Hypertension is the same as renal hypertension?
There may be no changes in kidney structure and function in the early stages of hypertensive nephropathy. It refers to the patient’s long-term hypertension, causing renal arteriosclerosis, renal blood flow reduction, further leading to impaired renal function, and eventually kidney shrinkage. At this time, the atrophic kidney is called “granular pyknosis kidney.” Renal hypertension may or may not have hypertension in the early stage. It refers to the long-term development of chronic kidney disease. Water and sodium salts accumulate in the body, and some endocrine hormones that affect blood pressure are imbalanced, resulting in elevated blood pressure.
Therefore, the two causes are different in the etiology and early pathogenesis, but hypertension itself is a risk factor for kidney disease. Kidney disease will have symptoms of high blood pressure, so the two influence each other in the middle and late stages, which together aggravate the development of the disease. No matter whether it is hypertension or kidney disease, it may eventually develop into renal insufficiency uremia. In principle, both should actively control blood pressure and protect the kidneys.
What is hypertensive nephropathy
Hypertension nephropathy, refers to renal failure caused by long-term hypertension. In the diagnosis of the disease, there is a corresponding name – nephrosclerosis. It usually occurs in middle-aged and elderly patients with high age. It has a history of hypertension for many years. The daily urine protein is less than 1 gram, and no other renal lesions are combined. Hypertension and kidney disease often cause each other, and most patients with renal failure do not receive renal puncture (kidney biopsy). Therefore, the incidence of “renal sclerosis” is overestimated.
The blood flow of the kidney accounts for about one-fifth to one-fourth of the cardiac output, plus the kidney is composed of many microvessels. Composition, high blood pressure will undoubtedly hurt the kidneys. Long-term hypertension leads to atherosclerosis and even blockage. If the lesion is located in the renal artery, renal infarction occurs; the patient will have proteinuria and blood pressure will increase. Once the renal blood vessels are blocked or hardened, the renal blood flow is relatively reduced and the renal function is then reduced. The kidney is usually responsible for the balance of water and electrolytes in the body. Once the function is impaired, the water and electrolyte imbalance, the blood volume increases, and the renin secretion increases, the blood vessels contract, the blood pressure is higher, and the damage to the kidney is undoubtedly worse. Therefore, patients with hypertension need to carefully control their blood pressure. Hypertension and kidney damage can affect each other to a certain extent, aggravating the development of the disease.
-
It is recommended that hypertensive patients regularly check renal function for urine microalbumin and other related tests.
-
If the high blood pressure has edema for many years, please go to the hospital.
-
If the high blood pressure has been increased for many years, please see the hospital in time.
-
Focus on health and focus on physical changes.
Blood pressure should be controlled, the kidney needs protection, abnormal treatment is found, and the cause is started, the pathological damage is emphasized, and the kidney function is protected!