Posts Tagged ‘Hypertension’
Obesity is a chronic problem that involves a change of lifestyle programs and progress in the long term, for which there are no cures or miracle cures. According to Professor Lucas Morante, “is associated with the development of comorbidities, such that only the endocrinologists are trained to perform a complete analysis of the context of obesity, whether there are hormonal changes that cause the associated comorbidities and may have most appropriate treatment. ”
“You have to diagnose whether the patient is at risk of hypertension, diabetes, hyperuricemia, metabolic syndrome, fatty liver, sleep apnea, and so on.”, He adds Casanueva. “The nutrition and physical activity for healthy living can advance from the health authorities and from various groups within the health community, as pharmacists, health educators, nurses, dietitians, nutritionists, etc.. a global approach to the problem, but never with the intention to make an individualized therapeutic intervention or participation. ”
Certainly, the treatment of obesity is complicated, but experts stress the need for patients to take a number of measures healthy. “We need to make sustained and adequate exercise, to adopt a set food standards, diet specifically designed and well balanced life in some way from the sensory point of view,” explains Professor Moreno. “It is also essential that a change in eating behavior, set appropriate standards and healthy life, accompanied by a controlled use of the limited therapeutic options with which we have.”
In this regard, Professor Moreno said that in three or four years we will have therapies that look promising: “They come to occupy spaces mainly in the central nervous system actions, primarily increasing satiety or decreased appetite, and some others may have a metabolic effect, so it is also closer proximity of using drugs in type 2 diabetes associated with obesity. ”
Hypertension is a disease of diverse causes. And which is manifested by sustained increases in blood pressure in systole and in diastole, or both.
The increase in blood pressure (hypertension) is a major cause, but most likely treatment of disease, and is divided into primary and secondary. In the general population, blood pressure is a continuous variable and its increase is associated with an increased risk of disease. Hypertension can be defined arbitrarily as a sustained diastolic pressure above 90 mmHg. However, there is no risk of developing diseases in which blood pressure is a pathogenic factor.
MEDICAL TREATMENT
In general, treatments should be initiated when the average diastolic pressures for three or four months is equal to or greater than 100 mm Hg.
If smaller, to start treatment, there must be other risk factors at once, such as cardiac injury (ventricular hypertrophy, renal failure, etc.) or other risk factors (diabetes, family history of cardiovascular disease).
Must attempt to maintain the diastolic pressure below 90 mm Hg, using a treatment that the patient tolerated well. Diuretics are often used in the treatment of hypertension because, as scavengers of fat help the heart function is optimized.
Essential hypertension, ie, of unknown cause, no cure and patients must be treated with diet or drugs lifetime.
COMPLICATIONS
Maintaining a high Blood Pressure for a long period of years and not treat it can lead to many complications. Some of the most important cardiac complications such as arteriosclerosis and hypertensive heart disease.
On the other hand, excess weight contributes to increased cardiac work. Obesity is associated with hypertension largely in part because the obese have increased insulin through a lower flow of the renal circulation produces a retention of salt (sodium).
A diet low in calories (1200 cal) with low fat intake can occur for every 10 kg of weight loss decreased 10 mm Hg.
In some people reduce weight is sufficient to control Blood Pressure. It is recommended to decrease in hypertensive or better leave the snuff and drinks with caffeine, which has a short-term effect of increasing the TA, but there is clear evidence that regular use may contribute to sustained hypertension. However, the use of snuff can accelerate the process of atherosclerosis in people with hypertension. Moreover, habitual alcohol abuse may contribute to the development and maintenance of hypertension.
Regardless of the health condition you have, the blood pressure of any person is not constant but suffers many normal variations during the day, but always measured at rest.
The figures follow a rhythm blood pressure over 24 hours, which is reproduced from one day to another and is called nictemeral rhythm of blood pressure, so that the pressure values are higher during the day and are reduced during sleep.
The daily requirement of salt are about half a gram a day (half teaspoon), but in a normal Western diet is consumed eight times that amount, not only in salt shaker, but also in cheese, cold cuts, condiments, soups envelope etc. Excessive salt in diet causes fluid retention and increased BP. To lower the TA, the first step is to reduce total salt intake (including that contained in the bread, broth concentrates, prepared foods, etc..) To a smaller amount of a teaspoon a day. Sodium is not only salt but also in monosodium glutamate, yeast, etc, so you have to read labels of packaged products to make a strict low sodium diet.