Chronic glomerulonephritis, referred to as chronic nephritis, refers to a group of glomerulopathies in which proteinuria, hematuria, hypertension, and edema are the basic clinical manifestations, with different modes of onset, prolonged disease, and slow progression of the disease, which can lead to different degrees of renal function decompensation and eventually to chronic renal failure. Due to the different pathological types and stages of this group of diseases, the main clinical manifestations are different, and the disease manifestations are diversified. Acute nephritis can be chronic if prolonged for more than a year, secondary nephritis, and primary nephritis can also occur. Since the etiology of chronic nephritis is different, the diagnostic criteria are also different. However, in clinical diagnosis, the following diagnostic criteria are often used.
1. The criteria for diagnosing chronic glomerulonephritis are as follows.
①, the onset of the disease is slow, the condition is delayed, sometimes mild and sometimes severe, the kidney function gradually decreases, later may present anemia, electrolyte imbalance, blood urea nitrogen, blood creatinine rise senior condition.
(2) There are different degrees of edema, proteinuria, hematuria and hypertension, etc.
(iii) The disease may be triggered by respiratory infections and other factors during the course of the disease, presenting manifestations similar to those of acute nephritis. There are also some cases with active remission period.
④. Further differentiation can be made based on clinical manifestations as follows
(1) Common type: There are various symptoms of nephritis, but no prominent manifestations;
(2) Hypertensive type: In addition to the general nephritis symptoms, there are prominent manifestations of hypertension;
(3) acute exacerbation type: in the chronic process of acute nephritis syndrome performance.
2. Is high erythrocyte count phase nephritis?
Through a case to look at the steps and methods to confirm the diagnosis of nephritis.
The actual fact is that you can find a lot of people who have been in the business for a long time, and they’ve been in the business for a long time.
The doctor’s guidance】Hello, high erythrocytes with 100% isotype, belongs to glomerulogenic hematuria.
Guidance.
1, you usually pay attention to rest, do not strain, do not catch a cold, avoid using nephrotoxic drugs.
2, can take oral nephritis four tablets, yellow koi capsule, with Chinese medicine treatment.
3, diligent blood pressure measurement, regular re-examination of kidney function and urine sediment analysis.
Patient question] Female, description of the condition (onset time, main symptoms, etc.).
1.Count of red blood cells: 100
2.Normal red blood cell count: 40
3.Number of abnormal red blood cells: 60
4.Shadow red blood cell count: 20
5.Number of small red blood cells: 40
6.Red blood cells (microscopic) (URBC): 20-25
I have no leg swelling, no urine protein in urinalysis, urine occult blood 3+
Is it nephritis? What medication should I take? What should I pay attention to?
The white blood cells are fine, do I need to take anti-inflammatory drugs? Thank you.
The ultrasound is fine, the kidney function is normal, and all the related blood tests are normal.
The red blood cell leakage is due to the damage to the glomerular basement membrane of the kidney itself, resulting in the loss of these macromolecular nutrients from the urine. Treatment.
Western medicine can control the index and symptoms faster, but treat the symptoms but not the root cause. Chinese medicine treatment can regulate the body’s immune environment as a whole, fundamentally repair the glomerular basement membrane, improve the glomerular rate of filtration, so that the occult blood no longer leaks.