Toxic nephropathy toxic substances by the kidney caused kidney damage. Often
named after renal toxic substances . What are the symptoms of toxic nephropathy
performance ? With this question, we have to look at the introduction below
.
Proximal tubular dysfunction manifested as Fanconi 's syndrome : Grapes
diabetes, urinary amino acids , phosphate urine, sometimes with hypokalemia,
toxic heavy metals found in some kidney disease , expired tetracycline toxic
nephropathy ; distal renal tubular function diminish the performance of
nephrogenic diabetes insipidus : polydipsia , polydipsia , polyuria , found
lithium fluoride , demeclocycline caused toxic nephropathy ; renal tubular
acidosis : high acidosis , water and electrolyte imbalance ( such as hypokalemia
or hyperkalemia , hyponatremia , hypocalcemia , polyuria, polydipsia polydipsia
, etc. ) ; renal osteodystrophy : renal rickets or osteomalacia , renal
calcification or kidney stones , found in two amphotericin B induced toxic
nephropathy .
Light only trace urine protein , red , white blood cells in urine and urinary
tube , little or no urine azotemia . In severe cases , there may be a typical
manifestation of acute renal failure syndrome , seen aminoglycoside antibiotics
, inorganic mercury -induced toxic nephropathy . Fever, rash , swollen lymph
nodes , joint pain, blood eosinophilia and other systemic allergic
manifestations . Urinary eosinophilia . Also massive proteinuria was nephrotic
syndrome , or hematuria . In severe cases of acute renal failure , found a
variety of drugs , especially penicillin family , sulfa drugs ,
anti-tuberculosis drug poisoning .
Exogenous toxins such as penicillamine . Gold salts , venom , bee venom ,
pollen and other causes of immune glomerular disease, manifested as nephritic
syndrome or nephrotic syndrome. The performance is difficult due to glomerular
disease and other causes phase difference. Detailed inquiry should be whether
the patient has kidney toxicant exposure history , provide the basis for the
differential diagnosis , misdiagnosis and missed otherwise .
Toxic nephropathy treatment methods are described below:
1 stop exposure to toxic substances .
2, to promote excretion of toxic substances , the infusion can be applied
antidotes be dialysis treatment when necessary. Where small molecular weight,
and protein binding less evenly distributed in the body , could be discharged
through the blood of dialysis . Where those with high protein binding effect of
peritoneal dialysis is good . Plasma replacement therapy should be used with
caution .
3 , symptomatic treatment.
4 , take measures according to the type of renal damage . Such as acute drug
-induced allergic interstitial nephritis, nephrotic syndrome , the absence of
contraindications, available adrenal corticosteroids, immunosuppressive drugs or
shock therapy adrenocorticotropic hormone . Renal failure were available
peritoneal dialysis or hemodialysis treatment.
没有评论:
发表评论