উচ্চ ৰক্তচাপ: বিভিন্ন সংশোধনসমূহৰ মাজৰ পাৰ্থক্য

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==লক্ষণ আৰু চিহ্নসমূহ==
Hypertensionউচ্চ isৰক্তচাপৰ rarelyলক্ষণ accompaniedকমেইহে byদেখা symptoms,যায়। andস্ক্ৰীনিং itsবা identificationআন isবেমাৰ usuallyদেখুৱাবলৈ throughযাওঁতেহে [[Screeningৰোগনিৰ্ণয় (medicine)|screening]],কৰা orহয়। whenউচ্চ seekingৰক্তচাপত healthcareভোগা forকোনো anকোনোৱে unrelatedমূৰৰ problem. Some with high blood pressure report [[headache]]sবিষ (particularly at the [[Occiput|back of the head]]বিশেষকৈ andৰাতিপুৱাৰ inসময়ত theমূৰৰ morningপিছফালে), asমূৰ wellপাতল as [[lightheadedness]]লগা, [[vertigo]]মূৰ ঘূৰোৱা, [[tinnitus]]গুমগুমনিৰ (buzzingনিচিনা orশুনা, hissingদেখাৰ inসমস্যা theবা ears),অচেতন alteredহোৱাৰ visionবৰ্ণনা or [[Syncope (medicine)|fainting episodes]].দিয়ে।<ref name=Fisher2005>{{cite book |vauthors=Fisher ND, Williams GH |veditors=Kasper DL, Braunwald E, Fauci AS |title=Harrison's Principles of Internal Medicine|edition=16th |year=2005 |publisher=McGraw-Hill |location=New York, NY |isbn=0-07-139140-1 |pages=1463–81 |chapter=Hypertensive vascular disease|display-editors=etal}}</ref> Theseকিন্তু symptoms,এই however,লক্ষণবিলাক mightউচ্চ beৰক্তচাপৰ relatedপৰা toহোৱাতকৈ associatedসাংসৰ্গিক [[anxiety (mood)|anxietyউদ্বেগ]] ratherপৰাহে than the high blood pressureহ'ব itself.পাৰে।<ref name=Stress2012>{{cite journal|last=Marshall|first=IJ|author2=Wolfe, CD |author3=McKevitt, C |title=Lay perspectives on hypertension and drug adherence: systematic review of qualitative research|journal=BMJ (Clinical research ed.)|date=Jul 9, 2012|volume=345|page=e3953|pmid=22777025|pmc=3392078|doi=10.1136/bmj.e3953}}</ref>
 
Onঅপ্‌থাল্‌ম'স্ক'পেৰে [[physicalপৰীক্ষা examination]],কৰোঁতে hypertensionঅপ্‌টিক mayফাণ্ডাছৰ be associated with the presence of changes in the [[(optic fundus]]) seenসলনি byদেখিবলৈ পোৱা [[ophthalmoscopy]].যাব পাৰে।<ref name=Wong2007>{{cite journal |author=Wong T, Mitchell P |title=The eye in hypertension |journal=Lancet |volume=369 |issue=9559 |pages=425–35 |date=February 2007 |pmid=17276782 |doi=10.1016/S0140-6736(07)60198-6|last2=Mitchell }}</ref> Theএই severityসলনিবোৰক ofহাইপাৰ্টেন্‌ছিভ theৰেটিন'পেথী changes typical of [[(hypertensive retinopathy]]) isবোলা graded from I–IV; grades I and II may be difficult to differentiate.হয়।<ref name=Wong2007/> Theউচ্চ severityৰক্তচাপত ofভোগা theদিন retinopathyযিমানে correlatesবাঢ়ে, roughlyৰেটিন'পেথীৰ withতীব্ৰতাও theপ্ৰায়েই durationসিমানে or the severity of the hypertension.বাঢ়ে।<ref name=Fisher2005/>
 
