19
疾病防治
̙щίࢀ֙৾ࠥᏀᖹkᔼ͛ѓٝdӊ˂АᏀɓ
մd߰ᆽ֛ே͍੬d̙˸ίࢀ֙৾f್Ͼ
ڐ
3
ϋ
Ꮸ೯ତd˼̸ٙː܃ᓒɽeːЄ٭
ێ
ϋ̋ࠠfЪ
24
ʃࣛਗ࿒АᏀᏨ
೯ݟ
ତd˼ίࢀ֙ٙͣ˂АᏀᒱ
್͍੬dШցගАᏀʥᜑᄣ৷fႭ˼͟ցග
ٙ৷АᏀኬ
ߧ
ːᛔաฦf
炎炎夏季如何降壓？
ʱઃ٫ί
7-10
˜΅ΪАᏀ
ЭϾІБ৾ࠥᏀᖹfٝd
͟৷АᏀઃ٫ί
ف
ᆠٙࢀ֙
̙ঐ݊ͣ˂ٙАᏀ͍੬dШց
ගАᏀᄣ৷fΪϤd৷АᏀઃ
٫ίࢀ֙Ꮭ৾ࠥᏀᖹʘ
ۃ
d
ܔ
ᙄЪɓϣ
24
ʃࣛਗ࿒АᏀᏨf߰ί͊ࠥ͜Ꮐᖹ
ʍཫٙઋ
ر
ɨdͣ˂eցගٙАᏀᆽྼѩ
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͍੬ᇍ
ఖd
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ʔѳಯˇ
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ᅲ৾ࠥᏀᖹᝈ࿀f߰ցගАᏀ
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ʥᏐᘱᚃࡡ˙
ࣩࠥᏀ
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ਪᕚfɓ݊፯ࠥᏀᖹ
ٙۜ၇iɚ݊፯ࠥᏀᖹٙኒඎiɧ݊፯ࠥᏀԴ
ٙࣛ͜ගfඑܶҤኒeл҇ኒ࿁ࠥϗᐵᏀЪ͜༰੶i
ƹeƺ
ڜ
ထኒࠥബੵᏀ༰λfઃ٫̙࣬ኽࢀ֙АᏀٙ
ᜊʷ࿁ࠥᏀᖹЪᏐኒඎٙሜfࡡ
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ࡈ
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ಯᖹdʔঐ൱್ਗ਼
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৾͜fл҇ኒί৷АᏀ
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ήЗdࢀ˂
̈ϨεdА࢙ඎಯˇd͜л҇ኒึщிϓЭАᏀձ
ЭඒАसk
ۃ
ᓼձΫᚥӺѩᜑͪೌ֙ືࢨ
ମd̙׳ːԴ͜fШίɽඎ̈Ϩձ໖ᓧeྕΟࣛᏐ
ቇඎ˥eཏeඒd߰
ΪࠥᏀც
ࠅ
dл҇ኒʥ̙ᘱ
ᚃԴ͜f
ה
ፗ፯͜ᖹࣛගd
ఱ݊ऒʿՑəࣛԕ
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ԷνɓԷϼϋఊॱϗᐵಂ৷
АᏀઃ٫d
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طݔݔ
ᐕfࢀ֙ͣ˂АᏀ͍੬dШ
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̒ցϗᐵᏀနɪʺd
ࡗ
ો༺
170mmHg
̸̛f
ܔ
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ݔݔ
̙׳ίցග
8-11
ࣛ͜༰λfϞઃ٫ਪdഖ
ݔݔ
݊
ڗ
ࣖᖹdଣᏐঐᖢ֛
24
ʃࣛٙАᏀ˥̻ыd
މ
О
ᒔϽᅇᖹࣛගճkՉྼdͦ
ۃ
ᑗґɪ
ה
Ϟٙ
ڗ
ࣖࠥᏀᖹேᗭ˸ԴАᖹዢ
༺ܓ
Ց
24
ʃࣛΌᖢ࿒˥
̻dɽείɓ˂ٙ௰
ܝ
4
ʃ̸̛ࣛ͟Аᖹዢ
ܓ
ٙɨ
ࠥϾАᏀකΫʺf
̥
ࠅ
˸ɪ
ࡈ
ࢀ֙ࠥ͜Ꮐᖹٙࡡ
ۆ
dఱঐԴ
৷АᏀઃ٫τΌ
ܓ
ࢀf
Blood Pressure Lowering in Midsummer: the Knowhow
Some hypertensives tend to stop their drugs in the summer as there is a natural tendency for the blood
pressure (BP) to drop in summer. Yet, it could just be a BP drop in the day time, but, at night, the BP
rises: do not stop the drug(s) but do keep on using them. In 2012, an Italian Hypertension Center reported
on 1395 patients' BP in summer months having lower daytime BP and 24-hour diastolic BP, except for
an inverse relationship on night-time BP and an isolated nocturnal high BP: higher or more common
in summer: likely due to improper drug reduction in summer. The European Society of Cardiology also
stressed (2013): nocturnal high BP is a strong predictor of cardiovascular prognosis. Actually, taking
antihypertensives involve “type”, “dose” and “timing”. Calcium-channel blockers and diuretics have better
systolic BP control; alpha, beta blockers, diastolic BP control. Never stop all the drugs in one go: do it
gradually. In summer, with drenching sweat, or, especially with associated diarrhea and vomiting, use
diuretics with caution. Norvasc, though long-acting, may best be taken at 8-11 pm if the BP tends to rise
later in the night, as its action starts to vane after 20 hours. In summer, beware of nocturnal high BP!
