Patient's question:
Hemorrhagic Crescentic GlomerulonephritisDoctor's answer:
Performance and Diagnosis1. International Society of Kidney Diseases in Children (ISKDC) Pathological Classification
Grade I: Minimal change disease.
Grade II: Mesangial proliferation.
Grade III: (a) Focal and (b) diffuse proliferation or sclerosis, with crescent formation in 75%.
Grade VI: Membranoproliferative lesions.
2. World Health Organization (WHO) Pathological Classification
Grade I: Includes minimal change disease, minimal change disease with focal segmental glomerulosclerosis, and mild focal proliferative glomerulonephritis.
Grade II: Includes mild diffuse proliferative glomerulonephritis and mild diffuse proliferative glomerulonephritis with focal segmental glomerulosclerosis.
Grade III: Includes moderate focal proliferative glomerulonephritis and moderate diffuse proliferative glomerulonephritis.
Grade IV: Includes severe diffuse proliferative glomerulonephritis and end-stage renal disease.
Guidelines:
Traditional Chinese Medicine (TCM) and Western medicine each have their strengths in treating this condition. However, Western medicine lacks particularly effective methods for treating various types of nephritis, renal failure, and uremia. Western steroid and other medications have limited efficacy, significant side effects, and are not ideal, with high costs. The condition tends to recur, as these treatments only address symptoms rather than the root cause, causing patients suffering and leading to numerous long-term complications. Dialysis for uremia and renal failure can lead to gradual atrophy and failure of the kidneys and other organs in the long term. Ultimately, kidney transplantation may be required, but the survival period remains limited.
Prevention:
First, avoid exposure to various "unhealthy" factors that may trigger this disease. Avoid dietary triggers such as fish, shrimp, crabs, pollen, and milk, which may induce allergic purpura nephritis. Second, pay attention to keeping warm, preventing colds, exercising regularly, and strengthening the body to enhance disease resistance. Third, after diagnosis, rest in bed, avoid overexertion, moderate sexual activity, and avoid smoking and alcohol. The diet should be rich in nutrients and easy to digest, with plenty of fresh vegetables and fruits. For patients with hematuria, avoid spicy, dry, irritating foods and seafood, such as roosters, sea fish, beef, lamb, and geese, to prevent exacerbating the condition. For those with excessive proteinuria, avoid excessive high-protein diets to prevent malabsorption.