These days, hypertension has been chasing young people all over the streets.

Introduction: < < 2010 Guidelines for Prevention and Treatment of Hypertension in China > > pointed out that one in five adults in China suffers from hypertension. It is estimated that there are at least 200 million hypertension patients nationwide. However, the awareness rate, treatment rate and control rate of hypertension are relatively low. At present, about 130 million hypertension patients in our country do not know that they suffer from hypertension, and about 30 million of the people who know that they suffer from hypertension have not been treated. In patients receiving antihypertensive therapy, 75% of the blood pressure did not reach the target level. The task of preventing and treating hypertension is still very arduous. My WeChat public number receives a lot of consultation every day. More than half of them are about hypertension. For this time, I found out, Many patients with hypertension are not very old, From 15, 16 to 30, 40, Not at any age. It happens that an 18-year-old girl in my circle of friends also has hypertension. Since I was so young, I have given her daily maintenance medication, but I have never had time to give her a clear explanation of the reason. So here today, I will talk about hypertension among teenagers. Is it because there are many young people using microblogs and WeChat that so many young people ask me about hypertension? According to a newly released cross-sectional study, the prevalence rate of hypertension among adults over 18 years old in China is as high as 33.5%. In fact, what is more terrible is that many hypertension has already started since childhood. What is hypertension? What is the hypertension of teenagers and even children?

1. Essential hypertension

Hypertension is divided into primary and secondary. For adults with hypertension, Primary is the overwhelming majority. The so-called primary, That is, it is caused by the interaction of many complicated genetic factors and environmental factors. For this kind of hypertension, there are not many masters and doctors who call it “permanent cure” or “root removal”. The most important thing is to control the blood pressure value well by maintaining medication, so as to achieve the purpose of preventing and slowing down the damage of target organs. What is the target organ? Hypertension likes to play shooting with human organs. What’s heart, brain, kidney, eyes and so on are all played in what. Every time it is played, it must be accurate. If it is accurate, it is extremely ruthless! This guy can’t do it, he can only use drugs to suppress it so that it has no gas to damage it, thus protecting the organs of the human body.

2. Secondary hypertension

Secondary hypertension is completely different, At this time, hypertension is only the manifestation of other diseases, If the primary disease is cured or controlled, Hypertension has a great chance to disappear naturally. There are many primary diseases that can lead to secondary hypertension. Including endocrine diseases such as thyroid gland, adrenal gland and pituitary gland, renal parenchyma diseases, renal artery diseases, aortic diseases, blood system diseases, and obstructive sleep apnea syndrome and other heterogeneous causes. Finally, it is worth mentioning that many drugs can increase hypertension, and hypertension secondary to drugs should be excluded at the earliest.

3. Children also suffer from high blood pressure

Baby until children’s hypertension occurs very early, prevention and treatment should also keep pace with the pace, also have to “very early”! In this age group, Secondary is more common, However, secondary hypertension is characterized by obvious increase in blood pressure, Even the symptoms of hypertension can be taken as the first manifestation, Some children have corresponding manifestations of primary diseases at the same time, but they have no specificity. For example, small infants can have pale complexion, dysphoria, feeding difficulties, hyperhidrosis, easy to panic, growth retardation, etc., older ones can complain of discomfort such as dizziness, headache, palpitation, nausea, etc., and serious cases can have manifestations of hypertension crisis such as vomiting, blurred vision and even convulsion! For them, the most common primary diseases are often chronic kidney disease and congenital renal vascular dysplasia, followed by aortic coarctation, pheochromocytoma, hypercortisol syndrome, hyperthyroidism, obstructive apnea syndrome, connective tissue diseases and drug factors. Once there are signs, see a doctor to confirm them immediately. Once confirmed, start treatment immediately!

4. Teenagers also suffer from high blood pressure

However, most teenagers have essential hypertension, The onset of the disease is hidden, Slow development, Blood pressure was slightly or moderately elevated, Usually subclinical, Often can only be found through physical examination, It is easy to miss diagnosis. This part of hypertension is mainly caused by mental stress, overweight, obesity, hyperlipidemia and other factors. Today’s children, Love to eat fried food, like to drink sugary drinks, And the amount of food and drink is frightening, Obese children are more and more common, This is exactly the seed planted for hypertension in adolescence. At the same time, The pressure of work has been frightening since I was a teenager. It is also an important inducement for the occurrence of hypertension. What needs special vigilance is that, If there is a family history of homozygous familial hypercholesterolemia, type I diabetes, chronic kidney disease, Kawasaki disease, congenital heart disease, heart transplantation and tumor, this part of the population is prone to lipid metabolism disorder and hypertension, resulting in a significant increase in the incidence of atherosclerosis, requiring early and close monitoring of blood lipid and blood pressure.

5. On prevention and treatment

Regarding prevention and treatment, the general principle is one sentence: low salt, low fat and low sugar diet, reasonable exercise, reduction of mental pressure, rational drug use. Secondary hypertension, to actively treat the primary disease! Essential hypertension, once diagnosed, should be treated comprehensively by lifestyle change and drug combination, both of which cannot be neglected.

If someone tells you, “How can young people have hypertension? If life is not healthy, they can still carry it! “This is Ta ignorant fearless, please share this article with Ta.

Now you have understood that, in addition to secondary hypertension, the vast majority of primary hypertension requires lifelong medication, and the side effects can be controlled to the minimum under reasonable drug selection, far less than clinical benefits. If someone tells you: “Hypertension can be treated with my medicine, the root of the disease can be treated without medication, and it can be completely cured! “. Then, this goods must be a liar! These days, drug management is at sixes and sevens, and 315 is unreliable. After we talk together here, I hope you won’t be cheated again.