Keywords: Children’s cold acute nephritis

    Q:

    My son is nearly two weeks suffering from a bad cold, but still continue to go to school to learn, not the medication in a timely manner. In the past two days, my son’s urine output was significantly reduced, and morning found swollen eyelids, swollen feet, urine Secheng to wash the meat in water samples, and hurried to the hospital, the result diagnosed with “acute nephritis" and had to be hospitalized. Will the cold why cause acute nephritis? Shaanxi Wang Ming

    A:

    Acute nephritis is a result of immune dysfunction caused non-suppurative lesions of the kidneys, is the most common form of kidney disease, one of the children during the Many pathogens cause acute nephritis, bacteria, viruses, mycoplasma, which is the most common bacterial infection, bacterial infection mainly β-hemolytic streptococcus infection is narrowly acute nephritis. The most common streptococcal infection of the upper respiratory tract infection, tonsillitis, otitis media, pneumonia, impetigo.

    Why some children suffering from these diseases, acute nephritis, and the vast majority of children did not appear to kidney disease? Has long been a mystery. Although many scientists have a long and arduous and unremitting efforts, but is not yet fully understood. Generally believed that, at least, is determined by the following two factors: (1) sick children can cause acute nephritis special Streptococcus immune disorders, the produce many antibodies pathogenic role; (2) sick children infected.

    The typical acute nephritis performance edema, oliguria, hematuria, may feel fatigue, loss of appetite, physical examination can be found hypertension. Laboratory tests to check for the presence of hematuria, proteinuria, blood antibody “O" elevated blood complement decline. The few serious children with acute renal failure, acute heart failure and hypertensive encephalopathy.

    The vast majority of sick children through timely and appropriate treatment within 1 – 2 months recovery, recovery minority within 6 – 12 months, without any sequelae. Only 0.5 percent of children under development to chronic renal failure. Mortality in the acute phase of about 0.1% – 0.5%.

    Acute phase of children to be hospitalized, bed rest, given the low-salt, low potassium, low-protein, high-calorie, multi-vitamin diet. Sodium and water into the appropriate restrictions, as well as diuretic and antihypertensive therapy. Direct treatment of acute nephritis penicillin and other antibiotics, but it can clear the body of the sick child streptococcal infection, prevents antibody production and kidney disease progress, so must the conventional antibiotic treatment received 10 – 14 days. Period of bed rest, depending on whether the acute symptoms disappear, generally 2 – 3 weeks after edema, invisible to the naked eye, hematuria, urine output and blood pressure under normal circumstances, can get out of bed to do minor activities, such as walking, but should not be done more outdoor activities. Generally in the acute phase after 3 months, basically normal erythrocyte sedimentation rate and urine, can return to school. 6 – 12 month ban strenuous physical labor, should also avoid high-protein diet, so as not to increase the burden on the kidneys, delaying the recovery of renal function.