What are the blood pressure lowering methods for treating renal hypertension and protecting kidney function?2018-05-05 14:57
Choose long-acting antihypertensive drugs, for patients with a long history of hypertension and nephrotic hypertension, long-term antihypertensive drugs are more conducive to maintaining blood pressure stability. For refractory hypertension, it can be controlled by combination therapy.
The main antihypertensive drugs used in patients with nephropathy are mainly angiotensin-converting enzyme inhibitors (ACEI) such as captopril, perindopril, or angiotensin II receptor blockers (ARB) such as losartan, laminar Tan and so on. These two types of drugs not only lower blood pressure, but also act to reduce protein and protect kidney function.
Taking antihypertensive drugs on time and in accordance with the amount: usually the blood pressure will reach the peak after rising in the morning and before going to bed, so the patients with nephropathy must take drugs on time to ensure the concentration of blood pressure, avoid blood pressure rise, and cause damage to renal function.
Limit the intake of sodium. For patients with nephrotic hypertension, controlling the intake of sodium salt will help reduce the burden on the kidney and avoid the increase in blood pressure. Daily salt intake should be controlled below 5g.
Do not selfishly replace or add drugs. Some drugs have some side effects, such as Prebiotics have the side effect of elevated serum potassium. For patients with high serum potassium in patients with kidney disease, they should pay attention to the monitoring of serum potassium, if the serum potassium is over 5.5mmol/L, reduce the dosage and continue monitoring, if necessary, stop the drug. Otherwise it will cause hyperkalemia, cause heart problems and will be a serious threat to life.
Some medicines must take a given amount in order to be effective, so if you want to change medicines, talk to your doctor. Try not to have behaviors that may cause high blood pressure, such as smoking, overwork, and stress.
How much blood pressure control in patients with kidney disease in order to avoid the deterioration of renal function, the guidelines suggest that generally require the control target is below 140/90, patients with proteinuria should be controlled below 130/80. But be careful not to be too low.