{"id":28000,"date":"2023-05-31T11:58:34","date_gmt":"2023-05-31T08:58:34","guid":{"rendered":"https:\/\/bolenzdrav.com\/?p=28000"},"modified":"2023-05-31T11:58:37","modified_gmt":"2023-05-31T08:58:37","slug":"koga-pri-visoko-kravno-ima-risk-ot-insult","status":"publish","type":"post","link":"https:\/\/bolenzdrav.com\/ro\/zdrave\/koga-pri-visoko-kravno-ima-risk-ot-insult\/","title":{"rendered":"C\u00e2nd exist\u0103 riscul de accident vascular cerebral la hipertensiune arterial\u0103?"},"content":{"rendered":"

Hipertensiunea (tensiune arterial\u0103 crescut\u0103) cre\u0219te cu siguran\u021b\u0103 riscul de complica\u021bii cardiovasculare precum accident vascular cerebral, atac de cord etc. C\u00e2nd valorile tensiunii arteriale sunt prea mari, poate duce la perturbarea creierului. Acest lucru este afirmat de prof. dr. Krasimira Hristova. Ea este directorul medical al unui centru de boli cardiovasculare din Sofia, precum \u0219i specialist \u00een cardiologie cu o experien\u021b\u0103 de peste 25 de ani.\u00cen acest sens, exist\u0103 c\u00e2teva considera\u021bii importante legate de tratamentul \u0219i monitorizarea hipertensiunii arteriale<\/a><\/strong>, despre care se va discuta \u00een acest articol.<\/p>\n\n\n\n

Unele dintre complica\u021biile hipertensiunii pot fi temporare, cum ar fi atacurile ischemice tranzitorii. Cu toate acestea, altele duc la accident vascular cerebral ischemic sau hemoragic. Aceasta este deja o afec\u021biune grav\u0103 care poate avea efecte de durat\u0103 asupra s\u0103n\u0103t\u0103\u021bii.<\/p>\n\n\n\n

S\u00e2ngele cu limite de 160-170 superioare \u0219i 100-110 inferioare este periculos<\/h2>\n\n\n\n
\"\u043c\u0435\u0440\u0435\u043d\u0435<\/a><\/figure>\n\n\n\n

Persoanele care au fost diagnosticate cu hipertensiune arterial\u0103 de ani de zile sunt cele mai expuse riscului. Adesea \u00ee\u0219i men\u021bin valori ridicate \u0219i permanent. Sunt considerate astfel atunci c\u00e2nd limita superioar\u0103 (sistolica) este \u00een jur de 160-170, iar diastolic\u0103 inferioar\u0103 \u2013 peste 100-110. Hipertensivul tipic are \u0219i alte probleme. De obicei este supraponderal, m\u0103n\u00e2nc\u0103 alimente s\u0103rate \u0219i grase, consum\u0103 alcool \u00een mod regulat<\/a><\/strong>. \u00cen plus, sufer\u0103 de imobilitate. Mul\u021bi oameni fumeaz\u0103 pentru a ameliora \u00een mod subiectiv tensiunea \u0219i stresul intern, dar \u00ee\u0219i \u00eenr\u0103ut\u0103\u021besc starea.<\/p>\n\n\n\n

Exist\u0103 \u0219i a\u0219a-numitul hipertensiune arterial\u0103 nocturn\u0103, c\u00e2nd tensiunea arterial\u0103 cre\u0219te \u00een primele ore. Acest lucru este greu de detectat \u00een cabinetul medicului, fiind \u00een acela\u0219i timp o cauz\u0103 principal\u0103 a controlului slab al hipertensiunii. Fiecare cardiolog are pacien\u021bi care au avut complica\u021bii doar noaptea.<\/p>\n\n\n\n

Care sunt valorile fals pozitive ale s\u00e2ngelui<\/h2>\n\n\n\n
\"\u0445\u0438\u043f\u0435\u0440\u0442\u043e\u043d\u0438\u044f<\/a><\/figure>\n\n\n\n

Scopul principal al oric\u0103rui tratament pentru hipertensiune arterial\u0103 este de a controla valorile ridicate \u0219i de a le aduce \u00een limite acceptabile. Acestea trebuie monitorizate cu un holter timp de cel pu\u021bin 24 de ore.<\/p>\n\n\n\n

\u201eMotivul este c\u0103 unele dintre valorile din timpul examin\u0103rii \u00een cabinet pot fi fals pozitive, iar atunci pacientul are tensiune arterial\u0103 normal\u0103. De asemenea, la birou, valorile pot fi relativ normale, iar ulterior devin mari, nu le observ\u0103m \u0219i neglij\u0103m tratamentul. <\/p>\n\n\n\n

