What will affect the treatment of chronic nephritis2017-12-23 10:39
1. Pathological factors:
① Pathological type: mild mesangial proliferative glomerulonephritis prognosis is good, severe mesangial proliferative glomerulonephritis and membranous proliferative glomerulonephritis, focal segmental glomerulosclerosis prognosis is poor; membranous nephropathy prognosis is good, slow progress.
② Chronic indicators: the number of fibrous crescents, the number of glomerular sclerosis, interstitial fibrosis and the extent of tubular atrophy and prognosis. The more indicators above, the worse the prognosis.
③ Severe renal disease with poor prognosis of vascular disease.
2 Clinical manifestations:
① Persistent large amounts of proteinuria and persistent hematuria, renal function worsened rapidly;
② High blood pressure and can not be controlled, and poor prognosis of renal dysfunction;
③ Signs of tubulointerstitial damage, such as renal anemia, increased nocturnal, renal loss of sodium, Fanconi syndrome, renal tubular acidosis and other obvious prognosis is poor.
3. Dietary factors:
High protein diet can accelerate the development of chronic nephritis.
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