Acute glomerulonephritis: treatment

Glomerulonephritis - one of the most severe renal disease leading to renal nedostatochnosti. Osnovnye clinical types of glomerulonephritis - acute, chronic and rapidly progressive. In the clinical type of acute glomerulonephritis treatment should be carried out only in hospital settings, that is, in a hospital. Acute glomerulonephritis

: basic principles of treatment

Bedrest

Shows a strict bed rest with high blood pressure, expressed edema, significant changes in the urine. Bed rest lasts an average of two to four weeks, before the descending of edema, improve the condition, lower blood pressure and improve urinalysis.

Nutritional

Patients with acute glomerulonephritis comply with a salt-free diet medical 7A from the first days of treatment, in which the limited intake of animal protein, is dominated by dairy and plant foods, salt-free bread. The amount of liquids drunk per day should not be less than the amount of liquid discharged.

Patients with acute glomerulonephritis in severe condition during the first days of treatment are shown unloading days, once or twice a week. When the condition improves, the patient is assigned a diet number 7, at which hypochloride food prevails. Also prescribed rutin and ascorbic acid.

The latent course of the disease shows a less severe regime and dietary restrictions. Remediation

infection foci with acute glomerulonephritis for sanitation of streptococcal infection foci are assigned antimicrobials: penicillin or semisynthetic penicillins. Such drugs as nitrofurans, sulfanilamide preparations, nephrotoxic antibiotics( aminoglycosides, tetracyclines, etc.), urotropine, can not be used.

Normalization of blood pressure

Hypotensive drugs normalize high blood pressure in acute glomerulonephritis. For the same purpose, ACE inhibitors and diuretics can be used.

Elimination of edema

With oliguria and pronounced edema, diuretic drugs are prescribed: furosemide, gitsothiazide, brinaldix. To enhance the diuretic effect, simultaneous reception of veroshpiron is possible. When the nephrotic form of the disease shows glucocorticoids: Urbazone, prednisolone, triamcinolone and dexamethasone. Admission of glucocorticoids is impossible with latent and cyclic forms of this disease with high blood pressure.

Elimination of immune inflammation in the kidneys

For this purpose, antihistamines are prescribed.

Pathogenetic treatment of

Prednisolone, which interrupts the chain of immune inflammation, is prescribed as the main drug for the pathogenetic treatment of acute glomerulonephritis.

In case of ineffectiveness of this drug, immunosuppressants are used that suppress the immune reaction, in particular immune inflammation in the kidneys.

Glomerulonephritis: treatment of complications

With prolonged recovery and development of acute renal failure than those mentioned above treatment, shows the use of heparin intravenously or intramuscularly, in order to reduce hypercoagulability, natriuresis and diuresis enhancing, improving blood circulation in the kidney, blood pressure reduction. To improve microcirculation in the kidneys and increase platelet aggregation antiplatelet agents are appointed: trental, quarantil, komplin. In the case of pronounced hypoproteinemia, albumin, plasma, rheopolyglucin are administered.

In acute heart failure, strophanthin, furosemide and euphyllin are prescribed. In acute renal failure, large doses of lasix are used, and in the absence of effect - hemodialysis. In the case of complications

acute glomerulonephritis eclampsia injected glucose and magnesium sulfate, is carried spinal puncture and allowed to opiates.