How does female nephritis oedema return a responsibility?

summary

Many patients with kidney disease need active treatment. Especially in patients with nephrotic syndrome or chronic nephritis, there will be a symptom is edema, most of them are swollen feet, or eyelid edema. As a kind of more complex disease, how does female nephritis oedema return a responsibility? How can it be?

How does female nephritis oedema return a responsibility?

The first is: first, the glomerular filtration is down, and the renal tubules absorb water and sodium again * *, which leads to water and sodium retention. This is often accompanied by an increase in capillary permeability of the body, so water retention in interstitial tissue is more common in nephritis.

Second: another reason is that the plasma protein is too low due to a large amount of proteinuria. When a large amount of proteinuria is produced, the protein concentration in human blood will be reduced, which will lead to human hypoproteinemia. When the concentration of protein in blood decreases, the osmotic pressure of plasma colloid in blood vessel will decrease.

Third: the decrease of plasma colloid osmotic pressure indicates that the proportion of water in the blood is larger than that in the tissue, so the water in the blood will penetrate into the interstitial space of the tissue. The more the water in the tissue seeps, the more it accumulates, and eventually it will lead to edema of the human body.

matters needing attention

1. Etiological treatment is fundamental, active treatment of glomerulonephritis, nephrotic syndrome. But it worked slowly. 2. Limit sodium: nephritis or nephrotic edema have sodium retention, must limit sodium intake, but to be appropriate, long-term sodium can lead to hyponatremia. 3. Diuresis: if necessary, diuretics should be given at the same time to limit sodium, which can promote the discharge of sodium and water, relieve edema, relieve hypertension and reduce cardiac load. 4. Control proteinuria: for nephrotic edema, proteinuria must be controlled, and immunosuppressive drugs (dexamethasone, prednisone, etc.) can be used to restore normal glomerular permeability. Supplement plasma protein. 5. Bed rest, supine can increase renal blood flow, improve glomerular filtration rate, reduce water and sodium retention, * mild edema patients rest in bed and activities alternately, activity limit should be limited, serious edema patients rest in bed, and raise the edema limb to facilitate blood flow and reduce edema.