Home > What should be noted for long-term use of glucocorticoids in nephrotic syndrome patients?

What should be noted for long-term use of glucocorticoids in nephrotic syndrome patients?

Written by admin | Published on 2017-09-20

  

long term use of glucocorticoids

On the basis of the current method of symptomatic treatment of proteinuria treatment stay in hormone drugs, it can control the disease progression in the short term. There is a more obvious role in eliminating proteinuria. However, due to hormonal medicine only for disease, without taking into account the produce of proteinuria is because the kidney itself damaged the problem. So, often there will be a relapse and progress situation. Then the patients with nephrotic syndrome, long-term use of corticosteroids should pay attention to what?

Glucocorticoid has inhibitory effect of anti-inflammatory effect and strong immunity, as mentioned before has certain effect on some type of nephropathy Shi, but these drugs often play a role in treatment and cause side effects, so the long-term use of glucocorticoid Beijing patients should pay attention to the following points: 1. A large number of long-term glucocorticoid steroid therapy, do not suddenly stop.

Because the use of this drug (large dose prednisone 30 mg or more) for more than two months, patients with adrenocortical function often suppressed or even shrinking. So a large number of patients with medication more than half a month to withdrawal must be slowly will charge gradually less D6, so that the renal cortex of patients with K glands gradually compensated, if a drug mule recovery. There will be no time to adapt to the body, Yin adrenal insufficiency, such as lack of deep grief, anorexia, nausea and vomiting, severe cases will be indifferent. "We should control the crisis": severe vomiting, weakness, and circulatory failure, coma and death.

The opposite is not because of fear of relapse to drug withdrawal, a large number of long-term use of these drugs will cause human adrenal cortical atrophy, typical of adrenocortical insufficiency symptoms and other serious side effects. Inpiduals susceptible to death. So the use of corticosteroids should be used under the guidance of a doctor, close observation side effects, master the correct dose and treatment, must not be the master of their own. 9 patients and their families should pay attention to the prevention of infection in patients with kidney disease, low resistance, and the use of glucocorticoid home immunosuppressant, more easily cause infection (especially tuberculosis infection).

Therefore, the kidney disease infected patients, best not to glucocorticoid treatment. In the use of such drugs. If the infection should be given antibiotic, but this cannot suddenly stop or reduce the dosage of the cortical hormone box, for disease control after decreasing. Note is in the use of sugar corticosteroids, clinical manifestations of infection are often not obvious, should be vigilant, close observation only, high-dose glucocorticoid therapy often pT caused leukocytosis, and can be as high as 1 - 20 thousand, at this time not only to an increase in white blood cells to determine whether infection, and to make a comprehensive analysis on the decision condition. Have a history of tuberculosis patients should be monthly review, to prevent the recurrence of tuberculosis.

The diet should pay attention to the choice of high protein, high potassium, low salt food. Glucocorticoids can promote protein catabolism. Therefore. During the use of such drugs should eat a high protein diet, especially the animal protein such as meat, egg, milk and so on, to supplement the consumption of protein, enhance the body resistance. Because these drugs have the function of sodium should be bladder, eat a low salt diet.

To regularly monitor blood pressure, blood glucose, because the dose of corticosteroids, before the emergence of the diuretic response due to the storage effect of sodium, may occur at this time can be hypertension, diuretic use, the blood pressure decreased. But the battle of blood pressure increasing patients should take antihypertensive drugs. Patients may have diabetes, this as one of the side effects, promote glycogen gluconeogenesis using these drugs can be caused by insulin resistance, orange glucose tolerance decreased, increased blood glucose, in general after stopping EF is lost. The use of traditional Chinese are generally use a variety of drugs. Jun, Chen, Zuo, make strict coordination to improve compatibility, i.e. the therapeutic effect of drugs. It can correct the drug had partial performance, reduce or eliminate the toxicity of some inpidual drugs. So based on syndrome differentiation, long-term use of Chinese medicine nephropathy is beneficial and harmless, does not produce side effects.

 

Disclaimer: this article only represents the author's personal opinion, not the website. Its originality and the statement text and content without the site confirmed that for all or part of this paper and the content, the authenticity of the text, the integrity, timeliness in this website do not make any commitment or promise, please readers for reference only, and please check the related content. If you have any questions, please consult the online expert!

Related articles
  • Nephrotic syndrome patients taking hormon
    Nephrotic syndrome patients taking hormone

    Nephrotic syndrome is a disease of clinical syndrome. The treatment of nephrotic syndrome can use hormone therapy, and renal survival rate can reach more than 90%. Patients taking hormone should pay attention to the following matters. Nephr...

    2017-06-15

  • Nephrotic syndrome patients why blood cho
    Nephrotic syndrome patients why blood cholesterol will increase?

    Speaking of nephrotic syndrome is not strange disease, nephrotic syndrome in recent years has become a threat to human health has become an important killer, many patients with nephrotic syndrome found phenomenon of cholesterol increased af...

    2017-09-06

  • What is a good diet for nephrotic syndrom
    What is a good diet for nephrotic syndrome patients

    What is the best diet for patients with nephrotic syndrom e? Nephrotic syndrome is particularly easy to recurrent, so patients and their families must pay attention to daily life care, especially diet care. Nephrotic syndrome patients diet...

    2017-10-18

  • What tests should be done for nephrotic s
    What tests should be done for nephrotic syndrome patients?

