What should I pay attention to in the conventional treatment of glomerulonephritis?

There are many ways to do glomerulonephritis, how to do glomerulonephritis, acute nephritis must first actively control the primary infection, such as respiratory tract infection. Then antibacterial and anti-inflammatory, diuretic, blood pressure lowering and other routine ** for kidney damage. How is glomerulonephritis**,**divided into primary kidney disease**and complications**.

Most glomerulopathies can be treated with gc**, but because each person's physique is different, some people's glomerulopathy is hormone-resistant and hormone-dependent, the resistance type is that the hormone does not work, and the dependent type is dependent on hormones. There are also Chinese medicines that can be **, but the effect is relatively slow. If the disease progresses quickly, it doesn't work.

At the same time, if the patient is complicated by hypertension, protein disorders, electrolyte disorders, and thromboembolism due to glomerulonephritis, it is necessary to lower blood pressure, supplement protein, supplement electrolytes, and apply anticoagulant drugs.

A low-protein diet should be controlled and supplemented with amino acids if necessary.

The main thing that people with glomerulonephritis need to pay attention to is diet. Recommendation: You should go to the hospital to check the condition of your kidneys first, and take anti-inflammatory and anti-infection according to the doctor's instructions**.

Precautions: In terms of diet, the daily protein intake should be controlled, soy products should be avoided, and spicy and greasy foods should not be eaten to avoid aggravating the infection.

Glomerulonephritis is a group of kidney diseases mediated by autoimmunity, resulting in inflammatory changes in the inherent tissues of the kidney, resulting in varying degrees of renal dysfunction. The diet should be easy to digest, low-salt diet, you can eat vitamin-rich fresh, vitamin-rich vitamin-rich vegetables and fruits, and high-quality protein diet such as lean meat and freshwater fish. Eat lean meat, egg whites and other foods rich in high-quality protein in moderation.

Glomerulonephritis requires a high-quality protein diet, avoiding exertion, ensuring sleep, and regular blood and urine checks.

1.Rest Bed rest is necessary at acute onset until gross hematuria, edema disappears, blood pressure returns to normal, and serum creatinine returns to normal.

2.Eat a low-salt diet rich in vitamins, and the protein intake in people with normal kidney function should remain normal, approximately. Patients with renal insufficiency should limit protein intake and give high-quality protein (animal protein containing essential amino acids, such as milk, eggs, etc.).

If the edema is severe and the urine is low, the amount of water should be controlled.

3.Symptomatic**.

1) Diuretic: After controlling the intake of water and salt, the edema is still obvious, usually use thiazide diuretics such as hydrochlorothiazide 25mg, 3 times a day. Loop diuretics, such as furosemide and bumetanide, may still have a diuretic effect if the creatinine clearance is less than 5 to 10 mL min.

Furosemide 20-60 mg d(Exam big ** finishing).

2) Antihypertensive: If the blood pressure control is still not ideal after diuresis, antihypertensive drugs can be used. For example, calcium channel blockers (nitlocalpine 20 to 40 mg daily) and hydralazine and prazosin are used to enhance vasodilators.

ACE inhibitors and A-receptor antagonists are generally not used. For severe hypertension, nitroprusside and hypobarazole may be used.

3) Hyperkalemia**: Limiting potassium intake and using potassium-excreting diuretic narbiss can prevent the development of hyperkalemia. If the urine output is very small, resulting in severe hyperkalemia, the potassium-lowering drugs** are ineffective, and dialysis** can be used.

4) Correction of heart failure: the main measures are diuresis, blood pressure, phentolamine can be applied if necessary, and intravenous infusion of nitroprusside sodium can be used to reduce the anterior and posterior burden of the heart. If the above ** is ineffective, hemofiltration dehydration can be used**.

The drug digitalis is not routinely used and is only tried when necessary.

4.Patients with a history of infection**, especially if the lesion culture is positive, should be actively treated with penicillin (macrolide antibiotics in allergic patients) for 10 to 14 days. If tonsillar lesions are obvious, tonsillectomy may be considered.

Penicillin should be used before and after surgery when the condition of nephritis is stable, there are no clinical signs and symptoms, urine protein is less than (+) urine sediment red blood cells less than 10 high-power fields, and there is no acute inflammation of the tonsils.

Chronic glomerulonephritis is more serious than acute glomerulonephritis, so what are the methods of chronic glomerulonephritis**?

Chronic glomerulonephritis is treated as a combination of **, otherwise chronic glomerulonephritis will progress rapidly to uremia. Usually chronic glomerulonephritis, ** in terms of diet needs a low-salt, low-fat, high-quality low-protein diet, the daily salt intake is about 2 3g, edible oil is generally 15 20ml, protein is mainly ** lean meat, eggs and milk.

In terms of drug quality, chronic glomerulonephritis** is mainly aimed at blood pressure and urine protein in chronic glomerulonephritis, and it is recommended to use angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists, which can reduce patients' blood, reduce patients' urine protein and protect renal function. Of course, some patients with chronic glomerulonephritis who have a large amount of proteinuria can also use hormones or immune preparations. Of course, in the process of using hormones and immunosuppressants, it is important to observe the changes in the patient's kidney function.

Avoid excessive intake of water, salt, protein, and pay attention to regular check-ups in the hospital to avoid aggravation of symptoms. Pay attention to maintaining a good mood, live a regular life, avoid overwork, and do not exercise vigorously. Pay attention to strengthening your physique.

Such patients should have a low-protein diet because the glomerular filtration membrane is damaged, and a large amount of protein will enter the urine, which will further increase the burden on the kidneys.

There are many types of nephritis, depending on whether the primary is secondary or secondary, the condition is different, and the drugs are not the same, within 1+, you can simply use traditional Chinese medicine, nephritis ** tablets and the like. More than 2+ is not recommended for simple traditional Chinese medicine**, generally aceo, ARB antihypertensive drugs can lower protein, commonly used enalapril, benazepril. ARB valsartan and the like** are more expensive, but the effect is the same.

3+ If the above methods are used for 3 months or the protein quantification is greater than 1g, it is recommended to puncture to see the pathology, and if necessary, immunosuppressants or cytotoxins** ---

Go to a big public hospital** and don't listen to the false propaganda of private hospitals. No matter what method you use**, you must have a complete medical prescription, and make a record of your illness, medication, and laboratory tests on time and summarize ---

If you have time, you can learn about the Yunxiang cat's whisker grass produced in Yunnan. . .

Most acute glomerulonephritis cures spontaneously, so parents should not panic when their child is sick, but follow the doctor's instructions to make sure their child is well rested. Rest is even more important than medication. The principles are to prevent and** edema, prevent fatal comorbidities (heart failure, encephalopathy, acute kidney failure) and prevent various adverse factors that exacerbate kidney disease.

1) Bed rest, you must stay in bed until the gross hematuria disappears, the urine redema disappears, the blood pressure returns to normal, and the serum creatinine returns to normal, and then the amount of activity can be gradually increased, which is very important.

2) Adjust your diet: Adopt a low-salt, low-protein diet after illness.

3) Symptomatic**According to the condition, diuretic, antihypertensive and antibacterial agents** can be used, and attention should be paid to controlling infection and preventing heart failure. Excerpted from Hua Qiong's "Kidney and Urinary Tract Disease Q&A".