1. Food with high content of potassium is good for those who have high blood pressure but have normal kidney function. Potassium can be used to balance sodium.
Food rich in potassium are: soybean, red bean, tomato, celery, mushroom, green vegetables; fruits such as orange, apple, banana, pear, kiwi fruit, pineapple, persimmon, nut, watermelon.
Some food with much calcium and less sodium are good choice, including potato, eggplant, kelp, asparagus lettuce, etc.; and milk, yogurt, dried small shrimp an other food with much calcium.
Broth stewed with meat need to be avoided, because there is much nitrogen in the soup which will promote the uric acid and aggravate the burden to heart, liver and kidneys.
2. Limit the intake of salt. The total intake of salt in a day need to be less than 6g if you have high blood pressure. It can be measured by means of a cover of bear bottle, and one bottle of salt is just about 6g. The total intake refers to the salt in all the meals as well as in other food with contain sodium. Less sodium will contribute to the lowering of blood pressure.
One thing worth mentioning is the natural content of sodium in food such as meat, fish, egg and milk are all included in the 6g/d standard, so when they cook, they can even put in little salt, since those sodiums in food naturally is adequate. If the blood pressure is too high, or there is obvious edema with the sufferer, they need to take in no salt at all.
3. When cooking, vegetable oil is preferred. Marine fish is a good choice for those people who have high blood pressure but have no insufficiency of kidney function, because it can reduce the plasma cholesterol and have the ability to prevent the form of thrombus and stroke. It also has much linoleic acid, so it can increase the elasticity of blood vessels to prevent the rupture of them and avoid the complications of high blood pressure. However, all the seafood are irritant, so when you eat, you should ask for your doctors′ advices in advance and have a better choice according to the individual condition of disease.
4.Low-sugar diet is favorable. Sweet food contains much sugar, which can transform into fat and accumulate in the blood vessels, so low-sugar diet can be beneficial to the prevention of arteriosclerosis.
2014年1月27日星期一
What's The Stage of Hypertension Nephropathy
In clinic, nephrotic hypertension is divided into three stages in terms of patient’s condition and their lab values.
Stage I―Micro-Albumin Stage. In this stage, it is characterized with the anomaly of urinary albumin excretion rate. Renal function is in the normal level; urine protein is negative.
Stage II―Clinical Urine Protein Stage. Urine protein is positive; 24-hour total urine protein rate>0.5; normal renal function.
Stage III―Renal Insufficiency Stage. It is characterized with the decrease of Creatinine Clearance Rate and the increase of Serum Creatinine . It is divided into non-dialysis stage .
How to diagnose Nephrotic Hypertension?
Medical History: the age of onset is about 40~50 years old, the history of hypertension is more than 5~10 years. At the early stage, patients may only feel frequent urination at night and then proteinuria. In some special cases, they may find temporal gross Hematuria because of capillary rupture and accompanied with unobvious backache. Patients may follows with other diseases, such as arteriosclerotic retinopathy, leftventricular hypertrophy, coronary disease, heart failure, cerebral arteriosclerosis or cranial vascular disease.
With illness condition deteriorating, it can develop into renal failure, renal injury or abnormality of urination. If diastolic pressure is more than 16Kpa, patients usually appear to have obvious cardio-cerebral complications which progresses rapidly in a short time. Meantime, patients suffer from a large quantity of proteinuria accompanied by Hematuria and renal function decline.
Physical Tests: blood pressure level keeps rising , dropsy in eyes or legs; arteriosclerotic retinopathy.
Stage I―Micro-Albumin Stage. In this stage, it is characterized with the anomaly of urinary albumin excretion rate. Renal function is in the normal level; urine protein is negative.
Stage II―Clinical Urine Protein Stage. Urine protein is positive; 24-hour total urine protein rate>0.5; normal renal function.
Stage III―Renal Insufficiency Stage. It is characterized with the decrease of Creatinine Clearance Rate and the increase of Serum Creatinine . It is divided into non-dialysis stage .
How to diagnose Nephrotic Hypertension?
Medical History: the age of onset is about 40~50 years old, the history of hypertension is more than 5~10 years. At the early stage, patients may only feel frequent urination at night and then proteinuria. In some special cases, they may find temporal gross Hematuria because of capillary rupture and accompanied with unobvious backache. Patients may follows with other diseases, such as arteriosclerotic retinopathy, leftventricular hypertrophy, coronary disease, heart failure, cerebral arteriosclerosis or cranial vascular disease.
