The diagnosis of allergic purpura nephritis
(1) renal involvement occurs in purple skin after a month, usually purple gastrointestinal symptoms often recurrent, prolonged and severe renal impairment easier.
(2) the severity of symptoms and the poor, and view the skin, gastrointestinal tract, joints and other symptoms, most patients with early visible hematuria and proteinuria, microscopic hematuria only see the light. The edema and high blood pressure, mostly mild to moderate.
(3) clinical types
① light only a slight change in urine, hematuria, short, edema, hypertension is not obvious;
② acute nephritic syndrome and post-streptococcal glomerulonephritis similar, mild haematuria, edema, hypertension, most of the normal complement, purple subsided after normal urinary changes;
③ edemaLa significant proteinuria nephrotic syndrome, with or mild hematuria, hormone therapy as the primary nephrotic syndrome;
④ acute onset rapidly progressive glomerulonephritis, significant hematuria, first stage high degree of inflammation, little or no urine, often in the three months to the development of renal failure and death;
⑤ Purple chronic nephritis often repeated, prolonged course, and finally the development of chronic renal failure.
(4) focal mesangial proliferative lesions common diseases, severe diffuse proliferation and crescent formation, immunofluorescence granular IgA mesangial area is characterized by calm.
(5) Laboratory Tests.
① See urine hematuria and / or proteinuria, especially for low selectivity;
② serum complement C3, C4 were normal;
③ blood IgG, IgM standard, early increase in some patients;
④ some positive immune complex patients.
Henoch-Schonlein nursing and Prevention of nephritis
1. diet to restore
Clinical disease with the actual situation of the points, plus the dialectical therapy, with proper diet, often to get the desired results. Diet in tandem with the real situation and the severity of the condition applies. The diet should eat nutritious, easy to digest food, eat more vegetables and fruits, eat fat objects seafood, dry goods acres and fish, shrimp, crab, milk and other foods rich in protein heterosexual, stop drinking.
2. Combine work and relaxation
Daily diet to law, the acute phase of bed rest, stabilization period appropriate activities. Usually prevent colds, exercise active, improve fitness. Winter Refuge, sexual section, patients should not become pregnant soon after the disease.
3. Spirit nursed back to health
To be comfortable to avoid arousal, to avoid exacerbation or recurrence. Please psychological care, and improve the confidence to overcome the disease.
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