High blood pressure is not asymptomatic when you are watching young people!Doctor reminds ...

Author:Xiamen Daily Time:2022.09.11

Hypertension, a "silent killer", is not just a disease of the elderly, or it may be hidden in teenagers. In the high blood pressure of adolescents, some patients belong to secondary hypertension. Professional examination should be performed, early diagnosis and early treatment, and improved symptoms. Of course, many are caused by comprehensive factors such as genetic and unhealthy living habits. Parents should pay attention to supervision so that children can develop good living habits from an early age and maintain a stable mood.

Vascular disease causes hypertension

Case

A 17 -year -old high school biological blood pressure abnormalities were caused by the aortic narrowing

The 17 -year -old high school student Xiaolin rose abnormally during physical examination, and during the long -distance running in physical education, symptoms such as soreness, numbness, and intermittent clamor of the calf appeared, and the symptoms were relieved after rest. Kobayashi Kobayashi Kobayashi Zhongshan Xiamen Hospital. After inquiry, physical examination, and nuclear magnetic resonance examination, Wang Lixin, director of vascular surgery, diagnosed Kobayashi as aortic narrowing.

Director Wang Lixin successfully implemented a minimally invasive treatment of aortic narrowing. After surgery, the patient's blood pressure tended to be stable, and the symptoms of intermittent lameness were significantly relieved. Basically resumed normal study and life. In the future, there was no problem with mid -long running activities.

analyze

Highness of the upper limbs of blood pressure caused him to be unable to tolerate mid -long running

Director Wang Lixin introduced that the aortic narrowing is a congenital cardiovascular deformity, accounting for about 5%to 8%of congenital heart disease. Due to the restrictions on the aortic blood flow caused by narrowing, the blood pressure of the near -heart end of the close -ups is increased, and the blood pressure difference between the upper and lower limbs increases. The narrowing of the remote end expansion due to the impact of blood flow.

"Aortic narrowing is not a trivial matter. If the upper body hypertension can cause severe complications such as cerebral hemorrhage and heart failure, the average natural life span of patients with aortic contraction can be only about 40 years old." Director Wang Lixin said.

The conventional production examination and newborn medical examination are difficult to detect the aortic narrowing. As the patient's exercise increases, the symptoms gradually appear, and there are usually obvious symptoms during adolescence.

Hypertension of patients with aortic narrowing has the characteristics of high blood pressure and low blood pressure in the lower limbs. Moreover, patients are often accompanied by unable to tolerate mid -length running. After 400 to 1000 meters, intermittent lame symptoms such as calf soreness occur, which relieves it after rest. During the X -ray of the medical examination, the number of "3" appeared in the vascular locality, and further CT examination found that the aortic vessels were narrowed locally. If you have the above symptoms, you need to find a specialist for professional examination.

remind

There are two kinds of vascular diseases that cause abnormal blood pressure to rise

In addition to the narrowing of aortic artery, vascular diseases such as arteritis and muscle fiber dysplasia may also lead to the emergence of high blood pressure in young people. Macritosticitis is a chronic non -specific disease of the arteries and its main branches and pulmonary arteries. Dyscoscopic muscle fiber development is a special arterial lesion. Both may cause problems such as arteries stenosis, occlusion, and vascular.

Wang Lixin reminded that if adolescents find abnormal blood pressure to rise, in time, they need to first diagnose whether there are related vascular diseases, early detection, early diagnosis, early treatment, and early recovery.

Non -disease causes hypertension

Case

100 kg of small guys have high blood pressure

Stop the medicine by yourself and be corrected by the doctor

The 16 -year -old Xiao Liao (pseudonym) has a large amount of food, obese, and weighs 100 kilograms. It was found that the blood pressure was high during physical examination. After a series of examinations by the Cardiovascular Disease Hospital affiliated to Xiamen University, Chen Shuilong, chief physician of the Department of Cardiology, diagnosed it with hypertension. After taking the antihypertensive drug for a period of time, Xiao Liao stopped the medicine by himself. In his opinion, he has no discomfort, coupled with the age of being young, and no need to take medicine, and his parents have the same idea. When he went to the hospital for review, Dr. Chen Shuilong corrected their incorrect thoughts and asked their parents to supervise their children in accordance with the doctor's advice and insist on taking the medicine.

