Under normal circumstances, the urine test protein positive, often a disease signal, may be accompanied by blood biochemistry and ultrasound and other aspects of the abnormal examination, the need for timely medical treatment, identify the reasons for symptomatic treatment. But not all of the proteinuria is caused by the disease.
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Healthy people in special circumstances can also appear urine protein positive, medical often this proteinuria called functional proteinuria, in the clinical following several types
One, reversible or transient proteinuria
Refers to the temporary onset of proteinuria. More common in young people, in the strenuous exercise, high temperature, cold, mental stress and other factors, renal vasospasm or congestion, resulting in glomerular filtration membrane permeability and make a large number of protein "slip through the net." Pregnant women with a slight increase in urine protein, which increases the body and kidney flow, increased glomerular filtration rate, generally not more than 24 hours. After the inducement, the proteinuria will disappear.
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Is only in the upright position or take the spine posterior pose position, urinary protein excretion increased, while the supine position of normal urine protein. But also according to whether the standing urine protein is often divided into temporary (or intermittent) and fixed two, the former refers to the upright position when the urine protein is not necessarily increased every time, the latter refers to the vertical position of urinary protein Are more than normal. Alright proteinuria is more common, more common in young people, 30 years old rare. Among the asymptomatic proteinuria found in the population census. Which accounted for 70% to 80% of temporary, fixed 15% to 20%.
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Refers to the blood Shen, blood chemistry, renal ultrasound and renal histology are normal range, generally no other symptoms. In the census, this can account for 5% to 10% of patients with asymptomatic proteinuria. Clinical diagnosis of persistent proteinuria clinically "benign" should be very careful, because some glomerular diseases or their early can only show persistent proteinuria (such as mesangial proliferative glomerulonephritis, membranous nephropathy, renal sclerosis, diabetes Kidney disease, etc.), often need to strengthen follow-up and further examination.
Fourth, pathological proteinuria
When the glomerular, renal tubular disease, such as the stage of nephritis, nephropathy and hypertension in renal arteriosclerosis, can occur pathological proteinuria; a variety of bacterial infections, such as pyelonephritis, kidney tuberculosis, sepsis, etc. There may be pathogenic proteinuria; non-infectious diseases such as kidney stones, polycystic kidney disease, renal amyloidosis and shock, severe muscle injury, fever, jaundice, hyperthyroidism, hemolytic anemia and leukemia, Sexual proteinuria its causes, mechanisms and clinical findings, are related to kidney disease.
Therefore, the discovery of proteinuria, should be a professional doctor with history, signs, comprehensive analysis and then do the diagnosis.
