Special crowd's hypertension treatment - old hypertension _'s prevention and health care of kidney trouble

Special crowd's hypertension treatment - old hypertension, _'s prevention and health care of kidney trouble
Old hypertension
It greater than or equal to age 60 year old,blood pressure or not last 140mmHg seat systolic pressure on the same day continuously and (or) The diastolic pressure is greater than or equal to 90mmHg, define as old hypertension. If greater than or equal to 140mmHg in systolic pressure but diastolic pressure <90mmHg, define as old age simple systolic phase hypertension.
The clinical characteristic of old hypertension: Rely mainly on increasing in systolic pressure; The pulse pressure increases; Blood pressure fluctuation is relatively great; Apt body posture hypotension take place; Blood pressure can not be reduced obviously at night; Often with diseases such as atherosclerosis, high lipoprotein blood disease, diabetes, senile dementia,etc., the accident incidence of blood vessel of brain obviously increases.
Old hypertension step down the intersection of goal and value, " whether hypertension prevent and cure the guide" determine systolic pressure as to drop to 150mmHg according to 2005 our country, if the ability can be further reduced. It is up to standard that the elderly should emphasize systolic pressure to treat while stepping down, should not pay close attention to the fact or emphasize the meaning in which the diastolic pressure changes excessively.
Commonly used 5 step down diuretic of medicine, calcium ion resist pharmaceutical, angiotensin, change the intersection of enzyme and inhibitor, receptor, 2 of angiotensin, resist pharmaceutical and while being short of money receptor block pharmaceutical to be available while being short of money. Among them diuretic and calcium ion resist pharmaceuticals to step down to old hypertension effectually short of moneyly, there are few bad reactions. As to having prostate partly when the loose old male patient or other depressor can not step down obviously, available receptor blocks pharmaceuticals.
Can jointly use medicine when single medicine treatment can't be up to standard of. It takes more than 2 kinds of depressor to make blood pressure up to standard that old hypertension person often needs, among them resist pharmaceuticals short of moneyly for jointly treating the bad reaction small of the foundation with long-efficiency calcium ion, it is effectual to step down.
Kidney trouble
Hypertension is a reason of kidney trouble, it is a consequence of nephropathy too. Diabetic nephropathy, hypertension nephropathy and primary glomerulus nephritis are three most common causes of disease of renal failure in latter stage of end in the global range. The kidney decline the dangerous main reason in kidney trouble developing in hypertension and end latter stage. The control of hypertension can lighten the progress with depleted renal function. Angiotensin change the intersection of enzyme and inhibitor and receptor, 2 of angiotensin, resist pharmaceutical, delay result that kidney trouble develop exceed step down result reached to expect while being short of money, but the above-mentioned two medicines generally avoid using as liver anhydride of blood> 265 mol/L. It is the only medicine without mandatory taboo disease to lower blood pressure and use calcium ion to resist pharmaceuticals short of moneyly when the renal function is not fine. The chronic renal function is depleted or the patient of the proteinuria needs to lower blood pressure more actively. Act as proteinuria> 1 gram goal blood pressure of patient on day <125/75mmHg, the patient of the slight proteinuria, blood pressure of the goal <130/80mmHg.
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