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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