Rejekine. Hypertension or high blood pressure is a disease that occurs due to an increase in blood pressure. Which can be classified into 2 types: primary or essential hypertension of unknown cause and secondary hypertension can be caused by kidney disease, endocrine disease, heart disease, kidney disorder of children, etc.. Blood pressure is showing a state where the pressure imposed by blood in the arteries when the heart pumps blood throughout the body. Blood pressure can be seen by taking two sizes and are usually indicated by numbers as follows - 120 / 80 mmHg. Number 120 indicates the pressure in the arteries when the heart contracts. Called systolic pressure. Figures 80 shows the pressure when the heart is relaxing. Called the diastolic pressure. The best attitude to measure blood pressure is in a state of sitting or lying down.
Symptoms and Signs
Hypertension often causes no symptoms, while blood pressure constantly high in the long term can cause complications. Therefore, the hypertension should be detected early with regular blood pressure checks, which can be done on check-ups or when to see a doctor. Usually the doctor will examine two or more times before it determines there is exposed to high blood pressure or not. If on occasion your blood pressure above 130/90 mm Hg will be diagnosed as hypertension (high blood pressure). High blood pressure (hypertension) increases the risk for stroke, aneurysm, heart failure, heart attack and kidney damage .. Regardless of age or gender, everyone can be affected by heart disease and usually without any previous symptoms.
Blood pressure in one's life varies naturally. infants and children normally have a blood pressure is much lower than the adult. Blood pressure is also influenced by physical activity, which will be higher at the time of activity and lower when resting. Blood pressure in a single day is different; highest in the morning and lowest during nighttime sleep.
Target organ damage due to hypertension include:
* The brain: cause of stroke
* Eyes: causes hypertension and retinopathy can cause blindness
* Heart: causes coronary heart disease (including cardiac infarction), heart failure
* Kidney: caused kidney disease, chronic renal failure terminal
Governance
The most important initial step is to lower your blood pressure by following a healthy lifestyle such as active exercise, adjust your diet or eating patterns such as low salt, low cholesterol and saturated fat, increased consumption of fruits and vegetables, do not consume alcohol and cigarettes. and take the medicine according to doctor's instructions. In addition it is also advisable to conduct a preliminary evaluation panel laboratories with hypertension or a panel of healthy living with hypertension.
The drugs are administered in accordance with the classification presented above. Examples of drugs that can be given is.
* Diuretics. Inhibiting receptor b
* ACE Inhibitors
* AII receptor antagonists
* Penghabat calcium
* Aldosterone antagonists
In general, the above drugs can be given to all stages of hypertension with or without complications. Can also be combined with each other between the drug (for example; for hypertension Grade 2 given diuretics with ACE inhibitors or AII receptor inhibitors or inhibitors kaslsium) this combination is given in accordance with the patient's body. It is therefore important to conduct regular checks of blood pressure at least 1 time a month to monitor drug efficacy.
Laboratory examination
The purpose of laboratory tests in patients with hypertension:
* To search for possible causes of secondary hypertension
* To assess whether there are complications and target organ damage
* To estimate the prognosis
* To determine the presence of other factors that heighten the risk of coronary heart disease and stroke
Laboratory tests for hypertension, there are two kinds:
* Initial Evaluation Panel Hypertension: This examination is performed immediately after diagnosis of hypertension, and before starting treatment
* Panel Healthy Living with Hypertension: To monitor the success of therapy
Rabu, 04 Januari 2012
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