Patient's question:
Hello doctor, my friend was diagnosed with IgA nephropathy, what should we do? Can it be cured?Doctor's answer:
Hello, IgA nephropathy is a diagnosis of immunopathology. Its characteristic is the diffuse deposition of IgA in the glomerular mesangial area, which is accompanied by varying degrees of focal or diffuse mesangial hyperplasia. Clinically, it is often characterized by recurrent transient gross hematuria or microscopic hematuria.Recommendation: Based on the patient's condition, it is recommended to first undergo a renal biopsy to determine the severity of the lesion. Then, treatment can be administered based on the situation. This disease generally has a good prognosis. Reports indicate that 80% of cases persist with hematuria and proteinuria for decades without developing kidney failure. In 50% of cases, the condition can resolve spontaneously within 5 years.
From the time of diagnosis, 1%-2% of adult patients progress to end-stage renal failure each year. Follow-up after 20 years shows that 20%-30% of patients develop progressive renal insufficiency.
Regarding treatment, Western medicine currently has no specific drugs for this disease. The main goal is to protect kidney function and delay the progression of renal pathology. Therefore, it is recommended to actively protect kidney function with Western medicine while also undergoing traditional Chinese medicine (TCM) treatment based on syndrome differentiation. In particular, caution should be exercised with the use of medications that can cause kidney damage during colds or fever. Immun may be added if necessary.
Additionally, it is recommended to actively prevent colds, as this disease can easily worsen due to colds or tonsillitis. Drink plenty of water, eat less spicy and irritating foods, maintain a light diet, smoke and drink less, and keep a positive mood.
Furthermore, it is recommended to take Bailing Capsules to protect the kidneys. Long-term TCM treatment based on syndrome differentiation is also advisable, with medication adjusted according to the results of the renal biopsy.