Cardiology

Renal hypertension

Renal hypertension is a pathology that develops against the background of increased blood pressure due to various kidney diseases. The disease is characterized by narrowing of the major renal arteries. The features of the disease, the symptoms and complications of renal hypertension are very diverse, so you should familiarize yourself with them in order to protect your health.

If blood pressure is often high, this may be a sign of the development of renal hypertension. Its top figures can be up to 240 mm. mercury column, while the lower ones increase to 140. In this case, a person may not even be aware of this and feel normal.

According to medical statistics, 10% of hypertensive patients develop renal hypertension. Its occurrence may be associated with changes in the stable functioning of the urinary system, or a violation of the mechanism that cleans the blood. Often, the disease manifests itself against the background of the fact that fluid and decay products of vital functions are not removed from the body in a timely manner. Men in old age are more likely to suffer from this ailment.

Renal arterial hypertension refers to secondary hypertension, it appears against the background of other diseases. The development of pathology occurs as a result of impaired renal function and their participation in the process of blood formation. If hypertension occurs, it is necessary to treat the underlying ailment. Only then is the increased renal pressure normalized.

You need to understand that renal hypertension is an insidious disease that can lead to disability, disability, and even death. Among the common complications of the disease should be highlighted:

  • Retinal hemorrhage, which can lead to complete loss of vision.
  • Heart and renal failure.
  • Disturbances in the work of the circulatory system.
  • Deterioration of blood counts and changes in its composition.
  • The emergence of vascular atherosclerosis.
  • Ischemia.
  • Impaired blood circulation in the brain.
  • Kidney infarction.

Very often, a person suffering from hypertension does not pay attention to symptoms that indicate the development of a serious illness. In case of deterioration of health, the patient should contact the attending physician, especially if the following symptoms are noted:

  • Diastolic or systolic murmurs heard in the renal arteries.
  • Cardiopalmus.
  • Pressing pain in occiput.
  • Increased protein content in urine analysis.
  • Unstable blood pressure.
  • Rapid fatigue, even with little physical activity, a feeling of constant irritability.

The symptoms of renal hypertension are accompanied by persistently high blood pressure, where the diastolic index is always elevated. In three cases out of ten, this pathology leads to serious health problems. Often, the disease becomes a consequence of nephropathy. Its combination with hypertension leads to the formation of acute glomerulonephritis.

In addition, renal hypertension often becomes a companion of patients diagnosed with nodular periarteritis. The symptoms of this condition are often similar to those of other diseases, making it difficult to make an accurate diagnosis.

The mechanism of development of renal hypertension

The mechanisms of development are directly related to damage to the kidney tissue, as well as the narrowing of the main arteries in these organs. Due to the fact that the functions of these organs violated, the volume of blood rises, and water begins to linger in the body. All this contributes to a jump in blood pressure.

In addition, there is an excess of sodium in the body, which cannot be excreted in time due to impaired renal function. This condition leads to the release of the hormone renin. Its presence contributes to the activation of substances leading to peripheral resistance of blood vessels. As a result, sodium and fluid begin to accumulate in the body.

In connection with an increase in the tone of the renal vessels, the process of their hardening develops very quickly in patients, namely, the accumulation of soft deposits that resemble gruel in appearance. They contribute to the formation of plaque, which clogs blood vessels and makes it difficult for blood to flow to the heart. All this becomes the reason for the disruption of the circulatory system.

Renal hypertension leads to enlargement of the left ventricle of the heart. The disease is typical for elderly patients, but sometimes there are cases of pathology detection in young people.

It takes a long time for the formation of type I renal hypertension. A person experiences an acute headache, breathing is disturbed, weakness and dizziness appear. In the first type of hypertension, blood pressure is consistently high.

In the case of malignant hypertension, the upper pressure value increases to a very high value. The patient experiences severe pain in the back of the head, often accompanied by nausea and vomiting. This condition is observed in 30% of patients diagnosed with renal hypertension.

Diagnosis of renal pressure

In order to make an accurate diagnosis and prescribe the correct treatment, the patient is recommended to undergo a comprehensive examination of the body. Diagnostics includes:

  • study of the work of the heart;
  • checking the condition of the kidneys, adrenal glands;
  • examination of the main vessels and arteries;
  • analysis of the work of the urinary system.

Along with this, the patient must undergo a biochemical analysis of blood and urine. If a patient has consistently high blood pressure values ​​for a long period of time, he is diagnosed with hypertension. Revealed kidney pathologies add the prefix "renal" to the diagnosis of hypertension.

Blood and urine tests are important in determining the disease. A high level of protein, erythrocytes and leukocytes indicates kidney pathology, even if blood pressure is normal. With the help of a laboratory diagnostic method, it is possible to determine the presence in the body of hormones, enzymes and macronutrients such as potassium and sodium. The standard methods for studying kidney disease are ultrasound, urography, and magnetic resonance imaging. Sometimes, in the case of serious complications, a biopsy may be ordered for the patient.

