GGADS

Tuesday, March 2, 2021

When should hypertension be prevented? What should pay attention to on the diet if suffering from hypertension?

 Now many people have diseases such as hypertension, so we should learn to prevent them in advance. If we have hypertension, we should avoid eating and drinking. Family doctor interviewed Cheng Kanglin, chief physician of the Sixth Affiliated Hospital of Sun Yat sen University, to tell us in detail when to prevent hypertension? What should you pay attention to when you have high blood pressure?

Should prevention of hypertension start from childhood?

It's true that prevention of hypertension should start with children. Because with the improvement of living habits and living standards. We should strictly control the diet structure, avoid eating some greasy food, and usually pay attention to the principle of low salt, low fat and low sugar diet structure. Only in this way can we avoid the occurrence of high blood pressure caused by excessive heart capacity and pressure load. In childhood, we should also have a light diet, but also a nutritious diet, and do not overwork. Doctor Cheng Kanglin believes that only such a comprehensive brain management can help prevent the occurrence of hypertension. We should also ensure good living habits, do not stay up late, and do not drink alcohol.

Can hypertension drink green tea?

Patients with high blood pressure can be treated with green tea. Whether it is green tea, black tea is OK, there is no effect on hypertension. Hypertension patients in the diet structure to low salt, low fat, low sugar diet principle, only in this way can reduce the pressure load of the heart, avoid the circulatory system caused by increased pressure blood pressure are not stable. The most critical point is that patients with hypertension should regularly take relevant drugs to maintain their blood pressure to a relatively stable state. Only stable blood pressure is conducive to the treatment and prevention of cardiovascular and cerebrovascular diseases. Usually, they should also regularly monitor their own blood pressure for protection.

Can hypertension eat spinach?

Patients with high blood pressure can eat spinach. Eating spinach has no effect on high blood pressure. And eat more vegetables and fruits is also conducive to stable blood pressure. It's very important to eat more vegetables. Patients with high blood pressure in the diet structure do not eat particularly greasy, and patients with high blood pressure to ensure good living habits, avoid excessive obesity. Because excessive obesity can lead to the increase of pressure load of the heart, indirectly lead to the occurrence of hypertension, obesity can also lead to the increase of blood viscosity, these are the risk factors of hypertension, we should pay special attention to.

Whether it is to prevent hypertension or other diseases, good living habits are essential, but also to maintain a happy mood, not because of a little bit of anger.

Monday, March 1, 2021

20 years' experience of 6 hypertension complications(6)

 Case 6: Ms. Wu, 66 years old, had poor control of hypertension all the year round, resulting in renal failure. Now she has dialysis twice a week in the hospital. When she was very young, Ms. Wu found that she had high blood pressure and had been taking medicine to control it, but she only took medicine and did not monitor it. She thought that taking antihypertensive drugs could control blood pressure well. Her blood pressure was about 170 / 100mmhg for a long time, which eventually led to renal insufficiency. Later, her blood pressure was higher than 200 / 110mmhg. Hypertension and kidney disease formed a vicious circle, which eventually led to severe renal failure. Now we have to go to the hospital for dialysis treatment twice a week.


Hypertension and kidney disease are happy enemies, hypertension will lead to renal failure, renal failure will aggravate hypertension, serious need long-term two times a week to hospital dialysis, affect life.


If Ms. Wu can monitor her blood pressure while taking antihypertensive drugs, she can control her blood pressure more effectively and avoid renal failure.

20 years' experience of 6 hypertension complications(5)

 Case 5: 49 year old Mr. Gao died of aortic dissection due to high blood pressure. 49 year old Mr. Gao suffered from sudden chest pain and did not relieve. He went to the hospital to check the ECG and showed no signs of myocardial infarction. The blood pressure of one arm was 140 / 90mmHg, and that of the other arm was 220 / 120mmhg. Later, he made a chest enhanced CT to show aortic dissection, which was gone before he had time to rescue.


It turned out that Mr. Gao had a history of hypertension for 10 years, without regular control and without discomfort at ordinary times, so he thought there was no danger. As a result, 10 years later, hypertension led to the biggest vascular tear in the body and aortic dissection.


In hypertension induced aortic dissection, 25% died within 24 hours, 50% within a week and 75% within a month.


