3 Steps For Hypertensive Patients To Lower Blood Pressure in Order To Avoid Uremia

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Uremia sounds like a terrible term. In simple terms, having uremia means that your kidneys basically lose all their functions, and it is accompanied by a series of complications. Uremia does not happen suddenly, what we can do is to detect it as soon as possible and prevent it as soon as possible.

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What are the early symptoms of uremia

1. Changes in urine output

Due to the decreased filtering function of the kidneys, the urine output of some patients will gradually decrease after the onset of the disease. There are some patients with normal urine output, but due to the decline of renal function, the toxins excreted in the urine will be reduced, and the wastes in the body will be retained if they cannot be excreted, resulting in further deterioration of the patient's condition.

2. Hypertension

We know that the kidneys have the function of draining and expelling sodium. When the kidney function is damaged, water and sodium will be stored in the body. In addition, the kidneys will increase the secretion of renin at this time, which will increase blood pressure. Therefore, uremia patients are often accompanied by different degrees of hypertension in the early stage.

3. Fatigue

If toxins accumulate in the body for a long time, it will cause complications such as acid-base metabolism imbalance, cytopathic disease, and renal hypertension. These comorbidities can lead to symptoms such as dizziness, fatigue, and fatigue. For young people, these symptoms are often attributed to not getting a good night's sleep or a stressful job and are often overlooked.

4. Loss of appetite

After the toxin stays in the body for a certain period of time, it will affect the body's digestive function. The patient will feel poor appetite in the early stage, and when the disease progresses further, symptoms such as vomiting, nausea, abdominal distention, and increased stool frequency will occur.

5. Puffiness

Because the kidneys of patients with uremia cannot excrete excess water in the body, the fluid will remain in the interstitial spaces in the body. In the early stage, edema often appears in the eyelids and ankles, and in severe cases, systemic edema may occur.

Hypertensive patients should focus on the prevention of uremia

Many people know that high blood pressure may lead to stroke. In fact, if high blood pressure is not well controlled, it will also lead to uremia. Studies have shown that 15% of high blood pressure will turn into uremia, and whether blood pressure is controlled directly affects the development of uremia. Therefore, hypertensive patients must do a good job in the prevention of uremia. Specifically, the following points should be noted:

1. Control blood pressure at ideal levels

Epidemiological surveys found that less than half of the patients knew they had high blood pressure; less than 12.5% had high blood pressure and were taking medication; only 3% could take medication to control blood pressure at a reasonable level. Therefore, hypertensive patients must closely monitor renal function and take medicines as prescribed by a doctor.

2. Close monitoring of renal function

One of the prerequisites for preventing kidney damage is to strictly test the renal function of hypertensive patients. The specific measures are:

1. Regularly check renal function, including serum creatinine, blood urea nitrogen, and endogenous creatinine clearance rate, preferably every two months.

2. Observe whether there are early symptoms of uremia. Once related symptoms appear, kidney function tests should be carried out in time.

3. Reasonable selection of antihypertensive drugs

The basic principle for the selection of antihypertensive drugs for hypertension should be that they have no nephrotoxicity, or have a certain role in protecting the kidneys. Studies have shown that drugs such as angiotensin receptor antagonists, angiotensin-converting enzyme inhibitors, calcium channel blockers, and beta-blockers can protect the kidneys while reducing blood pressure.