2017年11月6日星期一

1. How to see the high pressure inside the kidney is not high ?
To see if the kidney is enlarged by B ultrasound ( this is not very common ) ; is glomerular filtration rate too high ( mostly seen in early diabetic nephropathy with perfusion and high filtration ) ; and the most common way is to monitor blood pressure , high blood pressure , renal pressure is not low .
2. How to control renal pressure and reduce proteinuria ?
Kidney doctors usually take ARB or ACEI anti-hypertensive drugs to patients , such as Losartan potassium tablets , Irbesartan tablets and other anti-hypertensive drugs .
3. How much blood pressure does it hold ?
Blood pressure can not be too low , because the blood pressure is too low will affect the heart , brain blood supply , the elderly also prone to orthostatic hypotension . The reason why the elderly diastolic blood pressure is relatively low , because the elderly are mostly arteriosclerosis , vascular stiffness , pulse pressure increases . So it’s mainly about systolic blood pressure .
4. How to measure blood pressure ?
Early morning blood pressure is convenient for doctors to adjust anti-hypertensive drugs and protect cardiovascular and cerebrovascular diseases . Of course , if you feel dizzy and uncomfortable , you can always measure blood pressure .
5. What happens when blood pressure is getting higher and higher , and even difficult to control ?
The weather is hot , the blood vessels dilate , and the blood pressure drops , the weather is cold , vasoconstriction , blood pressure tend to increase . If the renal function is incomplete in 3 and 4 periods , the blood pressure tends to be higher and higher , and the poor control will affect the cerebral blood supply and cardiac blood supply , and the renal function will become worse and worse . At this time , according to the blood pressure , under the guidance of the doctor , add calcium antagonist anti-hypertensive drugs .
6. In what case , don’t use ARB/ACEI ?
In the 4 and 5 stage of renal insufficiency , it is necessary to stop the decoction of Chinese herbal medicine when it is easy to merge hyperkalemia .
7. Can you control your blood pressure only by taking medication ?

Salt eats too much and blood pressure is difficult to control-salt sensitive hypertension ; Fructose eats too much-fructose related hypertension ; Green vegetables eat too little , coarse grains eat too little , blood homocysteine increase - homocysteine hypertension ; Broth , beer , drink too much , blood uric acid increased , damage the blood vessels , blood pressure will increase ; Of course , sleeping all night , playing mobile phones , playing computer games , playing mahjong...... blood pressure is also difficult to control .

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