Three-stage membrane kidney proteins below 3g, but what about low blood pressure? Third-stage membrane renal disease is a chronic renal disease that is characterized by perplegicity of the nephrocyte base membrane and by the deposition of immune compounds. Protein urine is a common symptom of membrane renal disease, usually excretion exceeding 3 g/24 hours. However, when protein urine is less than 3 g/24 hours, it may indicate that the disease is at an early or lighter stage. Low blood pressure (low blood pressure) is not common among patients with membrane kidneys, but may occur and require special attention. The following are recommendations for the treatment of patients with tri-stage membrane kidneys with low blood pressure:I. Understanding the causes of low blood pressure1. Loss of kidney function: The kidney maintains blood pressure by regulating the volume of liquid and electrolytic balance, which can lead to abnormally regulated blood pressure.2. Drug side effects: Drugs for membrane kidney disease, such as urea, ACE inhibitors, ARBs, etc., may cause a decrease in blood pressure.3. Inadequate blood capacity: Loss of body fluids due to e.g. urine, diarrhoea, vomiting, may cause blood pressure to decline.4. Autonomous nervous system function abnormality: the autonomous nervous system regulates the heartbeat and vascular constriction, the functional impairment of which may lead to low blood pressure.II. Methods for dealing with low blood pressure1. Assessment of the extent and causes of low blood pressure: First, an assessment of the need for treatment of low blood pressure and the causes of low blood pressure.2. Aligning drugs: If the low blood pressure is caused by the drug, it may be necessary to adjust the dose or replace the drug.Increased blood capacity:- Dietary adjustment: increased salt intake and adequate drinking water to increase blood capacity.- Avoid urea: if possible, stop using urea or reduce the dose.4. Lifestyle adjustments:- Avoiding any sudden change of position: When standing up from a lying or sitting position, move slowly to prevent a sudden drop in blood pressure.- Periodic exercise: a reasonable amount of exercise can help to increase blood pressure, but overwork should be avoided.5. Monitoring of blood pressure: periodic monitoring of blood pressure to understand trends in blood pressure changes.6. Use of clothing: The wearing of compressed socks or the use of abdominal bandage may contribute to increased blood pressure.III. Treatment of membrane kidney diseases1. Control of protein urine: even if the protein urine is less than 3 g/24 hours, control is required to mitigate kidney damage.2. Immunosuppressive treatment: Depending on the severity of the condition, immunosuppressants, such as cortical steroids, cyclophosphamine, etc., may be required.Hemoglobin management: Menopause kidney patients are often associated with hyperlipid haematosis, requiring control of blood resin through diet and medication.IV. NOTES1. Individualized treatment: Each patient has a different condition and the treatment should be individualized.2. Close follow-up: regular follow-up to monitor indicators such as kidney function, blood pressure, protein urine, etc.3. Nutritional support: maintain good nutritional status, with appropriate protein and vitamin supplements.4. Avoiding the use of drugs that may increase hypotensive pressure: e.g., non-paralytic anti-inflammants (NSAIDs), alpha-delayants, etc.5. Psychological support: Low blood pressure and chronic kidney diseases can affect patients ‘ emotions and psychological support is important.In general, the treatment of diseases and the management of blood pressure need to be considered in a comprehensive manner for patients with three-stage membrane kidney disease accompanied by low blood pressure. Patients should work closely with kidney specialists to develop appropriate treatment programmes and take appropriate measures to maintain blood pressure stability in their daily lives.
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