Showing posts with label Chronic nephritis. Show all posts
Showing posts with label Chronic nephritis. Show all posts

Sunday, June 10, 2012

What are the cause leading to nephritis?

Nephritis is a major killer of human health, many nephritis patients want to understand the cause of the nephritis?
The present situation, has been considered hemolytic streptococcus infection is a major cause of the cause nephritis, recently found that infection of other pathogenic microorganisms and; the intrusion of some heterogeneous material, can cause nephritis.The cause of nephritis can be divided into the following categories:
Bacterial infection leading to glomerulonephritis: Streptococcus, Staphylococcus,pneumococcus, typhoid bacillus, diphtheria bacillus and M. leprae can be pathogenic;
Virus infection leading to chronic nephritis: including measles virus, varicella-zoster virus, hepatitis B virus; B virus, mumps virus, herpes zoster virus, and some tumor viruses and other infections;
Burgdorferi infection causes nephritis: such as Rickettsia, Treponema pallidum.
Parasitic infections leading to nephritis: such as trypanosomiasis, Luo Asi insects, Monteggia schistosomiasis, etc.;
Biological toxins invade the body leading to nephritis: such as pollen, bee venom;
Drug intoxication leading to nephritis: such as penicillamine;
Heavy metal poisoning leading to nephritis: such as gold, mercury, bismuth.
All these factors are the cause of nephritis, the above description, I believe you andnephritis have a certain understanding, if you want to know more knowledge about the cause of the nephritis

Monday, May 14, 2012

Note: in the daily life of patients with kidney disease

1.A fresh light digestible food, avoid seafood, beef, lamb, spicy food, wine and all the fat things such as: spiced aniseed, coffee, coriander.
2.Prevent colds, to avoid the cold, not tired, do not eat health food, tonic, to prevent angryheavier.
3.Edema, weight should avoid salt, limit the intake of protein food, less water. Edema isnot heavy into the low-sodium drink; swelling does not limit the intake of water andprotein foods.
4.Microscopic hematuria easily lit by the water, eat more apples, sugar, black sesame seeds, fungus and other nourishing yin and down as food.
5 hyperkalemia were cut high-priced foods such as seafood, mushrooms, ham,mushrooms, dried fruit, corn flakes, banana, citrus, potatoes, dried radish, tea, soy sauce, monosodium glutamate and other.
6. High blood uric acid, especially not eat animal offal, Xiaxie mussels, beer,mushrooms, beans, spinach.
7 patients with chronic nephritis can drink milk, 1 egg, 2 lean meat.
8.Hypertension should serve antihypertensive drugs to control blood pressure, those taking hormones, under the guidance of the physician in descending amount of acidosis shouldbe taking sodium bicarbonate to correct acidosis.
9.Disable, neomycin, streptomycin, gentamicin, Guan Mu Tong, fangchi, aristolochic andauto-immune injection.
10 confidence, and adherence to treatment, to keep the peace of mind, optimism.
11 married patients with sexual restraint.

Thursday, May 3, 2012

The incidence of chronic nephritis, which the law


Chronic nephritis is a kidney disease, people should be understood This is becausemany people will be unaware that they have on chronic nephritis, including some children.People, especially to have some knowledge of its etiology and pathogenesis, in normaldaily life to protect your body.
1, chronic nephritis may be acute nephritis evolved, and the situation is more common.The onset of acute glomerulonephritis, the failure to completely control the persistence ofclinical symptoms and urinary protein, persistent for more than a year, and become achronic nephritis. Past history of nephritis, significant symptoms of edema and massive proteinuria and nephrotic syndrome due to upper respiratory tract or other infections.Does have a history of acute nephritic syndrome, recuperating after a few weeks or months after the clinical symptoms and urinary abnormalities disappeared, normalkidney function. After a longer interval (the elderly up to years), upper respiratory tract or other infections or overwork, the sudden appearance of proteinuria, edema, or (and) high blood pressure, nephritis symptoms.
2, there are some patients in the past and not too chronic nephritis, but it will suddenlyshow corresponding symptoms. Past, no history of nephritis, short-term proteinuria, theheld hypertension and (or) renal insufficiency. The past, no history of nephritis, hematuria and proteinuria (or) due to infection or after exertion, to reduce or disappear soon aftershort-term rest. This recurrent, without obvious clinical symptoms.
Thus, the etiology of chronic nephritis of this nephropathy is more complex, and some patients from the development of diseases such as acute nephritis some patients thedisease due to past history of kidney disease, some patients are not related the historyof the disease, but will suddenly show corresponding symptoms have on chronicnephritis.

