Treatment of chronic glomerulonephritis

The defeat of small vessels in the kidneys leads to the development of inflammatory processes in them - to acute or chronic glomerulonephritis. This disease leads to the fact that the kidneys of the patient cease to form urine. With glomerulonephritis, both kidneys always suffer, while, for example, pyelonephritis most often affects only one. Treatment of this disease is selected individually, as it differs depending on the form of glomerulonephritis, its phase, stage and frequency of exacerbations, as well as on the presence of other diseases. Patients with glomerulonephritis are prescribed a diet, regimen and medicines, and the regime should not strain the human body in the phase of remission and the stage of normalization of kidney functions. Today we will tell you more about the treatment of chronic glomerulonephritis.

Causes of glomerulonephritis development.

1. Various infections. For example, quite often the disease develops due to the presence in the body of streptococcus beta-hemolytic, group A( BGCA) of the twelfth type. Also, this disease can be triggered by previously transmitted diseases: for example, sore throat, pharyngitis, scarlet fever and the like. A hot climate can lead to the development of streptococcal pyoderma, among which streptococcal impetigo, flicthena, due to which glomerulonephritis also forms. The source of infection is often not difficult to isolate.
2. Some vaccinations and medication.
3. All kinds of toxic substances, such as mercury, lead, ethyl alcohol, gasoline, acetone, alcohol and others, can also cause this disease.
4. Subcooling the body in a humid environment. Can lead to "trench" jade and cause inflammation of the kidneys, as well as lead to a violation of blood supply in them.
5. A variety of diseases also provoke glomerulonephritis: for example, hemorrhagic vasculitis, lupus erythematosus, infective endocarditis and the like.

Treatment of glomerulonephritis.

People with glomerulonephritis should not be overcooled or overworked, which means that they should not engage in heavy physical work, or work at night or in the winter outdoors. Contraindicated and work in rooms where it is very stuffy and hot. Very good, if the patient can lie down and rest for an hour and a half during the day.

If any additional disease develops against the background of glomerulonephritis, it is necessary to strictly adhere to bed rest, and also undergo a course of therapy, which may include some antibacterial drugs, for example, antibiotics that do not have a side effect in the form of kidney damage. It is also necessary to sanitize foci of infection in order to prevent exacerbations and to stabilize a person's condition.

In women suffering from chronic pyelonephritis, pregnancy is difficult, as it often threatens with exacerbation of inflammation in the kidneys, as well as the appearance of hypertension. It is worth remembering that if kidneys and hypertension are affected, and especially if kidney function is impaired, pregnancy in general is contraindicated.

Compliance with diet plays a big role in the treatment of glomerulonephritis. Diet for different forms of jade is the same: it is necessary to completely exclude or at least minimize the use of such products as common table salt, spices, extractives, and alcohol. Food should contain a large number of vitamins, it is desirable to eat pumpkin, watermelons, grapes and melons more often.

Antibiotics are prescribed exclusively in case of exacerbation of the disease or inflammatory processes, in the case of accompanying diseases or hormone therapy.

Chronic glomerulonephritis , which proceeds in a latent form and does not disturb exacerbations, does not require special treatment, except for the aforementioned diet. It is necessary to limit yourself in the use of table salt( no more than 6-8 grams per day), as a whole, the diet should be made taking into account the needs of the body. The liquid can be consumed in any quantities. The disease, which is in remission, does not require medication. In the case of an aggravation aminoquinoline drugs will help.

Patients with glomerulonephritis who are taking a latent form should be examined at least 1-2 times per year. They need to do a general urine and blood test, Kakowski-Addis test, determine the daily amount of protein in the urine, assess the quality of kidney function according to the glomerular filtration rate, and measure blood pressure.

If the patient is in a phase of exacerbation, then it must be placed on inpatient treatment, which includes a course of antibiotics, symptomatic, pathogenetic therapy and special diets № 7 and № 7а: the patient should not consume salt, or the amount should not exceed four gramsper day. We must strictly monitor the balance of water in the body.

Patient with a hematuric variant of chronic glomerulonephritis, proceeding secretly, in no case can you walk for a long time and generally move a lot, for example, participate in sports games( mobile), swim in open water. Sometimes a positive result is treated with aminocaproic acid. Using a nettle extract or infusion for a month can reduce hematuria.

The nephrotic variant of the disease requires the appointment of a gentle regimen. The patient is reduced daily intake of table salt to 2-4 grams, from time to time excluding it from the diet completely for a month and a half. The water balance is also under control: the daily fluid norm should exceed the amount of urine released over the past day by 300-500 ml. If the kidney function is preserved, then you need to monitor the amount of protein consumed: it must match the needs of the body plus the amount of protein excreted in the urine. If the patient suffers from swelling, then it is necessary to arrange unloading days: a couple of times a week to sit on a potato-apple or apple diet.

Symptomatic therapy includes diuretics that act differently, use also furosemide and hypothiazide. In this case, along with diuretics prescribe drugs containing potassium, so that hypokalemia is not formed. In case of an exacerbation and in the absence of azotemia and hypertension, chingamine is taken. In some cases, prescribe antihypertensives. At a stage of indemnification it will be not superfluous to sanatorium-and-spa treatment of glomerulonephritis chronic.

With diffuse chronic glomerulonephritis, pathogenetic therapy is prescribed, which includes steroid hormones. These drugs affect the release of antidiuretic hormone and aldosterone, which increases diuresis. Nevertheless, hormone therapy is dangerous in case of stable hypertension and in violation of such renal function as nitrogen excretory.