2015年12月24日星期四

IgA nephropathy hypertension and its treatment

IgA nephropathy Hypertension is very common, IgA nephropathy patients have varying degrees about one-fifth of the blood pressure. Patients can no headaches, dizziness and other symptoms, only measure the blood pressure at the time of treatment. Hypertension benign and malignant points, benign hypertension refers to higher than normal blood pressure after antihypertensive drugs can basically control in the normal range; malignant hypertension refers to diastolic blood pressure (low pressure) up to 130mmHg / or more, patients and headache, blurred vision, nausea and vomiting, which is a critical situation and require urgent treatment.

A, IgA nephropathy is characterized by high blood pressure

1 adult hypertensive patients with IgA nephropathy incidence;

2, malignant hypertension, especially young patients with IgA nephropathy, a sharp increase in blood pressure, while renal function decline, gross hematuria, proteinuria.

3, pediatric patients less.

Second, the harm of high blood pressure

Hypertension is an independent risk factor affecting long-term prognosis of IgA nephropathy, ie, IgA nephropathy patients with hypertension prone to damage than patients without renal hypertension, which with proteinuria, hematuria, if not active treatment, will cause a decline in kidney function, the result is not optimistic.

Third, the treatment of hypertension

Active control of high blood pressure is an important aspect of the treatment of IgA nephropathy, blood pressure up to standard, that is 130 / 80mmHg or less. You can get the maximum benefit from the kidneys of normal blood pressure. Commonly used antihypertensive drugs have ACEI, ARB, calcium antagonists, β-blockers and the like, depending on the individual, the use of a drug in combination with one or more drugs.



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