How is nephritis syndrome treated?

Jul 18, 2024 Source: Cainiu Health
Disease description:

I have been feeling very uncomfortable in my kidney area recently, with some pain. After going to the hospital for an examination, the doctor diagnosed me with nephritis. I would like to ask how nephrotic syndrome is treated?

Doctor's answer (1)
Dr. Yang Ziqi
The treatment of nephritis syndrome requires comprehensive consideration of multiple factors, with the main approaches including: 1. Determine the pathological type: Identify the pathological type of nephritis through renal biopsy to guide targeted therapy. 2. Aggressive blood pressure control and reduction of urinary protein: Angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB), such as ACE inhibitors (e.g., "prils") or ARBs (e.g., "sartans"), are the first-line choices in clinical practice. These medications not only lower blood pressure but also reduce urinary protein excretion and slow the progression of renal dysfunction. 3. Dietary adjustment: Adopt a low-salt, low-fat, and high-quality low-protein diet, limiting sodium intake and controlling protein consumption to reduce the burden on the kidneys. 4. Avoidance of factors that may exacerbate kidney damage: Such as infections, overexertion, disturbances in water-electrolyte and acid-base balance, and the use of nephrotoxic drugs. 5. Pharmacological therapy: Depending on the individual condition, treatment may involve the use of glucocorticoids, cytotoxic drugs, etc., which must be strictly administered under the guidance of a physician.