How the treatment of hypertensive renal sclerosis?

Early active and effective anti-hypertensive therapy can slow or reduce hypertension - induced renal damage, help reduce proteinuria, Protection of renal function, renal dysfunction occurred. Usually the first choice of angiotensin converting enzyme inhibitors and calcium antagonists. As the angiotensin converting enzyme inhibitor not only can inhibit the formation of angiotensin II and lower systemic blood pressure, but by reducing angiotensin II score of small arteries and arterioles ball out of contraction, reduced glomerular capillary pressure, and will not give rise to the high glomerular perfusion, hyperfiltration state, help correct hypertension glomerular hemodynamic changes, thereby reducing hypertension on glomerular damage, Protection of renal function. For heavier hypertension can share other antihypertensive agents. Right there renal dysfunction patients, the antihypertensive therapy at the same time, attention should also be given control of water, salt and protein intake. For malignant hypertension, antihypertensive treatment should be urgent. First use of intravenous antihypertensive drugs, blood pressure dropped to safe levels, then change to the maintenance of oral antihypertensive drugs, blood pressure slow to a level close to the normal level. Commonly used intravenous antihypertensive agents to sodium nitroprusside and phentolamine better small dose began, according to the blood pressure response, gradually increasing doses of blood pressure dropped to the expected level. 