2014年12月21日星期日

How is hypertensive nephropathy?

Patients with hypertensive nephropathy want to find a way to really be completely treated hypertensive nephropathy. But What kind of therapeutic truly effective?

In fact, early, mild hypertension, normal urine may be substantially non-drug treatment, maintains good humor, lose weight, limiting salt and wine, skill and practice taijiquan, makes connivente sport ect. But patients are seriously ill, just depends on a type of way, its longevity effect may be temporary and not quite. Next, introduce more comprehensive the Marenas of hypertensive nephropathy is all.

Western medicine treatment:

1. Optional antihypertensive drugs can supply, there diuretics, β-blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors (ACEI) ect.en through calcium channel blockers and ACEI are more favorable for renal hemodynamics, ACEI low urinary protein than other antihypertensive drugs. Effective control of blood pressure to normal or near normal values (18.7 / 12kPa, 140 / 90mmHg) can prevent, stabilize and take hypertensive renal damage.

2. The functions of patients with malignant renal atherosclerosis worse quickly in the short term, when the merger with hypertensive encephalopathy, larápida decrease dela vision, ect intracranial hemorrhage and can not take medicine in the mouth, they can by vein, usually is sodium nitroprusside , strive to 12 ~ 24 hours to control blood pressure.

3. Patients with hyperlipidemia, diabetes and hyperuricemia, there are discussed. As of medicines used anti-platelet aggregation and adhesiveness, for example dipyridamole, aspirin ect, there is probably function can prevent renal arteriosclerosis.

4. When kidney failure, you still have to provide treatment no - dialysis replacement therapy.

TCM treatment:

1. Expand vessel: Expands the small arteries of all different levels of kidney, because the provocation of hypertension leads glomerular microvascular ischemia and hypoxia. Expands the target vessel is that for improvement of renal blood circulation of the blood supply system, the state mitigates ischemia and hypoxia intrinsic renal cells, prevents hypertension in renal vascular endothelial cell injury, promotes blood circulation.

2. Anti-inflammatory: reducing inflammatory cell infiltration, destroy inflammatory cytokines prevents endothelial cells. A key factor for the onset of inflammatory response fibrosis solution cuera the renal fibrosis process, protects intrinsic renal cells.

3. Anticoagulant: reduces glomerular capillary micro thrombosis, to lay the foundations for the repair of endothelial cells. The expansion at all levels of the kidney arteries and blood vessels throughout the body, effectively improves hypercoagulable state.

Degradation, inflammatory glomerular capillary cell increases, can excite excessive secretion of extracellular matrix, only makes proliferation of extracellular matrix degradation excreted out, may play a role in repair. penetration therapy Micro-Chinese Medicine for cleaning extracellular matrix accumulation lesions may still promote enzyme synthesis and degradation of the kidney and enhance their activity, extracellular matrix prevents renal tissue destruction, renal cell intrinsic repair damaged mainly repairs due to hypertension caused by damage to the kidney tissue.

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