Parents with hypertension at home, what should you do when you go out to work? Listen to a doctor's reminder
[Professional doctors tell you about health every day]
A few days ago, I went to the countryside to participate in a poverty alleviation diagnosis and treatment activity. This is a mountain village with a population of nearly 1,000. Due to the small and barren land, going out to play has become an important source of life for the villagers. It is also because of this that most of the young people in the village live in the county and other places. Most of the people who work part-time and stay in the village are old people in old age. I heard that experts from the provincial capital came to see a doctor, and the old people came to the village clinic early and formed a long queue.
At a glance, there are not a few elderly people in the queue who are on crutches and in wheelchairs. There are as many as thirty or forty, all of whom are patients with sequelae of cerebrovascular disease, which is very sighing. However, the situation after the diagnosis and treatment started was even more shocking. Among the more than 100 elderly people at the scene, more than 70% had high blood pressure. A doctor reminded the children of the elderly:
An old man said: "It's not easy for children to be outside. I can't trouble them. I know I have high blood pressure, but I didn't tell them. Sometimes I feel dizzy and just take a few pills. It's fine, just watch them." Happy to have a good time.
Pity the hearts of parents all over the world. The blood pressure measured by this old man is as high as 186/112mmHg. There is a possibility of cardiovascular and cerebrovascular accidents at any time. Maybe the moment they fall down, they will never be able to stand up again. At that moment, their children may be forever. After losing my parents, I can no longer have the feeling and hope of returning home.
In clinical practice, high blood pressure has never been treated in a standardized way, and there are too many cases of sudden accidents being rushed to the hospital. I have seen too many children crying because of remorse, but what's the use? Before going out to work, if you check the health of your parents who stay at home, and at least find out if there are any problems with the most basic indicators such as blood pressure and blood sugar, such regrets will not happen, and you will be able to go out to work with peace of mind. However, How many migrant workers do this?
【Hypertension knowledge link】
Normal blood pressure: less than 120/80
Normal high blood pressure: 121-139/80-89mmHg
First-degree hypertension: 140-159/90-99mmHg
Secondary hypertension: greater than 160/100mmHg
An elderly man was puzzled by the blood pressure of 170/106mmHg. He said that he had been taking antihypertensive drugs, which were bought by children, and would be specially sent back every few months, for several years without interruption. , why is blood pressure still so high? I keep asking: Are these medicines all for nothing?
Experts patiently told the elderly that blood pressure will be lowered without taking medicine, and blood pressure should be measured frequently. If blood pressure is still high after taking antihypertensive drugs, the type and dosage of antihypertensive drugs should be adjusted according to your blood pressure. In this way, the blood pressure is not measured once in a year or two. It is very dangerous to have such a high blood pressure. Let the children come back and take you to the hospital for a check-up and change the antihypertensive drugs!
The old man shook his head incomprehensibly and muttered to himself, "They are busy and have no time to come back." I believe that the old people would not tell their children about this, but as children, how many people would think about this issue and take them to stay behind. Parents at home go to the hospital to see if the blood pressure has come down? How much has it dropped? Is it enough to just remember to buy some medicine for your parents?
【Hypertension knowledge link】
General control blood pressure control target: less than 140/90mmHg, if you have diabetes, it should be less than 130/80mmHg
For the elderly over 80 years old, the primary control goal is systolic blood pressure below 150mmHg, which can be further reduced if tolerated
If the blood pressure control target cannot be achieved by taking one antihypertensive drug, the second or even the third antihypertensive drug should be added in time until the blood pressure control reaches the target.
This is an old man who moved to the free clinic on crutches and trembling step by step. After the death of his wife, the children asked her to take her to the county town several times, but she refused. She said that she could still move and manage her own food and drink. Lazar, can't cause trouble for the children, but the inconvenience caused by the sequelae of hypertensive cerebrovascular accident two years ago made her almost unable to leave her hospital door for a year.
What is even more worrying is that in the past two years, in addition to taking a Chinese patent medicine that she believes can activate blood and remove blood stasis, other high-risk patients with hypertension must take antihypertensive drugs, lipid-lowering drugs, anticoagulants and so on. It's a blessing in disguise that she can still maintain this state now. After repeatedly instructing, the old man went home with the prescription written by the doctor, but who knew that the children of the old man would see this prescription? Can the elderly receive treatment as prescribed by the doctor?
【Hypertension knowledge link】
For patients with hypertension and cardiovascular and cerebrovascular diseases, in addition to ensuring that blood pressure reaches the target, comprehensive intervention measures should be taken, such as taking statin lipid-lowering drugs to delay the progression of atherosclerosis and plaque, and stabilize plaque without rupture and thrombosis. , taking anticoagulants such as aspirin to prevent infarct diseases, etc., these treatments are as important as lowering blood pressure.
During the communication with the elderly, the experts learned that the people in the village have a very heavy taste in their daily diet, and they rarely eat vegetables, let alone fruits, often a large bowl of noodles with some seasonings is lunch, a large steamed bun with a bowl of thick Rice porridge is the most common dinner. Eating a few eggs from home-raised chickens can improve your life, and this kind of eating habit is the most common cause of high blood pressure and diabetes.
An old man said proudly that every time the children came back, they would bring him a lot of delicious food, and the old people in the village envied him very much when the packets were enough for the two of them to stutter for a while. However, what they call delicious food is nothing but biscuits and instant noodles. The high content of oil and salt cannot make up for the lack of fruits and vegetables. This is a taboo for the elderly to maintain health and prevent diseases.
【Hypertension knowledge link】
In the prevention and treatment of high blood pressure, it is very important to eat less salt. It is required that the daily salt intake should not exceed 6 grams, green leafy vegetables should not be less than 500 grams per day, and fruits should not be less than 250 grams per day. It plays an important role in preventing the occurrence of cerebrovascular disease caused by elevated homocysteine.
During the diagnosis and treatment activities, it is very worrying that elderly people with high blood pressure do not have the right medicines, cannot take medicines on time, are afraid of spending money to stop taking medicines without authorization, and never monitor blood pressure. It is necessary to continuously strengthen and popularize the knowledge of hypertension prevention and control, so that more people pay attention to the prevention and treatment of hypertension. If the left-behind seniors can’t do this, the children working abroad should do it well. We must know that the parents who stay at home guard a complete and happy home for us, and let them guard us healthily. It is the children Unshirkable responsibility.
So, when you're out working, do you do this for your parents who stay at home?
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