Saturday, April 21, 2012

Reasonable diet of chronic nephritis

People's diet and health, and longevity are closely related. Two thousand years ago, our ancestors with many well-known medical scientist has proposed a "balanced diet" diet, health care, health, longevity, accumulated rich experience. "Yellow Emperor" put forward the principle of compatibility of the grain for the support, the five fruits in order to assist, five animals for the benefit, five dishes for the charge, the smell together serving to complement the fine Qi "meal. Patients with kidney disease are often not strict diet and a variety of complications or aggravate the condition. Therefore, to strengthen the health education of the patient's diet is an important part of recovery from disease.
Varying degrees of kidney dysfunction in each kidney patients, and the excretion of nitrogenous waste, electrolyte, and can endure the amount of protein and other ingredients, and thus their condition. Different periods of the same patient diet program diet program different in different individuals of the same disease.
For the Asymptomatic: the general symptoms are very slight, and so not be overly restricted in the diet.
Nephropathy type: a daily supplement of a lot of protein, 2-3 grams per day per kilogram of body weight to the total daily protein up to 100-150 g, and preferably more choices of food containing high quality protein, such as dairy, meat fish and shrimp, bean products.Patients associated with elevated cholesterol, egg yolks should be limited as appropriate, other cholesterol-containing foods, such as brains, roe, fat, and animal offal should be eating. Swelling extent based on the patient were given salt or no salt diet. And to limit foods that stimulate renal parenchymal cells, such as wine and alcoholic beverages, spicy seasonings and volatile oil, capsaicin, oxalic acid and a variety of vegetables (such as spinach, leeks, celery, garlic, onions and baby carrots, etc.). Such as anemia in patients with serious, but also to add some iron-rich foods, such as vitamin B12, folic acid, fungus, red dates, longan, red bean and green leafy vegetables such as rape, cabbage and so on. Conducive to the swelling subsided, the diuretic effect of food carp, crucian carp (boiled soup consumption), goat's milk, melon, watermelon, mung bean, red bean, corn, wild rice, eggplant, gourd, etc.. Watermelon rind boiled water water effect was more obvious, the method of Peel and fine fresh water. Summer to fresh Peel and cut into small slices line wearing, in the shade dried until watermelon season use.Patients if concentrated functional dysfunction, but normal urination, water can be unrestricted. Only when patients with renal insufficiency phenomena, such as decreased urine output, will have to strictly limit the moisture and protein. In accordance with uremia diet treatment.
Type of hypertension: Note the use of salt or no salt diet, protein and calories in general should not be too high. For the prevention of atherosclerosis, but also pay attention to limit cholesterol, heart failure, water and salt to strictly control the

Thursday, April 19, 2012

Chronic nephritis can be much longer? Can be cured?

