The best way to treat nephritis
summary
Nephritis is a relatively common kidney disease, which brings certain harm to patients. In addition to regular treatment, we should also pay attention to diet. Scientific diet has a certain effect on the treatment and rehabilitation of the disease. Let's take a look at the best method for the treatment of nephritis.
The best way to treat nephritis
First: general treatment. It includes avoiding fatigue, removing infection and other incentives, avoiding contact with nephrotoxic drugs or poisons, adopting healthy lifestyle (such as smoking cessation, moderate exercise and emotional control) and reasonable diet. In the acute stage, patients should rest in bed and gradually increase the amount of activity after the improvement of clinical symptoms. Acute phase should be given a low salt diet (less than 3G per day). It is not necessary to limit the protein intake in patients with normal renal function, but it is necessary to limit the protein intake in patients with azotemia. Fluid intake should be limited in patients with oliguria.
Second: drug treatment can be chosen. For mild cases, compound sulfamethoxazole, quinolones or semi synthetic broad-spectrum penicillin with β - lactamase inhibitor can be used orally, while for severe cases, combined medication and intravenous medication are needed, such as piperacillin plus tazobactam or imipenem plus cilastatin sodium.
Third: the treatment of etiology and pathogenesis. The treatment of immune pathogenesis often includes glucocorticoid and immunosuppressive therapy, blood purification therapy such as plasma exchange, immune adsorption can effectively remove the body's autoantibodies and antigen antibody complexes, and the treatment of non immune pathogenesis includes hypertension, hyperlipidemia, hyperglycemia, hyperuricemia, obesity, proteinuria and renal hypercoagulable state, renin blood coagulation The treatment includes activation of angiotensin system and oxidative stress. Renin angiotensin system blockers, such as ACEI / ARB, are one of the most important therapeutic measures to delay the progression of kidney disease.
matters needing attention
There are many nephritis patients, do not dare to eat too much salt, in fact, this idea is not completely correct, too much salt and unlimited salt are wrong, should be treated according to different circumstances. Acute nephritis early more edema and oliguria, or hypertension, should quit salt and limit the amount of drinking water, and when the urine volume recovery as usual, edema subsided, food can be slightly light, do not have to strictly quit salt, also do not add "substitute salt".