What are the errors in the treatment of nephrotic syndrome?

What are the errors in the treatment of nephrotic syndrome?

Nephrotic syndrome is one of primary glomerulonephritis, is clinically common and multiple types of nephropathy. Nephrotic syndrome treatment errors, is the treatment of the most critical issues. Suffering from nephrotic syndrome, to the right choice, not blind treatment, to avoid into the treatment errors. So, what are the errors in the treatment of nephrotic syndrome?

Misunderstanding 1: primary nephrotic syndrome is an acute disease.

Correction of errors: primary nephrotic syndrome (referred to as renal syndrome) is a chronic disease, manifested as "three high and one low", that is, a high degree of proteinuria, high swelling, hyperlipidemia, hypoproteinemia. Most patients with nephrotic syndrome have no signs of early symptoms, some have a history of allergies (such as milk, pollen allergy, etc.); some have a recent history of vaccination; some occur in the insect bites, bees sting, etc. The Some patients think their body has been very good, these days suddenly swollen, must have acute illness, a few days just fine. Really not, once the primary nephrotic syndrome, is a chronic disease.

Misunderstanding 2: the more proteinuria, the more obvious swelling, the more severe the disease.

Correct the errors: kidney syndrome severity and prognosis depends mainly on the pathological type, and pathological type only through the renal puncture check to clear. Some patients, although swollen, but slightly pathological type, mostly sensitive to hormone therapy, the effect is better. On the contrary, some patients although edema is not obvious, the pathological manifestations of membranoproliferative glomerulonephritis or severe focal segmental glomerulosclerosis, hormone therapy is not sensitive, the prognosis is poor.

Misunderstanding 3: nephrotic syndrome patients lose the more the better albumin.

Correct Misunderstanding: In fact, losing albumin is a waste. Intravenous albumin, 1 to 2 days will be discharged from the urine through the kidneys, can only maintain a short effect. Enter the albumin, only for two cases: ① nephrotic syndrome patients with severe systemic edema, and intravenous furosemide can not achieve diuretic swelling effect; ② use furosemide diuretic, the patient appears insufficient performance of plasma capacity.

Above is the treatment of nephrotic syndrome, some common errors, we hope to help.

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