Hypertension is a common chronic disease. If the blood pressure can not be controlled in an appropriate range for a long time, it will damage the structure and function of the heart, brain and kidney and other important organs. Among them, kidney damage is known as hypertensive nephropathy. When hypertension encounters kidney disease, how should we deal with it? What details do you need to pay attention to when taking medicine and adjusting your life? Let’s analyze it now.
hypertension and nephropathy, in the process of disease, are mutually causal. After the blood pressure rises, the capillary pressure in the glomerulus will increase, and the renal vascular disease will occur, and the kidney will have ischemic damage, leading to glomerular sclerosis. If the blood pressure can not be effectively controlled for a long time, kidney damage will gradually appear, which is the basic pathological process of hypertensive nephropathy caused by essential hypertension.
there is also one type of hypertension, which is secondary hypertension, or renal hypertension. It is usually renal vascular disease or renal parenchymal disease, which leads to elevated blood pressure in the course of disease progression. Renal hypertension, more common in middle-aged and elderly men, and lack of a clear family history, often first appear edema, proteinuria, renal dysfunction, and then hypertension. The causes of renal hypertension are * retention of water and sodium, elevated renin levels, enhanced sympathetic reflex, and endothelial dysfunction. Renal hypertension, there will be a continuous rise in blood pressure, and the effect of hypotension is not good, at the same time, it will aggravate kidney damage and form a vicious circle.
it is not difficult to see that kidney disease and hypertension are often cause and effect each other, which can be said to be a pair of evils that harm health by companionship. Therefore, in response, we need to take a two pronged approach, at the same time for blood pressure and kidney disease treatment, in order to obtain the ideal effect. We should pay attention to the principle of rational drug use and combination of drugs. Patients need to pay attention to self-test blood pressure, and regularly go to the hospital for renal function examination. The blood pressure control target is systolic blood pressure 130 mmHg, diastolic blood pressure 80 mmHg.
lifestyle management is an important measure for kidney disease with hypertension, which needs to be adjusted from four aspects. The first is sodium salt control. Kidney disease is accompanied by hypertension. Sodium intake should be seriously controlled within 5 grams per day. In addition to reducing cooking salt as much as possible, we should avoid eating other condiments and processed foods with more sodium.
the second measure of lifestyle management is to reasonably match the dietary structure, increase the intake of vegetables and fruits, limit the intake of animal fat, try not to eat fat and animal viscera, and no more than 5 eggs per week. If there is renal insufficiency, it is necessary to reduce urinary protein excretion through low protein diet. At this time, the diet needs to take into account the nutritional balance, protein supplement to choose high-quality protein, such as milk, fish.
the third measure of lifestyle management is to control weight and exercise regularly. Aerobic exercise, such as fast walking or jogging, can effectively reduce the risk of cardiovascular events. Exercise intensity is determined by the degree of physical tolerance. It is recommended to exercise 3-5 times a week for 30 minutes each time. The fourth measure is to stop smoking and control alcohol to reduce mental stress. Kidney disease is accompanied by hypertension, so we need to improve our lifestyle and keep optimistic mood. Only in this way can we help stabilize blood pressure and maintain renal function.