Chronic glomerulonephritis

Glomerulonephritis is inflammation of the kidney where the glomeruli are affected, and the possible development of renal failure. The most common causes of glomerulonephritis include: bacteria, viruses and fungi.

STATEMENT

Glomerulonephritis is inflammation of the kidney where the glomeruli are affected, and the possible development of renal failure. The most common pathogens responsible for the development of glomerulonephritis include: bacteria, viruses and fungi.

Acute glomerulonephritis usually occurs after infection of throat or skin beta-hemolytic streptococcus. But the infection can be due to other bacteria or viruses. However, in many cases where it is not preceded by acute glomerulonephritis, the cause is unknown.

Chronic glomerulonephritis can sometimes occur after an acute glomerulonephritis. In most patients the initial symptoms are: swelling of the ankles, reddish color of urine, polyuria, headache and dizziness.

DIAGNOSIS

The simplest analysis that may lead to suspicion of glomerulonephritis is the analysis of urine. If the proteins present in the urine, it is a sign of glomerular damage. Proteinuria can be a sign of lumbar lordosis, renal or lowered orthostatic proteinuria, and proteinuria are the other important findings, which may be obtained from the urine sediment.Analysis of sediment can show a number of erythrocytes. Determination of plasma in one minute, filtered through the glomeruli (in normal conditions is 120 ml / min) is another important test. Testing known even for a layman to determine urea. Increase in urea is often a sign of kidney failure.

A kidney biopsy is done when clinical symptoms and laboratory findings indicate the suspicion of chronic glomerulonephritis. Biopsy to differentiate types of changes in nephropathy. It determines the development of different diseases and creates the possibility of distinguishing primary from secondary glomerulonephritis, which has important therapeutic implications.

Basic Histological are focal glomerulosclerosis, membranous glomerulonephritis, a membrane-ploriferativni glomerulonephritis and focal proliferative glomerulonephritis.

THERAPY

It is important to reduce the patient's physical activity and do not expose it to unnecessary effort, but not absolutely necessary to rest, because it favors catabolism.The patient should be able to protect against influenza infection or cold. The patient should get exactly as much liquid and loses and has to be accurately measured.

When taking food to watch out for the energy needs, but should reduce the intake of salt and protein. The therapy using corticosteroids with symptomatic therapy. If there is a stronger deterioration, the patient has to go on dialysis.

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