Hipertenzije tijekom dojenja, Kronična hipertenzija (visok krvni tlak)

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Podijeli Što je kronična hipertenzija? Za razliku od gestacijske hipertenzije kada se povišen krvni tlak javlja isključivo u trudnoći, kronična hipertenzija ukazuje na probleme sa povišenim krvnim tlakom i prije trudnoće. U tom slučaju treba biti veoma oprezan jer se tlak može tokom trudnoće još pogoršati. Veća vrijednost krvnog tlaka općenito nam pokazuje tlak u žilama kada srce pumpa krvi, dok niža vrijednost pokazuje tlak u krvnim žilama prilikom mirovanja. Ukoliko bolujete od blažeg oblika kronične hipertenzije to nebi trebalo stvarati veće probleme u trudnoći, no veća odstupanja mogu tokom trudnoće dovesti do prijevremenog poroda, oštećenja posteljice što dovodi do usporenog rasta i razvoja ploda.

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  • Hipertenzija 1 stupanj simptoma i lijekova za liječenje
  • Dojenje smanjuje rizik od povećanog krvnog tlaka
  • Kronična hipertenzija (visok krvni tlak)
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Izvori: Harrison's principles of internal medicine [46] ostali [47] [48] [49] [50] [51] Dijagnoza hipertenzije se postavlja kada bolesnik ima trajno povišeni krvni tlak. Za potvrdu hipertenzije, uobičajeni je kriterij [3] nalaz povišenog krvnog tlaka prilikom tri mjerenja sfingomanometrom u razmacima od po mjesec dana. Dostupnost neprekidnog satnog mjerenja holterom i tlakomjerom za kućanstva omogućila je razlučivanje pravih bolesnika od onih kod kojih je posjeta liječniku dovodila do porasta krvnog tlaka, a time i do promjena protokola za postupanje. U Velikoj Britaniji, trenutno je savjetuje pratiti osobu kod koje je jednom izmjeren povišeni tlak neprekidnim mjerenjem, odnosno nošenjem holtera. Također moguć, premda manje točan način praćenja je mjerenje krvnog tlaka kod kuće u razdoblju od sedam dana.

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Utjecaj trudnoće na kroničnu hipertenziju

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Ispitivan je međuodnos između dojenja i rizika arterijske hipertenzije u gotovo 56 američkih majki koje su bile uključene u dugotrajnu studiju Nurses Health Study II. Prosječno vrijeme praćenja bilo je 14 godina, a u oko žena nađena je arterijska hipertenzija. U obzir su uzeti i faktori poput prehrane, tjelovježbe i pušenja, navodi se u izviješću American Journal of Epidemiology. Koautor studije dr Alison M.

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