In clinical practice, it is difficult to diagnose chronic nephritis in pregnant women in a timely and effective manner. We often see examples of delayed conditions in pregnant women. This is mainly because the onset of many diseases is very similar to the symptoms of chronic nephritis in pregnant women. So what diseases should we pay attention to distinguishing from chronic nephritis in pregnant women in our daily lives?
1. Pregnancy induced hypertension syndrome: This is a condition that is often confused with chronic nephritis in pregnant women. Usually, patients with gestational hypertension syndrome may also experience symptoms such as proteinuria and edema. However, the difference is that this condition does not have edema or proteinuria before pregnancy, and generally does not develop until after 20 weeks of pregnancy. At the onset of the disease, there are varying degrees of edema and hypertension, followed by urinary protein, and the amount of urinary protein is variable, and there is generally no tubular pattern in the urine. The increase in uric acid levels in the blood is also different from chronic nephritis.
2. Pyelonephritis: This is also a condition that needs to be distinguished from chronic nephritis, and for pregnant women, these two types of kidney diseases are easily confused. Pregnant women with pyelonephritis may also have urinary protein, but the difference is that the urine test for pyelonephritis mainly shows increased white blood cells, and it is rare to have tubular, especially granular tubular. Urinary protein generally does not exceed (++), and the 24-hour urine protein quantification is 1-2 grams, which is significantly different from the urine protein in chronic nephritis. In addition, pyelonephritis often has symptoms such as chills, high fever, and frequent urination. Cultivating urine can detect bacteria.
The above two diseases are particularly easily confused with chronic nephritis in pregnant women, so it is important to pay attention to distinguishing and distinguishing them in daily life to avoid serious consequences of misdiagnosis. For some typical symptoms of chronic nephritis in pregnant women, it is important to pay attention and understand them, and early treatment is crucial.