5/09/2008

Hypertension why not "bow"

As early as in the last century the 1950s and 1960s, China's medical experts raised a "high blood pressure to bow to" the slogan, but half a century has passed, not only did not bow to hypertension, but its prevalence rate from the previous 5.1% to 11.88% , The number of patients from the past several tens of millions of people rise to the current 120 million people.

Blood pressure did not drop down the reasons for

The treatment of hypertension and other diseases, treatment is different. Hypertension require long-term drug therapy, which is characteristic of the treatment of hypertension. The so-called blood pressure control is not down, is taking over the three anti-hypertension drug, also did not drop down, blood pressure control is not down.

Hypertension is by many causes and diseases caused by the medical called on the incidence, and high-salt diet, obesity, alcoholism, genetic and age is closely related to the growth. However, this relationship is not clear causal relationship is the relationship, but also a probability, high-salt foods to eat more, the incidence of high blood pressure the better the chance. These factors do not completely resolved, hypertension can not be reduced.

Then, the number of hypertension control to be brought under control? »Medical organizations now have a clear, all of hypertensive patients require blood pressure control in the 138 mmHg-83mmHg below. Renal dysfunction in patients with hypertension should be controlled below 130 mmHg-80mmHg; very poor kidney function in the control of the requirements of 125 mmHg-75mmHg below diabetic patients to control the 130 mmHg-80mmHg below. After blood pressure is more than the standard large-scale clinical study of the results. To control blood pressure in this standard, the incidence of cardiovascular disease at least. If further control, will reduce the burden of cardiovascular disease control.

Why blood pressure fluctuations

Unstable blood pressure fluctuations, while the ordinary people is low while high. First of all hypertensive patients to understand the changes of blood pressure, blood pressure fluctuations of the general 6-8 in the morning peak blood pressure is a point at 6-8, is also a peak. There is a low peak, at a low ebb, 1-2, 1-2 at the middle of the night is a low ebb. Two peaks are not symmetric, high blood pressure point at 6-8, 6-8 morning at relatively low. Two bottom middle of the night minimum. Is the same in patients with hypertension, blood pressure form of expression is not the same. Some morning high blood pressure, and some people from high blood pressure, and some people at the morning higher, and some people Mandrax high Mandrax low instability. In general, daytime blood pressure was higher than at night, and some high at night than during the day.

Fluctuations in blood pressure have the following four reasons: first, essential hypertension medication unreasonable. Including two factors: First, because drug laws do not lead to unstable blood pressure. In theory, patients should be taken before the onset of the peak blood pressure, but patients can not be every day at 5:00 on the clock to get up to take medicine. Many patients are often in the eating of rice, clean up the end of Wankuai, to send their children to school only think of the medication, when blood pressure is often the peak has passed, the drug will not achieve the proper role. Second, patients taking the short-acting antihypertensive drugs, not in accordance with the requirements of timely medication or omitted to serve. To eat the best long-term stability of blood pressure drugs. Eat in the long-term drug use time is not very strict requirements, as early as 1:00 Wan Yidian little problem. Second, hypertension patients suffering from other diseases, blood pressure fluctuations can also. Cholecystitis attack such as during the unstable blood pressure can. Third, the doctors only on the basis of blood pressure fluctuations in the diagnosis of secondary hypertension. Many do not know the doctor hypertension 95 per cent, only a small number of secondary hypertension. Most of the doctor only to essential hypertension. Fourth, the doctor is easy to overlook, and it is harmful to life, that is, high blood pressure can trigger many other diseases, the onset of these diseases, blood pressure can lead to instability. For example, a period of stability in patients with hypertension, coronary heart disease, angina attack, blood pressure fluctuations will. If the patient in such circumstances seek medical treatment, doctors must identify the reasons for fluctuations in blood pressure caused from the root on the treatment. From other diseases caused by fluctuations in blood pressure, high blood pressure is only a symptom and can not be fooled by the idea, so, if only temporary solution, it is easy to delays.

High diastolic blood pressure and high blood pressure

Patients with hypertension, and some high diastolic blood pressure, and some high blood pressure, which is how one thing »blood pressure depends on the formation of five factors: the vessel flexibility, heart contraction, blood itself, the blood viscosity, external resistance. Systolic blood pressure form the heart contraction, the main artery of a retraction diastolic blood pressure. A simple high diastolic blood pressure low, low note arteries flexible, have hardened arteries, cardiovascular disease risk factors, systolic and diastolic blood pressure than it is high in patients with hypertension but also serious.

High blood pressure who are mostly elderly. Found that high blood pressure, we should consider whether it is cardiovascular disease.

Many of the symptoms of hypertension, such as headache, dizziness, fatigue, insomnia and more dreams, Bieqi easily agitated, chest tightness, lumbar Tuiruan acid, and so on, regardless of high blood pressure or diastolic blood pressure is high, whether it is primary or secondary And, under normal circumstances, as long as these are symptoms of high blood pressure, but there are also symptoms of high blood pressure is not the case. These symptoms in three types: First, all of these symptoms are, what the symptoms are not, but high blood pressure, high blood pressure and the third is that some symptoms. Hypertension treatment is based on the measurement of blood pressure according to the data. High blood pressure, treatment should no symptoms. Regular measurement of blood pressure, do not wait until symptoms have only to check. 2001 at least twice to check blood pressure. Belonging to the edge of hypertension, have to check several times.

Comprehensive treatment to reduce high blood pressure

For the treatment of hypertension, the World Health Organization's programme - diuretics Jiagai antagonist. These two types of drug treatment of systolic hypertension is a necessary medication. Clinical use must be one, especially long-acting calcium antagonist, in addition to directly reduce systolic hypertension, but also an advantage: low blood pressure when not drop, but also the treatment of cardiovascular disease drugs, no side effects.

In treatment, but also the need to protect the target organ (heart), and the more risk factors of control. Systolic hypertension must

No comments: