How does nephrotic syndrome recur to do

summary

My brother always goes to the toilet these two days, and then his eyes and body gradually begin to edema, and then it becomes more and more serious. I went to the hospital to have a check. The doctor said that my brother suffered from nephrotic syndrome. The recurrence rate of this disease is still very high. Next, I'll tell you what to do with the recurrence of nephrotic syndrome?

How does nephrotic syndrome recur to do

First, those with severe edema and hypoproteinemia need to rest in bed. After the edema disappeared and the general condition improved, you can get up and exercise. The normal dose was 0. 8～1。 0 g / (kg · d) of high-quality protein (animal protein rich in essential amino acids) diet. The amount of heat should be sufficient, and the daily weight per kilogram should not be less than 30-35kcal. Although patients lose a lot of urine protein, but because high protein diet increases glomerular hyperfiltration, can aggravate proteinuria and promote the progress of renal disease, so it is generally no longer advocated.

Second, low salt (< 3G / D) diet should be used when edema occurs. In order to reduce hyperlipidemia, the diet rich in saturated fatty acids (animal fat) should be reduced, and the diet rich in polyunsaturated fatty acids (such as vegetable oil, fish oil) and soluble fiber (such as beans) should be increased. Thiazide diuretics mainly act on the thick wall segment of the ascending branch of the medullary loop and the anterior segment of the distal convoluted tubule, inhibit the reabsorption of sodium and chlorine, and increase the excretion of potassium. Long term use should prevent hypokalemia and hyponatremia.

Third: * * potassium diuretics, mainly Acting on the posterior segment of distal convoluted tubules, sodium excretion and chlorine excretion, but potassium retention is suitable for patients with hypokalemia. When used alone, diuretic effect is not significant, it can be combined with thiazide diuretics. Spironolactone, an aldosterone antagonist, is commonly used. Long term use should prevent hyperkalemia, and patients with renal insufficiency should be cautious.

matters needing attention

Once the recurrence of nephrotic syndrome patients must go to the hospital in time to check, because the recurrence of patients will appear edema phenomenon. So the doctor will give patients some antidiuretic hormone, and after the recurrence of the patient's diet should also be limited, try to low protein.