Saturday, August 23, 2014

How to Diagnose Chronic Nephritis

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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