===অপ্ৰধান উচ্চ ৰক্তচাপ===
{{Main article|Secondaryঅপ্ৰধান hypertensionউচ্চ ৰক্তচাপ}}
উচ্চ ৰক্তচাপত বিশেষ লক্ষণ আৰু চিহ্ন থাকিলে সেয়া অপ্ৰধান শ্ৰেণীৰো হ'ব পাৰে অৰ্থাৎ নিৰ্দিষ্ট কাৰক থকা ৰক্তচাপ। যেনে- কুশ্বিং ছীন্দ্ৰ'মৰ (Cushing's syndrome) ফলত পেটত চৰ্বি জমা, গ্লুক'জ অসহিষ্ণুতা (glucose intolerance), চন্দ্ৰৰ দৰে মুখাবয়ব, ডিঙি/কান্ধৰ পিছফালে চৰ্বিৰ কুঁজ, আৰু পেটত ৰঙচুৱা দাগ হ'ব পাৰে।<ref name=ABC>{{cite book |author1=O'Brien, Eoin |author2=Beevers, D. G. |author3=Lip, Gregory Y. H. |title=ABC of hypertension |publisher=BMJ Books |location=London |year=2007 |pages= |isbn=1-4051-3061-X |oclc= |doi= }}</ref> [[হাইপাৰথাইৰইডিজম]]ত প্ৰায়েই ভোক বঢ়াৰ লগত ওজন কমা, বেছি হৃদকম্পন, চকু ওলাই অহা (exophthalmos) আৰু হাত-ভৰিৰ কঁপনি হ;ব পাৰে। বৃক্কৰ ধমনীৰ সংকীৰ্ণতা (Renal artery stenosis)ত পেটৰ সোঁমাজৰ ওচৰত ধমনীৰ শব্দ (bruit) হ'ব পাৰে। ফিঅ'ক্ৰম'চাইট'মা (Pheochromocytoma])ত হঠাতে উচ্চ ৰক্তচাপ, মূৰৰ বিষ, বুকুৰ ধপধপনি, শেঁতা পৰা আৰু বেছিকৈ ঘমা লক্ষণ হ'ব পাৰে।ref name="ABC" />
Hypertension with certain specific additional signs and symptoms may suggest secondary hypertension, i.e. hypertension due to an identifiable cause. For example, [[Cushing's syndrome]] frequently causes truncal obesity, [[glucose intolerance]], [[moon face]], a hump of fat behind the neck/shoulder, and purple abdominal [[stretch marks]].<ref name=ABC>{{cite book |author1=O'Brien, Eoin |author2=Beevers, D. G. |author3=Lip, Gregory Y. H. |title=ABC of hypertension |publisher=BMJ Books |location=London |year=2007 |pages= |isbn=1-4051-3061-X |oclc= |doi= }}</ref> [[Hyperthyroidism]] frequently causes weight loss with increased appetite, [[tachycardia|fast heart rate]], [[exophthalmos|bulging eyes]], and tremor. [[Renal artery stenosis]] (RAS) may be associated with a localized abdominal [[bruit]] to the left or right of the midline (unilateral RAS), or in both locations (bilateral RAS). [[Coarctation of the aorta]] frequently causes a decreased blood pressure in the lower extremities relative to the arms, or delayed or absent [[femoral artery|femoral arterial pulses]]. [[Pheochromocytoma]] may cause abrupt ("paroxysmal") episodes of hypertension accompanied by headache, [[palpitation]]s, [[Pallor|pale appearance]], and [[Diaphoresis|excessive sweating]].<ref name="ABC" />
 
===উচ্চ ৰক্তচাপীয় সংকট===
{{main article|Hypertensiveউচ্চ crisisৰক্তচাপীয় সংকট}}
Severely elevated blood pressure (equal to or greater than a systolic 180 or diastolic of 110) is referred to as a hypertensive crisis. Hypertensive crisis is categorized as either [[hypertensive urgency]] or [[hypertensive emergency]], according to the absence or presence of end organ damage, respectively.<ref>{{Cite journal|title = Hypertensive crisis|journal = Cardiology in Review|date = 2010-04-01|issn = 1538-4683|pmid = 20160537|pages = 102–07|volume = 18|issue = 2|doi = 10.1097/CRD.0b013e3181c307b7|first = Maria Alexandra|last = Rodriguez|first2 = Siva K.|last2 = Kumar|first3 = Matthew|last3 = De Caro}}</ref><ref>{{Cite web|title = Hypertensive Crisis|url = http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/AboutHighBloodPressure/Hypertensive-Crisis_UCM_301782_Article.jsp|website = www.heart.org|accessdate = 2015-07-25}}</ref>