Yu fɔ chɛk yu blɔd prɛshɔn ɔl di de? Ɔltin bɔt 24-Awa Ambulatory Blɔd Prɛshɔn Monitoring!

yu don eva go na dokta en geht yu blɔd prɛshɔn chɛk ɛn se, "O, mi blɔd prɛshɔn tan lɛk se i ay smɔl"? Da tɛm de, yu go tink se, "O, a chɛk am na os, bɔt i nɔ ay so." Dis na we wan spɛshal we we wi go tɔk bɔt go ɛp wi. Dɛn kɔl dis 24 awa blɔd prɛshɔn monitarin, ɔ insay Inglish , ambulatory blood pressure monitoring . Lɛ wi si wetin i bi, aw dɛn de du am, ɛn udat i impɔtant to.

Wetin na dis bɔt fɔ chɛk yu blɔd prɛshɔn ɔl di de?

Fɔ tɔk am simpul wan, dis na we fɔ kɔntinyu fɔ mɛzhɔ yu blɔd prɛshɔn , ɔ blɔd prɛshɔn, fɔ 24 awa, we yu de wok nɔmal wan, de slip, ɛn ɔltɛm. haypatεnsh כn na we di tכp nכmba fכ yu blכd prεshכn, כ sistolik prεshכn , na 130 mmHg כ pas dat, εn/כ di bכtכm nכmba, כ dayastolik prεshכn , na 80 mmHg כ pas dat.

Nɔmal wan, yu kin jɔs chɛk yu blɔd prɛshɔn we yu go to dɔktɔ. Dɛn kin du dis bay we dɛn de yuz wan mashin we dɛn kɔl sphygmomanometer we dɛn kin tay pan yu an ɛn swɛt am. Bɔt insay dis we fɔ waka, yu kin wɛr kɔf na yu an ɛn wan smɔl tin we dɛn kin tay pan bɛlt ɔ wɛstband 24 awa ɛvride. Dis divays de mɛzhɔ yu blɔd prɛshɔn ɛvri 15-30 minit insay di de ɛn ɛvri 60 minit na nɛt. I kin mɛzhɔ bak yu at rit , we na aw yu at de bit fast. Di dɔktɔ kin yuz dis data fɔ no wetin na yu avɛrej blɔd prɛshɔn ɔlsay na di 24 awa, di chenj na di blɔd prɛshɔn, ɛn di chenj na di at rit.

Wetin mek yu fɔ yuz dis we?

Bɔku rizin dɛn de we mek dɔktɔ dɛn kin yuz dis we. Lɛ wi luk sɔm pan di men wan dɛn:

• Kɔnfɛm di kɔndishɔn fɔ Aypatɛnshɔn: Sɔntɛnde, na dɔktɔ nɔmɔ kin no se yu gɛt ay blɔd prɛshɔn. Dis we ya, yu go no fɔ tru if yu rili gɛt ay blɔd prɛshɔn.
• Si aw yu bכdi prεshכn de chenj wit yu εvride aktiviti εn slip: nכmal wan, we wi de slip, di כp nכmba (systolic) fכ bכdi prεshכn de dכn bay lεk 10% - 20%. Bɔt dis nɔ kin apin to ɔlman. Fɔ sɔm, i kin de di sem ɔ i kin bɔku.
• Chek if yu blɔd prɛshɔn mɛrɛsin de wok fayn: Sɔntɛm yu blɔd prɛshɔn mɛrɛsin nɔ de kɔntrol yu blɔd prɛshɔn ɔl di de. Yu dɔktɔ go ebul fɔ ajɔst di doz, chenj di tɛm we yu de tek am, ɔ gi yu ɔda mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn.
• Difrɛns bitwin di prɛshɔn we di dɔktɔ de chɛk ɛn di prɛshɔn we yu gɛt na os:Dɛn chenj ya kin gi yu sɔm aidia bɔt yu risk fɔ gɛt sik na yu at ɛn blɔd .

Dis ambulatory blood pressure monitoring method kin no di abnɔmal chenj dɛm na di blɔd prɛshɔn we ɔda we dɛn nɔ kin no.

Fɔ no difrɛn prɛshɔn patɛn

If di dɔktɔ yuz dis we, i go ebul fɔ no difrɛn we aw pɔsin de prɛs. Lɛ wi si wetin dɛn bi.

Wetin na ‘Wayt Kot Haypatɛyshɔn’?

Imajin, sɔm pipul dɛn de we dɛn blɔd prɛshɔn nɔmal na os, bɔt we dɛn go to dɔktɔ ɔ ɔspitul, dɛn blɔd prɛshɔn kin go ɔp. I tan lɛk se we yu si dɔktɔ in wayt kot, yu blɔd prɛshɔn de go ɔp. Na dat mek dɛn kɔl am ‘White Coat Hypertension’ ɔ ‘White Coat Syndrome’. Bikɔs ɔf dis, ivin pɔsin we nɔ rili gɛt blɔd prɛshɔn kin mistek tink se i gɛt blɔd prɛshɔn. Bitwin 10% ɛn 30% pan di pipul dɛm wae de sho ay blɔd prɛshɔn na di dɔktɔ in ɔfis kin gɛt dis sik.