Had chronic nephritis can be much longer this disease can be cured? Chronic nephritis, short for chronic glomerulonephritis, can be transformed from acute nephritis, the disease is quite stubborn, clinically complete cure is considerably more difficult. Some patients with chronic nephritis it very serious thought to be life threatening, there would be a "chronic nephritis can be much longer" questions, in fact, chronic nephritis that you did not think that serious, as long as the development of renal failure , uremia, is not life-threatening, so worry much longer is not necessary. In the case of patients with chronic nephritis, should ask is "chronic nephritis can be cured?" What methods can solve the problem of no recurrence!
What can cure chronic nephritis, even to the radical no recurrence of the purpose? The treatment of chronic nephritis is a gradual process, need to be persistent, and all those responsible for hospitals, doctors and patients should follow the objective law, not engage in the "Great Leap Forward" in the course of the treatment of chronic nephritis.
Lead to either chronic nephritis or other kidney disease, the reason is that of progression of kidney fibrosis injury, destruction of renal cell structure damage of the glomerular cell function. The cell structure was fibrosis of damage and failure is the root cause of various types of kidney disease, "this", due to functional damage caused by proteinuria, serum creatinine increased "standard".
Micro-based medicine to penetrate the treatment of chronic nephritis different from the other in order to reduce urinary protein excretion, lower creatinine of the "standard" the next big effort, but the micro-through from the start the factors leading to renal fibrosis - kidney disorders, ischemic , hypoxic began.
Treatment of chronic nephritis need treatment for impaired renal intrinsic cells from the fundamental blocking renal fibrosis process, fundamentally, the infiltration therapy of micro-based traditional Chinese medicine mainly play the following role to get treatment!Specific description is as follows:
1.Vasodilators: of micro-penetration therapy of Chinese medicine through effective Chinese medicines dilate blood vessels, effectively improve renal ischemia and hypoxia, and to provide more oxygen and blood for the kidneys, so as to better accelerate the repair of renal intrinsic cells.
2.micro therapy for the penetration of traditional Chinese medicine through the anti-inflammatory, anticoagulant to inactivate inflammatory factors, and virulence factors of renal fibrosis process, and to prevent blood clots, blood clotting occurs, further blocking renal fibrosis, and repair damaged of renal intrinsic cells.
3.Also note that for the treatment of chronic nephritis immunosorbent assay, clear the immune complexes of patients' bodies to provide a secure and stable environment within the patients with late repair.
Through the rational application of the above treatment, the mesangial cells of the glomerular capillary repair, will be natural recovery of its normal physiological function.Mesangial cells of the barrier function will receive a reply, after the recovery of these functions, protein and other clinical symptoms also vanish. Effective treatment of chronic nephritis, to achieve true "cure disease before treatment, the disease is cured cases from extinction, so as to effectively prevent relapse.

Friday, April 13, 2012

How to control the hypertension of patients with chronic nephritis?

Chronic nephritis, the residual and (or) had lesions of the renal unit in compensatory hemodynamic status, systemic hypertension will undoubtedly add to this condition, leading to glomerular injury, and therefore patients with chronic nephritis should be actively controlled high blood pressure, prevent deterioration of renal function.
In recent years, through a series of studies confirmed that most scholars have angiotensin converting enzyme inhibitors as first-line antihypertensive drugs. Lately, a lot of clinical studies confirmed that calcium antagonists such as nifedipine, nicardipine equal treatment of hypertension and renal function deterioration is more positive effect.That calcium antagonists, despite the slight expansion of the role of afferent arterioles, but it has significantly reduced the role of systemic blood pressure, so make the uninvolved or only partially involved glomerular hemodynamics, the high metabolic statusbe improved; In addition, calcium channel blockers reduce oxygen consumption, inhibition of platelet aggregation through the membrane effect of reducing the excessive oxidation of the calcium in the interstitial deposition and reduce the cell membrane, so as to achieve to reduce kidney damage and stable renal function. Clinical reports, short-term (4 weeks) or long (1-2 years) with calcium antagonist treatment of nephritis in patients with chronic renal insufficiency has not revealed any glomerular injury, but clearly demonstrated that it is angiotensin converting enzyme inhibitors is very similar to the efficacy of renal function deterioration. And angiotensin converting enzyme inhibitors at lowering urinary protein role for it in general. It should be noted that some scholars believe that the calcium antagonists impact on renal function is still a need for more long-term observation.
β-blockers, such as the United States and more peace of mind, Atenolol, has a good effect on the renin-dependent hypertension. beta-blockers reduce renin, although the drug reduce cardiac output, but does not affect renal blood flow and GFR, it is also used for the treatment of renal hypertension. It should be noted that some beta-blockers such as atenolol and naphthalene hydroxyl peace of mind, low-fat-soluble, since renal excretion, so renal insufficiency should pay attention to adjust the dose and extending administration time.
In addition, vasodilators such as hydralazine antihypertensive effect, it can be combined with beta-blockers reduce vasodilators stimulate renin  angiotensin system side effects (such as rapid heartbeat, water and sodium retention ), and may improve the therapeutic effect. Hydralazine general daily 200mg, but must be alert to the possibility of drug-induced lupus erythematosus-like syndrome.
Edema renal, can add to a thiazide diuretic; poor renal function (serum creatinine> 200μmol / L), thiophene triazine efficacy or invalid, it should use loop diuretics marrow .Chronic nephritis patients treated with diuretics should be noted that the electrolyte imbalance in the body, and to pay attention to the tendency to aggravate hyperlipidemia, hypercoagulable state.

