If the patient is diagnosed with acute glomerulonephritis, the treatment of the disease is carried out in a therapeutic hospital. The patient is in the hospital ward for one to two months. The duration of therapy depends on the course of the disease, the presence of complications. Outpatient treatment is continued for four months, its duration is the best prevention of the transformation of acute glomerulonephritis into chronic.
Diet therapy should be designed for a long time, so it is necessary to take into account the form, course, stage of the disease. Her requirements for glomerulonephritis are most consistent with diet No. 7 according to Pevzner. Patients with glomerulonephritis without impaired renal function should receive an average of 1 gram of protein per 1 kilogram of body weight. With the onset and progression of symptoms of impaired kidney function, the amount of protein in the daily diet is gradually reduced from 40 to 20 grams, depending on the severity of chronic renal failure.
Pathogenetic treatment includes complex therapy using antibiotics, antihypertensives, diuretics, glucocorticoids, immunosuppressants, anti-inflammatory drugs, anticoagulants and antiplatelet agents.
Antibiotics are used for 5-7 days. Diuretics are prescribed for fluid retention, increased blood pressure and the development of heart failure. If there is no edema, but hypertension remains or the effect of the diuretics is insufficient, antihypertensive drugs are prescribed . Glucocorticoids have anti-inflammatory, desensitizing and immunosuppressive effects, increase diuresis, and reduce swelling and manifestations of the urinary syndrome. The purpose of these drugs is indicated for a prolonged course of glomerulonephritis. With severe swelling and a significant decrease in diuresis, anticoagulants are prescribed, under the influence of which microcirculation in the kidneys improves and inflammation decreases.
After inpatient treatment, patients are under follow-up for three years. At this time, they are contraindicated in performing physical work, staying in cold and humid rooms.
Undiagnosed acute glomerulonephritis, the treatment of which has not been carried out, becomes chronic. The methods of treatment of chronic glomerulonephritis are selected depending on the clinical course of the disease, the characteristics of morphological changes in the kidney, the progression of the process and complications. Treatment of chronic glomerulonephritis should continue for a long time, often throughout the patient's life. Compliance with the diet, diet is mandatory for all patients, while drug treatment is not shown to everyone.
Patients diagnosed with chronic nephritis and glomerulonephritis should avoid hypothermia, physical and mental stress. It is strictly forbidden to work at night. Once a year, planned inpatient treatment is carried out. If the patient has chronic glomerulonephritis, treatment of colds should be carried out with the mandatory appointment of bed rest and antibacterial drugs.
During an exacerbation of the disease, corticosteroid drugs are used. With the development of hypertensive and nephrotic forms, antihypertensive and diuretics are prescribed . Antiplatelet agents, cytostatics, immunosuppressants, anticoagulants are indicated. With such a form as uncomplicated chronic glomerulonephritis, treatment often leads to the development of persistent remission. Sanatorium treatment is also indicated in a dry hot climate.