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Prognosis and Prevention of IgA Nephropathy


2012-09-14 14:30

IgA Nephropathy can be diagnosed at any age but most commonly in children and youth who always have episode history of visible hematuria, while elderly people with the disease are less likely to have this symptoms. Additionally, patients always have proteinuria, hypertension and other kidney damages.

Prognosis

In general, the disease is regarded as a benign form of glomerulonephritis, but end-stage renal disease (ESRD) occurs by 10 years in about 15 to 20 percent of patients and by 20 years in around 30 percent of patients. Clinical risk factor linked to progressive form of the disease include high blood pressure, proteinuria (>1.0g/24h), glomerulosclerosis, cicatrization and cresent, etc.

People who develop the following conditions may have a bad prognosis:

1. Male, especially to the elderly people;

2. Accompanied with persistent microscopic hematuria;

3. Severe proteinuria;

4. Blood pressure is out of control.

5. With immune complexes deposited both in mesangial area and capillary wall.

Prevention

·Have a healthy diet which should be low in saturate fat and rich in whole grains, fruits, and fresh vegetables.

·Do regular physical activities.

·Maintain a healthy weight.

·Quit smoking, and drink alcohol moderately. Moderate alcohol intake is no more than two drinks per day for a male and one drink per day for a female.

·Lose weight if necessary.

·Reduce the stress in daily life through counseling, doing stress reduction exercises, and meditation.

·Take medicine to help control the blood pressure and/or cholesterol levels.

Patients had better talk with your doctor if you have a family history of IgA Nephropathy or other forms of kidney diseases, so your doctor can watch for signs of IgA Nephropathy.




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