2014年2月11日星期二

What is the prognosis of chronic nephritis?

What is the impact of chronic nephritis prognosis ? Prognosis of chronic nephritis , and are very different due to different diseases and chronic nephritis various foundation types. In general, the prognosis is poor hypertension type , common type of acute onset and prognosis is good, but if the two types are also associated with the presence of hypertension and renal dysfunction, the prognosis is not good.
Prognostic factors of chronic nephritis are:
( 1 ) pathological factors: ① pathological types : mild mesangial proliferative glomerulonephritis good prognosis is poor with severe mesangial proliferative glomerulonephritis and mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis prognosis ; membranous nephropathy is prognosis, progress is slow. ② chronic indicators : number of fibrous crescent , the number of glomerular sclerosis , the extent of interstitial fibrosis and tubular atrophy of how much and prognosis. The more these indicators , the worse the prognosis . ③ renal vascular disease severe disease with poor prognosis .
( 2 ) Clinical manifestations : ① persistent proteinuria and persistent hematuria , renal function deteriorated faster ; ② high blood pressure and can not be controlled , as well as renal dysfunction and poor prognosis ; ③ signs of tubulointerstitial damage , such as renal anemia, nocturia , renal loss of sodium , Fanconi syndrome, renal tubular acidosis significantly poorer prognosis .
( 3 ) dietary factors : high protein diet can accelerate the development of chronic nephritis disease .

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