Management Of Hypertension In Addition To Drugs?

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, I get hypertension if I don’t take hypertension anymore. choose to control hypertension is it possible?

1 Answer:

Hello Nelsentaslim,

Hypertension is an increase in blood pressure> = 140 mm Hg for systolic pressure and> = 90 mmHg for diastolic pressure, which is obtained at two measurements at different times. Most hypertensive patients do not feel any symptoms until finally reaching a very high pressure or complications have arisen. Symptoms related to high blood pressure include:

 Headache Nosebleeds Shortness of breath Blurred vision There are 2 types of hypertension, namely essential hypertension (primary) and secondary hypertension. The cause of essential hypertension is unknown but the case tends to increase in the elderly and is found in many patients with a family history of hypertension. Secondary hypertension is hypertension that arises due to other diseases, such as disorders of the kidneys, thyroid disorders, adrenal gland tumors, congenital abnormalities of blood vessels, and so on.

The diagnosis of hypertension is generally found when a patient's blood pressure examination is checked by him for treatment for other diseases. Blood pressure checks should be carried out periodically when a person reaches the age of> 18 years, for at least 2 years as a screening or done at least once a year in people aged> 40 years or <40 years but have a high risk factor for hypertension. In patients who have been diagnosed with hypertension, blood pressure checks need to be done more often to control blood pressure until they reach the target and monitor treatment results.

Treatment of hypertension aims to reduce blood pressure to a certain extent that varies depending on the patient's condition and other illnesses suffered by the patient. But generally the target blood pressure is <130/80 mmHg. Management of hypertension in general includes a combination of the following:

 Lifestyle modification Low salt diet Regular exercise Do not smoke and avoid alcoholic drinks Good stress management Losing weight is ideal if you are obese / overweight Treatment Medication can be monotherapy (one drug) or a combination. Some classes of antihypertensive drugs that are often given to patients are ACE inhibitors, Ca channel blockers, ARBs, diuretics, beta blockers, which need to be adjusted to the patient's age, comorbid patient's disease, and monitored the response of treatment whether reaching the target with certain types of drug treatment. Antihypertensive treatment is started and stopped by the doctor's instructions. Some types of antihypertensive drugs should not be stopped suddenly, but should be reduced slowly because of the potential to cause a rebound effect (blood pressure rises much higher before treatment). Control / check blood pressure regularly both at the health facility and at home (if you have an examination tool) Control at the health facility also aims to monitor the presence or absence of side effects from anti-hypertensive medication given. In addition, it is also necessary to have several supporting examinations if there are new complaints in patients related to hypertension. Before stopping taking hypertension medication you should check yourself back at the doctor and explain in chronological order, the history of complaints, and the history of treatment that has been given. Most essential hypertension patients require antihypertensive medication for the rest of their lives to keep blood pressure within normal limits. However, there are also some patients who can maintain blood pressure within normal limits without any treatment other than lifestyle modification. The decision to stop, change the dose, change the type of anti-hypertensive drug is the competence of the doctor.

Complications that can occur if hypertension is not treated properly are:

 Stroke Heart attack Heart failure Kidney disorder Aneurysm Vascular dementia Thus the explanation from me, may be useful.

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