Kidney with hypertension as the first symptom?

summary

Some friends unfortunately have kidney or nephritis. This time we should pay attention to it, because it may be accompanied by hypertension, and the incidence rate is still high, about 70%-80%, and the performance of systolic blood pressure and diastolic blood pressure all rise, which is a serious complication in clinic. What symptom can hypertension and nephritis happen at the same time? Kidney with hypertension as the first symptom? Let's talk about it.

Kidney with hypertension as the first symptom?

When nephritis complicated with hypertension, patients will appear edema, renal failure, and heart failure, great harm. From the time point of view, the emergence of hypertension in edema, proteinuria at the same time, only a few patients with elevated blood pressure prior to other symptoms. The duration of hypertension varies, which is generally parallel to the changes of edema and urine. The vast majority of patients show a slow decline. A few patients' blood pressure can rise sharply, and even cause hypertensive encephalopathy and heart failure. In children, hypertensive encephalopathy is the first manifestation, which should be paid attention to in the diagnosis.

Most of the children or young patients were 5-20 years old. Before the onset of the disease, most patients had a history of streptococcal infection and virus infection, and often accompanied by fever, edema, hematuria. In severe cases, heart failure or hypertensive encephalopathy may occur. Urine examination included proteinuria, red blood cells and casts. Hypertension occurs in oliguria or edema. When the edema subsides, the blood pressure also decreases. Systolic blood pressure and diastolic blood pressure were increased, systolic blood pressure was 17.3-22.7kpa (130-170mmhg).

There are dizziness, headache, tinnitus, nausea and other symptoms caused by elevated blood pressure. Fundus examination may have retinal artery spasm, edema, exudation and bleeding, but generally no arteriosclerosis. In intravenous pyelography, glomerular filtration rate (GFR) is often significantly decreased, but the development is delayed or not.

matters needing attention

I believe you know that when acute glomerulonephritis complicated with hypertension is very serious, easy to cause a series of complications, therefore, if you have the above symptoms, it is necessary to timely treatment.