Drug treatment

The choice of treatment tactics depends mainly on the nature of the course of the disease, the severity of the lesions and the patient's condition. Its main task is to preserve the functions of the kidney and eliminate the cause of the disease.

Treatment of transient hypertension requires a specific diet. Its main principle is to limit foods that contain sodium. This means that table salt, sauerkraut, hard cheeses, soy sauce, rye bread, canned fish, seafood, and beets should be excluded from the diet.

Patients need to adhere to dietary program number 7, which provides for a gradual transition to plant proteins instead of animals and the complete elimination of salt.

In the case when such restrictions are poorly tolerated by the body, or they do not bring the desired effect, the patient is prescribed drugs in the form of loop diuretics. In order to enhance their effect, it is necessary to increase the dose, but not the number of doses.

For the treatment of renal hypertension, drugs are used only if there is no vasoconstriction. Otherwise, it can be fatal to the patient.

As for drug therapy, it usually includes the following drugs:

  • thiazide diuretics;
  • andrenoblockers;
  • antihypertensive drugs.

Andrenoblockers help reduce the activity of angiotensin. Antihypertensive drugs are designed to restore the normal performance of the affected organ. Treatment must be combined with diet.

At the terminal stages, hemodialysis is required. Along with this, the treatment recommended by the doctor continues. With an impressive kidney damage, surgical intervention is indispensable.

In the fight against stenosis, balloon angioplasty is used. In the process of its implementation, a balloon is introduced into the vessel, which, after inflation, holds its walls. In the absence of the effectiveness of such plastics, they resort to resection of the artery (endarterectomy). In this case, the affected area of ​​the vessel is removed, which allows freeing the artery and restoring the permeability of blood through it.

It is extremely rare that neuropexy is prescribed, in which the kidney takes on a normal state, against the background of which its work resumes.

Although renal hypertension is often a secondary condition, it can lead to serious health problems. In order to avoid serious consequences, it is necessary at the first alarming symptoms to contact a medical institution for qualified medical advice.

How to lower kidney pressure at home?

  • Herbal collection No. 1. It is necessary to mix 2 tbsp. l. birch leaves, 5 tbsp. flaxseeds, 1 large spoonful of blackberry leaves and strawberries. All components grind in a coffee grinder and pour boiling water (400 ml). After 30 minutes. it is filtered and consumed up to 4 times a day. It is advisable to do this before meals.
  • Herbal collection No. 2. Half a large spoonful of marshmallow root, the same amount of elecampane, 1 tbsp. a spoonful of calamus root, 2 tbsp. place tablespoons of bearberry and lingonberry leaf in one container and pour boiling water (400 ml). Strain the infusion after 10 hours and drink a third of it before meals. Treatment is carried out three times a day. The course is 10 days. After that, you need to take a ten-day break and continue treatment according to the indicated scheme.
  • Herbal collection No. 3. From a mixture consisting of 3 tbsp. spoons of golden rods and comfrey root, take 2 large spoons of these components, which are poured with boiling water (0.5 l). For insisting, 8-10 hours are enough. The expressed solution is used up to 4 times a day in an amount of 100 ml. Take medicinal medicine before meals.
  • Herbal collection No. 4. Dry currant leaves (2 tablespoons), yarrow and horsetail (3 tablespoons), black elderberry (1.5 tablespoons) are placed in one container, steamed with boiling water and left for 1 hour. The resulting drink is consumed after straining about 4 times a day. The optimal dosage is 100 ml at a time. After three days, you should take a ten-day break, after which the treatment should be resumed. They take the medicine according to this scheme for 4 months.
  • Herbal collection No. 5. Yarrow (1 large spoon), buckthorn bark (3 large spoons) and chopped dry nettle leaves (2 large spoons) are combined and mixed in a container. To prepare the infusion, you will need to take 1 tbsp. a spoonful of herbal, then pour boiling water over and leave for 30 minutes. In the strained product, add the juice of a plant called the golden mustache in the amount of 3 hours. Drink the infusion before going to bed for 21 days.
  • Dill and carrot seeds. The first step is to grind the seeds by passing them through a coffee grinder or using a blender. The crushed mixture is poured into a thermos, which is then poured with boiling water. The infusion must stand for 10 hours for the components to give all their benefits. The filtered solution is drunk 5 times a day in an amount of 100 ml per dose. The course of treatment is 14 days.

Renal pressure is usually associated with an inflammatory process in the kidneys. Almost any disease of these organs can provoke the development of renal hypertension. Having determined the cause of this condition, you can count on a successful treatment outcome.

Eating a salt-free diet and monitoring your diet is very important to keep your kidney pressure from spiking. It is also necessary to include healthy juices and herbal infusions in the diet, which will help maintain the kidneys at the proper level.