How to prevent the deterioration of hypertension into uremia2018-01-20 17:20
Studies have shown that 15% of the development of hypertension will be uremia, and blood pressure control is good or bad, a direct impact on the occurrence of uremia, development, efficacy and prognosis. Therefore, patients with hypertension nephropathy should be closely monitored, prevention of uremia. So, how to prevent the deterioration of high blood pressure for uremia?
First, control the blood pressure at the desired level: With the improvement of material quality of life, the incidence of hypertension increased year by year, and few people know that hypertension can develop kidney disease, or even worse for uremia. And blood pressure control is a direct impact on the occurrence of kidney damage. Therefore, the blood pressure control at the desired level, for the delay in the emergence of kidney damage has a positive effect.
Second, close monitoring of renal function: the blood pressure control in the ideal level is to prevent damage to renal prerequisites. At the same time to closely monitor the renal function of patients with hypertension:
1, regular examination of renal function, including endogenous creatinine clearance, serum creatinine, urea nitrogen, the best check every 2 months.
2, close observation of whether there are early symptoms of uremia, such as fatigue, weakness, backache and other weak symptoms such as weakness, loss of appetite or nausea and vomiting and other gastrointestinal symptoms, and pale complexion, pale tongue, lips, pale eyelids and other anemia. Once the relevant symptoms, should promptly check the renal function to confirm whether the abnormal.
3, those who reduce the elimination of endogenous creatinine, serum creatinine, elevated urea nitrogen in patients should be timely diagnosis and treatment.
Third, the rational use of drugs and treatment programs: antihypertensive drugs a wide variety of indications vary. The basic principle of the use of antihypertensive drugs is no nephrotoxicity, or there is the role of protecting the kidneys. Studies have shown that angiotensin converting enzyme inhibitors, angiotensin receptor antagonists, calcium channel blockers and β-blockers in the antihypertensive at the same time have the role of protecting the kidneys.
Hypertensive patients in the event of urinary protein, edema and other symptoms of uremia early, once the early treatment, to prevent the disease deteriorated to uremia. At present, the treatment of uremia is mainly dialysis, although can temporarily alleviate the complications, but once the dialysis is easy to form a dependence, and long-term dialysis deserted kidney will gradually lose its function.
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