If Mr. Gao could control his blood pressure earlier, he would greatly reduce the risk of aortic dissection and avoid sudden death.

20 years' experience of 6 hypertension complications(4)

 Case 4: Mr. Zhou, 54, had a hypertensive heart disease and died five years after heart failure. At the age of 40, Mr. Zhou found high blood pressure, but he felt that he was too young to control. As a result, at the age of 49, he suddenly felt chest tightness and suffocation, panting in the aisle. To the hospital to check the diagnosis of hypertensive heart disease, leading to heart enlargement, heart failure.


Long term uncontrolled hypertension can lead to heart deformation, heart enlargement and heart failure. Once heart failure, especially moderate to severe heart failure, had to repeatedly hospitalized. Since the diagnosis of heart failure, Mr. Zhou has been hospitalized at least 3-4 times a year. He feels chest tightness and suffocation when eating and going to the toilet. In the end, he can't lie flat at night and has to sit and sleep for the last period of time.


Hypertension is the most common cause of heart failure. The 5-year mortality of chronic heart failure is 50%, and the 1-year mortality of severe heart failure is 20%.


If Mr. Zhou could control his blood pressure earlier, it would not lead to hypertensive heart disease, heart failure, and he would not leave so young.

20 years' experience of 6 hypertension complications(3)

 Case 3: 67 year old lady Zhao died of myocardial infarction due to high blood pressure. Aunt Zhao, 67 years old, discovered high blood pressure 10 years ago. Brothers and sisters listening to the square dance said that we must not take antihypertensive drugs. When the blood pressure is controlled, the blood vessels become brittle.


Results long term hypertension led to the aggravation of atherosclerosis, and finally acute myocardial infarction, leading to sudden death. If hypertension is not controlled for a long time, it will increase the risk of coronary heart disease, lead to angina pectoris, and even need cardiac stent or cardiac bypass. The most serious consequence is myocardial infarction, leading to sudden death.


Hypertension can lead to coronary heart disease and myocardial infarction, which is the main cause of sudden death. Even if myocardial infarction can reach the hospital, 5% of people will die.


If Ms. Zhao can control blood pressure earlier, the blood vessels will not be more fragile. To a certain extent, it can prevent the progress of atherosclerosis, the occurrence of coronary heart disease and myocardial infarction.

20 years' experience of 6 hypertension complications(2)

 Case 2: a 22-year-old boy with hypertensive intracerebral hemorrhage, Xiao Yang, 22, graduated from high school and helped his family to do business. When he was 20 years old, he found high blood pressure, which was 200 / 120mmhg at that time. He intended to take medicine to control it, but someone said in his ear, never take antihypertensive drugs. It will hurt the liver and kidney. At that time, he can't find a daughter-in-law or have a child.


When she was 22 years old, she had a sudden cerebral hemorrhage and was sent to the hospital in time. After active rescue, she was saved. However, it left a heavy shadow on the heart of 22-year-old Xiao Yang. Long term anxiety, even if they have cerebral hemorrhage one day, five years later, Xiao Yang still has no girlfriend.


Hypertension is the most common cause of intracerebral hemorrhage, which can lead to 30-40% death.


If Xiao Yang could control his blood pressure well at that time, he would not hurt his liver and kidney, and now he would not be unable to find a girlfriend because of the sequelae of cerebral hemorrhage.

20 years' experience of 6 hypertension complications(1)

 Case 1: a 35 year old female hotel owner suffered from hemiplegia due to high blood pressure. She had high blood pressure for seven years and was usually 180 / 110mmhg without control. As a result, when she was 35 years old, she suddenly suffered from hemiplegia and hemiplegia. She was hospitalized for 30 days and limped when she was discharged.


Ms. Dong is a hotel owner. She not only greets guests, but also goes to bed late, gets up early, eats oil, is overweight, and has high blood pressure at a young age. After the occurrence of hypertension, do not want to take medicine, long-term hypertension leads to atherosclerosis, leading to plaque rupture, thrombosis, acute cerebral infarction, leading to sequelae.


One of the most common complications of hypertension is cerebral infarction, which can lead to 50% of people with hemiplegia, aphasia, hemiplegia and 10% death.


If at the beginning Ms. Dong can control blood pressure formally actively, 35 years old now won't limp!


Gold 2021-05-21

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