IgA Nephropathy is the most common glomerular disease, accounting for 45%-50% of primary glomerular disease in China. About 15%-20% of patients will progress to end-stage renal failure (ESRD or uremia) in 10-20 years.
The ultimate goal of IgA nephropathy treatment is to prevent or delay the progress of uremia.
So what are the methods in clinical treatment that can delay the progress of uremia?
1 blood pressure medication
For IgA Nephropathy patients with proteinuria > 1g/ day, RAS blockers, i.e. ACEI or ARBs, are recommended to take for long-term. The dosage can be gradually increased until the amount of proteinuria is less than 1g/24h.
Target blood pressure: for patients with proteinuria < 1 g/day, their blood pressure should be controlled below 130/80mmHg. For patients with proteinuria >1g/day, blood pressure should be controlled below 125/75mmHg.
2 steroids
For patients whose proteinuria can not be made into less than 1g/d with 6 months of RAS blockers (blood pressure) treatment, if their GFR is over 50 ml/min/1.73m2, they can receive no more than 6 months of glucocorticoid treatment
However, attention should be paid to the side effects of hormones, such as serious infection, hypertension, weight gain, diabetes, osteoporosis and so on.
3 Integrated Chinese and western medicine treatment
The treatment of IgA Nephropathy focuses on repair rather than inhibition. Even suppression must be based on repair.
The combination of traditional Chinese medicine and western medicine is on the basis of restoration of TCM, and meanwhile cooperate with the inhibition of western medicine. It can not only apply the TCM, but also integrate with advanced modern technology.
4 Immunosuppressants
-For IgA Nephropathy patients with glomerular crescent > 50% or rapid progression, glucocorticoid and cytoxan should be given.
-If crescents do not form or the disease does not progress quickly, it is not recommended to use the combined treatment of steroids, cytoxan or azathioprine.
-Be sure to understand the pathology, control the dose, and avoid more serious kidney damage.
5 Fish oil
Patients with persistent proteinuria greater than 1g/d may benefit from fish oil supplements.
6 Tonsil
Tonsillectomy is not recommended and can be recuperated by means of clearing fire, nourishing Yin and moistening dryness.
Now you know the 6 IgA Nephropathy treatments, which can keep you from developing uremia. But they are not enough for you to control the disease well. In fact, you can try a systemic treatment. It is Toxin-Removing Treatment, which does not only help you control symptoms, but also repair kidney damage and promote renal function. For more information on IgA Nephropathy treatment, please leave a message below or contact online doctor.
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