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Samenvatting Pathologie hypertensie

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Samenvatting hoogrisico verloskunde (dr. Laubach) - hypertensie.

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  • October 16, 2023
  • 8
  • 2022/2023
  • Summary
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Obstetrische aspecten van
Hypertensieve pathologie
Essentiële hypertensie
Definitie
Milde/lichte hypertensie
 Bloeddruk ≥ 140/90mmHg

Ernstige hypertensie
 Bloeddruk ≥ 180/110mmHg

Stadia
 Essentiële hypertensie stadium I: Bloeddruk 130 – 139mmHg en 80 – 89mmHg
 Essentiële hypertensie stadium II: Bloeddruk ≥ 140mmHg en/of ≥90mmHg

Onderscheid: Associatie aan verhoogde kans op cerebrovasculaire accidenten gedurende de
zwangerschap

Prevalentie
 Variatie in functie van
 Leeftijd
 Etnische origine
 Body Mass Index

Onderliggende oorzaken
 Primaire hypertensie (90% - 95%)
 Geen aanwijsbare onderliggende ziekten

 Secundaire hypertensie (5% - 10%)
 Ontstaat als verwikkeling van een aanwijsbare onderliggende ziekte

Onderliggende ziekten
Endocriene ziekten Diabetes, schildklier, ziekte van cushing, …
Nierziekten Chronische glomerulonefritis, polykystische
nieren, …
Vasculaire ziekten Stenose arteria renalis, vasculitis in kader
van autoimmuunziekten
Alcohol en druggebruik …




Kliniek

,  Vaak langdurig asymptomatisch
 Aspecifieke symptomen
 Hoofdpijn
 Duizeligheid

Pathofysiologie
 Langdurige hypertensie creëert een hoge druk op bloedvaatwanden  Schade

Ontstaan angiopathie (= aantasting bloedvaten)
 Eerst ter hoogte van kleine bloedvaten
 Retina ( Retinopathie)
 Nier ( Nefropathie)

 Op termijn ontstaan van arteriosclerose ook ter hoogte van grote bloedvaten




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