How to treat hypertensive nephropathy

Update Date: 2021-10-12 Source: Network

summary

My father found out that it was hypertensive nephropathy, which had been alleviated by drugs over the years, but the situation was particularly serious, and his diet was not good. I really worried about him. Today, let me learn how to treat hypertensive nephropathy with you.

How to treat 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. The effective control of blood pressure to normal or near normal (18.7 / 12kpa, 140 / 90mmHg) can prevent, stabilize or delay hypertensive renal damage.

Second: early, mild hypertension and normal urine routine can be given non drug treatment, maintain good mood, lose weight, limit salt, limit alcohol, practice qigong and Taijiquan, appropriate physical exercise, etc.

Third: the renal function of patients with malignant renal arteriosclerosis deteriorates rapidly in a short period of 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.

matters needing attention

Hypertensive nephropathy is the damage of renal structure and function caused by primary hypertension, which can be divided into benign hypertensive nephrosclerosis and malignant hypertensive nephrosclerosis. The former is due to the long-term effect of benign hypertension (≥ 140 / 90 mmHg) on the kidney, while the latter refers to the renal damage caused by the development of malignant hypertension (diastolic blood pressure > 130 mmHg) on the basis of primary hypertension. If hypertension and kidney damage exist at the same time, they will cause and effect each other and aggravate each other.