2014年9月28日星期日

Nephrotic syndrome should be how to prevent? How should they care?

One,prevention
Prevention: the incidence and prognosis of the disease with a variety of factors, prevention proceed from their own health, attention to proper diet, health, enhancing immunity, avoid exposure to toxic substances, harmful drugs and chemicals, to reduce its damage to the body, and and should actively prevent infection and disease occur. Important factors that affect renal comprehensive efficacy and long-term prognosis of patients with complications of nephrotic syndrome, should actively prevent and treat.
Nephrotic syndrome is often accompanied by gastrointestinal mucosal edema and ascites, affect digestion and absorption. Peace digestible, light, semi-liquid diet. Nephrotic proteinuria considerable loss, the body is in a low protein status before the end of the eighties of last century, advocates high protein diet (1.2 to 1.5 g /kg.d), an attempt to ease hypoalbuminemia and consequent series complications. However, animal experiments and human kidney disease observed were confirmed: high-protein diet, although liver synthesis of albumin increased, but also increased urinary protein excretion, is not conducive to hypoproteinemia, high anti-glomerular capillary perfusion, high pressure and high filtration accelerated non-inflammatory glomerular sclerosis. Limiting protein intake may slow the development of chronic renal damage. It is currently advocated high-protein diet, the daily per kilogram of body weight of 0.7 to 1.0 g. Almost all patients with nephrotic syndrome, hyperlipidemia, restrict animal fat intake, diet rich supply of polyunsaturated fatty acids (such as fish oil) and vegetable oil (soybean oil, rapeseed oil, sesame oil). Edema height limit sodium intake, daily intake of less than 3 grams of salt, appropriate micronutrient supplementation.
Second, nursing
  Nephrotic syndrome prognosis individual differences. The main prognostic factors include:
1, histological type in general, a better prognosis minimal change nephropathy and mild mesangial proliferative glomerulonephritis. Minimal change nephrotic some patients may be spontaneous remission, remission rate, but easy to relapse after remission; early membranous nephropathy remission rate is still high, late though it is difficult to achieve remission, but the slow progress of the disease, renal failure compared late; mesangial capillary glomerulonephritis, focal segmental glomerulosclerosis and severe mesangial proliferative glomerulonephritis poor prognosis, poor efficacy, rapid progression of chronic renal easy to enter short failure.
2, clinical factors such as proteinuria, hypertension and high cholesterol can promote glomerulosclerosis, these long-term factors such as lack of control, has become an important factor of poor prognosis.
3, there is a recurrent infection, thromboembolic complications often affect the prognosis.

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