Hypertension and cerebral hemorrhage

This is an automatically translated article.

The article was written by Specialist Doctor II, Senior Doctor Doan Du Dat - Head of Medical Examination Unit and Doctor Dang Tien Dat, Department of Medical Examination and Internal Medicine - Vinmec Ha Long International General Hospital.
Hemorrhagic stroke occurs when a blood vessel in the brain bursts or becomes more permeable, causing blood to escape from the lumen, allowing blood to flow into the brain parenchyma. A sudden increase in pressure in the brain can damage the brain cells around the hematoma. If the blood flow is rapid, the sudden increase in pressure can lead to loss of consciousness or death. According to health experts, about 13% - 15% of strokes occur due to bleeding in the brain.

1. Subjects prone to hypertension


Subjects prone to cerebral hemorrhage: The disease occurs due to a ruptured cerebral blood vessel, or increased permeability, causing blood to escape from the blood vessel, resulting in blood seeping into brain tissue, causing damage to brain cells. , the most common form of this form is the combination of high blood pressure with cerebral aneurysms or congenital cerebral vascular malformations...
Usually in subjects with hypertension, or with cerebral vascular malformations such as: aneurysm. People with blood clotting disorders. People with liver disease, brain tumor. People with a history of obesity, sedentary lifestyle, high blood cholesterol. People working in hot weather suffer from heat stroke. Or it can be common in premature infants, vitamin K deficiency causes cerebral hemorrhage.

Dị dạng mạch máu não bẩm sinh
Dị dạng mạch máu não bẩm sinh

2. Classification of hypertension


There are 2 types of hypertension. Each type is caused by a number of different causes.
Primary hypertension (also called essential hypertension). This type of disease develops over time with no identifiable cause. Most people have this type (about 90-95%). Common in subjects over 45 years old, people with diabetes, obesity, salty foods, alcohol abuse, physical inactivity or mental stress... Secondary hypertension (high blood pressure is a symptom) symptom of a certain disease). Secondary hypertension (about 5 -10%) occurs more rapidly and is more severe. Some possible causes of secondary hypertension include:
+ Kidney disease, renal artery stenosis
+ Coarctation of the aorta, severe regurgitation of the aortic valve + Sleep apnea syndrome + Allergies Congenital heart defects + Thyroid disease + Drug side effects + Substance use + Alcohol abuse or use for many years + Adrenal gland disease + Certain endocrine tumors..
Hypertension is very easy to cause brain hemorrhage, when the disease is not treated properly. Uncontrolled blood pressure, easy to increase excessively. When blood pressure rises beyond the tolerance of the vessel wall, it can cause rupture of the vessel wall causing cerebral hemorrhage.

Huyết áp tăng không kiểm soát dễ gây xuất huyết não
Huyết áp tăng không kiểm soát dễ gây xuất huyết não

We need to have a way to limit / prevent the consequences of hypertension: It is best to control hypertension adequately. Maintain blood pressure values ​​in the stable target category (< 140/90 mmHg). To achieve that, you must adhere to:
Lifestyle changes: Do not use stimulants such as tea, strong coffee, limit alcohol as much as possible, limit salt intake (reduce salt in the diet), avoid cold suddenly, limit animal fat, eat more vegetables. Avoid staying up late, avoid working too hard in harsh environments such as too hot or too cold... It is necessary to increase physical exercise reasonably such as calisthenics, walking, cycling, swimming... Suitable for age and status with reasonable rest, avoid psychological stress... Periodic follow-up examination by experienced doctors, early detection of risks of muscle damage target point. Correct drug treatment according to the antihypertensive drug regimen. Thorough treatment of diseases with symptoms of hypertension. Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern equipment and technology, but also stands out for its examination and consulting services. and comprehensive, professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline here for support.
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