Principles of treatment of glomerulonephritis

Glomerulonephritis is one of the most complicated and dangerous kidney diseases. Without early detection and effective treatment, patients face dangerous complications. Therefore, patients need to understand the principles of glomerulonephritis treatment to improve the effectiveness of treatment.

Depending on the condition and level of glomerulonephritis, the patient is prescribed treatment and appropriate drugs. In which it is necessary to meet the following treatment principles:
Treatment of inflammatory foci in the nasal passages, throat, and skin; The treatment process should be closely monitored, especially in the acute phase, at this stage the patient needs to be rested at the hospital bed for 2-4 weeks for regular monitoring; After being discharged from the hospital, patients need to be closely monitored for at least 1 year in order to detect, promptly treat and prevent chronic disease; Patients should absolutely limit their salt and salt intake for 2-4 weeks, depending on the severity of the disease. Accordingly, if patients with oliguria and anuria have increased urea, blood creatinine: water intake 500-600ml/day, salt 2g/day, protid 20g/day. Oliguria and anuria with edema, hypertension, blood urea and creatinine did not increase: salt 0.5-1g/day, protid 40g/day. There is currently no specific treatment for acute post-streptococcal glomerulonephritis. Mainly antihypertensive treatment to prevent complications from occurring.

The treatment of glomerulonephritis is combined with antibiotics, antihypertensive drugs, etc. to achieve the best treatment effect for the patient:
Use antibiotics when there are still signs of glomerulonephritis. sign of streptococcal infection. Penicillin 1,000,000 IU/day x 10 days, can be injected intramuscularly or orally. Can be replaced with Erythromycin 0.2 X 5 tablets / day in adults or Tetracylin if allergic to Penicillin. Antihypertensive drug, diuretic Furosemide 1-2mg/kg/day, orally or Reserpin 0.02-0.04mg/kg/day, orally. Diazoxid 5mg/kg rapidly intravenously if there are complications. If there is no result after 20 minutes, the injection can be repeated. Long-term treatment in the following days, should use Hydralazine or propranolol 1mg/kg/time/day, orally 2-3 times. If convulsions are present, use anticonvulsants: Diazpam (Valium, Seduxen): 0.1 - 0.2 mg/kg, slow intravenous injection; Magnesium sulfate 10%: 0.3ml/kg, intravenously. Patients with heart failure should take Digoxin 0.25mg x 2 tablets x 2 times/day. With rapid disease progression, patients can use corticosteroids: including Prednisolone, Methylprednisolone. Can give calcium supplements. For patients with end-stage glomerulonephritis, long-term treatment methods such as kidney transplant, dialysis as prescribed by the treating specialist are required to achieve optimal results and quickly recover health.

Besides, to ensure health as well as recover quickly, people with glomerulonephritis need to reduce food groups containing a lot of salt such as processed foods, canned foods, foods rich in potassium such as bananas and cantaloupe melons. , sweet potatoes.... Patients should quit smoking to limit the risk of developing stroke complications.
Depending on the underlying cause, the patient's condition, kidney function and overall health, the principles of glomerulonephritis treatment vary. In addition to certain medications and medical techniques, your doctor may also recommend lifestyle modifications to help you cope well with glomerulonephritis, especially the chronic form.
Vinmec International General Hospital is a general hospital with the function of examining and treating kidney and urinary diseases and many other diseases. At Vinmec, we have also performed endoscopic diagnosis and treatment with modern medical methods for urinary kidney diseases, which not only brings high efficiency but also minimizes complications of recurrent disease. The great success is because Vinmec is always fully equipped with modern facilities, examination and treatment procedures are performed by a team of highly qualified and experienced doctors along with many complete medical services. perfect.