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Although it is not only a problem and that there are many other diseases that by their frequency or circumstances are in similar situations, pulmonary hypertension requires a great effort from everyone involved to try to reduce the significant impact has not onlyaffected but also the entire environment.

There are many fronts since it is necessary to tackle the disease and some of them are well defined in the scope of the Patient.

Here you will find information on activities taking place around the Pulmonary Hypertensionin your language.

We hope the content of this website closer to the reality of this serious and unknowndisease.

Our project is open to all and that is why we invite you to participate to the extent of its possibilities.

Achieving the goal only depends on the attitude, love and small individual efforts made ​​every day by anonymous people.

You have before you a small and modest sample of a large effort by many anonymous people in front of a big project.

Hypertension (HT) is a chronic disease characterized by a continuous increase in the numbers of blood in the arteries depression. Although there is no strict threshold to define the boundary between risk and safety, according to international consensus, a sustained systolic pressure above 139 mmHg or a diastolic pressure greater than 89 mmHg sustained, are associated with a measurable increase risk of atherosclerosis and therefore is considered a clinical hypertension significativa.1
Hypertension is associated with morbidity and mortality rates considerably higher, so it is considered one of the most important public health, especially in developed countries, affecting about one billion people worldwide. Hypertension is an asymptomatic disease and easy to spot, however, presents with severe and lethal complications if not treated early. Chronic hypertension is a modifiable risk factor for developing major cardiovascular disease and for cerebrovascular disease and renal.2
High blood pressure, so silent, produces changes in blood flow, macro-and microvascular turn caused by dysfunction of the inner layer of blood vessels and remodeling of the wall of resistance arterioles, which are the responsible for maintaining peripheral vascular tone.Many of these changes precede in time the elevation of blood pressure and cause specific organ damage.
In 90% of cases the cause of hypertension is unknown, which is called “essential hypertension”, with a strong hereditary influence. Between 5 and 10% of cases there is a cause directly responsible for the elevation of blood pressure. This form of hypertension is called “secondary hypertension” that not only can sometimes be treated and disappear forever without requiring long-term treatment, but also be alert to locate even more serious diseases, of which HT is only a manifestation clínica.3
Diuretics and beta blockers reduce the occurrence of adverse events related to hypertension laenfermedad stroke. However, diuretics are more effective in reducing events related to coronary heart laenfermedad. Hypertensive patients who meet treatment are less likely to develop severe hypertension or heart failure congestiva.4 In most cases in the elderly using lower doses of antihypertensive diuretics as initial therapy. In elderly patients with isolated systolic hypertension is often used as an inhibitor of alternative therapy calcium channel long-acting dihydropyridine-type. In elderly patients with uncomplicated hypertension, further trials are underway to evaluate long-term effects of converting enzyme inhibitors and angiotensin receptor blockers, angiotensin-II.4
A hypertension is called “the silent plague of the XXI century.” The World Hypertension Day is celebrated on May 17.

Treatment of hemorrhoids without surgery under modern conditions it is possible. Now the disease is concerned about 40% of the adult population. To treat hemorrhoids without surgery is possible after the diagnostic procedures - anoscope, a colonoscopy,sigmoidoscopy. All this - the modern methods used in the MC “Southern” in Moscow.Treatment of hemorrhoids without surgery is carried out as widely known methods, as well as on unique techniques. Authorship of many of the newest techniques used in the clinic,owned by our employees. Effectively treat hemorrhoids without surgery helps the modernequipment installed in the MC ”South”. Accurately determine the methods and productsthat will be used for a particular patient, only after consultation with a specialist. An experienced doctor will diagnose and suggest the best methods of treatment of hemorrhoids or scheduled for surgery, if necessary. However, a surgical technique in our clinic in Moscow, we use the last.

Welcome to the Website of the Pulmonary Hypertension Society of America

Although it is not only a problem and that there are many other diseases that by their frequency or circumstances are in similar situations, pulmonary hypertension requires a great effort from everyone involved to try to reduce the significant impact has not onlyaffected but also the entire environment.

There are many fronts since it is necessary to tackle the disease and some of them are well defined in the scope of the Patient.

Here you will find information on activities taking place around the Pulmonary Hypertensionin your language.

We hope the content of this website closer to the reality of this serious and unknowndisease.

Our project is open to all and that is why we invite you to participate to the extent of its possibilities.

Achieving the goal only depends on the attitude, love and small individual efforts made ​​every day by anonymous people.

You have before you a small and modest sample of a large effort by many anonymous people in front of a big project.

Increased rates of blood pressure or hypertension is now the most common long-term illness. It is well known that arterial hypertension – a leading risk factor for stroke, myocardial infarction, vascular lesions, kidney, vision loss and other threatening diseases.Fortunately, in the last 30-35 years has been noticeable visual breakthrough in the treatment of hypertension. The number of deaths from stroke decreased by 50% and death from heart disease dropped by more than 40% in relation to 1973-74. However, the disease pobedunad celebrate too early. Most patients are neglected prevention of hypertension and healthy lifestyle, many people remain unexpressed with disease, and several million patients diagnosed with hypertension do not receive adequate treatment.

To understand exactly how the reduction in pressure has a significant role in the prevention of cardiovascular disease, it will be interesting to consider some of the physiological aspects of the cardiovascular system. The length of the vessels in our body is about 111 000 kilometers. With each stroke of 60-80 grams of oxygen-rich blood pressure falls from a powerful ventricle into the aorta, the largest artery in our body. Vascular system of the human body can be compared with the tree. Aorta – The main trunk of the tree. It divides into many arteries, which in turn are divided into smaller branches called arterioles. They deliver blood capillaries – the leaves of the tree. Capillaries – this is a very small vessels, which are enriched with oxygen and nutrients every cell of our body. After the cells of oxygen, the blood returns to the heart via the veins.

To promote blood on forked system of arteries and veins, it is necessary to make certain force or energy. The force which has effect on the vascular wall during blood flow, and is what we call pressure. Without a doubt, the strength of blood pressure depends on the heart, but no less important role in the regulation of pressure and arterioles are important – a very small artery. They are able to relax if you want to lower blood pressure, or shrink, if you want to increase it.

Blood pressure varies in different people, depending on their activity. For example, the heart is no need to work fast and hard, when you are resting. If you are doing physical work or exercise, require large volumes of blood to supply oxygen to the muscles, and blood pressure starts to increase. In other situations, for example, if you get up sharply from a horizontal position, the body responds immediately increasing pressure to provide a steady supply of oxygen to the brain. Blood vessels of the legs and abdomen compressed, and the heart starts to beat faster. Sometimes, however, can be a small delay of this answer, and you feel dizzy or weak. This is especially true in middle-aged men whose cardiovascular reflexes a bit slow.

Some people may feel a “clouding” in the head or lethargy, if there are long standing. This is due to the fact that the blood in the original akkomuliruetsya blood shed – the leg veins, and in consequence of which the brain receives insufficient oxygen.
Blood pressure is regulated by diverse neurological and hormonal mechanisms, and can vary significantly throughout the day. Typically, the pressure is lower, when you sleep, and conversely, increased during wakefulness or stress. If you are scared or angry, your adrenal glands start to produce the stress hormone – adrenaline. This hormone makes the heart beat stronger and faster, in consequence of that pressure increases and more blood flowing to the muscles.

It was established that blood pressure is usually lower in the period from 1:00 to 5:00 in the morning, rises sharply from 6:00 to 8:00, then we can say is not changed in the afternoon and evening and falls between 11:00 and 12: 00 nights. Also, the pressure varies with age.In children, the standard indicators of pressure can be 70/50, while the elderly – more than 120/80. The flow of blood in our body is not similar to the stable flow of the river, on the contrary, moving the system of blood vessels, blood, akin to a mountain stream, twists, accelerating or slowing down the flow in adequately with cardiac contractions. The number of heart beats – about 60-70 per minute and can be increased to 120-140 beats, such as during exercise. As you know, the heart does not contract tirelessly, and at each blow should a short period of relaxation or recreation. Blood pressure is in consequence of that change.

Indicators of pressure is denoted by two numbers: 120 for 80 or 120/80. The first figure is called systolic pressure and represents the greatest blood pressure in the vessel wall after a heart attack. A smaller number, called diastolic pressure, shows the blood pressure during rest, in between heartbeats. By nastoyaschemuvremeni among doctors there is no clear views on what figures to recognize high blood pressure. However, the pressure above 140/90 is considered a sign of hypertension.

Diagnosis of hypertension usually do not put one just after measurement of pressure, except in cases where rates are very high, for example, more than 170-180/105-110. In this case, holding a series of measurements over a period of time to accurately confirm the diagnosis. It is also important to take into account the circumstances in which the measurements of blood pressure. Often, the pressure increases performance under stress, coffee or tobacco.

Interestingly, in the doctor’s office under pressure measurement values ​​can be higher than it actually is. This phenomenon is called “white coat hypertension” and caused fear in front of the patient’s condition or to the doctor.

In the event that performance pressure in the adult does not exceed 140/90, then a second measurement is usually carried out not earlier than one year. In patients whose pressure is between 140/90 to 160/100, a second measurement after a small period of time to confirm the diagnosis. Elevated diastolic blood pressure, such as 110 or 115 mm Hg, suggesting the need for immediate therapy.

In middle-aged people sometimes found an unusual type of hypertension, the so-called “isolated systolic hypertension.” At the same systolic pressure equal to or greater than 140 mm Hg and diastolic blood pressure rates are below 90 mm Hg This type of hypertension is a formidable risk factor for stroke and heart failure.

In addition to the study of blood pressure doctor usually checks the breach by the other organs, especially if pressure indicators are at high numbers.

Hemorrhoids, or colloquially Hämoriden are a widespread disease. It is estimated thatapproximately 50% of people who spend their 50th Years have passed in Germany sufferfrom hemorrhoids or so before had any problems.

Hemorrhoids are in the transition area located at the rectum and colon caused by anenlargement of the veins. In this area there are many vessels that support the muscles in the process of elimination. As a frequent cause of chronic constipation have been identified.

