Home > What are the problems that should be noted in the treatment of nephrotic syndrome in children?

What are the problems that should be noted in the treatment of nephrotic syndrome in children?

Written by admin | Published on 2017-06-14

  

In today's society, the probability of children suffering from kidney disease becomes higher and higher, which seriously threatens the healthy growth of children. So, what problems should we pay attention to in the treatment of nephrotic syndrome in children?

Nephrotic syndrome can be pided into primary, secondary and congenital three categories, of which the primary is more common in children. In recent years, due to the improvement of diagnosis of secondary renal diseases such as Henoch Schonlein Purpura Nephropathy, lupus nephritis, the incidence of hepatitis B virus associated nephropathy rate also increased more than before.

Nephrotic syndrome under 2 years of age is referred to as infantile nephropathy. Within 1 years of age, congenital nephrotic syndrome is considered. Therefore, family history should be provided for infants with kidney disease

How is children Nephrosis Treated?

A variety of renal pathological types of nephrotic syndrome varied, different pathological types and prognosis, the corresponding treatment plan is different. Generally the treatment of glucocorticoid sensitive without renal biopsy, but for steroid resistance, frequent relapse or steroid dependent and secondary nephropathy are indications of renal biopsy, in order to to further clarify the diagnosis, treatment, prognosis, improve the remission rate of nephropathy. Renal biopsy at present technology and equipment have greatly improved, the parents and the relevant personnel shall be exempt from unnecessary concerns.

Attention should be paid to the treatment of nephrotic syndrome in children

1, adhere to the kidney specialist out-patient follow-up, in order to facilitate long-term observation, the best treatment, remission after 5 years of follow-up

2, to avoid all kinds of (respiratory, digestive tract) infection, infection, lead to kidney disease recurrence, frequent recurrence, etc., is not good for the disease

3, in addition to severe edema, avoid long-term avoid salt, especially in summer, severe cases can cause hyponatremia syndrome even in shock, convulsions. By low salt (2 grams daily) commercially available soy sauce contains about 2 grams of sodium per 10ml, not only can avoid the occurrence of hyponatremia, and can improve the appetite.

4, the prevention of immunity during the acute phase of the treatment is delayed

5, infection should avoid the blind use of antibiotics, especially the renal toxicity of antibiotics, avoid high doses or unreasonable use of diuretics for a moment. The blind diuretic often leads to hypovolemic shock, blood hypercoagulability and thrombosis formation.

6, first used in the treatment of glucocorticoid is strictly regulated in dose, course of treatment, should not be midway reduction or withdrawal. Some cases are highly sensitive to hormones, the treatment of urinary protein decreased, edema disappeared, this time as "better stop, just look at the surface of the blind reduction or withdrawal often caused by illness recurrence.

7, regular review of blood biochemistry (renal function), urine routine to determine the drug effects and changes in the condition and recovery, easy to adjust the treatment plan at follow-up

Warm tip: edema completely subsided, urine routine repeated protein disappearance, blood biochemical normal, can be called nephrotic syndrome complete remission

 

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