Friday, August 3, 2012

The treatment principles of occult nephritis


Occult nephritis, physical examination or in the occasional case, urine routine examination revealed abnormal symptoms and signs, and renal function is normal. Occult nephritis, which include different causes, the different pathogenesis of glomerular disease. Clinically, occult nephritis can be divided into asymptomatic hematuria asymptomatic hematuria and proteinuria, asymptomatic proteinuria are three types. The following principles:


(1) asymptomatic hematuria is hematuria is common clinical presentation of primary glomerular disease, no special treatment. Usually should pay attention to rest, avoid over exertion; should be removed repeatedly infected lesions, acute infection, you should take timely measures to control inflammation, so as not to aggravate the hematuria condition.


(2) asymptomatic hematuria and proteinuria in asymptomatic hematuria and proteinuria, is a type of occult nephritis hematuria with proteinuria, their condition and prognosis compared with isolated hematuria was serious. Main such as hematuria, urinary protein <1g / d, generally do not need special treatment, but should be followed up closely observed; such as urine protein> 1g / d, renal biopsy to clarify the pathological diagnosis, such as pathological changes apparent by according to the treatment principles of primary glomerular diseases.


(3) asymptomatic proteinuria latent nephritis, occurs in young males, showed persistent proteinuria. Generally not clear before diagnosis, no special treatment. Patients should be taken to avoid fatigue and infection, do not use drugs, renal failure. Under the guidance of a doctor, you can use the Tripterygium wilfordii, but to prevent the occurrence of side effects.

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