1. What is chronic nephritis?
In general, from the clinical features of nephritis distinction, there are acute nephritis, chronic nephritis, acute nephritis, occult nephritis several. If you do a renal biopsy, you can directly in accordance with the pathological characteristics of the name, such as minor lesions, focal sclerosis kidney disease, mesangial proliferative glomerulonephritis, membranoproliferative glomerulonephritis, membranous nephropathy, IgA nephropathy. According to the cause can be pided into primary glomerulonephritis and secondary glomerulonephritis, which can include lupus nephritis, purpura nephritis, hepatitis B-associated glomerulonephritis, hypertensive nephropathy, multiple myeloma nephropathy, high uric acid Kidney disease, rheumatoid arthritis kidney damage and so on. Often we will have a clinical proteinuria and (or) hematuria, with or without hypertension and edema in patients with a history of more than 3 months called chronic nephritis.
When the doctor told us that we may have chronic nephritis, we will have a lot of questions to ask. For example, how did the disease come about?How is chronic nephritis treated? How long will it take? Will it become uremia? So how did nephritis produce it? The reason is more complex, in general, mostly because of immune inflammation damage to the kidneys, the kidneys in the human body like a sieve filter, when damaged after the sieve hole becomes larger, resulting in useful substances such as protein and red blood cells too much excretion To the urine, and thus the formation of proteinuria and hematuria, which is what we said the performance of nephritis. Most chronic nephritis treat requires long-term or even lifetime medication, a small part can be cured. But as long as the control of the disease and stability can be, and generally will not develop for uremia. Chronic nephritis treatment should be said that the combination of Chinese and Western medicine is the best solution, because the use of Western medicine alone when there may be some side effects, if combined with traditional Chinese medicine conditioning, you can reduce side effects. In addition, some Western medicine is not a good effect, we can only choose traditional Chinese medicine conditioning, often have unexpected results. But we can not the role of mythology, to be flexible use of Chinese and Western medicine, to achieve the best results and purpose. In the course of treatment, I have a deep experience, that is, must be patient, can not be impatient, or it is easy to lose confidence and treatment, so easy to develop the disease caused by the emergence of uremia. That is to fight a protracted war. Regular check with the doctor is critical. East governance, West governance, non-stop for the doctor is easy to detours. I have a patient, male, 47 years old, chronic nephritis, renal insufficiency, serum creatinine 154umol / L, urinary protein medium, active treatment, adherence to treatment, Chinese and Western medicine treatment for 19 months, now has serum creatinine to maintain normal 4 months, urinary protein reduced to a small amount. The success of this medical record should depend on the patient's trust and patience.
3. Do you want a renal biopsy?
When diagnosed with nephritis, it should be with the doctor in time renal biopsy, so you can confirm the diagnosis, to determine the condition and prognosis, to guide the treatment program is very good. Can avoid misdiagnosis, because some chronic nephritis kidney disease is a very different treatment methods, such as lipoprotein nephropathy, obesity-related nephropathy, renal amyloidosis, etc., can not use hormones and immunosuppressive therapy, if not renal biopsy Is unable to determine the treatment program, only the experience of treatment is not enough. Some old doctors often do not take the initiative to allow patients with renal biopsy, said do not do a kind. Actually it is not really the same. We had a renal biopsy diagnosis of IgG4-related nephropathy, a clear diagnosis of hormone therapy, and finally to avoid long-term dialysis, and now patients have completely returned to normal. The importance of renal biopsy. In fact, renal biopsy is very safe, do not worry too much, that will hurt the kidneys. It can be said that the damage is completely negligible, there is no adverse impact on people. Therefore, it is recommended nephritis patients treatment must do renal biopsy, which is very important and meaningful thing. Like the war, the enemy is not clear, how can win the battle it?
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