With illness condition deteriorating, it can develop into renal failure, renal injury or abnormality of urination. If diastolic pressure is more than 16Kpa, patients usually appear to have obvious cardio-cerebral complications which progresses rapidly in a short time. Meantime, patients suffer from a large quantity of proteinuria accompanied by Hematuria and renal function decline.
Physical Tests: blood pressure level keeps rising , dropsy in eyes or legs; arteriosclerotic retinopathy.
Why IgA Nephropathy Patients Get Hypertention Nephropathy
IgA Nephropathy is the most common of glomerulonephritis in the world, which is characterized by predominant IgA deposition in the glomerular messangium. With the development of illness condition, some IgA Nephropathy patients get Nephrotic Hypertention.
With the progression of IgA Nephropathy, the renal intrinsic cells can be damaged and kidney dysfunction occurs. Water and sodium retention appears, so the kidney blood vessels are compressed, and blood flow decreases. Then renal receptor will secrete more renin, and then angiotensin concentration increases, which make blood vessel shrink, thus increasing the blood pressure. High blood pressure and renal injury may aggravate each other. In general, if IgA Nephropathy patients get hypertension, their renal function is about to be injured has already been injured.
Once patients of IgA Nephropathy have symptoms of Nephrotic Hypertension, they should receive effective treatment instead of self-medication. IgA Nephropathy led hypertension is different from primary hypertension. The key of treating hypertension is to treat IgA Nephropathy through methods of delaying or blocking renal fibrosis. Only in this way, can we treat hypertension radically.
The Hot Compress Therapy of Huaxia Kidney Disease Hospital can not only treat IgA Nephropathy from the root by degrading the IgA deposits but also restore the renal function. Once injured kidney is recovered, IgA Nephropathy can be relieved and hypertension caused by IgA Nephropathy can also be relieved.
With the progression of IgA Nephropathy, the renal intrinsic cells can be damaged and kidney dysfunction occurs. Water and sodium retention appears, so the kidney blood vessels are compressed, and blood flow decreases. Then renal receptor will secrete more renin, and then angiotensin concentration increases, which make blood vessel shrink, thus increasing the blood pressure. High blood pressure and renal injury may aggravate each other. In general, if IgA Nephropathy patients get hypertension, their renal function is about to be injured has already been injured.
Once patients of IgA Nephropathy have symptoms of Nephrotic Hypertension, they should receive effective treatment instead of self-medication. IgA Nephropathy led hypertension is different from primary hypertension. The key of treating hypertension is to treat IgA Nephropathy through methods of delaying or blocking renal fibrosis. Only in this way, can we treat hypertension radically.
The Hot Compress Therapy of Huaxia Kidney Disease Hospital can not only treat IgA Nephropathy from the root by degrading the IgA deposits but also restore the renal function. Once injured kidney is recovered, IgA Nephropathy can be relieved and hypertension caused by IgA Nephropathy can also be relieved.
Differences Between Hypertension Nephropathy and Primary Hypertension
What is Nephrotic Hypertention?
Nephrotic Hypertension, one important part of secondary high blood pressure is a disorder caused by kidney disease. One type is renovascular hypertension caused by the renal ischemia due to renal artery narrowing. Another type is renal parenchymal hypertension caused by renal diseases.
Renovascular hypertension: Patients mostly get the disorder before 30 years old or after 50 years old. In clinic, there may appears hypertension rapidly getting worsen. A part of patients may have back injury and bellyache history. For patients, the blood pressure can not be control well with hypotensor. As getting an examination for body, vascular murmur can be heard in the upper abdominal. The size of two kidneys is different through the X-ray and abdominal ultrasound scan.
Renal Hypertension: Patients develop the disorder at an early age who have the Nephritis or Pyelonephritis history. Some symptoms may occur like hematuria, edema, protein urine, or fever, back injure, frequent micturition, urgent micturition and dysuria urodynia etc. Before the onset of renal Hypertension, patients may be with or without renal damage.
How to distinguish Nephrotic Hypertention from primary Hypertension?
Hypertension or high blood pressure is a cardiac chronic medical condition in which the systemic arterial blood pressure is elevated.
