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MEDICAL MYTHS
(every thing we feel we have the habit of seeking an explanation. That's good. But if we err, we condemning the innocent. And as the real culprit is still free, you can still hurting us)
5 º Myth (Part 2): "HYPERTENSION any symptoms? WHAT? (Part II)
in the previous release we said that hypertension has a morbid fear that the pressure rises above certain limits, because if he does, he thinks, could have "an attack pressure, which paralyzed half his body, could leave him crippled for a long time or forever.
That has made that over the years have been awarded to high "warning signs" that "alert" to the wearer that it's not okay, so you need urgent help.
And poor hypertension, warning symptoms that are attributed are legion, but pure fantasy.
The most common of all headache (headache).
It is a mystery to find the origin of this myth.
past, when there were no modern antihypertensive drugs at our disposal, the classification of hypertension, the most serious is called "malignant hypertension", and the name was quite successful, because in those times, which was diagnosed this type, never die after two years of the diagnosis is made.
The bearer of this bad, I used to have a very unpleasant symptoms (would be nice if we wrote "torturous.")
in the previous release we said that the brain controls the pressure in your arteries. But that does not happen during sleep. When one sleeps, slowly, this superb protection wears off, until more or less then an hour after we sleep, the cerebral arteries have the same voltage than the rest of the body. That meant that, in malignant hypertension, his head began to ache. Pain was increasing with the passage of hours, until about the third stabbing became so ill that he awakened the morning. He could find no way to accommodate his head on the pillow ("it is as if it was resting on a log" I remarked thirty years ago), which forced them to rise, and, mysteriously, the pain disappeared without taking any kind of soothing, in less than an hour (is that the voltage regulators intracerebral arteries began to function in wakefulness, making it down).
This symptom, which was actually very rare to find (I remember only five cases in my first years of medical and then came the modern antihypertensive drugs, which are so effective as to have made to eliminate the classification of "malignant hypertension "-).
But as "hypertension headache" was a symptom that lasted centuries today, for those things in the atavistic, any headache in hypertension is attributed to a lack of control over their blood pressure. And there is the poor hypertension who have a headache, died of fear, to take the pressure where we first find someone to measure it (which means "who knows how to measure it.") Surely
find higher than usual, because the patient is frightened and newcomers. The logical deduction based on those erroneous evidence is that hypertension "means a headache." BUT THAT IS WRONG: hypertension can not give headaches because, it is higher, the brain regulates itself, and its artery is always "normal."
There are many causes of headaches. The most common is osteoarthritis, or correction of the cervical spine, and it still is "migraine" but never hypertension is one of them. Another
"premonitory symptoms" are "dizziness (or vertigo, to be precise in the use of common language, and I make this reference because in modern medicine the word" Vertigo "has been replaced by" dizziness type two. "What is one to make, we have to change the nomenclature to which we ourselves believe that" we are moving forward in knowledge. " One day in a conference an "expert" told us that diabetes-that it improves sulfodependiente tablet-taking, which we usually call "Type II"
vertigo (feeling that everything revolves around us, or we who turn), you can have two origins usual.
One is circulatory in severe osteoarthritis of the neck, raising her head, for example to hang the laundry on the clothesline, posterior neck arteries collapse, no longer carry blood and produces an electrical derangement small body of which speak a few lines down, and then that ugly feeling (which ends instantly when you look ahead, because the arteries descolapsan-).
The other, more common, is purely electric. We
in the inner part of both ears, a great gadget that we call "Labyrinth", which helps to ensure the most important of the senses: the sense of balance . Is what gives us the perception of how our body in space (vertical, horizontal, sideways, etc..). If one of these gadgets are sick (for example, take the patient is left), the right will tell our brain that we are upright and facing forward (which is true), while the left-the ill-will tell that are tilted to the left. Such disparate information that our brain will not be computerized, resulting in a sense that the whole tour, or can not walk "rights" (such as drunks, who were upset alcohol his mazes).
Obviously, that was very comfortable doing their usual job, and suddenly it happens, for example, that everything revolves around you (or is it the turning), he feels a huge panic, making a call urgency, the first thing it does is take the pressure. And is high.
In such cases the pressure is high for two reasons: the terror he feels he suddenly and without apparent cause vertigo feels horrible that suggests a cerebral catastrophe imminent, and a physiological reason that makes the pressure rise, by reflex mechanisms, when the brain suffers from vertigo.
MORAL: The pressure does not produce vertigo, or dizziness, or instability of motion, but all of them "up the pressure."
And the last most common "pressure attacks" is the nosebleeds (epistaxis). Seeing blood
leave a place where they should (not injury, for example), produces panic, especially if the bleeding is nasal. All hypertension associated with this phenomenon. I've heard, with astonishment, that many doctors have told patients with epistaxis: "Thank God that He bled from his nose, because if the blood had come from an artery in his brain ... ... ... ... ...
I feel embarrassed for these views. Imagine what goes through the mind of the patient for the rest of the time left to live.
The blood from the nose is because an enlarged vein (varicose veins), which suddenly began to bleed (most of the time is because of what they call Otolaryngologists, elegantly, "rinodactilomanía" which is nothing more than the habit of poking their noses with their fingers.) That
nosebleeds, produces so afraid that if he takes the pressure who are suffering, it will be elevated. Then again the commentary "Misplaced" your nose is bleeding because his blood pressure is high, thank God it was in his nostrils and not ...
In short:
Hypertension "does not give any symptoms," that's why I always say to it is a silent enemy.
So the big question is: How will I know if my blood pressure is high? Well
is very simple: if you are already an adult, check your tire pressure once a year, winter, this is critical, as the cold increases the pressure of everyone, and especially a day pressure air is low (at low atmospheric pressure, blood pressure rises. After three days of being the lower atmosphere, the pressure is normalized, and, conversely, when the atmospheric pressure rises suddenly, low blood pressure, but the third day of high atmospheric pressure, the voltage returns to normal levels), atmospheric pressure is low, he said, and you have rested at least 15 minutes before drinking. If this takes the pressure is below 150/85, no controlled again until next year at a similar day.
If in such action, or more, see a clinician. But no fear: TENÉRSELE NOT AFRAID OF THE PRESSURE, BUT RESPECT (MUCH RESPECT) .
repeat, means the pressure has ceased to be the enemy who was in the past. With new drugs (and yet to come) has become a "lesser evil."
And if it is still higher because of the terror that produces the misinformation (or counter-). Tengámosle lot of respect, but never fear.
in hypertensive Tips for respectful:
Never stop taking the medicine your doctor ordered.
never cease to attend the visit.
never let anyone take the pressure if not your doctor or someone to whom he derived.
always wear hat in winter (70% of body heat is lost through the scalp).
Although they are very sensitive to cold, keep warm as do the people around him (I always tell my patients: "If you have numbed hand, puts the fire and does not hurt ... but you are burning").
never have a home blood pressure monitor is a device that only serves to scare them.
If you have recurrent epistaxis, do not take the pressure every time it happens, and go to an otolaryngologist for them to solve the problem.
If you get headaches frequently, attend the clinician to investigate why it hurts. But never do take the pressure, which is the most intolerable pain, because if the pressure is high nothing will happen, but if you know will be filled with anguish for free, which will worsen the picture of suffering.
If you have dizziness or vertigo, or unsteadiness of walking, see your clinician so that if he can not solve the problem, referral to a neurologist. And in those cases not taken the pressure in a crisis. If you already know it has to be augmented Why torture yourself with the numbers?
And again: even if you feel extremely well, get to take the pressure for doctor at least once a year.
Next delivery: we'll see (so much to demystify ...).
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