Without speaking in the constant risks of assaults in certain lines and schedules; b) We cannot dislocating in them from motion, without participating of the statisticians of assault and batteries or mortality, with or without sequels, given the great power, arrogance and insanity of innumerable conductors of automobiles, bus and trucks; c) We cannot in dislocating them from bicycle, for the same reasons that affect the motorcyclists, being that also the motorcyclists run over bicycles; d) We cannot dislocating walking in them, without running one high risk of running over, for that it is the type of vehicle, beyond the danger of assaults. Then: we are not speaking of an inherent risk to the normal life, which all we are citizens in day-by-day. Our risks, in Present-day Brazil, are very bigger of what the risks equivalents in countries truily civilized. It is enough to search in web our taxes of morbidade and mortality for external causes. How many lives, how much comfort, how much well-being, quanta health, how many billions or trillions of Reals we are losing with all this situation? It will be that nobody perceives that, this yes, is barbarity? Frankly, the life that today I see in Recife, that does not have to be different of Rio and So Paulo (cities where already liveed), nor of other great capitals of Brazil, who knows of the world measures, is not civilization, more seems barbarity. many times does not advance if to move: it has about 10 the 15 years many inhabitants of the Southeastern Region if they had directed for waters mornas of the coastal northeastern, with spirit to fix residence, to run away from the urban chaos. Depending on the city for where they had been, they are revivendo today its old lives, or are not far from reviver them. With daily and small doses, we were in accustoming with this: already I arrived to spend 7 minutes of house for the work, of car, in months of pertaining to school vacations, covering a stretch of 3,5 kilometers.
The arteriolosclerosis produces progressive ischemia of the nephron, which ends up destroying the glomeruli, and atrophy of the tubular system. The disease progresses slowly, since the nephrons are injured at a. When the number of non-functional nephrons ischemia is sufficiently high, the patient develops kidney failure chronic lentamenteprogresiva. If hypertension has produced significant ischemia of the nephron, it is said that the Kidney has suffered a benign hypertensive nefrosclerosis. It is a common and important cause of failure renalcronica in ages stockings and advanced. Aorta. Hypertension predisposes to the development of large abdominal aortic aneurysms and dissections of the media.
Secondary hypertension represents less than 10% of cases in a minority of cases it is considered that there is any structural abnormality responsible for the development of systemic hypertension. For example, the estenosisde renal artery (usually, at its root) by atherosclerosis can result in hypertension, with possible surgical treatment. Hypertension is associated with an elevation of levels of Renin and Angiotensin II in the movement, coming from the ischaemic kidney, and curable in early stages by laextirpacion of kidney affection. Julius Caesar understood the implications. Hypertension is also a symptom of diffuse Glomerulonephritis and pyelonephritis Nephropathies. Hypertension is transient in the initial acute phase of illness Glomerular (p, EJ. (, acute nephritic syndrome), but standing in diffuse chronic Nephropathies.
Pheochromocytoma, a secreting tumor of adrenaline to noradrenaline which usually emerges in the adrenal Medulla, produces high blood pressure queinicialmente is paroxysmal. The coarctation of the aorta is a congenital malformation which increases peripheral resistance due to a structural stenosis of aorta. In these cases hypertension is not really systemic, since it affects only the arterial system ahead of coarctation, usually to arms, head and neck. High blood pressure is a symptom of diseases of the adrenal cortex that are associated with excessive production of glucocorticoids and mineralocorticoids (syndrome of Cushing and Conn sindromede). It is also a symptom of preeclampsia, and you can associate with endocrinopathies such as hyperthyroidism, acromegaly and, on occasions, hypothyroidism, or neurogenic as intracranial hypertension due to one cause. Treatment to) in patients with hypertension grade I or II, it is recommended to initiate treatment with a single drug. If the hypertensive patient student: School of medicine Ignacio Santos. Member of the Committee of research medical. Member of the JOURNAL CLUB EMC medical updates. Member and Supervisor of medical articles since 2007. Member of The Neurology Service On-Line Journal Club.