Hypertension is incurable? Early diagnosis and treatment of this type of high blood pressure may completely prevent high blood pressure

Hypertension is a common chronic disease among middle-aged and elderly people. When blood pressure is found to be elevated, blood pressure should be lowered in time to reduce the damage to target organs such as the heart, brain, and kidneys.

So, are people with poor kidneys more likely to suffer from high blood pressure?

The answer is yes. Normally, we say that high blood pressure is incurable, but this type of high blood pressure is an exception. If you can diagnose and treat early, the sooner you can treat it, the more likely you are to completely stay away from high blood pressure.

The classification of hypertension

1. Essential hypertension

The causes of hypertension are roughly divided into two categories. One is hypertension without a clear cause, also known as essential hypertension. This kind of hypertension can only be treated symptomatically, not the cause. This type of high blood pressure is also the most common type of high blood pressure in our lives. Because the cause of the disease is unknown, this type of high blood pressure cannot be cured.

2. Secondary hypertension

Hypertension for which a clear cause can be found, also known as secondary hypertension, can be treated not only symptomatically, but also for the cause. Among them, hypertension caused by kidney disease for which no clear etiology has been found is classified as secondary hypertension. Renal hypertension is divided into two categories, one is renal parenchymal hypertension, which is caused by glomerular damage; the other is renovascular hypertension, which is caused by renal artery stenosis.

2. Renal hypertension

3. Renal parenchymal hypertension

Because renal parenchymal lesions are irreversible, and there are often no obvious symptoms in the early stage, hypertension caused by glomerular damage is almost in the middle and late stages of disease when it is found. Although the cause has been identified at this time, it cannot be reversed. Chronic glomerulonephritis, diabetic nephropathy, chronic pyelonephritis, polycystic kidney disease, etc. Renal parenchymal hypertension can only reduce blood pressure symptomatically, and at the same time treat renal parenchymal diseases to prevent the aggravation of lesions.

2. Renovascular hypertension

Hypertension caused by renal artery stenosis is a secondary hypertension that has a chance of being cured. Renal artery stenosis is usually caused by two causes, one is arteritis, which is more common in young people; the other is caused by atherosclerosis and plaque formation, which is more common in the elderly. No matter what the cause is, if the renal artery stenosis is relieved, the blood pressure will have the opportunity to return to normal. By implanting the renal artery stent, the narrowed renal artery can be expanded and the kidney can be restored to normal blood supply. If there is no obvious renal parenchymal damage, after treatment, Blood pressure can return to normal.

It should be noted that kidney disease can cause high blood pressure, but high blood pressure can aggravate kidney damage. Therefore, after the discovery of renal hypertension, not only treatment for the cause, but also strict control of blood pressure, usually lower than 130/80mmHg, reduces the risk of kidney failure. Damage to the renal parenchyma.

In summary, renal disease can cause hypertension, which can be divided into renal parenchymal hypertension and renovascular hypertension. Renovascular hypertension can be removed from the cause, and there is a chance of cure before substantial renal damage occurs.