We work with patients for hypertensionseveral years and found that one of the main problems - it is the lack of knowledge about their disease. Few patients with hypertension imagine what particular way of life it is necessary to pay attention. Hypertension is "the most human of all human diseases." So I call it a Russian scientist FA Andreev in 1947. At present, the prevalence of this disease is that it suffers every third or fifth inhabitant of the planet.
What is the reason of such increase in the incidencehypertension? First of all, there is no doubt the fact that the disease is a disease of civilization. Mental processes inherent in organisms with a high level of organization of the nervous system. In the evolutionary process of the greatest development they have achieved only in humans. This "evolutionary acquisition" has generated a lot of problems for all of humanity.
As a result of nervous and mental overvoltage and conflict arises neurosis - typical psychogenic.
There are several forms of neurosis: neurasthenia (nervous exhaustion, exhaustion); hysteria; obsessive-compulsive disorder (fear of enclosed spaces - claustrophobia, etc.); motor neurosis (manifested by various motor disorders - tics, stuttering, and others.); vegetative neurosis (vegetative dystonia).
For us, more important in terms of becomingHypertension is the last, although we can not exclude the role of other forms of neurosis, to consider them in isolation. Vegetative dystonia manifests itself more or less selective violation of functions of internal organs (this functional impairment).
Most often there is dysfunctioncardiovascular, respiratory and digestive systems. Cardiovascular disorders are manifested sweating, pain in the heart (it cardioneurosis), unstable blood pressure and heart rate, sometimes there are vascular crises, which are accompanied by oznobopodobnym tremor, tachycardia (rapid heart rate), increasing the pressure.
It is common knowledge that the outcome of the stress can befavorable - after suffering stress the body is fully restored to include compensation. If stress is extended in time or has great power, the developing Distress (adverse, chronic stress).
Payment in this case and does not workgradually transformed into pathology. Thus, there is a strong increase in pressure, tachycardia, etc. Such a mechanism of hypertension is one of the theories. At present, there are also genetic theory, according to which there are certain genes that contribute to the formation of high blood pressure under certain conditions. Russian scholar Y. Postnov proposed the concept of the defect of cell membranes, whereby the cell membrane, the underlying vessel wall becomes Permeable for calcium and sodium ions - such cells in response to any stimulus from the outside and inside meet high excitation spasm.
All presented above theories explainthe origin of the primary or essential hypertension (or, as it used to be called, hypertension). Hypertension can also be a symptom of an illness. Most often it is the pathology of the kidneys - the so-called "kidney" hypertension. Furthermore, the development of hypertension can lead endocrine diseases, proper vascular pathology (Takayasu disease, atherosclerosis), and others.
What kind of pressure should be considered high? Previously this issue caused a lot of discussion. However, in 1999 the WHO and the International Society of Hypertension (ISH) on the basis of major studies conducted around the world, have given clear criteria for hypertension. The optimal pressure level for all age groups has been recognized 120/80 mm Hg or lower. Normal pressure is in the range of 130/85 or less.
The pressure of 130-139 / 85-89 mm Hg, Which was previously considered as normal, is now considered to be at increased normal pressure. Consequently, if your blood pressure is 140/90 mm Hg, it is a signal to the doctor for treatment to prevent disease development. Note: as of today there is no such thing as a "working" or habitual pressure!
Of course, the risk factors. These include:
This is so-called modifiable risk factors, ie the factors that we can change.
It should be borne in mind that patients with hypertensionWe should constantly monitor the pressure. This is done using a tonometer. Today there are many models of blood pressure monitors - mechanical (sphygmomanometers) and electronic (automatic and semi-automatic). The last is very easy to use, compact. We often hear: What is better to buy an electronic tonometer: automatic or semi-automatic?
I always recommend to buysemi-automatic blood pressure monitor, as It differs from the "machine" that air in the cuff is pumped by hand, as in a conventional blood pressure cuff, and the machine automatically detects the pressure. In addition to the pressure and he will show the pulse rate. Are the semi-automatic blood pressure monitors for less "automatic", but they did not yield to the pressure measurement quality. I would like to warn you against the purchase of automatic blood pressure monitors, worn on the wrist, as they give large errors in the measurement.
Today, many programs designedtreatment of hypertension, including domestic - DAG 1. It is for these programs and made the treatment of hypertension. The doctor will select the most suitable for you. However, we must remember that the main focus should be on risk factors listed above. This smoking cessation, control of overweight, avoid nervous and mental overvoltage, increase motor mode.
