Differential diagnosis and treatment edema. Tactics gp

In the treatment of edema syndrome Observe the following plan:
1. Treatment of the underlying disease.
2. Rational order of treatment for patients Creating optimal physical and psychological environment at home and at work.
3. Health food: Diet - a full, quickly digestible, rich in protein, vitamins, and potassium. When more water retention and hypertension limited amount of salt and water.
Treatment of renal edema.
- Corticosteroids, cytostatics, pulse therapy, plasmapheresis, hemosorbtion;
- Symptomatic treatment: ACE inhibitors, diuretics (gipotiazid, furosemide, Uregei);
- In nephrotic Stroke for the prevention of hypovolemia and to restore circulating blood (w / reopolyglukine, dextrans gemodez, protein solutions).
Treatment of hepatic edema.
- Diuretics: spironolactone, furosemide
- Protein products
- fresh frozen plasma, albumin, e-abdominal paracentesis;
- Astsitosorbtsiya; e- Ultrafiltration of blood;
- Surgical treatment.
Treatment of exudative enteropathy gipoproteinemicheskoy
-Reduced loss of protein;
- Elimination of diarrhea;
- The treatment of dysbiosis and symptoms of insufficient suction;
- Correction of errors of metabolism;- Protein hydrolysates, anabolic hormones, calcium supplements, iron, and vitamins;
- If necessary, antibiotics, corticosteroids;
- Thiazide and potassium-sparing diuretics.
Methods of treatment of chronic venous insufficiency.
The vast majority of patients with CVI shows long, regular compression therapy on an outpatient basis - preferably with the help of medical compression hosiery. This jersey is divided into preventive and curative (depending on the pressure exerted nadlodyzhechnoy area) is selected according to individual standards and sold in pharmacies and specialized stores. Contraindication to the use of compression are chronic obliterative arterial disease at lower extremities of regional systolic pressure tibial arteries below 80 mm Hg. Art. (Data USDG). Using this method of treatment may be difficult in a period of acute osteoarthritis of knee and ankle joints, in hot weather, if you are hypersensitive compression products.Pharmacotherapy HZV to normalize the structure and function of the venous wall, and an end to the aggression of leukocyte - a leading cause of venous complications of the disease. Indications for pharmacotherapy HZV presented in Table. 3.In most clinical situations, the ideal treatment for patients with a HZV Detralex - universal protector of the venous wall and valvular apparatus, which has the ability to inhibit the adhesion of white blood cells in the lumen of the capillaries, increasing the number of functioning lymph vessels and lymph accelerate transport, reduce blood viscosity and velocity of the red blood cells.The efficacy Detralex (micronized flavonoid fraction) in respect of the main symptoms HZV (a feeling of heaviness, heat, and pain in the legs, swelling of the limbs and venous ulcers measuring up to 10 cm) is proved in numerous randomized, multicenter, placebo-controlled studies (level of evidence A) and confirmed in international guidelines for the treatment of lower extremity HZV taken in 2007Easy to use DETRALEX (2 tablets 1 per day in the evening), the universality of the standard dosage and course of treatment, tolerability allow us to recommend the drug for widespread use in the practice of therapeutic as seed money already in the initial identification of patients with venous and lymphatic edema.