Di gaydlain dɛn we de naw nɔ de se yu fɔ tek mɛrɛsin if yu blɔd prɛshɔn nɔmal ausayd yu dɔktɔ in ɔfis we yu de yuz dis ɔtpeshɛnt we. Bɔt dɛn nid fɔ du mɔ risach bɔt dis. Bikɔs ‘wayt kot haypatɛnshɔn’ kin bi bak wan fɔs sayn fɔ blɔd prɛshɔn prɔblɛm, i impɔtant fɔ mek yu ɛn yu dɔktɔ no bɔt dis.

Sustained Haypatɛyshɔn

Dis min se yu blɔd prɛshɔn de ɔp ilɛksɛf yu de na dɔktɔ in ɔfis, na os, ɔ ɛnisay we yu de. Risach dɔn sho se dis sik kin mek yu at ɛn kidni pwɛl , ɛn i kin mek yu gɛt prɔblɛm lɛk strok .

‘Masked Hypertension’.

Dis na we yu blɔd prɛshɔn nɔmal we yu go to yu dɔktɔ, bɔt i kin go ɔp we yu chɛk am na os ɔ ɔda tɛm. I tan lɛk se di blɔd prɛshɔn ayd . Dis sik kin afɛkt te to 30% pan di big pipul dɛm wae gɛt nɔrmal blɔd prɛshɔn na dɛn dɔktɔ. If yu gɛt kidni sik , dayabitis , ɔr obstructive sleep apnea , yu de pan ay risk fɔ gɛt dis ‘masked hypertension’.

Nocturnal Hypertension - Ay blɔd prɛshɔn na nɛt

Dis min se yu blɔd prɛshɔn de go ɔp we yu de slip. Dis sik kin afɛkt lɛk tu pan ɛvri 10 wayt pipul dɛm ɛn lɛk 4 pan ɛvri 10 blak pipul dɛm. E kin bɔrku pan pipul dɛm wae gɛt shuga ɛn kidni sik. Risach de go bifo fɔ no aw blɔd prɛshɔn we de go ɔp na nɛt kin afɛkt di sik dɛn we de ambɔg di at ɛn di blɔd.

Udat dis we fɔ du tin fayn fɔ?

Dis ambulatory blood pressure monitoring method kin bi bɛnifit fɔ bɔku pipul dɛn. Yu dɔktɔ kin tɛl yu dis we fɔ du tin pan dɛn tin ya:

• Frɔm wetin dɛn rid na di dɔktɔ in ɔfis, yu gɛt ay blɔd prɛshɔn, bɔt yu nɔ bigin fɔ tek mɛrɛsin yet.
• If yu nid fɔ chenj yu blɔd prɛshɔn mɛrɛsin.
• If yu blɔd prɛshɔn stil ay pan ɔl we yu de tek mɛrɛsin.
• If yu de tek ɔda mɛrɛsin dɛn we go afɛkt yu blɔd prɛshɔn.
• If bɔku tɛm yu kin fil lɛk yu ed de tɔn ɔ yu gɛt smɔl blɔd prɛshɔn (haypotension) .
• If yu gɛt ay blɔd prɛshɔn we yu gɛt bɛlɛ.

Yu tink se di tin dɛn we dɛn rid frɔm dis mashin kɔrɛkt?

Yɛs, na fɔ tru. Dis ambulatory blood pressure monitoring method na wan we we rili kɔrɛkt ɛn we go wok fayn fɔ no yu blɔd prɛshɔn. I de gi di dɔktɔ bɛtɛ data pas if yu go to di dɔktɔ ɛn jɔs chɛk yu blɔd prɛshɔn da tɛm de. Bikɔs i de mɛzhɔ yu blɔd prɛshɔn ɛn yu at rit ɔltɛm fɔ ɔl di 24 awa.

Aw yu kin rɛdi fɔ dis?

Yu dɔktɔ go tɛl yu aw fɔ pripia fɔ dis, bɔt in jɔnal, mɛmba dɛn tin ya:

• Pik wan de pan dɛn 24 awa ya we fit yu nɔmal rutin . Sɔntɛm wikde bɛtɛ pas wikɛnd.
• Plan fɔ jɔnal ɔl wetin yu de du insay dɛn 24 awa ya, inklud we yu wek, we yu go slip, we yu de tek yu mɛrɛsin, we yu de it, ɛn ɔda tin dɛn Dɔn bak, rayt ɛni sayn we yu gɛt (e.g., diziz, shɔt briz).

Sɔm tin dɛn de bak we yu nɔ fɔ du insay dɛn 24 awa ya:

• Nɔ du tin dɛn we de mek yu bɔdi strɛs .
• Nɔ go was ɔ swim.
• Nɔ pul ɛni pat pan di divays we yu nɔ aks yu dɔktɔ.

Aw yu kin du dis?

Pan ɔl we dɛn kin du dis ambulatory blood pressure monitoring na do na di dɔktɔ in ɔfis, yu stil gɛt fɔ go to dɔktɔ fɔ bigin. Na de yu kin gɛt dɛn divays ɛn instrɔkshɔn dɛn ya.

