If patients with hypertension have proteinuria, is it not far from uremia?
This is a reader friend in the message consultation question, about the relationship between high blood pressure and health, many friends know that high blood pressure brings the risk of cardiovascular disease, but for the health harm of high blood pressure to the kidneys, often do not know much. In fact, high blood pressure will not only harm the cardiovascular, but also damage kidney function, and even some patients with long-term uncontrolled hypertension may eventually develop into a situation of end-stage renal disease, once the kidney function is seriously damaged, we are facing the end of relying on dialysis or having to carry out kidney transplantation to "continue to live".
For the harm and impact of high blood pressure on kidney function, many friends also have such and such a misunderstanding, today's popular science article, let's talk to you about high blood pressure and kidney health of some related knowledge.
The question asked by this friend, in fact, do not be too alarmed, high blood pressure to detect proteinuria, is indeed one of the signs of impaired kidney function, but from the development of real kidney failure, uremia is still far away, and if active conditioning improves, mild decline in kidney function may also improve or even recover, do not worry too much.
There is no doubt that uncontrolled high blood pressure can hurt the kidneys. The vascular pressure brought about by the increase in blood pressure is multifaceted, including the impact on the abundant arteriole vasculars in the kidneys, hypertension on the one hand will accelerate the hardening and narrowing of the arterial vessels of the kidneys, affecting the blood supply of basic units such as glomeruli and tubules in the kidneys, on the other hand, it will also bring high filtration pressure to the filtration function of the kidneys, and eventually kidney function will be affected under the action of these aspects, and gradually decline and damage to function will occur.
However, the kidneys are also organs with strong compensatory functions, and when the kidney function declines, the kidneys' filtration function of the blood will be abnormal, and the most common manifestation of this abnormality is the problem of proteinuria. Protein is an important nutrient for the human body, when the kidneys filter and purify the blood, the protein filtered out of the blood will be reabsorbed back into the blood under normal circumstances and continue to be used by the body, and if the reabsorption function of the glomeruli is problematic, there will be some proteins entering the urine, forming a proteinuria problem.
In addition to proteinuria, creatinine level, blood urea nitrogen level, can also reflect the functional health of the kidneys, through the comprehensive assessment of the above indicators and glomerular filtration rate, in order to be able to comprehensively judge how much kidney function damage caused by hypertension, whether it is to a serious point, usually if only a trace amount of proteinuria, and other indicators are still normal, in this case, are the performance of mild impairment of kidney function, if you can carry out positive conditioning intervention, the risk of developing uremia can be said to be extremely low.
Hypertensive kidney damage, be vigilant for 4 symptoms
If from the symptom point of view, the kidney health damage caused by hypertension, in most cases, is caused by the lack of active control of blood pressure, and for patients who have diabetes problems and have a family history of kidney disease, they should pay more attention to the risk of kidney function damage that hypertension may bring, if the following symptoms occur, it is worth our special attention -
Blood pressure is difficult to control: hypertension will affect kidney function, and after kidney function is impaired, it will also affect the body's ability to regulate blood pressure, resulting in increased difficulty in hypertension control, to avoid the formation of this vicious cycle, hypertensive patients as soon as possible to control blood pressure is very important.
Decreased urine output or difficulty urinating: decreased urine output, difficulty urinating, may be an important sign of kidney function damage to become serious, may also be urinary tract obstruction, prostatic hyperplasia and other causes, for this symptom, to combine other symptoms and examination indicators to comprehensively judge.
Leg edema: When the kidney function is seriously impaired, the excretion function of sodium decreases, causing symptoms of edema due to water and sodium retention in the body, especially when edema occurs on the face and both lower limbs, the possibility of kidney function damage should be focused on.
Nocturia: Nocturia tends to occur in the early or acute phase of impaired renal function and is a typical symptom due to decreased urine concentration by the kidneys. Of course, it should also be distinguished from other causes such as urinary tract infections and bladder mass lesions.
If hypertension has the above related symptoms, accompanied by the problem of proteinuria, it is very necessary to evaluate kidney function in time in combination with blood creatinine, glomerular filtration rate and other indicators, and a better approach for hypertensive patients is: actively control blood pressure at the same time, regularly test and evaluate renal function-related indicators, and take timely measures to intervene and control in combination with the situation, if this can be done, the risk of hypertension damage to kidney health is actually completely controllable.
In patients with hypertension, it is important to do 4 points well
If you are a hypertensive patient, there is also a problem with proteinuria, instead of worrying about the development of uremia all day long, it is better to actively protect kidney function and reduce the risk of serious damage to kidney function.
Controlling blood pressure is a top priority. Hypertensive patients want to protect the health of the kidneys, as soon as possible to actively control the blood pressure level is fundamental, the target value of blood pressure control, should be 130/80mmHg below the standard value, as far as possible to control the elevated blood pressure to this range. In terms of rational medication, for friends who appear proteinuria and have mild to moderate impairment of kidney function, in the selection of antihypertensive drugs, satans and puly antihypertensive drugs have the effect of reducing the pressure of renal filtration and improving the problem of mild proteinuria, in addition to being able to lower blood pressure, there is also a certain protective effect on the kidneys, so in the absence of drug contraindications, one of the medication regimens should be included.
Regular check-ups are equally important. We have repeatedly emphasized this point before, regular examination includes blood pressure, blood glucose related examinations, to understand their own blood pressure control, to avoid the risk of overlapping kidney function damage caused by elevated blood sugar. At the same time, it is still necessary to emphasize the regular examination of kidney function, kidney function examination is actually not complicated, a simple urine routine can find the problem of proteinuria, and blood creatinine, blood urea nitrogen and other tests of blood biochemical examination items can also reflect the health of the kidneys.
A reasonable diet protects kidney function. In terms of kidney function protection, a reasonable diet is also an important basis for protecting kidney health. For friends who have suffered mild to moderate impairment of kidney function, pay attention to salt control and sugar control in terms of diet, reasonable intake of high-quality protein, while paying attention to moderate drinking water, quit smoking and alcohol, eat more fresh fruits and vegetables to supplement various types of vitamin nutrition, etc., are all dietary precautions that are beneficial to kidney health.
Strengthen exercise. Although the benefits of exercise for kidney function are not direct, but they are important, exercise can improve blood circulation, strengthen blood pressure, blood sugar life conditioning control, these benefits will have a positive impact on kidney health, therefore, adhere to reasonable exercise, is also an important aspect of protecting kidney health.
I hope this article can let everyone for the impact of high blood pressure on kidney health, hypertension nephropathy risk symptoms, hypertension on proteinuria conditioning control can be helpful, if you find this knowledge useful, also welcome to share more forwards, let us work together to spread health science knowledge.