Angiotensin converting enzyme inhibitors for patients with chronic nephritis What is the significance?

In recent years by a large number of animal experiments and nephritis in patients with controlled clinical observation has been confirmed, unless there are certainly antihypertensive efficacy of the drug can reduce glomerular pressure, there is certainly delay the deterioration of renal function, lower urinary protein (20% to 40%) and reduce the role of glomerular sclerosis. Commonly used preparations the mercapto tensiomin proline acid, typical doses of 25 to 50 mg / 3 times a day, clinical; without thiol according to Na Puli, the long duration of action, the commonly used dose of 5 to 10 mg / day 1.The drugs to reduce the main mechanism of ball pressure, protect and stabilize the renal function as follows:
① The expansion of glomerular artery, small arteries of the ball is more significant than the afferent artery dilation, and therefore reduce the pressure inside the ball, reducing renal ball high blood dynamics;
② The angiotensin II-stimulated proximal tubular ammonium, class preparation can reduce the angiotensin II level and (or) l hyperkalemia and reduce the production of ammonium, will help reduce the renal hypertrophy and avoid excessive ammonium generated by the alternative pathway activation of complement induced tubulointerstitial lesions.
The application of such agents should pay attention to can cause hyperkalemia (especially renal dysfunction), other side effects include rash, itching, fever, flu-like symptoms, diminished sense of taste and rare granulocytes reduce. Some people think that class preparation may cause acute drug-induced interstitial nephritis.

How is the prognosis of chronic nephritis?

The natural history of patients with chronic nephritis vary widely, as part of the patient's condition is relatively stable after 5-6 years, or even 20 to 30 years before developingrenal insufficiency of a very small number of patients and relieve itself. Another part of thepatient's condition continued to develop or repeated acute attacks, the development ofrenal failure in 2 to 3 years. Is generally believed that the poor prognosis of sustained hypertension of chronic nephritis and persistent renal dysfunction.
In summary, chronic nephritis is a glomerular disease with sexual orientation, and the prognosis is relatively poor. Pathological types of renal biopsy in the prognosis is more reliable and is generally believed that good with minimal change nephropathy and puremesangial proliferative glomerulonephritis and prognosis of membranous nephropathyprogress is slow, the prognosis is better than that of nephritis, most cases in a few years,renal insufficiency, focal segmental glomerular sclerosis prognosis is poor.
Recent studies show that, in addition to glomerular lesions, tubular, renal vascular and renal interstitial lesion significantly affect the prognosis. Tubular atrophy, renal vascular sclerosis, a large number of renal interstitial lymphocytic infiltration and interstitial fibrosis, poor prognosis.

