib qho kev txwv qis dua feem ntau yog cim rau ntawm daim ntawv xeem, nws tsuas yog qhov tsis muaj nuj nqis uas tau xaiv los ntawm cov pej xeem, thiab nws tsis yog qhov tshwm sim ntawm kev cuam tshuam kev kho mob. Txawm hais tias nws qis npaum li cas, nws tsis tuaj yeem siab dhau.
Tau kawg, qhov ntsuas ntawm cov neeg noj qab haus huv tuaj yeem qis heev, tab sis nws tsis tau txhais hais tias cov ntsuas ntawm cov neeg mob yuav poob qis heev. Txhua yam ntawm tus neeg mob muaj tus nqi sib xws thiab yuav tsum tsis txhob raug kho.
1 Cov zis muaj protein ntau npaum li cas raws li tus qauv?
{{0}} teev cov zis protein ntau qhov kev kuaj xyuas yog tus qauv kub rau ntsuas cov zis muaj protein ntau. Lub hom phiaj kho mob ntawm cov zis muaj protein ntau yog 24- teev cov zis protein ntau dua 0.5g. Qee qhov kev ntsuam xyuas yog cov zis ib leeg, qhia tsuas yog ntxiv (ntxiv rau) lossis rho tawm (-), lossis cov zis protein / creatinine piv. Yuav ua li cas txiav txim qhov ntxiv thiab rho tawm thiab tso zis protein / creatinine piv? Tsis txhob txhawj, cia peb tham txog tus qauv 0.5g ua ntej.
Vim li cas thiaj teem lub hom phiaj kho ntawm 0.5g?
Nws tau ua raws li cov neeg mob uas muaj ntau hom urinary protein ntau thiab pom tias cov neeg mob uas muaj tsawg dua 0.5g tau txais txiaj ntsig zoo tshaj plaws mus sij hawm ntev. Noj cov neeg mob nephritis nrog me me mus rau nruab nrab proteinuria ua piv txwv:
Lub Tsev Kho Mob General ntawm Eastern Theatre Command tau ua raws li 1, 000 cov neeg mob uas muaj IgA nephropathy rau 20 xyoo thiab pom tias:
Rau cov neeg mob uas nws {{0}} teev cov zis protein ntau dua 0.5g, yuav luag tsis muaj cov neeg mob tsim lub raum tsis ua haujlwm;
Lub raum tsis ua haujlwm tau tshwm sim li ntawm 20 feem pua ntawm cov neeg mob uas muaj 24- teev cov zis protein ntau ntawm 0.5-1g;
Kwv yees li 70 feem pua ntawm cov neeg mob uas muaj 24- teev cov zis protein ntau tshaj 1g tsim lub raum tsis ua haujlwm.
IgA nephropathy suav rau ib nrab ntawm thawj nephropathy thiab yog tus sawv cev tshaj plaws. Cia peb saib membranous nephropathy, uas yog hom kab mob nephrotic feem ntau:
Raum International (KI), ib phau ntawv pov thawj ntawm kev mob raum, tau luam tawm txoj kev tshawb fawb uas suav nrog ntau dua 300 tus neeg mob ntawm tus mob membranous nephropathy thiab ua raws lawv rau 15 xyoo:
1. Cov neeg mob uas muaj uremia ntev hauv qab no 0.3g muaj lub raum ciaj sia taus, thiab yuav luag tsis muaj leej twg tsim uremia;
2. Kwv yees li 30 feem pua ntawm cov neeg mob uas tso zis protein nyob nruab nrab ntawm 0.3-3.5g thiab tshem tawm ib nrab (ib nrab ntawm cov zis protein ntau tshaj) tau nce mus rau uremia;
3. Kwv yees li 70 feem pua ntawm cov neeg mob uas muaj uremia ntev dua 3.5g tsim uremia.
IgA thiab daim nyias nyias muaj 80 feem pua ntawm cov kab mob hauv lub raum, thiab txoj kab txiav tawm rau cov neeg mob kom tau txais txiaj ntsig zoo yog nyob ib puag ncig 0.5g, yog li nws yog lub hom phiaj ntawm kev kho mob. Nws yuav zoo dua yog tias nws tuaj yeem txo qis rau 0.3g lossis qis dua 0.15g, tab sis nws tsis tas yuav tsum tau.
2 Cov tsos mob ntawm cov zis ntxiv thiab cov cim qhia tawm, tus qauv ntau npaum li cas?
Nws yuav tsum nco ntsoov tias qhov kev sib piv no yog qhov tsim nyog: tus neeg mob cov zis tso zis yog 1500ml thoob plaws hnub, uas tsis tuaj yeem txawv dhau.
