NEPHROSCLEROSIS (NEPHROSCLEROSIS)

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KIDNEY DISEASE : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention

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What is the NEPHROSCLEROSIS (NEPHROSCLEROSIS) and how it is treated?

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Etiology and pathogenesis NEPHROSCLEROSIS (NEPHROSCLEROSIS)

In the hypertension in the arterioles of the kidneys appear infiltrative degenerative and hyperplastic processes. Known is the role of frequent fluctuations in vascular tone due to the neuro-mental stress, endocrine shifts. Cm. Diseases of the organs of blood circulation, Arteriosclerosis Hypertension.

Symptoms and course NEPHROSCLEROSIS (NEPHROSCLEROSIS)

Symptoms. In benign form of nephrosclerosis phenomena kidney failure are either absent or very slightly bent. In the first place there are symptoms of cardiovascular disease: high blood pressure (above 200/100 mm Hg), hypertrophy of the left ventricle, and subsequently its extension. Failure cardiac activity is manifested by congestive rales in the lungs, liver enlargement, shortness of breath when moving, nocturnal attacks of cardiac asthma, angina, cyanosis of the extremities. There are also paresthesia, muscle pain, change in eye fundus character mainly of arteriosclerosis, cerebral angiospasm vessels (reduced performance, headaches). All these symptoms may be very much to meet in various combinations. They are the result of events caused by vascular crises. Sooner you receive nocturia. In urine - small albuminuria, minor hematuria, moderate number of hyaline cylinders. In malignant form of nephrosclerosis main symptoms depend on renal failure: kidney function drops sharply; concentration the ability to progressively decreases. In the blood and tissues, the accumulation of residual nitrogen. Blood pressure increased sharply, growing the symptoms of failure of the myocardium. Frequent typical changes of the ocular fundus: angiospasm, hemorrhage, degenerative and inflammatory changes in the retina, swelling of the papilla of the optic nerve (angiospastic neuroretinal).

A long, slow growing. The disease starts to develop more quickly in the event of a failure of the kidneys. In malignant form of nephrosclerosis observed depletion, plenarily complexion, progressive anemia, phenomena uraemic intoxication. In the final stage nephrosclerosis on the grounds coincides with the end stage of chronic nephritis.

Recognition NEPHROSCLEROSIS (NEPHROSCLEROSIS)

Recognition - based on the above. A thorough investigation of the functional capacity of the kidneys, radiography, roentgenokymography heart, electrocardiography. Determination of residual nitrogen in the blood. Retinoscopy. Benign form of nephrosclerosis have to differentsirovat from malignant, and the last from chronic nephritis.

Predictions NEPHROSCLEROSIS (NEPHROSCLEROSIS)

Prediction for benign eurosclerosis depends on the condition of the heart, malignant is always bad. Treatment same as treatment of hypertension (cm). Normal labour regime. Fluid intake is installed in accordance with the degree of violation of the concentration of the kidneys and circulatory disorders, with a persistent low specific weight, urine is recommended to introduce more liquid (2 - 3 liters per day or more), unless there are signs of heart failure. Table hypochlorhydria; permitted curd, milk, egg whites, vegetables, fruits. With increasing azotemii eating protein to 40.0 - 30,0 per day. Against vascular symptoms and heart failure (especially with repeated attacks of cardiac asthma) good influenced by repeated phlebotomy (500 - 600 ml), leeches on the mastoid bone and the coccyx. When painful angiospastic phenomena also benefit the hand and foot baths with a constant heating, diathermy and galvanization of the cervical nodes. Physiotherapeutic measures-change in steady-state conditions. Of pharmacological agents are assigned theobromine, diuretic, papaverine, luminal. When signs of circulatory failure add substance group digitalis, preferably strophanthin in Vienna. Treatment of malignant forms of nephrosclerosis see Jade's crip - niccki

Prevention NEPHROSCLEROSIS (NEPHROSCLEROSIS)

Treatment.

Treatment same as treatment of hypertension. Normal labour regime. Fluid intake is installed in accordance with the degree of violation of the concentration of the kidneys and circulatory disorders, with a persistent low specific weight, urine is recommended to introduce more liquid (2 - 3 liters per day or more), unless there are signs of heart failure. Table hypochlorhydria; permitted curd, milk, egg whites, vegetables, fruits. With increasing azotemii eating protein to 40.0 - 30,0 per day. Against vascular symptoms and heart failure (especially with repeated attacks of cardiac asthma) good influenced by repeated phlebotomy (500 - 600 ml), leeches on the mastoid bone and the coccyx. When painful angiospastic phenomena also benefit the hand and foot baths with a constant heating, diathermy and galvanization of the cervical nodes. Physiotherapeutic measures used in stationary conditions.

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