Kidney disease caused by high blood pressure is usually not curable. Hypertension-induced nephropathy can be divided into benign small artery nephrosclerosis and malignant small artery nephrosclerosis.
1. Benign small artery nephrosclerosis: caused by long-term uncontrolled benign hypertension, hypertension lasting for 5~10 years can show the pathological changes of benign small artery nephrosclerosis, and then clinical symptoms appear.
With the progress of the disease, the imaging examination may suggest that the kidneys are shrinking, with increased nocturia, mild proteinuria, etc. The glomerular function is gradually impaired and progresses to end-stage renal disease. Therefore, it cannot be cured by treatment.
2. Malignant small artery nephrosclerosis: renal damage caused by malignant hypertension. Its lesion progresses very rapidly and soon leads to glomerulosclerosis, tubular atrophy and interstitial fibrosis. Urinalysis may show hematuria, massive proteinuria, tubular urine, etc. Renal function deteriorates progressively, and oliguria often occurs weeks to months after the onset of the disease, which leads to end-stage renal disease. Therefore, it usually cannot be cured by treatment.
Patients with hypertension-induced nephropathy are advised to go to regular hospitals in time and receive standardized treatment under the guidance of doctors.