Vim hais tias cov zis niaj hnub yog ib qho kev kuaj zis ib zaug, nws tsis tuaj yeem pom tias cov zis muaj protein ntau npaum li cas los ntawm ib hnub. Nws tsuas tuaj yeem raug xam los ntawm qhov concentration ntawm cov zis protein, uas yog, "nyias" lossis "tick". Hauv cov lus sib piv no, lub neej ntawd yog cov zis nrog cov zis ntim ntawm 1500ml thiab nruab nrab dilution degree.
Yog tias koj haus dej ntau dhau thiab cov zis yog diluted, cov cim ntxiv yuav txo qis; lossis yog tias koj haus dej tsawg dhau thiab tso zis ntau ntau, cov cim ntxiv yuav nce ntxiv. Hauv kev ua haujlwm kho mob tiag tiag, nws feem ntau pom tias tus neeg mob cov zis muaj protein ntau yog huab lossis huab, thiab cov txiaj ntsig yuav txawv thaum sawv ntxov, tav su, hnub no, thiab tag kis.
Thaum saib cov zis niaj hnub, koj kuj yuav tsum tau saib qhov ntsuas ntawm cov zis tshwj xeeb lub ntiajteb txawj nqus, uas tuaj yeem pom tias cov zis yog diluted lossis concentrated, thiab tom qab ntawd ua ke nrog cov cim ntxiv thiab rho tawm los txiav txim.
Muaj lwm qhov kev ntes loj: Ib qho ntxiv muaj ntau dhau.
Saib ntawm lub rooj sib piv, 1 ntxiv sib raug rau 0.3-1.5g. Saib ntawm qhov tshwm sim ntawm IgA nephropathy: 0.3g yog nyob rau hauv pab pawg neeg lub raum ua haujlwm zoo tshaj plaws, thiab 1.5g yog pab pawg uas muaj lub raum ua haujlwm tsis zoo.
Txawm hais tias qhov tso zis tso zis ntau ua tau raws li tus qauv, cov cim ntxiv thiab cov cim tsis zoo yog qhov nyuaj rau kev siv rau kev kuaj mob thiab kev kho mob. Yog li ntawd, nyob rau hauv tus txheej txheem kev kuaj mob thiab kev kho mob, nephrologists tsis saib cov cim ntxiv thiab rho tawm tab sis saib ntawm 24- teev cov zis protein ntau npaum li cas (thiab cov zis muaj protein ntau tsom xam).
Cov protein tso zis yog qhov zoo thiab tsis tuaj yeem siv los ua lub hauv paus rau kev kuaj mob lossis kev kho mob lub hom phiaj, tab sis rau kev kuaj lub cev lossis kev soj ntsuam tsis tu ncua tom qab cov protein tso zis tau txo qis thiab ruaj khov: tsis zoo (-) lossis tsis muaj zog (ntxiv rau -) qhia tias tus mob yog zoo; yog tias muaj 1 Plus kos npe (1 ntxiv) lossis ntau ntxiv cov cim, koj yuav tsum tau kuaj xyuas thiab ntsuas thiab kho raws li qhov xwm txheej.
3 Ntau npaum li cas cov zis albumin / creatinine piv poob rau tus qauv?
Yog tias ob qhov piv txwv no poob mus rau qhov ib txwm muaj lossis nce me ntsis, nws txhais tau tias cov txiaj ntsig zoo.
Txawm hais tias ob qhov ntsuas no tsis raug raws li 24- teev cov zis protein, lawv yog qhov tseeb dua li cov cim ntxiv thiab rho tawm ntawm cov zis protein. Qhov kom zoo dua yog tias tsuas yog tso zis ib zaug xwb, thiab tsis tas yuav tso zis rau 24 teev, yog li qhov kev sim tau yooj yim dua.
"KDIGO Nephropathy Clinical Practice Guidelines" pom zoo tias thaum kuaj cov zis ib zaug, ntxiv rau kev tshuaj xyuas cov zis muaj protein ntau, cov zis protein / creatinine piv thiab cov zis microalbumin / creatinine piv yuav tsum tau kuaj xyuas.
Qhov sib piv thiab qhov sib piv ntawm cov neeg mob feem ntau yog qhov zoo. Rau qee tus neeg mob tsawg, yog tias koj pom tias koj qhov piv txwv thiab qhov muaj pes tsawg leeg tsis sib haum nrog cov lus saum toj no, thiab muaj qhov sib txawv loj, koj yuav tsum tau tsim kom muaj kev sib raug zoo rau koj tus kheej, tab sis nws raug nquahu kom kuaj xyuas {{ 0}} teev cov zis protein ntau.
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