Wednesday, July 21, 2010

Through the "kidneys of the window" to see the disease

I recently observed the child's physical examination found that too many parents to stay in urine trouble, the neglect of routine urine examination, since that "my child pee no problem." In response to this phenomenon, I visited with a doubt the Beijing Union Medical College Hospital, specializes in children on kidney disease, rheumatoid autoimmune diseases and genetic metabolic diseases diagnosis and treatment of diseases such as pediatric chief physician and PhD supervisor Professor Wei Min had an exclusive interview.

Reporter (hereinafter referred to as "mind"): Wei Zhuren, many parents in the child's physical examination process, do not attach importance to the child's urine, because of trouble, often do not stay in urine, to miss the examination items. You can talk about this phenomenon of opinion?

Wei Min (hereinafter referred to as "Wei"): so that they are very wrong. Actually, both children and adults, should be regular urine routine examination, urine routine physical examination is essential when a project. Why? Because the kidney is the only body in the blood of metabolic waste excretion organs, the maintenance of normal physiological function and the continuation of life is very important. Kidney illness, because of their strong compensatory function, the body can not feel anything. Some children have kidney failure, and still go to school as usual, but the parents found that children with some pale, doctors do blood biochemical examination, discovered that children have access to advanced renal failure, when in addition to renal transplantation, the long missed the early and effective the timing of drug therapy!

Reporter: So how can we accomplish in the kidney and other urinary tract diseases, early discovery?

Wei A: found in kidney, urinary system problems, the most simple, convenient, noninvasive method is to conduct regular routine urine examination. It can be said, urine is "the windows of the kidney!" After routine examination, can give us the kidney, urinary tract problems information. In general, early detection of kidney disease will be found in the urine routine examination abnormal, as acute and chronic glomerular nephritis, urinary tract infection, the urine protein, red blood cells, abnormal white blood cells were measured. Necessary, targeted to the relevant professional examination, make the correct clinical diagnosis could be achieved early detection and early treatment.

Reporter: In the course of children's urine, urine color is different, we can not be judged by the color state to do?

Wei: urine routine examination the clinical diagnosis of kidney disease the most simple, is also essential for a preliminary examination. Urine routine examination generally include: urine color transparency, pH, specific gravity, qualitative urinary protein, urine qualitative to, erythrocytes, leukocytes, epithelial cells and tube, bilirubin, urine bile element, etc., throughout the routine examination of urine vary from 8 to 11 range, such as through urine following the state can determine:

Normal fresh urine: for the yellow or yellow and transparent.

Hematuria; clinical diagnosis of urinary tract inflammation, stones, tuberculosis, cancer, infection.

Hemoglobinuria: the appearance of dark red transparent seen in paroxysmal nocturnal hemoglobinuria, blood transfusion and other blood group incompatibility.

Bilirubin Urine: dark yellow transparent are found in all kinds of jaundice.

Chyluria: a white turbidity, lymphatic vessels, such as gambling Cypriot private echinococcosis, cancer, tuberculosis.

Concentration in urine: white haze, common in urinary tract infection.

Crystalluria: granular turbidity, urinary tract infection, stones.

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