How to reduce the kidney damage caused by hypertension?2018-01-11 11:00
When we have high blood pressure, it’s already in the development of nephropathy, high blood pressure cause very large damage on the kidney. If there is no timely treatment will develop into hypertensive nephropathy. So how to reduce blood pressure damage to the kidneys?
Chronic hypertension can cause kidney damage with different severity. Hypertension is benign and malignant, benign hypertension can cause benign small arterial nephrosclerosis, malignant hypertension can cause malignant arterial nephrosclerosis. Since the progression of primary benign hypertension itself is slow, the development of kidney damage and kidney damage is slow in the absence of special causes, and only a small number of people develop end-stage uremia, or uremia epidemic died of heart, cerebrovascular and other complications. Hypertension associated with diabetes, hyperlipidemia, hyperuricemia, etc, will increase kidney damage.
The earliest clinical symptoms may be increased nocturia, followed by proteinuria, proteinuria is generally mild to moderate, 24-hour quantitative generally not more than 1.5-2 grams, but there are very few people have a lot of proteinuria. Inpiduals may cause transient ocular hematuria due to ruptured renal tubular capillaries. With the gradual development of the disease, decreased renal function, there may be azotemia, but at last a very few will develop into uremia.
Full control of blood pressure can prevent, stabilize or even reverse the hypertensive kidney damage. For mild hypertension without complications, non-drug therapy can be used to control, such as weight loss, salt, limit alcohol, appropriate physical exercise, etc, must be sustained to be effective. Non-drug therapy can not control and the emergence of complications and moderate and high levels of hypertension must be applied to drug treatment.
From both reducing blood pressure and protecting the kidneys, antihypertensive drugs to use angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists and calcium antagonists is better. The pathogenesis of this disease is complex, but the most fundamental pathogenesis of yin and yang disorders, common pathological products for the sputum, wet, congestion, organs involving liver, spleen, kidney, especially liver and kidney.
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