Proteinuria is a common symptom of kidney disease. What is the best way to reduce proteinuria? For those CKD patients who follow these 3 steps, their proteinuria has turned negative. Today let’s have a discussion about these 3 steps.
The first step is to do checkups and make a clear diagnosis.
-To ensure the amount of urine protein. If the 24-hour urinary protein is more than 1g, steroids can be used.
In addition, blood pressure and biochemistry should be tested. And renal biopsy should be performed if the pathology is not clear. According to your illness condition, your doctors will make appropriate treatment plans.
The second step is medication.
Steroid is a drug commonly used in patients with kidney disease. It refers to glucocorticoid. According to the duration of their action in the body, it can be divided into three categories: short-acting, intermediate-acting and long-acting.
The common short-acting drugs are cortisone and hydrocortisone. Intermediate-acting drugs are prednisone, prednisolone, methylprednisolone; Long-acting drugs are betamethasone and dexamethasone.
The drugs commonly used in combination with steroids are immunosuppressants, such as cyclophosphamide, which are eaten at the same time. In such a case, even if the hormones are stopped, you can still take immunosuppressants, and the disease are not likely to recur.
When it comes to stopping hormones, there is an easy mistake to make. It is to stop steroids when the protein turns to negative. In fact, a lot of kidney patients get relapse due to it. The usual clinical criteria are to stop medicine after the proteinuria has turned negatived for half year, and then the possibility of recurrence will be very low.
If you are not sensitive to steroids or steroid-resistant, or steroid-dependant, you can use ACEI or ARBs. They are not only anti-hypertensives, but also reduce proteinuria and protecting renal function. Though they are more suitable for kidney patients with high blood pressure, they can be used for proteinuria. If steroids do not take effect, even though your blood pressure is not high, you can use them. As to the detailed application, you had better consult your doctor.
The third step is to have a healthy lifestyle.
If you can not have a healthy lifestyle, it can counteract the effect of medications. And there is one thing you must pay attention. That is to avoid infections, no matter it is flu or quinsy. As to the diet, you can follow a low salt, low oil, low fat, low sugar, and high quality protein diet. High protein diet include meat, milk and egg. Meat intake should be not over 100g. 250 ml of milk intake is enough per day. And egg intake should be controlled into 1 piece.
For kidney patients, protein intake should be controlled into 0.8-1 g/kg per day. For patients with kidney insufficiency, it is 0.6-0.8 g/kg per day.
When your disease is stable, you can do some exercises, and eat more fresh vegetables and fruits to strengthen immunity.
Now you know how to control proteinuria well. If you still have any other questions on CKD, please leave a message below or contact online doctor.
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