Eight Treatments of primary acute glomerulonephritis2017-03-18 15:28
Nephritis is divided into two kinds of primary and secondary, which is divided into primary glomerulonephritis and chronic glomerulonephritis and acute glomerulonephritis.
1, Chinese medicine treatment
Cold type: acute onset, chills, fever, cough, facial edema, oliguria, high blood pressure, thin white tongue coating, floating and tight pulse. Treat the lung and promote diuresis. Prescription: ephedra, almond, musk, mulberry, dry Poria, plantain seed, white gourd peel, ginger, thirst with plaster stone.
Heat type: fever chills, sore throat, mild facial edema, thin yellow tongue fur, urine short red acerbity, visible to the naked eye hematuria. Treatment of Shufeng heat, detoxification. Prescription: Forsythia, honeysuckle, mulberry leaf, chrysanthemum, dandelion, mint, gypsum, pollen, red peony root, fresh maogen. Recommended reading: dietary taboos in primary nephrotic syndrome
Damp heat type; there may be fever, dry lips, mouth pain, yellow tongue fur, slippery pulse number, oliguria, red, swollen head or body. The prescription treatment of clearing heat and removing dampness or detoxification, Atractylodes rhizome, phellodendron, has: anti, Polyporus, Poria, Phytolacca, Pericarpium Arecae, Rhizoma alismatis, Akebia, red bean, jiaomu.
2, anti infection treatment
Nephritis in the acute phase of infection in the case to give adequate anti infection treatment, no infection, generally do not have to properly. The use of antibiotics to prevent recurrence of the disease are often ineffective.
3, edema treatment
Mild edema without treatment, limit salt and rest can disappear. Edema, available furosemide and hydrochlorothiazide, spironolactone or triamterene combined application of general discontinuous application application is better than continuous.
4, bed rest
Acute nephritis bed rest is very important. Bed rest can increase the blood flow of the kidney, and can improve the abnormal change of urine. Prevention and reduction of complications to prevent reinfection. When the edema subsided, blood pressure decreased, abnormal urine relief, can be used to take a walk, gradually increase the light activity, to prevent sudden increase in activity.
5, the treatment of hypertension and heart failure
Treatment of hypertension (see section of hypertension). Significantly increased blood pressure, should not be a sudden drop in blood pressure, or even to normal, in order to prevent a sudden reduction in renal blood flow, affecting or aggravating renal insufficiency. 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.
6, antioxidant applications
Superoxide dismutase (SOD), glutathione peroxidase (GSH PX) and vitamin E. Superoxide dismutase (SOD) can transform o- into H2O2, including selenium containing glutathione peroxidase (SeGSHpx), so that H2O2 can be reduced to H2O. Vitamin E is the body of plasma and erythrocyte membrane lipid soluble scavenger, vitamin E and coenzyme Q10 can scavenge free radicals, blocking lipid peroxidation triggered by the chain reaction, protect kidney cells, reduce the inflammatory process in the kidney.
7, diet and water
Intake of water in urine, edema, high blood pressure and the degree of heart failure to measure, in the acute period to limit water is appropriate, but not too much, in order to prevent the sudden lack of hemostasis capacity. The intake of salt in the obvious edema and high blood pressure, to be limited to about 2g/d. 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 continued until the diuretic began to wait until the symptoms of basic relief, to restore the regular diet.
8, anticoagulant therapy
According to the pathogenesis of the disease, glomerular coagulation is an important pathological change. Therefore, in the treatment, anticoagulant therapy can be used, will help ease the nephritis. Specific methods: heparin 0.8-1.0mg/kg weight by adding 5% glucose solution 250ml, intravenous drip, daily 1 times, 10-14 times as a course of treatment, interval 3-5 days and then the next course of treatment, a total of 2-3 courses. Dipyridamole 50-100mg 3 times a day. Salvia 20-30 grams of intravenous drip, can also be used to add 2-6 5% tons of urokinase u glucose 250ml intravenous drip, 1 times a day, 10 days for a course of treatment, according to the condition of 2-3 courses. However, it should be noted that heparin and urokinase can not be applied simultaneously.