2015年4月26日星期日

Symptomatic treatment of interstitial nephritis

Symptomatic treatment of interstitial nephritis
The natural history of chronic interstitial nephritis varies as to the treatment of primary disease at an early stage can often delay the progression of the disease, sometimes improving renal function is also available to some extent, the most prominent example is the lifting of urinary tract obstruction . If you can not remove the cause or progression to advanced disease, renal insufficiency comparable level when the disease progression to end-stage chronic glomerulonephritis faster than slower. By appropriately treating the low-capacity, acidosis, hyperkalemia, or hypertension, and often rapid deterioration of renal function can be reversed. ESRD dialysis and kidney transplantation therapies available
Interstitial nephritis due to treatment
(1) urinary tract infection: chronic interstitial nephritis caused by bacterial infection, antibiotics to fight infection. Note that when you change the sensitivity of bacterial drug, dosage and duration of treatment, and drug dosage adjustment based on renal function, try to choose a drug for kidney toxicity.
(2) analgesic nephropathy: Early diagnosis is important, after the diagnosis should stop taking the drugs. Phenacetin reduce the amount invested to help prevent the occurrence of this disease.
(3) obstructive nephropathy: According to the etiology of the obstruction to remove the obstruction, and infection control, preservation of renal function.
(4) toxic nephropathy: the drug-induced kidney toxicity, the drug should be discontinued. Toxic nephropathy caused by heavy metals, should reduce contact with the antidote.

(5) Other primary disease: its treatment can be found in the treatment of the disease.

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