Nephrotic Syndrome: Are You Sick of Hormone Side Effects on Your Children

Nephrotic Syndrome can occur at any age among children, but it is most common between the ages of 1.5 and 5 years. It can damage the filters in kidneys thus causing protein in urine. If uncontrolled, it is very likely to progress into Chronic Kidney Disease and finally Renal Failure. Therefore, the parents should have their children treated effectively as early as possible.


Hormone is mainly used to treat Nephrotic Syndrome in children. Mostly, symptoms can relieve after a period of hormone treatment. However, when the dosage of hormone is reduced, the disease is at high risk of relapsing. What’s worse, long-term hormone use has huge side effects on children.


Hormone can suppress the bone growth and cause osteoporosis, which can prevent children’s development and growth. Therefore, many children may have short stature.


The parents may find their children have mental changes. The children are not able to control their own moods. That is because hormone can stimulate the nerves system.


Infections are very commonly seen in children with Nephrotic Syndrome who keep a long-term hormone therapy. Hormone can suppress the immunity. As a result, the virus and bacteria is more likely to invade into the body.

In addition, moon-shaped faces, sugar urine and even Diabetes etc can be seen among children.


To make the children develop and growth healthily like other children, many patients are seeking for a therapy free from side effects.


In China, traditional Chinese medicine (TCM) is used to treat the disease. TCM originates ancient China. Through thousands of years’ development, its curative effects have been enhanced significantly with the help of modern diagnosis and treatment technology.


The integrants in TCM are mainly natural herbs, minerals, parts of animal bones etc. Every formula is composed of various kinds of herbs in certain dosages. This can guarantee the effectiveness and safety of the medicines.

Nephrotic Syndrome:Nursing Care Tips in Daily Life

The following measures to improve the absorption of calcium:

1. Vitamin D can promote the absorption of calcium in intestinal tract. They can have some foods rich in vitamin D.

2. Proteins are beneficial to the absorption of calcium. However, for the patients with Nephrotic Syndrome should limit protein intake strictly. Therefore, they can keep proper intake of high-quality protein supply.

3. The 7-dehydrocholesterol in skin can convert to vitamin D thus promoting the bone development. Therefore, the patients with Nephrotic Syndrome on hormone should often bask in the sun.

4. Limit the intake of foods high in fat because the non-esterified fatty acid can combine with calcium thus decreasing the calcium level in body.

5. Excess alcohol and nicotine can affect the absorption of calcium. Therefore, the patients should quit smoking and drinking.

Nursing Care for Patients with Nephrotic Syndrome in Daily Life:

* Rest and activity: If the patients experience severe anasarca and even ascites, they must stay in bed and keep a reclining posture. The patients should take systemic joint motions with the help of nursing personnel to prevent anchylosis and spasm as well as thrombus formation. However, if the patients are complicated with high blood pressure, they should limit their activity. After the swelling relives, they can take moderate indoor activity. When the protein in urine is less than 2g/d, they can take proper outdoor activity, but they should avoid intense activities like running, jumping, lifting heavy things and so on.


* Nursing care on diet: The patients with Nephrotic Syndrome should manage their diet with strict restrictions. The diet should improve their nutrition condition, but does not cause excess burden to their kidneys.


 Protein: High protein intake can cause much burden to their kidneys. Therefore, low-protein diet is recommended to the patients with Nephrotic Syndrome. High quality protein refers to the animal protein rich in essential acid amino. The patients with Nephrotic Syndrome should keep their protein intake with 1g/ (Kg.d). However, when they suffer Renal Insufficiency, they should adjust their protein intake based on the creatinine clearance rate.


 Calorie: The patients with Nephrotic Syndrome should keep adequate calorie supply and it should not less than 126~147 KJ/ (kg.d).


 Fat: To relieve hyperlipidaemia, the patients with Nephrotic Syndrome should reduce the foods abundant of saturated fatty acid like animal fat and should have more foods with high polyunsaturated fatty acid such as vegetable oil and fish oil and foods rich in soluble fiber like oat.

Nursing Intervention for Nephrotic Syndrome

Nephrotic Syndrome is commonly seen among preschool children. It is featured with an amount of protein in urine and swelling. In severe case, for severe swollen legs, the children may not be able to walk or stand for too long. So, how to relieve the swelling?
　　

