ALL TIMES DILEMMA HYPERTENSION
Nephrology Specialist Doctor Kadir GökhanATILGAN; informs about the difficulties in the treatment of hypertension, a disease of all ages.
World Health Organization (WHO); It also includes hypertension among the 5 major problems in the world. Hypertension is a disease that we all easily define. If we want to say this with guides; systolic blood pressure, which we call systolic blood pressure, is 140mmHg and above, and diastolic blood pressure, which we call diastolic blood pressure, is 90mmHg and above. This ailment, which we can easily define in this way and which we are all familiar with from seven to seventy and know to be treatable, has been maintaining its place in our lives as a dilemma from past to present. Even in our country, tens of hundreds of drugs with pharmacological and commercial names are available to serve this disease, but the full treatment targets have not been achieved.
Treatment goals are theoretically easy to achieve. The important part of the job is to put this into practice. The most important of the difficulties experienced in practice is drug compliance. If we need to list the reasons for the difficulties in this matter:
1- Not being well informed about the treatment
2- Not being able to accept the treatment and the disease
3- Taking medications irregularly
4- Not taking medications and not checking their blood pressure at home
5- Not paying attention to their diet by taking medications
6- Frequent changes in their medications due to different physician preferences
7-Body mass index, especially of those with weight problems. not making an effort to reach the appropriate weight.
We said in our title that hypertension is a dilemma. Dilemma means dilemma in Turkish. What we mean is that hypertension causes harm to our body, which can be called fatal. Kidney failure, heart failure, atherosclerosis, and depending on this, both physical and mental disorders occur. With this aspect, hypertension seems to be an inextricable epidemic disease. But you have to look at the other side of the coin. This is the subject that I share with my hypertensive patients who come to our polyclinic. Hypertension is actually the most innocent stimulus that reminds us that we need to live regularly. Because it is easy to treat. It is to take the medicines that he wants from us regularly, to pay maximum attention to our diet, especially to salt, carbohydrates and cholesterol, to reach a solution if we have a weight problem, to include isometric exercises that do not require muscle strength, such as walking, and not to interrupt our regular physician check-ups. From this point of view, even the adaptation of a person to his illness and his view of the world will change. He will feel better.
To summarize;
-Hypertension is a treatable condition.
-Early treatment is satisfactory. Being untreated brings with it serious problems.
-It provides a new perspective on life, it is a signal for our self-control.
