Diabetic nephropathy patient: Normotensive to take depressor too
Diabetic nephropathy patient: Normotensive to take depressor too
54 -year-old Mr. Zhang is a diabetic, because blood glucose can not be controlled well, erupted hypertension simultaneously several years ago. Mr. Zhang's temper is more rash, often worries about what these diseases bring and flies into a rage, so that has taken many medicines and lost control of blood pressure. Not long ago, the unit organized veteran cadre's physical examination, Mr. Zhang was found to change diabetic nephropathy, 3 plus signs of urine albumen. Usually 3 plus signs of urine albumen mean three or four issues of nephropathy, has already entered the difficult stage for treatment of nephropathy. Mr. Zhang is burning with anxiety, let specialists do the further inspection at once. In following several months, Mr. Zhang goes to the hospital to reexamine regularly, hypertension had obvious improvement, the urine albumen is reduced to some extent too. Nowadays, Mr. Zhang though blood glucose is still high, blood pressure has already returned to normal, the urine albumen is only a plus sign too. The doctor tells Mr. Zhang: "Control so well really very rarely, treat slowly, let the urine albumen turn overcast, your nephropathy will be almost better. " Then, doctors have prescribed depressor to let Mr. Zhang continue taking. Some of Mr. Zhang have wondered: "My blood pressure had been normal all the time since several months, there are the medicine lowering the urine albumens, why take depressor, will not eat hypotension out? " Mr. Zhang phones to consult to this newspaper, is taking Mr. Zhang's doubt, reporters have contacted chestnut summer of first chief physician of division of endocrinology of affiliated hospital of Zhengzhou University lotuses. The chestnut director tells reporters: "So long as diabetic nephropathy patient takes depressor according to quantity on time, would not eat hypotension out. Depressor not only steps down, but also can reduce urine albumens to a certain extent, patient that this pair of therapeutic hypertension erupts nephropathy simultaneously has much benefits. " Taking medicine and taking the actually rare medicine side effect of hypotension out becomes a question that a lot of patients care about very much in the course of treating now. The patient with hypotensive history has had experience of the danger of hypotension, so a lot of hypertension patients care very much whether taking depressor will be " lowered, gone too far " Question. In fact, it is a comprehensive course to step down, multiple regulation mechanism is participated in together, set up successive check, set up defences everywhere, it is normal in order to maintain human blood pressure. Because the existence of such complicated regulation mechanism, oral depressor treats hypertension, even if blood pressure has already returned to normal, it will not cause hypotension either to continue taking, and contribute to controlling blood pressure. Certainly, this has a prerequisite too, that is right amount of. Usually the doctors will all give patient right quantity to use medicine according to the patient's detailed conditions, so will not eat hypotension out to take generally to follow the doctor's advice. If is anxious for success, add adding amount once without permission, the consequence is unable to find out. In addition, either will cause hypotension while being malnutritive, have glycosuria patient of medical history to must pay attention to the reasonable diet, supplementary and enough nutrition. Depressor helps the nephropathy patient to lower depressor curing hypertension of urine albumen mostly angiotensin change inhibitors, this kind of depressor can expand the glomerulus artery, make the capillary pressure in the glomerulus reduce, improve the straining of the simultaneous reduction urine albumen of the renal function, thus reduce urine albumens. As to having hypertension, patient who also has proteinuria, taking this kind of depressor can already step down, can reduce urine albumens, one may well say that kills two birds with one stone, especially chronic nephropathy is early, use depressor to have much benefits to renal protection rationally and correctly.
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