2015年12月31日星期四

Lupus renal failure (cell therapy) What symptoms

Symptoms of lupus renal failure have? Patient you know it? Early symptoms of lupus renal failure is elevated serum creatinine, but to the middle and late symptoms of lupus renal failure not only elevated serum creatinine, and we take a look at what the specific symptoms of lupus renal failure is late?

Clinical symptoms of lupus renal failure

Progression to lupus nephritis patients with residual renal unit can not be adjusted to adapt to the body's minimum requirements, lupus renal failure symptoms will gradually manifested. When kidney function is close to a complete loss of time, the symptoms of lupus nephritis renal failure patients is very obvious, but because of the different circumstances of the patient, the patient's renal disease will be different. Here are some of the symptoms of lupus renal illness:

1, for patients, edema is one of the more typical symptoms. Some patients with lupus nephritis appears puffiness. Decreased urine output, frequent urination (especially at night). Hand ankle swelling. Other symptoms are shortness of breath, swelling around the eyes.

2, serum creatinine, blood urea nitrogen increased significantly, causing physical discomfort. Lupus renal failure patients almost completely lost kidney function, toxins and waste continues to accumulate in the body, the patient may feel malaise. Symptoms include nausea, vomiting, sleep well at night, loss of appetite, itching and fatigue. This time for the patient, dialysis is a temporary relief of symptoms, the necessary measures to ensure a life, so the disease has been developed to remind patients of renal failure do not blindly exclusion dialysis.

3, anemia is a typical symptom of lupus nephritis patients. As the patient suffered damage kidney function, the body can not produce enough red blood cells needed for the manufacture of hormones, resulting in anemia. Anemia often feel cold and tired.

Lupus renal lupus kidney disease is mainly treated early, or a method shall not be treated caused by kidney failure. At this point there will be some of the symptoms, which means that as soon as possible to treat the disease.

Symptoms of lupus renal failure have? Through the understanding of the post-believe patients already know some, but lupus nephritis patients should pay attention, if not treated in a timely manner or method of treatment using the wrong time can easily lead to kidney failure, so patients In the treatment must be careful to select scientific and effective method of treatment is very important!

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Lupus renal failure (cell therapy) What symptoms

Symptoms of lupus renal failure have? Patient you know it? Early symptoms of lupus renal failure is elevated serum creatinine, but to the middle and late symptoms of lupus renal failure not only elevated serum creatinine, and we take a look at what the specific symptoms of lupus renal failure is late?

Clinical symptoms of lupus renal failure

Progression to lupus nephritis patients with residual renal unit can not be adjusted to adapt to the body's minimum requirements, lupus renal failure symptoms will gradually manifested. When kidney function is close to a complete loss of time, the symptoms of lupus nephritis renal failure patients is very obvious, but because of the different circumstances of the patient, the patient's renal disease will be different. Here are some of the symptoms of lupus renal illness:

1, for patients, edema is one of the more typical symptoms. Some patients with lupus nephritis appears puffiness. Decreased urine output, frequent urination (especially at night). Hand ankle swelling. Other symptoms are shortness of breath, swelling around the eyes.

2, serum creatinine, blood urea nitrogen increased significantly, causing physical discomfort. Lupus renal failure patients almost completely lost kidney function, toxins and waste continues to accumulate in the body, the patient may feel malaise. Symptoms include nausea, vomiting, sleep well at night, loss of appetite, itching and fatigue. This time for the patient, dialysis is a temporary relief of symptoms, the necessary measures to ensure a life, so the disease has been developed to remind patients of renal failure do not blindly exclusion dialysis.

3, anemia is a typical symptom of lupus nephritis patients. As the patient suffered damage kidney function, the body can not produce enough red blood cells needed for the manufacture of hormones, resulting in anemia. Anemia often feel cold and tired.

Lupus renal lupus kidney disease is mainly treated early, or a method shall not be treated caused by kidney failure. At this point there will be some of the symptoms, which means that as soon as possible to treat the disease.

Symptoms of lupus renal failure have? Through the understanding of the post-believe patients already know some, but lupus nephritis patients should pay attention, if not treated in a timely manner or method of treatment using the wrong time can easily lead to kidney failure, so patients In the treatment must be careful to select scientific and effective method of treatment is very important!


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IGA nephropathy Taboos

Speaking IGA nephropathy, in fact, many people are still very strange, do not understand the disease a little while. IGA nephropathy is kidney disease in one, can cause a serious threat to the health of patients, it is possible to effectively carry out the treatment is very critical, timely help the patient's health. However, IGA nephropathy living in what are taboos? We came to know about it specifically, good help rehabilitation of patients.

IGA nephropathy in life which taboo thing, today small as we provide some life taboos about IGA nephropathy, hoping to be helpful to everyone, as follows:

IGA nephropathy life a taboo, the experience transformed the role of diet

In order to protect the kidneys, we advise iga nephropathy patients to make some sacrifices, for example, do not eat fast food, you can try 1 to 2 months a new diet, in order to observe whether the condition has improved.

IGA nephropathy life taboo Second, protect the liver

The body's immune complexes are cleared by the liver to the outside, this is a very valuable ability of the liver. This play on the functions of the liver, and to give as much protection, such as reducing caffeine or not, that do not use less soda, cocoa powder, chocolate and tea these things, because in many of the above beverage can find caffeine. Also, drinking in moderation, excessive alcohol consumption is not conducive to the liver, and can make the condition worse.

IGA nephropathy life Taboo three, iga nephropathy patients drink plenty of pure water

If you are not completely convinced that the purity of drinking water, you can drink pure water. Do not drink soda-containing beverages, such as cola, because it contains a large amount of phosphoric acid when, in kidney function has been a certain degree of damage, it is even more important.

IGA nephropathy life taboo four, iga nephropathy patients not to smoke

Nicotine constricts blood vessels, increase blood pressure, but also affect the body's peripheral blood circulation. People with kidney disease must be away from induced blood pressure, and any practices detrimental cycle, where of course, including smoking.

For more information about the above four IGA nephropathy in life is to introduce taboo, people should have a clear understanding, patients should pay attention to these taboos good in life, good to avoid the occurrence of these taboos, effective Help the patient's health, hoping to be helpful to everyone.


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iga nephropathy what to eat good fruit?

After iga nephropathy patients had dietary requirements are more stringent, if not pay attention to the patient, then it will affect the treatment of their condition, so patients need to understand their diet, do not let your bad eating and affect disease treatment. Fruit is now the most common life, fruits rich rich nutrients for our health plays a significant role, but also we are more friendly, then iga nephropathy diet needs attention to what fruit?

IgA nephropathy diet should eat fresh, regular fruit. The following is a detailed description:

Watermelon, watermelon water content and more, it is a refreshing summer good fruit, but the meat cold, physically weak elderly who eat more prone to abdominal pain or diarrhea; severe heart failure and edema patients should not eat.

Apple, the Apple contains a lot of carbohydrates and potassium, eating too much is not conducive to heart and kidney health; coronary heart disease, myocardial infarction, kidney disease, diabetes should not eat. Apple is iga nephropathy fruit diet need to pay attention.

Lychee, litchi continuous consumption of large amount, will make people pale, dizziness, palpitation, cold sweats, yawning, fatigue and other symptoms, which is due to exogenous lychee cause low blood sugar reaction caused, medically known as "litchi disease".

Persimmon, persimmon meat contains a lot of tannin, persimmon plastic phenol, tannin and strong convergence, so constipation patients should not eat.

Banana, banana cold, with sodium and more suffering from chronic nephritis, hypertension, edema patients who in particular should be careful to eat; the large banana sugar, people with diabetes should eat less.

Citrus, citrus cool, stomach, intestine, kidney, lung function Deficiency the elderly should not eat, so as not to induce pain, weak waist and other symptoms; also eat more oranges easy to get angry, cause mouth sores, red eyes swollen poison, induced hemorrhoids; oranges contain carotene said, overeating cause yellow pigment on the skin pigmentation, and therefore iga nephropathy diet taboos need to eat, to avoid damage to the kidneys.

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What IgA nephropathy is the most effective way?

What IgA nephropathy is the most effective way? First treatment of kidney disease, the patient must do regular inspection, periodic checks on patients with IgA nephropathy has a very important significance, doctors can learn by checking the whereabouts of the progression of IgA nephropathy, the current stage of the disease, how to develop treatment programs, etc., while also treating patients with IgA nephropathy late to provide the scientific basis for, prevent disease progression, disease control will be mastered within range.

