Male IgA nephropathy has a certain probability of being inherited by the next generation, but the genetic probability is relatively low. The occurrence of IgA nephropathy is related to various factors such as genetic factors, immune abnormalities, infectious stimuli, environmental triggers, and lifestyle habits.

1. Genetic factors
Some IgA nephropathy patients exhibit familial clustering, which may be associated with HLA gene polymorphism. If there are IgA nephropathy patients in the immediate family, the risk of offspring developing the disease will slightly increase, but it is not absolutely hereditary. It is recommended that individuals with a family history undergo genetic counseling before pregnancy and strengthen prenatal monitoring during pregnancy.
2. Immunological abnormalities
immunoglobulin A molecular structural abnormalities are an important pathogenesis, which may affect offspring through gene expression. But most immune abnormalities are caused by acquired factors, such as recurrent respiratory infections that may induce the deposition of immune complexes, which are not directly inherited.
3. Infection stimulation
Infection with pathogens such as Streptococcus may induce renal immune response, and these acquired factors are not inherited. But certain genetic defects may make individuals more susceptible to post infection immune disorders, and this susceptibility may be hereditary.
4. Environmental triggers
Long term exposure to nephrotoxic substances, high salt diets, and other environmental factors may increase the burden on the kidneys, but these acquired factors are not directly inherited. However, individual differences in metabolic ability towards environmental toxins may be related to genes.
5. Lifestyle Habits
Bad habits such as staying up late and smoking may accelerate the progression of kidney disease. These behavioral patterns may indirectly affect the development of healthy habits in offspring through family environment, but they belong to non biological inheritance. Children of IgA nephropathy patients should undergo regular urine routine and renal function tests, pay attention to preventing respiratory infections, control salt intake below 5 grams per day, and avoid using nephrotoxic drugs. Maintaining moderate exercise can help enhance immunity, and it is recommended to choose low-intensity exercises such as swimming and Tai Chi. In case of hematuria, foam urine and other symptoms, timely medical treatment is required. Early intervention can significantly improve the prognosis. Before preparing for pregnancy, it is recommended that both husband and wife undergo genetic testing and counseling, and strengthen fetal development monitoring during pregnancy.

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