The patients of chronic nephritis show these characteristics of dormant
attacking, longer duration and slower progress. A minority of the symptoms of
acute glomerulus nephritis would, after over a year’s defer continuously, be
turned gradually into the chronic glomerulus nephritis.
The clinical manifestations are featured by the different degrees of
proteinuria, microscopic hematuria, high pressure, edema and the damage of renal
function, etc.
Owing to the fact that chronic nephritis is a disease that are not entirely
identical in the transformation of the gene and pathology, so the clinical
manifestations are being a quite difference. The common features for the
clinical manifestations are: edema, high pressure, the symptoms of CNS, the
abnormality in urine test such as proteinuria etc, the renal insufficiency, the
syImmunotherapyatic manifestation(anemia, inappetence, the weakeness in the
function of assimilation, malnutrition and the more accessibility of the
secondary infection etc.) and the complications(hypoproteinemia, cardiac
failure, the secondary infection of the respiratory tract and skin, the
unbalance of water electrolyte and acidosis etc.). Except for the above common
manifestations, some cases are maybe obvious in edema, and some others would
have the trait of high pressure and also, there are cases with the
characteristics of repeated outbreak. In clinic, these cases are classified into
five types, they are ordinary type, NS type, hypertension type, mixed type and
the type of repeated outbreak.
Treatment
1, General Treatment
Staying in bed is suggested for these patients with the symptoms of obvious
edema, plentiful proeinuria, abundant gross or microscopic hematuria, severe
high pressure, cardiac failure or for those who are generally in poor
conditions.
For the patients of light edema, the less proteinuria and no notable increase
in blood pressure, they are advised to get up and do some sports and the
activity level could be gradually increased as appropriate.
2, Diuresis
The diuresis should be strengthened for the patients with notable edemas and
the medicines used could be HCTZ, spironolactone, triamterene or furosemidum and
so on(pay attention to the electrolyte balance). For the patients of
hypoproteinemia, intravenous drip could be conducted for blood plasma, plasma
albumin or blood substitutes.
3, Depressurization
The treatment with the medicine of depressurization should be adopted for the
patients of chronic glomerulus nephritis accompanied by high pressure.
4, Glucocorticoid and Immunosuppressive Agent.
They are mainly applied into the type of chronic glomerulus nephritis and the
general type with more proteinuria and could also be tried out for the type that
other treatments fail to help. The taken for these medicines is not suitable or
supposed to be cautious for the patients who already have the obvious symptoms
of decrease in renal function.
5, Treatment with Other Pharmacotherapy
Indomethacin, as the unspecific anti-inflammatory drugs, could restrain the
cohesion of the blood cells and the release of the medium of inflammation,
thereby restrain the reaction process of inflammation. It could be used
exclusively in general type and be used sharing with hormone in the type of
nephrosis.
Dipyridamole has the effect of inhibition of platelet aggregation.
6, The Chinese traditional Treatment
By adopting the combined therapy of traditional Chinese and Western medicine,
the therapeutic effect could be enhanced for the chronic nephritis. According to
the treatment based on syndrome differentiation, most of the ordinary type are
Qi-Yin deficiency and are suggested to improve the Qi-Yin; The majority of the
nephrosis type are spleen-kidney Yang deficient and advised to Onyang Diuresis;
The type of high pressure are all hepatorenal Yin deficient and should be
nourished the kidney and Yin.
The chronic nephritis is with a long duration, so never in your life to seek
a treatment in simple and small clinics in alleys. The burden of kidney would
possibly be aggravated instead if the medicine is inappropriately used. So you’d
better to take a syImmunotherapyatic treatment in a hospital.
