Hypertension and nephropathy

Hypertension and kidney are both close and complex. Hypertension can cause kidney damage, and many kidney disease and prone to high blood pressure. Hypertension and kidney disease mutual influence, each other cause and effect, as well as the formation of a vicious circle.

What is the relationship between high blood pressure and kidney disease

Hypertension is a cardiovascular disease, and the kidneys are also composed of small blood vessels, long-term high blood pressure also damage the kidneys of small arteries, hypertension caused by renal artery spasm, resulting in renal ischemia and hypoxia, and then damage the kidney Small ball endothelial cells. Endothelial cells once damaged will attract blood circulation in the infiltration of inflammatory cells, and the release of pathogenic inflammatory mediators, renal glomerular local pathological changes: glomerular basement membrane changes, filtration hole increases, the charge barrier Damage, increased renal permeability, this time there will be proteinuria.

Basics of Hypertensive Kidney Disease

Most hypertensive patients can develop varying degrees of kidney changes, but the occurrence of hypertensive nephropathy is a slow process of progress. General primary hypertension in the development of sustained and stable, 5 to 10 years can occur mild to moderate renal arteriosclerosis, and then damage the kidney unit, occur in long-term high blood pressure is not well controlled. In mild to moderate primary hypertension, early course of the disease for a long period of time, due to the regulation of the kidneys themselves, does not appear changes in renal structure and function, only when the kidneys of their own regulatory dysfunction, hypertensive state Under the high sodium load and acute capacity expansion and other pathological conditions, after a certain period of time, only the gradual emergence of renal tubular injury and functional damage.

High Blood Pressure and Hypertensive Nephropathy

The relationship between hypertension and the kidneys is very complex and close, both in different situations, each other cause and effect. Long-term high blood pressure will inevitably involve the kidneys, and kidney structure and function changes, it will cause high blood pressure. In both cases, elevated blood pressure and kidney damage can intensify with each other to form a vicious cycle. It is because of hypertension and kidney disease are closely related to the proposed high blood pressure patients should go to the hospital regularly to check the urine and renal function. In daily life should also pay attention to whether they have edema, nocturia increased, urine bubbles and other symptoms. Once found that the above symptoms may have kidney damage, need to go to the hospital in time.

Kidney diseases whatever the causes can gradually affect patients' daily life.
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Renal failure to do dialysis should pay attention

Renal failure dialysis will have a good remission of complications of nephrotic patients, if the complications of renal failure patients can be effectively controlled, then the treatment of renal failure kidney disease will have a great help. However, when renal failure dialysis, there are many issues that require kidney failure patients attention. So, renal failure patients need to pay attention to what dialysis?
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Renal failure dialysis interval should be based on renal failure in patients with renal function and the amount of residue to develop, can not arbitrarily determine the number of dialysis and the interval time. Renal failure in severe cases, generally need to do 3 times a week dialysis, nephropathy slightly less dialysis interval time can be appropriate to extend. Successful dialysis can remove some of the drugs and toxic substances, reduce renal failure complications.

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Notes on Kidney Failure and Dialysis
Patients with renal failure to be dialysis to be rational, whether hemodialysis or peritoneal dialysis are only effective to alleviate the clinical symptoms of renal failure, it does not fundamentally treat damaged kidneys, to prevent pathological damage continues to expand. For patients with renal failure, dialysis is a temporary remedy for the next step in the treatment of renal repair to provide a better environment within the body, but the treatment of renal failure but also from the recovery of kidney function, the protection of healthy kidney unit point of view The

Why Does Confusion Occur in Dialysis Patients

Patients with dialysis for renal failure require special diets and medications. Because of their poor appetite and loss of protein during dialysis, the diet of patients with renal failure often requires foods with very high protein levels, ie about 1 g of protein per kilogram of ideal body weight per day. For patients with hemodialysis, the intake of sodium and potassium should be limited to 2g per day. Also need to limit the intake of foods containing high phosphorus.

