Some data show that 5-10 years after suffering from hypertension, mild to moderate renal arteriosclerosis may occur, leading to renal ischemia, atrophy, and even renal failure. In severe cases, dialysis or transplantation is even necessary. But mild, patients will not appear obvious nephrotic symptoms, can only be detected by microalbuminuria and other indicators, in order to see abnormal. The onset age of hypertensive nephropathy is more than 40-50 years old, and the history of hypertension is more than 5-10 years.
The incidence of hypertensive renal damage is closely related to the severity and duration of hypertension. If combined with diabetes, hyperlipidemia and hyperuricemia, will further aggravate renal damage. It should be pointed out that many patients with chronic kidney disease have died of cardiovascular complications before they need dialysis.
Therefore, experts suggest that the treatment of cardiovascular disease can not ignore the kidney, the treatment of kidney disease should also pay attention to cardiovascular. According to statistics, 80% of nephropathy can lead to a variety of cardiovascular diseases, such as hypertension, arrhythmia, myocardial hypertrophy, coronary heart disease, pericarditis and so on. In patients with chronic kidney disease, the mortality of cardiovascular disease can be up to 100 times higher than that of normal people. And investigate its reason, hypertension is one of the main culprits. From this point of view, "protect the kidney, save the heart", controlling blood pressure is very important.
In recent years, nephrologists have paid special attention to the control of blood pressure, because it can not only significantly delay or reduce the risk of renal damage, but also reduce the incidence of cardiovascular complications. Experts suggest that people with metabolic diseases such as high blood pressure must strengthen prevention, and keep the four kidney protection walls of diet control, regular inspection, alert signals and reasonable blood pressure reduction.
Increased nocturia
Long term hypertension can damage small renal vessels, cause renal tubular dysfunction and increase nocturia. This is an important signal of hypertensive nephropathy. Once the patient gets up more than two or three times, or even five or six times, he has to go to the hospital to have a urine test. He can often find abnormal microalbuminuria, which indicates that the renal function has been slightly damaged and needs treatment. Therefore, hypertensive patients should pay more attention to their urine, such as the presence of blood in urine, foam, frequent urination and other abnormalities, we need to be vigilant.
Check your urine regularly
If hypertension is found for the first time, a comprehensive examination must be done, especially in patients with diabetes, coronary heart disease, hyperlipidemia, hyperuricemia and gout, to determine whether there is renal injury. Patients with hypertension should also have regular urine tests. If the first examination of renal function, found no abnormal glomerular filtration rate, that year to do a urine routine and Microalbumin test can. If the glomerular filtration rate changes, it is necessary to shorten the inspection frequency according to the situation. If the glomerular filtration rate changes in the early stage, it can be checked once half a year. If the glomerular filtration rate worsens further, it needs to be checked once every 3-6 months, and the renal function should be regularly monitored in the Department of nephrology. "
Eat more tofu and fish
Salt intake is closely related to blood pressure. In order to prevent hypertensive nephropathy, salt restriction is the most important, and the daily intake should be controlled below 6 Gram.
In addition, if kidney injury has occurred, it is necessary to control protein intake under the guidance of doctors. Because the protein intake is too high, it will increase the burden on the kidney, and then aggravate the kidney damage; if the intake is insufficient, it will affect the human body's nutrition supply. Therefore, the patients should decide the protein intake according to the renal function: when there is no obvious renal function damage, the protein intake should be controlled at about 50g per day; if there is any abnormality, the protein intake should be reduced to 20-40g per day. Patients with hypertensive nephropathy should eat foods rich in high-quality protein and vitamins, such as fish, eggs, lean meat, tofu and other bean products. Eat more potassium rich vegetables and fruits, such as tomatoes, celery, watermelon, etc.
In addition, we should stop smoking and limit alcohol. Excessive drinking will increase the decomposition of protein, increase the content of urea nitrogen in the blood. Excessive drinking will increase the serum creatinine, which will inevitably increase the burden on the kidney. And often smokers, will increase the blood viscosity of renal vessels, reduce blood flow, aggravate renal ischemia and hypoxia.
Lower the blood pressure after treatment
For people with hypertension and kidney disease at the same time, we should choose those drugs that can not only effectively reduce blood pressure, but also protect the kidney, such as ACEI and ARB antihypertensive drugs, to reduce proteinuria and protect the heart. Because clinical studies have confirmed that the level of microalbumin is directly proportional to the incidence of cardiovascular events.
Hypertension with nephropathy, whether it is caused by nephropathy or hypertension caused by nephropathy, the standard of blood pressure should be more strict.
Experts pointed out that the blood pressure of patients with hypertension should be controlled below 140 / 90 mmHg, but if accompanied by kidney disease (including diabetic nephropathy), the blood pressure should be lower, controlled below 130 / 80 mmHg; if the patient is older, the systolic blood pressure can be appropriately relaxed, and it can also be maintained at about 150 mmHg.
The treatment of hypertension is best to use traditional Chinese medicine conditioning treatment, traditional Chinese medicine Jiangya FUYUAN decoction, the treatment effect is good, safe, no side effects.
Jiangya FUYUAN decoction can completely improve the blood supply circulation, correct the imbalance of blood pressure regulation, relieve the spasm of blood pressure smooth muscle, quickly relieve dizziness, insomnia, palpitation, chest tightness and other diseases, promote the reverse transformation of blood pressure, safe and non-toxic side effects. The efficacy directly acts on blood vessels and viscera, inhibits the secretion of angiotensin, relieves the spasm of blood pressure smooth muscle, reduces blood pressure steadily, and keeps the pressure stable.
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