The hematuric form of glomerulonephritis: causes, symptoms, treatment

Chronic glomerulonephritis has several clinical forms, one of which is hematuric. It differs from others in its character, the period of compensation and the development of compensatory processes, as well as the process of decompensation. By frequency among the rest-the hematuric form of glomerulonephritis is rare, but can occur at any age.

Causes of hematuric form of glomerulonephritis

Total forms of chronic glomerulonephritis five:

1. nephrotic
2. hematuric
3. latent
4. mixed
5. hypertonic.

From the name of the disease type it is clear which symptom prevails in the clinical picture of this type of chronic glomerulonephritis. The main cause of the appearance of the hematuric form is an unrecognized latent form, the clinical picture of which is not expressed.

A person in this condition usually does not complain about any signs, and the diagnosis can be made only when he has to take urine tests. If this does not happen, the latent one in most cases becomes a hematurical form.

Other reasons that may cause a hematuric form of glomerulonephritis include:

• Allergic conditions.
• Acute and chronic viral infections( influenza, rubella and others).
• Acute and chronic bacterial and fungal infections.
• Viral forms of hepatitis.
• Kidney dysplasia.
• Congenital kidney pathology and genetic predisposition.

But in some cases the cause of the appearance of this species of glomerulonephritis has not been clarified.

Symptoms of the hematuric form of glomerulonephritis

The difference between this type of disease is that the clinical picture of the disease is characterized by hematuria( presence of traces in the urine of the blood or a large amount).Clinically, several variants of the course of the disease are distinguished, which include:

1. Recurrent macrochemistry, the symptoms of which periodically occur against the background of the transmitted viral diseases. In this case, blood in the urine can persist in the blood for several weeks to 2-3 years. In the period of calm or remission of the disease, urinalysis remains normal.
2. Slowly progressing hematuria, in which all symptoms grow slowly, and gradually the symptoms of hypertension and renal edema join it. The condition of patients deteriorates sharply if oedemas and signs of increase in arterial pressure join.

Treatment of the hematuric form of glomerulonephritis

Treatment of any form of chronic glomerulonephritis is performed in a hospital, especially during periods of exacerbation of the disease. These patients are prescribed strict bed rest and a special diet( table number 7).Nutrition in the disease is aimed at limiting the use of products such as salt, proteins, fats, smoked foods, pickled and canned foods.

Medication therapy also has its own characteristics. In order to reduce the loss of erythrocytes in the urine, prescribe drugs that strengthen the walls of blood vessels and reduce their permeability. These drugs include ascorutin, pantothenic acid and other drugs.

Also for this purpose, drugs are used that reduce the bleeding of tissues, they include dicynon, pamba and other means. Therapy with non-steroidal anti-inflammatory drugs is used only during the period of exacerbation of the disease, as long-term use of these drugs can lead to an even greater reduction in glomerular apparatus and blood filtration.

Cytostatics and hormones are not used in the hematuric form of the disease, as these drugs increase the rigidity of the erythrocyte membrane and their leaching from the body.