Hypertension & Nephropathy always occur among those people who are more
than 40 years old with a medical history of Hypertension for over 5 years. In
the early stage, night urination may increase followed by the occurrence of
proteinuria; in several cases, transient gross hematuria will present without
distinct lumbago due to the rupture of blood capillary. The disease may develop
into Renal Failure in few cases, and in most cases, patients may have long-term
slight renal sysfunction and abnormal urinalysis.
The common preventions for Hypertension & Nephropathy are as follows:
1. For patients who are more than 40 years old and have Hypertension for more
than 5 years, if they get increased microalbumin, they should be highly cautious
about it.
2. If night urination increases and proteinuria or transient hematuria occur,
patients should take examinations of renal function, qualitative urine protein
and 24-hour urinary protein ration. And patients should also measure blood
pressure and take fundus examination.
3. Maintain smooth stool.
4. Avoid contacting heavy metal and taking those medicines with renal
toxicity.
The treatments for Hypertension & Nephropathy are as follows:
1. For those patients with mild high blood pressure and roughly normal
urinalysis, they can adopt non-medicine therapy, which is to keep a favorable
mood, lose weight, control drinking and smoking and take appropriate
exercise.
2.Patients can take some medicines: ①diuretic; ②β-blockers; ③calcium
antagonists; ④angiotensin-converting enzyme inhibitors (ACEI). Among those
medicines, calcium antagonists and ACEI are more favorable for renal
hemodynamic. In reducing proteinuria, ACEI has a better effect compared with
other medicines, and it can effectively control the blood pressure at or near a
normal level (18.7/12kPa140/90mmHg), which can prevent, stabilize and delay the
renal damage caused by high blood pressure.
3. If Hypertension & Nephropathy is associated with Hyperlipidemia
Diabetes and Hyperuricemia, patients should not only receive relevant treatments
but also take some medicines, such as dipyridamole, aspirin, etc, which can
prevent the aggregation and adherence of blood platelet. And these medicines may
block the sclerosis process of renal arteries.
4. When Renal Insufficiency occurs, patients should receive some alternative
therapies except dialysis.
The above is the introduction about the prevention and treatment for
Hypertension & Nephropathy. If you have any question, please consult our
online experts.