Monday, April 9, 2012

Best time of summer, chronic kidney disease treatment

Many kidney specialists pointed out that sick patients with chronic kidney disease need to raise slowly, but in the period of recuperation, the need to receive standard treatment, as early as day treatment for kidney protection significance is not the same, in the summer of kidney patients to ignore is the treatment chronic nephropathy season.
Why summer is the best season for the treatment of chronic kidney disease? Chinese medicine believes that, especially the dog days of summer, as temperatures rise, the human body yang rising, meridian accessible, with plenty of blood, the resistance is relatively high; the same time, the human body in various tissues and organs function, ability to repair itself in a year the best level. At this point, patients with chronic kidney disease often feel "good", the external symptoms of a variety of kidney disease also are relatively mild. Therefore, some patients are often in the summer of their condition "underestimate the enemy," the idea, they do not rush to be treated in the summer, even mistakenly believe that their own stable condition, and began to recover, the more relaxed the idea of ​​continued treatment. Do you not know that, according to Chinese medicine the dialectical, a lot of chronic kidney disease, chronic nephritis, nephrotic syndrome, all belong to the actual situation mixed, the vacuity of the card. Patients can take advantage of the summer of this favorable opportunity, use of standard means of treatment of certain cold nephropathy, the virtual nephropathy will be able to drive the wind dispelling tonic fitness, to adjust the body's yin and yang balance, a multipliertreatment. This is in fact very simple, as we boil water, under normal circumstances, summer boil a pot of water, certainly better than the winter fast.
Chronic kidney disease, impaired renal intrinsic cells ability to repair itself the highest kidney fibrosis progression is relatively slow. If the patient is able to seize the summer of this favorable opportunity for the treatment of chronic kidney disease, standard treatment of chronic kidney disease, you will be able to receive those who spend less effective, and in stable condition after treatment recurrence.
Therefore, the treatment of chronic kidney disease should seize the favorable opportunity, and early treatment and early rehabilitation. Do not wait until the advent of autumn and winter, the weather cools, human yang latent, relatively low resistance, and again the treatment of chronic kidney disease, when the difficulty of treatment is bound to be greatly enhanced! The reason because of the weather, the patient vulnerable to cold, to the treatment of chronic kidney disease and stable recovery a great deal of variables.

Chronic kidney disease: out of the understanding of misunderstanding

The nephropathy non-kidney protein low Mo in bed real do not have chronic kidney disease in the modern medical diagnosis of definite chronic nephritis, nephrotic syndrome, chronic renal failure, uremia, chronic kidney disease. Difficult treatment of these diseases, longer duration, is recognized worldwide as difficult to cure. The majority of kidney patients look to the medical treatment, but due to the treatment of chronic diseases and nursed back to health there is misunderstanding, making it difficult to receive satisfactory results.
Misunderstanding one: chronic kidney disease as kidney, kidney and method of treatment. Here there are two reasons doctors and patients. Longer duration of chronic kidney disease, there are many obvious weak symptoms, patients often think "kidney", and the seeking of herbs treatment. Some doctors kidney disease as kidney, by the ancient "kidney virtual" said. Kidney disease can not be equated in the kidney, chronic kidney disease is autoimmune disease, its onset is often associated with a cold or infection. Chinese medicine point of view, its pathogenesis are evils, in-depth Blood stasis collaterals. True its nature is hot, the treatment Yiqing should diarrhea, cooling blood, and to be based on the patient's specific condition, diagnosis and treatment, in order to receive the desired therapeutic effect.
Misunderstanding two: patients with chronic kidney disease need to eat more protein-rich foods. The clinical features of chronic kidney disease is one of persistent proteinuria, especially nephrotic syndrome have a lot of protein loss from the urine, often can lead to hypoproteinemia, and to induce edema. In this case, modern medicine advocates kidney patients should be eating high protein food to supplement the loss of protein, which is lost protein, complement proteins, point of view. Under the influence of this view, patients with kidney disease tend to believe that the more the better to eat protein-rich foods, excessive exposure, increasing the burden on the kidneys, but not conducive to the recovery of nephropathy. Therefore, should be appropriate to limit the intake of high protein food, a reasonable allocation of the diet, so that a balanced diet and not excessive, so as to reduce the burden on the kidneys, which will help the rehabilitation of the kidney.
Misunderstanding three: that patients with chronic kidney disease should stay in bed to avoid exercise. Under normal circumstances, when patients with chronic kidney disease to see a doctor, often this advice: "Try to avoid exercise, the best of bed rest." So, the patient returned home, bed rest, clothing to hand out food to mouth, but alsoeuphemistically called "I would like the doctor's advice, An Xinjing support". In fact, bed rest and non-good way, this may hinder the circulation of qi and blood, increase the microcirculation, and prolonged bed rest can weaken the immune function, making the body increasingly frail, but the overall rehabilitation. The correct way should adhere to a moderate form of exercise according to their specific situation, combination of outdoor walking speed, at least 1-2 hours a day, the line of the day, sustained, will be able to enhance physical fitness, promote kidney disease. rehabilitation.

