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Treatment of primary acute glomerulonephritis

Nephritis is pided into primary and secondary two, of which primary nephritis is pided into chronic glomerulonephritis and acute glomerulonephritis, today is mainly about the treatment of primary acute glomerulonephritis. Anti infection tre...

Treatment of primary acute glomerulonephritis

Oct 12, 2017 by Kidney Disease Expert

Nephritis is pided into primary and secondary two, of which primary nephritis is pided into chronic glomerulonephritis and acute glomerulonephritis, today is mainly about the treatment of primary acute glomerulonephritis.

Anti infection treatment: the acute stage of nephritis should be given enough anti infection treatment in the case of infection. When there is no infection, it is usually not necessary. The use of antibiotics to prevent the recurrence of this disease is often ineffective.

Edema treatment: mild edema, without treatment, by salt restriction and rest can disappear. Edema, available furosemide and hydrochlorothiazide, spironolactone or triamterene combined application of general discontinuous application application is better than continuous.

Bed rest: acute nephritis is very important for bed rest. Lying in bed can increase renal blood flow and improve abnormal urine. Prevention and reduction of complications and prevention of re infection. When the edema subsides, the blood pressure drops and the urine is abnormally relieved, you can take a proper amount of walking, gradually increase the mild activity, and prevent the sudden increase of activity.

Treatment of hypertension and heart failure: treatment of hypertension (see Section 1 of hypertension). Patients with elevated blood pressure should not let their blood pressure drop or even drop to normal to prevent a sudden decrease in renal blood flow, which may affect or worsen renal dysfunction. The treatment of heart failure (see section, heart failure) due to acute nephritis problems early high blood volume, the application of digitalis effect is not ideal, should focus on the treatment in the removal of water and sodium retention, reduce blood volume.

Diet and water: water intake to urine volume, swelling, high blood pressure and heart failure combined to measure, in the acute phase to limit moisture should be appropriate, but not excessive, in order to prevent bleeding capacity suddenly inadequate. The intake of salt should be limited to about 2g/d when there is obvious edema and high blood pressure. The intake of protein, blood urea nitrogen was lower than that of 14.28mmol/L (40mg/dl), protein can not limit: 14.28~21.42mmol/L (40~60mg/dl) can be limited to the daily per kilogram of body weight 1.0g; 21.42mmol/L (60mg/dl), daily 0.5g per kilogram of body weight, protein with high quality protein is preferred, such as eggs, milk, lean meat, etc.. But generally advocated into the low protein, high sugar diet until the diuretic began, after the symptoms basically alleviated, restore the regular diet.

Treatment of primary acute glomerulonephritis

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