Acute glomerulonephritis

Acute glomerulonephritis sounds unfamiliar to everyone and no one knows what kind of disease it is. Everyone knows about acute nephritis and has heard of it. Acute nephritis is the abbreviation of acute glomerulonephritis. How do people get acute nephritis? Acute nephritis is caused by other diseases, for example, acute tonsillitis caused by colds, the common scarlet fever, large abscesses, taking medicines indiscriminately, etc.

Acute nephritis develops rapidly and is very dangerous. There are some symptoms that everyone must understand. If you have these conditions, you should go to the hospital in time to avoid delaying the disease. Most patients with acute nephritis have hematuria visible to the naked eye, and another problem is edema when they wake up in the morning.

The treatment of this disease is mainly rest and symptomatic treatment. This disease is a self-limiting disease and glucocorticoids and cytotoxic drugs should not be used.

1. General treatment

During the acute phase, you should rest in bed, and gradually increase your activity level after the gross hematuria disappears, the edema subsides, and the blood pressure returns to normal. During the acute phase, a low-salt diet (less than 3 grams per day) should be given. People with normal renal function do not need to limit protein intake, but in cases of azotemia, protein intake should be limited, and high-quality animal protein should be the main source. Those with marked oliguria should limit fluid intake.

2. Treat the infection

In the past, it was advocated to inject penicillin for 10 to 14 days at the beginning of the disease (macrolide antibiotics can be used for those who are allergic), but its necessity is now controversial. For recurrent chronic tonsillitis, tonsillectomy can be considered after the condition stabilizes (urine protein is less than +, urine sediment red blood cell count is less than 10/HP). Penicillin injections are required before and two weeks after the operation.

3. Symptomatic treatment

Including diuresis and swelling reduction, lowering blood pressure, and preventing the occurrence of cardiovascular and cerebrovascular complications. If hypertension is still not satisfactorily controlled after rest, low salt and diuresis, antihypertensive drugs can be added.

Acute nephritis develops rapidly and has a high cure rate with timely treatment. Most young patients can be completely cured within a few months, and patients do not need to worry about any sequelae of acute nephritis. If acute nephritis is not treated in time and the disease is delayed, mild cases may turn into chronic nephritis, and severe cases may turn into uremia. We hope that acute nephritis can be detected and treated early.