Hypertensive nephropathy
Signs: how our own physical condition to determine if they are sick? In life
we should always observe their own body and family, once an exception occurs,
we will provide timely to the hospital to determine the specific circumstances
of the body , the correct treatment.
What are the specific physical performance of hypertensive nephropathy?
Specific performance:
Early nocturia increased, followed by proteinuria, individual cases have
occurred hematuria, usually without low back pain. Often associated with
atherosclerotic retinopathy, left ventricular hypertrophy, coronary heart
disease, heart failure, cerebral arteriosclerosis, cerebral vascular accident.
Malignant hypertension is associated with cardiovascular complications, the
rapid development of the disease, proteinuria and hematuria, renal function
rapidly diminished, and even uremia.
2, high blood pressure can cause complications of the heart, brain, kidney
and other organs, can lead to high morbidity and mortality, 10% of the
hypertensive patients died of renal failure. Therefore, high blood pressure and
kidney disease is one pair of real "loser".
The experts pointed out that: hypertensive nephropathy, hypertension can
cause pathological harm can lead to atherosclerosis. This disease generally
occurs in older patients, more men than women. Arising from the renal artery
obstruction, mostly in the proximal 2cm, occasionally involving the artery
remote or branch.
High blood pressure, kidney disease and renal blood pressure is high. Acute
changes in the large-leafed artery and renal artery wall intimal hyperplasia
(young people for cell proliferation, the elderly, elastic fiber hyperplasia) to
luminal narrowing, the artery wall and around the limitations of the necrotic
area, where a large number of fiber protein, known as fibrinoid necrosis.
Signs of hypertensive kidney disease: the contents of the above signs of
hypertensive nephropathy introduced to so much visible damage caused by
hypertensive nephropathy to patients is a very serious, so in order to reduce
such damage, must be timely treatment.
Monday, July 30, 2012
Saturday, July 28, 2012
Ten hypertensive nephropathy "Diet Tea"
Hypertensive kidney disease, kidney disease, hospital specialists you are prompted to go to a regular hospital treatment, the experts also introduce you to a regimen of therapy on the life, following the method described is for you:
1 hawthorn tea
Hawthorn contains ingredients can aid digestion, dilate blood vessels, reduce blood sugar, lower blood pressure. Drinking method, several times a day with two of the fresh hawthorn tea drinking.
2 Chrysanthemum Tea
Daisy chamomile, its taste is not bitter, especially in the Jervois area director of parthenolide or feverfew best, each about 3 grams to drink tea three times daily; also available chrysanthemum and honeysuckle , the licorice Tong Jian behalf of the tea, Liver and eyesight, detoxification effects.
3 Huaihua tea
Off the locust tree growth of the bud dry, soaked with water as a tea, drank several times and has a unique therapeutic effect in patients with hypertension.
4 lotus tea
Drinking method of treatment of hypertension: Xian Heye half washed, chopped, add the right amount of water to boil and let cool tea with future generations.
5 Shouwu tea
Production methods for the collection system Shouwu 20 to 30 g, boiling water for 30 minutes, until cool, when the tea a day.
6. Gegen tea
Drinking of Pueraria tea to treat high blood pressure often has a significant effect, production methods will Pueraria cut into thin slices, 30 g per day as a tea, add boiling water.
7 lotus heart tea
The so-called lotus heart lotus middle of blue-green germ. Using lotus 12 grams, boiling water for future generations of tea a day, morning and evening of each drink once.
8 cassia seed tea
Cassia has a lowering effect of blood pressure, lowering blood pressure, Liver eyesight. Several times a day for 15 to 20 grams of cassia soaked on behalf of the tea as good as the treatment of hypertension, dizziness, blurred vision, fine works of art.
Corn to be tea
Drink tea several times a day, every 25 to 30 grams. The clinical application of corn to be treatment-induced edema and hypertension due to nephritis efficacy is particularly obvious.
10 Loranthaceae tea
Chinese herbal medicine Loranthaceae kidney and blood agents. Loranthaceae tea production method is to take the Loranthaceae dry goods 15 g, boiling for 15 minutes after drinking a day, morning and evening.
Hypertensive nephropathy variety of symptoms
To become a common disease of the majority of middle-aged hypertensive nephropathy? Not know much about a lot of people on hypertensive nephropathy, hypertensive nephropathy essential hypertension caused by benign arteriolar nephrosclerosis and malignant arteriolar nephrosclerosis, and withcorresponding clinical manifestations of the disease.
