Saturday, August 25, 2012

The elderly's stealthy killer- Hypotension

The elderly's stealthy killer- Hypotension
With the years, the elderly's blood pressure will rise slowly, it is apt to suffer from essential hypertension, endanger the health of the elderly seriously, has already caused people's attention. But hypotension corresponded to with it is ignored by people, in fact old hypotension can cause the serious blood supply of brain and heart to be insufficient, its extent of injury is not second to essential hypertension. The elderly's hypotension refers to shrinking, forcing down in 90 millimetres of mercury columns, relaxation is forced down in 60 ml of mercury columns. The danger of hypotension is to cause every blood supply of the organ of human body to be insufficient. Because the brain is extremely sensitive to ischemic oxygen deficiency, the ischemic damage that hypotension causes the brain to organize is extremely outstanding, the patient often feels dizzy, has a headache, turns black at the moment, forgetful, bradyphrenia, apt ischemic apoplexy of brain, angina pectoris, myocardium infarction happen. The reason for causing hypotension has the following aspects: The medicine is hypotensive the elderly take depressor such as bar, guanethidine of A Quito, excellent and would rather lower etc. due to illness, stable the intersection of type and medicine such as chlorpromazine, exert oneself, wait quietly, the intersection of diuresis and the intersection of medicine and pairs of the intersection of hydrogen and grams of urine oh, the intersection of speed and urine,etc., resist angina pectoris medicine such as subdueing regret, Nitroglycerin,etc., can also cause hypotension. Body posture hypotension and standing upright hypotension promptly. The elderly's nerve regulating function is bad, arteriosclerosis makes its elasticity of artery drop, patient lying in bed weakly and for a long time in physique and too standing long in the sultry environment, exchange body posture hypotension of kindling, especially in the upright position or problem more incident of rising to their feet suddenly while lying in the location, there can be dizzy, turn black at the moment, the sweat, palpitation even falling etc. to behave suddenly at this moment. Fell in a swoon, clouded in mind while urinating or after urinating suddenly in urinating hypotension, there is no omen before breaking out, returned to normal in 2- 3 minutes after breaking out. Because it emptied to make abdominal cavity's pressure sharply reduce suddenly after the bladder is bloated and full at night that many, intravenous thereupon expansion, the energies of going back amount are reduced, blood pressure drops. Physique hypotension sees more the old women with thin and weak physique, and can be prone to family's heredity. The patient has dizzy, heartbeat, weak feeling at ordinary times, can not find often in the hospital what is ill. This is because the elderly's myocardium tension is weakened, the wall elasticity of blood vessel is lost. Continue taking place hypotension and often continue, take place the chronic disease after acute losing blood, having a heart attack, chronic anaemia, diabetes, brain arteriosclerosis, apoplexy,etc., the patient has a liking for sleeping, weak, dizzy, eyesight obstacle. Senile hypotension should be prevented and cured from the following aspects: 1, The cause of disease should strengthen nutrition while treating the weak one of physique; Feel the weak one of body after taking depressor, should stop medicines or use gentler depressor instead; Make a diagnosis and give treatment and have illness coming on originally actively in hypotension caused by various acute diseases; Prevent the intersection of change and body posture soon from and stand for a long time; The pillow is underlayed and suitable for 15 centimetres at the time of the sleep; Had better not go to the toilet at night, there are bedpans or have others' company on the bed, in order to avoid the accident. The foreign doctor observes the caffeine to chronic standing upright hypotensive curative effect very well, 0.25 grams of oral caffeine for 30 minutes, can lighten after a meal blood pressure drops before breakfast. Can also drink a cup of robust coffee before the breakfast, thereby offer the caffeine, can also achieve the similar result. 2,Strengthening the physical training of physical training will have regulating action to hypertension, hypotension. A scholar has said abroad: "Taking exercises can replace a lot of medicine, but any medicine, instead of taking exercises. " The elderly of hypotension can choose the suitable exercise project according to one's own physical situation. 3,Intaking amount which increase the salt that the elderly of diet hypotension of high salt can be appropriate, it is about 2- 3 times of the normal salt quantity, namely it is 20- 25 grams every day. Must drink more water after taking a photograph of more salt, more moisture can increase the blood capacity to enter blood, thus raise blood pressure. 4,Select to regulate blood pressure through the way that the elderly who nourish hypotension of medicine can select for use, nourish medicines, can take 6 grams of dried longan pulps every day, can also take ginsengs under the guidance of doctor. " it is scattered to activate pulse " in traditional Chinese medicine (10 grams of ginsengs, 20 grams, 10 grams of Fructus Schisandrae Chinensis of wheat winter) 1 pharmaceutical fry clothes every day, result even good. 5,The intersection of drug therapy and hypotensive symptom obvious, can select methylphenidate, ephedrine,etc. for use, step up medicine, ATP, coenzyme A, thiamine and C, in order to improve the brain to organize the supersession function.

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