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The Simplest and Most Practical Methods of Lowering Proteinuria

The Simplest and Most Practical Methods of Lowering Proteinuria
Is proteinuria really hard to drop? It depends! Affected by a variety of factors, such as pathological factors, severity of the disease, and progression of renal function, the difficulty of proteinuria-lowering in different patients are different.

Under what circumstance does the proteinuria of kidney disease fall down easily?

In the early stage of minimal change disease, membranous nephropathy stage 1, 2, mild and moderate mesangial proliferative nephritis, purpura nephritis, IgA nephropathy stage 1, 2, focal segmental glomerular sclerosis and other nephrotic syndromes, active treatment can reduce proteinuria to less than 1g, which can reduce the impact on renal function significantly and delay the progression of kidney disease.

With the further development of these diseases, the pathological type of kidney disease itself is relatively poor, and the progression is rapid. At this time, proteinuria is not easy to control. In such a case, to avoid acute renal failure, proteinuria should be controlled below 3.5g.

Although proteinuria is also a prominent feature of some kidney diseases, it has relatively minor effects on renal function compared with other symptoms, such as diabetic nephropathy and lupus nephropathy. For these kidney diseases, it is more important to control the primary disease and, on the basis of that, to control the stability of proteinuria.

In either case, if you want to keep your proteinuria stable for long enough to avoid kidney failure, you need to do all the things that are good for lowering your proteinuria:

1. To stay away from factors that contribute to increased proteinuria

After renal tissue is damaged, renal function decreases, and proteinuria is the inevitable result. At this time, the kidney is more fragile, and the damage may be deepened if it is not noticed. Therefore, these factors may lead to the aggravation of the disease. Kidney patients should pay special attention to factors that cause protein leakage such as infection, drug damage, high protein diet, strenuous exercise, overwork, smoking.

2. Taking the drug on time is the key to long-term stability of proteinuria levels

Severely kidney function impairment is irreversible, so it is more difficult to make proteinuria turn negative. However, to maintain a low level of proteinuria, it is necessary to insist on the drug. On the one hand, hormone lowering drugs have obvious inhibitory effect on blood protein. Some patients will relapse after discontinuation of the drugs, and they are highly dependent on the drugs. In order to avoid the progress of renal disease, it is necessary to stick to the drugs. On the other hand, some protein-lowering drugs have obvious effects in protecting the kidney and repairing renal function. Sticking to them can keep renal function stable, and proteinuria can also be more stable.

3. To pay attention to the monitoring of proteinuria, and adjust the best treatment program

There is no separation between examination and treatment, and obviously, without a clear test, there will be no accurate treatment. In some patients, proteinuria is not stable and is in a state of change, but usually external symptoms are not obvious. Regular urine review can reveal both proteinuria and renal function. It can help doctors make the best treatment plan for patients, which is more conducive to maintaining the stability of proteinuria.

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