High blood pressure causes kidney failure, what vices can people with high blood pressure get rid of

Disease analysis: Now the diagnosis is relatively clear, that is, renal insufficiency, according to creatinine 1300, it has reached the uremia stage, which is a more serious stage.

Guidance: The method is dialysis, which is commonly known as dialysis, which is to reduce creatinine in the body by **, because the kidneys have no way to remove creatinine, so it is best to do dialysis.

Dialysis is divided into hemodialysis and peritoneal dialysis, and you can go to the nephrology specialist to formulate a specific plan.

Dietary attention should be paid to limiting the intake of protein, especially plant protein, such as soy products. Small amounts of animal protein can be consumed.

Life care: Many patients can control their condition through dialysis, I wish you a speed**!

The kidneys in Chinese medicine are not the same thing as the kidneys in Western medicine, but poor kidneys in Western medicine can indeed lead to secondary hypertension. Generally speaking, there are two types of hypertension, one is essential hypertension, which cannot be taken for life and requires lifelong medication; The other is called secondary hypertension, which can be caused by renal insufficiency, chronic nephritis, renal artery stenosis, pheochromocytoma, primary aldosteronism, etc., secondary hypertension is caused by other diseases that cause high blood pressure, and the high blood pressure will be lowered if the disease that causes high blood pressure is cured.

The ** of kidney failure is to supplement enough calories every day (under the premise of no high blood sugar), such as eating more sweet potatoes, yams, sugar water, and less protein ** for high blood pressure must use non-nephrotoxic antihypertensive drugs such as angiotensin 2 receptor blocker losartan under the guidance of a doctor, this drug has less negative effect and has a protective effect on the kidneys, try to reduce blood pressure to systolic blood pressure less than 120mmHg, diastolic blood pressure less than 80mmHg, so that the two-pronged approach can have a relieving effect on the condition, I don't recommend eating eggs and drinking milk, Because people with kidney failure should limit the intake of protein, reduce the intake of any condiments, food additives such as monosodium glutamate, canned food, etc., so as not to increase the burden on the kidneys, you can eat more fruits with detoxification effect, eat more black fungus, it has a good detoxification effect, please keep the stool smooth, in order to facilitate detoxification, when constipation, you can use an appropriate amount of bisacodyl, lactulose, a laxative without liver and kidney toxicity Do not use drugs that have an impact on kidney function and various health products The above suggestions are for reference only

If you report that you are mainly hypertensive, and you have kidney damage due to long-term hypertension, then for the above conditions, it is recommended that the patient undergo urine routine, renal function, double renal artery color ultrasound and adrenal CT examination, the purpose is first, to see the situation of kidney function, second, to rule out the possibility of primary aldosteronism or secondary hypertension caused by bilateral renal artery stenosis, and to prepare for the selection of the next ** plan according to the results of the above examinations.

Symptoms of high blood pressure vary from person to person. Common clinical symptoms include headache, dizziness, difficulty concentrating, memory loss, limb numbness, increased nocturia, palpitations, chest tightness, fatigue, etc. When the blood pressure suddenly rises to a certain level, symptoms such as severe headache, vomiting, palpitations, and dizziness may occur, and in severe cases, confusion and convulsions may occur.

This is a critical illness of rapidly progressive hypertension and hypertension, and most of them will cause serious damage and lesions of the heart, brain, kidney and other organs in a short period of time, such as stroke, myocardial infarction, kidney failure, etc.

Rapidly progressive hypertension usually causes serious damage and lesions of the heart, brain, kidneys and other organs in a short period of time, such as stroke, myocardial infarction, kidney failure, etc

It is best for patients with high blood pressure not to eat spicy strips, keep a good mood, do not stay up late, drink alcohol and smoke, and stay away from kidney failure.

Don't eat high-salt, high-sugar, high-calorie foods in normal times, and then don't stay up late, keep enough sleep, don't be too excited, don't be too anxious, maintain a stable mood, don't eat pickled food, don't smoke and drink, don't overeat, don't diet**.

It is necessary to get rid of the habit of staying up late often, the habit of overeating, and the habit of eating junk food often. Also get rid of the habit of getting angry often. Get rid of the habit of holding urine.

Lifestyle interventions are reasonable and effective at any time in any patient with hypertension** and are aimed at lowering blood pressure and controlling other risk factors and clinical conditions. All hypertensive patients should participate in self-management to varying degrees, be proactive in preventing and treating hypertension, and have good compliance with antihypertensive medications. Qualified patients can use the upper arm automatic blood pressure monitor that has been certified by international standards to self-measure their blood pressure, truthfully record the blood pressure measurement results, and provide them to medical staff as a reference during follow-up.

How to care for high blood pressure at home? In daily family life, patients with hypertension should pay attention to regular blood pressure measurement, reasonable work and rest, and combination of work and rest. You should continue to take the medicine according to the doctor's instructions, and do not change or stop the medicine without permission.

Pay attention to proper exercise, reasonable diet and bowel movements. What should be paid attention to in the daily management of hypertensive patients? The role of lifestyle interventions in lowering blood pressure and cardiovascular risk is positive.

Diet: Patients with hypertension should have a reasonable diet and a balanced diet. Dietary recommendations: increase dietary potassium intake and increase potassium-rich foods such as fresh vegetables, fruits and legumes; Add fruits, vegetables, low-fat dairy products, whole grains rich in dietary fiber, plant-based protein, etc.

