5/07/2008

What is white hypertension

What is white hypertension
White high blood pressure, as its name suggests that hypertension is associated with looking pale, it is renal vascular and renal hypertension features. Renovascular hypertension is due to unilateral or bilateral renal artery stenosis or occlusion or branch caused by hypertension, renal hypertension refers to kidney diseases such as acute and chronic glomerulonephritis, pyelonephritis, such as polycystic kidney disease Caused by hypertension.

Both diseases are different, but can lead to renal insufficiency, anemia caused kidney-derived. Both have virtually the same as the mechanism of anemia:

① kidneys produce erythropoietin reduced, this substance the human body produce red blood cells is an important factor.

② because of renal insufficiency, in toxic product of retention, destruction of red cell membrane, leading to shorten the life of red blood cells.

③ renal insufficiency, the patient because of nausea, vomiting, anorexia, and so on, resulting in iron, folic acid, vitamin B12 and other hematopoietic materials to reduce intake.

④ some patients have bleeding tendencies, such as gastrointestinal bleeding, or because of excessive specimen collection, blood loss caused by anemia.

Recognition of "white hypertension", we must first understand the relationship between hypertension and anaemia. Many patients and doctors often high blood pressure and anemia as the relative isolation of two different things, the loss of clues to make the right diagnosis. If a person has high blood pressure, have signs of anemia, in addition to double-check hemoglobin and red blood cell count, we must also check serum creatinine and blood urea nitrogen. If a large number of protein in urine, and serum creatinine and blood urea nitrogen increased significantly, the tips of renal hypertension.

"White hypertension," the treatment, mainly for cause, such as diet, correct water and electrolyte imbalance and acid-base balance disorders, infection control, dialysis treatment and Chinese medicine, and supplemented with antihypertensive drugs. Renovascular hypertension and renal hypertension in the renin-dependent hypertension, with captopril acid, propranolol, long pressure for results often better renal hypertension in the capacity-dependent hypertension, with the appropriate diuretics, Receive good effect. At the same time, it will be time to add iron, folic acid and vitamin B12, and so on. Because blood transfusion is often inhibited the formation of erythropoietin, and enter the red blood cells in patients due to the impact of toxic substances quickly destroyed, so no general treatment of blood transfusion.

No comments: