2015年2月1日星期日

Hypertensive nephropathy

description
There are two types of this maladiedont benign nephrosclerosis and malignant nephrosclerosis. Some degree of benign nephrosclerosis can be seen in most individuals over the age of 60 years. Malignant nephrosclerosis however, is a rare condition occurring in only 1-5% of patients with hypertension.
causes
Hypertensive nephropathy is itself a cause of hypertension: hypertension destroys kidney and kidney disease aggravates hypertension, and it is one of the worst vicious circles that is in human pathology. It is often said that the kidney is "a victim and an accomplice of high blood pressure" .It is an inevitable slope of a hand to severe hypertension, secondly to kidney failure. Long-term high blood pressure can cause damage systemic vessels, arterioles is no exception. Due to the dysfunction of the glomerular target artery, the internal pressure of the glomerulus will increase, which can lead to high filtration glomeruli. And blood pressure and high filtration glomeruli can damage endothelial Immunotherapy of glomerular capillaries, inflammatory cells into the bloodstream will seep, inflammatory response to happen, renal fibrosis begins. With the worsening of the inflammatory response, kidney inherent Immunotherapy get phenotype switch and finally glomerulosclerosis, tubulointerstitial fibrosis, kidney failure and uremia occur.
symptoms
If the disease is caused by a bacterial infection, the person will have a high fever. In some cases, the amount of urine is too high or too low. Sometimes the urine contains blood or abnormal concentrations of chemicals. Nephrogenic diabetes insipidus is a disorder of the kidneys caused by the inability of the kidneys to remove enough water for urine concentration.
diagnosis
Blood tests may be needed to determine how the kidneys work. A urine collection for 24 hours may be necessary to assess the severity of kidney disease related to hypertension.
treatments
Hypertension control is essential for the management of benign and malignant forms of the disease. To do this using antihypertensive treatment essentially remove the stimulus kidney damage. The antihypertensive treatment importance should be emphasized to improve compliance with antihypertensive therapy. In the case of malignant nephrosclerosis, efforts to reduce blood pressure to be more aggressive
On admission to the hospital is the rule and intravenous drug can be used to accelerate the reduction of blood pressure quickly andthereby prevent kidney additional damage from occurring. The aggressive reduction of blood pressure - Use of drugs such as furosemide, thiazide diuretics and hydralazine will quickly reduce blood pressure and renal function can save if used early enough. In many cases, the patient may develop kidney failure that required careful observation by many blood tests. Of acute renal failure can not be controlled by conservative means, and dialysis may be necessary to enable the eventual recovery of the disease.
Characteristic treatments
Micro-Chinese Medicine Osmotherapy
immunotherapy
immunotherapy
complications
Hypertension places stress on several organs (target organs called Expired) Including the kidneys, eyes, and heart, Causing Them to Deteriorate over time. High blood pressure Contributes to 75% of all strokes and heart attacks. It is PARTICULARLY deadly in African-Americans.

Risk of complications or rapid progression of hypertension Become more Likely in the presence of risk --other factoring, Including significant elevation of blood pressure, Increasing age, smoking, abnormal cholesterol, family history of premature heart disease, obesity, diabetes, coronary artery disease, and --other evidence of vascular disease.

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