Tuesday, April 17, 2012

Hypertension patients of our country are mostly H -type hypertension

Hypertension patients of our country are mostly H -type hypertension
Hypertension patients of our country are mostly H -type hypertension
The morbidity of hypertension is high, but people are relatively low to the knowing rate of hypertension. According to investigation, know and suffer from to the hypertension patient by oneself, the city is 36.3%, the countryside is 13.7%, and the treating rate among them, it is only 17.4%, 5.4% to get the therapeutic person respectively, has even received treatment, control of blood pressure its lead ' Hypertension can be controlled in 140/90mmHg) through treating The city is 4.2%, the countryside is 0.9%. Therefore medical experts will be expected in the future for some time, hypertension, incidence and mortality of brain apoplexy, coronary heart disease of our country will continue rising. This serious problem of jeopardizing people's health and life, it is far from enough to only find, guide his treatment by doctors, also different to accomplish, so popularize the knowledge of hypertension, make people know hypertension, know its danger, and can find in time voluntarily that suffered from essential hypertension, , in safe range, so as to protect his target organ (heart, brain, kidney) control its Not or lack and encroached on, seem particularly important. Hypertension is divided into and then sending primarily. Essential hypertension, is also called essential hypertension, accounts for more than 90% of the hypertension patient, hypertension of some of them's special type, such as sensitiveness hypertension of salt, white overcoat hypertension, H -type hypertension. Then sending hypertension has cause of disease, a kind of clinical manifestation that it is some diseases, the most common kidney hypertension that is kidney trouble due to. This text introduces H -type hypertension especially. Some lets H -type hypertension discover both at home and abroad, the morbidity of apoplexy of our brain ranks the first in Asian-Pacific area in recent years, it is one time higher than U.S.A.. In order to seek the characteristic of apoplexy of brain of our country, find the potential causing the cause of disease to be plain among them, Peking University first hospital cooperate with scholar of the institute of public health of University of Illinois of American, suffer from the intersection of hypertension and patient, carry on ten more than year to 40,000 countryside prospective to study, the result proves, except that known hypertension,etc. causes the traditional dangerous factor of the apoplexy of brain, measure it with cysteine (HCY) in the blood It is closely related to emergence of the apoplexy of brain for level to rise, important discovery take place brain with person who raises HCY risk of apoplexy 12 times higher than the general crowd. In recent years the journal of Peking University ' Medical edition) An item of research materials reported reveals, 91% of the men and 63% of the women in the hypertension patient in our country, average 75% are raised with the blood plasma HCY, this phenomenon draws common concern of experts, the blood plasma cysteine of empty stomach that it is generally acknowledged level, in 5-15umm/L, average level, in order to be greater than or equal to 16umm/L, it is the high HCY blood, hypertension with high HCY, known as " H -type hypertension " . What is it to cause HCY raised reason and danger? 1.Reason: According to relevant the intersection of literature and report, cause HCY raised reason as follows, mainly Methionine is taken in too much, namely animal's albumen is taken in too many; Vitamin B6, B12 and folic acid is taken in insufficiently, takes in insufficiently and closely related with folic acid particularly; The renal function does not cause and include sulphur amino acid to excrete the obstacle completely; Hypothyroidism; Relate to hereditary supersession. 2.Endanger: The raised danger of HCY level is mainly as follows, HCY is a middle supersession product of the methionine, it generates a toxic impact on endothelial cell of blood vessel, cause the leather function disorder or danger, lipid in the blood vessel to pass and oxidize, and increase in the blood the blood small board is glued the enclosing, thus cause the forming of the plaque of artery. Stimulate artery smooth muscle cells to excessively increase, interfere with the normal function of the smooth muscle of blood vessel, promote the smooth muscle to wear out, organize the fiber and become hard, cause atherosclerosis, lead to the fact vascular disease of the heart brain is increased severely. HCY can make the survival period of blood platelet shorten to raise, the adhering to increases with the assembling, thus promote thrombosis. This is easy to find out, HCY level raises the new label that is not only not only apoplexy of brain but also the heart stem. Face in bed danger, have which the intersection of British and scholar find if hypertension amalgamate high with type the intersection of cysteine and the intersection of blood and disease, it is the most important dangerous factor of the apoplexy. The blood raises 5umm/L with cysteine, the apoplexy risk increases by 59%; Reduce 3umm/L with cysteine, can reduce the apoplexy risk about 24%. Study too at home to find, it is so dangerous as to increase by 87% with cysteine crowd's apoplexy to be high. According to investigation result, the hypertension crowd of our country accompanies the rate of HCY to be very high, and the brain apoplexy incidence also increases at the speed of 8.7% for every year, it is estimated the patient of the brain apoplexy of annual new discovery of our country will be increased to 3,700,000 by 2 million at present until 2020, and meanwhile the obvious downward trend appears in the brain apoplexy incidence of the western countries. This is why we should improve the understanding of H -type hypertension, and pay attention to the reason to prevent and cure. According to the cause of disease, the H -type hypertension treatment should work along both lines too - -Step down, lower cysteine together type. Document / Zhou Jin


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