Second, patients with IgA nephropathy kidney disease must choose the regular hospital. Under normal circumstances, not a regular hospital is the best time delay in the treatment of patients, and high cost. The regular hospital general charges are transparent, it does not appear the phenomenon of arbitrary charges, kidney specialist hospital relatively strong professional, authoritative kidney specialists, the unique therapy, which for IgA nephropathy will have very good results, this can IgA nephropathy cure as soon as possible, but also save a lot of costs.

Finally, patients with IgA nephropathy should be treated for the disease. IgA nephropathy patients must remove their disease which is now developed to the stage, so that the process of consultation, the experts can carry out professional, targeted treatment options based on your condition, play the desired therapeutic effect, but also to save go to a lot of unnecessary costs.

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iga nephropathy diet can not eat what fruit

Kidney harm to people, so that people caused psychological shadow can be for IgA nephropathy, a lot of people are not familiar with its symptoms, treatment methods. Let their condition leads to delays, so that deterioration affects health. Here Xi'an Tongji Hospital kidney specialist with everyone to look at some of the principles of treatment of IgA nephropathy.

Seven principles of treatment of IgA nephropathy:

The latter, of hematuria and proteinuria in patients with simple mirror of carrying out an effective treatment, requiring regular follow-up, in order to prevent disease progression, in order to facilitate long-term stable condition.

Second, the urine protein> 1g / 24h with or without microscopic hematuria: recommended ACEI and / or ARB drugs

Third, the performance in the nephrotic syndrome and light microscopy revealed mild glomerular lesions in patients with minimal change IgA nephritis should be given hormone therapy; and IgA nephritis patients do not respond well to hormone without significant damage or glomerular structure nephrotic syndrome Evidence supports the extension of hormone use time.

Fourth, repeated episodes of gross hematuria: the elimination of hematuria, experts advocate tonsillectomy.

Fifth, tonsillectomy surgery may prevent the onset of gross hematuria helpful in the short term, but most experts believe that for long-term kidney disease renal protection useless.

Six of IgA nephropathy renal failure require biopsy to differentiate acute tubular necrosis and crescent shape IgA nephropathy, the former only supportive treatment, the latter need cyclophosphamide and hormone therapy, treatment options and vasculitis similar.

Seven control proteinuria and hematuria for urinary protein <1g / 24h and (or) in patients with microscopic hematuria.

Tips: For the treatment of IgA nephropathy, patients according to the specific circumstances of the patient, to take appropriate treatment measures, in clear diagnosis before treatment is best, and to consult a physician hospital-associated nephropathy, so a patient can recover soon. If you have other questions about this, you can consult our online experts, and experts online communication, hospital experts will provide the most accurate and most comprehensive place nephropathy information.

Kidney harm to people, so that people caused psychological shadow can be for IgA nephropathy, a lot of people are not familiar with its symptoms, treatment methods. Let their condition leads to delays, so that deterioration affects health. Here Xi'an Tongji Hospital kidney specialist with everyone to look at some of the principles of treatment of IgA nephropathy.

Seven principles of treatment of IgA nephropathy:

The latter, of hematuria and proteinuria in patients with simple mirror of carrying out an effective treatment, requiring regular follow-up, in order to prevent disease progression, in order to facilitate long-term stable condition.

Second, the urine protein> 1g / 24h with or without microscopic hematuria: recommended ACEI and / or ARB drugs

Third, the performance in the nephrotic syndrome and light microscopy revealed mild glomerular lesions in patients with minimal change IgA nephritis should be given hormone therapy; and IgA nephritis patients do not respond well to hormone without significant damage or glomerular structure nephrotic syndrome Evidence supports the extension of hormone use time.

Fourth, repeated episodes of gross hematuria: the elimination of hematuria, experts advocate tonsillectomy.

Fifth, tonsillectomy surgery may prevent the onset of gross hematuria helpful in the short term, but most experts believe that for long-term kidney disease renal protection useless.

Six of IgA nephropathy renal failure require biopsy to differentiate acute tubular necrosis and crescent shape IgA nephropathy, the former only supportive treatment, the latter need cyclophosphamide and hormone therapy, treatment options and vasculitis similar.

Seven control proteinuria and hematuria for urinary protein <1g / 24h and (or) in patients with microscopic hematuria.

Tips: For the treatment of IgA nephropathy, patients according to the specific circumstances of the patient, to take appropriate treatment measures, in clear diagnosis before treatment is best, and to consult a physician hospital-associated nephropathy, so a patient can recover soon. If you have other questions about this, you can consult our online experts, and experts online communication, hospital experts will provide the most accurate and most comprehensive place nephropathy information.


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IgA nephropathy in small ways

Kidney harm to people, so that people caused psychological shadow can be for IgA nephropathy, a lot of people are not familiar with its symptoms, treatment methods. Let their condition leads to delays, so that deterioration affects health. Here Xi'an Tongji Hospital kidney specialist with everyone to look at some of the principles of treatment of IgA nephropathy.

Seven principles of treatment of IgA nephropathy:

The latter, of hematuria and proteinuria in patients with simple mirror of carrying out an effective treatment, requiring regular follow-up, in order to prevent disease progression, in order to facilitate long-term stable condition.

Second, the urine protein> 1g / 24h with or without microscopic hematuria: recommended ACEI and / or ARB drugs

Third, the performance in the nephrotic syndrome and light microscopy revealed mild glomerular lesions in patients with minimal change IgA nephritis should be given hormone therapy; and IgA nephritis patients do not respond well to hormone without significant damage or glomerular structure nephrotic syndrome Evidence supports the extension of hormone use time.

Fourth, repeated episodes of gross hematuria: the elimination of hematuria, experts advocate tonsillectomy.

Fifth, tonsillectomy surgery may prevent the onset of gross hematuria helpful in the short term, but most experts believe that for long-term kidney disease renal protection useless.

Six of IgA nephropathy renal failure require biopsy to differentiate acute tubular necrosis and crescent shape IgA nephropathy, the former only supportive treatment, the latter need cyclophosphamide and hormone therapy, treatment options and vasculitis similar.

Seven control proteinuria and hematuria for urinary protein <1g / 24h and (or) in patients with microscopic hematuria.

Tips: For the treatment of IgA nephropathy, patients according to the specific circumstances of the patient, to take appropriate treatment measures, in clear diagnosis before treatment is best, and to consult a physician hospital-associated nephropathy, so a patient can recover soon. If you have other questions about this, you can consult our online experts, and experts online communication, hospital experts will provide the most accurate and most comprehensive place nephropathy information.

Kidney harm to people, so that people caused psychological shadow can be for IgA nephropathy, a lot of people are not familiar with its symptoms, treatment methods. Let their condition leads to delays, so that deterioration affects health. Here Xi'an Tongji Hospital kidney specialist with everyone to look at some of the principles of treatment of IgA nephropathy.

Seven principles of treatment of IgA nephropathy:

The latter, of hematuria and proteinuria in patients with simple mirror of carrying out an effective treatment, requiring regular follow-up, in order to prevent disease progression, in order to facilitate long-term stable condition.

Second, the urine protein> 1g / 24h with or without microscopic hematuria: recommended ACEI and / or ARB drugs

Third, the performance in the nephrotic syndrome and light microscopy revealed mild glomerular lesions in patients with minimal change IgA nephritis should be given hormone therapy; and IgA nephritis patients do not respond well to hormone without significant damage or glomerular structure nephrotic syndrome Evidence supports the extension of hormone use time.

Fourth, repeated episodes of gross hematuria: the elimination of hematuria, experts advocate tonsillectomy.

Fifth, tonsillectomy surgery may prevent the onset of gross hematuria helpful in the short term, but most experts believe that for long-term kidney disease renal protection useless.

Six of IgA nephropathy renal failure require biopsy to differentiate acute tubular necrosis and crescent shape IgA nephropathy, the former only supportive treatment, the latter need cyclophosphamide and hormone therapy, treatment options and vasculitis similar.

Seven control proteinuria and hematuria for urinary protein <1g / 24h and (or) in patients with microscopic hematuria.

Tips: For the treatment of IgA nephropathy, patients according to the specific circumstances of the patient, to take appropriate treatment measures, in clear diagnosis before treatment is best, and to consult a physician hospital-associated nephropathy, so a patient can recover soon. If you have other questions about this, you can consult our online experts, and experts online communication, hospital experts will provide the most accurate and most comprehensive place nephropathy information.



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Iga nephropathy start from the diet treatment

IGA nephropathy is the most common form of kidney disease, suffering iga nephropathy, patients need timely involved in the treatment, at the same time receiving treatment, but also in everyday life care, so iga nephropathy nursing what? Here take a look at the article in the answer it!

iga nephropathy care:

1, pay attention to eating healthy, in order to protect the kidneys, we recommend that patients do not eat fast food, but do not eat greasy food, do not eat food containing higher proteinuria, eating spicy food taboos, which will increase the burden on the kidneys, patients diet should be light, you can eat some of the high-quality low-protein foods, so that both meet the needs of the body and would not increase the burden on the kidneys.