Kidney diseases whatever the causes can gradually affect patients' daily life.
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How to eat kidney failure

Limited salt limited to high blood pressure, edema, oliguria, chronic renal failure patients is necessary to avoid excessive sodium and sodium retention, increased edema and high blood pressure. But not all patients should limit water and salt. If there is no hypertension, edema and oliguria, should not limit the water, salt intake.


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Vegetarian diet can reduce the burden of chronic renal failure patients due to decreased renal metabolic capacity, the body of the main toxins plus urea, creatinine accumulation in the body, resulting in damage to the body. And these toxins are protein metabolites, so patients with chronic renal failure should emphasize the quality of protein diet. Some patients may be long-term vegetarian, afraid to eat animal protein, that vegetarian does not contain protein.

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Chronic renal failure patients should be appropriate to eat essential amino acids with high animal protein, such as milk, eggs, fish, to properly control the intake of plant protein, should not use plant protein such as soy milk and tofu and other beans and soy products. But the protein intake should be controlled, the daily intake of protein intake should be controlled, the daily intake of protein can be based on their own serum creatinine level rough estimates. In short, chronic renal failure patients must be clear, high-quality low-protein diet is not equal to vegetarian, vegetarian and can not reduce the burden on the kidneys.
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 On the prevention of renal failure disease measures for everyone to introduce so much, there have been renal failure disease will threaten the lives of patients at any time, so for people with kidney failure hope that people can pay attention to do a good job of prevention is willing to everyone happy and happy. But also hope that people can be more vigorous exercise in life, enhance physical resistance.

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Kidney diseases whatever the causes can gradually affect patients' daily life.
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Renal failure is a serious disease, how to carry out prevention work.

1, to avoid or eliminate certain risk factors, the application of toxic drugs on the kidneys, severe infection, dehydration, urinary tract obstruction (such as stones, prostatic hypertrophy), trauma and other factors, often make the original kidney disease, renal function Deterioration, to promote renal failure. In fact, regular, high-quality follow-up can reduce or avoid these risk factors, or early detection and correction.
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2, a reasonable diet Low protein, low phosphorus and low fat diet, renal function of chronic kidney disease protection, has been confirmed by the laboratory and clinical. At present, stressed that in order to prevent the occurrence of chronic renal failure, blood in 159.1 micromoles / liter, it should limit protein intake.

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3, the application of angiotensin converting enzyme inhibitors, not only to control systemic hypertension, but also to correct the glomerular hyperperfusion, high filtration state, delayed renal failure occurred. Clinical commonly used drugs for captopril, Lodin new and Li Ping Ding and so on.

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4, active treatment of primary disease on a variety of acute and chronic glomerulonephritis, lupus nephritis, purpura nephritis, or may involve the kidney disease, active treatment to prevent the occurrence of chronic renal failure.

Kidney diseases whatever the causes can gradually affect patients' daily life.
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Chronic nephritis to do what check

What are the tests for chronic nephritis? The following is a detailed description of the examination of chronic nephritis:

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First, urine routine

The proportion of urine is low, more than 1.020 in the late, often fixed at 1.010. Urine protein trace ~ +++ range. Urine often red blood cells and tube (granular tube, transparent tube). Acute episodes have significant hematuria or gross hematuria.

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Second, blood tests

Often mild to moderate pigment anemia, red blood cells and hemoglobin in proportion to decline, erythrocyte sedimentation rate, may have hypoproteinemia, the general serum electrolyte was no significant abnormalities.

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Third, renal function tests

Glomerular filtration rate, decreased endogenous creatinine clearance, elevated blood urea nitrogen and creatinine, renal function stage is mostly compensatory or decompensated, phenol red excretion test and urinary dilution function are diminished.

Kidney diseases whatever the causes can gradually affect patients' daily life.
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Characteristics of chronic nephritis

The incidence of this kidney disease in clinical practice is rather special, we need a clear understanding. Chronic nephritis with the majority of chronic diseases have the same characteristics: the cause of complex, occult, treatment difficulties, recurrent and so on. Because of its a certain degree of concealment so early in the early difficult to accurately diagnose, many people mistakenly believe that only a short physical discomfort, in fact, this time the chronic nephritis has begun to invade the human body. So what is the initial symptoms of chronic nephritis?
 
