In 40% of patients with Nephrotic Syndrome, proteinuria is permanently relieved after taking steroids. If after immunosuppressant treatment, proteinuria is difficult to relieve or relapse repeatedly, this kind of proteinuria is called refractory proteinuria.
Part of refractory proteinuria is due to poor pathology, and serious condition. Itself is refractory. And the other part is due to the patients themselves, who make proteinuria refractory by themselves.
What are the factors that lead to refractory proteinuria?
1. Excessive salt intake increases the difficulty of reducing urine protein.
Kidney patients should eat less than 6 grams of salt a day (a beer bottle cap), preferably about 4 grams. This must include the amount of salt in high-salt foods such as hot pot, preserved szechuan pickle, spicy strip, salted product and smoked meat, not just the salt used in stir-fries.
Low salt diet can reduce about 20% of the urine protein.
Patients with kidney disease can use vinegar, scallions, ginger, garlic and other condiments that contain little or no salt to replace or partially replace table salt.
2. The fluctuating blood pressure can make proteinuria go up and down.
Some kidney patients may hear that anti-hypertensive drugs may damage kidneys or once the medicine is started, it can not be stopped. Thereby they stop the medicine at will.
In fact, most anti-hypertensive drugs kidney patients use such as ACEI, ARBs and CCB do not cause kidney damage.
Anti-hypertensive drugs should be taken for long-term. There are usually not obvious side effects, and their advantages are obvious. They can protect heart, brain, kidney and other organs from being attacked by high blood pressure, which is more conductive to lowering urinary proteinuria.
3. Eating too much and overweight can also elevate proteinuria
Obesity itself can cause obesity-related kidney disease, and if a person with kidney disease is overweight, it can cause elevated urinary protein levels. For obese patients with kidney disease, weight loss may be more effective than medication in reducing proteinuria.
Additional, fat person are prone to “Three Highs” (high blood pressure, high blood sugar and high cholesterol). once the 3-highs damage kidney function, it is irreversible.
Many people with kidney disease turn themselves into refractory proteinuria patients for these three reasons. If these three factors are to blame, start by eliminating them. For more information on proteinuria treatment, please leave a message below or contact online doctor.
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