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Young people are not easy to find

Once the diagnosis is confirmed, follow the doctor's order

Many patients with hypertension have no symptoms, especially young patients, so young people's hypertension is often not easy to find. Once diagnosed, you should follow the doctor's order.

"Not all young patients have to take medicine." Chen Shuilong said that the first mild hypertension can be treated for 3-6 months of non-drug treatment, that is, changing various bad living habits, such as maintaining emotion There are regular schedules, reducing salt intake, scientific and reasonable diet, smoking cessation and restrictions, and scientific movements. Speak for aerobic exercise for more than half an hour a day, and exercise at least 5 days a week. If non -drug treatment can effectively reduce blood pressure, patients can not take antihypertensive drugs for the time being, but remember to maintain good living habits and regularly monitor blood pressure changes.

If non -drug treatment is ineffective, or high blood pressure is more serious, then you should still follow the doctor's instructions, otherwise this will cause damage to the teenager's heart, brain, kidney and other targets.

Children's hypertension incentives

If you have a family history, you need to monitor regularly

Dr. Chen Shuilong said that one of the common causes in young people's hypertension is secondary hypertension, that is, suffering from nephritis, nephreal stenosis, adrenal disease, hyperthyroidism, etc. Go to the relevant specialty for diagnosis and treatment. Some patients, because other diseases need to take hormones, immunosuppressants and other drugs, may also lead to increased blood pressure. "But the most common cause of high blood pressure in adolescents is the comprehensive factors of the day after tomorrow." Chen Shuilong said.

Hereditary, obesity, bad eating habits, staying up late, smoking, drinking and other factors are several major factors that cause young people with high blood pressure. If both parents have hypertension, the probability of children with hypertension is also high. It is recommended that young people with a family history of high blood pressure should regularly monitor blood pressure. Of course, it is more important to prevent various bad living habits. In addition, sleep respiratory suspension syndrome is also one of the common diseases that lead to hypertension. It should be paid attention to, early detection and treatment, which can delay or avoid the progress of hypertension. Dr. Chen Shuilong reminded that young people who are susceptible to high blood pressure risk factors should conduct regular blood pressure monitoring.

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Children will also get hypertension

Most of them are caused by other diseases

Many parents subconsciously believe that only big talents will have high blood pressure. In fact, children will also get hypertension, and most of them are secondary hypertension (caused by other diseases).

Children's hypertension diagnosis standards are not uniform, and they are generally considered to be higher than the percentage of blood pressure at the age group, or two standard deviations above the average. For example, newborn is greater than 12.0/8.0kpa (90/60 mm Hg), infants and young children are more than 13.3/8.0kPa (100/60 mm Hg), and preschool children are greater than 14.7/9.33kPa (110/70 mm Hg) , Children in school age are greater than 14.7/10.7kpa (110/80 mm Hg), and can be diagnosed many times. The incidence of hypertension in children has gradually increased, and mostly secondary hypertension. Among them, renal hypertension is the most common, accounting for about 80%. Regular medical examinations and early discovery and early control are currently effective measures to treat children's hypertension. (According to "Life Times")

【remind】

Children suffer from hypertension

Family monitoring should change the sleeve strap

Children suffer from hypertension. When family monitoring, it should be noted that the sleeve band of the blood pressure meter used by adults is different from the size of the child's arm. The measurement results should be selected. The younger child should go to the pediatrics if the blood pressure is high.

(Text/Xiamen Evening News reporter Kuang Wei correspondent Liu Yunfang Lu Yanhua Comics/Mavericks)

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