Avoid Infection Decelerate The Date To Dialysis In ESRD
2019-06-13 10:00
Repeated nephropathy is a big problem for patients with nephropathy, and it is also one of the important factors to accelerate the progress of the disease.
Why is nephropathy prone to recurrence? This is related to the characteristics of nephropathy itself, on the one hand, the pathological type of nephropathy determines. For example, nephrotic syndrome, mostly accompanied by proteinuria symptoms, is a very prone factor for recurrence.
On the other hand, it is difficult to repair the damaged kidney after more than 50%. If the kidney is attacked again, it will easily lead to the deterioration of the disease.
Although the recurrence of kidney disease is frequent, it can reduce the recurrence rate and harm and avoid accelerating renal failure through active prevention.
Clinical studies have found that frequent infection is one of the most important factors leading to the recurrence of nephropathy. As we have said before, there are two reasons why nephropathy patients are susceptible to infection: one is immune system disease. After the occurrence of immune inflammation, the immunity will decline, so they are more likely to have colds, tonsillitis and other infections than ordinary people. Second, the use of immunosuppressive agents, further affecting immunity.
If we know the source of infection and pay attention to the improvement of immunity in advance, it is not difficult to prevent the recurrence caused by infection. Frequent infections such as respiratory tract infections such as colds, tonsillitis, periodontitis and other oral infections, urinary infections, etc., usually pay more attention to personal hygiene, light diet and nutrition, appropriate exercise to improve their resistance, if necessary, can take medication protection.
Immune inflammation can lead to two kinds of changes in the kidney. One is the decline of filtration function, which leads to proteinuria, albuminuria and other conditions. The other is the decline of regulation ability, which leads to the increase of edema, creatinine, uric acid and other indicators.
And most patients often make only the former treatment, which inhibits protein leakage. But the ability of regulation does not rise, leading to the continuous increase of serum creatinine and uric acid. These indicators actually represent the level of speed in the body. Creatinine and uric acid are useless things in the body. Generally, they will not be left in the body. When the function of kidney regulation and metabolism declines, it will lead to accumulation and long-term damage to kidney function.
The course of nephropathy is long. Treatment can not be solved in a moment and a half. Patience and long-term medication are needed. Proteinuria, for example, is a typical symptom and one of the factors prone to recurrence. For patients with proteinuria of more than 1G and pathological type, hormone therapy is generally recommended in the early stage. Some people cooperate with immunosuppressive agents to achieve better results. They can also be assisted with medications such as sartan or pril antihypertensive drugs and statins antilipidemic drugs. The therapeutic effect is generally good.
But some patients are also taking hormone therapy, but recurrence occurs frequently. In addition to hormone insensitivity, the bigger problem is that the treatment is not solid. When urinary protein turns negative, they think their condition is better. Drug reduction leaves a great hidden danger.
Treatment of nephropathy depends not only on the surface indicators and symptoms, but also on the in-depth condition and solid treatment. Drug use should be confident, strictly according to the doctor's instructions, but worry about side effects. Treatment requires patience. For example, the average effective time of hormone therapy is 4-6 weeks, but it takes at least half a year or more to completely inhibit the inflammation of the kidney and completely reduce protein leakage.
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