High blood pressure relief from the army
High blood pressure relief from the army
Sa pangunahing (esensyal) na altapresyon, ito ay dahil sa impluwensya ng namamana, hilig sa mataas na presyon ng dugo sa konteksto ng hindi malusog na pamumuhay, masamang gawi, hindi malusog na pagkain, na nagdudulot ng labis na timbang. Dagdag pa ang stress, kalikasan, kakulangan sa tulog at aktibidad. Lahat ito ay negatibong nakakaapekto sa trabaho ng puso at sa tono ng mga daluyan ng dugo. Ang presyon ay unang tumataas nang hindi napapansin at pagkatapos ay mas nagiging malinaw.
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High blood pressure, and the exemption from compulsory military service: Medical and legal aspects Hypertension medical arterial hypertension referred to, is one of the most common chronic diseases in modern societies. In the context of conscription, the question is, what are the conditions for exemption from military service on the basis of this disease is possible rises. This article examines the medical criteria, as well as the legal framework for such a decision. Medical basics arterial hypertension Arterial hypertension is diagnosed if the blood pressure is consistently above the normal value. According to the guidelines of the German hypertension League, a value of 140/90 mmHg is considered to be the upper limit. The disease is divided into various stages, which are based on the basis of blood pressure values, as well as on the basis of existing organ damage. Especially dangerous is a result of diseases, such as heart attack, stroke or kidney damage, which can occur in untreated hypertension. Criteria for exemption from military duty The exemption from the army because of high blood pressure depends on several factors: The severity of the disease. In moderate hypertension (stage I) is a liberation rather unlikely, as this is often due to lifestyle changes and medications can be controlled well. In the case of moderate (stage II), or severe hypertension (stage III) is checked, the service, suitability, however, critical. The presence of organ damage. If the hypertension has already led to damage to the heart, kidneys or blood vessels, it is considered as an important criterion for exemption. Therapy rezistenz. Patients in whom the reduction in blood pressure do not succeed in spite of several drugs sufficient, are considered to be particularly risky. Concomitant diseases. The combination of hypertension and other diseases (e.g., Diabetes mellitus, coronary heart disease) increases the probability of a liberation. The legal basis in Germany In Germany, the law on compulsory military service, as well as the regulation on the service suitability assessment (DTB‑VO) regulates the criteria for classification in service suitability groups. Pursuant to § 7 DTB‑VO, a Person can be classified as a service-disabled when a disease affects the execution of military tasks in a sustainable manner. The final decision is made by a military physician after a thorough examination, which includes the following steps: Measurement of blood pressure over a longer period of time (24‑hour blood pressure measurement), Laboratory Tests (Kidney Values, Lipid Spectrum), ECG and ultrasound of the heart, Proof of therapy compliance and effectiveness of the medication. Conclusion An exemption from the army due to high blood pressure is possible, but only under certain conditions. The decisive factor was the severity of the disease, the Presence of consequential damages, as well as the individual load carrying capacity of the person Concerned. The decision is always carried out in the framework of a comprehensive medical report, which takes into account both the current blood pressure values as well as possible risk factors.
Diuretiko (Diuretika) ay nagpapataas ng pag-ihi ng katawan, na nagreresulta sa pagbaba ng presyon ng dugo. Simpleng paliwanag: Ang tuloy-tuloy na pag-ihi ng katawan ay nagdudulot ng pagbaba ng dami ng plasma sa dugo at sa gayon ay mas kaunting likido sa mga ugat — bumababa ang presyon sa mga pader ng ugat. High blood pressure relief from the army. Isang malawak na pagpipilian ng mga gamot mismo pati na rin ng mga pamamaraan para sa pagbawas ng gamot mula sa mataas na presyon ang nagbibigay-daan sa iyo na pumili ng pinaka-komportableng programa ng paggamot – ang abot-kaya sa gastos, na may minimal na pagpapakita ng mga side effect, at isinasaalang-alang ang ibang kasamang sakit. Kapag matagal ang pag-inom ng tabletas at binabago ng doktor ang gamot, ito ay dahil ang ilang gamot ay may katangian na magdulot ng pagkagumon, na nagreresulta sa kaunting pagbaba ng bisa nito. Bukod dito, hindi lahat ng grupo ng gamot ay angkop para sa mga pasyente sa iba't ibang edad, at may mga limitasyon din sa pagiging compatible nito sa ibang uri ng gamot.
