The introduction of nephritis2017-08-17 18:23
Recently, patients with kidney disease have asked, "What is nephritis in the end?" So I recently collected the information, for everyone to summarize the brief introduction of nephritis, hoping to give you some help.
Common brief introduction of nephritis
1. Acute nephritis
It is acute glumerular disease caused by all kinds of reasons including bacteria, virus, parasite infection.
2. Chronic glumerular nephritis
Chronic glumerular nephritis also called chronic nephritis, which is a group of glomerular disease. Proteinurine, blood urine, high blood pressure, swell as the basic clinical manifestation, the onset style is different, lesion develop slowly, different degrees of renal function decline finally develop into chronic renal failure. Due to the pathological pattern and stage is different, the mainly clinical manifestation is different, the disease performance present persity.
3. Acute interstitial nephritis
It is a group of kidney disease with acute renal tubular interstitial inflammation as the the basic feature, can be caused by all kinds of reasons, the clinical manifestation is acute renal failure, glumerular and renal tubules is commonly not involved or affected relatively light. In the cases of acute renal failure, acute interstitial nephritis account for 10%-20%.
4. Chronic interstitial nephritis
It is a group of kidney disease which is charactered by tubular atrophy and interstitial fibrosis and degree of different cell infiltration. The damaged mechanism of the renal interstitium can relate to immune damage, infection, poisoning, metabolism disorder, the urine stream mechanical obstruction and genetic factors. In clinic it is charactered by renal tubular function damage, in the late of the disease will be chronic renal failure.
5. Hepatitis b virus associated glomerulonephritis
It is also called hepatitis b associated glomerulonephritis which refers to after the HBV infect the body through the immune reaction form immune complex, thus causing glomerular damage.
6. Idippathic acute renal tubular interstitial nephritis
It is a kind of tubulointerstitial nephritis with unclear reason and caused by non drug, non infection, non systemic disease. Pathology of the renal biopsies show that interstitial swell and single nuclear cell infiltration, most are reversibility acute renal failure, can be repeated. In clinic can accompany with uveitis, often for adolescent women.
The main manifestation of nephritis including :weak, waist pain, gross hematuria, swell, high blood pressure, abnormal renal function, urine volume reduce(parts of the patients have oliguria),congestive heart-failure
1. The examination of creatinine and urea nitrogen.
2. Serum C3 and total complement decline, serum hemolysin against streptococcus “o” drop degree can be increased, reminder there is streptococcal infection. Parts of the patients in the early onset stage the circulating immune complex and serum globulin can be positive.
1. General treatment
In the acute stage should lie in bed, after the clinical symptoms get well can increase activities gradually. In the acute stage can give low salt diet(under 30g a day). For patient with normal renal function don’t need to limit the intake of protein, but when azotemia should control the intake of protein and give priority to with high quality of animal protein. Oliguria patients should limit the liquid.
2. Treating focus of infection
3. Expectant treatment
Diuresis eliminate swell, drop blood pressure, prevent complications.
4. Dialysis treatment
When occur acute renal failure and has dialysis indications should take dialysis treatment immediately.
The above is about the introduction of nephritis related knowledge, for reference only. If you have questions about nephritis, you can leave a message below, we will reply to you as soon as possible.
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