For the treatment of lupus nephritis, use of immunosuppressive drugs to
control lupus activity are important, but just focus on the treatment of lupus
renal protection neglect may ultimately result in treatment failure, renal
insufficiency. In fact, because of kidney damage caused by lupus activity if
more serious, even inactive lupus, kidney disease can continue to increase,
hardening of the kidney, leading to renal insufficiency. Therefore, in the
course of treatment of lupus nephritis, we must pay attention to protect the
kidneys, to avoid renal insufficiency. If some patients because of recurrent
lupus activity or delayed treatment, may have varying degrees of renal
insufficiency treatment, they should not try to make the development of kidney
damage. Then there are those factors that can aggravate kidney damage? The
following is a summary of Nephrology expert Shijiazhuang kidney disease
hospital, and I hope to patients to help a friend.
The first is the high blood pressure. Lupus nephritis is often complicated by
hypertension, and high blood pressure is the biggest risk factor for worsening
renal function, patients with lupus nephritis and therefore must pay attention
to whether the blood pressure, such as high blood pressure must be strictly
controlled.
Followed by proteinuria. Proteinuria and glomerular damage not only reflect,
but also cause tubulointerstitial damage, is one of the risk factors that lead
to kidney disease progression. Reduce urinary protein, can reduce the damage to
the kidneys, play a role in protecting the kidneys. Angiotensin-converting
enzyme inhibitors such as Lotensin and angiotensin receptor antagonists such as
Diovan and other drugs, can reduce proteinuria and slow down kidney sclerosis,
played the role of protecting the kidneys. Such as proteinuria persists, even
with normal blood pressure, may also be used of these drugs.
Third: nephrotoxic drugs. Some drugs often have damage to the kidneys, such
as sulfonamides, card multiple antibiotics kanamycin, gentamicin, polymyxin B,
etc; traditional Chinese medicine (especially manshuriensis, defense has been,
etc.); analgesic agents. Try to avoid the use of unnecessary drugs, should not
increase your kidney damage.
Fourth: infection. In the course of treatment of lupus nephritis (especially
within the first few months of treatment) prone to infection. Infection often
leads to relapse or exacerbation, which in daily life should be taken to
prevent, avoid going to crowded places, to reduce the incidence of infection.
Once infection occurs, treatment should be timely, timely medication.
Fifth: obesity. Obesity is a major problem at present hazards to public
health worldwide. Obesity is not only hyperlipidemia, hypertension, coronary
heart disease risk factors, can also increase proteinuria, increased kidney
damage. If lupus patients with obesity lose weight should pay attention to
maintain ideal body weight can reduce proteinuria and slow the progression of
the disease.
Of course there are other factors, such as heart failure, acidosis,
electrolyte imbalance, high cholesterol, etc., in the course of treatment should
be corrected.
没有评论:
发表评论