It is possible to keep the silent killer hypertension that lurks for years without any symptoms, with regular treatment and a healthy lifestyle. Unfortunately, in hypertension, which is the most common disease in the world, the mistakes made by patients make the treatment difficult. Some of these mistakes are to reduce or stop taking medications when you feel good, to rely on garlic and lemon juice, to try to suddenly lower blood pressure with sublingual drugs, to drink excessive amounts of painkillers.
Today, hypertension, which is the most common disease in the world, has captured more than 1 billion people. Most prescription is written for hypertension in the world. Despite being so common, the number of patients that can be treated remains very low. It has 6 million hypertensive patients in Turkey. It is stated that one-third of people over the age of 18 are hypertensive. This ratio increases with age. After the age of 50, high blood pressure is seen in almost half of the population.
The classic definition of hypertension (high blood pressure) is that blood pressure is higher than 140/90 mmHg. Hypertension is not considered a disease but a symptom of a wider spectrum of diseases. It is a symptom of the progressive cardiovascular disease group. Ideal blood pressure values are 120/80 and below. If the patient’s blood pressure is above 120/80, the treatment process begins with a healthy lifestyle change. If the blood pressure is higher than 140/90, then drug therapy is activated. The aim of drug therapy is to keep the blood pressure below 140/90.
Responsible for early dementia
High blood pressure, which causes the most deaths in our country, maybe too late when diagnosed. Organs such as eyes, brain, kidneys, neck veins, heart veins, kidney veins, and leg veins begin to be damaged over time due to high pressure. It can cause heart failure, heart attack, cerebral hemorrhage, and stroke. One of the most important causes of early dementia in our age is uncontrolled hypertension. Damage to eye vessels causes loss of vision, and damage to kidney vessels causes chronic kidney failure and the need for dialysis. This disease affects men and women alike.
Doesn’t get back to normal with two boxes of medication
Hypertension is a chronic, life-long, and progressive disease. There is no such thing as “I drank two boxes of medicine and my blood pressure has returned to normal”. It requires lifelong treatment after diagnosis. When the treatment is discontinued, blood pressure rises again and continues to damage all organs. For this reason, the patient should use medicine for life, adopt and apply a healthy lifestyle.
Watch out for those who wake up tired in the morning!
Hypertension is an insidious killer. It may not give any symptoms. Although you have high blood pressure for years, you may not have any complaints. Therefore, it can be defined as a “silent killer”. During a random blood pressure measurement, the values are found to be high and the diagnosis of hypertension is made as a result of subsequent research.
Commonly, the most common symptom of hypertension is known as headache. Symptoms such as not being able to wake up vigorously in the morning, difficulty in concentration, dizziness, dementia at an early age, shortness of breath while walking, pain in the chest and legs, waking up with shortness of breath while sleeping at night, nosebleeds, decreased vision, numbness in the hands and legs, loss of strength may now indicate that blood pressure damage has become more pronounced. . These findings can also be confused with the symptoms of other diseases. After a detailed examination and examination, the diagnosis can be made easily.
Don’t rely on garlic and lemon juice
Patients first measure their blood pressure in all their complaints. If blood pressure is high, they try to lower their blood pressure with things like garlic and lemon juice. However, these methods have no scientific side and do not reduce blood pressure.
Sudden dropping with sublingual medicine is a big mistake
One of the mistakes frequently made by high blood pressure patients is to use sublingual blood pressure medications. Since the drug is taken under the tongue will be absorbed very quickly; It also lowers blood pressure very quickly, which is quite inconvenient for both the brain and the heart. Blood pressure should not be lowered quickly. If medication is to be taken, it should be taken by drinking, not under the tongue. If the blood pressure is high, the blood pressure should be measured again by resting for 10-15 minutes, and if it is high, a health institution should be applied.
Monitor blood pressure from the age of 18
Hypertension is seen between the ages of 18 and 50. High blood pressure that occurs at young ages may be due to some hormonal disorders. Especially if very high values are seen, an underlying cause should be investigated. If hypertension is not controlled, it causes damage to all organ systems over the years. Therefore, the first control should be done at the age of 18 and should be diagnosed early. Because early diagnosis is life and organ saving. Also, early diagnosis can provide more comfortable control of high blood pressure with healthy lifestyle changes.
Sleep apnea and salt raise blood pressure
There is no single cause of hypertension. Many factors come together to raise blood pressure. These include genetics, salt consumption, eating ready-made foods, not exercising, gaining weight, and sleep apnea. What all these reasons actually do is one. Blood pressure increases by contracting the veins. Hypertension caused by these reasons is called primary or essential high blood pressure. In addition to these, there is also hypertension caused by secondary causes. However, the incidence of this is less than 1 percent. Blood pressure also increases due to reasons such as the thyroid, adrenal gland, the pituitary gland in the brain, disorders in cortisol hormones, and renal vascular stenosis.
It should be a public health project against the tension
Since almost half of the population suffers from hypertension after the age of 50, the disease should be addressed as a public health project. If salt and alcohol intake is reduced from adolescence, smoking and alcohol are avoided, weight control, healthy nutrition, and exercise are made a part of life, there may be a serious decrease in the number of hypertensive patients. Public service announcements, the work of associations that integrate with the public, and the support of the media are necessary to raise the awareness of the public.
Confidence-based team play required, not a prescription
Hypertension is a disease that can be controlled. However, just controlling blood pressure is not enough. It is necessary to control all risk factors. Hypertension patients are not just patients with high blood pressure. These patients always have accompanying cholesterol and high sugar levels (insulin resistance). Most of them smoke and drink alcohol. He is not exercising. If we dream of a healthy and long life, it is necessary to control all these risks.
However, the doctor cannot do this alone. This is a team game. The doctor and the patient should work as a team and move towards this goal. The patient must believe and persuade his doctor. Otherwise, the doctor writes the medicine and the patient does not apply the treatment. Confidence-based patient-physician collaboration cures disease, not prescriptions.
One of the most important mistakes hypertension patients make during the treatment process is that they think that drugs are more harmful than hypertension. Stopping and reducing their medication by themselves, not reducing salt and alcohol use, drinking an excessive amount of painkillers, not coming to regular check-ups saying “I feel good” and gaining weight; are the most important mistakes that make treatment difficult.
It is not diagnosed by measuring it once.
Hypertension blood cannot be determined with a single measurement. Blood pressure measurements to be made many times and over a long period are necessary to confirm the diagnosis. Nowadays, an automatic blood pressure device is attached to patients for definitive diagnosis and blood pressure measurements are made for 24 hours. These measurements are then analyzed on the computer. In cases where it is not possible to follow up with a blood pressure device, a diagnosis can be made by measuring blood pressure twice in the morning and evening for a week.
The same treatment is not applied to every patient.
The same treatment is not applied to every high blood pressure patient. By looking at the other diseases accompanying high blood pressure of the patient, the most appropriate and effective treatment option is implemented and the disease is controlled.