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Under normal circumstances, it is difficult in the chronic nephritis just when the disease was found in time. We need to understand that the initial symptoms of chronic nephritis is generally not very obvious, with "dumb nephritis," said, some patients without any symptoms, with normal people almost. In fact, the disease is some of the table is also present, there are four common: edema, hypertension, proteinuria, hematuria Nephritis edema often lower extremity edema, morning eyelid edema is characterized. Lower extremity edema is often mistaken for standing too long. Many people are found in the occasional high blood pressure, through the examination was found to have chronic nephritis. Proteinuria and hematuria in the aggravation of the time will gradually appear, the harm is particularly large.

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 Kidney diseases whatever the causes can gradually affect patients' daily life.
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How to "eat" and "move" patients with diabetic nephropathy

With the changes in people's lifestyles and diet, more and more patients with diabetes, many diabetic patients often with obesity, hyperlipidemia, hyperuricemia and other metabolic diseases. Hypertension, smoking and metabolic diseases are chronic kidney disease risk factors, in addition to diabetic nephropathy, diabetic patients with obesity-related nephropathy, hyperuric acid-related nephropathy and other chronic kidney disease may. Therefore, patients with diabetic nephropathy usually need special attention to diet and fitness.

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Diabetic patients with kidney disease usually need to control the total calorie, low fat, low purine diet. Limit salt, recommended daily within 6 grams. But also appropriate restrictions on potassium and protein intake, if combined with diabetic nephropathy, renal insufficiency, should limit bananas, red beans, sardines and other foods rich in potassium; protein intake limit of 0.8 grams per kilogram of body weight per day to high-quality protein The main choice of milk, eggs, followed by the selection of fish and meat, limiting the intake of poor protein that is plant protein, such as beans and soy products. Usually also add vitamins and trace elements such as vitamin C and zinc, calcium, iron intake.

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Diabetic nephropathy should exercise from low intensity, low exercise, to moderate, low intensity exercise; to avoid suffocation or high-intensity exercise; choose to take a walk, playing tai chi, climbing stairs, dancing, cycling and so on. Recommended 5 times a week for 30 minutes each time. Also need to pay attention to the process of movement to prevent excessive blood pressure, alert to low blood sugar.

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Kidney diseases whatever the causes can gradually affect patients' daily life.
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How to treat chronic nephritis

For the early symptoms, such as weakness, fatigue, mental poor, pay attention to early to the hospital for examination, do not let the development of kidney disease to the late, the symptoms of the system, the final must be dialysis treatment. The most common cause of chronic renal failure is chronic nephritis, diabetic nephropathy, and lupus nephritis, uric acid nephropathy, hypertensive kidney damage, polycystic kidney disease. For the treatment of chronic kidney disease, you can start from the following aspects:

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1, to avoid high protein diet. Especially in patients with large urinary protein, into the stage of renal insufficiency, you should start low-quality protein diet, daily protein intake 0.6-0.8g / kg.
2, active control of blood pressure. Requirements in the 130 / 80mmHg the following, urine protein levels higher than 1.0g / day in patients, can be further controlled at 125 / 75mmHg the following. If the blood pressure can be controlled to normal or near normal, the brain, heart, kidney and other complications is not easy to occur, the effective treatment of hypertension can prevent the occurrence of hypertensive kidney damage in the elderly and reduce benign small arterial nephrotic end-stage renal failure The incidence of full control of blood pressure can prevent, stabilize, and even reverse the renal damage of hypertension.


