What does second liver membranous sex nephrotic treatment method have

summary

Once, when I went to the old people's home as a volunteer, an old man was suddenly taken away from the old people's home. Later, I heard from other volunteers that the old man had membranous nephropathy of hepatitis B and had to go to the hospital for diagnosis and treatment immediately. What does the following talk about second liver membranous nephropathy treatment method have.

What does second liver membranous sex nephrotic treatment method have

First, non immunotherapy is aimed at young patients with urinary protein < 3.5g/day, normal or mild decrease of plasma albumin and normal renal function. The blood pressure should be controlled below 125 / 70 mmHg. The first choice of drugs is angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor antagonist (ARB).

Second, anticoagulant therapy can prevent the high incidence of venous thrombosis in patients with membranous nephropathy. The patients with high risk factors (urinary protein > 8g / day, plasma autoprotein < 20g / L, diuretics or long-term bed rest, etc.) should take active anticoagulant therapy. Low molecular weight heparin injection is the first choice. If patients have long-term hypoproteinemia, oral warfarin anticoagulant therapy can be considered, but coagulation function should be closely monitored. The protein intake should be limited to 0.8g / (kg · d) in the diet of patients with low protein diet and large amount of albuminuria, and sufficient calories should be given at the same time. The total calories should be 146.54kj (35kcal) / (kg · d).

Third: immunotherapy. Immunosuppressive therapy depends on the degree and duration of proteinuria and the state of renal function. It is generally believed that high-risk patients with proteinuria > 3.5g/day and renal dysfunction or proteinuria > 8g / day should be given immunotherapy. It is generally believed that glucocorticoid alone (hereinafter referred to as glucocorticoid) is ineffective, and hormone plus cyclophosphamide (CTX) or cyclosporine A (CSA) treatment can make some patients achieve clinical remission.

matters needing attention

Hepatitis B membranous nephropathy patients through the above methods to choose their own treatment, in the treatment process must be in accordance with the doctor's instructions. In daily life, the best food for patients is light and complementary food.