Patients with chronic kidney disease care "Eight Principles"

To prevent fatigue
Proper rest and avoid fatigue, nephrotic syndrome and chronic kidney disease can be improved first. When the patients in the acute phase, mainly to absolute bed rest; until a stable condition only after an appropriate increase in activity, to prevent limb thrombosis still need to be taken to avoid fatigue.
Prevention of infection
Seasonal change, seasonal cold air frequently patronized, to go with a jacket, wear a scarf when the wind blows, pay attention to respiratory warm, reducing the exposure to external adverse stimuli. Incidence at first, often associated with colds and other diseases have been implicated in kidney disease-related bacteria, such as hemolytic streptococcus is invasion of the human body. Indoor environment clean, fresh air, and to maintain a certain temperature and humidity.
Frequent mouth
Resistance to kidney disease patients is poor, and accompanied by indigestion, Dwelling "accident" bacteria in the mouth easy to breed, thus kidney disease patients with ulcerative stomatitis in more, so gargle with warm salt water after meals is quite necessary .
Regular exercise
Suffering from chronic kidney disease, patients often do not exercise, afraid to increase the burden on the kidney, and aggravate the condition. In fact, when a stable condition, the consent of the physician, should be appropriate to participate in certain physical exercise such as walking, cycling and feel happy, work and rest, to reduce complications and can reduce blood lipids, enhance physical fitness, improve disease resistance.
Reduce sexual intercourse
Unmarried patients with chronic kidney disease should be thinking about marriage in a stable condition after 2-3 years after marriage, but also a number of restrictive life.Married kidney disease patients should pay attention to the unstable condition, not sex.Stable condition after 3-6 months, does not exist edema, normal urine output, urine protein, red blood cells or cell tube, sex needs to moderation.
Careful medication
Kidney disease, kidney damage to the excretory function are also affected, kidney disease resistance diminished capacity, it is not casual drug use, such as certain antibiotics (kanamycin, gentamicin), some antipyretic analgesics. will produce harmful effects on the kidneys. Similarly, there is no guidance of the physician and do not abuse the nourishing substances. Prescription issued by physicians, time and quantity taking arbitrary reduction withdrawal would be dangerous and harmful, especially hormonal drugs, there will be repeated illness, should be very careful when increasing or decreasing. Taking blood pressure, lipid-lowering or anticoagulant drugs, and prevent complications.
To diet
Although the patients with nephrotic syndrome from urinary loss of protein, high-protein diet will increase the glomerular filtration, increased proteinuria, and promote the malignant progression of kidney disease. The correct way is the quality of the total protein of the daily intake of 30-35 grams, and calculation of vegetables, fruits, rice contains protein. The high-quality protein diet rich in animal protein, essential amino acids, such as lean beef, pork, lamb and fresh fish.
To prevent deterioration
The data indicate that primary glomerular nephropathy and respiratory infections and allergies, it is necessary to actively combat these factors, as early investigation, examinations of urine, and strive to the early detection of the presence of nephropathy.As part of the acute nephritis can be transformed into a chronic nephritis, acute nephritis should be attached great importance to conduct a thorough treatment, and strictly follow the doctor's advice. Should actively seek medical treatment for a diagnosed chronic glomerulonephritis, efficient and kidneys, handling, and regular follow-up changes in renal function to prevent chronic kidney disease to chronic renal insufficiency into.

