Chronic nephritis is a set of more etiology of chronic glomerular disease
primarily glomerular disease, but most of the patients with chronic nephritis
unknown etiology, so kidney disease symptoms, the diagnosis of chronic nephritis
is difficult.So, how to diagnose patients with chronic nephritis?
1, the kidney injury and secondary systemic disease identification, many
secondary renal damage caused by systemic diseases, its performance
nephritis.Such as allergic purpura nephritis, diabetic nephropathy, gouty
nephropathy, multiple myeloma, infective endocarditis, attention and
identification of nephritis.
2, chronic pyelonephritis late check has apparently similar to
glomerulonephritis proteinuria and hypertension, but chronic pyelonephritis, see
more at women in the history of history of urinary tract infection, urinary
sediment procuratorial more white blood cells, or leukocytes tube type, such as
bacteria or smear can find positive urine culture more help to the
diagnosis.Renal damage in a patient with chronic pyelonephritis is given
priority to with renal tubular damage, proteinuria has the characteristics of
renal tubular proteins.Renal vein angiography of the renal pelvis, isotope
renography and scanning, the asymmetry of kidney damage on both sides, can be
used as the important basis of differential diagnosis.
3, primary long illness hypertension also cause kidney damage, appear
abnormal changes of urine.But the amount of proteinuria is often less, rarely
persistent nixie and red blood cell tube type.Generally no anemia and
hypoalbuminemia, if you have kidney damage, the extent and
nephritis.Identification of primary hypertension with glomerulonephritis
hypertension, history is very important, the former a prior history of high
blood pressure, then the first have proteinuria, renal biopsies procuratorial
identification is feasible.
Make efforts to prevent kidney disease ahead of time, can reduce the disease
to people's problems.If you have any questions, can contact us at
E-mail:liu476qiang@gmail.com.
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