Find out more about the development of hemorrhoids
Although many people suffer from hemorrhoids, are recorded in the early stages often no major complaints. A common symptom is blood in the stool, but also itching, mucoussecretions or moisture may indicate hemorrhoids.

Find out more about the diagnosis of hemorrhoids
The treatment of hemorrhoids occurs in different ways, depending mainly on the stage ofdisease. In the initial stage, a drug treatment may be sufficient, while in the advanced stages often helps just a surgical procedure to end the disease.

Find out more about the treatment of hemorrhoids
You can by your behavior to reduce the risk of disease from hemorrhoids. The importantpoint here is certainly a well-balanced diet.

Find out more about the prevention of hemorrhoids
If you do not miss any information, please feel free to contact us.

In Focus Health, there are other good information passed about hemorrhoids, but alsolook there once.

Hemorrhoids - a serious disease anus and rectum, leaving a lot of discomfort: pain, itching, tingling, bleeding in the later stages - loss of folds anus (hemorrhoids).

In the early stages of the disease pile may fall in a bowel movement, but then it is easy toreduce a back. In the future the situation is more complicated: nodes drop during exercise,and at a late stage - even when you sneeze or cough. In the end, in the absence of proper treatment, the nodes are no longer completely reduce a permanently from outside. If theaffected area has reached such a state, is almost inevitable surgery.

Providing 4 main stages of the disease:

1. Itching, discomfort in the anal area, short-term bleeding from the anus. Swollen nodes in this stage are inside the body, has not yet reached a size where they can fall out.

   2. Nodes can drop by straining (mostly - during a bowel movement). After straining backinto the intestine.

   3. Nodes fall not only in the bowel, but also during exercise. Yourself in the place they do not come back - you have to reduce a hand.

   4. Formed thrombosis (blood stagnation in hemorrhoids). This results in significant pain,difficulty defecating, an increase of nodes and their continuing fall-out. This is the laststage of the disease, which is treated only by surgery.

What percentage of people suffer from hemorrhoids?

“Very much”, – tells us statistics. To be more precise – about 25% of adults in the world.Most have this disease, people over the age of 35 years. Men and women among them approximately equally, but it is worth noting that many women experience short-term hemorrhoids occurring during pregnancy.

Most often the disease is recorded in first, the probability of disease is reduced with each subsequent pregnancy. Apparently, the body adapts to the specific circumstances of pregnancy and less sensitive to their appearance.

Who is at risk?

In general, it should be noted that almost no one can be absolutely safe from hemorrhoids.The main “candidates for the disease” – it …

1. People with “sedentary” work.

2. People engaged in heavy physical labor.

3. People who have digestive problems: constipation, diarrhea, etc.

4. Pregnant and lactating women.

5. Holders of bad habits: drinking, smoking, overeating.

If there is a “beautiful” disease, then it is certainly not hemorrhoids. Photos of lesions at different stages, you can see here. Unpleasant? And this is not the most hopeless cases.

Take care of yourself and your health!

There are lots of treatments for hemorrhoids. These methods can be divided into two types.
Hemorrhoids. Conservative treatment method
These methods include use suppositories, ointments, tablets, and all this is aimed at removing the symptoms of hemorrhoids complications – bleeding, pain, etc., without solving the problem at its root, as the disease remains.
Hemorrhoids. Treatment of the operational method
Surgical treatment is reduced to the Milligan-Morgan, which was proposed in the 19th century and still has not undergone little or no modifications. Its essence lies in the fact that hemorrhoids are excised under general anesthesia, which requires a long hospital stay, painful dressings, a long period of rehabilitation.
At the present time, there was the mass of minimally invasive techniques to help cure hemorrhoids (cryodestruction treatment, photocoagulation, hirudotherapy), the main advantage of them – is the ability to out-patient use, painless. However, they all have a common flaw – a high likelihood of relapse due to maloradikalnogo treatment.
Hemorrhoids. Treatment at the center of “Health Protection homeland ‘
In our center we use the method of latex ligation of hemorrhoids, which is the gold standard of treatment without surgery worldwide.

The method used in the 2nd and 3rd stages of hemorrhoids, because the first stage, yet there is no formed units, while the fourth – the set of nodes and they fall out of the anal canal.
This method is one of the most efficient and convenient for both the patient and for doctors.
It does not require large material costs, the operation is performed as soon as possible on an outpatient basis, does not require extensive training and does not affect quality of life.
Using this method, the base of the haemorrhoid put on latex ring, causing it to stop blood flow and 5-7th day is necrosis and rejection of the site. In place of ottorgnuvshegosya site is a slight wound, which does not cause discomfort for the patient and prolonged their own.
The method is painless, the procedure of ligation takes about 10-15 seconds, and can be performed directly during the examination. The method has virtually no contraindications, and relapses, and does not require the patient to change lifestyle.
Thus, the method of latex ligation can get rid of hemorrhoids, and to protect themselves from relapse even during your lunch break!
In any case you can not perform ligation if there is an acute inflammation of the rectum, anal fissure, paraproctitis, malignant neoplasms in the anorectal region.
International and domestic experience allows us to consider this method very effective and safe treatment for internal hemorrhoids.