After doing the personal work cycle, how did the blood pressure rise?Drug -based hypertension!

A few days ago, a neighbor in the community, a 40 -year -old woman, came to me to consult high blood pressure.

It is said that the blood pressure has been normal before, and it has suddenly risen recently.

Women in their 40s are almost menopause? Many menopausal women's blood pressure rises.

Asked the patient, she said that she was really a bit problematic. She hadn't come to the gynecological treatment in the last 3 months. She had a hormone for her treatment, and her estrogen was 14 days and the progesterone was 14 days. The artificial cycle. But as soon as one cycle was eaten, the blood pressure began to high, rising to 140/90mmHg.

Female, progesterone? Of course, it can increase blood pressure! Take contraceptives can cause blood pressure to rise. Studies have found that the blood pressure changes in oral compound contraceptives mainly occur in the first 6 months, but for a long time, the blood pressure has always increased, and the increase in hypertension has increased.

Therefore, estrogen hormone causes high blood pressure and is a very common type in drug hypertension.

Medicated hypertension, a common one in secondary hypertension

To say that hypertension is much primitive, accounting for the big head, and only about 10%of the secondary one, but there are still many factors that can increase blood pressure secondary. Normal people can rise, and patients with hypertension can rise, and drugs are one of the important one. Drug hypertension is a common type in secondary hypertension. Therefore, sometimes I don't pay attention to it, and there are factors to increase blood pressure inadvertently.

Many commonly used drugs can cause blood pressure to rise, as examples.

Licorice, ephedra, and preparations: Licorice, ephedra in Chinese medicine, and licorice agents, ammonium glycopate, and ephedrine preparations in western medicine. A variety of hormones: estrogen, progesterone, androgen, glucocorticoids, salt cortex hormones, thyroxine, and so on. Drugs that affect the sympathetic nerve excitement: such as asthma and bronchitis patients with β -injury agonist samidam, Bobtero, catekine drugs such as ammonia catex, dihydroxyblyzacoline (asthma), etc. Anti -depression anxiety can also cause blood pressure to rise. For example, Venrafin (Yinosi), Placetine (Selitt, Leyou, Flobic tonirin (Delicin), etc. New anti -tumor drugs: like some anti -tumor targeted drugs, like some anti -tumor -targeted drugs, It is specifically inhibited by vascular production. The original intention is to starve the tumor, but the blood vessels are damaged and the blood pressure is high. ) Wait. Promoting red blood cells. This is often used by patients with kidney aging anemia, and it also has an increased blood pressure effect. Patients with renal failure have hypertension itself. Be careful when taking medicine. In fact, there is another treatment. , 0.9%sodium chloride injection. Salt water can be expanded. The blood pressure is low during rescue. , Anti -cerebral inflammation, losing blood pressure is high. (Headache infusion "through blood vessels", but blood pressure is lost to "200")

Various drugs can cause blood pressure to increase blood pressure through different mechanisms, and one medicine can also increase blood pressure through various channels. For example, cause water and sodium to stay, which will increase the capacity in the blood vessels; or excite the sympathetic nerves, increase the tension of the blood vessels, and increase the heartbeat of the heart; it will also excite the renal-vascular tension-aldosterone system. This system will pass each The species mechanism regulates the increase in blood pressure; there is also a role in neurotransmitters, which will also affect the sympathetic nerve; as well as those that affect the vascular material, damage the kidneys, cause insulin resistance, and so on.

For patients with no hypertension, find the cause when they find hypertension; patients with hypertension, if the blood pressure fluctuates, is not easy to control, and find the cause. Some refractory hypertension is that some secondary factors have not been removed, so blood pressure is not easy to control.

It also has a significance to understand and attach importance to the secondary hypertension caused by drugs to prevent the sudden decrease in blood pressure during the removal.

For example, after using some drugs that can increase blood pressure, the blood pressure increased, and the antihypertensive drug was added, but I or family did not know or understand! Skills of drugs that can be increased by blood pressure suddenly stopped, but without lowering blood pressure, blood pressure will suddenly decrease. In severe cases or other people with the original disease, it will danger. We have rescued a patient with hypertension and coronary heart disease who had long -term antidepressant drugs and anti -suppressive drugs, because I wanted to change the medicine and suddenly stopped Weahafin, and the blood pressure suddenly reduced to the level of shock. Then acute myocardial infarction occurred.

Drugs that affect blood pressure are commonly used in our daily life. Pay attention to monitoring blood pressure before and after these medicines. Or when the blood pressure fluctuates, look at the drugs taken. When you see a doctor, you must inform the doctor the original disease and the drug.

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