2, do not drink and smoke, which contains large amounts of smoke nicotine, and nicotine constricts blood vessels, increase blood pressure harm, it will affect the body's blood circulation, people with kidney disease who must be away from food-induced high blood pressure, in addition to wine which contains a lot of alcohol, is needed out of the body through the kidneys, it will increase the burden on the kidneys, damage to kidney cells, is not conducive to the recovery of the disease.

3, patients have a positive attitude, a lot of patients in the face of serious illness will exhibit fear, anxiety, depressed mood, this is not conducive to the treatment of patients, families of patients can expect more and patient communication, patient feel good, to have the confidence and courage to overcome the disease.

These are made for the care IGA nephropathy detailed answer, hoping to help you, we recommend that patients must keep in mind the above points, I wish you good health.



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Had IGA nephropathy how to care

IGA nephropathy is the most common form of kidney disease, suffering iga nephropathy, patients need timely involved in the treatment, at the same time receiving treatment, but also in everyday life care, so iga nephropathy nursing what? Here take a look at the article in the answer it!

iga nephropathy care:

1, pay attention to eating healthy, in order to protect the kidneys, we recommend that patients do not eat fast food, but do not eat greasy food, do not eat food containing higher proteinuria, eating spicy food taboos, which will increase the burden on the kidneys, patients diet should be light, you can eat some of the high-quality low-protein foods, so that both meet the needs of the body and would not increase the burden on the kidneys.

2, do not drink and smoke, which contains large amounts of smoke nicotine, and nicotine constricts blood vessels, increase blood pressure harm, it will affect the body's blood circulation, people with kidney disease who must be away from food-induced high blood pressure, in addition to wine which contains a lot of alcohol, is needed out of the body through the kidneys, it will increase the burden on the kidneys, damage to kidney cells, is not conducive to the recovery of the disease.

3, patients have a positive attitude, a lot of patients in the face of serious illness will exhibit fear, anxiety, depressed mood, this is not conducive to the treatment of patients, families of patients can expect more and patient communication, patient feel good, to have the confidence and courage to overcome the disease.

These are made for the care IGA nephropathy detailed answer, hoping to help you, we recommend that patients must keep in mind the above points, I wish you good health.



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IgA nephropathy patients can be pregnant?

Of causes IgA nephropathy more, but in recent years the incidence is relatively high. More patients, especially female patients often ask to:? IgA nephropathy patients may be pregnant under the guidance of a kidney specialist analysis, normal blood pressure, kidney function was normal female kidney patients, the success rate of pregnancy up to 95%. However, the following conditions exist female patients with IgA nephropathy can not be pregnant:

1, secondary renal diseases such as lupus nephritis patients after pregnancy, can induce or aggravate the condition, and should be very careful. Another example is patients with diabetic nephropathy, prone to pregnancy preeclampsia, premature birth, fetal malformation, a huge children and fetal respiratory distress syndrome, it should not be pregnant.

2, nephrotic syndrome due to the low serum albumin, often leading to fetal growth retardation and preterm children.

3, IgA nephropathy its fetal mortality rate is very high.

4, moderate renal insufficiency and in patients with fetal growth retardation high incidence of premature delivery, pregnant women may be progressive renal function deterioration.

Thus, IgA nephropathy can not be pregnant depends on whether IgA nephropathy is above these circumstances, if any, it was suggested to be treated, to be slightly stable condition considering fertility issues.



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Overeating easily induced nephropathy

Experts say that over the years, to the hospital to see kidney disease population, the proportion of young people are increasing. Especially IgA nephropathy, mostly quite young to seek treatment.

IgA nephropathy occurs in patients with proteinuria or hematuria symptoms, current medical standards can not know exactly the reasons for the onset of IgA nephropathy patients, "it may be a combination of factors caused by various genes, the external environment, the drug is likely to be caused by the onset of reason. "For example, some family people carry genes, easily induce IgA nephropathy, met colds, inflammation did not handle well, it induced nephropathy. Of these patients, often family, there are other people who have this disease. Experts say she even met a family situation and her daughter are sick.

"With so many cases, there is a patient I was impressed that a young man only 20 years old. Cause well, already is a company middle-level cadres. Usually work more tired, often living without the law. Unit physical examination, detected suffering from kidney disease. After careful examination, diagnosed as IgA nephropathy, and some serious disease. "Experts say that many young patients come for medical treatment, there are mostly cases of fatigue, life is not regular.

Experts remind that in everyday life do not pay attention to the drug use, overeating, living without the law, etc., are likely to cause kidney disease. Normal life should not be too tired, and to control the protein intake. Especially families with IgA patients who have diabetes or hypertension in high-risk groups, should be to the hospital regularly. He has recovered after suffering from kidney disease or illness, and in watching other disease, we must repeatedly remind doctors have kidney disease, doctors prescribe otherwise ignored taboo.




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iga nephropathy prevention to strengthen!

iga nephropathy is affecting the health of our young people a common kidney disease, accounting for 30% to 40% of primary renal biopsy diagnosis of glomerulonephritis. Pathogenesis is not entirely clear, the immune pathological features of biopsy immunoglobulin IgA deposition in granular mesangial region, the majority of patients with adolescent clinical manifestations are episodes of gross hematuria, microscopic hematuria with or without protein Pee. Past that IgA nephropathy good prognosis, the past 20 years, with further research, awareness of the disease has been a profound change, found that patients go through different stages of progress, many people with renal insufficiency may occur. It is an important feature when serum creatinine rises to a certain extent, the progression of the disease in a short time to end-stage renal disease, various interventions can not reverse this process. Severe proteinuria, hypertension, an important factor in renal interstitial fibrosis and tubular atrophy are poor prognosis appears. IgA nephropathy in our country has become the most common cause of end-stage renal disease to the state and individuals caused a heavy economic and social burden. So early detection, early diagnosis is very important.

Because IgA nephropathy with hematuria as the main clinical manifestations, often not accompanied by other clinical manifestations, hematuria often not been enough attention to young people and families, and thus can not early detection of diseases, timely diagnosis and treatment. Obvious symptoms such as proteinuria, hypertension, edema, or only for medical treatment, then has a bad prognosis. This is also an important reason for our long-term survival of patients with IgA nephropathy kidney low. The public should pay attention to periodic urine checks, after gross or microscopic hematuria was found to be time-line for further examination, before the diagnosis of IgA nephropathy renal biopsy still need to rule out other diseases can cause hematuria, such as tuberculosis, kidney, vascular malformations, urinary tract infection, thin basement membrane nephropathy, nutcracker phenomenon, which requires line of urinary red cell morphology examination, kidney B ultrasound, Doppler vascular ultrasound and other tests.

There is no uniform regimen IgA nephropathy, often develop different treatment options based on the patient's condition, previous common glucocorticoids, immunosuppressants, anti-platelet aggregation anticoagulants, fish oil and other drug treatment, in recent years, plus angiotensin converting enzyme inhibitors (ACEI) and angiotensin receptor blockers reduce urinary protein in patients with stable renal function, and delay progress of the disease. Early application of these drugs can improve the prognosis of IgA nephropathy, improve long-term survival of the kidney. IgA nephropathy patients with kidney survival was 85% of 10 years, 15 years is 55%, lower than Japan and other developed countries, which are closely related and can not be found early.

Patient follow-up in the fight against IgA nephropathy occupies an important position, close, long-term follow-up treatment can ensure the integrity and consistency. Unfortunately, due to the characteristics of national conditions, our patients tend to seek treatment at several hospitals, constantly changing treatment programs to enable long-term follow-up difficult, more effective treatment. Thus, IgA nephropathy patients should be diagnosed in the formal hospital or specialist treatment in general hospitals and develop a reasonable, scientific treatment, and persisted in the initial hospital treatment of long-term follow-up, which will help improve the prevention and treatment of IgA nephropathy.

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2015年12月29日星期二

Focal proliferative IgA nephropathy

Focal proliferative IgA nephropathy, which is a pathological IgA nephropathy, IgA nephropathy is Ⅲ level, is a common result of renal biopsy report. Focal proliferative IgA nephropathy in renal biopsy under pathological lesions appear as: There are about 50% of glomerular cell proliferation, cell proliferation may initially be limited to the mesangial region, or may be due to capillary cell proliferation, leading to renal Ball capillary loop obstruction, focal proliferative glomerulonephritis patients with IgA nephropathy, tubular, have varying degrees of renal interstitial lesions. Mesangial cell proliferation, crescent formation tubular atrophy, interstitial fibrosis. This period can be patient in the clinical performance of protein leakage increase patient ++ ~ +++ protein may have unequal and often hematuria. Clinical symptoms can also appear edema, nausea and vomiting, severe may be associated with increased blood pressure, and even renal function decline, the development of renal atrophy.