Then, hypertensive nephropathy, What are the symptoms that require our attention? The nephrotic hospital experts to introduce you to;
Early hypertensive nephropathy patients only nocturia increased, followed by proteinuria, transient gross hematuria individual hypertensive kidney disease patients may also have broken capillaries, but not with the apparent low back pain. Clinical, hypertension, kidney disease patients is often associated with arteriosclerotic retinopathy, left ventricular hypertrophy, coronary heart disease, heart failure, cerebral arteriosclerosis, and (or) cerebral vascular accident history.
Clinical symptoms of hypertensive kidney disease: the slow progression of hypertensive kidney disease, a large part of the hypertensive nephropathy will gradually develop into renal failure. The majority of hypertensive kidney disease patients, renal function year-round mild damage and abnormal urine, such as urinalysis occult blood, protein, or white blood cells positive. Malignant hypertension, such as diastolic blood pressure 16Kpa (120mmHg), associated with significant cardiovascular and cerebrovascular complications, and rapid development, it may be clinical manifestations often accompanied by hematuria, proteinuria, renal function loss and other symptoms.
The above is some of the symptoms of high blood pressure kidney disease, know the symptoms of hypertensive nephropathy, allows patients earlier accept the treatment of hypertensive nephropathy, so as not to delay the timing of treatment.
Wednesday, July 25, 2012
The treatment of hypertensive nephropathy
Recommendations for treatment
Patients with hypertensive nephropathy Do not forget the ten acts of care:
1, hypertension, kidney disease patients should not be prolonged quickly wrote the book, because this would allow the brain too nervous, easily induced high blood pressure.
2, should get up slowly, not immediately get out of bed after you wake up in the morning, the first sit-moment activities of the head and neck and upper limbs in order to adapt to get up when the position changes.
3, should not breath-hold forced defecation, or lead to the risk of cerebral hemorrhage. Fatigue, stool squatting urinal is the most appropriate.
4, breakfast should be light, such as 1 cup of milk or soy milk, 1 egg, 1 slice of bread.
And dinner should be less Qicheng eat appropriate, do not eat cooked rice should be equipped with some soup or porridge.
6, adhere to the morning exercise, do what, enough is enough, not strenuous activities. Mild activities, will help ease the tension in the arteries.
, Warm water bathing, overheating, or too cold water will stimulate the sensory organs of the skin caused by vasomotor, which affects blood pressure. Bath, wash with warm water about 40 ℃, the mouth is the best choice.
8, noon nap after lunch, a little activity, and then take a nap, half an hour to one hour is appropriate.
9, do not go to a crowded bus, walk Ye Hao, cycling or appropriate in a relaxed environment.
10, salt and oil, should not be just as "excellent" and arbitrary, a real treat.
Treatment of reference
(1) low-risk situation for treatment. When patients under 60 years of age there is no other risk factors, treatment to improve the lifestyle, to observe the six months if their blood pressure still unknown can control in 135/85mmhg following should be considered for drug treatment.
(2) the risk of treatment. Accompanied by a 1 to 2 risk factors, but no, mainly to improve the lifestyle, to observe the six months, such as still better able to control blood pressure in 135/85mmhg the following should be considered for drug treatment.
(3) treatment in high-risk situations. When patients have three or more risk factors or target organ damage or high risk, drug therapy should be started immediately.
4 treatment of a very high-risk situations. A patients heart, brain, kidney diseases, the performance is very high-risk. Not only strong antihypertensive therapy should be started immediately, but also to increase the use of the drug target organ protection.
Hypertension renal disease patients may wish to be their own condition, mutatis mutandis, to determine their own degree of hypertensive nephropathy, and at the same time recognize there exists the risk of, to have treatment, stable disease fundamentally to protect the good function of the body organs to resist the complications of hypertensive nephropathy.
Patients with hypertensive nephropathy Do not forget the ten acts of care:
1, hypertension, kidney disease patients should not be prolonged quickly wrote the book, because this would allow the brain too nervous, easily induced high blood pressure.
2, should get up slowly, not immediately get out of bed after you wake up in the morning, the first sit-moment activities of the head and neck and upper limbs in order to adapt to get up when the position changes.
3, should not breath-hold forced defecation, or lead to the risk of cerebral hemorrhage. Fatigue, stool squatting urinal is the most appropriate.
4, breakfast should be light, such as 1 cup of milk or soy milk, 1 egg, 1 slice of bread.
And dinner should be less Qicheng eat appropriate, do not eat cooked rice should be equipped with some soup or porridge.
6, adhere to the morning exercise, do what, enough is enough, not strenuous activities. Mild activities, will help ease the tension in the arteries.
