What will happen if someone with IgA nephropathy stays up late?

Written by Li Liu Sheng
Nephrology
Updated on September 26, 2024
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IgA nephropathy is a very common glomerular disease in clinical settings and is one of the main causes of uremia. IgA nephropathy is most commonly seen in adolescents, particularly in males. The cause of IgA nephropathy is currently unclear, but the clinical manifestations of patients with IgA nephropathy are numerous and vary in severity. For patients with milder IgA nephropathy, it is important to maintain a healthy lifestyle, avoid staying up late, overworking, and infections. Frequently staying up late can aggravate the condition, leading to significant proteinuria and even worsening kidney function. Therefore, it is crucial for patients with IgA nephropathy to regularly monitor their urinalysis, kidney function, and blood pressure, maintain a regular lifestyle, and avoid various adverse lifestyle impacts. Of course, once the condition worsens, it is important to seek medical attention promptly and pursue active treatment.

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Written by Zhou Qi
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Can patients with IgA nephropathy have sexual intercourse?

Patients with IgA nephropathy can engage in sexual intercourse, but there are certain prerequisites. Firstly, this disease is not contagious, and it will not be transmitted to the partner during intercourse. Secondly, there is not a significant relationship between renal function and sexual capability; patients with kidney diseases typically retain normal sexual and reproductive functions. However, since sexual activity requires a certain amount of physical strength, and in cases where the patient's condition is particularly severe, it might render the patient unable to engage in sexual activities. Therefore, if the patient does not have significant hypertension, severe edema, especially genital edema, pulmonary edema, or heart failure, they would be capable of engaging in sexual activities, and thus can have intercourse.

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Written by Zhou Qi
Nephrology
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IgA nephropathy is a kidney disease.

In medical terms, there is a condition named IgA nephropathy. IgA is actually a type of immunoglobulin. The function of immunoglobulins is to bind with antigens, which then induces an inflammatory response. For example, when bacteria enter the human body, the combination of IgA with the bacteria guides the body's immune system to target and attack the bacteria, which is a normal scenario. This IgA immunoglobulin acts as a mediator in the immune response. Due to some defect, this substance accumulates in the glomeruli. Its deposition in the glomerular capillaries can trigger inflammation in these blood vessels, leading to IgA nephropathy. This results in proliferation of glomerular mesangial cells, deposition in the mesangial matrix, causing blood and protein in the urine, and even leading to renal failure.

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Written by Zhou Qi
Nephrology
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Causes of hematuria in IgA nephropathy

IGA nephropathy is a type of chronic glomerulonephritis. This disease often causes patients to have blood in their urine, and can also lead to visible blood in the urine. The glomerulus is a cluster of capillaries with semi-permeable functions, allowing water and metabolic waste to pass through while preventing proteins and red blood cells from passing. The waste and water pass through the glomerular filtration barrier and enter into the urine, which is the main component of urine. If some pathological cause damages the capillaries of the glomerulus, such as in the case of IGA nephropathy where there is an inflammatory response within the glomerulus, it can damage the glomerular filtration barrier. As a result, red blood cells may pass through the capillary walls of the glomerulus into the urine, causing blood in the urine.

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Written by Zhou Qi
Nephrology
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Why doesn't IgA nephropathy cause swelling?

IgA nephropathy refers to the abnormal deposition of IgA immunoglobulin in the glomeruli of patients, which causes an inflammatory response and damages the glomerular capillaries. The extent of this damage varies, so not all patients will experience swelling. If the condition is severe, causing significant proteinuria, patients may develop hypoproteinemia and consequent decrease in plasma colloidal osmotic pressure, leading to swelling. If renal failure has occurred, the kidneys' ability to excrete water decreases, which can also cause swelling. Some patients may experience swelling due to damage to the renal tubules, which increases the reabsorption capacity for water. Otherwise, patients may not show obvious swelling, such as those with only mild proteinuria and hematuria, whose clinical symptoms are not pronounced.

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Written by Li Liu Sheng
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How to treat IgA nephropathy?

IgA nephropathy has many clinical manifestations and pathological types, and the treatment of IgA nephropathy is selected based on different clinical manifestations and pathological types. Usually, for patients with IgA nephropathy who only show microscopic hematuria, drug treatment is not necessary. They only need to regularly monitor routine urine tests, kidney function, and blood pressure changes in daily life, and must avoid using medications that are toxic to the kidneys. If the patient presents with gross hematuria related to tonsillar infection, tonsillectomy is recommended. If an IgA nephropathy patient has increased urinary protein, and the 24-hour urinary protein quantification exceeds 1g, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers can be used. Of course, for patients with significant proteinuria, steroids or immunosuppressants may also be used. In addition, IgA nephropathy patients can also be treated with traditional Chinese medicine. (Medication use should be under the guidance of a professional doctor.)