What are the factors associated with the prognosis of nephritis?2017-09-19 17:03
The prognosis of chronic nephritis, we first need to understand the nature and type of primary disease, clinical manifestations, there are no activity, pathological type and renal function of kidney damage, and then made a comprehensive analysis, in order to make a correct conclusion.
The prognosis of nephritis is related to the following factors:
Clinical manifestations: simple proteinuria or microscopic hematuria, and without other accompanied symptoms, generally better prognosis; chronic nephritis patients with persistent hypertension have worse prognosis than those without hypertension. Although the blood pressure is high, the general antihypertensive drugs can reduce the blood pressure to normal or slightly higher than normal level, the prognosis is better, otherwise, the prognosis is poor. The prognosis of the patients with persistent anemia is poor.
The precursor or underlying disease causing renal parenchymal diseases, such as tonsillitis, upper respiratory tract infection, hemolytic streptococcus, has a better prognosis. Secondary to systemic disease, but the etiology is not easy to remove, the prognosis is poor.
Pathological types: such as small lesions or mild focal nephritis after treatment can be cured; and membranoproliferative glomerulonephritis is a relatively poor prognosis; if the renal capsule formation of crescent or glomerular sclerosis lesions are heavier, the prognosis is poor.
Renal function: the renal function is severely damaged, blood creatinine and urea nitrogen increased, creatinine clearance decreased, the prognosis of severe; normal renal function or renal function although impaired after active treatment can restore normal, relatively good prognosis; if has developed to chronic renal failure and uremia, poor prognosis.
In addition, the prognosis of patients with nephritis is also related to the mental status, diet control, early active treatment and regular treatment.