Ke hakimua gar kititl madireg àlebat..giftu be lifestyle modification yemaysetekakel kehone medhanit yigemerilatal..ena degmo medhanit zimbilo ayijemerim.kante yemitebekew ke techale giftua hulem check bidereg ena Hakim yemilatin neger be Tikikil enditadergi magez. Sile Dem gifit hikmna mawek kefelek yihen anbibew ena yalgebah neger kale teyikegn..enathin fetari yimarilih.
Management of Hypertension
A, Lifestyle interventions
Treatment of hypertension should involve non-pharmacologic therapy (also called lifestyle
modifications) alone or in concert with antihypertensive drug therapy and is a critical
component of good hypertension management and should be implemented in all grades
of hypertension. Lifestyle intervention is often recommended as a first step for patients with blood pressure of SBP 130–139 mmHg and/or DBP 80–89 mmHg who do not have other CVD risk factors.
Lifestyle intervention can be tried for up to three months for uncomplicated grade 1
hypertension before initiation of medications. If failed to achieve a blood pressure of less than 140/90 mmHg, then initiation of antihypertensive medication
The lifestyle modifications we need to emphasize include:
1. Reduce salt consumption to less than 1 tea spoonful (5g)/day (i.e. do not add salt if
you are using Ethiopian “berberie” or “Shiro”). No added salt after food is prepared.
Avoid salty foods.
2. Follow Healthy Diet
o Eat 5 servings of fruits and vegetables per day.
o Eat nuts, legumes, whole grains, and foods rich in potassium like avocado.
o Eat fish at least twice per week.
o Use healthy oils like sunflower, sesame seed, niger seed, soybean, peanut and
olive.
o Limit red meat to once or twice per week.
o Avoid added sugar. Avoid sugary beverages.
o Limit consumption of fried foods and foods with high amounts of saturated fats.
o Avoid chips, margarines and other processed foods containing trans-fat.
o Moderate consumption of coffee and green tea
3. Reduce fat intake by changing how you cook:
Remove the fatty part of meat.
Boil steam or bake instead of frying.
Limit reuse of oil for frying.
4. Stop tobacco use, and avoid second- hand smoke and
5. Avoid harmful use of alcohol: Limit consumption to no more than 2 drinks per day in
most men, and to no more than 1 drink per day in women and lighter weight persons.
and/or DBP ≥90 mmHg) who couldn’t achieve target blood pressure with three months
of lifestyle modification.
B, Immediate treatment may be Indicated for adults diagnosed with hypertension at
initial presentation in those with:
Hypertension mediated organ damage (End-organ damage)
High WHO CVD risk (Lab based WHO cardiovascular risk >20% or non-Lab
based WHO cardiovascular risk >10%)
Hypertensive Crises (SBP ≥180 mmHg or DBP ≥110 mmHg)
Aug 21, 2022