1. Rest and activity

　　
If the patients with Nephrotic Syndrome have serious swelling, they are recommended to stay in bed until the swelling eliminates.

　　
2. Diet

　　
* The patients should have a tight limitation of foods high in proteins as excessive protein intake can aggravate proteinuria. However, as Nephrotic Syndrome is complicated with hyperlipemia, the patients should keep a certain amount of quality(1g/kg per body weight) protein intake such as fish, egg white, milk, lean meat, etc.

　　
* They are suggested to reduce daily salt intake to 3~5 g. Also, it is necessary for them to regulate the intake based on the edema degree and blood sodium concentration.

　　
* As for hyperlipemia, the patients should reduce the consumption of foods loaded in saturated fatty acid for it can increase the cholesterol concentration.

　　
* As the patients limit the intake of proteins, it is very likely to cause malfunction. To guarantee sufficient energy, the patients with Nephrotic Syndrome should keep ample calorie intake.

　　
* Limiting water and salts intake is an important part in nursing intervention of the disease. Extra salt intake can increase the retention of sodium and fluid, thus aggravating edema.

　　
3.Skin care

　　
Serious edema stretches the skin and eventually is likely to cause skin injury. Therefore, the patients should avoid skin trauma.

　　
In addition, weak immunity renders the patients at high risk of infections. It is very important for the patients to keep away from trigging factors of infections.

　　
If the patients with Nephrotic Syndrome are in remission, the above nursing interventions will reduce the relapse of the disease significantly.

　　

Treatment for FSGS in Nephrotic Syndrome

FSGS in Nephrotic Syndrome is an difficult condition to treat. Conventionally, the patients mainly rely on hormone,immunosuppressive agents and cytoxic drugs to control blood pressure, cholesterol and heavy protein loss in urine etc. Some people will have remission after a period of treatment and return a normal life. However, it is susceptible to relapse. When they reduce hormone dosage or encounter infections, it will flare again. Besides these conventional treatments for FSGS in Nephrotic Syndrome, is there a better therapy for the condition.

FSGS is medical condition, in which the immune system attacks the kidney filtering system mistakenly.

Micro-Chinese Medicine Osmotherapy play the following roles in treating FSGS.

1. It can degrade the immune deposits in glomeruli and make them dissolve in blood. Finally, the immune deposits will be filtered out of body through systemic circulation.

2. It can regulate immune system and suppress the abnormal immune response. Hence, it can prevent the formation of immune complexes again.

3. The effective ingredients can activate the DNA replication of impaired kidney tissues and cells, thus promoting the regeneration of new renal tissues and cells. As a result, the renal function will have a remarkable improvement.
However, Micro-Chinese Medicine Osmotherapy can not eliminate the circulatory immune complexes in blood. For this part of harmful substances, blood filtration is needed to remove them out of body.


Immunotherapy can suppress the inflammatory response effectively and rapidly. Therefore, it can stop further damage to renal functional cells and tissues.



It can clear up the immune deposits in kidneys and immune complexes in blood by the combination application of Micro-Chinese Medicine Osmotherapy and blood purification techniques. Hence, it can eliminate the inducing causes of inflammatory response in kidneys.



It aims at controlling symptoms by restoring the impaired renal tissues and cells. Therefore, the patients' renal function will have a significant improvement.



It can rebuild the patients' immune system and recover the normal immune function. Hence, it can prevent immune injury to kidneys again. In this way, it stop the relapse of the disease again.

How to Treat Edema of Nephrotic Syndrome

Edema is a common complication of Nephrotic Syndrome. In serious case, the fluid may collect in lung, blood vessels and every part in body, which can cause difficult breath and even heart failure.and it is attributable to two causes:

Firstly, the malfunctioned kidney fail to filter extra fluid and sodium from blood, thus leading to retention of fluid and sodium.


Secondly, the filtering system is damaged. Thus, the protein leak into urine and cause low protein level in blood. The fluid in blood filter into tissues, leading to edema.


Treatment


1.Limiting intake of salts and fluid is an important part in relieving edema. The patients are recommended to reduce salts intake to 3~5 g/d. Also, they need to regulate the salt intake based on the edema degree and potassium concentration in blood.


2. Usually, diuretic drugs are prescribed to the patients. They can promote the secretion of fluid, thus relieving retention of fluid and sodium.


