Glomerulonephritis is the core of six points, which are indispensable.
The diagnosis of disease should be accurate.
Before treatment, we should make a careful examination to make clear the nature and severity of renal diseases. At present, the best diagnostic method is renal biopsy, which can not only determine the nature of nephropathy, but also understand its damage degree, and provide accurate help for making treatment plans.
Look for the reason carefully.
Most patients with kidney disease have different causes before onset. For example, IgA nephropathy is related to acute tonsillitis and chronic cholecystitis, while membranous nephropathy is closely related to thyroid tumor, hepatitis and digestive tract tumor. If these causes are not eliminated in time, the symptoms of kidney disease cannot be controlled. Therefore, before starting to implement drug treatment, we must find and remove the primary focus or cause in time.
Individualization of treatment plan
In addition to the differences in clinical manifestations, patients with the same pathological type will be different due to factors such as age, gender, course of disease and complications. Therefore, when choosing drugs, we should comprehensively consider the specific situation of patients.
Western medicine for treating chronic nephritis can be divided into immunosuppressants and non-immunosuppressants. Generally speaking, immunosuppressants are mainly used for immune nephropathy such as crescentic nephritis, which has immune abnormalities in vivo and strong inflammatory reaction (proliferative lesions) in renal tissue. If renal diseases are mainly degenerative diseases, such as glomerulosclerosis, tubulointerstitial fibrosis and renal atrophy, the use of immunosuppressants is not recommended regardless of whether renal function is normal or not. Once abused, it is easy to induce complications such as renal function damage. Therefore, we should make treatment plans and choose immunosuppressants according to the characteristics of the disease.
Follow-up institutionalized chronic nephritis is characterized by hidden progress, and even after renal function deteriorates, it may not produce obvious clinical symptoms immediately. Therefore, it is very important for every patient to visit the hospital regularly. This is not only helpful for doctors to observe the changes of the disease, but also helps to master the therapeutic response and non-toxic side effects of drugs and adjust the treatment plan in time.
The choice of treatment is the key.
After a definite diagnosis, the choice of treatment is the key. At present, the clinical recurrence rate of chronic nephritis treated by western medicine alone is relatively high. Due to the defect of symptomatic treatment rather than etiological treatment of western medicine, it leads to leakage rather than complete repair, which leads to the leakage of protein and occult blood once there is a hidden cause. Repeatedly, it will also lead to the aggravation of kidney damage! This is why many patients will have renal failure and uremia after repeated attacks of chronic nephritis for months or years. This is caused by incurable drugs.
What kind of therapy is the right choice? At present, systematic therapy combining traditional Chinese and western medicine is recommended. But traditional oral Chinese medicine is not recommended. Because the traditional oral Chinese medicine has a certain effect, but the effect is too slow, and it may also conflict with western medicine preparations, resulting in the opposite effect and effect.
In recent years, the clinical application of micro-Chinese medicine osmotic therapy combined with western medicine has proved to be effective. It takes effect quickly and is not easy to relapse after the index turns negative. Western medicine hormones and immunosuppressants can have anti-inflammatory and anticoagulant effects and quickly eliminate proteinuria; Infiltration therapy of micro-TCM can repair inflammatory focus and prevent its recurrence by dilating blood vessels, anti-inflammation and anticoagulation.
Strengthen self-care
It is embodied in monitoring blood pressure changes and preventing various infections. The appearance of hypertension is often an important signal of the deterioration of nephropathy. Nephritis can lead to high blood pressure, and high blood pressure often increases the burden on the kidneys and accelerates the destruction of the kidneys. It is generally believed that the blood pressure of patients with nephropathy should be controlled at around 130/80mm Hg, and should not be too high or too low. Patients with chronic nephritis have low resistance and are prone to infection, so patients whose condition is not completely stable should pay attention to preventing infection. In addition, some drugs and contrast agents must be used with caution.
Out-of-hospital care of glomerulonephritis is essential.
Patients with chronic nephritis generally stay in hospital for a short time, and most of the time they are recovering at home. Then according to the observation law of chronic kidney disease, patients with chronic nephritis should observe and recuperate for one year. In this year, if they don't relapse, they can be regarded as the recovery of the disease. So it's important to rest at home.
Pay attention to diet, exercise and rest. The diet should be light, low in salt, low in fat and a small amount of high-quality protein. Exercise moderately, pay attention to the combination of work and rest, don't be too tired, and carry out rehabilitation training. The two should be organically combined and done well. Starting from six aspects, it is no longer a difficult problem to treat glomerulonephritis with joint efforts.