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عوامل بسیاری شامل مقدار آب و نمک موجود در بدن، وضعیت کلیه ها، سیستم عصبی یا رگ های خونی و سطوح هورمون های مختلف بدن بر پرفشاری خون تأثیر می گذارند. احتمال پرفشاری خون در صورت وجود سابقه خانوادگی پرفشاری خون بیشتر است. پرفشاری خون در آمریکایی های آفریقایی تبار بیشتر از سفید پوست ها دیده می شود. پرفشاری خون ثانویه، یعنی مواردی از افزایش خون که علت آن ها قابل شناسایی ممکن است در موارد زیر ایجاد شود:

- تومور غدد فوق کلیه موجب پرفشاری خون می گردند .

– مسمومیت با الکل از دیگر عوامل موثر در پرفشاری خون می باشد .

- اضطراب و استرس منجر به پرفشاری خون می شود .

- استفاده از مواد تضعیف کننده اشتها می تواند بر پرفشاری خون موثر باشند .

تصلب شرایین (آترواسکلروز)  باعث بروز پرفشاری خون می گردد .

– مصرف قرص های ضدبارداری-و مصرف بعضی از داروهای سرماخوردگی منجر به پرفشاری خون می شوند .

– بیماری کوارکتاسیون آئورت ، مصرف کوکائین و سندرم کوشینگ در پرفشاری خون موثر هستند .

– پرفشاری خون بر اثر مرض قند (دیابت) و بیماری های کلیوی (شامل التهاب کلیه ها، نارسایی کلیه، تنگی شریان کلیه، اسنداد یا تنگی شریان کلیوی)

- داروهای مورد استفاده در میگرن ممکن است منجر به پرفشاری خون در فرد گردد .

– سندرم همولیتیک، اورمیک و پورپورای هنوخ شوئن لاین باعث پرفشاری خون می شوند .

– پرفشاری خون به علت چاقی ، وجود درد و بیماری پری آرتریت نودوزا (periartertitis nodosa) دیده میشود .

– حاملگی ، التهاب روده ناشی از پرتودرمانی از عوامل موثر بر پرفشاری خون می باشند .

– پرفشاری خون ممکن است در اثر تنگی شریان کلیوی و فیبروز پشت صفاقی باشد .

– تومور ویلمز (نوعی تومور بدخیم کلیوی که رشد سریع دارد و از عناصر جنسی تشکیل می شود و معمولاً قبل از ۵ سالگی به وجود می آید) منجر به پرفشاری خون  می گردد.

عوارض پرفشاری خون

اگر دچار سردرد شدید شده اید فوراً به پزشک مراجعه کنید زیرا ممکن است این سردرد نشان دهنده ی عارضه ای خطرناک و یا نوعی پرفشاری خون ، موسوم به فشار خون بدخیم باشد. اگر خودتان درمنزل فشار خون را پیشگیری می کنید ممکن است در مراجعه به پزشک لازم شود به این سؤالات پاسخ دهید:

- آخرین فشار خون شما چقدر بوده است؟ - فشار خون ما قبل آخر شما چند بوده است؟ - فشار متوسط سیستولیک و دیاستولیک شما چند است؟ - آیا اخیراً فشار خون شما افزایش یافته است؟ - اندازه گیری فشار خون بهترین آزمایش اثبات کننده پرفشاری خون است و سایر اقدامات در واقع به تشخیص وجود یا فقدان عوارض قلبی، کلیوی، چشمی و سایر عوارض کمک می کنند.

عوارض احتمالی پرفشاری خون که در صورت عدم درمان پرفشاری روی می دهند عبارتنداز:

- گسیختگی آئورت، آسیب دیدگی رگ های خونی و آسیب مغزی از عوارض پرفشاری خون می باشند .

– پرفشاری خون می تواند منجر به نارسایی احتقانی قلب گردد .

– آسیب دیدگی کلیه ها و نارسایی کلیه که در اثر بیماری پرفشاری خون نیز می تواند به وجود آید .

حمله قلبی ، سکته مغزی و کاهش بینایی از دیگر عوارض پرفشاری خون می باشند .

نکته: حتی اگر مبتلا به پرفشاری خون نیستید کنترل فشار خون در هنگام چک آپ سالیانه، به ویژه اگر فردی از اعضای فامیلتان دچار به پرفشاری خون بوده یا هست اهمیت دارد.

اگر بر اساس کنترل مرتب فشار خون در منزل متوجه به پرفشاری خون و بالا بودن دایمی آن شده اید، یا هر یک از نشانه های زیر وجود دارند، همین حالا به پزشک مراجعه کنید:

- درد قفسه سینه ناشی از به پرفشاری خون .

– به پرفشاری خون به همراه گیجی و خستگی مفرط .

– تهوع و استفراغ که به علت به پرفشاری خون دیده می شود .

سردرد شدید و تنگی نفس ناشی از به پرفشاری خون

– تعریف قابل ملاحظه و تغییرات بینایی به همراه به پرفشاری خون.

برای مطالعه مطلب مورد نظر کلیک کنید :

درمان فشار خون بالا

بیماری پرفشاری خون

داروهای پرفشاری خون

منبع : راهنمای پزشکی خانواده- فشار خون

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