Primary Hypertension: The statistics show that 80-90 percent of Hypertention is primary high blood pressure, only 10-20 percent secondary high blood pressure. As for the causes of primary high blood pressure also called Hypertension, it is still exactly unknown. The primary high blood pressure usually occur in middle-aged and elderly people over 40 year-old most of whom have hypertensive family history.
Symptoms:
High blood pressure rises rapidly to a high level;
Slight edema ;
Usually, abnormal urine examines follow high blood pressure.
There is no obvious urine change and renal damage at the early stage of Hypertention.
Nephrotic Hypertention: It is a secondary high blood pressure caused by renal disease. Its onset is usually in patients under 30 year-old not having hypertensive family history. Patients with Nephrotic Hypertention usually have edema and gradually elevated blood pressure. And sometimes blood pressure is likely to worsen rapidly. Urinary change and renal damage are obvious for patients with Nephrotic Hypertention. Hypertention follows the abnormal urine examines.
Nephrotic Hypertension, one important part of secondary high blood pressure is a disorder caused by kidney disease. One type is renovascular hypertension caused by the renal ischemia due to renal artery narrowing. Another type is renal parenchymal hypertension caused by renal diseases.
Renovascular hypertension: Patients mostly get the disorder before 30 years old or after 50 years old. In clinic, there may appears hypertension rapidly getting worsen. A part of patients may have back injury and bellyache history. For patients, the blood pressure can not be control well with hypotensor. As getting an examination for body, vascular murmur can be heard in the upper abdominal. The size of two kidneys is different through the X-ray and abdominal ultrasound scan.
Renal Hypertension: Patients develop the disorder at an early age who have the Nephritis or Pyelonephritis history. Some symptoms may occur like hematuria, edema, protein urine, or fever, back injure, frequent micturition, urgent micturition and dysuria urodynia etc. Before the onset of renal Hypertension, patients may be with or without renal damage.
How to distinguish Nephrotic Hypertention from primary Hypertension?
Hypertension or high blood pressure is a cardiac chronic medical condition in which the systemic arterial blood pressure is elevated.
Primary Hypertension: The statistics show that 80-90 percent of Hypertention is primary high blood pressure, only 10-20 percent secondary high blood pressure. As for the causes of primary high blood pressure also called Hypertension, it is still exactly unknown. The primary high blood pressure usually occur in middle-aged and elderly people over 40 year-old most of whom have hypertensive family history.
Symptoms:
High blood pressure rises rapidly to a high level;
Slight edema ;
Usually, abnormal urine examines follow high blood pressure.
There is no obvious urine change and renal damage at the early stage of Hypertention.
Nephrotic Hypertention: It is a secondary high blood pressure caused by renal disease. Its onset is usually in patients under 30 year-old not having hypertensive family history. Patients with Nephrotic Hypertention usually have edema and gradually elevated blood pressure. And sometimes blood pressure is likely to worsen rapidly. Urinary change and renal damage are obvious for patients with Nephrotic Hypertention. Hypertention follows the abnormal urine examines.
How to Improve the Prognosis of Hypertension Nephropathy
1.Lose weight
You′re suggested to control your weight and reach the goal of being lower than 24kg/m2
2.Take balance diet
(a)How much salt do you take each day? WHO advise you to take no more than 6g each day. If you haven′t reach that standard, then reduce it immediately. Firstly, use less salt when cooking. Secondly, eat less salty foods like pickles.
(b)Reduce intake of dietary fat, eat more vegetables and fruits, and supplement some proper high-quality protein but not much. It′s adviced that fat occupies less than 30% in the total calories and saturated fat counts less than 10%; Protein counts for about 15% in the total calories and animal protein couts less than 20% in the total protein.
(c)Limit the intake of alcohol drinks
Hypertension patients are suggested to quit alcohol drinking because alcolhol could increase body′s resistance to the medicines they take. If you are a drinker, you should stop drinking as soon as possible. A healthy man shouldn′t drink more than 20-30g per day, a woman should not drink 10-15g plus each day.
3.Increase physical exercises
Physical exercises could not only reduce blood pressure, but it′s also in favor of losing weight, increase strength, and reducing insulin resistance. Patients should choose right exercise methods according to their age and health condition, such as jogging, brisk walking, and Taichi. Usually it′s safe if you can enforce "3, 5 ,7 " rules. "3" means to walk about 3kms each day, and time is up to 30 minutes; "5" means to take five times exercises each week; "7" means that you age plus heart rate after exercise is around 170. This kind of exercise is moderate and could help keep aerobic metabolism.
