Tuesday, August 27, 2013

Acute nephritis and chronic nephritis how to distinguish

Acute nephritis and chronic nephritis is nephritis in both, what's the difference between them? How to distinguish? The xi 'an tongji hospital experts made the following analysis.
Normal, chronic nephritis with acute glomerulonephritis is two different kinds of disease, although they are all nephritis, but their clinical manifestation, pathogenesis, pathology type is different. Down and experts are introduced from the above several aspects.
Chronic glomerulonephritis abbreviation for chronic nephritis, is a kind of onset hidden, long illness, easy to repeated episodes of chronic kidney disease, refers to the proteinuria, hematuria, hypertension, oedema as basic clinical manifestations, way is different, the onset of the disease, pathological changes slow progress, can be different degree of renal impairment, will eventually develop into a group of glomerular disease of chronic renal failure. Due to this disease of pathological type and different period, the main clinical manifestations of each are not identical, diseases are diversified.
Acute glomerulonephritis (hereinafter referred to as acute nephritis, on the basis of different causes someone called acute nephritis syndrome. Acute nephritis is a group of acute onset, caused by infection after immune reaction diffuse glomerular non suppurative inflammatory lesions. Clinically with edema, oliguria, hematuria, and high blood pressure as the main performance, the disease is one of the most common pediatric period kidney disease. Common in children aged 3 to 8, 2 years old the following rare. Case before onset often have a cold, tonsillitis, or a precursor diseases such as skin purulent infection, the prognosis is generally good, for the duration of 6 months to 1 year, for the development of chronic nephritis is only a few.
1-4 weeks before the general acute nephritis disease precursor infection, there are many respiratory infections, skin infections and certain viral infections such as history of precursor infection. Edema often begins with eyelid, assume the downside, the pitting. 24 hours urine infants less than 200 ml, preschool children is less than 300 ml, school-age children less than 400 ml. To the naked eye hematuria color sample meat to wash water or strong tea.
Can have a cough, shortness of breath, palpitation, lung rale and other serious congestion back into the circle.
And urine routine examination have different degrees of chronic nephritis albuminuria, microscopic examination of the sediment is visible to the red blood cells, most of the patients have varying degrees of hypertension and kidney damage. Similar clinical manifestations of chronic nephritis, but its pathological type and pathological changes have different weight. According to the main pathological changes, most of the glomerular mesangial proliferative glomerulonephritis, membranous nephropathy and focal segmental glomerular sclerosis, mesangial capillaries glomerulonephritis, hyperplasia of sclerosing glomerulonephritis.
Most of the patients with chronic nephritis causes is not clear. There is no clear relationship in general and streptococcus infection, according to statistics, only 15% ~ 20% from acute glomerulonephritis. In addition, most of the patients without a history of acute nephritis, chronic nephritis is currently more scholars believe that chronic glomerulonephritis with no positive correlation between acute nephritis, it may be due to a variety of bacteria, virus and parasite infection by the immune mechanism, the factor and mechanism of the immune inflammatory mediators such as to cause the disease.
Chronic nephritis patients also have a tendency to acute episodes, each under the condition of the disease is relatively stable, due to respiratory tract infection or other malignant stimulation, suddenly in the short term (3 to 5 days or 1 ~ 2 days) rapid deterioration, then appear a large number of patients with proteinuria, even to the naked eye hematuria, increased tube type. Edema and high blood pressure, as well as the deterioration of renal function. The processing of properly, can alleviate illness, basically restored to their original level, also may lead to disease progression, into uremia period.
The above is our experts to "what is the difference between acute nephritis and chronic nephritis?" Correlation analysis is introduced, through the above study, know more about can consult our online experts.

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