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How To Slow Down Renal Failure With High Blood Pressure

2019-04-06 14:49

High Blood Pressure,Renal FailureHypertension not only continues to damage renal function, but also increases the risk of cardiovascular and cerebrovascular diseases in patients with chronic kidney disease, including myocardial infarction and heart failure. According to the study, the risk of heart failure increased by 8% for every 10 ml/min decrease of 1.73 m2 in glomerular filtration rate assessment. Chronic nephropathy patients with stage 3 or more are high-risk groups of hypertension and cardiovascular complications.

It is gratifying to note that renal hypertension is controllable and preventable. As long as the blood pressure is stabilized in time, the risk of nephropathy deterioration can be greatly reduced and a good living environment can be provided for the recovery of renal function.

To maintain long-term blood pressure stability, nephropathy patients should pay attention to two aspects:

1. Treatment

After the first diagnosis of hypertension, patients with nephropathy should be treated with drugs in time to reduce the blood pressure level and the risk of kidney failure, heart failure and other diseases as much as possible.

Kidney friend can take antihypertensive drugs directly on the basis of general treatment. For different patients, the specific medication is also different. For patients with proteinuria accompanied by hypertension, and creatinine is not higher than 265, they can take sartan or pril drugs, and have the functions of lowering blood pressure, reducing protein and protecting kidney.

For patients with renal insufficiency or even renal failure or uremia, other types of antihypertensive drugs can be selected, such as calcium antagonist dihydropyridine, nifedipine, felodipine, amlodipine, or combination drugs such as diuretics and Pristines or sartan.

But Kidney Friends should remember that the sooner blood pressure is controlled at a stable level, the better for kidney function. They should pay attention to blood pressure measurement and record well, and see a doctor in time when fluctuations occur.

2. Daily life

Controlling blood pressure should not only insist on taking medicine, but also pay attention to the improvement of living habits. Patients with nephropathy accompanied by hypertension should adhere to a low-salt and low-fat diet with daily salt intake less than 3G in order to reduce water and sodium storage in the body, eat more fresh fruits and vegetables, and eat less food with high fat, which is helpful to control weight stability. In addition, there are some factors that are not conducive to blood pressure stability, but also need to be changed, such as staying up late regularly, leading to night blood pressure waves. Smoking and drinking increase the risk of vascular disease and stimulate the rise of blood pressure. Stress and impatience are not conducive to blood pressure stability.

Kidney friends should insist on breaking these bad habits, learn to relax in normal times, go out to exercise properly, exercise at least four days a week, half an hour a day, for dialysis patients can do some small amount of exercise such as fast walking, bicycle riding, etc. Maintaining a healthy state of life and a good mentality is of great benefit to controlling blood pressure and recovering from illness.

The target blood pressure is different in different patients.

In patients with stage 1 and stage 2 of nephropathy, the blood pressure of patients younger than 60 should be kept below 130/80 mmHg, while that of patients older than 60 should be controlled below 140/90 mmHg.

For patients with renal insufficiency and stage 4, the blood pressure of patients younger than 70 years old should be reduced to below 140/90 mmHg. However, for patients over 70 years old and with glomerular filtration rate below 60 m/min, there is no definite limit on blood pressure, but the lower level is still appropriate.

Dialysis patients: SBP blood pressure was lower than 160 mmHg before hemodialysis, blood pressure was lower than 130/80 mmHg after hemodialysis, peritoneal dialysis was lower than 140/90 mmHg, and kidney transplantation patients maintained below 130/80 mmHg as far as possible.

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