Treatment of children with kidney disease must take four

Pediatric urinary system is the most common disease of children with nephrotic syndrome, treatment of children with nephrotic syndrome is not a simple matter of opinions. Nephrotic syndrome in children because every child has their own illness characteristics. Kidney disease experts say children should be better treatment of nephrotic syndrome, from the infection, water and electrolyte metabolism, blood coagulation status, renal function, consider these four aspects. Here we have a specific look up the specific circumstances of these four areas.

1 infection in children with nephrotic syndrome patients

Nephrotic syndrome infection rate was higher with abnormal immune inhibitors, immunoglobulin G, immunoglobulin A lower long-term application of the steroid-induced immunosuppression. I found that years of clinical observation, renal comprehensive course of treatment in children infected with 1 56% 2 24% or more infections. Almost all infected children with kidney disease aggravated or repeated, that is very important to prevent and control infection. Infection occurs, timely application of sensitive, powerful, non-antibiotic treatment of renal toxicity, and to strengthen support for therapy. Chinese medicine, kidney qi often in children less than comprehensive, lung qi deficiency are barriers sparse, easy Pathogenic Factors, complicated by a cold, bronchitis, tonsillitis and other respiratory tract infections. Qi lungs treatment should be solid table, I used Yu Ping Feng San Granules, each 10 g, 3 times a day, or Yu Ping Feng San (Radix, wind) Jiantang oral, made in the prevention of infection than good results. "Manifestations of various pathogens. Water disease," said: "Water patients, all from the spleen and kidney it is also false." So pay attention to the lungs, spleen, kidney three dirty, apply Qi solid form, spleen lines of water, strong kidney marrow and other methods to achieve "righteousness exist, the evil can not be dry," the prevention of infection, the purpose of the consolidation effect.

2 children with nephrotic syndrome in patients with water and electrolyte metabolism

Fully common in children with renal sodium, calcium, potassium, which is particularly high incidence of hyponatremia. When the edema increased, and there is fatigue, sleepiness and lower blood pressure symptoms should be alert to the possibility of hyponatremia. I think: when swelling is significant, the required application of low-salt diet and diuretics; as mild swelling, because of the role of hormones themselves do not advocate re-use of diuretics, and application of Chinese medicine Jianpi water, both to facilitate the purpose of water, but also to prevent water and electrolyte metabolism. Clinical, the feng shui can be used in patients with type forsythia Chixiaodou Ephedra Decoction; spleen type can be used wet storm Decoction of Four Noble plus or minus five skin drink; spleen and kidney yang can choose Zhen Wu decoction. After the swelling subsided, low-salt diet should be changed to normal diet.

Long-term use of diuretics can cause hypercalcemia hypocalcemia reduce the occurrence of long duration is often inadequate calcium intake required to guide the timely detection of biochemical calcium.

3 children with nephrotic syndrome in patients with hypercoagulability

Because children with renal comprehensive hyperlipidemia, antithrombin deficiencies, clotting factor fibrinogen increased, corticosteroids, diuretics, etc., resulting in blood were hypercoagulable state, prone to venous thrombosis, brain, lung and myocardial infarction, also to decreased renal function. No obvious symptoms of the disease early, easily overlooked, should pay attention to monitoring prothrombin time, out, coagulation time, early diagnosis and treatment of prevention. I often applied Traditional drug prevention hypercoagulable state. Hypercoagulable state occurs when the appropriate application of heparin and other drugs. Integrated Traditional and Western medicine can reduce treatment side effects, Chinese medicine is effective and hypercoagulable state control, side effects.

4 children with nephrotic syndrome renal function in patients with attention

Comprehensive children in the early onset of renal and relapse may occur temporarily low creatinine clearance, urea nitrogen, creatinine temporarily increased by 2 or more abnormal review is still evident, impaired renal function should be considered to be protein diet intake. With amino acids and a high phosphorus diet reduces glomerular perfusion pressure, high filtration state. This problem can be used angiotensin-converting enzyme inhibitors, such as Capoten, Yuening be so treated. Chinese medicine can be used Centella asiatica, rhubarb and other retention enema.

Longer course of children with nephrotic syndrome, recurrent, treatment failure may occur when acute renal failure. Children with nephrotic syndrome patients oliguria, water and electrolyte metabolism disorder, etc., the place should be alert to renal failure.