Manifestation of nephrotic syndrome in the elderly2017-01-14 08:00
Manifestation of nephrotic syndrome in the elderly:
First, patients should eat high quality protein, specific intake number according to the patient's condition and physical fitness to judge.
Second, if the patient has high blood potassium, potassium content of food to restrict consumption, because high blood potassium can make cardiac arrest.
Three, 1, no edema, hypertension and in patients with decreased urine output, should be strong limiting salt intake. Daily salt intake is 8-12 grams, and for patients with edema of the recommended daily intake of salt for 3 g, water, soup, porridge and fruit with high moisture content should be as limited as possible. Eating light, containing sodium condiments such as soy sauce, MSG (monosodium glutamate), also should be limited, and should not be eating pickles, preserves and so on. Amount of water, but it is best to drink water, don't drink tea. Because the tea will affect iron absorption, and suffer from anemia.
2, already have edema, high blood pressure or decreased urine output of patients not only to limit salt intake and water intake should be limited, that is, strictly limit the intake of water and salt.
For patients with chronic nephritis, should strictly control the intake of salt and water, if kidney disease diet, can easily lead to deterioration of the illness, and in patients with uremia, resulting in serious injury to the patient. When heart failure, severe hypertension, even salt-free eating, heart failure or high blood pressure can be restored in the restoration of the original diet.Four, if asymptomatic proteinuria or hematuria, or to the recovery stage of kidney disease, you can don't have dietary restrictions, as long as the appropriate reducing the intake of protein and salt.Five, to avoid exposure to cold, keep warm and keep plenty of heat, especially in patients with kidney failure, but also to maintain enough heat to avoid cold cold.
Clinical manifestation of nephrotic syndrome in the elderly adults are basically the same, is secondary rather than primary nephrotic syndrome in the elderly, so clearly after a diagnosis of nephrotic syndrome must strive to find out the cause, because different kinds of reasons and given different treatments, prognosis and prevention are very different.
Variety of neoplastic disease, gastrointestinal cancer, lymphoma, leukemia, lung cancer, multiple myeloma, and diabetic nephropathy Hemangioma, abnormal protein blood syndrome, systemic lupus erythematosus, and certain drugs such as preparation, penicillamine, non-steroid anti-inflammatory, ACE inhibitors can cause nephrotic syndrome in the elderly,
1. minimal change
25% per cent of elderly nephrotic syndrome, clinical manifestations associated with diastolic hypertension and normal value of creatinine more than, higher than that of adults, while urine is less than adults, more essential.
2. membranous nephropathy
70% per cent of elderly nephrotic syndrome, secondary membranous nephropathy and tumor factors, no special clinical symptoms.
3. renal Amyloidosis
Most of them of primary amyloidosis, a few secondary to multiple myeloma and chronic diseases, such as rheumatoid arthritis, Amyloidosis can affect the body, gum or rectum Congo red staining may occur, and the prognosis is poor, no effective treatment, and often died within 14 months of diagnosis.
Due to aging change of kidney in the elderly, and other systemic diseases is quite obvious, become atypical nephrotic syndrome, renal biopsy is necessary because aging changes in kidney, sometimes must be combined with clinical data for analysis.