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What are the two treatments for nephrotic syndrome

Dec 31, 2016
Nephrotic syndrome is the main clinical manifestations of this disease is edema, but once the edema, the patient also needs timely diagnosis and treatment, because the only way to avoid edema to the patient pain. So, how to treat nephrotic syndrome is better than fast? Here is a detailed description of the treatment of nephrotic syndrome.
(a) general treatment
Where there is severe edema, low blood pressure who need bed rest. Edema disappeared, the general situation improved, can get up activities.
Given a normal amount of 0.8 ~ 1.0g/ (kg ~ d) of high-quality protein (animal protein rich in essential amino acids) diet. To ensure adequate heat, daily weight per kg should not be less than 30 ~ 35kcal. Although a large number of patients with urinary protein loss, but because of the high protein diet increased glomerular filtration, can aggravate proteinuria and promote kidney disease progression, it is generally no longer advocate the application of.
Edema should be low salt (<3g/d) diet. In order to reduce hyperlipidemia, a diet rich in saturated fatty acids (animal fats) should be reduced to a diet rich in polyunsaturated fatty acids (such as vegetable oil, fish oil) and soluble fiber, such as beans.
(two) symptomatic treatment
1 diuretic swelling
(1) a thiazide diuretic major role in the thick ascending limb of Henle segment and distal tubule segment, through reabsorption inhibition of sodium and chlorine, increased potassium excretion and diuresis. Long term use should prevent hypokalemia, hyponatremia.
(2) retention of potassium sparing diuretics a major role in the distal tubule segment, the excretion of sodium and chlorine outlet, but the retention of potassium, suitable for patients with hypokalemia. Diuretic effect was not significant when used alone, and could be used in combination with thiazide diuretics. The commonly used triamterene or aldosterone antagonists spironolactone. The long-term use of the need to prevent hyperkalemia in patients with renal insufficiency should be used with caution.
(3) the main effect of loop diuretics in the ascending limb of Henle, sodium, potassium and chloride reabsorption has strong inhibitory effect. The commonly used furosemide (Lasix) or bumetanide (Ding Niaoan) (the same dose effect of furosemide is 40 times stronger), orally or intravenous injection. In the application of osmotic diuretic drugs immediately after administration, the effect is better. Application of diuretics should beware of hyponatremia and hypokalemia, hypochloremia alkalosis occurred.
2 reduce urinary protein
Persistent proteinuria can lead to glomerular filtration, renal tubular interstitial injury and glomerular sclerosis. It has been proved that reducing urinary protein can effectively delay the deterioration of renal function.
How to treat nephrotic syndrome heal faster? Experts suggest that the prevention of nephrotic syndrome and the prevention of colds, tonsillitis, throat infection infections and other infectious diseases, once suffering from the disease, the need for timely treatment. Because of these infectious diseases will cause the weakening of their own immune function, so that increased kidney disease.

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