How to use medicine correctly for hypertensive nephropathy
summary
The disease of hypertensive nephropathy will also pose a threat to patients in life, especially after the development of hypertensive nephropathy to the stage of uremia, the disease does great harm to the patient's health. Therefore, this paper introduces how to correctly use drugs for hypertensive nephropathy in detail.
How to use medicine correctly for hypertensive nephropathy
The first: available antihypertensive drugs: ① diuretics; ② beta blockers; ③ calcium antagonists; ④ angiotensin converting enzyme inhibitors (ACEI). Among them, calcium antagonists and ACEI are more beneficial to renal hemodynamics. ACEI is better than other antihypertensive drugs in reducing urinary protein. Effective control of blood pressure to normal or near normal (18.7 / 12kpa, 140 / 90mmHg) can prevent, stabilize or delay hypertensive renal damage.
Second: the renal function of patients with malignant renal arteriosclerosis deteriorates rapidly in a short time. When they are complicated with hypertensive encephalopathy, rapid decline of vision, intracranial hemorrhage, etc., and can not take oral drugs, they can be given intravenous administration, commonly used sodium nitroprusside, and strive to control blood pressure in 12-24 hours. It is suitable for the initial treatment of malignant hypertension.
Third: Patients with hyperlipidemia, diabetes and hyperuricemia should be given corresponding treatment. At the same time, anti platelet aggregation and adhesion drugs, such as dipyridamole and aspirin, may prevent renal arteriosclerosis.
matters needing attention
Hypertensive nephropathy should eat more potassium, calcium rich and low sodium food, such as potatoes, eggplant, kelp, lettuce. High calcium food: milk, yogurt, shrimp. Eat less meat soup, because the increase of nitrogen extract in meat soup can promote the increase of uric acid in the body, and increase the burden of heart, liver and kidney.
