How to care and prevent acute glomerulonephritis in children

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In addition to complying with the treatment methods prescribed by the doctor, parents need to pay special attention to the child's diet, rest and activities to enhance the effectiveness of the treatment of acute glomerulonephritis, helping the child. faster recovery.

1. How to take care of children with acute glomerulonephritis

When taking care of children with acute glomerulonephritis, parents need to pay attention to building a rest, scientific nutrition and prevention of complications for the child. Specifically:
1.1 Rest mode Children with a lot of edema, little urine, high blood pressure should rest according to the following regime:
Complete bed rest during the acute illness. After 2-3 weeks, the patient can return to normal activities. Avoid strenuous activity for 3 - 6 months. 1.2 Diet Parents need to maintain the child's acute glomerulonephritis diet as follows:
Give children absolute bland food in the acute stage. Children eat absolute bland food according to the degree of edema, little urine, high blood pressure for 1-2 weeks: all children's dishes must not be salted. Parents need to encourage and carefully monitor the child's diet. When the edema is gone, the child can return to a relatively bland diet (increasing salt intake: use 1g of salt/day for the next 1-2 weeks; 1.5g of salt/day for the next 1-2 weeks and 2g) salt/day for the last 1-2 weeks.After 4-8 weeks of relatively bland food, children can eat salt normally.Limit water intake depending on urine output and disease status: amount of water taken into the body. body = urine volume of the previous day + 200ml of water lost is not visible Limit protein-rich foods when children have oliguria or anuria but must ensure the body's protein intake is 1g/kg/day (equivalent to 1g/kg/day) 5-6g meat/kg/day or 8-10g fish/kg/day Eat 4-6 small meals/day depending on age Need to encourage, closely monitor the diet of pediatric patients Patients with glomerulonephritis What should not eat?
Do not eat salt and MSG when there are symptoms of edema. Limit protein, do not eat spices such as onions, garlic, chili. Limit the use of foods rich in potassium such as oranges, bananas, etc. coconut, bread, chocolate, cheese,... Limit foods rich in p phosphate when blood phosphate level ≥ 2 mg/dl. Limit sugar and cholesterol-rich foods. What should patients with glomerulonephritis eat?
Should eat foods of plant origin, rich in nutrients such as potatoes, soybeans, lotus seeds, ... Should eat starchy substances derived from taro, sweet potatoes, tapioca flour, vermicelli. Should use protein of animal origin such as fish, milk, eggs, lean meat, ... with the amount recommended by the doctor. 1.3 Anti-infection for children

Clean your baby's skin, ears, nose and throat every day to eliminate infections. Use antibiotic penicillin 100,000 units/kg/day or erythromycin 30-50 mg/kg/day for 10 days when the child has sore throat or active dermatitis. Use diuretic Furosemide 2mg/kg/day for children with acute glomerulonephritis with edema, high blood pressure, and little urine. Parents should only give children medicine in the morning or afternoon to avoid causing insomnia for children. Use the antihypertensive drug Nifedipine when the child has signs of high blood pressure. 1.4 Monitoring the health of the child Blood pressure: measure at least 2 times a day, closely monitor if the child shows signs of high blood pressure. Color and volume of urine in 24 hours. Weight: check every morning when you wake up. The amount of water in - out: the amount of water put into the body = the amount of urine in 24 hours + 200ml. Renal function: total urinalysis every 3 - 5 days. Detecting and dealing with complications: high blood pressure (let the baby lie down, use fast antihypertensive drugs and monitor blood pressure as prescribed by the doctor); acute heart failure (let the child lie on a pillow with a height of 60 - 90°, aspirate viscous sputum, breathe oxygen and use antihypertensive drugs as indicated); acute pulmonary edema (care as for acute heart failure); acute renal failure (limiting children to drink water, applying an absolute pale diet and monitoring the amount of water in and out daily)

2. Measures to prevent acute glomerulonephritis in children

Timely and effective detection, diagnosis and treatment of nasopharyngeal infections and dermatitis. Maintain personal hygiene habits for children, especially oral and skin hygiene. Keep children warm in winter. Children with acute glomerulonephritis need to rest at home to avoid spreading in the community. Take measures to improve the health and resistance of children. Acute glomerulonephritis in children can be completely cured. Parents need to coordinate well with the doctor in the treatment and care of the child so that the baby can recover soon.

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