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What is Hypertensive Nephropathy?

The hypertensive nephropathy is kidney disease. The blood pressure (high blood pressure) damages the vasculature in the kidneys.The impacts of this condition closely follow the incidence and duration of the person’s high blood pressure. Two kinds of this disease include benign nephrosclerosis and malignant nephrosclerosis.

Hypertensive nephropathy risk factors

Benign nephrosclerosis:Low blood pressureType1, Type 2 diabetes mellitus.

Malignant Nephrosclerosis:Hypertension malignancy (diastolic hypertension of more than 130 mm Hg)Men are more prone to have this conditionHypertension Pre-existingRenal disorder pre-existing

Development of hypertensive nephropathy

Hypertensive nephropathy developmentHypertensive nephropathy development:- Renal failure is seldom caused by this condition. Due to renal damage, it can be considered that patients are less resistant to the renal and thus less equipped for surgery stress or acute disease. Steps to shield the kidneys from any preventable damage must be taken before the illness and before the operation.Malignant nephrosclerosis:- This type of nephrosclerosis is only present when diastolic blood pressure exceeds 130 mm Hg is severely hypertensive. Patients typically have a kidney condition that has advanced to malignant hypertension. Protein and blood may appear in the urine at the onset of increased blood pressure. Hours or days later, renal function decreases and the patient develops renal failure rapidly. It is an emergency and any attempt must be taken in order to lower blood pressure and protect the operation of the kidney.

What is the diagnosis of Hypertensive Nephropathy?

Blood checks can be important to assess how well the kidneys perform. Urine collection may also be needed over 24 hours to measure the seriousness of hypertension-related kidney disease and ultrasound reports.

What is the treatment of Hypertensive Nephropathy?

The treatment of both malignant and benign types of disease includes the regulation of hypertension. It can essentially remove the stimulus for further renal damage by using antihypertensive medicines. To maximize commitment to antihypertensive treatment the value of antihypertensive medicine must be underlined.

Diabetic nephropathy(DKD) is a kidney disease where persons kidney affected by diabetes (high blood sugar)where kidney start ‘leaking’ of protein called “albumin” in urine.

Usually diabetic nephropathy occurs in both types of diabetes type 1 and type 2 after 10 years onset of diabetes. It is rare occurs in first 10 years. If a person pass 30 or more years on diabetic if he not have any symptoms of diabetic nephropathy there is less chance of having “DKD”.

Diabetes is leading of cause of ESRD(end stage renal disease) means kidney failure. It occurs around 75% in type 1 diabetes patient after 20years onset of clinical diabetic nephropathy. ~20% in type 2 diabetes patient after 20years onset of clinical nephropathy this because in type 2 patient accidentally meet cardiovascular disease before they reach ESRD.

Causes: long standing diabetes or uncontroled diabetes which damage kidney nephrons filtering unit of kidneys.

Diagnosis: 24 hours urine protein or microalbumin test , serum creatinine, serum electrolyte,CT scan , Kidney biopsy(rare case).

Symptoms: symptoms usually occurs in late stage of 4 and 5.

1) increase in blood pressure

2)foamy urine or bubbles in urine

3)swelling around ankles, legs, eyes

4)itching

5)Decrease in urine output

6)loss or little appetite

7)sleeping problem

8)fatigue or weakness

9) protein loss in urine

10) anemia … etc..

Treatment: strict blood sugar control with help of anti-diabetic drugs , insulin . (HBA1C MUST UNDER 8%). Blood pressure control (MUST UNDER 130/80 hhmg), control protein loss , using of ACE or ARB’s habitors, control of potassium, phosphorous, Control lipids build HDL lipids. Protein free diet, Correct renal diet is very important in this ask your health provider for correct diet.

Conclusion: diabetic nephropathy is chronic disease it is life long. Good control of diabetes , blood pressure can slow down the progression of the disease early detection and treatment is the way to prevent progression and stop it . every diabetic patient should go for test of microalbumin and serum creatinie every after onset of diabetes.

SUGGESTION: ALSO TRY HOMEOPATHY AND ayurvedic.