2014年1月27日星期一

Natural Remedies for Hypertensive Nephropathy

1. Traditional Chinese medicine iontophoresis

This can dilate blood vessels, decrease coagulation and blood viscosity, decompose immune complex, restrain the release of inflammatory factors, This is given externally, neither operation nor oral medication. Patient can take this treatment by lying on their bed, the active ingredients can penetrate into kidneys through urinary bladder channel in waist areas. By this treatment, a favorable internal environment can be provided so the aggravation of your kidney function can be halted or slowed down.

2.The Hot Compress Therapy of Huaxia Kidney Disease Hospital

When kidney gets damaged, massive toxins can not be removed timely and mess up in your body, so your immunity can be in disorder. Massive abnormal immune reaction can happen and rev up the aggravation of your renal function. We adopt effective western medicine to stop the abnormal immune reaction, so that we can get more time for next improvement treatment.

3.Blood Purification

With the decrease of renal function, large amount toxins can′t be removed by the kidney timely, which can impair other organs in body. Therefore it is quite necessary to cleanse the blood. We can provide standard hemodialysis but also plasma exchange.

How to Treat Hypertensive Nephropathy

How to Treat Hypertensive Nephropathy to Get a Good Curative Effect? The experts in Huaxia Kidney Disease Hospital say that Hypertensive nephropathy is the complication of high blood pressure. The key of treatment is to control high blood pressure and repair the damaged renal inherent cells. Only in this way, can the patients get better clinical effect.

How to Treat Hypertensive Nephropathy to Get a Good Curative Effect? The occurrence of Hypertensive Nephropathy is related with the severity of hypertension and continuous time. At the same time, it also influenced by drinking, diabetes, hyperlipidemia and hyperuricemia. High blood pressure can lead to kidney damage, in turn, kidney damage will also aggravate the hypertension. During the treatment process, step-down treatment is particularly important. The patients are advised to treat through combining traditional Chinese and western medicine, which can not only improve all levels of blood vessels through the drug treatment, fundamentally, lower blood pressure but also repair the damaged renal unit and improve renal function.

The expert of Huaxia Kidney Disease Hospital reminds hypertension patients that they should closely monitor the blood pressure condition, at the same time, they also should go to a hospital to make regular urine routine inspection to prevent hypertension nephropathy.

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)

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.

Top 5 Complications of Hypertensive Nephropathy

1.Anemia

Serious kidney damages make kidney unable in producing hemopoietin which is the essential substance for the generation of erythrocyte. Anemia is diagnosed when erythrocyte count is lower than the reference value.

2.Edema

Edema usually occurs as the first complication of Hypertensive Nephropathy. In serious cases, aside from a swollen body, patients may also experience hydrothorax and ascites which may bring patients hard breath, umbilical hernia and inguinal hernia.

3.Heart Failure

Heart failure usually occurs when Hypertensive Nephropathy progressive to kidney failure and it always occurs under the together action of high blood pressure, toxins in blood, renal anemia, acidosis and electrolyte disturbance.

4.Gastrointestinal Discomforts

Gastrointestinal discomfort is not the typical complication of Hypertensive Nephropathy and it may occur among people with any kind of kidney problem. Gastrointestinal discomforts include nausea, vomit, poor appetite and so on.

5.Cerebrovascular Accident

Cerebrovascular accident is one of the fatal complications of Hypertensive Nephropathy. With characteristics of rapid deterioration and high fatality rate, cerebrovascular disease can be the final case of patients′ death, so people with advanced Hypertensive Nephropathy should prevent it actively.

Hypertension Nephropathy is a the result of long-term high blood pressure and usually causes these complications when it develops to late stage, so early diagnosis and treatment is very essential for patients to prevent the above complications.

2014年1月26日星期日

Uremia and High Blood Pressure

As we all know, hypertension is one of the most common symptoms and complications of the disease of Polycystic Kidney Disease . And the worst prognosis of this disease is uremia. Many patients with this disease, however, don’t know that hypertension is one of the important factors for this disease to develop to uremia. So, what the patients should do to control the blood pressure and prevent uremia?

First, control the blood pressure on the ideal level

According to the general survey, more than half of patients with Polycystic Kidney Disease suffer from hypertension. Only less than 50 percent of patients, however, have realized they have hypertension. And among them, less than 12.5percent are taking medicine to treat the hypertension; and only 2.9percent of them can control the blood pressure in the ideal level. Therefore, we should spread the publicity of hypertension and it is extremely urgent to enhance the people′s cognition of the hazard of hypertension.

Second, take close examination of renal function

It is the precondition of preventing the damage of renal function to control the blood pressure in the ideal level. At the same time, we should take close examination of the renal function of the hypertension patients.

Third, choose therapeutic schedule and medicine reasonably

There are varieties of categories of antihypertensive drugs, which are suitable for different types of symptoms. The basic principle of choosing antihypertensive drugs is that the drugs do not contain the renal toxicity or even possess the function of renal protection. Research shows that ACEI, ARB, CCB, and βBRB can not only control the blood pressure but also can protect our kidney.

Preparation for Hemodialysis

When Chronic Kidney Disease develops to Stage IV along with GFR?30 cc/min, dialysis turn to an inevitable choice. Dialysis can be mainly divided into hemodialysis and peritoneal dialysis. The key of a successful hemodialysis depends upon awareness and preparation. So what should we do before we perform hemodialysis?

1.Certain tests should be taken before receiving hemodialysis

Those tests include heart check, vaccination status, dialysis access and some others. By detecting the heart condition in advance, the doctor could recommend you a better dialysis type; for example, those with diabetes or high blood pressure may have a weak heart than others, to those kinds of people, hemodialysis is their first choice.

2.Control your blood pressure

High blood pressure itself can damage kidney function. Taking good control of your blood pressure contributes to your kidneys especially during Chronic Kidney Failure or ESRD. Having a good control over your high blood pressure would effectively slow down the progression of Chronic Kidney Failure as well as reduce the incidence of cardiovascular complications. Besides, ultrafiltration and sodium discharge of dialysis have a confirming function of depressing high blood pressure.

3.Psychoneself

Doctor has the responsibility of helping patients get ready for hemodialysis. However, mental preparation in advance really matters, because it can not only help patients deal with the fact that he/she needs hemodialysis without delay, but also spare time getting down to vascular access.

4.Dialyser examination in advance is necessary

To check whether the package rupture or not, and whether dialyiser disrepair or not, instruction of the new dialyser should be read before usage. Realize about disinfection methods, material of membrane, pre-congestion amount, ultrafiltration rate, maximum tolerant pressure, clearance rate of small molecules and moderate molecular and remaining blood volume etc.