How long does nephrotic syndrome hormone reduce

summary

Recently, I happened to have a holiday on the national day. I went to the hospital to see a friend with nephrosis. When I saw him, I found that he was really haggard. I heard that he was still undergoing hormone treatment, so I understood. Now let's know how long the hormone reduction of nephrotic syndrome is.

How long does nephrotic syndrome hormone reduce

First, in the phase of reduction treatment, large dose of hormone is usually used for 8 weeks, which is reduced to 10% of the original daily dose per week. For adults, it is generally 5mg per week. After 8 weeks of high-dose treatment, if the symptoms do not improve or even worsen, it is estimated that the continued use of drugs will not be effective (hormone ineffective type) after carefully eliminating the factors that affect the curative effect, such as infection. The dosage should be rapidly reduced so as to stop the use of drugs for a short time. If possible, it is best to send to a higher hospital for renal biopsy.

Second, if the nephrotic syndrome is partially relieved after treatment (proteinuria < 3G / D or more than half of the original reduction, edema and other symptoms are relieved), the hormone should be withdrawn to a small dose (0.5 mg / D for adults). 5 mg / kg, 1 mg / kg per day for children) was changed to two-day dosage, which was taken in the morning every other day. If the large dose of hormone can be relieved quickly or within 6 weeks, it can be reduced after 2 weeks of consolidation with the original dose.

Third: according to the different types of disease, the degree of disease to take the appropriate diet. Control infection, clear primary focus, treat primary disease, adjust the balance of water and electrolyte, enhance the body's resistance to disease and so on. In special treatment, different treatment schemes are also adopted according to different types of nephropathy. At present, there is a mature therapy that can fundamentally repair the damaged kidney cells, so as to improve the quality of life of patients with nephrotic syndrome, get rid of dialysis and kidney replacement.

matters needing attention

How long to reduce the amount depends on the patient's condition. After all, the treatment is a very rigorous thing. It is necessary to minimize the occurrence of errors. However, the patient should also maintain an optimistic heart and cooperate with the doctor to achieve the best curative effect.