Shi Jia zhuang Kidney Disease Hospital

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Hypertensive Nephropathy Treatments

2017-01-25 15:05

The early prevention of hypertensive nephropathy is very important, common preventive measures are the following: first, the age of 40-50 years old, more than 5-10 years of history of hypertension. If it is determined that the increase in albumin, should be highly vigilant. Second, nocturia increased, occur proteinuria or transient hematuria, such case needs to check the renal function, urinary protein qualitative. 24 hours urine protein quantitative and pay attention to blood pressure, fundus examination. Third, maintain defecate unobstructed. Forth, avoid to contact with heavy metals, toxic substances and drugs may damage the kidney. Traditional Chinese medicine in the treatment of hypertensive nephropathy: maintain defecate unobstructed, should be treated with pills, pills mo. Traditional Chinese medicine should be Chaihu Decoction, trifoliate orange tzk etc.. Westernmedicine treatment of hypertensive nephropathy,first early, mild hypertension and normal urine routine may be non drug therapy, maintain good mood, weight loss, limitation of salt and wine, qigong and Taijiquan exercise, etc.. Second drug treatment: antihypertensive drugs available: diuretics; II beta blockers; calcium antagonist; the angiotensin converting enzyme inhibitor (ACEI). Among them, calcium antagonists and ACEI are more favorable to the renal hemodynamics, and ACEI is better than other antihypertensive drugs. Effective control the blood pressure to normal or near normal (18.7/12kPa, 140/90mmHg) can prevent, stabilize or delay hypertensive renal damage. Three, malignant nephrosclerosis patients with short-term rapid deterioration of renal function, in patients with hypertensive encephalopathy, intracranial hemorrhage, visual acuity decreased rapidly and not oral drugs, can be used intravenously, sodium nitroprusside, and strive to 12 ~ 24 hours blood pressure control. Long press can quickly reduce blood pressure, suitable for the initial treatment of malignant hypertension. Four, accompanied by hyperlipidemia, diabetes and hyperuricemia, should be given the appropriate treatment. At the same time the use of anti platelet aggregation and adhesion of drugs, such as Pan Shengding, aspirin, etc., may have a role in preventing renal arteriolar sclerosis. Five, renal insufficiency should also be given non dialysis treatment and replacement therapy.


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