How hypoalbuminemia is treated in patients with nephrotic syndrome

Patients with nephrotic syndrome may present with hypoproteinemia.

Thus causing edema, and severe hypoproteinemia can also affect the efficacy of hormones, for this reason, in the renal comprehensive hypoproteinemia**, many people seek to increase the level of blood protein, and long-term intermittent infusion of expensive albumin, it is really unwise. So, under what circumstances should patients with nephrotic syndrome use serum albumin? This depends on the situation, generally speaking, there are two cases, albumin can be used:

Patients with renal syndrome are accompanied by severe systemic edema, and can not achieve diuretic and swelling reduction effect after actively administering static fat injection furosemide, albumin should be used at this time, because the severe edema of renal syndrome is mostly caused by the decrease in plasma osmotic pressure caused by hypoproteinemia, so that the water in the tissue can not enter the blood vessels; After albumin, the osmotic pressure of plasma can be increased, so that the water in the tissues of the whole body can enter the blood vessels, so as to achieve the effect of swelling. After the use of furosemide diuresis, the patient has clinical manifestations of plasma volume insufficiency, such as: hypotension, sweating, dizziness, weakness, thirst, palpitation, etc., albumin should be used at this time, it can be seen that the purpose of the two albumin is not to supplement the plasma albumin level but to increase the plasma osmotic pressure, so that the water in the tissue enters the blood vessels, which is conducive to eliminating edema.

In addition to the above conditions, patients with renal syndrome should not be transfused with albumin, especially long-term infusion of albumin, albumin is very expensive, and only temporarily improve the efficacy of serum albumin, is a waste, and in the elderly or cardiac insufficiency, after the infusion of albumin, the effective blood volume trace through the tube will increase rapidly, and may lead to the potential danger of left heart failure. After albumin injection, the albumin excreted in the urine will also increase, and if this is done for a long time, it will increase the burden on the kidneys and accelerate the deterioration of kidney function.

Answer]: Lack of boredom B

Nephrotic syndrome (NS) can be caused by a variety of **, with increased glomerular basal membrane permeability and loss of a large amount of protein from the urine, which is manifested as a group of clinical symptoms of macroprotein voltaic urine, hypoproteinemia, high edema, and hyperlipidemia. Among them, the main cause of hypoproteinemia in nephrotic syndrome is the impaired membrane barrier function of the glomerular filtration membrane of the high bridge.

Hypoproteinemia is also called protein dystrophy and edematous dystrophy. It refers to the lack of protein in the human body. Protein is an essential component of the body's composition.

If it is mild hypoproteinemia and the digestive tract function is normal, you can improve your diet, take in protein through a high-protein diet (eggs, fish, shrimp, meat, etc.), or supplement it through health products (such as protein powder);

If it is severe hypoproteinemia, caused by disease or poor gastrointestinal function, poor gastrointestinal absorption, it is recommended to be admitted to the hospital for examination, after clarification, follow the doctor's guidance, transfusion of albumin, etc.

Protein dystrophy is also known as edematous dystrophy or hypoproteinemia. Protein is the basic component of the body's tissue cells, and all tissue cells in the human body contain protein. The growth and development of the body, the renewal of senescent cells, and the repair of tissues after damage are all inseparable from proteins.

Proteins are also indispensable components of enzymes, hormones, and antibodies.

The main manifestation is malnutrition. The proteins in the blood are mainly plasma proteins and hemoglobin contained in red blood cells. Plasma proteins include plasma albumin, various globulins, fibrinogen and a small amount of binding proteins such as glycoproteins, lipoproteins, etc., with a total amount of.

If total plasma protein is low, hypoproteinemia is diagnosed.

Hypoproteinemia**: First of all, it should cause the primary disease of insufficient protein intake, excessive loss, and hyperdecomposition. If there are no contraindications to the primary disease, a high-protein, high-calorie diet can be given, so that the daily protein intake reaches 60 80 g, ensure sufficient calories** (more than 2500 kcal per day), and use drugs to promote protein synthesis as appropriate.

Patients with poor digestive function can be given a liquid or semi-liquid diet and adequate vitamin supplementation. In severe cases, plasma or albumin may be transfused.

Introduction: Hypoproteinemia refers to a series of clinical symptoms caused by the decrease of protein in the blood, especially the decrease in albumin, and is not a separate disease, and hypoproteinemia occurs with other diseases. The clinical symptoms of hypoproteinemia include edema of both lower limbs, and even swelling and fatigue of the whole body.

Hypoproteinemia manifests as malnutrition, with increasing emaciation and, in severe cases, cachexia. The mucosa of the patient's gastrointestinal tract will shrink, the secretion of gastric acid will decrease, and the digestive enzymes will decrease, so that the appetite will deteriorate, the symptoms of fatigue and weakness will be reduced, the patient will not like to exercise, the physical strength will decrease, the reaction will become more and more sluggish, the memory will decline, and there will be mild to moderate anemia and dizziness.

If the patient is confirmed to be suffering from hypoproteinemia, then the main prevention and improvement of the patient's usual care is to provide the patient with adequate nutrition and increase the patient's intake of animal protein, vegetable protein and fresh fruits. The most important thing is to improve the nutritional intake of patients, and patients must also pay attention to developing good living habits, and not to be picky eaters. After developing good lifestyle habits, it will have a better effect on hypoproteinemia**.

In severe cases of hypoproteinemia, patients may be given protein infusions, and patients may also be given protein-rich, low-fat foods to relieve symptoms. Patients can also supplement their diet with other minerals and vitamins, which can be effective in alleviating the condition of patients with hypoproteinemia.

Conclusion: In addition to taking medications, patients with hypoproteinemia must also consume protein-rich foods, such as lean meat, fish, legumes, etc. Also increase your intake of vegetables and fruits, and also eat some grains, such as nuts.

You can also supplement with some minerals and vitamins, which is very helpful for hypoproteinemia.

Give the patient more protein immediately, not make the patient have the habit of picky eating, and give the patient some low-fat food. It is also necessary to eat fresh vegetables and fruits, only in this way can the patient be relieved of this disease.

You need to supplement protein, ensure balanced nutrition, and follow your doctor's advice, take medications, and exercise appropriately, so that you can get better.

You should choose to add more nutrients to your body, you must add some protein to your body, and you also need to eat more fruits, not partial food.