How should IgA nephropathy patients prognosis2017-05-09 09:51
Experts, in fact IgA nephropathy is a serious disease, the treatment of this disease is more difficult, so patients should strengthen the treatment of IgA nephropathy, IgA nephropathy should follow certain principles in the treatment, the detailed introduction.
1, IgA for the treatment of kidney disease, should be of simple hematuria and proteinuria (or) less than 1g/24h in the effective treatment, need regular follow-up, in order to prevent deterioration, conducive to the long-term stable condition.
2, after tonsillectomy, in a short period of time after the operation can prevent the occurrence of gross hematuria, but more than a number of mathematics that long-term renal function is not conducive to protection.
3, patients should strengthen the treatment of nephrotic syndrome, showed minor glomerular abnormalities should be treated by minimalchange IgA nephritis; IgA nephritis patients there is no evidence to support the extension of hormone use time and obvious damage to the hormone had no good reaction or glomerular structure in nephrotic syndrome.
4, IgA nephropathy patients with renal biopsy to differentiate between acute tubular necrosis and crescentic IgA nephritis, the former only need to support treatment, the latter need cyclophosphamide and hormone treatment, treatment and vasculitis similar.
5, for high blood pressure, urinary protein greater than 1g/24h and glomerular filtration rate decreased in patients with IgA nephritis, advocated the use of ACEI and / or ARB drugs to control blood pressure below 125/75mmHg. An increasing number of medical studies have shown that hormones such as immunosuppressive agents can reduce the progression of proteinuria in patients with IgA nephritis.
This introduces some principles of treatment of IgA nephropathy, IgA nephropathy patients should be strengthened for the treatment of IgA nephropathy in daily life, follow the principle of treatment of IgA nephropathy in the treatment process, the only way to really make the treatment of IgA nephropathy.