Weight loss per 1 kg reducesblood pressure by 1 mmHg, and the risk of cerebral stroke and myocardial infarction decreases 8 (!) times. If you reduce weight, blood pressure problem can be solved by itself, but if there is a sustained consolidation of high pressure, then the weight loss will be able to reduce the dose of the drugs to reduce the pressure.
Smoking is a proven risk factor. So, smokers are much more common diseases such as atherosclerosis and hypertension. In addition, if the patient is a smoker with hypertension, it significantly increases the risk of strokes and heart attacks. Meticulous Americans have counted up, that every smoker costs the medicine daily for 3 dollars more expensive than a non-smoker, as sick more often, harder and longer and working less and less. At the conclusion of the insurance contract the agent is required to take an interest, whether you smoke. If so, then the proposed conditions will be less favorable, because most insurance companies considering smoking as a major risk factor.
How to be with stress? We live in a time of bustle, where it is difficult to avoid stressful situations. In this case, help motor exercises. Domestic psychologists have proven that there is a so-called protective arousal that occurs when driving. This excitement has protective properties to extinguish stress conditions. This helps jogging, skiing, swimming and others. Sports. Finally, just a long walk. It is necessary to extend the driving mode. The emergence of private vehicles dramatically reduces the motor mode, there is a lack of exercise, contributing to the development of distress (negative stress).
In addition to motor activities in the fight againstnervous and mental overvoltage herbal medicine can help. Here is the recipe: the infusion of valerian root - 1 tablespoon to 2 cups of boiling water, to insist 40 minutes, drain, take 1/4 cup 3-4 times a day. The improvement comes from the herbal medicine for 2-3 weeks. Resistant same effect can be obtained by prolonged and regular intake (6-8 months).
There are situations when you need todrug correction of nervous overstrain. In this case, to comply strictly with all the doctor's recommendations, because each drug is chosen individually.
I would like to recommend some drug charges. They are safe for chronic administration and give a good effect.
With increased pressure:
Hawthorn (flowers) - Part 1
Valerian (root) - Part 1
Horsetail - Part 1
cottonweed (grass) - Part 1
Motherwort - 5 parts.
Two tablespoons of collecting pour 200 ml of boiling water and infuse it in a thermos for 2 hours. Apply 1 tablespoon 3 times a day.
To improve cerebral circulation:
Sweet clover (grass) - Part 3
Motherwort (herb) - 6 pieces
Hawthorn (fruits, flowers) - part 4
Meadowsweet (flowers, grass) - Part 3
Valerian (root) - 2 parts
Horsetail (herb) - 1 piece.
Two tablespoons of collection pour 200 ml boiling water, in a thermos for 2 hours. Drink-thirds cup 3 times a day.
Oxalis (leaf) - 3 parts
Kalina (fruit) - 3 parts
Cranberry (leaf) - 5 pieces
Raspberry (leaf) - 5 pieces
Hawthorn (fruit) - part 4
Two tablespoons of collecting pour 200 ml of boiling water and insist in a thermos for 2 hours. Take one-third cup 3 times a day.
These fees are safe to use, but they are in any case do not replace medication! You must inform your doctor about the fees that you take, since their background may need to reduce the dose of drugs that reduce and control blood pressure.
What are the possible errors that allow patients in the treatment of hypertension?
1) receiving episodic antigipertonivnyhdrugs, and not permanent. To date, it is proved that should be treated for hypertension life. No course of taking the drugs - the only way to minimize the risk of vascular events.
2) Selection of antihypertensive drug is not on thedoctor's advice, and the advice of friends or acquaintances. Selection of drugs is strictly individual and that is very good to your friend, it may not be effective for you.
3) Refusal of treatment, if there is no rapid effect. Efficiency antigipertonivnogo effect of the drug is estimated at an average of 7-10 days of regular admission it.
4) Self-removal of the drug. Here patients there is a stereotype: if the pressure is at normal numbers, why then take medicine? The fact that modern drugs do not only reduce the pressure, but also contribute to keeping it at a normal level for a long time. If during the treatment you will be normal pressure numbers, this means that the treatment is matched with high quality and should not be interrupted.
Your doctor will tell you the numbers of the target pressure, tothat you should strive for. Also, there are drugs that upon sudden discontinuation cause rebound effect - a sharp increase in pressure, until the crisis. Therefore it is necessary to purchase the drug in advance, without waiting to move go last tablet.
Thus, with proper treatment of hypertensionYou can minimize the occurrence of its serious complications - heart attacks and strokes. This will help the doctor who is always your ally and supporter. However, the effect of the treatment will depend largely on you: it is a struggle with the risk factors and the exact fulfillment of all recommendations made by the doctor.
So, the two are fighting in the ring - the doctor and the disease. On which side you stand - and he will win!