Hypotension, or hypotension is low blood pressure. The lower limit of normal systolic pressure think 100-105 mm RT. senior men and 95 - 100 mm for women, diastolic - 60-65 mm RT. Art.
Hypotension sometimes observed in practically healthy people (for example, in childhood and adolescence, in hot climates, have engaged in sports). This is physiological, or adaptation, hypotension.
As a manifestation of pathological conditions of hypotension may develop suddenly or gradually and often unnoticed. In the first case, hypotension is one of the symptoms of acute vascular insufficiency (fainting, collapse). In the second case, hypotension occurs as a symptom of various diseases (such as tuberculosis, peptic ulcer disease, some diseases of the endocrine system and other) - secondary or symptomatic hypotension. As an independent disease hypotension is caused by disorders of the neuroendocrine system, regulating vascular tone,is the first, essential, or neurocirculatory, hypotension. The latter often begins to develop already in the adolescent or young age, in some cases, the result of infectious diseases, mental or physical overexertion injuries of the Central nervous system, exposure to occupational hazards (small doses of ionizing radiation, nitro compounds, benzene and other)
In addition to lowering blood pressure with neurocirculatory hypotension observed headaches of various localization, duration and intensity, dizziness, sometimes weakness, irritability, P.S. emotiveness, sleep disorders, sweating, cold or even numbness of the fingers and toes, at times heartbeat, rarely pain in the apex of the heart (often associated with negative emotions). There has been a dramatic weakening of adaptation to the change of position of a body (fast rising from bed), which is expressed by dizziness, "the black eyes", and sometimes unconscious state. Objective research reveals lability heart rate and blood pressure (in the early stages of the disease), often the presence of systolic (functional) noise at the apex of the heart, violations of reactions from vessels identified by plethysmography (see), capillaroscopy (see) and others, increased dermographism (see), acrocyanosis, violations of thermoregulation, sweating , and other indicators of the violation of the functions mainly cardiovascular and nervous systems. However, it can be detected violations functions and other systems, in particular digestion.
Treatment and prevention activities with neurocirculatory hypotension should be aimed at strengthening the body as a whole, his nervous system. Of particular importance was the correct alternation of work and rest, physical education, sports. Given that hypotonia often develops during adolescence, it is very important physical hardening of the organism, inculcation of skills, the struggle with bad habits (Smoking, alcohol).
Treatment should be complex and include the application of physiotherapeutic procedures, medications and physical therapy. Effective hydrotherapy, ultraviolet irradiation. Of drugs prescribed caffeine (0.1 g 2-3 times a day), caffeine with Valerian, securilan (0.4% solution 10-20 drops 2 times a day), infusions, Chinese Magnolia vine, ginseng, levzeya and zamanihi.
Recommended lessons of physical culture: therapeutic gymnastics, morning hygienic gymnastics, Hiking, swimming, skiing, skating, tennis and other Major therapeutic gymnastics are exercises General developmental, respiratory, combined with exercises on balance, coordination and dynamic force; in a small volume you can use the static force. You should exercise at an average pace, often to change the starting position, engage in 30-35 minutes daily.
It is advisable to periodically send patients with hypotension in day or night preventorium, while on vacation in sanatoriums (in the district of residence or holiday home. Treatment (sanatorium or outpatient), the resorts with carbon dioxide, hydrogen sulfide, radon, and climate, mainly Maritime, resorts subject to patients with essential hypotension.