Thursday, April 5, 2012

Symptoms of chronic glomerulonephritis

Chronic nephritis is diverse etiology, pathological and clinical manifestations similar to a group of glomerular diseases, they are common manifestations of edema, hypertensionand urinary abnormalities.
Edema: (1) in the whole course of the disease, most patients with varying degrees ofedema. Edema can be can be light weight, light in only the morning from the chronic nephritis edema found in the performance of the bed, around the eyes, facial swelling, or in the afternoon of both lower extremities ankle edema. Patients with severe, generalized edema. However, there are a very small number of patients throughout the course of the disease do not always appear edema, is often easily overlooked.
(2) high blood pressure: some patients are hypertension symptoms to hospital for treatment, doctors want them to laboratory urine, chronic nephritis caused by high blood pressure. For patients with chronic nephritis, the incidence of hypertension is one sooner or later, their blood pressure can be continuous, intermittent, and diastolic blood pressure (higher than 12.7kPa) is characterized by high blood pressure there are greatindividual differences in the degree of light only 18.7-21.3/12.7-13.3kPa, severe casescan even be more than 26.7/14.7kPa.
(3) urinary abnormalities: abnormal urine is almost a must in patients with chronic nephritis, including urine output changes and microscopic abnormalities. Edema in patients with decreased urine output, and the more severe edema, decreased urine output, the more obvious, and no edema in patients with normal urine majority. Whenpatients with kidney serious damage, urine concentration - dilution of functional disorder, but also increased nocturia and urine specific gravity decreased. The urine of patients with chronic nephritis put under the microscope, you can find almost all of the patients had proteinuria, urinary protein content ranging from (±) to (). Urine can see the levelranging from red blood cells, white blood cells, granular casts, transparent tube. Whenthe acute attack, may have significant hematuria, or even gross hematuria. In addition,patients with chronic nephritis also dizziness, insomnia, anorexia Shenpi fatigue,impatience, and varying degrees of anemia and other clinical symptoms.

Sunday, April 1, 2012

Concrete manifestation of acute and chronic nephritis symptoms


Concrete manifestation of the symptoms of acute and chronic nephritis, a lot of people heard of this disease, but specific to the disease what the performance is not clear, which makes many people sick without knowing it, until the discovery condition is very serious? because they missed the best time for treatment to regret it.
Mainly acute and chronic nephritis symptoms: The disease before the onset of more than a history of scarlet fever, tonsillitis, streptococcal infection, 7 to 21 days after infection onset. Three major characteristics of the symptoms of acute and chronic nephritis
Edema: eyelid edema, a few days later the development of the lower limb and body swelling disappear after 2 to 4 weeks.
2, hematuria: the majority of the dark brown or brown. About two weeks after the disappearance of gross hematuria, microscopic examination of hematuria sustainable for several months.
Hypertension: the majority of mild to moderate blood pressure increases, the performance of headache, dizziness, vomiting, usually last for two weeks, then gradually decreased. In addition, it can also be associated with mild anemia, fatigue and low back pain. In the treatment, such as early detection, and complete bed rest, careful treatment, the prognosis is good.
Expert tips can also refer to the laboratory screening and diagnosis of acute and chronic nephritis symptoms
Urinary protein excretion daily 0.5 ~ 2g/m2; any urine protein / creatinine ratio may be <2 (normal 0.1 to 0.3). Urine contains a shaped red blood cells, white blood cells and renal tubular cells, casts, including red blood cell casts and hemoglobin tube characteristic, the more common white blood cell casts and granular casts (protein droplets).
Anti-pathogenic infectious agent antibody titers are usually 1 to 2 weeks rose. Antibody increase against streptococcal antigen products can be measured: the antistreptolysin prime-O (ASO) is upper respiratory tract infection the best instructions, and pyoderma anti-hyaluronidase and anti-DNase B. usually reduce the disease activity of C3 and C4.Return to normal complement levels in 80% of the PSGN cases 6 to 8 weeks, in fact, one case of mesangial proliferative glomerulonephritis (MPGN) is so. Cryoglobulinemia is often persist for several months, and circulating immune complexes can only be detected within a few weeks.
Tubular function is often due to changes in the disorder of interstitial inflammation, leading to decreased ability to concentrate urine and acid secretion capacity, solute exchange impairment of the renal unit. Has some intrinsic glomerular hypertrophy and the ability of tubular function defects is usually occurs before the GFR was significantly reduced. With the gradual progress of glomerular dysfunction, total filtration area was significantly reduced decline in GFR, azotemia appear. GFR can be cleared from the serum creatinine concentration or urine creatinine, estimated rate of GFR is usually returned to normal in 1 to 3 months, proteinuria may last 6 to 12 months, microscopic hematuria for several years. Short-term changes in the urinary sediment of mild upper respiratory tract infection could happen again.
Before the onset of 1 to 6 weeks of this syndrome, there is a history of streptococcal infection, sore throat, impetigo or culture confirmed and the increase can be helpful in the diagnosis of anti-streptococcal antibody titer. Red tube in any glomerulonephritis are visible, but when and clinical manifestations associated, strongly suggestive of acute nephritic syndrome. The ultrasound can help differentiate the acute disease (kidney volume is usually normal or slightly larger) and chronic diseases increased (decreased renal size).
The above symptoms on acute and chronic nephritis, specific to each person will have a gap.