, Warm water bathing, overheating, or too cold water will stimulate the sensory organs of the skin caused by vasomotor, which affects blood pressure. Bath, wash with warm water about 40 ℃, the mouth is the best choice.
8, noon nap after lunch, a little activity, and then take a nap, half an hour to one hour is appropriate.
9, do not go to a crowded bus, walk Ye Hao, cycling or appropriate in a relaxed environment.
10, salt and oil, should not be just as "excellent" and arbitrary, a real treat.
Treatment of reference
(1) low-risk situation for treatment. When patients under 60 years of age there is no other risk factors, treatment to improve the lifestyle, to observe the six months if their blood pressure still unknown can control in 135/85mmhg following should be considered for drug treatment.
(2) the risk of treatment. Accompanied by a 1 to 2 risk factors, but no, mainly to improve the lifestyle, to observe the six months, such as still better able to control blood pressure in 135/85mmhg the following should be considered for drug treatment.
(3) treatment in high-risk situations. When patients have three or more risk factors or target organ damage or high risk, drug therapy should be started immediately.
4 treatment of a very high-risk situations. A patients heart, brain, kidney diseases, the performance is very high-risk. Not only strong antihypertensive therapy should be started immediately, but also to increase the use of the drug target organ protection.
Hypertension renal disease patients may wish to be their own condition, mutatis mutandis, to determine their own degree of hypertensive nephropathy, and at the same time recognize there exists the risk of, to have treatment, stable disease fundamentally to protect the good function of the body organs to resist the complications of hypertensive nephropathy.
Clinical manifestations and Disease stage of hypertensive nephropathy
Clinical manifestations
1, severe edema: Edema is often the first symptom was generalized edema, shiatsu depression. Severely ill patient and pleural effusion, ascites, the Dangxiong water, can cause difficulty breathing, umbilical or inguinal hernia more ascites. A high degree of edema, often accompanied by oliguria, hypertension, mild azotemia.
2, proteinuria: massive proteinuria is nephrotic syndrome, the most important performance, qualitative urine protein mostly ~ adult daily urinary protein excretion ≥ 3.5g / d, mostly selective proteinuria.
3, hypoalbuminemia: plasma protein decreased, serum albumin <30g / L, severe cases, less than 10g / L
Hyperlipidemia: blood cholesterol, triglycerides, etc. significantly higher.
Disease staging
, According to the patient's condition and laboratory tests in clinical hypertensive nephropathy is divided into the following phases:
Stage Ⅰ - microalbuminuria: urinary albumin excretion rate anomaly. Normal renal function, urine protein negative;
Phase Ⅱ - clinical proteinuria: urine protein-positive, 24h urinary protein excretion> 0.5g characterized by normal renal function.
Phase III - renal insufficiency period: Ccr decreased, SCr increased characterized. Points of non-dialysis and dialysis period (uremia).
Non-dialysis: Ccr at 40 to 10ml/min, 133μmol / L
Dialysis (uremia): Ccr was <10ml/min. Scr> 707μmol / L.
Brief description of hypertensive nephropathy
Hypertensive nephropathy of primary hypertension caused by benign arteriolar
nephrosclerosis (also known as hypertension, renal arteriosclerosis) and
malignant arteriolar nephrosclerosis accompanied by corresponding clinical
manifestations of the disease, hypertension and renal failure.
Many perennial history of hypertension, renal tubular damage is how early in the glomerular nocturia, urinary concentration dysfunction, urine change to lighter, mild proteinuria, microscopic hematuria and tubular, often other target organ complications of hypertension.
Hypertensive nephropathy medical examination found that: said the general blood pressure increased persistent (/ Kpa / mmHg or more); some of the eyelids and / or lower extremity edema, heart border to expand; majority of arteriosclerotic retinopathy, when retinal stripe flame-shaped hemorrhage and cotton wool soft exudate in support of the malignant renal atherosclerosis, diagnosis with hypertensive encephalopathy can locate signs of nervous system.
