Henoch Schonlein purpura nephritis, nursing

Henoch Schonlein purpura nephritis, nursing

Typical symptoms: skin purpura, joint pain, abdominal pain, hematochezia, hematuria and proteinuria were mainly occurred in the skin purpura, within one month after or at the same time and see some skin purpura, abdominal pain.

Related symptoms: cutaneous purpura systemic persistent edema proteinuria

First, symptoms

1 International Society for Pediatric Nephrology (1sKDC) pathological classification

I degree: for small lesions.

II degree: mesangial proliferation.

III degree: (a) focal and (b) diffuse hyperplasia or sclerosis, crescent formation <50%.

IV: (a) focal and (b) diffuse mesangial proliferation or sclerosis, crescent formation 50% ~ 75%.

V: (a) focal and B (a) diffuse mesangial proliferation or sclerosis, crescent formation >75%.

VI degree: membranous proliferative lesions.

2 WHO (WHO) pathological grade

I: including small lesions, small lesions with focal segmental significant, focal proliferative glomerulonephritis mild.

II: diffuse proliferative glomerulonephritis with mild, diffuse proliferative glomerulonephritis with mild focal segmental.

III: moderate to moderate focal proliferative glomerulonephritis, focal proliferative glomerulonephritis.

IV: diffuse proliferative glomerulonephritis, severe, end stage renal disease.

General nursing of Henoch Schonlein purpura nephritis

Two, nursing

Henoch Schonlein purpura nephritis is the key to the development of the situation of renal fibrosis. The initial stage of the disease is relatively mild, and to the middle and late stages of renal insufficiency, and even uremia, then the allergic purpura nephritis will be life-threatening. Therefore, the incidence of Henoch Schonlein purpura nephritis symptoms to arouse the attention of patients with allergic purpura, including:

1, purpura nephritis caused by high blood pressure in patients with hypertension accounted for about 20% ~ 40%, blood pressure is generally mild to moderate increase, high blood pressure and urine abnormalities were found at the same time, but the majority of patients with Henoch Schonlein purpura nephritis recovery faster.

Gastrointestinal manifestations of 

2 patients with Henoch Schonlein purpura nephritis, the most common abdominal pain, accompanied by nausea and vomiting and bloody diarrhea, vomiting occasionally. Children with Henoch Schonlein purpura nephritis sometimes complicated with intussusception, intestinal obstruction and intestinal perforation.

3. Most of the joint symptoms in patients with Henoch Schonlein purpura nephritis are characterized by multiple joint pain. Common affected joints are the knee, ankle and hand.

4, purpura nephritis patients with hemorrhagic rash and symmetrical distribution of red spots, often distributed in the lower extremities, ankle, knee joint around, also visible in the buttocks and upper limbs.

 

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