Early manifestations of kidney disease in children and precautions

  The children’s kidney disease, early signs can be tracked really did not expect, Yangcheng Evening News reporter in an interview with the topic of kidney disease was informed that the original suffering from nephrotic syndrome children are really a lot. Xie Danyu, chief physician of the Department of Pediatrics at the Guangdong Maternal and Child Health Hospital, introduced that nephrotic syndrome refers to a group of medical syndromes caused by a variety of diseases, with increased glomerular membrane permeability with reduced glomerular filtration rate and other glomerular lesions, is a common kidney disease in children, which is more common in school-age children, especially the peak incidence of 3-5 years old, but the pathogenesis is not yet clear, most believe that it may be related to The pathogenesis of the disease is still unclear, but it is believed that it may be related to immune function.  The early onset of the disease has these symptoms Xie Danyu said, the main clinical manifestations of nephrotic syndrome is a large amount of proteinuria, hypoalbuminemia, hyperlipidemia, obvious edema. It is the leading cause of kidney failure in children, but because of the insidious onset of the disease, there is often no obvious cause. Parents can detect the early stage of nephrotic syndrome from the following clues  Edema. Oedema is the easiest for parents to detect. It is mainly due to the inability of the kidneys to remove excessive water and fluid retained in the interstitial tissues of the body after damage. It is often manifested as eyelid or facial edema after waking up in the morning, and then gradually spreads over the whole body, which can be depressed and cannot be lifted up quickly when pressed, and even ascites or pleural effusion in more serious cases.  Urine abnormalities. The basic function of the kidney is to produce urine, so usually its damage can be seen in the urine. When the nephrotic syndrome, the excretion of protein in the urine increases, and then a lot of foam can be found in the urine, and it does not dissipate for a long time, which is also the first manifestation of the nephrotic syndrome, so once you find that the child has more foam in the urine, or accompanied by a decrease in urine volume, the urine color becomes darker, you should be highly alert.  Poor gas, weakness and tiredness. When the detoxification pressure of the kidneys is in overload and urine toxins accumulate, the child will have poor color, weakness and tiredness, and loss of appetite, so if you find these conditions in your child, be alert to whether it is due to kidney disease after excluding insufficient rest.  Once the child is diagnosed with nephrotic syndrome, Xie Danyu reminds parents that they need to pay attention to the following points 1. It is very important to receive reasonable and standardized treatment. Some parents have heard that nephrotic syndrome can heal itself, so they take a chance, hoping that their children can also heal themselves without treatment, and only come to the hospital for treatment when it really doesn’t work, or delay the treatment time by taking Chinese medicine alone at the beginning. Some parents are afraid of the side effects of hormones, and when the urinary routine turns negative after using hormones for a period of time, they think they have been cured and refuse to continue using hormones and stop the medicine by themselves, resulting in repeated or even aggravation of the disease. But in fact, most of the kidney diseases need standardized and reasonable treatment to be cured.  2, in the diet and rest should also be very careful. For children with nephrotic syndrome, in the stage of obvious edema and oliguria, attention should be paid to strictly control sodium intake in the short term, otherwise it will further cause water and sodium retention and aggravate the damage to the kidneys, and after the condition is in remission, it is not necessary to continue salt restriction, but a low-salt, high-quality protein diet should be the main focus. In addition, patients with nephrotic syndrome generally have a low plasma protein content due to the large amount of protein leakage out of the body, so it is necessary to supplement a certain amount of protein, it is recommended that animal protein such as milk, fish, eggs, poultry, beef is appropriate, but also pay attention to the appropriate stop, because if the disease is not yet under control, too much high protein supplementation, but will aggravate the “leakage “Therefore, you can consult a nutrition specialist regularly to get a scientific diet from a professional doctor.  3, due to the long course of nephrotic syndrome, easy to repeat. Many children tend to be impatient, sad and uncooperative in the treatment process, which is detrimental to the treatment and prognosis. Therefore, parents should do a good job of psychological guidance for their children to enhance their willpower and confidence.