The kidney itself is a large blood, used to filter toxins from the body, while preventing the leakage of blood vessels of protein, blood cells and other substances. High blood pressure makes the increased intravascular blood pressure can make the protein leakage, protein leakage would be the kidney's filter system to cause damage to a vicious cycle. Time long-term damage caused is difficult to reverse kidney compensatory increase until failure in advance. This is why there is hematuria terrible, terrible proteinuria. The common causes are: the incidence of hypertensive renal damage was positively correlated with the severity of hypertension and duration. Other possible factors, including gender, race, diabetes, hyperlipidemia, and hyperuricemia, and these factors influence each other, and further aggravate kidney damage. Men than women more susceptible to kidney damage. The age of onset of essential hypertension is generally 25 - 45 years old, and hypertension-induced kidney damage to the age of onset of clinical symptoms generally 40 - 60 years old. The earliest symptoms of nocturia increased, reflecting the the tubular already ischemic lesions in urine concentration function began to subside. And proteinuria, indicating that the glomerular lesions. The degree of proteinuria is generally mild to moderate (or), 24-hour urinary protein excretion is generally not more than 2 g, but a small number of patients with massive proteinuria. Urine sediment microscopic examination of red blood cells and tube small, individual patients due to glomerular capillary rupture transient gross hematuria. Research has shown that one ten thousandth of the development of renal failure in patients with essential hypertension, untreated hypertension in patients with reduced renal function than those without high blood pressure is obvious.
Often can be found in other organs caused by essential hypertension, cardiovascular complications, these complications may appear earlier than kidney damage, the condition is more serious, as the main or key factors influencing the prognosis. The most common cardiac complications of hypertensive left ventricular hypertrophy, and easy to heart failure, angina pectoris; cerebrovascular complications of cerebral hemorrhage and cerebral infarction of cerebral vascular accident in essential hypertension cause of death ranking the first place. Essential hypertension can also cause retinal arteriosclerosis, further cause arteriosclerotic retinopathy. The degree of retinal arteriosclerosis and blood pressure is proportional to, where and diastolic blood pressure more closely. Retinal sclerosis is generally parallel with renal atherosclerosis can be broadly reflect the renal artery, it is very important to fundus examination.
Many perennial history of hypertension, renal tubular damage is how early in the glomerular nocturia, urinary concentration dysfunction, urine change to lighter, mild proteinuria, microscopic hematuria and tubular, often other target organ complications of hypertension.
Hypertensive nephropathy medical examination found that: said the general blood pressure increased persistent (/ Kpa / mmHg or more); some of the eyelids and / or lower extremity edema, heart border to expand; majority of arteriosclerotic retinopathy, when retinal stripe flame-shaped hemorrhage and cotton wool soft exudate in support of the malignant renal atherosclerosis, diagnosis with hypertensive encephalopathy can locate signs of nervous system.
The kidney itself is a large blood, used to filter toxins from the body, while preventing the leakage of blood vessels of protein, blood cells and other substances. High blood pressure makes the increased intravascular blood pressure can make the protein leakage, protein leakage would be the kidney's filter system to cause damage to a vicious cycle. Time long-term damage caused is difficult to reverse kidney compensatory increase until failure in advance. This is why there is hematuria terrible, terrible proteinuria. The common causes are: the incidence of hypertensive renal damage was positively correlated with the severity of hypertension and duration. Other possible factors, including gender, race, diabetes, hyperlipidemia, and hyperuricemia, and these factors influence each other, and further aggravate kidney damage. Men than women more susceptible to kidney damage. The age of onset of essential hypertension is generally 25 - 45 years old, and hypertension-induced kidney damage to the age of onset of clinical symptoms generally 40 - 60 years old. The earliest symptoms of nocturia increased, reflecting the the tubular already ischemic lesions in urine concentration function began to subside. And proteinuria, indicating that the glomerular lesions. The degree of proteinuria is generally mild to moderate (or), 24-hour urinary protein excretion is generally not more than 2 g, but a small number of patients with massive proteinuria. Urine sediment microscopic examination of red blood cells and tube small, individual patients due to glomerular capillary rupture transient gross hematuria. Research has shown that one ten thousandth of the development of renal failure in patients with essential hypertension, untreated hypertension in patients with reduced renal function than those without high blood pressure is obvious.
Often can be found in other organs caused by essential hypertension, cardiovascular complications, these complications may appear earlier than kidney damage, the condition is more serious, as the main or key factors influencing the prognosis. The most common cardiac complications of hypertensive left ventricular hypertrophy, and easy to heart failure, angina pectoris; cerebrovascular complications of cerebral hemorrhage and cerebral infarction of cerebral vascular accident in essential hypertension cause of death ranking the first place. Essential hypertension can also cause retinal arteriosclerosis, further cause arteriosclerotic retinopathy. The degree of retinal arteriosclerosis and blood pressure is proportional to, where and diastolic blood pressure more closely. Retinal sclerosis is generally parallel with renal atherosclerosis can be broadly reflect the renal artery, it is very important to fundus examination.
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