Acute and acute nephritis in children2017-02-07 14:59
Binbin, excellent academic neighbor son be clever and sensible. Nearly two weeks suffering from a bad cold, but in order to continue to go to school to study, the end of medication. Nearly two days of urine volume significantly decreased, but not seriously, this morning found the eyelid edema, swelling of feet, urine color is wash water meat, hurried to the hospital. Results the patients were diagnosed as acute nephritis and had to be hospitalized.
Acute nephritis is one of the most common renal diseases in children. The cause of acute nephritis many pathogens are bacteria, viruses, mycoplasma, protozoa, most of them with bacterial infection. The latter is mainly caused by beta hemolytic streptococcus infection. The most common infection hammer upper respiratory infection, tonsillitis, pneumonia, otitis media, impetigo etc..
Why do some children with acute nephritis after these diseases, and the vast majority of children do not appear to have kidney disease, which has long been a mystery. Although many scientists have been working hard for a long time, it is not fully understood. It is generally believed that at least by the following two factors. With the existence of immune disorders, which are the pathogenic role of children infected with the antibody; can cause acute nephritis special streptococcus.
Typical manifestations of acute nephritis edema, oliguria, hematuria, can feel fatigue, loss of appetite; physical examination found hypertension. The presence of hematuria, proteinuria, serum resistance to "0" increased, blood complement decreased. A small number of children with acute renal failure, acute heart failure and hypertensive encephalopathy.
The vast majority of children after treatment timely, appropriate, recovery from 1 to 2 months, a few in 6 ~ 12 months of recovery, without any sequelae. Only 0.5% of children develop chronic renal failure. The acute mortality rate was about 0.1% ~ 0.5%. Children with acute phase of hospitalization, bed rest, low salt, low potassium, low protein, high fever card, a variety of vitamin diet. Appropriate restrictions on sodium and water intake, and diuretic and antihypertensive therapy. In spite of penicillin and other antibiotics in treatment of acute nephritis is not directly, but can be eliminated in vivo streptococcal infection, resulting in production of antibodies and renal lesions, so we must accept conventional antibiotic therapy for 10 to 14 days. The term bed rest, depending on whether the acute symptoms disappeared in 2 ~ 3 weeks after no obvious edema, hematuria, urine volume and blood pressure under normal circumstances, can get out of bed to do minor activities, such as walking, but not to do more outdoor activities. In the acute phase after 3 months, ESR and urine normal, can return to school. However, within 6 to 12 months to prohibit strenuous physical labor, but also to avoid high protein diet, so as not to increase the burden on the kidneys, delaying the recovery of renal function.
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