2013年12月26日星期四

How to treat acute glomerulonephritis


Scientists currently directed against the immune pathogenesis of glomerular specific treatment . The main positive for the symptomatic treatment by pathophysiological processes (such as Shuina Zhu tumor, blood volume is too large ) , prevention of acute complications and protect renal function , in order to facilitate its natural recovery.

An acute bed rest period should normally take two to three weeks until the disappearance of gross hematuria , blood pressure recovery , edema decreased to gradually increase the amount of indoor activities . Mild proteinuria and hematuria left without follow-up study should be strengthened to extend the period of bed rest , weight gain , if you need to change the urine in bed again. Within three months should avoid strenuous physical activity. May gradually increase the amount of activity after stopping bed , without clinical symptoms two months later, the urine is often normal , you can start to go to school half a day , and gradually to attend full-day learning .

2 diet and sodium intake to prevent further water retention, leading to severe concurrent circulation overload level , the need to reduce the burden on the kidneys , acute phase should limit salt , water, and protein intake. For edema, high blood pressure with a free salt or low-salt diet. Edema and oliguria were heavy water restrictions . To have azotemia limit protein intake. Application of high-quality protein in children in the short term , according to 0.5g/kg calculations. Note to sugars provide calories .

3 foci of treatment remains throat , skin infection focus should be given to penicillin or other sensitive drug treatment 7 to 10 days .

4 Application of acute nephritis major pathophysiological changes diuretics for Shuinazhuliu, drain fluid volume expanded , so the application is not only to achieve a diuretic swelling diuretic effect, and helps to prevent complications . Where the control of water , salt and still oliguria , edema, high blood pressure should be given diuretics. Thiazide invalid available loop diuretics such as furosemide strong and uric acid . Mercury diuretics generally disabled.

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