Proceso de atención de enfermería en pacientes con síndrome nefrítico (glomerulonefritis postestreptocócica)

Abstract

NEPHROTIC SYNDROME (POSTSTREPTOCOCCAL GLOMERULONEPHRITIS) IS AN INFLAMMATORY LESION OF GLOMERULAR PREDOMINANCE AND IMMUNE PATHOGENESIS IS CHARACTERIZED BY THE APPEARANCE OF HEMATURIA, OLIGURIA AND KIDNEY DAMAGE CAUSED DECREASE IN GLOMERULAR FILTRATION RATE AND RETENTION OF SODIUM AND WATER, ACCOMPANIED BY HYPERTENSION AND IN TURN CAUSES EDEMA, THE CAUSES ARE MANY, HOWEVER, THE PROTOTYPE OF THIS IS ACUTE POSTINFECTIOUS GLOMERULONEPHRITIS, SECONDARY TO INFECTION B HEMOLYTIC STREPTOCOCCUS GROUP A SKIN OR PHARYNX, IS CHARACTERIZED AS BELONGING TO THE INFANTOJUVENIL AGE, THE MOST AFFECTED ARE CHILDREN BETWEEN 4 AND 14 YEARS OLD, IT IS RARE BELOW 4 AND ABOVE 20 YEARS IN MEN IS TWICE AS COMMON IN WOMEN IS UNKNOWN REASONS. CLINICAL VARIES IN PATIENTS WITH NEPHROTIC SYNDROME WHO ARE ASYMPTOMATIC PRESENTING MICROSCOPIC HEMATURIA, TO SEVERE AND COMPLETE SN WITH BROWN URINE, THE LATENCY PERIOD UP BETWEEN THE FIRST AND THIRD WEEK AFTER PHARYNGITIS, INSTEAD BETWEEN THE 3RD AND 6TH WEEK AFTER SKIN INFECTION. SEVERE CASES OF FLUID OVERLOAD CAN CAUSE RESPIRATORY DISTRESS HEART FAILURE AND ACUTE PULMONARY EDEMA. FOR A PROPER DIAGNOSIS MUST CONSIDER HISTORY OF LOWER LIMB EDEMA AND PERIORBITAL EDEMA, DARK URINE IN PEDIATRIC PATIENTS AND A HISTORY OF INFECTIONS BY GABHS A LEATHER IN THIRD AND SIXTH WEEK, PHARYNGEAL IN THE FIRST AND THIRD WEEK.