There are many types of chronic kidney disease, the symptoms are not the same, some kidney disease in the early stage of only simple occult blood, some kidneys have a large number of proteinuria and hematuria at the same time, the symptoms are different, the pathological type, the prognosis will be different.
Among them, the early symptoms of nephropathy are massive proteinuria, high edema, hypoproteinemia, hyperlipidemia, this type of kidney disease we collectively call nephrotic syndrome nephropathy.
So some patients ask: Doctor, am I nephrotic syndrome? First of all, we must see if you have persistent proteinuria and edema, if these two account for each other, it will be inseparable.
Nephrotic syndrome type of kidney disease is a relatively common type, so is this type of kidney disease easy to treat?
This problem is a problem that many patients are worried about. There are two key points in good governance and bad governance:
First, the specific pathology type, the type is better than half
The specific pathological types of nephrotic syndrome nephropathy include dozens of common types, such as membranous nephropathy, minimally pathological nephropathy, FSGS (focal segmental glomerulosclerosis), mesangial hyperplastic glomerulonephritis and so on.
Although there is an increase in the permeability of the glomerular basement membrane in each type of kidney disease, the specific degree of injury, the site of injury, and the analysis of immune morphology are different, which determines that some pathological types are easy to treat, but some pathological types are poor and difficult to completely reverse.
Some patients think that kidney disease with a large number of proteinuria types is not easy to treat, but it is not. There is only an elevated proteinuria, as long as the immune inflammation is suppressed in time and the proteinuria is lowered, the kidney function can be stabilized and can be stabilized for a long time, and the risk of kidney failure is also very small.
Which types of nephrotic syndrome are better treated?
Relatively speaking, membranous nephropathy, minimal lesions, and mesangial proliferative glomerulonephritis in primary nephrotic syndrome are better treated, especially in the early stages, when there is a high probability of complete reversal. FSGS and membranoproliferative glomerulonephritis are relatively difficult, and the early damage to renal function is more serious.
In general, most of these kidney diseases can be controlled, and a small number of patients are poorly controlled, and then develop to kidney failure. Some of them are because there is no clear pathological type, although they have been using drugs, but it is equivalent to "blind treatment", the medicine is not right, the treatment effect will of course be discounted, burying a lot of hidden dangers.
Second, control the proteinuria and win the remaining half
The prognosis of nephrotic syndrome nephropathy is basically directly linked to proteinuria. Proteinuria is formed after the increased permeability of the glomerular filtration membrane, resulting in the leakage of macromolecular proteins. The glomeruli are an important part of the kidney cells in the kidneys, and once damaged, the overall kidney function will inevitably become worse and worse.
For this type of kidney disease, the typical treatment plan is hormone and immunosuppressant therapy.
Hormones have a significant effect on eliminating proteinuria caused by immune inflammatory responses, but there are also a small number of patients with hormone dependence or even resistance. Hormone-dependent patients can take immunosuppressants to enhance immunosuppressive effects, often with good results. Patients who have resistance can also choose to add immunosuppressants, if the effect is still not good, you can choose other drugs with protein-lowering effects, such as angiotensin-converting enzyme drugs including pry, sartan and so on.
Some patients may have such a question: different kidney diseases, are taking hormones, can they be cured?
But in fact, different causes, different kidney lesions, the treatment plan is definitely not the same. And specific to the hormone drugs there are more than ten kinds, considering the patient's own endurance, sensitivity, age and physique, etc., the dosage is also different, and actively cooperate with treatment to exert the drug effect to the extreme.
Can TCM treat nephrotic syndrome?
Some kidney friends who take hormones for a period of time do not achieve their expectations and will turn to medicine to try traditional Chinese medicine treatment. Is this desirable?
In fact, many people think that Chinese medicine can not treat kidney disease, in fact, Chinese medicine has the characteristics of traditional Chinese medicine, mainly to conditioning, in addition to traditional Chinese medicine, there are some unique therapies, such as moxibustion, moxibustion, medicinal baths, patches, etc., these methods have a history of thousands of years, but the current application in the treatment of kidney disease is less, mainly to play a role in dredging the veins, activating blood stasis, regulating the kidney environment. Relative to hormones, the onset of action is slow, but it has a certain role in consolidating proteinuria and protecting the kidneys.
However, it must be noted that everyone must go to a regular Chinese medicine hospital, and remember not to trust those who use the name of "old Chinese medicine" and say that they can be cured.