What are the Treatment Principles for IgA Nephropathy?

Treatment Principles of IgA Nephritis

The treatment principles of IgA nephritis mainly encompass general management, pharmacological therapy, and surgical intervention, with patients requiring tailored treatments under the guidance of their physicians based on their individual conditions. Here's an overview:

1. General Management

IgA nephritis is a chronic disease. If a patient's condition is mild with no notable discomfort, specific treatments are generally not required. However, patients should prioritize rest, avoid overexertion, maintain a bland diet rich in fresh fruits and vegetables such as apples and tomatoes, and limit spicy, greasy foods like chili peppers and fried chicken. Additionally, personal hygiene is crucial, including frequent hand washing and bathing.

2. Pharmacological Therapy

If edema develops, diuretics like hydrochlorothiazide or furosemide may be prescribed. In cases of hypertension, calcium channel blockers like nifedipine or felodipine in their sustained-release formulations can be administered. For proteinuria, glucocorticoids like prednisone acetate or methylprednisolone may be prescribed.

3. Surgical Intervention

If a patient's condition is severe and unresponsive to medication, prompt medical examination and surgical consultation are necessary. It is advisable for patients to maintain a positive mindset and avoid emotional stress to facilitate recovery.