What to do with 24 hour urine microalbumin 113

If this progresses like this, there is a possibility of uremia. **: In the early stage of kidney disease, in order to control the condition well and not affect the kidney function, insulin should be actively used**; The second measure is to control the patient's blood pressure, high blood pressure is another very important factor that makes diabetic nephropathy worse, so the patient should eat lightly, reduce salt, use antihypertensive drugs, and quit smoking.

In severe kidney disease, firstly, patients should limit their protein intake at appropriate times; The second is to avoid urinary tract infections, which may accelerate the development of diabetic nephropathy; The third is traditional Chinese medicine, which has rich experience in kidney disease, and can be treated according to the person's syndrome, which has great significance for diabetic nephropathy; Finally, if uremia progresses, peritoneal dialysis and hemodialysis are required to remove waste products from the blood, and kidney transplantation is the only way to restore kidney function. It is recommended to be hospitalized in time**, pay attention to rest, and wish you good health!

Urine test results are usually only used as a hint that further investigation should be done. There are many factors that cause a slight increase in urine protein. For example, if sperm is lost overnight on the first day, the next morning's urine may contain protein.

If there is a problem with the body, there should be more than one protein reflected in the urine, there should be red blood cells, hemoglobin, etc. For peace of mind, you'd better go to the hospital for a check-up.

There are trace amounts of protein in the urine of normal people, and the amount of protein in the urine of children is usually calculated as 4 mg (m2·h). In general, there is no gender difference, and prepubertal girls excrete more protein in their urine. What is normal for 24-hour urine protein quantification?

When the upper limit of normal is exceeded, it is an anomaly. When 40 mg (m2/h) is called nephrotic-range proteinuria. Therefore, it is necessary to measure 24-hour urine protein in the process of examination, and how to do 24-hour urine protein quantitative test?

For a 24-hour quantitative urine protein test, patients with kidney disease should start to excrete the amount of urine in the bladder from 8 a.m. and discard it, and start timing at this time, store the urine excreted 24 hours a day in a container, and send all the urine for examination. If you have a bowel movement within these 24 hours, it should be emphasized that the urine collection should be solved first, and then the large solution should be released. Don't miss a small amount of urine.

If urine output collection is incomplete, the calculation of urine protein volume is inaccurate. Before the test, the total urine output should be measured with a measuring cup, then stirred well, a small cup should be taken out to measure the amount of protein per 100 ml, and then calculated according to the actual urine output, and the test results of 24-hour urine protein quantification can be carried out.

What is the normal 24-hour urine protein quantification?

Normal people have trace amounts of protein in their urine, and the amount of protein in their urine is usually measured at 4 mg (m2·h). The upper normal values for each age group are as follows; -12 Upper limit of normal urine protein for age Upper limit of normal mg 24h2-12 months 1553-4 years old 1404-10 years 19010-16 years old 250 There is generally no gender difference, and prepubertal girls excrete more protein in their urine. When the upper limit of normal is exceeded, it is an anomaly.

When 40 mg (m2/h) is called nephrotic-range proteinuria. In view of the difficulty of regular urine retention in children, in recent years, some people have replaced it with a random measurement of urine protein-urine creatinine ratio, such as the ratio of mg mg, the upper limit of normal is. The total amount of urine protein excretion can be estimated according to it, and the calculation formula is:

Urine protein g (m2·h) = urine protein (mg dl) urine creatinine (mg dl).

First of all, the normal value data can tell if the lesion has occurred. For example, if the trace albumin in the urine is found to be in the range of 20 mg L to 200 mg L during the physical examination, it is considered microalbuminuria. At this time, if the patient can repair the nephron in a standardized way and reverse fibrosis**, there is hope for repairing the glomeruli and eliminating proteinuria.

When the urine microalbumin exceeds 200 mg L, it is necessary to be vigilant, at which time it is confirmed that patients with kidney disease have leaked a large amount of albumin, and hypoproteinemia may occur. Since the development of kidney disease is only one step away from the irreversible stage, if the urine routine test is positive for urine protein (+), if it is not treated in time, it will enter the uremia stage.

What is the clinical significance of normal urine microalbumin? In clinical practice, urine microprotein indicators are usually used to monitor the occurrence of kidney disease. Urine microprotein detection is the most sensitive and reliable diagnostic indicator for early detection of kidney disease.

Through the value of urine microalbumin, combined with the onset, symptoms and medical history, the condition can be diagnosed more correctly, and the condition can be determined to enter the stage of fibrosis. Therefore, regular urine microalbumin (u-ma) should be tested once a year for the general population and every 3 months for patients who are already elevated.

In this way, the normal value of urine microalbumin can play its due role, which is of great significance for the prevention and early stage of kidney disease.

Hope it solves your problem.

24 hours.

The amount of protein in the urine is high.

Microalbumin.

Normal, indicating that the landlord is in the urine.

The protein is not albumin-based, and the landlord had better do it.

Urine protein electrophoresis.

Analyze to see if the amount of other proteins (such as transferrin, globulin, etc.) in the urine is exceeded.

Glomerular proteinuria.

It is mainly based on microalbumin (medium molecule).

Tubular proteinuria.

It is in the form of small molecules.

Proteinuria. If urine protein electrophoresis shows a predominance of small molecules, it suggests tubular damage.

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Hello, the difference between a 24-hour urine protein test and a 24-hour urine microalbumin test.

The main difference between 24-hour urine microalbumin and 24-hour urine protein: the former is mainly composed of microglobulin with small molecular weight, which is eliminated from the urine due to the reduced reabsorption of the proximal renal tubules, and the main components of the latter also include medium and large molecule proteins such as globulin transferrin, etc., mainly due to the impaired filtration function of the glomeruli, which is excreted in the urine through the basement membrane. There are some links in the stages of diagnosing diabetic nephropathy, and a brief list is as follows:

Normal microproteinuria period, massive proteinuria.

The urinary microalbumin excretion rate < 20 g min, 20 200 g min> 200 g min

24-hour urine microalbumin < 30 mg d30 300 mg d> 300 mg d

24-hour urine protein < 150 mg d, 150 to 500 mg l> 500 mg d

How to detect diabetic nephropathy early.

It is important to detect urine microalbumin in a timely manner. If the urine microalbumin in a normal person is 20 mg per minute, if the persistent urine microalbumin is 20-200 mg per minute, it is considered to have developed early diabetic nephropathy.

Once diabetes is diagnosed, microalbumin in 24-hour urine should be checked 1 to 2 times a year. Patients with a family history of high blood pressure should have more tests.