Friday, March 23, 2012

Chronic nephritis can not eat anything

Chronic glomerulonephritis, many people thought that it was transformed from acute glomerulonephritis persistent unhealed, in fact, only a small number of chronic nephritis from acute streptococcal infection nephritis direct persistent from, or after clinical recovery a number of years the re-emergence of the chronic nephritis, a series of performance.
A. Avoid high-fat foods
Patients with chronic nephritis, hypertension and anemia symptoms, animal fats, high blood pressure and anemia is a disadvantage, because fat can aggravate atherosclerosis, and inhibition of hematopoietic function, so patients with chronic nephritis should not be too much to eat. Chronic nephritis, such as fat intake, machine experience becomes weaker, so the available vegetable oil instead of in their daily lives, about 60 grams a day.
Two. Limiting salt
Edema and blood volume, sodium salt of a great relationship. Per 1 g of salt into about 110 ml of water, nephritis patients, such as eating too much salt, urinary function and damage, often aggravate the symptoms of edema, increased blood volume, resulting in heart failure, it must be limited to salt, given low salt diet. Daily salt intake should be controlled in less than 2-4 grams to prevent edema and increased blood volume, and accidents.
3. Limit the high purine and high nitrogen food in order to reduce the burden on the kidneys, should be limited to food to stimulate the kidney cells, such as spinach, celery, radishes, beans, soy products, sardines and chicken soup, fish soup, broth and so on.Because these foods high in purine, nitrogen and high in the renal dysfunction, and its metabolites can not be discharged in time, have a negative impact on renal function.
4. Avoid using strong spices
Strong spices such as pepper, mustard, coffee bile, peppers and other adverse renal function, should not eat. MSG will thirst polyphagia want to drink, limit the amount of drinking water should also be less MSG.
5 Limit the amount of liquid
Chronic nephritis patients with high blood pressure and edema, to limit the intake of liquids. The daily intake should be controlled in 1200-1500 ml, 800 ml, including the water content of drinks and dishes. If the edema is severe, then into the water even more strictly controlled. In the case of urination may be appropriate to relax.
6. Limit the plant protein
Protein intake should be considered on renal function. The patient oliguria, edema, hypertension, and nitrogen mass retention, the daily protein intake should be controlled at 20-40 g, in order to reduce the burden on the kidneys, to avoid the accumulation of non-protein nitrogen in the body. In particular, contain large amounts of fat Yin alkali plant proteins can increase the intermediary metabolism of the kidney, it is not appropriate to use the beans and soy products as a nutritional supplement. Beans and soy products, including soybeans, mung beans, soy milk, tofu, and so on.