3.If the patients suffer from serious edema, they are recommended to stay in bed until edema disappears.


4. As edema is very likely to cause high blood pressure or aggravate it, the patients are usually prescribed with ACEI and ARB drugs to control blood pressure. Also, these drugs has certain effect in preserving renal function.


5.Edema is attributable to heavy protein loss in urine. High protein intake can increase the production of urea to put more strain on kidney. The patients with Nephrotic Syndrome are recommended to limit protein intake to 1 g/kg per body weight.


6. Hormone and immunosuppressive drugs can suppress the fierce immune inflammatory response to restrict the leakage of protein into urine. Therefore, they can relieve edema to some extent.


The therapy for edema should be aiming at restoring the impaired kidney and rebuilding the structure of filtering system. If these treatment goals are achieved, the edema and relative symptoms of Nephrotic Syndrome will disappear gradually.

Lupus Nephritis: what Exercise Is Ok ?

Proper exercise is beneficial to the recovery of Lupus Nephritis. The patients are often accompanied by arthritis, heart problem, lung problem etc. They should avoid violent exercise and contact sports . some aerobic and mild exercise can enhance the functions of heart and liver and strengthen bones and muscles, it can prevent or relieve the complications of Lupus Nephritis remarkably. Yoga, biking, jogging are ok for them.It can improve blood circulation and enhance immunity.

Besides taking proper exercise, the patients should also pay more attention to the following items.

1. Diet

Food is a common factor in triggering the onset and relapse of lupus. Therefore, the patients should avoid the foods that cause allergy such as mango, fish, shrimp etc.

2. Avoid exposure to sunlight

Ultraviolet light can trigger the relapse of lupus activity and aggravate renal function deterioration. Therefore, the patients should avoid exposing to sunlight in hot summer. They should prepare topee, sunblocking cream and wear longsleeved clothes when going out.

3. Be alert to infections

Patients with Lupus Nephritis have to use a large dosage of hormone and immunosuppressive agents to control the disease. Meanwhile, these medicines will also weaken the immunity. The external virus, germs and other outside stuffs are very likely to invade into body thus resulting in infections. Even if a mild infection may trigger the disease. Therefore, the patients with Lupus Nephritis should be alert to infections and do their best to avoid infections.

Lupus Nephritis Photosensitivity and How to Deal With

Lupus nephritis is inflammation of the kidney that is caused by systemic lupus erythematous (SLE). Also called lupus, SLE is an autoimmune disease. With lupus, the body's immune system targets its own body tissues. Lupus nephritis happens when lupus involves the kidneys.

Have lupus, you might be photosensitive -- meaning you have an unusually strong reaction to sunlight. In fact, more than half of all people with lupus are light sensitive. More importantly, 40% to 70% of people with lupus experience an increase in lupus symptoms after being exposed to ultraviolet (UV) rays, either from the sun or from artificial light.

Photosensitive people may develop a skin rash, known as a butterfly rash, which appears over the nose and cheeks after sun exposure. Other rashes might look like hives. Sunlight may cause also a lupus flare, resulting in fever, joint pain, or even organ inflammation.

Each person with lupus may have a different level of photosensitivity – just like in the general population. If photosensitivity is a problem for you, here are some ways to protect yourself from the sun:

People with lupus should not stay in the sun for extended periods and should make every effort to avoid UV rays outside, which are at their peak between 10 a.m. and 4 p.m. Don’t be fooled by an overcast day, because clouds don’t filter out all of the sun’s UV rays. Keep track of the time you spend in the sun. It often takes two to three weeks before skin abnormalities occur from sun exposure.

Apply sunscreen liberally: It takes at least 1 ounce of sunscreen to cover your entire body. Remember to reapply frequently. Sweat, water, contact, and clothing can all rub sunscreen off. People often forget to apply sunscreen to their necks, backs, and ears, all of which are commonly affected by photosensitivity related to lupus.

People with lupus who work or spend a lot of time outside should consider wearing clothing that has built-in sun protection or using an umbrella made with special fabric designed to block UV rays. If you are fair-skinned and have light eyes and light hair, you should be even more careful when exposed to UV rays, because people with those features are more sensitive to the sun and artificial light than people who have darker hair and skin.