Dietary contraindications: reduce sodium salt intake, gradually reduce the daily salt intake per person to <6g, and use a "salt control spoon" in daily life to measure. It should be noted that other condiments (monosodium glutamate, soy sauce, etc.), pickled products, snacks, etc., which are high in sodium in daily life, need to be controlled.

Other lifestyle interventions to control body weight, resulting in a body mass index of < 24, a waist circumference of < 90 cm for men and a waist circumference of < 85 cm for women; Quit smoking completely and avoid passive smoking; abstain from or limit alcohol consumption; Maintain moderate-intensity exercise 4 7 times a week for 30 to 60 minutes each time, and if you are assessed to have cardiovascular and cerebrovascular risk factors, you need to be professionally evaluated before exercising; Reduce mental stress and maintain mental balance.

Renal hypertension.

It is more common in younger patients, often with protein or red blood cells in the urine and narrowing of the renal arteries.

If the blood pressure can be corrected, it can be well controlled, but other kidney conditions are also difficult to resolve. The cause of poor blood pressure control is seen in not taking medicine properly.

Drug compatibility. Not good, insufficient dose, insufficient salt restriction or other diseases.

Tianjin Hospital. Department of Osteoporosis - Deputy Chief Physician of Chao Aijun.

As with diabetes, early kidney damage in hypertensive patients is marked by the presence of microalbuminuria. In addition to rapidly progressive hypertension, which quickly develops kidney damage and failure, the kidney damage of hypertension is generally slow to progress.

Normally, there is almost no albumin in the urine. When high blood pressure causes damage to the glomerular basement membrane, the small molecule albumin (which is a small molecular weight compared to globulin) leaks out first, and albuminuria occurs. Because there is little albumin that begins to leak out, only 30 mg to 300 mg in the urine for 24 hours, it is said to be microalbuminuria.

Why is the kidney damage in the early stages of hypertension microalbuminuria? Because the glomeruli of the kidneys are actually vascular globules, the blood in our body is filtered through the glomeruli to produce urine. When the glomeruli filter urine, there is a filtration membrane, and under normal circumstances, substances such as protein cannot be filtered out.

In high blood pressure, the increased blood pressure will damage the blood vessels, and of course, the glomeruli, so that the filter membrane will be damaged, and the protein will leak out. At first, it was a small molecular weight albumin, but when the damage is severe, the large protein will also leak out. If there is too much protein leaked out, a large amount of proteinuria will appear, and a urine routine examination will also find protein.

When microalbuminuria is present, the patient may not feel anything, and the urine test will not show it, and the result may be normal. However, if you specifically check the urine microalbumin, you will find that the amount of albumin in the urine increases. This suggests that high blood pressure has caused kidney damage.

Because the early stage of kidney damage in hypertension is silent, once hypertension is detected, urine microalbumin should be checked as an evaluation of the kidney, which is a target organ. You should know that when you find high blood pressure, it is not necessarily when you just got high blood pressure, maybe your blood pressure has already increased and you haven't noticed it. Therefore, many patients have hypertrophy of the heart muscle (high blood pressure causes heart disease) and a trace amount of albumin in the urine (hypertension kidney damage) when they are found to have high blood pressure.

The microalbuminuria should have been checked for 24 hours, because the protein excretion in the urine is not the same throughout the day. But leaving 24 hours to urinate can be a hassle for outpatients. So now take more morning urine tests, that is, early morning urine.

Note that morning urine is not the first time you urinate after waking up, it is the night urine. The second time you have to pee in the morning, that's the real morning urine. Be careful when keeping a urine sample.

In addition, in order to reduce the error, the ratio of urine albumin to urine creatinine is now used to judge whether there is more albumin in urine (normally, if this ratio increases, it also means that there is more albumin in the urine.)

What about people with high blood pressure who have early kidney damage (microalbumin)?

Lowering blood pressure is the first priority. It is best to lower blood pressure to below 130 80 mmHg.

In the selection of antihypertensive drugs, "Puli" and "sartan" antihypertensive drugs have a relatively good effect on reducing urine protein, which can be selected according to the condition. However, patients who have obvious renal insufficiency or renal artery stenosis should be cautious.

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It mainly depends on your urine output. If the urine becomes less and has a foul smell, it is necessary to be vigilant. If the diagnosis is confirmed, go to the hospital for a test to see what is in the urine.

First of all, if patients with long-term hypertension want to determine whether they have kidney damage, they can go to the hospital to draw blood for examination, and the most important ones about the kidneys are kidney function, urinalysis and other tests. If renal function shows elevated uric acid and elevated serum creatinine, it can reflect kidney damage; If the color of the urine has changed, occult blood is positive, or even proteinuria is present, it can also be used as a basis for judgment.

Secondly, when hypertension is found, you can check the kidney color ultrasound, adrenal color ultrasound, renal artery vascular color ultrasound and other examinations, not only to find out whether there is kidney damage, but also to judge whether there is a possibility of secondary hypertension, so as to decide on further ** plan.

Again, we can judge from the symptoms, if the general hypertension patients have kidney damage, they will generally have a corresponding increase or decrease in urine output, especially at night. At the same time, there is also a sign of swelling of the body, and the most obvious parts are the eyelids, both lower limbs, etc., so it can be judged by the above symptoms.