Treatment of chronic nephritis

There are more detailed classifications under the symptoms of each disease, just like appendicitis, which is divided into chronic appendicitis and acute appendicitis. Although both types of appendicitis are types of appendix diseases, the treatments are very different. Nephritis and appendicitis are very similar. Nephritis can be said to be the most common type of kidney disease, and there are many ways to treat it.

However, chronic nephritis is very different from general nephritis. Chronic nephritis is a manifestation of glomerular disease, so chronic nephritis can also be called chronic glomerulitis. There may not be any particularly obvious symptoms in the early stages of the disease, but over time, many complications will appear. The treatment of this disease is mainly aimed at preventing or delaying progressive renal function damage, improving or alleviating clinical symptoms, and preventing and treating serious complications, rather than eliminating proteinuria and hematuria. Generally, comprehensive treatment measures are adopted, emphasizing rest, avoiding strenuous exercise, restricting diet, and preventing infection.

1. Limit high-protein diet. Patients with renal insufficiency should adopt a low-protein diet as early as possible. A low-protein diet can reduce urinary protein excretion, thereby reducing glomerular hyperfiltration and tubular hypermetabolic state, and reduce the production of ammonia in the proximal tubules, thereby reducing ammonia activation of complement through the bypass pathway and causing tubulointerstitial inflammatory damage, delaying the progression of renal failure. Protein intake is limited to 0.6-0.8, and high-quality protein such as eggs, milk, lean meat, etc. is generally provided, and essential amino acid therapy is added. Shenling provides α-keto acid; supplementing Shenbi Amin provides essential amino acids in the body. At the same time, increase carbohydrates appropriately to meet the body's basic needs and prevent negative nitrogen balance. For patients with only large amounts of proteinuria but normal renal function, protein intake can be appropriately relaxed to 0.8-1.0. While following a low-protein diet, you should pay attention to limiting phosphorus intake, and when supplementing calcium, pay attention to correcting the high-phosphorus and low-calcium state to alleviate secondary hyperthyroidism. In addition, a low-purine diet should be given to reduce the production and excretion of uric acid and alleviate hyperuricemia.

2. Control hypertension During the progression of chronic nephritis, the remaining renal units are in a compensatory high hemodynamic state. Systemic hypertension can further aggravate the lesions and lead to progressive glomerular damage. Actively controlling hypertension can prevent worsening of renal damage. For patients with obvious water and sodium retention, diuretics may be the first choice. If the renal function is good, thiazide drugs can be added; for those with poor renal function, loop diuretics should be used instead, and attention should be paid to preventing electrolyte disorders to prevent aggravation of hyperlipidemia and hypercoagulable state.

Patients can adopt some dietary health care methods while taking medication, which can play a great role in controlling the disease and delay the deterioration of the disease. Moreover, dietary health care is mostly traditional Chinese medicine treatment, so there is no need to worry about the impact of side effects. Patients should also pay attention to rest, avoid overwork, actively get enough sleep, and have adequate nutrition.