Target-Organ Damage and Cardiovascular Complications in Hypertensive Nigerian
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Transcript of Target-Organ Damage and Cardiovascular Complications in Hypertensive Nigerian
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Target-organ damage and cardiovascular complications in hypertensive Nigerian Yoruba
adults: a cross-sectional studyOO Oladapo, L Salako, L Sadiq, K Shoyinka, K Adedapo, AO Falase
2012
Knowledge of Hypertension and other Risk Factors for Heart disease among Yoruba Rural Southwestern Nigerian Population
OO Oladapo, L Salako, L Sadiq, K S Soyinka, AO Falase; 2013
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Yoruba
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Yoruba
35 milijuna
Yorubaland
21% stanovništva u Nigeriji
Velika etničko-lingvistička grupa
Preci mnogih ljudi
Congo-Kordofanian
Vrsni umjetnici
Farmeri, trgovci, činovnici
Povijest naroda
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Cilj istraživanja: utvrditi učestalost i međusobnu povezanost oštećenja glavnih organa i ustanovljene krvožilne bolesti u
hipertenzivnim odraslim Yorubama
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Osnovni pojmovi
Target-organ damage – oštećenje nastalo u glavnim organima koji se hrane krvožilnim sustavom (bubrezi, srce, mozak, oči)
Hipertenzija – povišeni krvni tlak i jedan od vodećih uzroka bolesti srca, infarkta, zatajenja bubrega i prerane smrti
- vodi do oštećenja krvnih žila Debljina, pušenje, alkohol i nedostatak tjelesne aktivnosti pogoršavaju stanje
U pravilu nema simptoma
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Prosinac 2002- Studeni 2005
2000 zdravih pojedinaca Yoruba populacije
18-64
Ruralna zajednica u južnozapadnoj Nigeriji
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Istraživanje
415 ljudi s hipertenzijom
Medicinsko ispitivanje svakog subjekta u potrazi za povećanjem mišićnog tkiva, moždani udar, zatajenje bubrega
Mjerenje krvnog tlaka (3X)
Definiraju hipertenziju kao stolički krvni tlak viši ili jednak 140 i dijastolički krvni tlak kao viši ili jednak 90
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Otkrića
Žene su starije
Tlak se ne razlikuje po spolovima
Nisu svjesni bolesti stoga ju ni ne liječe – većina
5.1% ljudi se liječilo
- 179 (43.1%) pokazuju znakove oštećenja organa (veći BP)-45 (10.8%) pokazuju znakove oštećenja krvnih žila
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Rezultati
Prisutnost TOD je velika u ovom uzorku
Najčešća dob je 47-50 (srednja dob)
TOD je povezan s novootkrivenom hipertenzijom
Velika prisutnost CVD
Malo ljudi detektira, liječi ili kontrolira hipertenziju
16.4% je imalo aritmiju - povećana šansa za srčani udar jer se ljude ne liječe
Iako nisu bili vidjjivi vanjski znakovi puno ljudi je pretrpilo srčani udar
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Doprinos istraživanja
Informacije o ljudima koji ne primaju liječničku pomoć – o hipertenziji, oštećenjima organa i krvnih žila
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Važnost istraživanja
Češće pogađa pripadnike afričkog porijekla
Hipertenzija (njene posljedice) je jedan od vodećih uzroka nagle i neočekivane smrti u Nigeriji
Ljudi ne idu na pregled dok ne vide znakove, a onda je često prekasno (došlo je do oštećenja organa ili krvnih žila)
Važno je razviti preventivne strategije za hipertenziju
Stvoriti svijest o bolesti, potaknuti ljude da odu na pregled, potaknuti liječnike na informiranje pacijenata
Potaknuti liječnike na bolje proučavanje tih bolesti jer često prepisuju krive lijekove i tretmane
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Zaključak
Utvrđeno da puno hipertenzivnih ljudi ima oštećenje organa i krvnih žila
Epidemološka tranzicija se odvija brže nego što se mislilo
Prijelaz s brzorazvijajućih epidemija (male boginje) na kronične bolesti s manjkom simptoma zbog brzog razvitka medicine (lijekova)
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Literatura
http://www.cometonigeria.com/about-nigeria/nigerian-people-culture/yoruba-people/
http://www.everyculture.com/wc/Mauritania-to-Nigeria/Yoruba.html
http://www.newworldencyclopedia.org/entry/Yoruba_People
http://www.britannica.com/EBchecked/topic/653789/Yoruba