    In recent years, although peoples living standards have improved significantly, but all kinds of diseases are endless, especially the nephrotic syndrome disease in our lives generally exist. So, for such diseases, we should actively do a go...

    2017-08-22

  • How to do a safe diet for nephrotic syndr
    How to do a safe diet for nephrotic syndrome patients

    A healthy diet is helpful for most diseases, and nephrotic syndrome is no exception. Here, together to find out how to do a healthy and safe diet, to help patients with nephrotic syndrome recover as soon as possible. Patients should control...

    2017-10-18

  • Nephrotic syndrome patients need notice m
    Nephrotic syndrome patients need notice more, milk can drink?

    What should be noticed in the life of nephrotic syndrome? First, pay attention to rest Some patients must stay in bed, some patients can be generally rest. If there is any of the following circumstances: Patients with moderate or severe ede...

    2017-09-23

  • Nephrotic syndrome patients daily regimen 
    Nephrotic syndrome patients daily regimen 

    1、Be careful of shining sun in daily life Summer weather is hot, sunshine time is long, nephrotic syndrome patients must conform the chang of weather,develop good daily habits. Patients should have half an hour rest about one oclock at no...

    2014-02-12

  • Care measures for nephrotic syndrome pati
    Care measures for nephrotic syndrome patients

    Care measures for nephrotic syndrome patients 1、Rest environment : the patients should choose comfortable rest environment, serious edema、body cavity effusion should stay in bed, the edema disappeared, can take some activities. Indoor a...

    2014-02-21

  • What to do with edema of nephrotic syndro
    What to do with edema of nephrotic syndrome patients?

    What to do with edema of nephrotic syndrome patients? Most of the patients with nephrotic syndrome will have the symptom of edema, and some will be very serious. Nephrotic syndrome patients with edema should be controlled with treatment whe...

    2017-07-09

  • Nephrotic syndrome patients should care o
    Nephrotic syndrome patients should care other organ diseases

    Many people are talking about the cause of nephrotic syndrome, mostly talking about kidney, which often leads to a incomplete cure for nephrotic syndrome. In fact, the etiology of nephrotic syndrome may be caused by other organ lesions. Amo...

    2017-07-26

  • How to correctly care for nephrotic syndr
    How to correctly care for nephrotic syndrome patients?

    Nephrotic syndrome in addition to the scientific treatment, but also to do a certain amount of care, so that it is conducive to patients out of the disease. How should the nephrotic syndrome be taken care of? How to correctly care for nephr...

    2017-10-10

  • Why nephrotic syndrome patients need high
    Why nephrotic syndrome patients need high protein diet?

    Why nephrotic syndrome payients need high protein diet? Nephrotic syndrome has been plagued by many patients, many patients take a positive treatmen after illness, which is true, but during the treatment, combined with scientific diet adjuv...

    2017-09-25

  • 11 items of tests must be done by nephrot
    11 items of tests must be done by nephrotic syndrome patients

    It is a necessary step to diagnose before treatment. The patient can not be cured of the disease, watching the nephrotic syndrome developing into kidney failure and uremia and can do nothing, those are largely because of the unclear diagnos...

    2017-07-15

  • How nephrotic syndrome patients spend the
    How nephrotic syndrome patients spend the summer

    Because a lot of diseases in the summer are the recurrence of the disease and the increased risk of high season, so friends should pay special attention to. Here to talk to you, how to spend the summer with nephrotic syndrome. Patients with...

    2017-01-30

  • What to do with high blood pressure in ne
    What to do with high blood pressure in nephrotic syndrome patients?

    What to do with high blood pressure in nephrotic syndrome patients? Nowadays more and more patients with nephrotic syndrome are associated with hypertension. In fact, under normal circumstances most of the nephrotic syndrome will have diffe...

    2017-07-09

  • Why does edema appear in nephrotic syndro
    Why does edema appear in nephrotic syndrome patients?

    Nephrotic syndrome is a group of glomerular diseases in clinical syndrome, and it is not an independent disease, proteinuria is characteristic of nephrotic syndrome, caused by glomerular filtration membrane damage. It may be a primary nephr...

    2017-07-31

  • Can you eat sea cucumber in nephrotic syn
    Can you eat sea cucumber in nephrotic syndrome patients?

    In nephrotic syndrome patients can eat sea cucumber? Sea cucumber is a very high nutritional value of food, it is not all people are suitable to eat sea cucumber? In nephrotic syndrome patients can eat sea cucumber? For patients with nephro...

    2017-08-10

  • During the treatment of nephrotic syndrom
    During the treatment of nephrotic syndrome patients to avoid the use of hormone

    Many drugs for nephrotic syndrome contained more or less of the hormone, experts to patients with nephrotic syndrome of these drugs should be used with caution, otherwise not only cure syndrome without the help of nephropathy, it can aggrav...

    2017-06-15

  • Can nephrotic syndrome patients get rid o
    Can nephrotic syndrome patients get rid of hormones?

    Today for everyone recommend this article, patients give us message consultation, there must have a lot of patients want to knowthe result! Next, the expert will answer for us, hoped can help everybody. Patientconsult: I diagnosis of nephro...

    2017-08-11

  • How to have healthy diet for nephrotic sy
    How to have healthy diet for nephrotic syndrome patients

    Patients with nephrotic syndrome easily have the infection and renal venous thrombosis and other complications during the treatment.To reduce to appear the complications, patients need to observe the change of the state of an illness and pr...

    2014-02-26

Contact Us






�����壿�����
Popular articles
Popular video

Online consultation