Core tip: ACEI drugs can reduce glomerular pressure and delay renal dysfunction.
Aunt Kong, who lives in Qufu, Shandong Province, never dreamed that she would suddenly suffer from renal failure after listening to the doctor and insisting on taking medicine for only 4 years. Because of the perennial physical deviation, he died without being rescued in the hospital. But when the family member consults the doctor whether is the medicine question, the doctor's reply lets the family member be difficult to accept! Because the doctor said this medicine can protect the kidney!
How does aunt Kong take medicine?
Aunt Kong, 63, is a native of Qufu. With the development of urban tourism, aunt Kong's life is becoming more and more affluent, and she eats a lot of fish and meat. This is the age of fat, with these nutrients, aunt Kong's weight reached 160 Jin, and she is not tall, she is obviously overweight.
Four years ago, because of dizziness and discomfort, easy to see a doctor in front of the eyes, high blood pressure was detected. The doctor advised him to keep taking antihypertensive drugs and to keep his weight down. It's too hard to get rid of bad habits. Aunt Kong didn't insist on giving up for a month. After all, human nature tends to be inert. Lazy to move, and the diet is no meat is not happy, so aunt Kong put all her hope on taking medicine.
As a result, aunt Kong's medicine has never been cut off. No matter it's windy or rainy, or the family suddenly has no medicine, aunt Kong can go to the drugstore in time to make up the medicine. According to the law, aunt Kong has been taking medicine and should protect her health, but the accident still happened.
After taking antihypertensive drugs for 4 years, aunt Kong felt that one day, she didn't sleep well at night! The next day there were nausea and vomiting symptoms, so Aunt Wang thought it was the rotten pork that she had eaten last night, so she drank hot water and lay down for a rest. Results the symptoms of shortness of breath and swelling around the eyes appeared at noon.
Even so, aunt Kong did not go to the hospital for medical treatment but continued to lie in bed to rest. As a result, hematuria appeared at 6:00 p.m., and aunt Kong realized the seriousness. My aunt, it's late to help my family. Three days later, his aunt died.
What are the experiences of aunt Kong's misfortune?
Insisting on taking medicine is the only correct decision made by Aunt Kong, but the consequences of blindly taking medicine may be unimaginable.
1、 Only taking medicine, not managing lifestyle
Aunt Kong thought that with the therapeutic effect of drugs, she could completely ignore the improvement of her lifestyle, which was totally wrong. The regulation of lifestyle is the basis of lowering blood pressure. For obese or overweight patients, weight must be reduced, whether through exercise or diet, which is the top priority.
2、 Take medicine only, do not do the corresponding examination
Drugs are side effects and only take medicine, ignoring the corresponding examination, will only increase the burden of the body. Each antihypertensive drug has a corresponding inspection, to ensure the safety of the medication. Only when safe medication is achieved can we enjoy the therapeutic effect of drugs.
Why do doctors say this antihypertensive drug can protect the kidney?
Taking ACEI, a class of vasodilators can improve the vasodilation and vasodilation of the left ventricle. Of course, this kind of medicine also has a typical action characteristic, that is to protect kidney function.
ACEI drugs can reduce glomerular pressure and delay the decline of renal function. As long as renal perfusion is sufficient and fluid loss is not serious, ACEI drugs can improve renal hemodynamics, further improve kidney salt secretion, and slow down the progress of renal injury in chronic kidney disease. For diabetic patients, ACEI drugs can improve the proteinuria or microalbuminuria of diabetes, and delay the damage of the kidney.
However, such drugs and their metabolites are mainly excreted through the kidney, so patients with renal dysfunction need to reduce the dose. ACEI drugs can cause a significant drop in blood pressure but also lead to renal failure, so ACEI drugs for the kidney, can be said to be a double-edged sword.
The consensus on the correct application of ACEI drugs in nephropathy in China is that the serum creatinine can be slightly increased in the first two months, and the amplitude is less than 30%, so there is no need to stop taking ACEI drugs. If the rising amplitude is more than 30% and less than 50%, it indicates renal ischemia and ACEI should be stopped. In the course of persisting in medication, aunt Kong never tested it. As a result, she died of sudden renal failure only after 4 years of medication, which is a pity.
Later generations mourn it and do not learn from it, but also make later generations mourn them again! Here to remind you that correct medication is more important than sticking to medication!