Monday, November 10, 2008

Nephritis and the factors related to prognosis?

Although chronic nephritis has yet to effect therapy, but in recent years due to its pathogenesis of the study of the great progress in treatment has also been a significant improvement, combined with traditional Chinese and western medicine, treatment approaches more than ever before, Its prevention is also much better than it is. To determine the prognosis of chronic nephritis, first of all need to understand the nature of their primary disease and type of current clinical performance of any activity, the type of renal pathology of renal function impairment, and so on, and then a comprehensive analysis in order to draw the right conclusions . Nephritis and prognosis of the following factors: 1) clinical performance: a simple microscopic hematuria or proteinuria, and no other symptoms associated with, in general a better prognosis; chronic nephritis sustained hypertension than those without high blood pressure in patients with poor prognosis. Although high blood pressure, blood pressure medication in general can or slightly higher than normal blood pressure down to normal levels, the better the prognosis, on the contrary poor prognosis. There are persistent anemia can improve the prognosis poor. 2) caused by renal disease or a precursor of the foundation is closely related to disease and prognosis: tonsillitis, flu, such as those caused by hemolytic streptococcus better prognosis; secondary to systemic causes of disease are difficult to remove poor prognosis. 3) the type of pathology: as mild or minimal change focal nephritis can be cured by treatment; membrane and proliferative glomerulonephritis are relatively poor prognosis; if small kidney cyst formation or a crescent glomerulosclerosis Those who show severe disease, poor prognosis. 4) renal function: a serious impaired renal function, serum creatinine and blood urea nitrogen increased, creatinine clearance rate, a serious prognosis; normal renal function or renal damage though, the positive treatment of a return to normal, the prognosis Relatively good; On the other hand, if the development of chronic renal failure or uremia, the prognosis is poor. In addition, the prognosis of patients with nephritis patients and also the state of mind, diet control, whether early aggressive treatment, whether or not formal treatment and other factors.