Long-term hypertension can increase intravascular pressure, destroy the filtration barrier of the kidney, and lead to protein leakage from the urine. For patients with kidney damage, hypertension will cause and effect each other, aggravate the deterioration of Kidney Disease, and promote the occurrence and development of cardiovascular diseases.
More importantly, long-term hypertension can hinder blood flow, lead to renal ischemia and hypoxia, renal arteriole sclerosis, vascular sclerosis in turn will lead to more serious blockage of blood flow, accumulation of toxins, further aggravation of ischemia and hypoxia, aggravation of renal damage, and ultimately lead to uremia.
If you don't want hypertension to aggravate renal failure, read on.
1. Diet control
Diet will increase the burden of blood vessels, aggravate hypertension and kidney disease, but if the intake of sodium chloride is too little, the normal physiological activities of the human body are difficult to maintain, people will feel weak all over the body, and even lead to "hypochloroalkalosis" in serious cases.
In general, patients with hypertension and nephropathy should take appropriate amount of salt every day, and patients with severe illness can reduce the amount appropriately according to doctor's advice.
Reduce intake of high-fat, high-sugar foods such as salted vegetables, fried chicken and butter.
2. Rational use of drugs
If hypertensive patients have kidney damage, such as microalbuminuria or mild creatinine elevation, they should use drugs to actively control blood pressure to < 140/90 mHg (standard value for adult hypertensive patients), and if necessary, use 2-3 antihypertensive drugs in combination. It can effectively delay the deterioration of kidney disease and reduce the risk of cardiovascular events.
In general, patients are not advised to "intensify hypotension". An analysis of the impact of standard blood pressure control (<140/90 mmHg) and intensified blood pressure control (<130/80 mmHg) on renal outcomes in non-diabetic CKD patients showed that intensified blood pressure control did not bring additional benefits to the study population compared with standard treatment.
3. Don't be overemotional.
Excessive excitement or sadness, emotional overexcitement is easy to make sympathetic nerve excitability increased, leading to faster heart rate, increased cardiac output, and increased blood pressure. Repeated occurrence, easy to aggravate hypertension, accelerate the deterioration of kidney disease.
Reasonable control of mood and stable blood pressure can also delay the arrival of kidney damage, and patients with kidney damage can also delay the deterioration of kidney disease.
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