In the diet, chronic kidney disease patients should comply with kidney patients diet attention, under normal circumstances, should be low-salt, low-fat, high-quality low-protein and high-fiber diet with meal daily food ratio; should be taken to ensure adequate sleep every day should be

More than eight hours, bed rest to gross hematuria disappeared, but it should be easy Eat less animal offal food allergies and the like;

Focal proliferative IgA nephropathy

Strengthen skin care, keep the skin intact. The patient is asked often bathe frequently changes the underwear, trimmed finger (toe); help patients choose no irritation or irritation of toiletries;

Close observation of changes in blood pressure, maintain water and electrolyte balance. Sooner or later, blood pressure 1, observed and recorded 24 hours urine, vomit amount and the amount of fluid calculated based on the total fluid volume and the amount of the rational use of diuretics;

Appropriate exercise such as qigong, tai chi and so on. On actively prevent respiratory tract infection, recurrent tonsillitis patients resection feasible. Drug treatment should be under the guidance of a doctor,

Avoid the application of kidney damage drugs, such as gentamicin, amikacin and so on. Lee of the above type Ⅲ or early mild IgA nephropathy patients after general treatment ineffective, should be timely application of immunosuppressive therapy, according to the wishes of pathological findings and patients, the choice of individual immunosuppressive therapy. Abandon immunosuppressive therapy, often leading to exacerbations or repeatedly delayed healing. Who has been taking hormones, decreasing the hormone dosage and frequency should be under the guidance of doctors depending on the circumstances. Must not be arbitrary withdrawal, to prevent the disease appeared again, or worse.


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How to identify IgA nephropathy

IgA nephritis (IgA glomerulonephritis) is a recurrent gross or microscopic hematuria, glomerular mesangial cell proliferation, matrix increase, with extensive deposits of IgA characteristics of primary glomerular disease. Berger in 1968 first described the disease, it is also called Berger's disease. In addition, also known as IgA-IgG mesangial deposits of IgA mesangial glomerulonephritis and nephritis. IgA nephropathy also be interpreted as renal biopsy immunofluorescence glomerular mesangial a large granular IgA deposition is characterized by primary glomerular disease.

Before the onset of signs of IgA nephritis

1. Urine color: urine was dark brown, wash the meat water samples, such as soy sauce or turbid when Taomi, seek medical attention immediately.

2. urine foam more, long-term does not disappear: Description more protein excretion in the urine.

3. Too much or too little urine: normal urine output averaged about 1500 ml per day, 4-8 times a day. If there is no fever, profuse sweating, a lot of drinking water, urine volume appeared suddenly plummeted or increased, it is necessary to the hospital, and see if it is kidney disease.

4. Nocturia: normal within 60 years, the general should not have frequent nocturia, nocturnal increase if young people, it may be an early manifestation of renal function.

5. edema: the morning after the eyelid or facial edema subsided in the afternoon, tired after the increase, rest after mitigation. Severe edema occur inside the ankles, lower limbs, lumbosacral like.

6. The low back pain: no clear cause of back pain, you should check the kidneys, spine and lumbar back muscles.

7. The men may have performance (emission, Hua Jing, infertility) aspects of functional disorders.

Clinical manifestations

Typical cases of upper respiratory tract infection often after a few hours to 2 days gross hematuria, proteinuria, usually lasting a few hours to several days, the individual up to one week. Such patients account for about 40% to 50% of the total, slightly higher in children. The individual may have severe back pain and abdominal pain, may be associated with intestinal IgA vasculitis. Another common manifestation of this disease is asymptomatic hematuria or proteinuria, 30 percent to 40 per cent of the total. Of which 20% to 25% of cases may occur once or several times in the course of gross hematuria.

Nephrotic syndrome seen in 5% to 20% of patients, children and youth case is more often the case with diffuse proliferative or without glomerulosclerosis. Also, sometimes mesangial IgA deposition based phenomenon can also occur in the foot process fusion with minimal change nephropathy is characterized in.

About less than 10% of patients with acute renal failure can be presented performance can often relieve itself. 20% to 25%, you may need dialysis, suffering from multiple crescent nephritis. In the course of the activities of those who have the quality of nitrogen retention is not uncommon, accounting for about 25%. When the onset of hypertension accounts for about 10%, then increased significantly after the onset of 30 years; with the duration of the extension, with hypertension over 40%.



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IGA nephritis and four children disorders difference?

IgA nephritis in children usually presents with recurrent gross hematuria, IgA nephritis often at the same time non-specific respiratory tract infections or gastrointestinal infections occur 1 to 2 days or gross hematuria. IgA nephritis few children were seen in motion, fever, tonsillectomy, tooth extraction or after trauma. Usually the rapid disappearance of gross hematuria in a few days, no edema gross hematuria attack, no high blood pressure or other discomfort; IgA nephritis older individual complaints of low back pain. IgA nephritis hematuria in children with recurrent multiple times, varying the length of the interim period, the period between the onset of urine or normal or persistent microscopic hematuria. Renal function tests normal, some children with IgA nephritis IgA in the blood will increase.

In the differential diagnosis in children with IgA nephropathy, there is the need of special attention, namely: children IgA nephropathy in the disease should be made with the four diseases in the differential diagnosis, the specific differential diagnosis as follows:

1. Children with IgA nephropathy and nephritis in the differential diagnosis:

Although nephritis with hematuria, however, can be identified based on a history of allergic purpura. If necessary, the differential diagnosis by biopsy.

IGA nephritis and four children disorders difference?

2. Pediatric IgA nephropathy and lupus nephritis diagnosis:

Lupus nephritis showed microscopic or gross hematuria, often accompanied by the performance of multi-system involvement. By checking blood complement C3, antinuclear antibody, LE cells and biopsy, usually difficult to identify.

3. Children with IgA nephropathy and hepatitis B virus associated glomerulonephritis in the differential diagnosis:

Hepatitis B virus associated glomerulonephritis may manifest as hematuria, usually accompanied by a large number of urine protein, but many have enlargement of the liver disease and abnormal liver function, HBsAg-positive and / or HBeAg positive.

4. Children with IgA nephropathy and acute glomerulonephritis differential diagnosis:


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Hematuria IgA nephropathy is the most common symptoms

When it comes to the symptoms of IgA nephropathy, won the majority of patients will say, at that time because it was discovered hematuria symptoms, only to the hospital for examination, the results of an inspection turned out to be IgA nephropathy. IgA nephropathy can say hematuria is the most common symptoms.

Episodes of gross hematuria IgA nephropathy is the most common clinical manifestation

This is done to confirm the diagnosis of the most common clinical manifestation of renal biopsy. Generally in the upper respiratory tract infection (tonsillitis), acute gastroenteritis, osteomyelitis, peritonitis, herpes zoster infection, even after vaccination or strenuous exercise almost simultaneously appear. Some call it pharyngitis synchronous hematuria. Gross hematuria continued for several hours to several days, usually less than three days. Sometimes accompanied by mild systemic symptoms, such as muscle pain, dysuria and low back pain, fever. Urinary cell morphology to the main deformation, suggesting glomerular hematuria, but sometimes also saw mixed hematuria. More common in young people. After the onset of gross hematuria, urinary red blood cells can disappear, also to persistent microscopic hematuria. Gross hematuria have recurrent features.

Hematuria IgA nephropathy is the most common symptoms

Microscopic hematuria with / without asymptomatic proteinuria is the main clinical manifestations of IgA nephropathy

Most of the students at the screening examination and joined the army, pre-marital medical examination and other routine health examination revealed. Shenzhen during mass examination, often found that many of the patients in the medical unit of the group, and then out for biopsy diagnosis. For children and young people are the main clinical manifestations of IgA nephropathy.

Most patients with IgA nephropathy showed mild proteinuria

Most patients with IgA nephropathy showed mild proteinuria, 24-hour urine protein excretion <1g. Small number of patients (10% -24%) of proteinuria or nephrotic syndrome. Light microscopy showed more mesangial proliferative glomerulonephritis, and renal dysfunction, hypertension and other symptoms of anemia with pathological changes of emphasis and increasing tendency.

IgA nephropathy symptoms, although there are many, but the most common is the most typical symptom of hematuria.


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iga nephropathy diet should pay attention to what fruit?