4.Reduce mental pressure and keep psychological balance
As longstanding mental pressure and depression is one of major reasons that lead to hypertension and other chronic disease. You could reduce pressure through many ways, such as consulting psychologist doctors, making friends and increasing social activities, developing sport or art hobby and so on.
5.Don′t smoke
It already has been proven that smoking is bad to health. In addition, smoking could reduce the compliance of taking medicines and increase the dose of hypotensor(medicines to reduce blood pressure)
You′re suggested to control your weight and reach the goal of being lower than 24kg/m2
2.Take balance diet
(a)How much salt do you take each day? WHO advise you to take no more than 6g each day. If you haven′t reach that standard, then reduce it immediately. Firstly, use less salt when cooking. Secondly, eat less salty foods like pickles.
(b)Reduce intake of dietary fat, eat more vegetables and fruits, and supplement some proper high-quality protein but not much. It′s adviced that fat occupies less than 30% in the total calories and saturated fat counts less than 10%; Protein counts for about 15% in the total calories and animal protein couts less than 20% in the total protein.
(c)Limit the intake of alcohol drinks
Hypertension patients are suggested to quit alcohol drinking because alcolhol could increase body′s resistance to the medicines they take. If you are a drinker, you should stop drinking as soon as possible. A healthy man shouldn′t drink more than 20-30g per day, a woman should not drink 10-15g plus each day.
3.Increase physical exercises
Physical exercises could not only reduce blood pressure, but it′s also in favor of losing weight, increase strength, and reducing insulin resistance. Patients should choose right exercise methods according to their age and health condition, such as jogging, brisk walking, and Taichi. Usually it′s safe if you can enforce "3, 5 ,7 " rules. "3" means to walk about 3kms each day, and time is up to 30 minutes; "5" means to take five times exercises each week; "7" means that you age plus heart rate after exercise is around 170. This kind of exercise is moderate and could help keep aerobic metabolism.
4.Reduce mental pressure and keep psychological balance
As longstanding mental pressure and depression is one of major reasons that lead to hypertension and other chronic disease. You could reduce pressure through many ways, such as consulting psychologist doctors, making friends and increasing social activities, developing sport or art hobby and so on.
5.Don′t smoke
It already has been proven that smoking is bad to health. In addition, smoking could reduce the compliance of taking medicines and increase the dose of hypotensor(medicines to reduce blood pressure)
Renal Vascular and Hypertension
Renal Vascular Hypertension means that stenosis of the trunk or branch of unilateral or bilateral renal artery cause renal blood lack and then lead to high blood pressure. It takes up 5% in total cases of hypertension. The causes of renal vascular hypertension are many and various, in the below are some common reasons.
1.Arteritis
It′s more common with Chinese people than with European or American people and it′s more common with young women. Arteritis is nonspecific inflammation and has connection with abnormal immunity after bacteria infection.
2.Atherosis
Renal vascular hypertension caused by atherosis occupys about 60% in the total number of patients in European and American countries. The diease occurs at the ostias of the trunk of renal artery or the position of 1/3 to it in most cases, and usually it′s bilateral.
3.Abnormal growth of fibrillar muscle
It′s the common cause to lead to renal vascular hypertension among foreign young patients.
4.Others
Such as polyarteritis nodosa, external injury, movable kidney, fibrosis of tissue arund renal artery caused by radioactive rays etc.
1.Arteritis
It′s more common with Chinese people than with European or American people and it′s more common with young women. Arteritis is nonspecific inflammation and has connection with abnormal immunity after bacteria infection.
2.Atherosis
Renal vascular hypertension caused by atherosis occupys about 60% in the total number of patients in European and American countries. The diease occurs at the ostias of the trunk of renal artery or the position of 1/3 to it in most cases, and usually it′s bilateral.
3.Abnormal growth of fibrillar muscle
It′s the common cause to lead to renal vascular hypertension among foreign young patients.
4.Others
Such as polyarteritis nodosa, external injury, movable kidney, fibrosis of tissue arund renal artery caused by radioactive rays etc.
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