iga nephritis patients with hematuria how to treat?

Hematuria is a clinical symptom iga nephritis patients often appear, it is often plagued by the patient's life, then how to treat it? Hematuria can be divided into acute and rapid onset of gross hematuria episodes of gross hematuria.
First, episodes of gross hematuria.
Most iga nephropathy patients after upper respiratory tract infections (eg pharyngitis, tonsillitis); also can occur after gastrointestinal infections, lung and urinary tract infection can also attack, but also occasionally in overworked or after vaccination. In the above four predisposing factors in upper respiratory tract infection is the most common infection to the onset of hematuria separated by time of 24 hours to 48 hours.
Second, the acute onset of gross hematuria speed.
1, type accounts for about 40 percent of gross hematuria iga nephropathy patient population, the number of episodes of gross hematuria can be 1 to 20 times per second, of which about 60% of iga nephropathy patients in the respiratory tract infection occur again hematuria, hematuria the duration may be a few hours to several days, individual iga nephropathy patients will stop up to one week, gross hematuria disappeared.
2, iga nephropathy in patients with upper respiratory or gastrointestinal infection, urinary tract infection occurs 1-2 days after gross hematuria for several hours or several days, into microscopic hematuria, after having varying degrees of proteinuria or microscopic hematuria. The total symptom through such a process: gross hematuria - microscopic hematuria - proteinuria / hematuria.
3, a small number of patients may have a transient increase in blood pressure and blood urea nitrogen, individual patients and even acute oliguric renal failure syndrome, but after symptomatic treatment and rest can be mitigated. After the disappearance of gross hematuria, about 60% of patients will relapse after respiratory tract infection, hematuria again. Some people think that may reduce or eliminate the urine after a tonsillectomy. This type more common in children, about 80% -95% of children with IgA nephropathy showed gross hematuria.
Third, to persistent microscopic hematuria.

Small number of patients with nephrotic syndrome, severe hypertension and chronic renal failure. Systemic symptoms of varying severity, can be manifested as malaise, fatigue and muscle pain. IgA nephropathy hypertension is uncommon, as the disease progresses increased, few patients can occur in malignant hypertension. In addition to a small number of patients with gross hematuria, but also shows similar clinical manifestations of acute nephritis, such as a transient hypertension, proteinuria, blood urea nitrogen increased, less likely to see oliguric acute renal failure syndrome, usually after treatment get relief. Edema: Some patients may have varying degrees of edema, general and protein loss related. Less protein loss, a slight edema. Otherwise edema.


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