How to prevent recurrence of nephrotic syndrome?

Children with nephrotic syndrome should follow the following five steps to prevent relapse: The first step is to closely cooperate with the doctor and make a clear diagnosis as soon as possible. Some children, if necessary, the doctor may recommend a kidney biopsy to determine the nature of the disease from the cellular structure level, and then develop a targeted individualized treatment plan. The second step is to strictly follow the doctor’s instructions after the program is formulated. Kidney repair is a long-term process, must be adhered to; medication must be taken according to the dosage, take the cycle to achieve the doctor’s prescribed course of treatment; regular outpatient follow-up, in accordance with the doctor’s advice to adjust the medication. Especially for patients taking hormones, when the prednisone is reduced to a small amount, there are more chances for the disease to recur, do not panic after the recurrence, contact your doctor and adjust the program according to your condition, and you can often get relief again. The treatment process of kidney disease is relatively long, and prolonged treatment will easily make some patients slacken off, so we emphasize that “follow the doctor’s instructions, regular follow-up” is especially important to reduce the recurrence. The third step is to actively and carefully deal with colds and infections. From the point of view of the triggering factors of relapse, cold and flu are the most important triggering factors. Children with nephrotic syndrome lose a lot of protein in the blood from urine, and the lost substances include important components of the immune defense, such as immunoglobulin and complement. At the same time, the function of white blood cells in the body decreases, zinc and other trace elements are also lost, which seriously weaken the body’s ability to resist external disease-causing agents. Glucocorticosteroids and immunosuppressive drugs are used in the treatment of renal disease, which add to the already weak immune defense of the children. Therefore, patients with kidney disease are prone to infections, including respiratory infections, intestinal infections, peritonitis, pleurisy, and subcutaneous soft tissue infections. If an infection occurs, two principles should be emphasized, i.e. to be active and to be cautious, and to consult a doctor at the same time. Parents should be active in the treatment. Children are not only prone to infections, but infections also spread easily. Early and aggressive treatment can nip the infection in the bud. After an infection occurs, the patient himself must be careful and not take it lightly. Avoid taking drugs with liver and kidney toxicity, such as aminoglycoside gentamicin, kanamycin, tetracycline, sulfonamides, antipyretic and analgesic drugs. If you buy and take the wrong drugs, it will be counterproductive. Therefore, in patients suffering from kidney disease such as infection, even if it is a cold, you should go to the hospital to see a doctor or contact with the original hospitalized doctor in charge, under the guidance of the doctor to use drugs. The fourth step is that patients with nephrotic syndrome should strengthen their own health care, exercise properly and improve their physical fitness. Parents of children with nephrotic syndrome often get this advice from doctors, family members or close friends: “Be sure to pay attention to rest!” “Don’t get tired!” So, children with kidney disease rightly rest and rest, do not dare to a little activity, some parents do not children go to school, do not allow children to go out, all day at home. The lifestyle of over-reliance on rest does more harm than good to the recovery of nephrotic syndrome patients. After the disease is stabilized, the child should be allowed to return to school, so that the child can adapt to the surrounding learning and living environment, and socialize with friends and classmates. With regard to exercise, the principle of moderation and keeping within the limits of strength should be mastered, and most of the physical activities for elementary school students, such as jogging and doing exercises, can be carried out. Usually at home, but also according to their own children’s physical condition to exercise, perseverance, will be able to benefit. The fifth step is to maintain a good state of mind and a good diet. Mental state and diet is a very important factor for the hospitalization and prognosis of children with nephrotic syndrome. Maintain a good state of mind, do not give yourself bad psychological hints, do not get angry, do not get angry, and learn to treat things with relief. Here to give parents two points of advice: First, do not be too anxious, in front of the child to show the tension, anxiety, will give the child to form a psychological implication, aggravate the child’s psychological burden, the child’s condition is not conducive to recovery; Second, let the child to return to the nature, return to the community, let the child and the other children to socialize, and also give the child the right to learn, can not be closed to the child. Diet should follow the doctor’s instructions to reasonably match the diet, must refrain from eating habits that are not conducive to the recovery of the disease.