Family Emergency Treatment of Acute Nephritis

Acute nephritis (acute nephritis) refers to a secondary to hemolytic streptococcus B infection caused by glomerular allergic diseases, occurs in children and youth, clinical manifestations of edema, hypertension, hematuria, less urine, or even a few, there may be symptoms of renal failure.
[Causes]
Many secondary to hemolytic streptococcus B infection caused by allergic disease.
[Clinical]
Chen Qi facial swelling, severe cases can affect the body, accompanied oliguria or microscopic hematuria, blood pressure increased, there will be a small number of acute renal failure.
[Diagnosis]
(1) occurs in children and youth.
(2) prior to the onset of 1 to 3 weeks accompanied hemolytic streptococcus infection As of respiratory tract infection, pharyngitis and tonsillitis, scarlet fever and skin diseases such as abscess.
(3) swelling, oliguria, hematuria and elevated blood pressure and other clinical manifestations.
(4) in the urine routine urine was red meat, the higher the proportion of protein-positive, there is much more RBC, WBC and various type.
(5) elevated serum creatinine and urea nitrogen.
(6) ESR and anti-"O" elevated.
(7) in the blood and urine of fibrin degradation products (FDP) increased.
(8) total serum complement, erythrocyte, by the decline of solutions.
[Diagnosis]
(1) chronic nephritis
Past have edema, polyuria and nocturia history, the sustainability of increased blood pressure, often anemia, heart and fundus changes will help identification.
(2) acute pyelonephritis
Onset of intense, accompanied by chills, high fever, low back pain, frequency, urgency and Niaotong symptoms, and urine test can Nongxibao and cultivate bacteria growth can help identification.
[Family Emergency Treatment]
(1) absolute bed rest until hematuria disappeared, edema dissipated, blood pressure returned to normal, normal serum creatinine, gradually increasing the volume of activities.
(2) edema, hypertension should be strictly bogey salt, to be back to normal blood pressure, edema can be dissipated Shaoyan diet.
(3) do not have to strictly limit the quantity of drinking water, but should not be drinking water.
(4) should be a daily protein intake by 1 g / kg body weight given, azotemia, high-quality animal protein daily to 20 grams.
(5) grams of oral dihydrochloride urine thiadiazole, such as a diuretic reserpine, and hypotension.
(6) appear to be serious complications quickly rushed to hospital.