Blood pressure levels forget to look up the renal function

Data shows, suffer from hypertension 5, after 10 years, may have a mild to moderate renal artery sclerosis, resulting in renal ischemia, atrophy, and even cause renal failure. When severe, even do the dialysis or transplantation. But mild, patients do not show overt nephropathy symptoms, only by microalbuminuria detection index, in order to see abnormalities. Hypertensive nephropathy age is in more 40, 50 years of age or older, a history of hypertension for 5 - 10 years, men more than women prone. Hypertensive renal injury incidence and severity of hypertension and duration are closely related. If accompanied by diabetes, hyperlipidemia and hyperuricemia, will further aggravate the kidney damage. It is noted, many patients with chronic kidney disease also could fail to develop to need dialysis condition due to cardiovascular complications and death. So, the expert prompts, treatment of cardiovascular disease cannot be ignored in treatment of nephropathy kidney, but also pay attention to the cardiovascular. According to the statistics of nephropathy in 80% would lead to lead to a variety of cardiovascular diseases, such as hypertension, cardiac arrhythmias, myocardial hypertrophy, coronary heart disease, pericarditis. Patients with chronic kidney disease, cardiovascular disease mortality than normal subjects up to 100 times higher. The reason, hypertension is the most important one of the arch-criminal. From this perspective, " protect the kidney, the rescue of the heart ", control of blood pressure is very important. In recent years, renal Department of internal medicine doctors especially emphasize the control of blood pressure, because it can not only significantly retard or reduce renal damage probability and can reduce the occurrence of cardiovascular complications. Expert proposal, hypertension, metabolic diseases, must strengthen the prevention, control, check regularly, keep food alert signal, reasonable step-down the four kidney protecting wall. Signal alert nocturia increased Long term hypertension renal small blood vessels are damaged, causing renal tubular dysfunction, caused by the increase in nocturnal. And this is an important signal of hypertensive nephropathy. Once the patient night more than two or three times, and even reached five or six times, will rush to the hospital urine microalbuminuria, often can discover abnormal, the suggestive of renal function has been slightly damaged, requiring treatment. Therefore, hypertensive patients should pay more attention to their urine, such as the appearance of blood in the urine, foam, urinating more often and other abnormal, require extra vigilance. Check regularly do urine test The first discovery of hypertension, must do a comprehensive inspection, especially accompanied by diabetes, coronary heart disease, hyperlipidemia, hyperuricemia and gout patients, clearly there is no renal injury. Hypertension patients should also have regular urinalysis. If the initial examination of renal function, found no abnormalities of the glomerular filtration rate, a year to do a urine routine and microalbuminuria detection. If the glomerular filtration rate change, according to the situation, shortening the examination frequency, such as the early half a year in a check, further deterioration would need 3 to 6 months for a check, and regularly to monitor renal function renal Department of internal medicine. " Diet to eat more tofu and fish Salt intake and blood pressure closely related. Prevention of hypertensive nephropathy, salt restriction is the priority among priorities, the daily intake of 6 grams of the following control. In addition, if there are already renal injury, be under the guidance of a doctor to control protein intake. Because the protein intake is too high, will increase the burden on the kidneys, thereby aggravate the kidney damage; if inadequate intake, it will affect the body's supply of nutrients. Therefore, patients should be based on the renal status determines protein intake: no significant impairment of renal function, protein intake control in about 50 grams per day; if abnormal, protein intake should be reduced to 20 - 40 grams daily. Hypertensive nephropathy patients should eat more rich in high quality protein and vitamin food, such as fish, eggs, lean meat, tofu, bean products. Eat more foods rich in potassium, fruits and vegetables, such as tomatoes, celery, watermelon. In addition, still should quit alcohol limit. Many drinking can increase the decomposition of proteins, increased blood urea nitrogen content, alcohol causes elevated serum creatinine will increase the burden on the kidneys. Often people who smoke, have increased renal vascular blood viscosity, reduced blood flow, increased renal ischemia and hypoxia. Treatment of blood pressure reduction of point At the same time, hypertension and nephropathy in whom, should choose those who can effectively decrease blood pressure, but also can protect the kidney drugs, such as the ACEI and ARB classes of antihypertensive agents, decreased urine protein, thereby protecting the heart. Because, clinical research confirms, albumin levels, and the incidence of cardiovascular events are proportional to. Hypertensive nephropathy, both nephropathy induced by hypertension, or hypertension induced nephropathy, step-down pressure standard to a more strict. Experts point out that, in patients with hypertension blood pressure should be controlled at 140/90 mmHg, but as with kidney disease ( including diabetic nephropathy ), blood pressure should be again low, control in 130/80 mmHg; if the older patients, systolic blood pressure may be appropriate to relax, maintained at around 150 mmHg is also ok.