Chronic hypertension can be a problem for women that are pregnant. This is more common then you may think and does happen quite frequently during pregnancies. If this not treated immediately then it can be very dangerous for the baby and the mother. If you already suffer from chronic hypertension and want to have a baby then you should check with your doctor first.

There are several different types of chronic hypertension that include secondary hypertension, essential hypertension and pregnancy-induced hypertension. Scientists have determined that most chronic hypertension is due to genetics, though many women suffer from pregnancy-induced hypertension. Secondary hypertension is the one type that is to do other health issues.

For those individuals with secondary hypertension you will need to focus on treating the cause of the hypertension and you should not become pregnant until this is resolved. Most pregnancy-induced hypertension occurs during the third trimester though it can increase your risk of having a stroke.

A large concern with pregnant women and chronic hypertension is superimposed preeclampsia. This can result in damaged organs for the mother which can cause kidney failure, liver issues and bleeding. There is no known cure for preeclampsia and once this occurs the baby must be delivered even if it is premature. This can also cause natural premature birth as placental abruption can occur.

Medications for chronic hypertension can cause problems with pregnancies and you should stop taking them if you become pregnant. The hypertension medications that should be avoided include angiotensin II receptor blockers, aldosterone receptor blocker and angiotensin-converting enzyme inhibitors.

Many times pregnancy-induced hypertension only lasts for a few months of the pregnancy and will go away after birth. To make sure you are healthy you should have your blood pressure checked regularly. This can stop any further complications from occurring and you and your baby can be healthy.

There are many people who find themselves suffering from specific symptoms time and again. Over time they begin to correlate that these symptoms recur when they have consumed some particular food or visited a place. This leaves them wondering if they are suffering from allergies, as similar environments and consumption of similar types of food provoke similar types of reactions and symptoms. This is a typical indicator of the possibility of an allergy. There are various ways of confirming fears about whether you have an allergy.

When in doubt about a health condition, the best person to approach is a medical professional. Doctors are qualified medical professionals who understand the working of the human body and the possible reactions that it may face. A visit to the doctor

Cartilage grafting in rhinoplasty today is often an essential component of the procedure. Improving structural support of the nasal tip and internal nasal valves may require mechanical support through the use of cartilage grafts. Such an approach is essential to a good long-term result in many patients. In some cases, particularly revisional rhinoplasty patients, cartilage donor sites may have been previously used and the patient is now ‘graft-depleted’. In reality, graft depletion is usually relegated to the nasal septum as ear and rib cartilage donor sites are always available but the plastic surgeon or patient may want to have a seconday donor site harvest.

A most recent article in Plastic and Reconstructive Surgery by British plastic surgeons James and Kelly writes on their successful use of polydioxanone foil in rhinoplasty surgery. Polydioxanone is one of the many biodegradable polymers that exists and has been used for many years in orbital floor fracture repair. It maintains its integrity for about 6 months and is flexible and adaptable. It comes in various thicknesses, usually .25 or .5mm is used. They performed 58 rhinoplasties in which it was implanted. (37 primary, 21 secondary rhinoplasty) It was used primarily as a columellar strut. Two complications with its use was seen (3%), one infection and the other exposure. Both resolved by non-surgical management.

This article brings to my mind my historic use with LactoSorb in some select rhinoplasties. LactoSorb is a well-known biodegradable polymer with a fifteen-year history of extensive use in craniomaxillofacial surgery primarily as resorbable plates and screws. I have used it in the past in rhinoplasty as well for septal support, columellar struts and spreader grafts in cleft and trauma patients. If one is careful to have good soft tissue coverage, the complication rate will be very low and one can avoid the need for cartilage harvesting. Since I am very comfortable with cartilage harvesting from all donor sites, I have not really used it in the purely aesthetic rhinoplasty patient. But this article has given me the impetus to press forward with its use more in aesthetic rhinoplasty. It would be particularly helpful as a spreader graft and columellar strut, both areas where one should almost always get cartilage and good soft tissue coverage. While complications rates for any material will never be as low as autogenous cartilage (which is essentially zero), an acceptable rate of 1 – 3% may be a good trade-off for potential donor site concerns.