Minggu, 21 Oktober 2012
A few months old baby has a blood pressure around 100/65 mmHg. As we get older, blood pressure also increased. As an adult, limit of normal blood pressure is 119/79 mmHg or lower. However, there are some causes that make the blood pressure is above 140/90 mmHg or hypertensive condition.
The hard work that dominates the stressful lifestyles of today lead to prolonged stress. These conditions lead to various diseases such as headaches, insomnia, ulcers, heart disease and hypertension. When a person feels depressed, the body releases adrenaline and cortisol, which causes blood pressure meninngkat. The body becomes more alert for danger. When this condition is prolonged, the blood pressure will remain high. Modern lifestyle tends to decrease in physical activity (exercise), high alcohol consumption, drinking coffee and smoking. All behavior is a precursor to increased blood pressure.
Unhealthy eating patterns
The body needs sodium to maintain fluid balance and regulate blood pressure. But if excessive intake, blood pressure will increase due to fluid retention and increased blood volume. Excess sodium results from the habit of eating instant food has replaced fresh foods.
Fast paced lifestyle demands everything almost instantaneous, including food consumption. Though instant foods tend to use preservatives such as sodium benzoate and flavorings such as monosodium glutamate (MSG). Kind of food contains high sodium. When food is consumed continuously instant body into excess sodium.
When excess sodium intake, the body can actually throw it in the urine. But this process can be inhibited, because of lack of drinking water, excess body weight, lack of movement or no descendants hypertension or diabetes. Excess weight makes physical activity is reduced. As a result, the heart works harder to pump blood.
To find out whether someone is overweight or not by calculating BMI (body mass index). The formula is as follows:
BMI = weight (kg) / height badan2 (m2)
After consulting with the doctor, high blood pressure and the doctor will determine the goals to be achieved by the health condition of people with hypertension. The main goal, of course, lowers blood pressure that can delay or prevent complications that arise mungkm like heart attacks, stroke, blindness, and kidney failure. To reach the target required adherence to follow a healthy lifestyle and regular medication.
Controlling blood pressure is normal it is not easy. There are only temptation causing hypertension treatment goals are not achieved. Healthy lifestyle and medication are often left ignored. As a result, blood pressure actually increased, and the target is not reached, causing frustration. This condition affects about 40% of hypertensive patients and most patients are older than 60 years.
Patients who have difficulty reaching terget blood pressure has been established, even after taking the full dose of three drugs, including the type of diuretic, which means suffering from resistant hypertension. Diuretics are drugs that work encourages the kidneys secrete more sodium through urine than normal. Diastolic blood pressure of patients with resistant hypertension usually remain above the 90 mmHg.
Do not give up! The difficulty of lowering blood pressure does not mean blood pressure never dropped. Patients with a doctor could figure out what causes blood pressure 'on the road'. Do not run a healthy lifestyle? Are routine medication is often overlooked? Here are some of the causes of resistant hypertension
are often found.
1. How to measure
Inaccurate measurements can happen. For example, increased blood pressure only in a doctor's office. How to solve this problem by using blood pressure cuff at home or ambulatory blood pressure monitor (ABPM). The results of blood pressure measurements seem higher (pseudohypertension) can also be caused due to damage to the arteries arteriosklorosis.
2. Treatments and drugs
Dose diuretics are often insufficient to cause resistant hypertension. Patients and physicians need to evaluate the dose of the drug or combination of drugs given to make treatment more effective. Importantly, patients must take medication order. If not, treatment and medications given in vain.
3. Excess fluid
Excessive fluid will cause the blood pressure is difficult to control. the cause is too much intake of salt / sodium or renal disease. To fix this, try to limit your salt intake. For kidney patients are usually given a loop diuretic drugs.
Unhealthy lifestyle such as smoking, drinking, obesity, lack of exercise or eating unhealthy foods greatly affect blood pressure.
5. Other health conditions
Some health problems make high blood pressure worse, such as sleep apnea or kidney disease.
In addition to resistance hypertension, also known as hypertensive crisis, the rise in blood pressure is so high that trigger stroke. Blood pressure above 180/110 mmHg quite so extreme that can damage blood vessels. The blood vessels become inflamed and bleed. This condition causes the heart can no longer maintain adequate blood circulation.
There are two types of hypertensive crisis
Characteristics of hypertension is high blood pressure (above 180/120 mmHg), severe headache, nausea, vomiting, blurred vision, nosebleeds, anxiety disorder, and shortness of breath. Very high blood pressure can be lowered down in a matter of hours to days with oral medication.
2. Hypertension Emergency
Hypertension emergency / emergency has life-threatening symptoms of the patient. Symptoms of fluid in the lungs, brain swelling or bleeding, tearing of blood vessel walls, heart attack, stroke, or pre-eclampsia in pregnant women. Blood pressure in hypertensive emergency rises above 180/120 mmHg. Can also occur, blood pressure under 180/120mmHg but with organ dysfunction. To avoid complications persist, blood pressure should be lowered as soon as possible. How to give oral medications, intravenous medications (injections), or hospitalization.