Treatment of nephrotic syndrome

The treatment of nephrotic syndrome mainly includes general treatment, symptomatic treatment and causal treatment. General treatment is high-quality protein diet, and symptomatic treatment mainly targets edema, proteinuria, and hyperlipidemia. Common causes include primary nephrotic syndrome, diabetes mellitus, myeloma and so on. 1. General treatment: patients with severe edema and hypoproteinemia need bed rest, and they should be given high-quality protein diet with sufficient calories and less food rich in saturated fatty acids (animal fats). 2. Symptomatic treatment: when edema, we can use diuretics such as furosemide and thiazide diuretics such as hydrochlorothiazide to reduce swelling and diuresis; when proteinuria, we can use angiotensin-converting enzyme inhibitors such as captopril, which can not only reduce proteinuria, but also lower the blood pressure; patients with nephrotic syndrome who have hyperlipidemia, we can use lipid-lowering drugs such as atorvastatin. 3. Treatment: For primary nephrotic syndrome, commonly used therapeutic drugs include glucocorticoid such as prednisone and cytotoxic drugs such as cyclophosphamide; if hormone and cytotoxic treatment is ineffective, immune agents such as cyclosporine can be used; nephrotic syndrome caused by diabetes mellitus has to be controlled by blood glucose; myeloma-induced nephrotic syndrome can be treated with drugs such as thalidomide, and so on. Patients diagnosed with nephrotic syndrome are advised to go to the hospital in time for treatment under the guidance of the doctor, and not to use medication on their own.