2014年9月2日星期二

How to deal with Nephrotic Syndrome with massive proteinuria

Nephrotic syndrome is either primary (idiopathic) or secondary to another condition or disorder such as diabetes mellitus or viral hepatitis C. It is helpful to approach the etiology of nephrotic syndrome as 'caused by' a histopathologic type, as delineated below, since common histopathologies are associated with a similar coexisting condition, clinical features, treatments and prognoses.

Symptoms of Nephrotic Syndrome 

Nephrotic syndrome with proteinuria, hypoalbuminemia, and edema results from either a primary glomerular disorder (idiopathic nephrotic syndrome) or is a manifestation of systemic disease (in 30%-50% of cases in adults)

The introduction of Nephrotic Syndrome with massive proteinuria

Diseases of the glomerulus can result in three different urinary and clinical patterns: focal nephritic; diffuse nephritic; and nephrotic. (See "Differential diagnosis and evaluation of glomerular disease".)
●Focal nephritic – Disorders resulting in a focal nephritic sediment are generally associated with inflammatory lesions in less than one-half of glomeruli on light microscopy. The urinalysis reveals red cells (which often have a dysmorphic appearance), occasionally red cell casts, and mild proteinuria (usually less than 1.5 g/day). The findings of more advanced disease are usually absent, such as heavy proteinuria, edema, hypertension, and renal insufficiency. These patients often present with asymptomatic hematuria and proteinuria discovered on routine examination or, occasionally, with episodes of gross hematuria.
●Diffuse nephritic – The urinalysis in diffuse glomerulonephritis is similar to focal disease, but heavy proteinuria (which may be in the nephrotic range), edema, hypertension, and/or renal insufficiency may be observed. Diffuse glomerulonephritis affects most or all of the glomeruli.
●Nephrotic – The nephrotic sediment is associated with heavy proteinuria and lipiduria, but few cells or casts. The term "nephrotic syndrome" refers to a distinct constellation of clinical and laboratory features of renal disease. It is specifically defined by the presence of heavy proteinuria (protein excretion greater than 3.5 g/24 hours), hypoalbuminemia (less than 3 g/dL), and peripheral edema. Hyperlipidemia and thrombotic disease are also frequently observed.

Isolated heavy proteinuria without edema or other features of the nephrotic syndrome is suggestive of a glomerulopathy (with the same etiologies as the nephrotic syndrome), but is not necessarily associated with the multiple clinical and management problems characteristic of the nephrotic syndrome. This is an important clinical distinction because heavy proteinuria in patients without edema or hypoalbuminemia is more likely to be due to secondary focal segmental glomerulosclerosis (FSGS)

Treatment of Nephrotic Syndrome

If you want to adopt the traditional treatment option like Dialysis and Kidney transplant

Acupuncture

Cupping Therapy

Gua Sha

Massage

Qigong

Taijiquan

Medicated Bath

Pedicure

If you wanto to know more about this therapy contact me through kidneyfailure@hotmail.com .































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