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This pathological condition is characterized by a sharp rise in blood pressure from 180 mm Hg. Art. and higher. Occurs against the background of Betamethasone hypertension as one of the forms of its main complications - hypertensive crises. A cerebral hypertensive crisis develops in patients with a second or third degree of severity of arterial hypertension, and crises are very rare in the first degree of severity. In women, cerebral hypertensive crises occur more often. What are the types of hypertensive cerebral crises? Depending on the mechanisms that underlie the development of this pathology, there are the following types of crises.
When identifying the first signs of a mild degree of pathology, self-treatment is dangerous. In addition, true hypertensive cerebral crises are complicated and uncomplicated, and they are also classified according to buy Betnovate online of the course and there are three degrees. Mild degree - pathological symptoms are mild or moderately pronounced, lasting an average of 1-2 hours. The average degree - the symptoms are more pronounced, there may be a picture of damage to certain parts of the brain. As a rule, the duration of symptoms does not exceed 4 hours, longer attacks are rarely observed. Severe - pathological symptoms are pronounced, such a crisis can last for about a day.
The mechanism of development of pathology depends on its type. loss of vascular tone in the angiohypotensive type, spasm or occlusion of the vessels in the ischemic type, and their association in the mixed type. The main reason for the development of a hypertensive cerebral crisis is a sharp increase in pressure against the background of arterial hypertension. The following factors lead to this state. The first sign of this pathology is a sharp increase in blood pressure. Also, for any type of this pathological condition, cerebral symptoms are characteristic. These include headache, tinnitus, dizziness. Their severity depends on the severity of the cerebral hypertensive crisis. With a severe degree of the course of the process, specific symptoms are also observed that are characteristic of damage to specific areas of the brain. Features of the clinical picture depend on the type of cerebral crisis.
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Appears against the background of a typical hypertensive headache, which is localized in the back of the head, aggravated by lying down, coughing, exertion. It passes when moving to a vertical position, as well as when drinking coffee, tea and other drinks that contain caffeine. The attack itself begins with the spread of pain retroorbitally, while the pressure can reach 170/110 mm. rt. Art. Patients have a feeling of pressure on the eyeballs and behind them. The pain gradually increases, nausea and vomiting join it. This type of crisis is accompanied by tachycardia, sweating, cyanosis of the skin of the face. With the progression of the pathology, lethargy increases, nystagmus appears (chaotic movements of the eyeballs), tendon reflexes change.
This type of pathology appears against the background of ultra-high blood pressure figures, as in the ischemic form, but the onset of the attack is exactly the same as in the angiohypotensive type of pathology. In addition, with the progression of this type of cerebral hypertensive crisis, focal symptoms develop, which are characteristic of the defeat of certain parts of the brain.
Timely diagnosis of pathology can prevent its progression and development of complications. Principles of therapy of cerebral crises. Antihypertensive therapy is prescribed to reduce high blood pressure and to keep it at a stable level. Prognosis and methods of prevention in hypertensive cerebral crises. With timely diagnosis and treatment of this pathology, the prognosis is favorable. If treatment is not provided, then a fatal outcome is not excluded, but this happens quite rarely. It is important to remember the clinical picture of a hypertensive cerebral crisis and immediately seek medical help.
Adequate antihypertensive therapy is the primary measure for the prevention of a crisis state. It is selected by the doctor individually, it is strictly forbidden to stop treatment on your own. The diet should be followed. do not eat fatty and fried foods, increase foods containing antioxidants and omega-3 polyunsaturated fats in the dietnye acids (marine oily fish, flax seeds and oil, spinach, nuts). You need to give up bad habits (alcohol and smoking) and start doing moderate physical activity. It can be walking or light morning exercises. A healthy lifestyle is the main method of preventing serious pathologies.
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