How can one determine a recurrence of IgA nephropathy?
IgA nephritis recurrence refers to the occurrence of clinical symptoms or abnormal laboratory findings such as hematuria, proteinuria, edema, and hypertension in patients during the stable phase of the disease. To determine whether IgA nephritis has recurred, a comprehensive assessment based on the patient's clinical manifestations and laboratory test results is required.
1. Clinical Manifestations: During the recurrence of IgA nephritis, patients may experience symptoms such as hematuria, proteinuria, edema, and hypertension. Among them, hematuria is usually visually observable as red or pink urine, while proteinuria refers to an increase in protein content in the urine. Edema usually manifests as pitting edema in both lower limbs, and severe cases may present with pleural effusion or ascites. Hypertension is characterized by persistent elevations in blood pressure.
2. Laboratory Tests: During the recurrence of IgA nephritis, patients may also exhibit signs of renal function impairment, such as elevated creatinine levels. Urinalysis will also reveal the presence of hematuria and proteinuria. If a patient exhibits the aforementioned conditions, it suggests a recurrence of IgA nephritis.
For the treatment of IgA nephritis recurrence, a suitable treatment plan should be selected based on the severity of the condition. Generally, mild recurrences can be managed with medication such as ACEI/ARB antihypertensive drugs and diuretics. Severe recurrences may require consideration for dialysis treatment. Additionally, dietary adjustments should be made in daily life to avoid excessive salt and fluid intake, and to maintain good lifestyle habits and mental health.
Determining whether IgA nephritis has recurred requires a comprehensive consideration of the patient's clinical manifestations and laboratory test results. If the aforementioned conditions occur, please seek medical attention promptly and receive professional diagnosis and treatment from a doctor.