IgA nephropathy diet should eat fresh, regular fruit. The following is a detailed description:

Watermelon, watermelon water content and more, it is a refreshing summer good fruit, but the meat cold, physically weak elderly who eat more prone to abdominal pain or diarrhea; severe heart failure and edema patients should not eat.

Apple, the Apple contains a lot of carbohydrates and potassium, eating too much is not conducive to heart and kidney health; coronary heart disease, myocardial infarction, kidney disease, diabetes should not eat. Apple is iga nephropathy fruit diet need to pay attention.

Lychee, litchi continuous consumption of large amount, will make people pale, dizziness, palpitation, cold sweats, yawning, fatigue and other symptoms, which is due to exogenous lychee cause low blood sugar reaction caused, medically known as "litchi disease".

Persimmon, persimmon meat contains a lot of tannin, persimmon plastic phenol, tannin and strong convergence, so constipation patients should not eat.

Banana, banana cold, with sodium and more suffering from chronic nephritis, hypertension, edema patients who in particular should be careful to eat; the large banana sugar, people with diabetes should eat less.

Citrus, citrus cool, stomach, intestine, kidney, lung function Deficiency the elderly should not eat, so as not to induce pain, weak waist and other symptoms; also eat more oranges easy to get angry, cause mouth sores, red eyes swollen poison, induced hemorrhoids; oranges contain carotene said, overeating cause yellow pigment on the skin pigmentation, and therefore iga nephropathy diet taboos need to eat, to avoid damage to the kidneys.

iga nephropathy diet should pay attention to what fruit?

CKD renal cell principle balance therapy

To solve the intractable problem of kidney disease, kidney disease hospital in Chengdu Comfort jointly supported by the Ministry of Health and major medical school, the successful launch

"CKD renal cell balancing method." The therapy is based on the traditional Chinese medicine, "take the essence, to its dregs" in the treatment of kidney disease has made great breakthrough, opening another milestone in the history of renal disease.

1, rapid relief of symptoms: Expert Group to develop the best treatment plan according to the cause and their own individual differences, one party, dialectical therapy, multi-channel, multi-target, multi-channel combination therapy for the treatment means, effectively improve the kidneys microcirculation, so that renal ischemia and hypoxia eased.

2, prevent disease progression: to repair the damaged kidney tissues and provides a relatively stable environment protection relaxed residual tissue, delaying the deterioration of kidney disease progression to uremia, effective containment of recurrent disease.

3, delaying dialysis until no dialysis: from the lesion and treatment, blocking progression of the disease, and can accurately and quickly repair damaged diseased cells; promote cell regeneration and activation of residual renal function recovery, the effective protection of residual renal unit, an overall improvement renal system function, to avoid dialysis, reduction in the number of dialysis, prolonged dialysis intervals, until the purpose to get rid of dialysis.

4, to improve the quality of life and prolong life: through scientific norms effective treatment, can quickly repair damaged and diseased cells, promote regeneration and recovery of residual renal function activated cells, the effective protection of residual renal unit, improve quality of life and prolong life.



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Suffering from IgA nephropathy pay attention to what

IgA nephropathy patients were mostly young, men accounted for a large proportion. Often not very focused young healthy diet, and IgA nephropathy if not effectively control the disease will deteriorate into uremia renal failure, so patients with IgA nephropathy in addition to treatment, the diet should also pay special attention to, reasonable and appropriate control diet patients to ensure more quick return to health. Here and share with you IgA nephropathy patients in the diet should pay attention to what aspects:

Step / methods:

1 protein supply: Patients with Chronic dietary protein intake should be determined according to the degree of renal dysfunction, renal damage if it is not serious, long course of disease, do not restrict food protein, but not per kg body weight per day should more than one gram, high-quality protein should reach more than 50 percent.

2 protein intake: The main source of heat supply is fat and carbohydrates, the energy supply should be developed according to the patient labor of mild, patient rest day per kilogram of body weight can give a total of -147 kJ 126 kJ of heat.

3 control sodium intake: When IgA nephritis patients with severe hypertension and edema, when salt intake should be controlled in less than two grams a day, or even a salt-free diet, under normal circumstances should be low salt diet.



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Chinese and Western medicine treatment of IgA nephropathy which is the difference

Learn the difference between Chinese and Western medicine treatment of IgA nephropathy! IgA nephropathy in life is becoming more common, you know? It would endanger the lives of patients, this is the most serious problem, and that we look at what the treatment of IgA nephropathy ?

Treatment of IgA nephropathy, Chinese or Western medicine good cure? IgA nephropathy is a special type of glomerulonephritis, is a group of multiple causes of chronic renal disease have the same immune pathological characteristics. In general, the main symptom is recurrent microscopic or gross hematuria, proteinuria may be accompanied by mild, the current method of treatment of iga nephropathy mainly from two angles of TCM and Western medicine.

Chinese and Western medicine treatment of IgA nephropathy which is the difference

Western medicine treatment of IgA nephropathy, the majority is to use hormone therapy, hormone therapy IgA nephropathy principle is to control urinary protein, occult blood drugs, the destruction of the basement membrane plugging up loopholes, urine protein, occult blood was controlled, but also the destruction of substances or immune complexes in the glomerular internal blockage, improved urine from the surface point of view, it seems that his condition improved, in fact, the kidney since these substances can not be discharged, continue to accumulate, accelerated the destruction of renal parenchyma, made it worse rather than better . The results eventually develop uremia. Then treat it will greatly increase the difficulty.

Currently, the most effective method for treating IgA nephropathy IgA nephropathy is the use of Chinese medicine, Chinese medicine can repair the damaged kidney tissues radically reduce its protein, red blood cells leak, so that proteinuria, hematuria disappeared.

Learn the difference between Chinese and Western medicine treatment of IgA nephropathy! By the above description, surely you know that IgA nephropathy is a serious chronic disease, we would like to draw your attention.



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IgA nephropathy prevention of influenza invasion

gA invasion of kidney patients to prevent influenza, influenza is caused by influenza viruses, influenza IgA nephropathy patients of kidney damage, IgA nephropathy patients with hematuria often occur after influenza, if not controlled in time will lead to sicker, to introduce the following IgA nephropathy prevention of influenza invasion.

Influenza viruses can be a direct violation of kidney tissue, also can be caused by the virus as an antigen immune complex nephritis, IgA disease flu can make kidney disease worse, making it difficult to control, hematuria repeatedly even more serious than before, but also to exacerbate proteinuria , IgA nephropathy patients pay attention to anti-flu also causes kidney dysfunction occurred renal failure, heart failure. IgA nephropathy patients to take anti-influenza should pay attention to in daily life:

Appropriate exercise to enhance physical fitness, increase resistance to disease.

Pay attention to environmental and personal hygiene, to avoid predisposing factors.

Climate change, pay attention to any change clothes, to prevent exposure to cold cold.

During the flu epidemic, can prevent medication: ① Banlangen granules, each package, 3 times a day. ② Folium 15 grams, Radix, Guan Zhong, 30 grams, decoction behalf of the tea. ③10% garlic liquid, 3-5 times daily intranasally, one drop.

In addition, flu epidemic, pay attention to the isolation, the patient should wear masks, avoid going to public events, to prevent cross-infection, vinegar can be used indoor fumigation, air disinfection, prevention of infection, steamed smoked two hours every day or every other day smoked 1 times.

But do not rule out the special circumstances, that not all patients with IgA nephropathy are suitable for these drugs, so pay attention to the anti-influenza IgA nephropathy patients of this one, to be especially careful attention to listen to the doctors asked.


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IgA nephropathy new clinical classification and treatment recommendations

Textbooks often will IgA nephropathy (IgA-N) as an independent disease, but in fact, in the pathogenesis and clinical manifestations of change too much, treatment and prognosis is completely different and should not be used as a single disease, but must divide type.

Currently referred to in the literature and the pathological type IgA-N have been too old, such as Lee's, Haans, etc., the fundamental problem is the essence of the disease untouched, at most only a certain prognostic significance.

IgA-N in the pathology must be polymorphic, but so far no performance characteristic; and clinical manifestations of IgA-N has already shown some characteristics of the assembly. Therefore clinical pathological classification based on clinical manifestations may make our understanding of the IgA-N push forward further.

First, the clinical classification basis

1, some clinical manifestations of recognized prognostic significance

Isolated microscopic hematuria; recurrent gross hematuria; proteinuria;

Persistent hypertension

2, some of the pathological features have prognostic significance

Basement membrane damage; pure mesangial lesions

3, some of the pathological features of guiding therapeutic implications

Vasculitis-like lesions (lots of crescent formation)

4, some clinical signs have therapeutic significance

The rapid emergence of recurrent infection gross hematuria

Second, the new clinical classification

(A) simple microscopic hematuria type (I-H): 2.8%

1. urine abnormality: microscopic hematuria, proteinuria no, no gross hematuria.

