Saturday, January 12, 2008
In the treatment of hypertension Misunderstanding
Hypertension take most family therapy approach. Although this method convenient, but in reality, the course of treatment, there are a lot of misunderstanding, we must pay attention to. Misunderstandings one : a sense of self, to estimate the level of blood pressure. Hypertensive patients with the severity of the symptoms of high or low blood pressure level is not necessarily proportional to high blood pressure in some patients, no symptoms; Instead, Some patients are only mildly elevated blood pressure, and symptoms are very obvious. This is every one of the blood pressure increased tolerance, with dirty sometimes organ damage and blood pressure level is not necessarily complete equality. Therefore, with a sense of self, to estimate the level of blood pressure is often wrong, are likely to delay treatment. The correct method is to take the initiative to regular measurement of blood pressure, measuring at least twice a week. Misunderstanding number two : a drop of blood pressure and immediately stop. Patients in the application of antihypertensive medication after a period of time, the blood pressure decreased to normal, that is, to stop; result in a long period of time also increased blood pressure, but also another antihypertensive drug use. This will not only not reach therapeutic effect, but more significantly because of blood pressure fluctuations and will lead to heart, brain, serious kidney complications, such as stroke, and so on. The correct medication is medication after blood pressure dropped, they can maintain the capacity to medication; or the doctor will be under the guidance of drugs adjusted, and not outright withdrawal. Misunderstanding number three : using the traditional methods of taking. Research shows that patients with hypertension blood pressure in the early morning after awakening greatest changes in a few minutes to put up two kPa -5 kPa, after noon, blood pressure will drop on its own. This caused the blood pressure changes were easily in the morning and night in stroke (brain hemorrhage prone morning, and at night prone to cerebral ischemia). The traditional three times a day methods of taking blood pressure patients did not consider changes in the law, resulting in blindly reducing blood pressure, the result of the early morning when blood pressure control is not ideal, and the afternoon and evening often low blood pressure, new methods of taking early in the morning after awakening one-time medication to be effective in preventing early in the morning after awakening to the dramatic changes in the blood pressure, blood pressure in a more balanced state, the results better. Misunderstandings four : blood pressure is too low too fast. Some patients with hypertension blood pressure drop hope the sooner the better, this understanding is wrong. Because, blood pressure drop too quickly or too low deter patients feel dizziness, weakness, but also evoked cerebral thrombosis and other serious consequences. Misunderstandings five : not under specific circumstances, the blind pursuit of blood pressure to normal levels. 60 years of age or older, have different levels of atherosclerosis, for some high blood pressure is beneficial to the heart, the brain, kidney and other organs of the blood supply. If patients regardless of age and the specific situation, and asks the relief of the "normal" level, is bound to affect the function of these organs, outweigh the benefits. The correct method is based on the patient's age, the function of internal organs, blood pressure dropped to an appropriate level, especially the elderly, not excessive lowering of blood pressure. Misunderstandings Six : relying solely on the antihypertensive drug, for comprehensive treatment. The etiology of hypertension, therefore, the treatment also requires comprehensive measures, Otherwise, it will be impossible to attain the desired therapeutic effect. The correct method is to choose an appropriate addition to drugs, we must also pay attention to ?ҝ?ẏ, catering to brine, to participate in sports and recreational activities appropriate, avoid emotional, ensure adequate sleep, obesity should reduce weight.
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