A I-proteinuria kuchazwa ngokuba khona kwamanani angavamile we amaprotheni mayelana umchamo. Kungaxhunyaniswa nama-pathologies amaningi, ikakhulukazi isifo sezinso.

Ngokuvamile umchamo uqukethe ngaphansi kuka-50 mg/L wamaprotheni. Amaprotheni aqukethwe emchameni ngokuyinhloko ayi-albumin (iphrotheni eyinhloko egazini), i-Tamm-Horsfall mucoprotein, iphrotheni ehlanganisiwe futhi ikhishwa ngokuqondile ezinso, namaprotheni amancane.

I-proteinuria ingatholwa ngokuhlolwa komchamo okulula nge-dipstick. Kuphinde kutholakale ngenhlanhla ngesikhathi sokuhlolwa kwezempilo, ukulandelwa kokukhulelwa noma ngesikhathi sokuhlolwa komchamo elabhorethri yokuhlaziya ukwelashwa.

Isilinganiso samahora angama-24 se-proteinuria singacelwa ukuze kucwengisiswe ukuxilongwa noma ukuthola amanani anembe kakhudlwana engqikithi ye-proteinuria kanye nesilinganiso se-proteinuria/albuminuria (ukuqonda kangcono uhlobo lweprotein ekhishwe).

Ukuqoqwa komchamo wamahora angu-24 kuhilela ukukhipha umchamo wokuqala wasekuseni endlini yangasese, bese uqoqa wonke umchamo esitsheni esifanayo amahora angu-24. Qaphela usuku nesikhathi somchamo wokuqala embizeni futhi uqhubeke uqoqa kuze kube ngakusasa ngesikhathi esifanayo.

Lesi sampula asiyona inkimbinkimbi kodwa yinde futhi akwenzeki ukuyenza (kungcono ukuhlala usuku lonke ekhaya).

Umchamo kufanele ugcinwe endaweni epholile, okungcono kakhulu esiqandisini, futhi ulethwe elabhorethri emini (2st usuku, ngakho-ke).

Ukuhlaziya kuvame ukuhlanganiswa ne-assay ye i-creatininuria 24h (ukukhishwa kwe-creatinine emchameni).

I-Proteinuria ichazwa ngokuqedwa kumchamo inani lamaprotheni angaphezu kuka-150 mg ngamahora angama-24.

Uma ukuhlolwa ku-positive, udokotela angase alawule ezinye izivivinyo, njengokuhlolwa kwegazi kwamazinga e-sodium, i-potassium, iphrotheni ephelele, i-creatinine ne-urea; ukuhlolwa kwe-cytobacteriological yomchamo (ECBU); ukutholakala kwegazi kumchamo (hematuria); ukuhlolwa kwe-microalbuminuria; ukukala umfutho wegazi. 

Qaphela ukuthi i-proteinuria ayibi kakhulu. Ezimweni eziningi, kuyingozi futhi ngezinye izikhathi kubonakala ezimweni zokushisa, ukuvivinya umzimba okukhulu, ukucindezeleka, ukuchayeka emakhazeni. Kulezi zimo, i-proteinuria ihamba ngokushesha futhi ayiyona inkinga. Imvamisa ingaphansi kwe-1 g/L, ene-albumin eningi.

Ngesikhathi sokukhulelwa, i-proteinuria ngokwemvelo iphindaphindeka ngo-2 noma 3: iyanda ku-trimester yokuqala iye cishe ku-200 mg / 24 h.

Esimweni sokuphuma kwamaprotheni angaphezu kuka-150 mg / 24 amahora emchameni, ngaphandle kwanoma yikuphi ukukhulelwa, i-proteinuria ingabhekwa njenge-pathological.

Kungenzeka kumongo wesifo sezinso (ukwehluleka kwezinso okungapheli), kodwa nasezimeni:

• uhlobo I no-II sikashukela
• izifo zenhliziyo
• nomfutho wegazi ophezulu
• i-preeclampsia (ngesikhathi sokukhulelwa)
• izifo ezithile ze-hematological (i-myeloma eminingi).