Glomerulonephritis is characterized by localization of the process in the vessels of the tubules of allergic autoimmune nature. Diffuse glomerulonephritis has an acute, subacute and chronic course.
Acute diffuse glomerulonephritis refers to an infectious-allergic disease (more often streptococcal infection), affects more people in the young, childhood and adolescence, can be asymptomatic, go into a chronic form, sometimes irreversible, with severe impairment of vital functions of the body.
We do not have the opportunity to dwell in detail on the etiology, pathogenesis, pathologoanatomical picture and clinic of this disease, which are covered in detail by well-known Soviet and foreign scientists. Recall only that the cyclic form has an acute, violent onset, accompanied by headaches, low back pain, dyspeptic symptoms, palpitations and shortness of breath, which is the most common symptom of this disease, the amount of urine decreases, there are edemas - from minor to massive, which can last up to 3 weeks or more. The urine shows significant albuminuria and hematuria, unstable proteinuria, which may be periodically observed for a long time. In the first period of the disease, blood pressure increases, diastolic pressure is more stable, the heart increases in size at the expense of the left ventricle, bradycardia and hemodynamic disorders appear, peripheral blood changes: the amount of hemoglobin and erythrocytes decreases, ROE accelerates.
The second form of acute nephritis - latent - most often passes into a chronic form, as it proceeds asymptomatically, manifested only by slight shortness of breath or swelling in the legs and in the area of the upper eyelids. Its course can be up to 6 months, and it is diagnosed only on the basis of a urine test.
Acute nephritis not cured within a year is considered chronic. It should be noted that in these forms of nephritis, renal function remains sufficient for a long time.
Chronic diffuse glomerulonephritis
.Chronic diffuse glomerulonephritis is most often a consequence of untreated acute nephritis, characterized by a variety of clinical forms with characteristic symptomatology for each form: Nephrotic form (nephrosonephritis), hypertensive form, mixed form of diffuse glomerulonephritis (edema-hypertensive) and latent chronic diffuse glomerulonephritis is the most frequent form, proceeding without arterial hypertension and edema, rather weakly expressed urinary syndrome.
Chronic glomerulonephritis is characterized by the same basic symptoms as in acute glomerulonephritis: edema, changes in the urine, arterial hypertension with the predominance of one or another syndrome. Special studies can detect some violations of the functional capacity of the kidneys, a decrease in filtration, further concentration capacity, which develop slowly, sometimes for years. The outcome of all these forms of chronic diffuse glomerulonephritis is a secondary shriveled kidney with phenomena of chronic renal failure.
According to the literature, chronic nephritis rarely ends in recovery.
Prevention and treatment of acute nephritis
Prevention consists in the earliest possible treatment of acute infectious diseases, elimination of the focus of infection (tonsils, gangrenous teeth, etc.).). Treatment is reduced to the following measures: strict bed rest, diet with limitation of table salt, cottage cheese, egg white, fruits, vegetables (potatoes, watermelons, pumpkin, carrots), porridge (especially Hercules) and anti-inflammatory, anti-allergic treatment.
Treatment of chronic nephritis is long, requires persistence on the part of both the doctor and the patient. Some patients are often unable to tolerate prolonged dietary restriction, or if they improve, they leave the doctor's supervision, thus causing irreparable harm to themselves.
The most basic preventive measure is the treatment of acute nephritis. Patients should avoid hypothermia, follow a diet depending on the form and stage of the disease. So, in the presence of edema, sodium chloride in the diet should be no higher than 2-3 g. With sufficient functional capacity of the kidneys, absence of edema - protein component up to 2.5 g per 1 kg of patient's weight. In severe arterial hypertension - sodium chloride up to 5 g with sufficient protein and carbohydrates. In the latent form, the diet should be particularly nutritious and vitaminized. Special attention should be paid to all forms of nephritis vitamin therapy (vitamin C, B and A complex). Prolonged protein-free diet reduces the body's overall resistance and physiologic balance.
In some cases, patients are intolerant to certain drugs (ACTH, prednisone, prednisolone, cortisone, antibiotics, resoquine), which have side effects, such as resoquine (its use causes dyspeptic symptoms, and sometimes damage to the optic nerves). Treatment with corticosteroids can cause worsening of arterial hypertension and azotemia, and sometimes more severe complications. The use of hypothiazide may lead to a decrease in potassium and impairment of cardiac contractility, etc. д. Not all patients can use climatotherapy either. In such cases, phytotherapy can be a particularly valuable method of treatment, both pathogenetic and preventive, for it has powerful anti-inflammatory, anti-allergic treatments.
