What is the prognosis of hypertensive nephropathy?

summary

Hypertension is a common clinical manifestation of kidney disease. Because this disease often has complications, there are obvious differences between renovascular hypertension and renal parenchymal hypertension in etiology and pathogenesis, and their prognosis is also different. Renovascular hypertension can be cured by operation, and the effect is good in early and middle stage. Now let's learn about the prognosis of hypertensive nephropathy? It's a matter of time.

What is the prognosis of hypertensive nephropathy?

First: renal parenchymal hypertension can be seen in acute nephritis, chronic nephritis, lupus nephritis, and renal failure caused by various reasons. Although renal hypertension is caused by kidney disease, the increase of blood pressure in turn has adverse effects on the kidney. But transient hypertension, such as hypertension in acute nephritis, often has little effect on renal function, and it is easier to treat.

Second, persistent moderate and severe hypertension can accelerate the deterioration of renal function. The prognosis of hypertension type of chronic nephritis is worse than that of common type; Elevated blood pressure is an important factor in the deterioration of renal function in patients with chronic renal failure. Therefore, it is very important to actively and effectively control hypertension in patients with kidney disease.

Third: why is the prognosis of kidney disease patients with hypertension poor? The reason is that persistent moderate and severe hypertension can make renal arteriole spasm and sclerosis, accelerate glomerular capillary sclerosis, accelerate nephron damage, and worsen renal function; At the same time, high blood pressure will lead to serious heart and brain complications.

matters needing attention

For patients with non-diabetic nephropathy, hypertension is the main factor to aggravate the development of the disease. For patients with large amount of proteinuria, the deterioration of renal function can be slowed down after more strict antihypertensive treatment. Many reports suggest that in patients with renal diseases complicated with hypertension, it is better to correct the high blood pressure thoroughly to protect the damaged kidney.