2011年9月24日星期六

Can Hypertensive Nephropathy Be Found Early?

How early found Hypertensive Nephropathy.
1. Early detection of Hypertensive Nephropathy

There are some symptoms of Hypertensive Nephropathy which can help find this disease early:

· Backache: Patients will have backache of no clear or definite reason, and they had better go to hospital and have a check.

· There are many foams in the urine and they will not disappear in a short time.

· The color of the urine will change. In patients with Hypertensive Nephropathy, the color of their urine is like that of soy sauce.

· Nighttime urination: Generally, for normal people who are no more than 60 years old, nighttime urination is not frequent. However, if the young people have frequent urination at night, then it may indicates that the renal function of young people is not good.

· Edema: Edema will occur on the eyelids or the face when patients with Hypertensive Nephropathy get up in the morning, and it will disappear gradually after noon.

· Too much or too little urine: The average urine volume of normal people is 1500 ml/d, and the frequency is 4~8 times per day. If we have not had excessive sweating, drink large quantities of water, or had fever, we need to see a doctor to insure whether it is caused by renal lesions when the urine volume decreases or increases suddenly.

2. Definite diagnosis of Hypertensive Nephropathy

In the early stage of Hypertensive Nephropathy, the symptoms may not obvious in some patients, and the occurrence of the aforementioned symptoms can just indicate that we may have this disease, therefore, in order to make a definite diagnosis, we need to take the following tests in a hospital:

· Urinary microalbumin determination: When Hypertension begins to cause damage to the kidneys, the level of microalbumin in urine will increase. Therefore, the urinary microalbumin determination can help find out whether the kidney has been damaged.

· Red blood cell count: By routine urine test, there is often no microscopic hematuria. However, by the examination of urinary sediments, it is found that the red blood cells(mainly are abnormal red blood cells) in urine increase.

· β2 microglobulin determination in blood and urine

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