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For non-complications of hypertension, first of all should be considered non-drug treatment, and can be used as all other patients with essential treatment of hypertension, including weight loss, salt, limit alcohol, practicing qigong and tai chi, appropriate physical activity, etc. To be sustained, can receive a certain antihypertensive effect.
3, reduce proteinuria. As far as possible 24 hours urine protein control in less than 1.0g, or even 0.5g within the allowable range of serum creatinine (generally considered 265μoml / L below), may consider the application of angiotensin converting enzyme inhibitors and / or vascular tension Receptor antagonists, they can still reduce the high perfusion of the kidneys, and thus further reduce the burden on the renal unit, delay the role of deterioration of renal function.
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4 diabetic nephropathy in addition to the above measures, to effectively control blood sugar: strict control of blood glucose can delay the development of the disease.
5 treatment of infection: regular antibiotic treatment helps to treat infection, but should pay attention to governance will be thorough, can not give up halfway.

Kidney diseases whatever the causes can gradually affect patients' daily life.
you can also send email to Renal-disease@hotmail.com, or whatsapp + 8613633219293. 

Prevention of chronic nephritis

Prevention of chronic nephritis is the most fundamental way to improve the body disease prevention and disease resistance and reduce the chance of infection, for the cause of prevention.
1) to avoid overwork,

What Are the Risk Factors for Chronic Nephritis
Mental stress: overwork, open night car, exam pressure and so on, can make chronic nephritis worse. Have a good living habits, to maintain a regular life. Usually have to arrange a reasonable living system, and more to participate in appropriate activities to strengthen physical exercise, but should avoid fatigue. Reasonable nutrition, enhance physical fitness and body resistance. Pay attention to personal hygiene and environmental sanitation clean, to develop good living habits, and keep the mood relaxed and happy, and strengthen self-care awareness.
2) Beware of bacterial or viral infections:

Can Chronic Nephritis Develop into Kidney Failure
Bacteria or virus infection is the most common cause of acute nephritis, especially upper respiratory tract infection, asymptomatic bacteriuria, influenza, pharyngitis, bronchial bronchitis, etc., may increase the symptoms of chronic nephritis.
Active prevention and treatment of infection lesions, and actively prevent acute nephritis. Reduce the chance of infection, to prevent cold and cold, to prevent colds, suppurative tonsillitis, skin purulent infection and other diseases; once infected with the above disease or acute nephritis and other primary glomerular disease, to give timely and thorough Treatment, acute nephritis patients with chronic infection in patients with stable disease in 3 to 6 months, if necessary, surgery and other methods can be used to prevent the development of such diseases continue to develop chronic nephritis.
3) attention to diet nutrition:


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Nephritis patients to avoid high-protein diet, pay attention to food safety, eat more fresh fruits and natural food. To species diversity, with a reasonable, light and delicious for the principle.
Pay attention to their own monitoring. Consciously when the body discomfort, such as the emergence of nocturia, loss of appetite, waist discomfort or soreness, especially in the morning after eyelid facial edema and voiding abnormalities, suggesting that there may be kidney disease, to the hospital Check, in order to facilitate the early diagnosis and treatment, the prevention of the disease also has an important role.
 
Kidney diseases whatever the causes can gradually affect patients' daily life.
you can also send email to Renal-disease@hotmail.com, or whatsapp + 8613633219293. 

Understanding Kidney Disease

Nephrotic syndrome care

The prognosis of nephrotic syndrome is very different. The main factors that determine prognosis include:

1. Pathological type Generally speaking, minimal changes in nephropathy and mild mesangial proliferative glomerulonephritis better prognosis. Small lesions of nephropathy in patients with spontaneous relief, treatment of high remission rate, but easy to relapse after relapse; early membranous nephropathy is still a high rate of treatment of remission, although advanced to difficult to achieve treatment, but the disease progress is slow, Late; mesangial capillary glomerulonephritis, focal segmental glomerulosclerosis and severe mesangial proliferative glomerulonephritis poor prognosis, poor efficacy, the disease progress quickly and easily into a short period of time into the chronic kidney Failure.

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2. Clinical factors such as a large number of proteinuria, high blood pressure and high blood lipids can promote glomerular sclerosis, the above factors such as long-term lack of control, has become an important factor in poor prognosis.

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3. Repeated infection, thromboembolic complications often affect the prognosis.
 
Kidney diseases whatever the causes can gradually affect patients' daily life.
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