Urine Dipstick Proteinuria Thiab Cholelithiasis

Nyob zoo editors, Aretrospective cohortkev kawm ua los ntawm Park et al luam tawm nyob rau hauv Phau ntawv Journal ofKab mob sib kisqhia tiasdipstick proteinuria(Ntau dua lossis sib npaug rau 2+) tau cuam tshuam nrog kev phom sij ntau ntxiv ntawm cholelithiasis hauv Kaus Lim Kauslim (hloov kev phom sij piv 1.46; 95% kev ntseeg siab lub sijhawm, 1.09–1.96).1 Qee cov ntsiab lus tau tham.

Cistanche ntxiv rau raum Kev Txhawb Nqa Ntxiv PhGs75% Ech 30% Txoj Cai 12%

Ua ntej, urinary protein hloov dynamically raws sij hawm. Feem ntau ntawm cov proteinuria kuaj pom siv cov zis dipstick yog qhov zoo thiab tsis muaj kev cuam tshuam txog kev mob tshwm sim, xws li lub cev qhuav dej lossis orthostatic proteinuria.2 Cov kev tshawb fawb yav dhau los qhia tias cov zis dipstick tsis yog cov cuab yeej raug rau kev tshuaj ntsuam xyuas proteinuria.3,4 Hauv Park et al txoj kev tshawb fawb. , qhov ntsuas ntawm proteinuria tau kuaj pom siv cov zis dipstick raws li tsuas yog ib qho piv txwv ntawm cov zis. Tsis muaj kev kuaj pom tseeb. Covqhov tseeb ntawm proteinuriayog tsis ntseeg. Yog li ntawd, kev txhais lus ntawm kev koom tes ntawmdipstick proteinuriathiabkev pheej hmoo ntawm cholelithiasispom hauv Park et al txoj kev kawm yuav tsum ceev faj.

Thib ob, lubeGFR datamuaj nyob rau hauv Park et al txoj kev kawm. Yog li, theem ntawm cov kab mob raum ntev tuaj yeem txhais tau. Yog tias dipstick proteinuria cuam tshuam nrog cov kab mob raum ntev, qhov kev xav tau tsa los ntawm cov kws sau ntawv tias muaj cov kab mob hauv lub raum cuam tshuam los ntawm dipstick proteinuria yuav tau txais kev txhawb nqa ib nrab. Cov neeg nyeem yuav nkag siab txog kev sib koom ua ke ntawm cov proteinuria, kab mob raum ntev, thiab cholelithiasis kev pheej hmoo kom meej meej. Qhov thib peb, qhov tshwm sim uas cov neeg mob dipstick proteinuria (Ntau dua lossis sib npaug rau 2+) tiag tiag muaj cholelithiasis tsuas yog 2.4% thaum lub sijhawm sib koom ua ke hauv Park et al txoj kev tshawb fawb.1 Qhov ntawd yog, qhov zoo kwv yees tus nqi rau cholelithiasis siv dipstick proteinuria (Ntau dua lossis sib npaug rau 2+) tsawg. Dipstick proteinuria tsis yog ib qho cuab yeej zoo rau kev kuaj cholelithiasis. Thib plaub, txawm tias cov neeg asymptomatic nrog cov proteinuria yuav tsum tau kuaj xyuas lub plab ultrasound niaj hnub txhawm rau txhawm rau kuaj cholelithiasis tseem tsis paub meej. Txawm li cas los xij, yog tias muaj mob plab tshwm sim, nws yog ib qho tsim nyog los mus kuaj mob plab ultrasound. Thaum kawg, kuv pom zoo nrog cov sau phau ntawv xaus lus tias kev koom tes ntev ntawm cov proteinuria, lub raum ua haujlwm, thiab cholelithiasis yuav tsum tau tshawb nrhiav ntxiv.

TXOJ CAI

Kev tsis sib haum xeeb: Tsis muaj leej twg tshaj tawm.

REFERENCES

1. Park SK, Jung JY, Oh CM, et al. Cov theem ntawm cov zis dipstick proteinuria thiab nws cov kev cuam tshuam rau qhov kev pheej hmoo ntawm cholelithiasis. J Epidemiol. 2021; 31:59–64.

2. Carroll MF, Temte JL. Proteinuria nyob rau hauv cov neeg laus: ib tug diagnostic txoj kev. Am Fam Kws Kho Mob. 2000; 62:1333–1340.

3. Gangaram R, Ojwang PJ, Moodley J, Maharaj D. Qhov tseeb ntawm cov zis dipsticks raws li kev tshuaj ntsuam xyuas cov proteinuria hauv cov ntshav siab ntawm cev xeeb tub. Hypertens cev xeeb tub. 2005; 24:117–123.

4. Naruse M, Mukoyama M, Morinaga J, Miyazaki M, Iseki K, Yamagata K. Kev siv tau zoo ntawm kev ntsuas cov zis muaj protein ntau ntawm kev kuaj xyuas kev noj qab haus huv hauv zej zog: kev kawm hla ntu. Clin Exp Nephrol. 2020; 24:45–52.