Sugar Doctor Lecture Hall | High blood pressure but no symptoms, do you want to control it?
Author:Guangdong Provincial Hospital Time:2022.07.29
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Management of diabetes, conditioner of endocrine disease. The "Sugar Doctor Lecture Hall" is lectured by Tang Xianyu expert team of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine. It will take you to the endocrine world, and to share the knowledge of Chinese and Western medicine for your popular science endocrine metabolic diseases, and share the story of clinical diagnosis and treatment. Help health and add color to life.
"It's just a high blood pressure, there is no uncomfortable, how can there be any problems" "Long -term medicine, liver, liver, kidney, lowering blood pressure, or not eating less." Right? Let's take a look at the case below.
Mr. Zhang is 40 years old. He has been suffering from high blood pressure for 10 years. He usually does not feel that there is any uncomfortable. In addition, the work is very busy, you do n’t pay attention to this problem, and you do n’t often measure blood pressure. Drink in the wine, boil at night. Recently, Mr. Zhang always had an occurrence of gout. He had a bad rest and dizzy. He came to the Ersha Island Hospital of Guangdong Traditional Chinese Medicine Hospital for treatment. He repeatedly measured the blood pressure above 170/110mmHg. After the doctor asked the medical history carefully, he was vigilant: "Blood pressure is so high for a long time, it is necessary to actively control it. It is recommended to check the cause of hypertension to further check the cause of hypertension and evaluate whether the target organs such as the heart, the brain, and kidney are damaged."
After detailed examination, secondary hypertension was excluded, but a series of problems such as elevated blood creatinine, damage to renal function, multiple cerebral infarction, old cerebral hemorrhage, arteriosclerosis, heart hypertrophy, etc. The culprit is high blood pressure. After positive drug adjustments, Mr. Zhang's blood pressure finally dropped smoothly, but these target organs caused by high blood pressure could not be reversed.
This case tells us:
No symptoms of discomfort 害 No harm
If the long -term hypertension is not controlled, it will unknowingly damage the body's blood vessels, hearts, kidneys, brains and other organs, and finally various serious complications will occur, which seriously affects our quality of life and life. Therefore, don't take it lightly for "hypertension", but to prevent slightly.
01
Why is there no symptoms of hypertension?
The clinical manifestations of hypertension are different due to their different causes, and some patients do not have specific symptoms, and they are easily ignored as other problems. In addition, when many people begin to occur, blood pressure is often slightly elevated mild increases. , Have not yet showed obvious symptoms; some patients have adapted to the state of long -term hypertension, and they can not be aware of the symptoms of discomfort. Therefore, it is very unreliable to judge whether the "blood pressure is elevated" by "uncomfortable symptoms".
02
Without symptoms, you can do not need to be checked and treated?
wrong. As mentioned earlier, no symptoms are not equal to no harm. The general course of hypertension is very long, and the onset is hidden. If it is not controlled, it will gradually occur with the damage of the whole body or even irreversible damage over time. Therefore, when the blood pressure is found, it is recommended to evaluate the cause of hypertension, whether there are other cardiovascular risk factors, whether there are target organs, and whether it is combined with other diseases.
03
What are the dangers of hypertension?
Some patients are worried that taking antihypertensive drugs will hurt the liver and kidney, there are various adverse reactions, and they are also worried that they can't stop when they take medicine, so they eat less, eat intermittently or simply not to eat. Although these concerns may occur, the hazards of long -term hypertension are greater than the side effects of antihypertensive drugs, and the side effects of the drugs can be monitored and processed. Therefore, you must not waste food and ignore the harm of the body itself.
(1) blood vessels
Hypertension can first cause damage to the blood vessels, leading to damage to the endothelial cells of the vascular wall, thickening of the tube wall, and hardening, causing lumen stenosis, and may cause damage, rupture of the vascular wall, and bleeding. This vascular injury is systemic. By damage to blood vessels, hypertension will cause damage to the major organs of the whole body including the heart, kidney, brain, and eyes.
(2) Heart
Educational blood pressure will increase the burden on the heart. The heart is overloaded for a long time, which will cause changes in the heart structure and the decline of function. At the same time, the heart also requires blood vessels. If the blood supply to the heart is narrow, it will cause myocardial ischemia or infarction.
(3) Brain
If the cerebral blood vessels are hardened and narrow, it will cause insufficient blood supply to the brain, and eventually cause cerebral infarction and brain atrophy. On the other hand, excessive blood pressure constantly impact hardening blood vessels may cause damage and rupture of the blood vessel wall, and then cerebral hemorrhage.
(4) kidney
If it is the narrowing of the renal artery, it will cause insufficient blood supply to the kidneys, damage to renal function, and even renal failure.
(5) Eyes
Vascular sclerosis of the eyes can affect the optic nerve and retina, leading to impairment of vision, and even blindness.
Once these hypertension hazards appear, they are irreversible, and they can only actively deal with their development speed. Therefore, even if you are not uncomfortable, you cannot let the blood pressure leave. Only by starting standardized medication, changing poor lifestyles, quitting of smoking and restrictions, and controlling weight, regular review and review can minimize the dangers of hypertension, improve the quality of life in the long -term, and extend life.
Executive editor: Wu Yuan Tuan
Audit school pair: Zhuang Yingge
Editor in charge: Song Liping
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