The disease occurs as a result of microvascular injury to the blood capillaries that supply the nerves. Next, the causes of the disease diabetic nephropathy, the symptoms of the disease and the main directions of treatment are considered.
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Diabetic nephropathy is a neurological disorder associated with diabetes mellitus. Diabetic nephropathy is glomerular (or glomerular) sclerosis and tissue fibrosis caused by hemodynamic and metabolic changes in diabetes mellitus. The disease manifests itself as a slow progression of albuminuria with exacerbation of elimite creams and renal failure. Albuminuria is characterized by impaired kidney function, in which protein is excreted from the body in the urine.
Diabetic nephropathy is the most common cause of ESRD and nephrotic syndrome in adults. The prevalence of the latter condition is about 45% of all patients with type 1 diabetes. Among patients with type 2 diabetes, such disorders occur in approximately 25% of cases. The classification of diabetic nephropathy is presented a little further.
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Diabetic nephropathy develops in patients with diabetes after 5-10 years, and this can be indicated by the appearance of elimite creams in the urine, which is called albuminuria, and the ratio of its amount to the level of creatinine. Such changes in the composition of the urine can be observed in obesity, pregnancy, acute febrile illness, excess protein intake, hematuria, urinary tract infections, congestive heart failure. Signs of diabetic nephropathy. In the initial stages, the disease is asymptomatic, and persistent microalbuminuria may be the first warning. In diabetic nephropathy disease, symptoms of hypertension and edema often develop in untreated patients.
In later stages, patients may develop signs of uremia, such as nausea, vomiting, and anorexia. Let's look at the stages of development of the disease diabetic nephropathy, the stages of which are described below. Diabetic nephropathy, the classification by stages of which is presented below, has five stages of development.
The main signs are an increase in the size of the kidneys and an increase in GFR, or glomerular filtration rate. In patients with diabetes, these processes are already present to a small extent, at the same time, blood pressure inside the kidneys rises and the normal process of glomerular perfusion, or blood filtration through these organs, is disturbed. At an early stage, kidney damage is reversible, and insulin treatment can restore the correct structure and function of the urinary system. Pathological tissue damage at the first stage is absent.
The level of excretion of albumin in the urine is normal and does not exceed 30 mg per day. After physical activity, this indicator can increase and recover.after rest. At the second stage of development, pathological changes in the glomerular structure are already present, the basement membrane thickens, the glomerular filtration rate increases and becomes more than 150 ml per minute. The level of glycated hemoglobin is above 9%, GFR is above 150 ml per minute, and albumin excretion in the urine of more than 30 ml per day are considered as clinical manifestations of the onset of diabetic kidney damage in diabetic nephropathy.
Stage 3, or direct damage to buy cheap permethrin. The amount of excreted albumin is kept at a high level, from 30 to 300 mg per day. The physiological reason lies in the strong filtering work of the kidneys. Thickening of the membrane becomes already clearly visible, glomerular diffuse lesions and hyaline changes in arterioles are noted.