Nephropathy – treatment of disease. Symptoms and prevention of the disease Nephropathy

Nephropathy – What is this disease? Nephropathy is a collective concept, which brings together the various pathological processes, characterized by bilateral renal lesion, varying degrees of renal impairment, emerging again (in the face of other diseases) and not related to primary renal diseases.

Thus, nephropathy is a complication (exodus) the main disease.

Nephropathy – The cause of the

Nephropathy may develop due to prolonged flow the following diseases and conditions:

• endocrinological pathology (Firstly, diabetes);
• effects of nefrotoksicskih substances (household and industrial chemicals, Poisons, some medicines, eg, Group of NSAIDS, analgesics, anticonvulsants);
• metabolic disorders (Gouty Jatropha nephropathy, dismetabolic nephropathy etc.);
• heavy metal intoxication;
• vnepochechnye tumor processes;
• radiative forcing;
• pregnancy (nephropathy usually develops against the backdrop of anemia (anemia), chronic Glomerulonephritis or pyelonephritis, gestational hypertension, etc.);
• abnormalities of the kidney and urinary tract.

Nephropathy – Symptoms

In the early stages of development of nephropathy clinical manifestations, usually, no. However, with the progression of this disease appear nonspecific symptoms: fatigue and chronic fatigue, thirst and dry mouth, recurrent pain in the lumbar region (blunt, nojushhego nature), headache, decreased appetite, increased urination. In the later stages of nephropathy appear classic kidney symptoms (Triada) -symptomatic arterial hypertension, swelling and protein in the urine. The hallmark of "renal" edema is their localization and spread from top to bottom. So, with little fluid retention swells mostly face (incl. "bags under the eyes»), more pronounced swelling apply below. Also, In contrast to the "heart" of edema, "renal" maximal after sleep, in the morning and not picking up in the afternoon. Arterial hypertension are more likely to develop slowly, but bad by korrigiruetsja, reaching high numbers. Proteinuria level shows, usually, about the severity of the disease. Depending on the type of nephropathy, It causes there are some features of the flow and manifestations of each.

Nephropathy – Diagnostics

Diagnosis of the disease based on clinical signs, as well as the results of laboratory research. Criteria for diagnosis of nephropathy are as follows: giperfil'tracija and acceleration of renal blood flow characterized the first stage of development of nephropathy, increased clearance of endogenous creatinine clearance and Microalbuminuria level less than 30 mg/day for the second, normal speed clubockova filtering (SKF) and microalbumin urine test to 300 mg/day for third stage, the appearance of clinical signs in the form of edema, hypertension, decrease in proteinuria and SCF, as well as the identification of leukocytes, cylinders and cells in urinary sediment-for fourth stage. At the last stage of development of nephropathy clinical signs reach their maximum (swelling of subcutaneous fat, resistant hypertension, ascites, the presence of fluid in the pericardial cavity, pleural sinuses, the smell is urea breath, pale skin), develops kidney failure of varying degrees of severity.

Nephropathy – Types of disease

Depending on the causative factor entails the following kinds of nephropathy:

• diabeticheskaya nephropathy;
• Gouty Jatropha nephropathy;
• nephropathy pregnant;
• paraneoplasticheskaja nephropathy;
• dismetabolic nephropathy;
• toksicheskaya nephropathy;
• tubulointersticial'naja nephropathy;
• familial nephropathy;
• hereditary nephropathy;
• anal'geticheskaja nephropathy;
• endemic (Balkan) nephropathy;
• hyperoxaluria.

Nephropathy – Actions of the patient

When it detects the symptoms described, it is recommended to consult a specialist for early diagnosis and causes of nephropathy (the main disease) with a view to the timely initiation of treatment.

Nephropathy – Treatment

Therapy nephropathy boils down to treating the underlying disease, against which it evolved (Diabetes, gout, oncologic pathology). In the case of toxic nephropathy should cease contact with nephrotoxic (cancellation of medicines, renunciation of household or industrial chemistry, leading to disease, etc.). Also symptomatic therapy in order to restore homeostasis and urine output, Eliminate puffiness, normalize blood pressure. A special diet is assigned depending on the cause of nephropathy. If nephropathy pregnant spend symptomatic treatment prior to delivery, as well as constantly monitor the condition of the mother and fetus.

Nephropathy – Complications

Most often complicated by infection attach nephropathy (pyelonephritis, cystitis), development of urolithiasis, renal insufficiency as well as varying degrees of gravity.

Nephropathy – Prevention

Prevention of nefropatij is in compliance with nutrition (either diet in the presence of metabolic disorders), drinking regime, as well as the timely diagnosis and treatment of diseases, that can become a cause of nephropathy.