High blood pressure, kidney disease should be found as early

High blood pressure, kidney disease should be found as early

High blood pressure, kidney disease should be found as early as possible! 

Takeaway: high blood pressure, kidney disease should be found as early as possible! High blood pressure, kidney disease is common: age at 40 ~ 50 years of age or older, hypertension 5 ~ 10 years of history, early only nocturia increased, then appear proteinuria, inpidual cases can occur due to the broken capillaries of transient with macroscopic haematuria, 

High blood pressure, kidney disease should be found as early as possible! High blood pressure, kidney disease is common: age at 40 ~ 50 years of age or older, hypertension 5 ~ 10 years of history, early only nocturia increased, then appear proteinuria, inpidual cases can occur due to the broken capillaries of transient with macroscopic haematuria, but without obvious low back pain. The harm of high blood pressure, kidney disease on the basis of high blood pressure is easy to cause various at high risk of complications, increase the life-threatening kidney damage may result in uremia. How high blood pressure, kidney disease early detection, kidney disease have craigslist network everyone made a summary and give details: 

Kidney disease should be early now, hypertension nephropathy is a kidney disease caused by high blood pressure. High blood pressure, kidney disease is some have 5-10 years of hypertension patients was not timely or due to improper treatment of a common serious complications, in some patients with high blood pressure, kidney disease in clinical detection of time is the middle or late. So, how can the early detection of high blood pressure, kidney disease?  

1. The history and symptoms 

Age more than in 40 ~ 50 years of age or older, hypertension 5 ~ 10 years. Early night urine increased, only then appear proteinuria, inpidual cases can occur due to the broken capillaries of transient with macroscopic haematuria, but without obvious low back pain. Often merge arteriosclerosis sex retinopathy, left ventricular hypertrophy, coronary heart disease, heart failure, cerebral arteriosclerosis and (or) history of cerebrovascular accident. Slow progression of symptoms a few gradually develop into renal failure, most perennial mild renal function damage and abnormal urine routine. Malignant high blood pressure, diastolic blood pressure should be more than 16 kpa (120 MMHG), accompanied by obvious cerebrovascular complications and rapid development, a large amount of proteinuria, often accompanied by hematuria, progressive renal function decline. 

2. Medical examination found 

General continuous blood pressure heighten (20.0/13 kpa, more than 150/100 MMHG); Some LIDS and/or lower limb edema, heart world expansion, etc.; Most arteriosclerosis sex retinopathy, when retinal hemorrhage and have stripes, flame cotton soft effusion, malignant renal arteriolar sclerosis diagnosis support. Associated with hypertensive encephalopathy can have corresponding neurological localization signs.  

3. The auxiliary examination 

(a) imaging examination of kidney does not have a change, more development cause renal failure kidney can appear when the varying degree reduces; Nuclide check the early renal function damage; Electrocardiogram (ecg) often hint left ventricular high voltage; Chest X-ray or echocardiographic indicate aortic stiffness, left ventricular hypertrophy or expanded.  

(2) the clinical diagnosis of difficulty in early renal biopsy should be done.  

(3) more for mild-to-moderate proteinuria, more than 24 hours of quantitative in 1.5 ~ 2.0 g; Microscopy visible part (red blood cells, white blood cells, less transparent tube type), can have blood in the urine; Early rising blood uric acid, urine NAG enzyme, 2 - MG increased, urine concentration - dilution dysfunction; Ccr slow decline, blood urea nitrogen, creatinine, increased. Renal tubular function damage much ahead of glomerular damage. 

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