How to effectively treat membranous nephropathy
Disease description:
I usually have a quite healthy body and rarely even get a minor cold. Recently, I felt unwell and went to the hospital for a comprehensive examination, where I was diagnosed with membranous nephropathy. I would like to ask, what is the best way to treat membranous nephropathy?
Doctor's answer (1)
Dr. Yang Ziqi
The treatment of membranous nephropathy requires a comprehensive approach involving multiple measures. The following are key points:
1. General treatment: Includes bed rest, infection prevention, and appropriate activity after stabilization of the condition to prevent venous thrombosis. Protein intake should also be controlled to avoid high-protein diets that may加重 (increase?) the burden on the kidneys. A low-salt diet is recommended when edema is present.
2. Pharmacological treatment: Diuretic medications such as furosemide and hydrochlorothiazide are used to relieve edema. For high-risk and very high-risk patients, immunosuppressive therapy may be employed, such as glucocorticoids (e.g., prednisone, methylprednisolone) combined with cytotoxic agents (e.g., cyclosporine, cyclophosphamide).
3. Disease monitoring and prevention of complications: Strengthen disease monitoring and long-term follow-up of urine and renal function. Prevent and treat possible complications such as lipid metabolism disorders, thrombosis, and infections.
