Klinikte Sık Görülen Böbrek Hastalıkları II. Nefrotik Sendrom

Abstract

In this second paper on the determination and the therapy of renal diseases, the nephrotic syndrome and its therapy are given. In the nephrotic syndrome, the protein diffusion of the basal membrane in the kidney glomerul capillaries is increased and massive proteinuria, hypoalbuminemia (low bolod albumin), hypercholesterolemia hyperlipidemia and massive edema are seen. The nephrotic syndrome can arise due to secondry symptoms or can be idiopatic. In the former, a therapy leading to causes and in the latter a therapy. leading to improve the clinical laboratory consequences must be applied. For the purpose of therapy to prevent the loss of protein in ürine. Infection and electrolyte disorders are to be improved too. Adrenocorticosteroids are used to prevent the retantion of sodium and water in body, and also diuretics must be given. In the diet therapy ,necessary calorie (50-60 Kal/kg) and more protein of high biological value (1,5-2 gm/Kr. o r 2 -3 mg/Kg.) are to be given, sodium and vvater intakes must be adjusted according to the laboratory consequences and edema and urine, respectively.