A tshuaj proteinuria yog txhais los ntawm qhov muaj qhov txawv txav ntawm protein txog zis. Nws tuaj yeem txuas rau ntau yam pathologies, tshwj xeeb yog kab mob raum.

Feem ntau cov zis muaj tsawg dua 50 mg / L ntawm cov protein. Cov proteins uas muaj nyob rau hauv cov zis feem ntau yog albumin (cov protein tseem ceeb hauv cov ntshav), Tamm-Horsfall mucoprotein, cov protein synthesized thiab secreted tshwj xeeb hauv lub raum, thiab cov proteins me me.

Proteinuria tuaj yeem tshawb pom nrog kev kuaj zis yooj yim nrog lub dipstick. Nws kuj yog feem ntau pom los ntawm lub caij nyoog thaum kuaj xyuas kev noj qab haus huv, kev soj ntsuam cev xeeb tub lossis thaum kuaj zis hauv chav kuaj mob.

Kev ntsuas proteinuria 24-teev tuaj yeem thov kom kho qhov kev kuaj mob lossis kom tau txais cov txiaj ntsig zoo dua rau tag nrho cov proteinuria thiab cov proteinuria / albuminuria piv (kom nkag siab zoo dua hom protein tawm).

Kev sau cov zis 24-teev suav nrog tshem tawm thawj cov zis thaum sawv ntxov hauv chav dej, tom qab ntawd sau tag nrho cov zis hauv tib lub thawv rau 24 teev. Nco ntsoov hnub thiab lub sijhawm ntawm thawj cov zis ntawm lub hub thiab txuas ntxiv mus txog rau hnub tom qab tib lub sijhawm.

Cov qauv no tsis nyuaj, tab sis nws yog qhov ntev thiab ua tsis tau zoo (nws yog qhov zoo dua nyob hauv tsev txhua hnub).

Cov zis yuav tsum tau muab cia rau hauv qhov chaw txias, qhov zoo tshaj plaws hauv lub tub yees, thiab coj mus rau qhov chaw kuaj thaum nruab hnub (2st hnub, yog li ntawd).

Kev tsom xam feem ntau ua ke nrog kev ntsuam xyuas rau creatininuria 24 teev (kev tso tawm ntawm creatinine hauv cov zis).

Proteinuria yog txhais los ntawm kev tshem tawm cov zis ntawm cov protein ntau dua 150 mg rau 24 teev.

Yog tias qhov ntsuas tau zoo, tus kws kho mob tuaj yeem xaj lwm yam kev sim, xws li kuaj ntshav rau qib sodium, potassium, tag nrho cov protein, creatinine thiab urea; kuaj cytobacteriological ntawm cov zis (ECBU); kuaj pom cov ntshav hauv cov zis (hematuria); kuaj rau microalbuminuria; ntsuas ntshav siab. 

Nco ntsoov tias proteinuria tsis tas yuav mob hnyav. Feem ntau ntawm cov neeg mob, nws txawm tias benign thiab qee zaum pom thaum kub taub hau, mob siab rau kev tawm dag zog lub cev, kev ntxhov siab, raug mob khaub thuas. Hauv cov xwm txheej no, proteinuria ploj mus sai sai thiab tsis muaj teeb meem. Nws feem ntau tsawg dua 1 g / L, nrog rau qhov tseem ceeb ntawm albumin.

Thaum cev xeeb tub, proteinuria yog ib txwm muab faib los ntawm 2 lossis 3: nws nce thaum thawj peb lub hlis twg txog 200 mg / 24 teev.

Nyob rau hauv cov xwm txheej ntawm cov protein excretion ntau dua 150 mg / 24 teev nyob rau hauv cov zis, sab nraum lub cev xeeb tub, proteinuria tej zaum yuav xam tau tias yog pathological.

Nws tuaj yeem tshwm sim nyob rau hauv cov ntsiab lus ntawm kab mob raum (mob raum tsis ua haujlwm), tab sis kuj nyob rau hauv cov xwm txheej ntawm:

• ntshav qab zib hom I thiab II
• kab mob plawv
• tawg
• preeclampsia (thaum cev xeeb tub)
• Qee cov kab mob hematological (ntau yam myeloma).