Thursday, June 27, 2013

The classification of nephritis

At present, Nephritis is a common clinical disease caused by a variety of reasons. What’s worse, in recent years, the incidence is on a rapid increase. Nephritis is chronic and long-lasting, so its prognosis may not be good, either. What factors will influence the prognosis? Nephritis is short for Glomerulonephritis. It is the most common renal disease clinically. Popular speaking, Nephritis means renal inflammation and it is an allergy in accordance with streptococcal inflection.
On the basis of the pathogenesis, the Nephritis can be divided into Primary Glomerulonephritis and Secondary Glomerulonephritis. By time, the Nephritis can be divided into Acute Glomerulonephritis and Chronic Glomerulonephritis. In recent years, great progress has been made in the research into pathogenesis. The therapy has been improved to a large extent. Besides, the combination of Chinese traditional and western medicine is also applied into this disease. For the foregoing reasons, the treatment methods increased. The prognosis has improved a lot, too. Is the prognosis of the Nephritis good? What factors may be related to the prognosis?
1. Clinical symptoms:
Patients with just proteinuria or microscopic hematuria usually have a good prognosis. Patients without blood pressure have a better diagnosis than those who have constant blood pressure. The patients with blood pressure can also get a good prognosis if their blood pressure become normal with the help of medicine. Or else, the prognosis is bad. Patients who can not cure the constant anemia will not get a good prognosis, either.
2. The precursors which cause the lesion of the kidneys can influence the eradicating and prognosis.
The Nephritis caused by amygdalitis or infection of the upper respir-atory tract has a good prognosis. The patients with systemic disease which is difficult have a less satisfactory prognosis.
3. Types of Pathologies:
The patients with minimal-change disease or light focal glomerulonephritis can survive after treatment. But the prognosis of membranoproliferatie glomerulonephritis is not so good relatively. If there exists cresent in the renal capsure, or glomerulosclerosis, the prognosis is bad relatively.
4. Renal function:
If the patient’s renal function is damaged badly, the creatinine and uria nitrogen increase, and the creatinine clearance decreases, the prognosis is serious. If the patient’s renal function is normal, or after treatment, it recovers, the prognosis is good relatively. If the renal disease deteriorates into chronic renal failure, or end-stage renal failure, (uremia), the prognosis is bad.

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