Can membranous nephropathy be cured

summary

Because I feel a little uncomfortable, my friend suggested that I go to the hospital for a physical examination. The examination result said that my urine protein content was abnormal, and it was preliminarily determined that it was membranous nephropathy. The doctor began to give me some effective drug control, and then I will tell you about membranous nephropathy can be cured?

Can membranous nephropathy be cured

First, the clinical manifestation is nephrotic syndrome or asymptomatic, non nephrotic proteinuria. Non immunotherapy, for 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.

Third: the protein intake of patients with low protein diet and large amount of proteinuria should be limited to 0.8g / (kg · d), and others include the treatment of edema and hyperlipidemia. 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.

matters needing attention

There are several ways to treat membranous nephropathy. At present, many doctors will use some immunosuppressants to control it. The best treatment is also in the diet for conditioning. Try not to let patients eat too much protein, eat more fresh vegetables and fruits every day, and drink more water.