2015年11月5日星期四

Three Steps in Preventing Hypertensive Kidney Disease

High blood pressure is the secondary leading cause of Chronic Kidney Disease (CKD). According to some researches, the patients with 5~10 years’ history of high blood pressure, they may have mild or moderate renal arteriosclerosis thus leading to renal ischemia, renal atrophy and even Renal Failure. Therefore, it is very important for the patients to take preventive measures to avoid renal injury, especially those with a long history of high blood pressure.

1. Take urine test regularly

If you are diagnosed with high blood pressure, you should take a systemic exam, especially if you are accompanied by Diabetes, coronary disease, gouty, hyperuricemia and hyperlipemia to find if you have renal injury. In the later days, you should take urine test regularly. If the first renal function test does not show renal abnormality in glomerular filtration rate, it is ok to take urine routine exam and urine microalbumin exam one time in a year.

2. Watch out for increased urination at night

If you have a poor control of high blood pressure, it will injure renal tubule resulting in renal tubule dysfunction and leading to increased urination at night. It is a very important sign of Hypertensive Kidney Disease. Once you go to toilet more than 3 times and even five times, you should go for urine test at once. If you have urine microalbumin, it proves that you have mild renal injury and should receive treatment in time.

3. Control blood pressure effectively

The patients with Hypertensive Kidney Disease should choose those medications lowering blood pressure and protecting kidney function and reduce proteinuria at the same time. The patients with high blood pressure without kidney injury should keep their blood pressure within 140/90 mmHg. However, for the patients with Hypertensive Kidney Disease, they should lower their blood pressure to 130/80 mmHg. For the elderly patients, they can have a loose control of their blood pressure and keep the systolic pressure at about 150 mmHg.


If you can control you blood pressure within the target levels, you will be able to avoid renal injury. However, if you have renal injury, you should receive treatment in time so as to prevent it from developing into serious stage.

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