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35-year-old Luo Yun is an accountant, and he does not dare to relax for a moment because he needs to check every data to ensure that there are no mistakes during the work process, and his spirit has been in a state of high tension. When he got up early one day, Luo Yun found that his vision was blurry, and he thought that he had slept for too long and his eyes were not open.
And when I got up to wash, this vague situation reappeared, and my head was still painful, as if it wanted to explode. Afraid that these situations would affect his normal work, Luo Yun immediately asked the company for leave and went to the hospital to see what was going on.
After going to the hospital to explain the situation to the doctor, the doctor took blood and measured Luo Yun's blood pressure according to the routine. The blood test was normal, but the blood pressure report showed that the result was 160/110mmHg, which was outside the normal range. The doctor told Luo Yun the results and told him that it was all caused by high blood pressure.
Hypertension is a common disease in life, with 1 in 3 adults suffering from hypertension. A diet high in sodium and low potassium, overweight and obesity, and alcohol consumption are all contributing factors to hypertension. Although there is no cure for high blood pressure, it can be controlled through medication and daily care.
For Luo Yun, due to the long-term tension during the data checking, the neuroexcitability increases, which leads to increased vasoconstriction and the release of desmethylepinephrine (which has a vasopressor effect), causing hypertension. Luo Yun couldn't believe the results of this examination, he asked the doctor tremblingly, "Can't you be an accountant anymore, and people will face unemployment when they reach middle age?" ”
"As long as you take antihypertensive drugs on time and lower blood pressure is controlled in a stable state, it will not have much impact on work and daily life." The doctor replied, and then prescribed Luo Yun hydrochlorothiazide and nifedipine antihypertensive drugs. Hydrochlorothiazide is a potassium-excreting diuretic that increases urine output, decreases blood volume and lowers blood pressure by increasing urine excretion of sodium and potassium ions. Nifedipine is a calcium antagonist that lowers blood pressure by inhibiting calcium channels and dilating coronary arteries.
After receiving the medicine, Luo Yun went home, and while taking the medicine according to the doctor's instructions, he insisted on eating only low-salt food. After persisting for a while, blood pressure was measured with an electronic manometer and the results were found to have returned to normal. Since then, Luo Yun has adhered to the method of medication + diet control.
And in 2016, 42-year-old Luo Yun was dizzy again when checking the ledger, and he needed to hold his head with his hands to keep his body in shape and not fall off the table. After taking the medicine for a while, the situation improved again, and Luo Yun began to get busy again.
One day in June 16, Luo Yun and his wife were watching TV, looking at Luo Yun's exposed calf, his wife sighed How do you feel that you have gained a lot of weight recently, this leg is more than a lap bigger than you used to. "I also wonder how I feel fatter and fatter even though I don't eat much every day." The two discussed the problem of obesity, and the wife touched the skin on the leg with her hand and found that it was much rougher than before.
The wife immediately realized that this was not a normal phenomenon, as normal skin would recover immediately after compression. The two decided to go to the hospital tomorrow to see what was going on.
After arriving at the hospital and telling the situation, after renal nuclide scan and creatinine clearance examination, it was found that the excretion function of both kidneys was very poor, and the creatinine clearance rate was 14ml/min, which indicated chronic renal failure. Luo Yun and his wife were shocked, they just came to check the condition on their feet, why did they suddenly have kidney failure? Luo Yun and his wife stood downstairs in the hospital with the test results, speechless for a long time.
After the results are given to the doctor, the doctor recommends that you be admitted to the hospital immediately and choose dialysis or kidney exchange treatment. When he was hospitalized, Luo Yun chatted quickly with the patients around him, and found that they all had clear reasons for hospitalization, such as high blood pressure, diabetic nephropathy, etc. And I only have an elevated blood pressure, and my blood pressure is very well controlled.
Luo Yun was very confused and couldn't figure out the reason for his illness. After the doctor's rounds, Luo Yun came to the doctor's office to ask about the cause of his kidney failure. Under the doctor's patient questioning, it was found that although Luo Yun had high blood pressure, he had been taking medication for many years, and antihypertensive drugs generally did not cause damage to the kidneys when taken according to the doctor's instructions.
After the doctor asked Luo Yun about other conditions, he couldn't help but sigh, "After taking medicine for 7 years, it was this inconspicuous little thing in life that hurt you." ”
It turned out that after Luo Yun's blood pressure was controlled to normal, although he took blood pressure medication every day, he did not pay attention to protection in his life. I have to eat big fish and meat every day in my life, and when I don't bring food, I order some fried food such as hamburgers and fries to satisfy my hunger, and I also have to accompany a bottle of carbonated drink.
These fried foods contain a lot of oil, and carbonated drinks contain a lot of sugar, both of which can be converted into fat after entering the body, causing the blood to become thicker, the blood vessel resistance to increase, and high blood pressure to occur. The long-term existence of these unhealthy dietary habits will inevitably affect the therapeutic effect of antihypertensive drugs. It's like a wooden barrel, the bottom is empty, and no matter how much water you pour into it, it's empty.
After the drug fails, long-term hypertension will affect the structure and function of the kidneys, renal arterioles are sclerosis, the wall of the tube is thickened, the lumen is narrowed, and the kidneys are affected by long-term ischemia and hypoxia, which affects the normal function of the kidneys, and eventually leads to renal failure.
Therefore, for patients with high blood pressure, lifestyle attention should also be paid to the use of medication control.
First, you can eat a relatively light diet. In life, you can use a "salt control spoon" to measure the amount of salt per day, try to < 5g a day, and put less condiments with high sodium content such as monosodium glutamate and soy sauce when cooking, and you can replace ordinary salt with low-sodium salt.
Second, exercise appropriately. Exercises such as tai chi and yoga can promote the body's metabolism, the body's excess water can be eliminated from the body in time, and blood lipids can also be appropriately reduced after exercise, which is beneficial for regulating cardiovascular adaptability and improving blood pressure levels.
Third, monitor your blood pressure every day. You can buy a home upper arm automatic electronic blood pressure monitor, after getting up in the morning, before taking antihypertensive drugs and breakfast, after urinating, before going to bed, self-measure blood pressure at a fixed time and record the time and value, and take the average value after measuring 2-3 times. After the blood pressure control is stable, it can be changed to 1-2 days a week, in the morning and once in the evening. If you find that your blood pressure is significantly elevated, measure it again after stabilizing your mood, and if it still does not decrease after 2-3 times, you should go to the hospital for examination in time.
Patients with high blood pressure should also follow the doctor's advice when taking medication, and cannot change the dosage of the drug at will. If you can't feel that your blood pressure is well controlled, you won't eat, and if your mood swings are too strong, you will eat more, so that the unhealthy way of taking the medicine will affect the concentration of the drug in the body, resulting in high and low blood pressure, which is not conducive to the control of high blood pressure and increases the risk of kidney failure.