with the nephrotic syndrome
Abstract: Objective IgM nephropathy in children, pathology, treatment and prognosis. Methods 6 cases of IgM nephropathy in children with clinical data, renal pathology, therapy and prognosis were analyzed. Results 6 patients had light microscope in mesangial cells and mesangial matrix proliferation, immunofluorescence microscopy mainly of IgM or IgM immune complex deposition in the mesangial distinguish branched, electron microscopy most of foot process fusion 3 cases associated with focal segmental sclerosis in children. 6 IgM nephropathy in children, are in line with the diagnostic criteria of nephrotic syndrome, 4 cases of simple renal disease, treatment of glucocorticoid-sensitive, the 3 patients have been alleviated, and 1 drug resistance in children, and the addition of CTX After heparin, continued negative urine protein; 2 cases of nephritis nephropathy, and glucocorticoid response to treatment, 1 case of resistance, some of the other 1 case-sensitive. CONCLUSION IgM nephropathy, minimal change disease, focal segmental glomerular sclerosis may be different aspects of the same disease or stage. clinical presentation, efficacy and prognosis of renal pathology, especially with the small tube - is closely related to interstitial lesions. of nephrotic syndrome in children, while in the regular treatment, which should avoid high-protein diet and obesity, provide effective treatment of hyperlipidemia and early use of angiotensin inhibitors.
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A: Nephrotic syndrome, is now taking hormone therapy food hormone in patients with nephrotic syndrome reduced to eight of the nephrotic syndrome but also with what the drug from your nephrotic syndrome, proteinuria is not used in the Western nephrotic syndrome, protein 3, at home, relapse, how nephrotic syndrome, lung infection, I''ve seen a lot of nephrotic syndrome, kidney disease for a long time why I do not rule nephrotic syndrome, feet edema, nephrotic syndrome, urine there is a bubble, there is edema, protein in urine examination Nephrotic syndrome can not do heavy work? Generally the type of kidney disease is it? Glomerular or mixed urinary pelvis, low back pain is the illness? Urine protein, 24-hour urine total protein 1.715 to eat
Most kidney patients (including normal pregnancy) during pregnancy, urinary protein excretion increased significantly. Ka tz observe the results of 89 patients with 121 pregnancies, nearly half of the cases of proteinuria were significantly increased (60% of nephrotic proteinuria) with significant swelling, but most delivery is automatically restored to the level before pregnancy. Generally believed that, even if the massive proteinuria and edema have little effect on pregnancy, while not affecting the natural history of the original kidney disease.
(B) of the nephrotic syndrome
Nephrotic proteinuria in late pregnancy the most common reason is that pre-eclampsia, the clinical features include massive proteinuria, hypoalbuminemia, hyperlipidemia, high degree of edema and hypertension (diastolic blood pressure 85 ~ 95mmHg or above). Generally believed that preeclampsia with nephrotic syndrome, fetal mortality was higher, and the mother''s prognosis is similar to the general pregnancy-induced hypertension. Primary renal disease during pregnancy caused by a common cause of nephrotic syndrome, including membranous nephropathy, mesangial proliferative nephropathy, minimal change nephropathy, focal segmental glomerular sclerosis, renal vein thrombosis, diabetes, kidney disease, renal amyloidosis and so on. Have been reported in the literature a large number of non-renal renal renal disease during pregnancy symptoms fully, including the possible mechanism of renal hemodynamics, glomerular filtration and renal venous pressure increased membrane permeability increased and so on.
Most cases of corticosteroid sensitive, but there are some cases invalid, so the best for renal biopsy before starting treatment, a clear pathological diagnosis. Also note that since the full amount of dietary protein supplement, if necessary, additional intravenous albumin. Diuretics should be avoided, because a lot of use of diuretics can further reduce the effective circulating blood volume and affect the placenta''s blood supply, and induce hypovolemia and hypovolemic shock, thrombosis and acute renal failure. Most patients with nephrotic syndrome during pregnancy and fetal prognosis is good. After pregnancy, nephrotic syndrome can be gradually eased. There the s report, due to severe hypoalbuminemia can lead to premature delivery and low birth weight children and so on.Do not understand this article [online expert advice] Favorite [Print] [Close]