2. normal renal function, no hypertension.

3. Pathology: pathological changes in light, only mesangial IgA deposition, less hardened ball, no crescent, tubulointerstitial lesions less, vascular disease is not obvious. SEM exclude "thin basement membrane nephropathy."

(B) urinalysis anomaly (U-ab): (42.9%)

1. Onset often hidden, the exact course is not easy to break clear, no obvious clinical symptoms characteristic.

2. urine abnormality: microscopic hematuria or gross hematuria single episode, urine protein <2.0g / 24hr.

3. No hypoproteinemia with normal renal function, no hypertension.

4. Pathology: pathological changes of varying severity, from mild mesangial proliferative disease, FSGS to glomerulosclerosis. Mesangial IgA deposits in addition to outside, often IgG, vascular loop deposition can occur. Mild to moderate interstitial disease. But there is no extensive hardening.

(Iii) recurrent gross hematuria type (R-GH): 13.2%

1. recurrent gross hematuria, can be fresh or stale, frequency ≥2 times. Before the onset of several hours (no longer than 24 hours) prodromal infection (flu on the majority, it may be cholecystitis or diarrhea), during the attack may have backache abdominal pain.

2. The gross hematuria between attacks may have sustained abnormal urine, but urinary protein generally <1.5g / 24h, no more than 2.0g / 24h. No significant hypoproteinemia, renal function normal or mildly abnormal.

3. The age of onset in youth.

4. Pathology: gross hematuria episodes within January, showing segments of cellular crescents (<10%), no loop necrosis. Less glomerulosclerosis, interstitial lesions less, no serious vascular disease. <P = "">

(Iv) crescent shape (Cres IgA-N.): 7.2%

1. sustainable long time, often accompanied by gross hematuria or microscopic hematuria more than 500,000 / ml.

2. Can hypertension, Scr be raised slightly. ANCA may be positive in some patients.

3. Pathology: Often accompanied loop necrosis, crescent> 15%, blood vessels may exhibit fibrinoid degeneration and necrosis, Fibrin staining.

(V) a large number of proteinuria (MP): 10.9%

1. proteinuria and edema as the main performance, usually without gross hematuria. Urinary protein> 3.5g / 24h, hypoproteinemia obvious, Alb <30g / l, hyperlipidemia. There was swollen.

2. normal or mildly elevated blood pressure, kidney function is not normal. Longer course.

3. Pathology: Small ball sclerosis were more common, often based film lesions, tubulointerstitial lesions light - moderate.

(F) hypertensive (HT): 18.9%

Outstanding performance is sustained elevated blood pressure, antihypertensive drugs commonly used to control, may have varying degrees of renal insufficiency, it can also be combined to a certain extent of abnormal urinalysis.

1. isolated hematuria or persistent microscopic hematuria, urinary protein <3.5g / 24h.

2. That is the beginning of the disease have high blood pressure, when the group of blood pressure> 140 / 85mmHg, with or without other target organ damage.

3.Scr normal or elevated, but <5mg / dl.

4. pathology: chronic disease heavier, more global sclerosis, interstitial lesions to severe. Prominent vascular lesions, vascular lesions more transparent.

(Vii) type of end stage renal failure (ESRD)

1. serum creatinine greater than 5.0mg / dl

Common global sclerosis, tubulointerstitial lesions 2. severe pathology.

Third, treatment recommendations for each type of IgA nephropathy

Simple microscopic hematuria immunosuppressant invalid, Chinese medicine treatment, follow-up light

Urine abnormal type of Chinese medicine treatment + tripterygium + ACEI + ARB, you can try Xiao noted (MMF)

Crescent shape MMF + Chinese medicine, hormone + tripterygium

Chinese medicine treatment of recurrent gross hematuria, try tripterygium + tonsil (lesions) debridement

Macroalbuminuria type Chinese medicine treatment, symptomatic and supportive, hormone + immunosuppressants

Hypertensive medicine treatment, symptomatic and supportive, hormone + immunosuppressants


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IgA nephropathy patients can eat eggs food

IgA nephropathy patients can eat eggs food? IgA nephropathy is a group of more causes of chronic renal disease have the same immune pathological characteristics. Clinically, approximately 40% to 45% of the patients showed the naked eye or microscopic hematuria, 35% to 40% of the patients showed microscopic hematuria with proteinuria, nephrotic syndrome and the rest of renal failure.

Many people with IgA nephropathy people often prefer to eggs to fill the body. To address this issue we have to consult specialist kidney hospital.

Eggs hepatitis, nephritis period, some issues should be attention. IgA nephropathy patients should not eat eggs food. Because during the onset of renal function and metabolism are decreased, decreased urine output, the body of some toxins can not be fully excreted. At this point if we eat eggs, egg urea metabolites bound to increase, so there will be more of urea accumulate in the body, so that sicker. Thus, deterioration in nephritis patients should eat eggs taboo; you can eat less at a stable stage.

Almost all kidney disease (including IgA nephropathy) patients in the daily diet conditioning, you need to vegetable oil-based, as far as possible Eat less animal fat; eating meat with lean meat-based, high-quality low-protein supplement, eat fat. In a nutshell, kidney patients taboo to eat such "meat or fish." Because the meat or fish will increase the damage the kidneys. Because the meat or fish is "high-quality low-protein" food taboos kidney disease, but also belong to the high-fat (lipids including cholesterol and triglycerides) type diet, high-fat diet will not only increase the existing IgA nephropathy patients with renal impairment, but also healthy people can cause kidney damage. Healthy kidneys aside, saying only that the damaged kidney fat diet any harm. Medical research shows that high-fat diets have cardiovascular damage. Similarly, hyperlipidemia on the kidney glomerular capillary can also cause significant damage. So if the patient again if high-fat diet, the remaining glomerular damage can be imagined, for glomerular filtration prejudice undoubtedly worse.

Can eating eggs food presentation by IgA nephropathy patients, we recommend you to long-term adherence to treatment, do not give up.


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2015年12月28日星期一

How iga nephropathy edema patient self-care?

1, iga nephropathy edema in patients with bed rest, supine increase renal blood flow and improve glomerular filtration rate, reduce sodium retention, edema patient bed rest and activity alternately, to limit the amount of activity, severe edema bed rest, and raise the limb edema facilitate blood return and reduce edema.

2, iga nephropathy edema patients diet: limit sodium and water and protein intake

(1) water and salt intake, edema urine "1000ml / d, without undue restriction of water, sodium restriction at 3g / d or less, including sodium foods and beverages, such as sausages, bacon, canned food and other serious edema oliguria daily water intake limited to 1000ml, into salt-free diet, sugar, vinegar, onions and other seasonings mouth to increase appetite.

(2) intake of protein, low-protein diet can slow the progression of renal damage, severe edema with hypoalbuminemia protein intake of patients, the daily per kilogram 1g, more than 60% of high-quality protein.

3, to protect parts of the skin to prevent skin damage and edema

(1) the patient should wear a broad anti-soft cotton clothes, holding flat bed drying, often turning to avoid pressure on bony prominences parts of the skin.

(2) regularly with warm sponge bath or shower, frequently changes underwear, mouthwash after meals, wash once daily perineum, keeping the skin clean to prevent infection.

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How iga nephropathy edema patient self-care?

1, iga nephropathy edema in patients with bed rest, supine increase renal blood flow and improve glomerular filtration rate, reduce sodium retention, edema patient bed rest and activity alternately, to limit the amount of activity, severe edema bed rest, and raise the limb edema facilitate blood return and reduce edema.

2, iga nephropathy edema patients diet: limit sodium and water and protein intake

(1) water and salt intake, edema urine "1000ml / d, without undue restriction of water, sodium restriction at 3g / d or less, including sodium foods and beverages, such as sausages, bacon, canned food and other serious edema oliguria daily water intake limited to 1000ml, into salt-free diet, sugar, vinegar, onions and other seasonings mouth to increase appetite.

(2) intake of protein, low-protein diet can slow the progression of renal damage, severe edema with hypoalbuminemia protein intake of patients, the daily per kilogram 1g, more than 60% of high-quality protein.

3, to protect parts of the skin to prevent skin damage and edema

(1) the patient should wear a broad anti-soft cotton clothes, holding flat bed drying, often turning to avoid pressure on bony prominences parts of the skin.

(2) regularly with warm sponge bath or shower, frequently changes underwear, mouthwash after meals, wash once daily perineum, keeping the skin clean to prevent infection.


