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Intercapillary Glomerulosclerosis

Intercapillary glomeruosclerosis or diabetic glomeruosclerosis is a condition when the glomeruli (cluster of nerve endings, blood vessels or capillaries) harden in the kidney. Intercapillary glomeruosclerosis is mainly associated with people that suffer with diabetes. It is damage to the kidneys that is caused by diabetes. The blood vessels in the kidneys are what filter the waste from the blood and as there is generally high blood sugar in diabetes sufferers, this can lead to the blood vessels or capillaries being destroyed. When this happens and it isn’t treated, it can progress to kidney failure. As well as the diabetes playing an important role in this condition, other factors that contribute can include high blood pressure or high cholesterol, the diet (too much protein is dangerous for the kidneys and cutting down just on that can help the kidney to function properly) and smoking.

SYMPTOMS OF INTERCAPILLARY GLOMERUOSCLEROSIS

Unless you have regular urine tests to diagnose the problem, someone may not experience symptoms. Some symptoms may include swelling of the hands, feet and face which may also cause weight gain as well as being painful and there may be some changes in the urine.

Treatments

The first stage of treating inter capillary glomerulosclerosis is to treat diabetes and high blood pressure. This can then prevent and delay kidney dysfunction and failure.

Medication

If treated early medications may include:

  • You may be prescribed angiotensin-coverting enzyme inhibitors or angiotensin II receptor blockers to treat high blood pressure. Don’t use both as it’s not advised because of the side effects. These medications are used to control high blood pressure.
  • Your doctors might prescribe statins which lower cholesterol and reduce protein in the blood.
  • It will be recommended to take medicine which help to maintain healthy bones and manage your calcium phosphate balance.
  • You may also be prescribed a medication that controls the protein in your urine which helps kidney function.

Advanced Stages

The disease can progress to kidney failure and your doctor can help with the care of this problem by replacing the function of kidneys and try to help you to be more comfortable.

  • In order to remove waste products and extra fluid from your blood your doctor may suggest kidney dialysis treatment. Hermodialysis method is the more common type of dialysis and means you will have to visit a dialysis centre to get connected to an artificial kidney machine three times a week for three to five hours. Peritoneal dialysis can be done at home through the use of a catheter. Cleansing fluid goes through a tube and helps to filter waste products from your blood. Then the waste products go to your abdomen and are discarded.
  • Sometimes the best option is a kidney transplant where your doctor will evaluate your circumstance to see if you are eligible for the surgery.
  • If neither of these options suit you the only thing left is to make you as comfortable as possible. Your doctor may recommend treatments to make your symptoms more manageable.

Things you to do at Home

  • Try and achieve thirty minutes of physical activity a day.
  • It’s recommended to adjust your diet by eating lower-sodium, -potassium, and -protein foods.
  • Don’t smoke and if you do talk to your doctor about helping to quit.
  • Try to maintain a heathy weight and you can talk to a doctor or dietitian to reduce your calories and increase your daily exercise.
  • Sometimes taking an aspirin daily can help.
  • Be able to recognise when you might have contracted a urinary tract infection and contact your doctor immediately.

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