Treatment of renal hematuria in children

We all know that when children are young, they are very likely to suffer from kidney disease, and kidney disease is very harmful to children. When children have kidney disease, they will have hematuria. If it is the first time to see a child with hematuria, then many parents will definitely be shocked. Children's kidney disease hematuria is a very dangerous disease. We must treat children in time. So how to treat children's renal hematuria?

1. General treatment

During the acute phase, you should rest in bed and gradually increase your activity after the clinical symptoms improve. A low-salt diet (less than 3g per day) should be given during the acute phase. People with normal renal function do not need to limit protein intake, but in cases of azotemia, protein intake should be limited, and high-quality animal protein should be the main source. People with oliguria should limit their fluid intake.

2. Treat the infection focus.

3. Symptomatic treatment

Diuretic, swelling-reducing, blood pressure-lowering and prevention of complications.

4. Dialysis treatment

When acute renal failure occurs and dialysis is indicated, dialysis treatment should be given promptly.

Interstitial Nephritis:

1. General treatment

The first step in treating interstitial nephritis is to eliminate the cause, control the infection, promptly stop using the sensitizing drugs, and treat the primary disease.

2. Symptomatic supportive treatment

Correct renal anemia, electrolyte, acid-base and volume imbalance, significantly elevated blood creatinine or combined with hyperkalemia, heart failure, pulmonary edema and other blood purification indications. Blood purification treatment should be performed in a timely manner clinically. Continuous blood purification treatment can be used for acute interstitial nephritis. For those who enter the uremia stage, kidney transplantation can be performed if conditions permit.

(1) Promoting renal tubular regeneration Cordyceps sinensis can promote the growth of renal tubular epithelial cells, improve the stability of cell membranes, and enhance the tolerance of renal tubular epithelial cells to hypoxia. It has a certain therapeutic effect on tubular interstitial nephritis.

(2) Immunosuppressants: Interstitial nephritis mediated by immune factors such as autoimmune diseases and drug allergies can be treated with hormones and immunosuppressants.

Chronic reflux nephropathy:

In some patients with this disease, the glomerular filtration function can remain stable for a long time, while in other patients, the renal function is progressively damaged and they enter renal failure.

When the ureterovesical junction matures, 2/3 of the reflux will disappear. Therefore, for patients with reflux, the main treatment is for the infection to prevent damage to the upper urinary tract. At the same time, attention should be paid to and treatment of subvesical obstruction. Antihypertensive treatment is an important aspect of the treatment of reflux nephropathy. Studies have shown that persistent high-grade reflux and urinary tract infection, as well as coexisting hypertension, are factors that promote the progression of renal function damage to end-stage renal failure.

Proteinuria is the most important sign of renal impairment. It is now recognized that proteinuria indicates concurrent glomerular disease and may develop progressively in the absence of concurrent infection and hypertension or after surgical correction of reflux.

Antireflux surgery does not affect the development of glomerular lesions. Focal segmental glomerulosclerosis is an important factor in the development of this disease to renal failure. Therefore, conservative treatment is considered first for primary ureteral reflux. Surgery to prevent reflux is only considered when the infection recurs after adequate drug treatment and there are lesions in the upper urinary tract. When the diameter of the ureter in the bladder wall is normal, an 8-cm submucosal tunnel can prevent reflux.

If the child's hematuria is very serious, then the child should be given timely hemostasis treatment. At the same time, we should avoid adding more burden to the child's health, avoid letting the child eat animal offal, and avoid putting too much psychological burden on the child. If the child has renal hematuria, then we should check what kind of kidney disease the child has, and then treat it in time. If necessary, the child should be given surgical treatment.