How to manage hypertension in women at different times

  All women with hypertension should participate in lifestyle-based prevention and treatment, including walking exercise after meals, salt restriction, and weight reduction. The prevention and control measures should be based on the changes in blood pressure of women at different times.  1, adolescent women (7 – <25 years old, mostly students, fashionably called "nerdy girls"): the main focus is to prevent the occurrence of hypertension (people with a family history of hypertension should pay particular attention), mainly to adjust the lifestyle program, less fried food, limit more More sweets and drinks, increase physical exercise, do not sit and lie at home for a long time playing cell phones, video games.  2, young women (25 - 40 years old, mostly working youth): obesity is the main cause of hypertension, and changes in the level of estrogen during the menstrual cycle is one of the reasons for blood pressure fluctuations, however, this part of the female estrogen levels are good, and its protective effect can make renin - -angiotensin-aldosterone system (RAAS) activity is relatively normal, and for the blood pressure characteristics of premenstrual syndrome, for patients with hypertension during menstruation, periodic use of low-dose diuretics is recommended (1 - 2d and 1--2d before and after menstruation plus diuretics) can also be used with certain sedatives for blood pressure adjustment.  3, hypertension during pregnancy, the use of antihypertensive drugs must be cautious and then cautious. The first thing to assess is whether the increase in blood pressure during pregnancy has any effect on the mother and on the fetus. If the blood pressure is above 160/100mmHg in the third month of pregnancy, it is recommended to terminate the pregnancy, as continued pregnancy can have adverse effects on the mother and fetus, and treatment with antihypertensive drugs during this period can affect the normal development of the fetus. ACEI and ARB should not be used during the whole pregnancy, and no antihypertensive drugs should be taken during the third trimester as far as possible. Labetalol can be used during the fifth and seventh trimesters, and calcium antagonists and small doses of methyldopa can be added during the seventh and tenth trimesters.  4. Treatment of hypertension during lactation. Breastfeeding should ensure the safety of breastfeeding, some antihypertensive drugs will be secreted into breast milk, mothers with stage I hypertension who wish to breastfeed can breastfeed for a short period of time with close attention to blood pressure, and start antihypertensive treatment after termination of breastfeeding. Because diuretics can reduce the amount of breast milk secretion, also need to pay attention.  5, treatment of menopausal hypertension: female menopausal hypertension is mainly related to low estrogen levels in the body after menopause, so effective regulation of body hormone levels, taking beta-blockers and extended release isoptin can improve the effect of sympathetic excitability on hypertension, ACEI or ARB can improve low estrogen-induced RAAS activation. ACEI or ARB combined with CCB treatment has the potential to as the mainstream treatment of postmenopausal hypertension.  6. Female hypertension with diabetes: These patients have significantly higher cardiovascular risk. The target value of blood pressure in women with hypertension is still less than 140/90 mmHg or less, preferably less than 130/80 mmHg. Drug selection, the combination of CCB, ACEI, ARB and diuretics with each other and reasonable combination of treatment is very necessary.