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How far iga nephropathy disease worsening

1, away from the infection because iga nephropathy often due to respiratory infections, tonsillitis induced or made it worse, so patients should beware of cold, poor physical fitness, patients prone to colds, usually to carry out the right amount of activity, exercise to enhance physical fitness.

2, proper rest because of overwork, often make strenuous exercise performance iga nephropathy patients occult blood repeatedly or worse, so patients should try to stay away from overwork. Life must be rules, do not stay up late, to maintain a good attitude and optimism, can engage in light physical labor, but still not tired more appropriate.

3, careful medication usually remember to use caution, stay away from the use of kidney function harm drugs (such as traditional Chinese medicine manshuriensis, green wood, etc.), so far heavier burden on the kidneys.

4, less to public places Iga nephropathy patients less to public places, especially in the spring, or some epidemic periods should be noted that it is best to wear a mask to go out. Changes according to the season, losing no time to change clothes, anti-cold, exposure to cold, away from respiratory infections, seek immediate medical attention if infection occurs.


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Early diagnosis and prevention of IgA nephropathy

IgA nephropathy has become the most common primary glomerular disease, nearly 3 percent of patients eventually develop end-stage renal disease, by kidney replacement therapy (hemodialysis or peritoneal dialysis) to sustain life, seriously affecting the quality of life of patients and to family bring huge economic and social burden and emotional burden. Therefore, early diagnosis of IgA nephropathy, and to take timely and proper preventive measures are very important.

IgA nephropathy prevention mainly from the following aspects:

First, for patients with no obvious clinical symptoms, in order to protect the kidneys for the purpose, so that 6 "Do not":

① Do not infection, kidney patients to keep warm in winter and spring as far as possible, avoid respiratory or gastrointestinal infections.

② not injured, skin infections are likely to induce IgA nephropathy.

③ Do allergies, try to avoid contact with allergens.

④ Do hyperactivity, avoid over exertion.

⑤ Do you eat food, avoid spicy spicy food.

⑥ Do not take medicine, because all drugs have passed the renal metabolism, may increase the burden on the kidneys, so shall inform the medical treatment before kidney patients have a history of kidney disease, should not use nephrotoxic drugs.

Second is the intermittent gross or microscopic hematuria in patients with persistent proteinuria, recommend early renal biopsy biopsy.

Doctors assess the condition and prognosis of change, and to develop individualized treatment plan based on renal pathology. So all suspected patients with IgA nephropathy biopsy is recommended as early as possible. Definite diagnosis of renal pathology is the key to prevention, especially for those children who have potential risk of renal failure. The third is for IgA nephropathy patients with chronic renal failure, must be actively treated under the guidance of specialists, worsening of renal function, including diet, risk indicator monitoring and drug therapy.


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dietary considerations iga nephropathy patients

iga nephropathy is very stubborn disease, is a recurring problem in the course of treatment must be symptomatic treatment, to ensure a reasonable diet. A healthy diet is to help kidney patients iga important rehabilitation therapy. The following considerations are iga nephropathy patients in the diet.

[Articles] fruit

First, watermelon, watermelon water content and more, it is a refreshing summer good fruit, but the meat cold, physically weak elderly who eat more prone to abdominal pain or diarrhea; severe heart failure and edema patients should not eat.

Second, apple, apples contain a lot of carbohydrates and potassium, eating too much is not conducive to heart and kidney health; coronary heart disease, myocardial infarction, kidney disease, diabetes should not eat.

Third, lychee, lychee continuous consumption of large numbers, will make people pale, dizziness, palpitation, cold sweats, yawning, fatigue and other symptoms, which is due to exogenous lychee cause low blood sugar reactions caused by the medicine called "litchi disease."

Fourth, persimmons, persimmon meat contains a lot of tannin, persimmon plastic phenol, tannin and strong convergence, so constipation patients should not eat.

Fifth, banana, banana cold, with sodium and more suffering from chronic nephritis, hypertension, edema patients who in particular should be careful to eat; the large banana sugar, people with diabetes should eat less.

Six, citrus, citrus cool, stomach, intestine, kidney, lung function Deficiency the elderly should not eat, so as not to induce pain, weak waist and other symptoms; also eat more oranges easy to get angry, cause mouth sores, red eyes swollen poison, induced hemorrhoids; oranges contain carotene said, overeating cause yellow pigment on the skin pigmentation.

More than six kinds of fruit, iga nephropathy patients should not eat other fruits may be appropriate to eat, but not too much.

dietary considerations iga nephropathy patients

Vegetable [articles]

With IgA nephritis should eat a vegetarian diet, it is best not to eat meat or fish. Almost Many IgA nephritis patients, in the daily diet conditioning, you need to vegetable oil-based, as far as possible Eat less animal fat; eating meat with lean meat-based, high-quality low-protein supplement, eat fat. Eat more fiber vegetables, such as cabbage, celery and so on.

[Staple articles]

iga nephropathy patients eat staple food, wheat starch food should be the best (hard working, unpalatable, it is difficult to stick to it), in fact, normal eating rice is also possible. For IgA nephritis patients should first eat a variety of foods rich in cholesterol, such as various animal organs, heart, liver, etc., and eat more foods rich in fatty acids (such as vegetable oils and fish oil).

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Etiology IGA nephropathy Introduction

IGA nephropathy is a more often in children and adolescents who diseases, so parents and friends need to look at what risk factors IGA nephropathy, out of children's healthy growth and a better future considerations, parents should do preventive work, especially for children that causes IGA nephropathy, what does? |

IGA nephropathy causes:

1, IGA nephropathy causes including infections. For the life of colds, tonsillitis, fever appears to the naked eye or urine occult blood, are very likely to very likely to cause the occurrence of IgA nephropathy, recurrent infection factors, the majority of patients with hematuria IGA nephropathy only exception to the hospital for medical treatment in the body.

2, IGA nephropathy in patients with kidney mesangial cells. For some patients with inflammation of life, but also will lead to the etiology IGA nephropathy, kidney mesangial cells in patients with inflammatory damage will be stimulated to produce inflammatory cytokines, leading to a large number of immune complex precipitation in the kidney patients and eventually causes the generation of diseases.

3, IGA nephropathy has a genetic predisposition. According to the survey, IgA nephropathy have a certain genetic predisposition, in general, have a family history of IgA nephropathy, IGA nephropathy have a genetic predisposition to a certain extent.


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Tell your IgA nephropathy is Editor's Note

In the year has not carried out as a biopsy of the kidney biopsy, is not aware of the existence of IgA nephropathy, and glomerulonephritis were mixed to together, it is difficult to know the truth.

There is a human immunoglobulin A, i.e. IgA. Since the respiratory or gastrointestinal infections, as well as other reasons not yet clear, the body or multimeric IgA increased, with blood deposition in glomerular mesangial area caused the disease, but known as IgA nephropathy. Its lesions in the glomeruli, so it is a nephritis.

IgA nephropathy is mainly repeated episodes of hematuria gap, of course, can also other similar nephritis proteinuria, edema, hypertension, and even renal insufficiency. Because the only rely on the diagnosis of glomerular check whether there IgA deposition, therefore, must renal biopsy to establish the diagnosis.

The so-called renal biopsy, under local anesthesia, with B ultrasound imaging for guidance, with a tiny biopsy needle through the skin to reach the kidneys, "draw" some kidney tissue with a microscope (including light microscopy, immunofluorescence microscope and electron microscope) examination to establish whether this disease. Renal biopsy is actually quite safe, kidney tissue removed are generally 10 glomeruli, for a person has two million glomeruli, the 10 glomeruli is negligible "loss." Never mind.

IgA nephropathy is quite common, with renal biopsy improve technology, increase the number of accepted through the kidneys, the incidence rate will be more cases. In general, the majority of the disease develops slowly, the prognosis is good, as long as adherence to treatment, often to protect the kidneys, slow disease progression, the purpose of maintaining stable renal function. Specific drugs doctors should be selected according to the condition of patients. For individuals, the key lies in eight words: self-protection, adherence to treatment.

IgA nephropathy There are two general types of performance, first class rapid onset of acute hematuria, acute episodes of macroscopic hematuria onset of signs, whereas before, often without a history of abnormal urine tests. Occurred more common in children, its gross hematuria more common in upper respiratory tract infections (colds), the there are a few patients after the onset of gastrointestinal infections, mostly for 24-48 hours interval, visually hyperlipidemia sustainable for several hours or several days, a few In addition to patients with gross hematuria outside there are a number of other similar manifestations of acute nephritis such as a transient high blood pressure and elevated serum creatinine, but usually after remission. Such patients in the first episode of gross hematuria, often marks the beginning of the disease, then the patient may have varying degrees of proteinuria and (or) microscopic hematuria. After the disappearance of gross hematuria. About 60% of patients will again appear, mostly in relapse after respiratory infections. The second category is asymptomatic urinary abnormalities, persistent or intermittent microscopic hematuria, mild proteinuria, occasionally casts. Often found proteinuria and (or) hematuria in the examination, prior to this, proteinuria, and (or) hematuria is often difficult to determine how much longer. As the disease progresses, some patients may appear proteinuria (greater than 3.5 grams per day) and severe hypertension and chronic renal failure.

