Identification and diagnosis of hypertensive nephropathy

Tong Shan Tong experts to remind you to explore the identification and diagnosis of hypertensive nephropathy, should be excluded from a variety of secondary hypertension, especially chronic nephritis hypertension. Malignant nephrotic arteriosclerosis should be identified with acute nephritis, systemic vasculitis and other diseases.

Identification and diagnosis of hypertensive nephropathy

Early, mild hypertension and urine normal normal who may be non-drug treatment, to maintain good mood, weight loss, salt, limit alcohol, practicing qigong and tai chi, appropriate physical exercise.

Available antihypertensive drugs: diuretics; beta blockers; calcium antagonists; angiotensin converting enzyme inhibitors (acei). Among them calcium antagonists, acei are more favorable for renal hemodynamics, acei lower urinary protein than other antihypertensive drugs. (18,7 / 12kpa, 140/90mmhg) can prevent, stabilize or delay the damage of hypertension in normal or near normal blood pressure.

Malignant renal arteriosclerosis patients with rapid deterioration of renal function in the short term, combined with hypertensive encephalopathy, rapid decline in vision, intracranial hemorrhage, and can not be oral medication, intravenous administration, commonly used sodium nitroprusside, and strive to 12 to 24 hours Control blood pressure. Long pressing can quickly lower blood pressure, suitable for the initial treatment of malignant hypertension.

Associated with hyperlipidemia, diabetes and hyperuricemia, should be given the appropriate treatment. At the same time the application of anti-platelet aggregation and adhesion of drugs, such as dipyridamole, aspirin, etc., may have to prevent the role of renal arteriosclerosis.

In the absence of renal insufficiency should also be given non-dialysis treatment and alternative treatment.

Keep stool smooth, it is appropriate to use Qingning pills, Mo Jiaqing Ning pills. Chinese medicine is appropriate Bupleurum citrus orange soup, Tianma Gouteng drink and so on.

Read the article, may wish to combine their own condition and treatment to make a judgment. If there is any problem, or around the other patients with kidney disease also have a similar condition, it is recommended to submit the patient's case data, so that Beijing Tong Shantang Chinese medicine hospital kidney disease experts with specific conditions to give you detailed guidance and analysis.