How to treat hypertensive nephropathy more effectively

Many people may not quite understand what hypertensive nephropathy is. In fact, it is kidney damage caused by high blood pressure, which is equivalent to a combination of the two diseases. If you want to get effective treatment, you must pay attention to your eating habits and work and rest time, and don't stay up late often, which can easily endanger your personal health. Of course, maintaining a happy mood is also crucial. If you cannot vent your bad emotions, you can shout out loud in a place where no one is around, or listen to some songs, which are both very helpful methods for treating hypertension and kidney disease.

1. How to treat hypertensive nephropathy?——Commonly used drug treatments in clinical practice.

(1) Drugs that improve blood and oxygen supply to the kidneys and reduce renin release.

(2) Receptor blockers are adrenergic β-receptor blockers that can inhibit renin secretion and are effective for high renin hypertension.

(3) Angiotensin converting enzyme inhibitors, etc.

(4) Diuretics: Thiazides are generally used. If renal function is significantly impaired, loop diuretics should be selected, such as furosemide and buturonate.

2. How to treat hypertensive nephropathy? ——The commonly used methods for treating hypertensive nephropathy in clinical practice are:

1. Patients with early-stage, mild hypertension and generally normal urine routine can be given non-drug treatment, such as maintaining a good mood, losing weight, limiting salt and alcohol intake, practicing Qigong and Tai Chi, and appropriate physical exercise.

2. Patients with malignant renal arteriosclerosis have rapidly deteriorating renal function in a short period of time. When they have concurrent hypertensive encephalopathy, rapidly declining vision, intracranial hemorrhage, and cannot take oral medications, intravenous medication can be used, usually sodium nitroprusside, to try to control blood pressure within 12 to 24 hours. Long-term dialysis can quickly lower blood pressure and is suitable for the initial treatment of malignant hypertension.

3. Available antihypertensive drugs: ① diuretics; ② beta-blockers; ③ calcium antagonists; ④ angiotensin-converting enzyme inhibitors (ACEI). Among them, calcium antagonists and ACEI are more beneficial to renal hemodynamics, and ACEI is better than other antihypertensive drugs in reducing urinary protein. Effectively controlling blood pressure to normal or near normal (18.7/12kPa, 140/90mmHg) can prevent, stabilize or delay hypertensive renal damage.

4. Non-dialysis treatment and replacement therapy should also be given when there is renal insufficiency.

5. Patients with concomitant hyperlipidemia, diabetes and hyperuricemia should be given appropriate treatment. Concurrently use drugs that prevent platelet aggregation and adhesion.

3. How to treat hypertensive nephropathy? ——Pathological damage of hypertensive nephropathy!

Hypertensive renal damage is mainly vascular damage, and the clinical manifestations mainly consist of symptoms of tubular damage and glomerular damage. Because the renal tubules are more sensitive than the glomeruli to ischemic damage caused by arteriolar sclerosis, renal tubular dysfunction appears earlier, such as increased nocturia, increased excretion of urinary β2-microglobulin and urinary NAG (N-acetyl-β-glucosidase), and decreased urine osmotic pressure and urine specific gravity. The hallmark of glomerular damage is the appearance of trace protein, which can then develop into positive proteinuria in routine urine tests and eventually lead to end-stage renal failure.

Patients with kidney disease must realize the seriousness of the situation and cannot bear it without treatment, as this will only make the condition worse. In order to better treat your disease, you should go to the hospital for diagnosis and treatment in time so that you can recover your health. When you recover, it will also be a blessing for your family.