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Nephrotic syndrome is divided into five categories

2017-01-24 16:26

Nephrotic syndrome is pided into five categories:

Treatment of nephrotic syndrome: treatment 1, General, rest, but apart from serious edema, infection and hypertension typically does not require bed rest, remission can be active. 2, diet (important), added nutrition, used high energy, and Gaosheng prices, and high protein diet (daily protein intake volume =0.8g/kg+24h urine protein lost volume (g). but while required meet two a conditions: quality protein accounted for total protein of 2/3 above; energy to sufficient, nitrogen hot than should keep 1:200 above), appropriate limit water sodium intake (kidney fully edema of reasons is because low protein blood syndrome, serious edema and hypertension Shi only short-term limit), control fat and cholesterol, During the hormone supplement with calcium and vitamin d, try not to affect the growth and development of children. 3, whether it is initial or recurrent, hormonal treatment prior to infection, and infection after the first hormones on principle! 4, drug treatment: (1) hormone therapy (to drug according to height standard weight): see PPT (2) immune inhibitors (using refers to levy and drug type see PPT), as white cell reduced, liver injury, gonad damage) (3) immune regulation agent (hormone auxiliary medication) 5, edema serious with urine volume reduced can appropriate with diuretics, but to close detection access water, weight changes and electrolytic quality (especially sodium, potassium, calcium) 6, antithrombotic-thrombolytic (often in children with renal fully at a high State of coagulation and fibrinolysis disorders): heparin sodium or intravenous infusion of urokinase, dipyridamole oral 7,ACEI (for high blood pressure and kidney patients with comprehensive).

8, may be appropriate to use Chinese medicine: a glucocorticoid-related categories: short-term (endogenous)-hydrocortisone, hydrocortisone hydrocortisone, a natural hormone, their anti-inflammatory effect is weak, time is short, primarily as an alternative treatment of adrenocortical insufficiency. Medium efficiency (synthetic)-prednisone, prednisolone, methylprednisolone, and resistance selection effects hormone in treatment of rheumatism. Long-term (synthetic)-dexamethasone, betamethasone-song.

Anti-inflammatory effect of dexamethasone, and longer, but on the hypothalamic-pituitary-adrenal axis suppression obviously not suitable for long course of medication, only as a temporary medication, such as allergy, etc. 

 


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