Prin urmare, recomand\u0103m, chiar \u0219i atunci c\u00e2nd avem o terapie stabilit\u0103, s\u0103 plas\u0103m un holter pentru a ne oferi o imagine real\u0103. Este gre\u0219it s\u0103 faci monitorizarea \u00een condi\u021bii de spital, ar trebui s\u0103 fie \u00eentr-un mediu normal, c\u00e2nd o persoan\u0103 este acas\u0103 \u0219i la serviciu\u201d, a comentat prof. Hristova.<\/p>\n\n\n\n

Care este tratamentul pacien\u021bilor cu hipertensiune arterial\u0103 \u0219i antecedente de accident vascular cerebral?<\/h2>\n\n\n\n
\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430<\/a><\/figure>\n\n\n\n

Valorile \u021bint\u0103 ale s\u00e2ngelui la astfel de pacien\u021bi cu risc ridicat sunt 120-130 pentru limita superioar\u0103 \u0219i 80-85 pentru limita inferioar\u0103. Trebuie avut grij\u0103 ca acestea s\u0103 nu devin\u0103 prea sc\u0103zute. Exist\u0103 riscul de a perturba autoreglarea intern\u0103 a creierului. Dac\u0103 s\u00e2ngele scade sub 100 la 60, \u00een special la persoanele \u00een v\u00e2rst\u0103, aceasta este o povar\u0103 suplimentar\u0103 pentru organism.<\/p>\n\n\n\n

Dac\u0103 valorile sunt peste 160 la 100, pacien\u021bii trebuie trata\u021bi. Riscul de a repeta un accident vascular cerebral este mult mai mare dec\u00e2t la pacien\u021bii care nu au avut niciodat\u0103 unul \u00eenainte. De aceea este important ca oamenii s\u0103-\u0219i m\u0103soare s\u00e2ngele diminea\u021ba \u0219i seara, dar ca acest lucru s\u0103 se fac\u0103 la aproximativ o or\u0103, o or\u0103 \u0219i jum\u0103tate dup\u0103 ce \u0219i-au luat medicamentele. Nu sf\u0103tuim s\u0103 m\u0103sura\u021bi mai \u00eent\u00e2i s\u00e2ngele \u0219i s\u0103 lua\u021bi medicamente \u00een func\u021bie de valori.<\/p>\n\n\n\n

Hipertensiunea arterial\u0103 este periculoas\u0103 chiar dac\u0103 nu exist\u0103 simptome<\/h3>\n\n\n\n

Valorile tensiunii arteriale care apar f\u0103r\u0103 simptome vizibile sau care au pl\u00e2ngeri minore sunt, de asemenea, periculoase. Tratamentul este necesar pentru a preveni complica\u021biile. Nu trebuie s\u0103 neglij\u0103m nici pacien\u021bii cu tulbur\u0103ri de ritm, deoarece hipertensiunea arterial\u0103 poate fi una dintre cauzele fibrila\u021biei atriale.<\/p>\n\n\n\n

C\u00e2nd s\u0103 lua\u021bi \u00een considerare schimbarea medicamentelor pentru hipertensiune arterial\u0103<\/h2>\n\n\n\n

C\u00e2nd o hipertensiune arterial\u0103 nu r\u0103spunde la tratament, vorbim despre epuizarea efectului acestor medicamente. Acest lucru se \u00eent\u00e2mpl\u0103 cu inhibitorii ECA dup\u0103 al cincilea sau al \u0219aselea an de utilizare. Medicamentul poate fi schimbat atunci c\u00e2nd am atins doza maxim\u0103 \u0219i nu putem ob\u021bine un control bun al tensiunii arteriale. Sfatul meu este, dup\u0103 ce am trecut prin terapia combinat\u0103, s-au dat dozele maxime, apoi se procedeaz\u0103 doar la schimbarea terapiei.<\/p>\n\n\n\n

Medicamentele moderne care sunt utilizate pentru a trata hipertensiunea arterial\u0103 au ac\u021biune prelungit\u0103. Cu ele, efectul apare mai lent. De obicei, \u00eel c\u0103ut\u0103m dup\u0103 a doua s\u0103pt\u0103m\u00e2n\u0103 p\u00e2n\u0103 \u00een prima lun\u0103. Deci, s\u0103 nu ne gr\u0103bim, ci pur \u0219i simplu s\u0103 asigur\u0103m pacientul c\u0103 nu exist\u0103 nicio modalitate de a ajunge la valori de 120 p\u00e2n\u0103 la 80 dup\u0103 o schimbare de terapie dup\u0103 doar 2-3 zile. Unii oameni se normalizeaz\u0103 mai repede, al\u021bii au nevoie de pu\u021bin\u0103 r\u0103bdare.<\/p>\n\n\n\n

Editor Ina Dimitrova<\/em><\/p>","protected":false},"excerpt":{"rendered":"

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