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Beneficial Advice To Kidney Disease Patients For A Better Life

Time:  2018-04-20 15:06

If kidney disease patients have high blood pressure, and it can not be controlled well, which will accelerate the process to uremia stage. So will uncontrolled high blood pressure cause kidney disease?

What is the difference between renal hypertension and hypertensive nephropathy?

The difference one: the source is different, the renal hypertension is because that the renal function is damaged and the blood pressure is raised, and the blood pressure of the patients with hypertensive nephropathy is raised before the kidney disease, it has a great relationship with its own congenital factors or the acquired environment.

Difference two: time is different, renal hypertension begins after nephrosis, and the time of blood pressure rises is shorter, patients with hypertensive nephropathy have high blood pressure and at least 5 years of hypertension before they are found. This shows that long-term high blood pressure, bad control will cause kidney damage, induce nephropathy.

After clarified the damage of blood pressure to kidneys, effective blood pressure should be treated. At present, is drug therapy the most effective way to reduce blood pressure.

The choice of long-term antihypertensive drugs, for a long-term history of hypertension, and nephrosis caused by hypertension patients, the choice of long-term antihypertensive drugs, more conducive to maintaining the stability of blood pressure. For refractory hypertension, it can be controlled by combined medication.

The main antihypertensive drugs for nephrotic patients are angiotensin converting enzyme inhibitor (ACEI), such as Kato Pury, perindopril or angiotensin II receptor blocker (ARB), such as losartan and valsartan. These two drugs not only reduce blood pressure, but also play a role in lowering protein and protecting renal function.

Usually the blood pressure will reach the peak after morning and before bedtime. Therefore, the patients with kidney disease must be used on time to ensure the blood pressure, avoid the increase of blood pressure and cause renal function damage.

Three limit the intake of sodium salt. For patients with hypertensive nephropathy, controlling sodium intake can help reduce the burden of the kidneys and avoid higher blood pressure. The daily salt intake should be controlled below 5g.

Some drugs have some side effects, such as the side effects of the pril - like drugs. For patients with high blood potassium in the nephrotic patients, we should pay attention to monitoring the situation of blood potassium. If the blood potassium is greater than 5.5mmol/L, it is necessary to reduce the dose and continue to monitor the drug when necessary. Otherwise, it can cause hyperkalemia and cause heart problems, which will seriously threaten life.

Some drugs must take the prescribed amount to produce efficacy, so if you want to change the drug, you need to communicate with the doctor.

Try not to be able to cause high blood pressure behavior, such as smoking, overwork, stress and so on.

The control of blood pressure in patients with kidney disease can avoid the deterioration of renal function. In the guide, it is generally required to control the target below 140/90, and the patients with proteinuria should be controlled below 130/80. But attention should not be too low.

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