2014年12月17日星期三

How to Code with Side Effects of Steroids in Treating FSGS

FSGS is an common kidney disease in our daily life, and when people are attacked by the disease, they usually are recommended with some western medicines to control the symptoms and delaying the development of the disease and they often are told that the kidney disease is can not be cured, patients will step into renal failure. In addition, the medicine such as steroids can lead to many side effects. This article will told you how to code with these side effects.

Steroid medicines are broadly applied in medical treatment for its important value, its functions are manifested in immune regulation, promoting growth, maintaining lives, etc. In treatment of focal segment glomerular sclerosis, steroid medicines are routinely used, such as glucocorticoid. How glucocorticoid works in treating FSGS is manifested in two aspects, resisting inflammation and immunosuppressive action. But steroid medicines are not to be used for long period since they can bring several side effects about, such as, they will harm the cardiovascular system and skeletal system, also they will have much influence on liver, skin, etc.

There are several aspect in coding with side effects of the steroid medicines in treating FSGS. First, Preventing high blood pressure, diuretic and hypotensive drugs can be used to control the blood pressure, if the blood pressure can’t be lowered down, the steroid medicines should be reduced or suspended. Second, preventing ulceration, the steroid can be taken accompanied with drugs which used to protect gastric mucosa and restrain gastric acid secretion. Third, preventing infections, patients with FSGS should be away from infectious diseases, once infected, adequate anti-infectious drugs should be used, and the dosage of steroids should be reduced, until the infections are cured. Forth, preventing the adrenocorticomimetic hyperfunction, the symptoms will die away after drug withdrawal, but if patients should be supplied with potassium reasonably especially when they happen to have hypokalemia. Fifth, preventing adrenocortical insufficiency or shrinkage, hormones are routinely taken every other day to alleviate the side effects, if patients happen to have gastrointestinal symptoms like stomachache and vomit, it is likely that they have developed acute adrenal insufficiency, they should be supplied with fluid infusion accompanied with hydrocortisone.

Steroid can also bring complications to bones and eyes, they should be well handled, if patients don’t have responses to steroids or unable to bear the side effects, they should actively turn to other treatment.


Besides, even the steroid can play a part at first in treating FSGS, it is not supposed to be a long-term therapy for there are too many side effects, it should be used as adjuvant treatment, or be quited when necessary. Without reversing the kidney function, patients will step into dialysis transplant or kidney transplant finally. Do you want to replace treatment to reverse kidney function? You can contact our online doctor, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

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