Chronic glomerulonephritis (CGN) is not a single disease, it includes a large group of diseases. Distinguishing acute glomerulonephritis from chronic glomerulonephritis is not simply measured by the duration of onset. Except for a few patients with chronic glomerulonephritis, which is not completely cured and transformed from acute glomerulonephritis, most patients are chronic at onset.
Although chronic glomerulonephritis includes many diseases, their common characteristics are naked eye or microscopic hematuria, facial or lower extremity edema, more proteinuria, a considerable number of patients with renal hypertension, renal dysfunction can occur in the later stage of the disease, and finally develop to uremia.
Common types of chronic glomerulonephritis are mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis, membranous proliferative glomerulonephritis, membranous nephropathy, etc.
Different types of chronic glomerulonephritis are very different in terms of disease inducement, pathogenesis, clinical manifestations, laboratory examinations, pathological changes of kidneys, the speed of disease progression and response to treatment. Therefore, it is necessary to distinguish which type of chronic glomerulonephritis patients are in the treatment, so that different treatments can be carried out according to different diseases. 。
Although various diseases vary greatly, their clinical manifestations overlap with each other. It is difficult to diagnose diseases accurately by clinical manifestations and laboratory tests alone. Therefore, before treatment, renal biopsy should be emphasized in order to know which type of kidney disease the patient is suffering from. Thereby, according to the nature of various diseases and the degree of pathological changes, appropriate treatment methods should be adopted to delay the progress of the disease.
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