Female thin individuals with a high blood pressure of 180 may be caused by various factors such as genetics, environmental factors, physiological factors, trauma, or pathological diseases. Hypertension needs to be treated promptly with medication, lifestyle adjustments, and regular monitoring to control it.

1. Genetic factors: People with a family history of hypertension are more likely to develop the disease. Gene mutations may affect vascular contraction and relaxation function, leading to elevated blood pressure. It is recommended to undergo genetic testing to understand family medical history and take preventive measures.
2. Environmental factors: Long term exposure to high-pressure working environments, noise pollution, or areas with severe air pollution may lead to hypertension. Reducing sources of stress, improving living environment, and increasing outdoor activities can help lower blood pressure.
3. Physiological factors: After menopause, women may experience a decrease in estrogen levels, which may lead to an increase in blood pressure. Regular physical examinations, monitoring hormone levels, and hormone replacement therapy if necessary can help control blood pressure.
4. Trauma: Head or neck injuries may affect the nervous system, leading to elevated blood pressure. Seek medical attention promptly, undergo imaging examinations, determine the degree of injury, and take appropriate treatment measures.
5. Pathological diseases: Kidney disease, endocrine disease, or cardiovascular disease may lead to hypertension. Conduct a comprehensive physical examination, including blood tests, urine tests, and electrocardiograms, to determine the cause and receive targeted treatment. In terms of drug therapy, commonly used antihypertensive drugs include diuretics such as hydrochlorothiazide, calcium channel blockers such as amlodipine, and ACE inhibitors such as enalapril. In terms of lifestyle adjustments, it is recommended to have a low salt diet, increase foods rich in potassium and magnesium such as bananas and spinach, engage in moderate aerobic exercise such as brisk walking and swimming, and maintain sufficient sleep. Regular monitoring of blood pressure, recording data, and timely adjustment of treatment plans are key to controlling hypertension. Through comprehensive treatment and a healthy lifestyle, blood pressure can be effectively lowered and the risk of complications can be reduced.
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