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2012/07/28

Treatment for Renal Failure Induced by Glomerularnephritis

Glomerulonephritis and renal failure are renal disease, among them there is a connection! Generally speaking, glomerulonephritis, renal failure due to Suffering from nephritis, if long-term therapy ultimately will develop into renal failure. Is not the same way for both treatment and care. So, how to distinguish between glomerulonephritis and renal failure is very important.
How to distinguish between glomerulonephritis and renal failure? Glomerulonephritis:
The clinical manifestations of this disease occurs mainly in children and adolescents, more men than women. Common manifestations are as follows:
Edema To start the eyelids start, and gradually spread to the body and even the chest, ascites;
② blood pressure is elevated;
The ③ hematuria mostly wash the meat in water samples associated with proteinuria, urinary tube;
④ most of them have varying degrees of renal impairment, the most obvious change in glomerular filtration rate.
The first two weeks of bed rest, wait for his condition improved significantly and gradually get up activities, generally a break of not less than two months; diet is generally given to the animal protein, adequate calorie and vitamin-rich foods; give a low-salt or no salt diet according to the degree of edema severe edema should limit the intake of water, vomiting, not eating should be intravenous the lonely rehydration and antiemetic; edema or oliguria should use diuretics, high blood pressure, use of antihypertensive drugs; use of penicillin to prevent infection.
How to distinguish between glomerulonephritis and renal failure? Renal failure:
① start of this period, patients often suffer from some known of the etiology of ATN, such as hypotension, ischemia, sepsis and renal toxins, but not yet renal parenchymal damage in acute renal failure at this stage can prevent. as renal tubular epithelial obvious damage, GFR a sudden drop in the performance of acute renal failure syndrome in the clinical became apparent, then enter the maintenance phase.
② maintenance phase, also known as oliguria. Typical for 7-14 days, but can also be as short as a few days, as long as 4-6 weeks. Glomerular rate remained at a low level. Many patients, there may be oliguria (<40Oml / d). but some patients can no oliguria, urine output more than 400ml / d, referred to as non-oliguric acute renal failure, the disease mostly light, with good prognosis, however, regardless of urine output to reduce, with the renal dysfunction in clinical practice can be a series of uremia performance.
③ infection is another common and serious complications of acute renal failure in acute renal failure at the same time or in the development of the disease process can also merge multiple organ failure in patients with mortality as high as 70%.
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