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Prevention of hypertensive crisis

The hypertensive crisis is quite often arising complication of a hypertension which bears real threat of life of the patient. The crisis causes infringement of schemes of control over a blood pressure, and also a blood-groove. The crisis is characterized by sharp increase in a blood pressure, signs of failure in work of a brain, heart and vegetative nervous system. There are also symptoms of change of a blood-groove on all body. Because the crisis can end with a deadly outcome, at its approach it is necessary to cause first aid urgently. Also everyone sick of a hypertension should know as correctly to behave and what to do in a similar situation before arrival ambulance. Such data can be received on consultation of the cardiologist.

The crisis represents sharp infringement of movement of blood which develops at the people, suffering a hypertension. At patients with a hypertension of the scheme of control over a blood pressure are broken, and all system functions hard. Therefore at a hypertensia any irritating phenomenon can thoroughly upset activity of vessels and provoke pressure jump. The overwhelming number of episodes of a crisis is caused by weather change, a psychological overstrain, a physical overstrain, chronic weariness and to that similar factors. In the course of crisis formation one of considerable places occupies failure in the central link of control over a blood pressure. It is necessary to know that the central link supervising pressure, is in a brain. Except the above described factors, the use of the big doses of alcohol, and also the termination of the use of the hypotensive preparations registered by the doctor can be pushes to crisis development. Therefore to the people, suffering a hypertension, it is necessary to visit in time consultations of the cardiologist and carefully to carry out its instructions.

If there is a suspicion on development of a hypertensive crisis, it is necessary to check up immediately the blood pressure (it is desirable to have houses a tonometer). If pressure is at high level, and also available crisis signs, it is possible to say with confidence that is a hypertensive crisis.

In emergency it is possible to accept about 0,15 milligrams of clonidine or to 10 milligrams enalapril. Preparations are accepted sublingual. After thirty minutes it is necessary to check pressure. If it hasn't decreased, it is necessary to repeat preparation reception (the third time it is forbidden to accept!). In the event that pressure indicators have decreased for forty – sixty millimeters of the mercury column, on pressure reduction it is not necessary to carry out more any measures.

If acute pains are observed of a breast, it is necessary to accept a nitroglycerine tablet (sublingual). If after five minutes the pain doesn't pass, it is possible to take one more tablet (no more than three tablets).

The basic symptom of a hypertensive crisis is sharp jump of arterial pressure. Interesting that not always at a crisis the pressure increase is observed.

At not complicated crisis the patient feels jerky a headache which is combined with occurrence of "asterisks" before eyes, dizziness, vomiting (not repeating more). The given signs say that local brain blood circulation is worsened. The patient panics, is anxious and becomes very active. Activization sweat glands, heat is observed. Then to the patient it becomes cold, hands and feet shiver. "Goose-pimples" occurrence, an abundance of cold sweat, and also sensation of a shiver is very indicative. The short wind develops, in certain cases the patient suffers from retrosternal pains. Open parts of a body redden. The warm rhythm is accelerated, very considerably increases systolic pressure.

The complicated crises proceed absolutely differently. The condition of the patient can slowly worsen throughout several days. The patient feels slackness, in ears at it hoots, a head heavy. The patient can test dizziness, a headache, it tears. Changes of work of sense organs are sometimes observed, the patient runs into a stupor and even unconsciousness condition. Quite often the short wind is a sign of the complicated hypertensive crisis: the patient feels shortage of air, pants, rattles. Especially strong the short wind happens, if the patient accepts horizontal position and if to raise the top part of a trunk, it becomes less.

During a crisis of the patient can feel numbness organs of speech, slackness of feet and hands. Such form of a crisis causes blanching and even blue skin. Frequency of heart beat doesn't change in comparison with norm. Arterial pressure can slightly increase, however crisis signs even after normalization of pressure don't pass throughout several days. The complicated form of a crisis can pass on coronary, cerebral or asthmatic type. At a cerebral current more all suffers a brain, and at other two types more heart suffers.

On the basic semiology hypertensive crises are divided that neurovegetative, convulsive and edematous type. At autonomic a crisis an adrenaline considerable quantity gets to blood. Therefore the patient strongly worries, is very active and disturbing. Body temperature sometimes increases, integuments are humidified, the tremor of the top extremities is observed. Increases systolic pressure.

Representatives of the weaker sex are more predisposed to an edematous version of disease, it develops at the raised maintenance of salt in a diet. Pressure increases and systolic and diastolic. The main sign of the given form of disease is puffiness of the top extremities and the person. The patient is languid, it pulls to sleep.

The researches spent throughout many years in the conditions of clinics, say that with heavy forms of hypertensive crises, and also patients with the first episode of a crisis it is necessary to direct patients by all means on treatment to hospital. Patients define in the general cardiology. Here measures on hypertension treatment, and also the crisis prevention are carried out.

Patients with complications on heart or vessels direct to cardiological resuscitation, and patients with infringement of blood supply of a brain, in neurologic resuscitation.

The prevention of a hypertensive crisis is a work of the whole group of doctors: therapists, cardiologists, neuropathologists, health officers and pediatrists. Work on preventive maintenance should be carried out since small years, and children with propensity to an elevated pressure should give more attention. Precautionary measures are developed individually taking into account a disease current, they should be purposeful and regular.

If the hypertensive crisis has developed owing to a sharp ischemia or oxygen starvation of a brain, are appointed cardiotonic preparations, warm glycosides, aminophylline, caffeine.

If the crisis has developed because of infringement of adaptive properties of a brain, factory hygiene and rest observance is very important. It is necessary to develop carefully a rational daily routine, to balance a food, to avoid psychoemotional loadings and to live a healthy life style. Also vitamins, soothing, tranquilizers, preparations for strengthening of venous walls are appointed.

It is desirable for women to visit regularly the gynecologist and to accept soothing preparations.

Very much an important point in preventive maintenance of hypertensive crises are psychotherapeutic techniques which will help the patient to concern easier disease, not to be anxious, calm down.

It can be both sessions with hypnosis application, and autogenic trainings.

It is necessary to remember that preventive maintenance of crises is the permanent job including reception of medical products for pressure decrease, warm preparations, soothing, supporting biologically active means. Sometimes register also soporific if at the patient the sleep is interrupted. Also it is necessary to adhere to the rational schedule of work and rest and carefully to follow all instructions of the doctor.

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