In Western medicine there is currently no specific treatment methods, but there are several aspects to a use. ① avoid invasive antigens: for gross hematuria after repeated hair of infection, tonsillectomy and dental lesions and other purulent lesions debridement may have some benefits, ② corticosteroids (such as prednisone) is mainly used with IgA nephropathy nephrotic syndrome, the same usage with renal syndrome. ③ to oral anti-platelet aggregation drugs such as aspirin and dipyridamole. ④ vascular converting enzyme inhibitor, to treat hypertension is very effective, and may slow the progression of IgA nephropathy. ⑤ combination therapy is the treatment of IgA nephropathy better way. Many reports in the literature and our experience, have proved that it has a certain effect.

IgA nephropathy is not a benign disease. There are many patients can progress to kidney failure, but the pace of development is very individual differences, which occurred in some patients soon after the biopsy diagnosis, while others can live after diagnosis is about 30 years. Generally show poor prognosis features are: older onset patients (onset after age 40); reduce the onset of glomerular filtration rate; sustained massive proteinuria (greater than 2 g per 24 hours); moderate hypertension and persistent microscopic hematuria with proteinuria. Furthermore biopsy for assessing the prognosis of patients has important value.

Note that cold moisture, pay attention to self-care, to reduce or prevent various diseases induced activities motivating factor, together with a number of protective treatment, stable disease, delay the development process, it can still achieve. In addition, the need to emphasize that, eager to seek treatment, trying everything asked drug, often backfire, but damage the kidneys, remember.

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How to prevent iga nephropathy sicker patients

iga nephropathy not only to bring harm to the patient's body, but also seriously affect the patient's life, work and study. In order to avoid sicker patients, for patients following kidney specialists we have summarized some methods to control iga nephropathy progression of the disease. I believe we have to help the patient.

Respiratory tract infections, tonsillitis induce iga nephropathy worse. For poor physical fitness, patients prone to colds, can be appropriate to participate in outdoor exercise, to enhance the body's resistance.

iga nephropathy patients should be minimal to public places, especially in the spring, because this season is the number of the epidemic period, it is recommended iga nephropathy would be best to wear a mask to go out, but also the appropriate change clothes according to seasonal changes, once infection, you should seek medical advice promptly.

iga nephropathy patients often do violent games so if hematuria or increased repeatedly, so in order to control the disease, patients should avoid exertion, should work and rest. Develop regular daily diet, maintain a good mental state, and establish the confidence to overcome the disease.

Since iga nephropathy patients have varying degrees of mental stress, depression and pessimism. Therefore, in everyday life, spirit nursed back to health is very important. Minimize the adverse mental stimulation of the patient, to feel comfortable, to control the development of the disease.

Once kidney damage, serious impact on the health of patients. So everyday we must prevent iga nephropathy patients sicker, avoid causing complications. In strict accordance with the above knowledge to prevent, for a speedy recovery.


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IgA nephropathy diet should grasp and avoid

IgA nephropathy severe edema should avoid salt, limiting protein food intake, less drinking. Edema is not heavy, you can enter a low-salt diet; no edema was no limits on the amount of water and protein food.

IgA nephropathy is a group of more causes of chronic renal disease immunopathology have the same characteristics, is a common worldwide glomerular disease, its prevalence in different continents, different countries or different regions in a country They vary widely. In general, white, yellow significantly higher incidence of blacks. IgA nephropathy incidence of 26% -34% of primary glomerular disease. Male to female ratio is about 2: 1.

According to related experts say, IgA nephropathy-related symptoms, such as hematuria, proteinuria, more than half of the glomerular damage, so protect these inherent in the treatment of cells, should take scientific and standardized diet, avoid the already affected worse kidney damage and increase the burden on the kidneys. IgA nephropathy and therefore should avoid eating does not allow contempt. IgA nephropathy patients understand the following considerations in the diet.

IgA nephropathy diet should eat foods:

IgA nephropathy diet can eat more fresh vegetables, fruits, if IgA nephropathy patients with microscopic hematuria, no edema, may be more water, eat more apples, sugar, black sesame seeds, fungus and so on.

IgA nephropathy diet avoid eating food:

1, animal offal, millet, mushroom, seaweed, soy, oranges, melon seeds, peanuts, bananas, forbidden to use vegetable oil; 2, fishy spicy food, seafood, beef, lamb, fried, crab, garlic, green onions, parsley , vinegar, wine, beef, mutton, coffee, spiced materials and all the big hair thing; 3, lentils, spinach, lychee, chocolate; 4, high potassium foods: citrus, potatoes, tomatoes, squash, tea, soy sauce, monosodium glutamate. Patients with low potassium consumption to the contrary.

In addition, for IgA nephropathy prevalence of different symptoms and stages of development, and for IgA nephropathy diet should avoid There are some other requirements:

IgA nephropathy uremia hypertension eat high potassium foods such as: bananas, oranges, potatoes, tomatoes, squash, tea, soy sauce, monosodium glutamate; patients with low potassium levels the contrary; IgA nephropathy severe edema should avoid salt, limiting protein food The intake, less drinking. Edema is not heavy, you can enter a low-salt diet; no edema was no limits on the amount of water and protein foods; microscopic hematuria and easy to get angry person to drink more water, eat more apples, sugar, black sesame seeds, fungus and other nourishing yin drop fire food; high uric acid, especially in patients with IgA nephropathy should not eat animal offal, Yuxia mussels, beer, mushrooms, beans, spinach. Overall, IgA nephropathy diet taboos include potassium foods, supplements, tonics and easy to get angry foods.


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how can iga nephropathy avoid exacerbations

Of course, patients are most concerned about is how governance can restore health, away from torture iga nephropathy. iga nephropathy is a systemic disease, if the disease progression will hurt the body's organs are affected, which is the result of patients do not want to see, so the correct treatment is vital. If you can not use the correct methods of treatment for the patient's condition will only fuel.

iga nephropathy treatment is important to note, Chinese medicine treatment is the best choice for the patient. But the daily care of patients is not lost, for example, patients must avoid over exertion, you can not do strenuous exercise, to get more rest, adequate exercise. The drugs can not be used in patients with increased kidney damage drug, but also to avoid infections, while maintaining a good attitude, be optimistic.

VHP TCM therapy is a method of treating immune restoration iga nephropathy best, if you do not understand, you can consult the hospital experts, to answer your questions.


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2015年12月26日星期六

Iga nephropathy symptoms found what needs to be done to check

Iga nephropathy symptoms found after checking what needs to be done? Iga nephropathy found after symptoms, which can be diagnosed needs to be done to check it? Iga nephropathy patients is growing every year, many people began to focus on some of the knowledge about iga nephropathy, today to introduce discovery After iga nephropathy symptoms, which project inspection needs to be done.

Urine routine examination

(1) hematuria: clinical about 40% to 45% of patients present with the naked eye or microscopic hematuria, patients showed 35% to 40% may be a simple microscopic hematuria or microscopic hematuria with a small amount of proteinuria. Gross hematuria sustainable for several hours to several days after to persistent microscopic hematuria, hematuria may disappear in some patients, but often attack, reproduce gross hematuria attack.

(2) proteinuria: mild proteinuria, general urinary protein <1g / 24h, small number of patients with massive proteinuria or nephrotic syndrome.

Immunology

(1) IgA increased: about 1/4 ~ l / 2 IgA increased in the blood of patients, with an increase of multimeric IgA.

(2) circulating immune complexes: about 1/5 ~ 2/3 can be detected in the blood of children with IgA circulating immune complexes and (or) IgG immune complexes.

(3) Anti "O" increased: a minority of patients with anti "O" titer.

(4) Complement: C3, C4 were normal.

(5) Other: IgA rheumatoid factor and IgA type ANCA also often positive, it was considered elevated blood IgA- fibronectin complex is characteristic changes IgA nephropathy, a higher diagnostic value.

Further check B ultrasound, ECG and X-ray examination. Immune pathology: Kidney immunopathology was diagnosed with IgA nephropathy only key basis. Some people were immunized skin pathology found that 20% to 50% of the patients skin capillary wall of IgA, specificity and sensitivity deposition C3, prepare solution pigment, Bene other reports of skin biopsy were 88% and 75% .


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