How does partial nephrectomy cause postural hypertension
summary
Some time ago, my brother had an operation because of the tumor of the kidney. He had a partial nephrectomy. After the operation, there was a transient phenomenon of postural hypertension. What should I do if postural hypertension is caused after partial nephrectomy? Let me talk about it.
How does partial nephrectomy cause postural hypertension
First, after partial nephrectomy, we should pay more attention to the diagnosis of renal function on schedule. Such as urine routine, serum creatinine, urea nitrogen, etc. The first time is once every half a month, and the time limit is gradually extended to three months or half a year. Generally, the time is adjusted according to the results.
Secondly, after partial nephrectomy, postural hypertension may occur. Another prominent problem of postural hypertension is that its pathogenesis is different from that of general hypertension, so it is impossible to treat postural hypertension by treating general hypertension. Experiments show that the use of diuretics not only can not reduce blood pressure, but will stimulate blood pressure to rise further
Third, the treatment of postural hypertension is mainly to strengthen physical exercise and improve the fullness of muscles. Generally speaking, medication is not needed. For individual patients with obvious symptoms, appropriate amount of neuromodulators (such as oryzanol), central and peripheral neurotrophic agents (such as Naofukang, vitamins, inosine and related traditional Chinese Medicine) and tranquilizer can be taken. Postural hypertension generally has a good prognosis without long-term adverse consequences.
matters needing attention
After nephrectomy, we should pay attention to the diet, try to choose a high-quality low protein diet, which means to eat high-quality protein (chicken, fish, beef, etc., eat less plant protein, such as beans, coarse grains), and do not eat too much, because it will increase the burden on the kidney. Good control of blood pressure, blood sugar, if there is diabetes, hypertension to rule medication control, otherwise it will accelerate the deterioration of the kidney. Try not to do physical work, there is diet, do not eat some pickled food.