Which kidney diseases can be cured?
Some kidney diseases can be cured. The main categories are as follows.
The first category is glomerulonephritis occurring after acute infection, also called acute nephritis, the common cause is streptococcal infection, swelling, hypertension, proteinuria, hematuria appear 1~3 weeks after the disease, about 2~4 weeks gradually improve, generally 90% of the patients can be cured after one year, so don’t be afraid if you are diagnosed with acute nephritis.
The second category is acute tubular necrosis, acute renal failure will occur, the main symptom is no urine; but more than 50% of patients with acute tubular necrosis through regular treatment, kidney function can be completely restored to normal.
The third category is drug-induced allergic interstitial nephritis, timely discontinuation of hormone therapy, the majority of patients can return to normal kidney function, there will be no sequelae.
The fourth category is microscopic glomerular lesions, which is a common cause of nephrotic syndrome in young people with sudden onset; however, it is more sensitive to hormone therapy, and 90% of patients can be completely relieved by hormone therapy, and the urine protein turns negative.
The fifth category is membrane nephropathy, membrane nephropathy is a common disease of primary glomerular disease, second only to IGA nephropathy in the second place, and in recent years there is a trend of increasing incidence. According to statistics, nearly 40% of primary glomerular diseases are caused by membranous nephropathy, of which 20%-30% can be improved without treatment; those patients who do not recover, after using immunosuppressants, nearly 20% of them can be relieved, urine protein turns negative, and some of the membranous nephropathy can be cured.
The sixth category is renal damage caused by mercury poisoning, which is commonly caused by the use of substandard cosmetics. This type of patients is obsessed with whitening, and after beauty treatment, they have swelling, nephrotic syndrome and other manifestations, and their blood and urine mercury also exceed the standard. After timely mercury repellent treatment, most of these patients can have their urine protein turned negative without leaving any residual symptoms.
The last category of pregnancy-related kidney disease, which can also be cured. For example, proteinuria and hypertension occur during pregnancy, but after the child is born, these symptoms will disappear.
In short, if you have these kidney diseases, you should have confidence to overcome it.
Which kidney diseases can be controlled for a long time?
The first category is kidney damage caused by hypertension, if it is caused by benign hypertension, the condition can be stable for a long time with good blood pressure control; even if it is caused by malignant hypertension, the kidney function can be improved and stable for a long time with blood pressure control, so it is crucial to control blood pressure.
The second type is diabetic nephropathy, which is the second cause of uremia and causes patients to receive hemodialysis. This type of nephropathy must be detected and treated early, and if there is proteinuria but the kidney function is still normal, timely treatment at this time can even stop the progress of the disease. We also have such a case, the patient was diagnosed with diabetic nephropathy by kidney puncture, proteinuria, but the kidney function is normal, this patient after timely treatment, all the symptoms have disappeared, long-term stability.
The third type is obesity-related nephropathy, if weight control, and then use some antihypertensive drugs to reduce urinary protein excretion, the patient’s condition can still be improved. We also have such cases, the patient successfully lost weight within a few months, and urinary protein was significantly relieved.
The fourth type of disease is anti-glomerular basement membrane disease, patients have anti-glomerular antibodies in the body, these antibodies will gradually destroy the kidney, the treatment of this type of disease still emphasizes the early detection. If the kidney function is not very poor and the urine volume is still normal, the disease can be effectively controlled by timely plasma exchange treatment to remove the antibodies, and one advantage of this disease is that it does not recur and can be stable for a long time.
The fifth type of disease is ANCA-associated vasculitis, patients will have lung and kidney damage, hemoptysis, kidney failure, if timely diagnosis can still be controlled. We have a lot of experience in treating anti-glomerular basement membrane disease and vasculitis at Peking University Hospital.
In addition, lupus nephritis can be better controlled with timely treatment, followed by membranous nephropathy, IGA nephropathy and hepatitis B-associated nephritis, which can be effectively controlled by most patients with reasonable drug treatment.
Is there any hope to reverse chronic kidney disease?
Is there a treatment that can bring down urine protein, urea nitrogen and blood creatinine rapidly? I can definitely answer that some kidney diseases can recover naturally, such as acute renal failure, which can be recovered after the oliguria period, without medication; another disease is microscopic glomerular lesions, and the urine volume increases after a week of hormone use, and the urine protein turns negative in two weeks, which is recovered by medication, and will not be fast. Some units advertise that kidney disease can be reversed very quickly through treatment, which may have exaggerated effects, so do not believe it easily.
Can the damaged kidney cells be regenerated and can the damage be stopped? Only one kind of renal tubular epithelial cells can be regenerated in the kidney, the others cannot. Therefore, tubular necrosis nephropathy can be cured, and other kinds of kidney cell damage can be relieved, but the damaged cells cannot be regenerated.
The vast majority of chronic nephritis cannot be cured, it is a chronic disease and the best outcome is to keep the disease stable for a long time with medication. However, if the manifestation is microscopic glomerular lesions, some of them can be cured, and some patients with membranous nephropathy can also be cured.