We mentioned that kidney function is prolonged in this disease. Infusion of medicinal plants, the recipe for which we give, has anti-inflammatory, antimicrobial action, is not toxic and does not have harmful side effects, there is no addiction to it, the body is constantly released from metabolites, metabolism disturbed by the disease is regulated, improves capillary circulation, and increased permeability of capillary endothelium of the tubules, leading to edema, is reduced. Infusion of medicinal plants can be taken by patients for a long time, but necessarily under the supervision of a doctor.
Pyelonephritis
.Pyelonephritis is an infectious inflammatory disease that is caused by the direct introduction of microbes into the renal pelvis and renal tissue, which can enter by hematogenous, urogenous, and lymphogenous routes (pelvic organ system and colon). In all cases, the virulence of the microbe and the predisposition of the organism to the disease are of great importance.
The course may be acute, with fever, headache, palpitations and aching pain in the lower back, positive Pasternatsky's symptom, with changes in the composition of the urine (a large number of leukocytes and bacteria, sometimes with hematuria and cystitis). Sometimes (more often in children and pregnant women) acute pyelonephritis is asymptomatic, only with subfebrile fever. Then the diagnosis is made based on urine tests.
Acute pyelonephritis can proceed like acute cystitis, which is characterized by more pronounced dysuria and hematuria.
Chronic pyelonephritis is the result of untreated acute pyelonephritis. The etiologic factors are the following: the presence of various microbes, diseases associated with impaired urine outflow, neurologic factor, low-symptomatic acute pyelonephritis, etc.
The following forms of chronic pyelonephritis are distinguished: recurrent, latent, pyelonephritic shriveling of the kidney.
The course of pyelonephritis is long (years). If the process is bilateral, chronic renal failure develops in the end stage. The course of chronic uremia in pyelonephritis is characterized by slow progression and the possibility of reversal with timely treatment.
In the prevention of acute and chronic pyelonephritis of great importance is the fight against infectious diseases, removal of causes that violate the normal outflow of urine, compliance with special hygienic measures, especially in children and pregnant women. The treatment for this disease is anti-infective.
Medicinal plants used by us in diseases of the kidneys, renal pelvis, bladder, renal stone disease are as follows.
Medicinal collection for pyelonephritis #5
Lavender spikenard, herb 10 g
Black currant, leaf 10 g
White birch, leaf 10 g
Budra ivy, herb 10 g
Common juniper, fruit 10 g
Common hops, cones 10 g
Crimean rose, petals 10 g
Toloknyanka, leaves 20 g
Buccinia medicinalis, herb 20 g
Lingonberry, leaf 20 g
Large Plantain, leaf 20 g
Strawberry, herb 30 g
Cinnamon rosehip, crushed fruit 40 g
Forest strawberry, fruits 60 g
Field horsetail, shoots 60 g
In acute glomerulonephritis dose of horsetail field is reduced by 2 times.
Collection from pyelonephritis 5-6 g brew 500 ml of boiling water, stew for 30 minutes, do not boil. Take 150 ml 3 times a day half an hour before meals warm. The taste of the infusion is pleasant, the smell is specific.
Summarizing, it should be noted that in acute and chronic diffuse glomerulonephritis, as well as in acute and chronic pyelonephritis exacerbation of the disease in phytotherapy in the first and subsequent periods was not observed, except for some deterioration of urine tests in the first days: there was an increase in the number of leukocytes, especially in pyelonephritis, increased albuminuria. After 1-2 weeks these phenomena disappeared.
We regard the excretion of albumin, considered a symptom of nephropathy, as a release of metabolites from the body.
It is known that acute diffuse glomerulonephritis is an infectious-allergic disease, which is characterized by spasm of the capillaries of the tubules, blood stasis, exudate and violation of the integrity of the capillary walls with hemorrhage and other symptoms of the inflammatory process.
In phytotherapy of these diseases, as well as in the treatment of the digestive system, first of all, the improvement of metabolism was noted with an unconditional improvement of capillary circulation, which occupies a prominent place in the metabolism of the whole body, reducing the increased permeability of capillary endothelium of the tubules, leading to tissue edema..
