Treatment of Pulmonary Hypertension
Most cases of pulmonary hypertension are cases that can not be cured so that treatment of pulmonary hypertension is intended to relieve symptoms. Early Treatment also helps prevent permanent damage to the lung vein. Treatment of pulmonary hypertension generally requires follow-up with a broader coverage and treatment options that really fit the patient’s condition. People with pulmonary hypertension caused by other diseases will generally go through treatment for a disease that triggers this condition first. Several choices of existing treatment procedures, namely:
- Vasodilator, a class of drugs that function dilate blood vessels. Given using a catheter inserted into the skin, injections, as an inhaler drug, or an oral medication. Some medications are included as vasodilators and are used to treat this condition, including epoprostenol, iloprost, and trepostinil. Possible side effects include jaw pain, nausea, diarrhea, cramps, dizziness, and pain or infection around the injection area.
- Sildenafil and tadalafil, a drug that works to open blood vessels of the lungs so that blood can flow more easily. Possible side effects include headache, abdominal disturbances, and visual impairment.
- High-dose calcium inhibitors, is a drug that serves to relax the blood vessels muscle and only powerful in some patients with pulmonary hypertension. Some of the drugs belonging to this class include nifedipine, diltiazem, and amlodipine.
- The soluble guanylate cyclase enzyme stimulant, is a drug that interacts with nitric oxide to help relax and reduce pressure on the pulmonary vasculature. Possible side effects are dizziness and nausea. This drug is not recommended for pregnant women patients.
- Endothelin receptor inhibitors, are drugs that inhibit the occurrence of narrowing caused by a protein in the blood vessel wall. Some of the drugs that belong to this group, among others macitentan, ambrisentan, and bosentan. Possible side effects are liver organ damage and worsening of symptoms. This drug is not recommended for pregnant women patients.
- Anticoagulants, are drugs that inhibit the formation of blood clots. Warfarin is one of the commonly used anticoagulants, but its use needs to be watched as it increases the risk of bleeding. Some medications, foods, and herbal ingredients have interactions if taken with warfarin. Make sure your doctor is aware of other drug information that is being consumed before using warfarin.
- Diuretics, is a drug that serves to reduce fluid in the body and limit the buildup of fluid in the lungs. These medications help reduce the work of the heart and usually the fluid will be excreted through the urine disposal. Side effects that appear are mild abnormalities in the stomach, blood pressure drops suddenly shortly after changes in body position, rash, dizziness, and dry mouth.
- Digoxin, is a drug that helps the heart pump more blood and control the heart rate.
- Pure oxygen is inhaled can help patients with pulmonary hypertension living in the highlands and can be used also in sleep apnea sufferers as complementary oxygen or supplements.
- Open surgical procedure of atrial sepitostomic heart to relieve pressure on the right side of the heart. This procedure is performed as an option other than drugs and is done by making openings in the upper left and right heart chambers. A possible side effect is an abnormal heart rhythm.
- Lung or heart transplantation may be necessary in risky cases or in patients with pulmonary arterial pulmonary idiopathy. This procedure also has risks that can endanger the patient, namely the body’s rejection of the organ or a serious infection.
Lifestyle changes can also help reduce symptoms of pulmonary hypertension and maintain your health condition. The following steps can help you start a lifestyle change for the better.
- Adequate rest can help reduce the symptoms of fatigue due to pulmonary hypertension.
- Medium-level physical activity can help keep the body active, such as light walking. Discuss with your doctor first before choosing and performing physical or sports activities.
- Avoid doing activities that can lower blood pressure, such as bathing with hot water or sauna, and physical activity that resulted in muscles become tense in a long time.
- Avoid being too long or staying in places with an altitude of 2,400 meters or more because it can aggravate the symptoms of pulmonary hypertension.
- Begin to reduce or stop smoking, including inhaling cigarette smoke. You can discuss smoking cessation steps with your doctor to help get started on this step.
- Begin a healthy eating plan followed by a healthy diet as well to keep your weight normal. Choose and discuss the types of foods that are good for your body with your doctor or nutritionist.
- Pregnant can endanger the mother’s life with pulmonary hypertension and her baby.Avoid contraceptives in pill form that can increase the risk of blood clots. Discuss with your doctor about other appropriate contraceptive options to avoid complications of pulmonary hypertension for the mother and fetus.
- Learn and discuss drug choices that fit your physical and health condition with your doctor. Some drugs can aggravate your condition if taken along with other medicines you are taking on the same day. Drink the medicine according to the instructions given and also note all the information contained in the drug package.
- Vaccine pneumonia and influenza can be recommended, because these two diseases can aggravate the condition of patients with pulmonary hypertension.
- Regular examination and support from family or friends will have a positive impact on people who feel depressed pulmonary hypertension during the treatment process. Doctors can monitor the development of the condition of the patient while the closest people can provide encouragement for the patient.
- Joining a support group that contains fellow patients with pulmonary hypertension can also keep patients informed about the disease.