Post Date December, 02 2023
After going through our complex diagnostic process, we should officially enter the treatment process of nephrotic syndrome. So, what are our treatment methods. What can we do to ensure that patients have a professional treatment process. This requires us to have a detailed understanding of the treatment methods for nephrotic syndrome. Our treatment of recklessness is not clear in a single sentence. We can part-time divide our treatment into western medicine and traditional Chinese medicine.
So, next we will focus on the treatment methods of Western medicine.
1. Hormone therapy
Prednisone is commonly used. According to the type of disease and the reaction of the child to prednisone, a short course of treatment of 8 weeks, a medium course of treatment of 4-6 months, and a long course of treatment of 9-12 months are used. Short courses of treatment are used for initially treated simple kidney disease, while medium and long courses of treatment are used for retreated, multiple recurrent simple kidney disease or nephritic kidney disease.
Efficacy evaluation: ① Hormone sensitivity: Within 8 weeks after hormone treatment, urinary protein turned negative and edema subsided. ② Hormone sensitivity: Edema subsides within 8 weeks of treatment, but urinary protein is still 10 to 10%. ③ Hormone resistance: After 8 weeks of treatment, proteinuria is still above 10%; ④ Hormone dependence: Those who turn negative in urine protein after hormone treatment, but show "+" or more after stopping or reducing dosage, and turn negative in urine protein twice or more after re medication or recovering dosage (excluding infection and other factors). The above urine changes refer to the results of three routine urine examinations distributed within 7 to 10 days.
2. Immunosuppressants
Cases with poor hormone therapy or too large side effects can be treated with immunosuppressants in combination. Commonly used include vincristine, tripterygium glycosides, cyclophosphamide, and thiophene; Cyclosporin A, etc.
3. Diuretics
Generally, in cases sensitive to hormone therapy, diuresis may occur after 7-10 days of medication, and it is not necessary to use diuretics. "When severe edema occurs, diuretics can be used, usually furosemide (furosemide) administered intravenously. It is best to first infuse low molecular dextran, which often produces good diuretic effects.".
As mentioned above, the method of treating nephrotic syndrome with Western medicine may not sound as complex as imagined, but if we do not follow the advice of medical personnel, we may still not be able to avoid the recurrence of old diseases. Therefore, we should be able to treat our nephrotic syndrome with complete adherence to medical care.