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Diuretiko (Diuretika) ay nagpapataas ng pag-ihi ng katawan, na nagreresulta sa pagbaba ng presyon ng dugo. Simpleng paliwanag: Ang tuloy-tuloy na pag-ihi ng katawan ay nagdudulot ng pagbaba ng dami ng plasma sa dugo at sa gayon ay mas kaunting likido sa mga ugat — bumababa ang presyon sa mga pader ng ugat. If you have disturbed sleep, fatigue, disorientation, confusion, or nervousness, it's time to monitor your blood pressure. Either lack of sleep or too much sleeping might mean your blood pressure is high or low. If it’s left untreated, you will soon face an onslaught of multiple illnesses.
Atherosclerosis as a cause of cardiovascular disease Atherosclerosis, also known as vascular calcification referred to, is one of the most important causes of cardiovascular disease (CVD) in industrialized countries. This chronic disease is characterized by a progressive change in the vessel walls, in particular, of the arteries, which leads to a stiffening and narrowing of the vessel lumen. Pathophysiology The core process of atherosclerosis, the formation of atherosclerosis‑Placken (Atheromas) is on the inside of the artery walls. The process typically begins with damage to the endothelium — the innermost cell layer of the blood vessels. Factors such as high blood pressure (hypertension), high concentrations of low-density Lipoprotein (LDL, bad cholesterol), Smoking, and Diabetes mellitus can cause this injury. After the damage to LDL particles to penetrate into the vessel wall and become oxidized. This triggers a local inflammatory reaction: monocytes migrate into the vessel wall, in order to differentiate to macrophages and oxidized LDL. By Overloading it with lipids, so-called foam cells, which form the core of the early Plaque arise. With time, collagen, calcium, and other substances are deposited in the area of the Plaque. The Plaque grows and narrows the vessel lumen, what is the blood supply restricting the supplied organs. A particularly dangerous complication is the instability of the Plaque: In case of a rupture of the plaque ceiling, it can lead to thrombus formation (blood clot), which can occlude the vessel quickly and completely. Clinical effects on the cardiovascular system The hand-ment of atherosclerosis varies depending on the affected artery: Coronary arteries (coronary arteries): narrowing lead to a reduced oxygen supply to the heart muscle (the myocardium of ischemia). Symptoms may include Angina pectoris (chest pain at the time of load). A complete closure caused by a myocardial infarction. Cerebral vessels Atherosclerotic changes in the arteries of the brain, the risk for a stroke (apoplexy) increase as a result of thrombosis or embolism. Peripheral arteries: in Particular, the leg arteries are affected (peripheral arterial disease, pad). A typical Symptom is claudication (intermittent Klaudikation) is — calf cramps when walking, the decay stay again. Aorta: aneurysms (Bulges) of the Aorta, especially of the abdominal aortic section, are often due to atherosclerotic processes and represent the risk of a tear (rupture) a life-threatening Situation. Risk factors One distinguishes between modifiable and non-modifiable risk factors: Non-modifiable: age, male gender, family history. Modifiable: hypertension, hyperlipidemia (elevated cholesterol), Diabetes mellitus, Smoking, Overweight/obesity, lack of physical activity, unhealthy diet. Prevention and therapy Effective prevention of cardiovascular disease due to atherosclerosis is based on the influence of modifiable risk factors: Style changes: Smoking cessation, healthy diet (e.g., Mediterranean diet), regular physical activity, weight reduction in Overweight life. Drug Therapy: Cholesterol-lowering drugs (statins) to reduce the levels of LDL‑cholesterol; Blood pressure lowering in hypertension; Hypoglycemic agents in Diabetes mellitus; antiplatelet drugs (e.g. aspirin) to prevent thrombus. Interventional and surgical procedures: In the case of advanced narrowing of the procedures such as balloon dilatation with stent implantation (PTCA) or Bypass surgery are used. Summary Atherosclerosis is a multifactorial, chronic process that forms the basis for most of the cardiovascular diseases. A comprehensive understanding of the pathophysiology and the risk factors is essential for the Primary and secondary prevention. Through a combined strategy of health-promoting life-style, and goal-directed medical therapy, the incidence and risk of complications can be significantly reduced.