How does children nephrotic syndrome do?

summary

Children's health is the focus of our parents and friends, we need to seize the time to carry out treatment, once the child is sick, parents and friends must not worry, find the right disease is the most important. What about the sick patients, children with nephrotic syndrome?, Now let's take a concrete look.

How does children nephrotic syndrome do?

First: rest: encourage children to moderate activities, not long bed rest, so as to avoid complications such as thrombosis. However, we should avoid strenuous activities and not overwork. Patients with high edema, severe hypertension or complicated with obvious infection should rest in bed. If the lower limbs are obviously edematous, the lower limbs should be raised when lying in bed. Scrotal edema can be lifted with sling. After the edema is reduced, the children can get up and exercise, but fatigue should be avoided.

Second: diet: generally give a normal amount of high-quality protein, such as milk, eggs, fish and so on. Eat less animal fat rich in saturated fatty acids and more vegetable oil rich in unsaturated fatty acids. When the renal function is not complete, the protein intake should be limited. Children with edema should limit their sodium intake and take a low salt diet. Avoid eating salted food, canned food, soda, dried tofu and other foods rich in sodium. Children using glucocorticoids should eat more fruits and vegetables, pay attention to supplement various vitamins and trace elements, and should not blindly supplement calcium, so as not to aggravate hypercalciuria, but can supplement vitamin D.

Third: medication: glucocorticoid is the first choice to induce remission of nephropathy. The basic principles of treatment were adequate initial dose, slow reduction, long-term maintenance and individualization. Immunosuppressants are often used for refractory nephrotic syndrome such as frequent recurrence, hormone dependence and hormone resistance. Glucocorticoids and immunosuppressants have established treatment plan and course of treatment, and have different degrees of drug toxicity and side effects, so they should be used strictly according to the doctor's advice, and should not change the usage and dosage or stop the drug at will. It is also not allowed not to adjust or reduce for a long time. Regular follow-up visits should be made according to the plan. Under the guidance of specialists, the dosage, usage and course of treatment of drugs should be adjusted in time according to the needs of the disease.

matters needing attention

Observe and record the urine protein, urine volume, edema, blood pressure, complications, as well as the use of various therapeutic drugs and adverse reactions, timely report to the doctor to adjust the treatment plan. Observe whether there are signs of infection such as cough, expectoration, urinary tract irritation, skin redness and swelling, find the infection focus in time, and give corresponding anti infection treatment. Regular review.