تكفون الحقوني
 

السلام عليكم ورحمته الله وبركاته انا ابني معا مرض في الكله واسمه زلال ثلاث سنواتابشرب
حبوب كرتزون ابغى علاج والله المستعان

[CENTER][SIZE=5][B]Treatment includes[/B][/SIZE][/CENTER]
[LIST][*][CENTER][SIZE=5][B]Monitoring and maintaining euvolemia[/B][/SIZE][/CENTER][/LIST][LEFT][SIZE=5][B](the correct amount of fluid in the body[/B][/SIZE][/LEFT][LIST][*][LIST][*][LEFT][SIZE=5][B]monitoring urine output, BP regularly [/B][/SIZE][/LEFT][*][LEFT][SIZE=5][B]fluid restrict to 1L [/B][/SIZE][/LEFT][*][LEFT][SIZE=5][B]diuretics (IV furosemide) [/B][/SIZE][/LEFT][/LIST][/LIST][LIST][*][LEFT][SIZE=5][B]Monitoring kidney function: [/B][/SIZE][/LEFT]
[LIST][*][LEFT][SIZE=5][B]do EUCs daily and calculating GFR [/B][/SIZE][/LEFT][/LIST][/LIST][LIST][*][LEFT][SIZE=5][B]Prevent and treat any complications [/B][/SIZE][/LEFT][/LIST][LIST][*][LEFT][SIZE=5][B]Albumin infusions are generally not used because their effect lasts only transiently. [/B][/SIZE][/LEFT][/LIST][LEFT][B][SIZE=5][Specific treatment of underlying cause[/SIZE][/B]

[SIZE=5][B]Immunosupression for the glomerulonephritides ([/B][/SIZE][U][SIZE=5][COLOR=#0066cc][B]steroids[/B][/COLOR][/SIZE][/U][SIZE=5][B],[U][COLOR=#0066cc][2][/COLOR][/U] [/B][/SIZE][U][SIZE=5][COLOR=#0066cc][B]cyclosporin[/B][/COLOR][/SIZE][/U][SIZE=5][B])[/B][/SIZE]
[SIZE=5][B]Standard ISKDC Regime for first episode:[/B][/SIZE][U][SIZE=5][COLOR=#0066cc][B]Prednisolone[/B][/COLOR][/SIZE][/U][SIZE=5][B] -60mg/m2 /day in 3 divided doses for 4weeks followed by 40mg/m2/day in a single dose on every alternate day for 4 weeks.[/B][/SIZE]
[SIZE=5][B]Relapses by prednisolone 2mg/kg/day till urine becomes negative for protein.Then,1.5mg/kg/day for 4 weeks.[/B][/SIZE]
[SIZE=5][B]Frequent Relapses treated by:[/B][/SIZE][U][SIZE=5][COLOR=#0066cc][B]cyclophosphamide[/B][/COLOR][/SIZE][/U][SIZE=5][B] or nitrogen mustard or cyclosporin or [/B][/SIZE][U][SIZE=5][COLOR=#0066cc][B]levamisole[/B][/COLOR][/SIZE][/U][SIZE=5][B].[/B][/SIZE]
[SIZE=5][B]Achieving stricter blood glucose control if diabetic[/B][/SIZE]
[U][SIZE=5][COLOR=#0066cc][B]Blood pressure[/B][/COLOR][/SIZE][/U][SIZE=5][B] control. [/B][/SIZE][U][SIZE=5][COLOR=#0066cc][B]ACE inhibitors[/B][/COLOR][/SIZE][/U][SIZE=5][B] are the drug of choice. Independent of their blood pressure lowering effect, they have been shown to decrease protein loss.[/B][/SIZE]

[B][SIZE=5]Dietary recommendations[/SIZE][/B]

[B][SIZE=5]1000-2000 [/SIZE][/B][B][SIZE=5]milligrams daily[/SIZE][/B][B][SIZE=5].[/SIZE][/B]
[B][SIZE=5]Foods high in sodium include salt used in dec reasing and at the table, seasoning blends (garlic salt, Adobo, season salt, etc.) canned soups, canned vegetables containing salt, luncheon meats including turkey, ham, bologna, and salami, prepared foods, fast foods, soy sauce, ketchup, and salad dressings. On food labels, compare milligrams of sodium to calories per serving. Sodium should be less than or equal to calories per serving.[/SIZE][/B]

[SIZE=5][B]Eat a moderate amount of high protein animal food: 3-5 oz per meal (preferably lean cuts of meat, fish, and poultry)[/B][/SIZE]
[SIZE=5][B]Avoid saturated fats such as butter, cheese, fried foods, fatty cuts of red meat, egg yolks, and poultry skin. Increase unsaturated fat intake, including olive oil, canola oil, peanut butter, avocadoes, fish and nuts. Eat low-fat desserts.[/B][/SIZE]
[SIZE=5][B]Increase intake of fruits and vegetables. There is no potassium or phosphorus restriction necessary.[/B][/SIZE]
[SIZE=5][B]Monitor fluid intake, which includes all fluids and foods that are liquid at room temperature. Fluid management in nephrotic syndrome is tenuous, especially during an acute flare[/B][/SIZE][/LEFT]