2017年2月20日星期一

Hypertensive nephropathy



Early prevention of hypertensive nephropathy is very important, the common precautions are the following:

treatment method
First, the age of 40-50 years of age, high blood pressure history of 5 - 10 years or more. If it is determined that microalbumin is increased, it should be highly vigilant. The following are the same as the "

Second, nocturia increased, there is proteinuria or transient hematuria, often check kidney function, urine protein qualitative. 24 hours urine protein quantitative, pay attention to measure blood pressure, do fundus examination. The following are the same as the "

Third, to maintain smooth stool. The following are the same as the "

4. Avoid contact with heavy metals, toxic substances and drugs that may damage kidney. Treatment of Hypertensive Nephropathy with Traditional Chinese Medicine

Chinese medicine treatment: to maintain smooth stool, it is appropriate to use Qingning pills, Mo Jiaqing Ning pills. Chinese medicine is appropriate to use Bupleurum citrus orange soup, Tianma Gouteng drink and so on. Treatment of Hypertensive Nephropathy with Western Medicine

First, early, mild hypertension and normal urine normal can be non-drug treatment, to maintain good mood, weight loss, salt, limit alcohol, practicing qigong and tai chi, appropriate physical exercise. The following are the same as the "
Second, drug treatment: available antihypertensive drugs:

① diuretics;

② beta blockers;

③ calcium antagonists;

④ Angiotensin converting enzyme inhibitor (ACEI). Among them, calcium antagonists, ACEI on renal hemodynamics more favorable, ACEI lower urinary protein than other antihypertensive drugs. (18.7 / 12kPa, 140/90mmHg) can prevent, stabilize or delay the renal damage of hypertension. The following are the same as the "

Third, malignant renal arteriosclerosis patients with rapid deterioration of renal function in the short term, combined with hypertensive encephalopathy, rapid decline in vision, intracranial hemorrhage, and can not be oral medication, intravenous administration, commonly used sodium nitroprusside, and strive to 12 ~ 24 hours to control blood pressure. Long pressing can quickly lower blood pressure, suitable for the initial treatment of malignant hypertension.

Fourth, accompanied by hyperlipidemia, diabetes and hyperuricemia, should be given the appropriate treatment. At the same time the application of anti-platelet aggregation and adhesion of drugs, such as dipyridamole, aspirin, etc., may have to prevent the role of renal arteriosclerosis.

5, renal insufficiency should also be given non-dialysis treatment and alternative treatment.

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