Nephritis in children

Jade is the most common form of kidney disease in children. There are acquired and hereditary nephritis. Acquired diffuse glomerulonephritis develops after a strep infection and is infectious and allergic disease. Clinical findings highlight, nephrotic and combined forms of glomerulonephritis.
Hematochezia form of nephritis is manifested expressed hematuria, edema of the face, arterial hypertension early in the disease. Proteinuria does not exceed 1 g / day. Signs of intoxication - pale skin, decreased appetite, lethargy, etc., In the active phase of fever, acceleration ROHE, leukocytosis. Usually during a wavy or protracted. The disease rarely occurs acutely and ends recovery. Much more often in children infectious-allergic kidney damage from the beginning takes chronic.
Nephrotic (swollen-albuminuria) form jade characterized by widespread edema (peripheral and abdominal), the presence of protein in the urine (more than 1 g daily), Hypo - and dysproteinemia, hyperlipidemia, hypercholesterolemia. Hematuria is missing or slightly expressed. Characterized by long undulating over with periods of improvement and new exacerbations.
Mixed form of nephritis is the most severe and adverse prognostic. Characteristic of persistent hypertension, swelling, persistent protein and hematuria, dysproteinemia, hyperazotemia, development of uraemia.
Diffuse glomerulonephritis primarily differentiate with hereditary nephritis. Hereditary nephritis girls proceed benign and are characterized by long and persistent hematuria. Boys forecast generally unfavourable due to the early development of kidney failure. Known combined hereditary kidney damage, organ of hearing, vision, skin, lungs and other organs and systems. For diagnosis is extremely important survey of parents and close relatives of the child.
Treatment. In the active phase required bed rest for 4-6 weeks. At the beginning of the disease is shown fruit and sugar days: the child receives 10 g of sugar and 50 g fruit per 1 kg of weight. Introduction of proteins limited only in the first days of treatment, after which the child is transferred to full-protein regime. "Salt-free" diet is shown only in the presence of strong swollen or hypertensive syndrome and a large dose of glucocorticoids. Mode "thirst", "water-strike and other measures unacceptable for child clinic. Fluid restriction is not justified even in edematous syndrome. From the first days prescribed penicillin, oleandomitin. Then recommended preparations of prolonged action (bicillin). As a means desensitization can be used Dimedrol, suprastin, glukonata calcium. The use of glucocorticoid drugs is shown in all forms of acquired glomerulonephritis. Hormone treatment requires medical supervision. From gipotenziveh funds assign rezerpin, Dibazol, apressin.
When expressed edema used gipotiazid, lasix, aldacton. All children are assigned vitamins a, the b group, C, R. a complex of therapeutic measures necessarily included sanitation foci of infection.