Monday, August 18, 2014

Hypertensive Nephropathy Damage Factors

Benign arteriolar nephrosclerosis Department of essential hypertension hypertensive nephropathy caused (also known as hypertension, renal arteriosclerosis) and malignant renal arteries harden, and accompanied by appropriate clinical manifestations of the disease.

Factors which hypertensive renal damage 

First, the severity of the incidence of hypertension and hypertensive renal damage and the duration was positively correlated. Other possible factors include gender, race, diabetes, hyperlipidemia and hyperuricemia, these factors influence each other, and further aggravate kidney damage. Men are more likely than women with renal impairment. Age of onset of essential hypertension is generally 25 - 45 years old, and kidney damage caused by hypertension clinical symptoms of age is generally 40 - 60 years old.

Second, the earliest symptoms of nocturia may reflect the renal tubules has occurred ischemic lesions, urine concentration function began to subside. Then proteinuria, indicating glomerular lesions has occurred. The degree of proteinuria is usually mild to moderate (+ or + +), 24-hour urinary protein excretion is generally not more than 2 grams, but a few patients with macroalbuminuria. Urine microscopic examination of red blood cells and casts little individual patients because the glomerular capillary rupture transient hematuria. Research has shown that there are ten thousandth will develop renal failure in patients with essential hypertension and renal function in patients with untreated hypertension were significantly lower than those without hypertension.

Third, can often be found in other organs essential hypertension caused mainly cardiovascular complications, these complications may occur earlier than kidney damage, the condition is more serious, as the main or key prognostic factors. The most common cardiac complications are hypertensive left ventricular hypertrophy, and easy to merge heart failure, angina pectoris; cerebrovascular complications of cerebral hemorrhage and cerebral infarction, essential hypertension causes of accidental death at home in our cerebrovascular the first place.

Four, hypertension can also cause retinal arteriosclerosis, further causing arteriosclerotic retinopathy. Retina and blood pressure is proportional to the degree of atherosclerosis, in which the relationship between diastolic blood pressure more closely. Retinal and renal sclerosis is generally parallel to the degree of atherosclerosis, renal artery can be broadly reflect the situation, it is very important fundus examination.

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