With the continuous development of society, people's diet has also changed tremendously, and their diet has become more diverse, resulting in people suffering from the chronic disease High blood pressure . Some people say that hypertension is a rich disease because only by eating well can you suffer from this disease.
Blood pressure generally refers to the pressure generated by blood when it flows in the artery blood vessels. This motivation mainly comes from the expansion and contraction of the heart. Normal blood pressure is very important for maintaining the blood pressure supply to tissues and organs. However, when the blood pressure continues to be in a high state, it is an abnormal manifestation, called hypertension.
The higher the blood pressure, the greater the impact on the blood vessels, and even causes it to deform and rupture. So how many types of hypertension can generally be divided into? Let’s learn about it together to see if you need to take antihypertensive drugs for a long time if you suffer from hypertension.
1
First understand what causes hypertension?
Hypertension mainly includes two types, namely, primary hypertension and secondary hypertension . More than 90% of the former cause is unknown, while the latter has relatively clear causes and is mostly secondary to other diseases. It can be identified through examinations. In addition, hypertension can be divided into different levels clinically.
. Sympathetic nervous system excitement: sympathetic nerve is a nerve that regulates the activity of the heart and other internal organs. When sympathetic nerve excites , it can speed up the heartbeat, increase blood pressure, anxiety, excitement and fatigue, etc. can all be caused.
. Renin angiotensin-aldesterone system (RAAS) activation: RAAS system is mainly found in the human circulatory system. blood vessel , heart and other positions can maintain relatively stable internal environment in the human body. Overstimulation of the magnetic system can increase blood pressure, smoking, alcoholism, and contraceptive pills can also be delayed.
. Vascular mechanism: Changes in the structure and function of large and small arteries can directly affect blood pressure. Certain substances on the blood vessel wall can regulate cardiovascular function, thereby maintaining normal blood pressure in the human body. Age, hyperlipidemia, increased blood sugar, and high homocysteine smoking can all be caused.
. Renal mechanism: Due to various reasons, the renal water and sodium retention cannot be discharged, and the pressure at this time cannot be discharged. The sodium diuretic matrix can start to increase blood pressure.
. Insulin resistance: Insulin resistance means that it must be higher than the normal insulin level to maintain normal blood sugar levels. In this process, it is often at the cost of increased blood pressure and abnormal metabolism of blood lipids.
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What tests should be done when you suspect you have hypertension?
After hypertension occurs, patients may experience a series of symptoms, and the symptoms vary from person to person. Some patients may have asymptomatic or insignificant symptoms, or they may have serious symptoms, such as dizziness, headache, fatigue, palpitations, etc., and they may also have rare symptoms such as nosebleed , severe pain, nausea and vomiting.
When blood pressure rises to a certain level, the original symptoms increase significantly. When blood pressure is ≥180/120mmHg, it is a hypertension crisis . You should go to the hospital in time. If you suspect that you have hypertension, what examinations do you need to do?
. Regular physical examination: You can check the size of the heart, heart murmur , heart rate , etc.
. Laboratory examination: including blood routine , urine routine, large biochemistry, etc.
. Other tests: such as electrocardiogram, echocardiography, 24-hour dynamic blood pressure test, fundus examination, etc.
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sufficiency, do you need to take antihypertensive drugs for the rest of your life? Doctor explains: In 2 situations, you can stop the medication
Patients with hypertension do not necessarily have to take antihypertensive drugs for life. Although once hypertension is diagnosed, they need to use amchlorothiazide, metoprolol, nifedipine and other drugs for antihypertensive treatment under the guidance of the doctor. They also need to pay attention to changing their diet and lifestyle and keep their blood pressure within a reasonable range.
reduces the damage caused by continuous increase in blood pressure to target organs such as the heart, brain and kidneys. However, during the medication period, patients can reduce or stop taking antihypertensive drugs as appropriate based on factors such as blood pressure control and whether the cause is removed.
. Good blood pressure control: When you first start taking antihypertensive drugs, the doctor will instruct you to improve your lifestyle, such as exercise more, losing weight, strictly limiting salt, eating a healthy diet, controlling alcohol, quitting smoking, etc. If you improve your lifestyle blood pressure and keep it within a safe range, you can try to maintain the current lifestyle and the dose of antihypertensive drugs.
If you were taking two antihypertensive drugs, you can now take one, or you can just start taking one tablet, and you can take half a tablet to gradually reduce the amount. If your blood pressure control does not meet the standards, you must insist on taking the medicine.
, hypotension : Some hypertensive patients, if the dosage of antihypertensive drugs is too large, or the types of antihypertensive drugs are taken too much, it may cause hypotension, and may experience dizziness, cold sweating, pale skin, etc., and in severe cases, even hypotension-related fainting. If this happens, you need to stop taking the use in time under the guidance of a doctor.
After the blood pressure returns to normal, a dynamic blood pressure test is performed to determine whether the blood pressure recovery drug is needed based on the blood pressure situation for 24 hours.
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extension-How do patients with hypertensive monitor their blood pressure at home?
Hypertension
Hypertension
Hypertension surveillance of blood pressure in the home, and generally pay attention to the monitoring time and number of times.
. Pay attention to the time to monitor blood pressure. There are generally 5 key points to measure blood pressure. The first time point is in the early morning, the second time point is around 10 am, the third time point is around 2-3 pm, the fourth time point is around dinner, and the fifth time point is before going to bed.
. For the five time points for monitoring blood pressure mentioned above, not all patients with hypertension have time to measure blood pressure at all time points, especially for many office workers, it is even more impossible.
Therefore, the number of blood pressure monitoring varies from person to person. Generally speaking, it is enough to measure it about twice a day according to the above time point. When taking antihypertensive drugs in the early stage, multiple monitoring is often required, and the number of measurements can be reduced after the blood pressure is stable.