Wetin kin apin we yu go si dɔktɔ?

• Yu kin gɛt di ikwipmɛnt: Dis inklud wan divays we tan lɛk smɔl redio ɛn kɔf. Dɛn kin tay di smɔl tin pan wɛst ɔ bɛlt. Di kɔf ɛn di divays de kɔnɛkt bay wan tiub.
• Di dɔktɔ go tay di strap na yu an ɛn ajɔst di divays: We dɛn dɔn instɔl ɔltin fayn fayn wan, di dɔktɔ go bigin fɔ rikodɔm di data.
• Yu go gɛt instrɔkshɔn: Di dɔktɔ go gi yu klia instrɔkshɔn. Yu fɔ fala dɛn di rayt we. Aks ɛni kwɛstyɔn we yu gɛt bifo yu kɔmɔt na di ɔfis. Dis divays go de na yu bɔdi we yu de kɔmɔt. Di dɔktɔ go tɛl yu bak ustɛm fɔ pul am ɛn ustɛm fɔ briŋ am kam bak.

Wetin kin apin afta yu rich na os?

• Di kɔf we de na yu an kin ful-ɔp di rayt tɛm:Dis kin apin ɛvri 15-30 minit insay di de, ɛn ɛvri 60 minit na nɛt. Di band kin blo we di divays de mɛzhɔ yu prɛshɔn. Yu go fil se i de swɛt yu an. I kin jɔs las fɔ shɔt tɛm. Yu kin rid kɔrɛkt wan bay we yu ol yu an stil insay da tɛm de .
• Slip kin ambɔg: Yu kin wek we dɛn de mɛzhɔ yu blɔd prɛshɔn na nɛt. Dis na nɔmal tin. Bɔt tray fɔ ignore am as yu ebul ɛn go bak fɔ slip.
• Kɔntinyu fɔ du yu nɔmal rutin: Du ɔl ɔda tin dɛn lɛk aw yu kin du, pas fɔ was, swim, ɛn ɛksesaiz tranga wan. Kip wan dayari lɛk aw yu dɔktɔ tɛl yu.
• Tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu fɔ tek am: Aks yu dɔktɔ if yu fɔ kɔntinyu fɔ tek yu mɛrɛsin we yu de mɛzhɔ dis blɔd prɛshɔn. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs.

Aw yu kin slip wit blɔd prɛshɔn monita?

Na tru se yu kin gɛt smɔl prɔblɛm fɔ slip. Bikɔs yu nɔ yus fɔ slip wit strɛp na yu an. Bɔt tray fɔ rilaks as yu ebul. Mek ɔda tin dɛn we go mek yu slip izi. Fɔ ɛgzampul:

• Put wan layt siŋ.
• Klos di winda dɛn ɛn blok di brayt layt.
• Kip di rum na kɔmfyut tɛmpracha fɔ yu (nɔ tu hot ɔ tu kol).

Aks yu dɔktɔ if yu kin mek ɛni chenj na yu divays we yu de slip. Fɔ ɛgzampul, if yu ebul fɔ pul di bɛlt we de rawnd yu wes ɛn kip am nia yu pilo. Bɔt na if yu dɔktɔ tɛl yu fɔ du dat. If yu gɛt wrist strap, i bɛtɛ fɔ lɛ yu nɔ pul am te dis tɛm. Tɔk to yu dɔktɔ bɔt wetin yu go du fɔ mek yu slip fayn.

Wetin na di bɛnifit dɛn we dis kin gɛt?

Dis ambulatory blood pressure monitoring method na wan rili yusful tul wae de ɛp yu fɔ gɛt di rayt tritmɛnt fɔ yu. Sɔm pan di bɛnifit dɛn we dis we ya de gi na:

• Yu kin mɛzhɔ yu blɔd prɛshɔn kɔrɛkt wan: Dis we ya de mɛzhɔ yu blɔd prɛshɔn ɔl di de, nɔto jɔs wan ɔ tu tɛm. Bikɔs blɔd prɛshɔn kin chenj dipen pan di tɛm fɔ di de ɛn wetin yu de du, dis na di wangren we fɔ no yu blɔd prɛshɔn ɛn aw i de du am kɔrɛkt wan.
• Yu kin no fɔ tru if yu gɛt ‘White Coat Syndrome’: If yu blɔd prɛshɔn de go ɔp nɔmɔ we yu de na di dɔktɔ in os, dat min se yu gɛt ‘White Coat Syndrome.’ We yu no dat, dat go ɛp yu fɔ avɔyd fɔ tek mɛrɛsin we yu nɔ nid.
• Yu kin no if yu gɛt ‘masked hypertension’: If yu blɔd prɛshɔn smɔl we yu si yu dɔktɔ, bɔt i ay ɔda tɛm, dat min se yu nɔmal blɔd prɛshɔn "ayd." Dis na tin wae kin mek pɔrsin gɛt sik wae de kam pan pɔrsin wae gɛt dis sik wae nɔr bin fɔ no. If na so i bi, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ, ɛn i kin mek yu nɔ gɛt prɔblɛm dɛn lɛk strok.
• Yu tritmɛnt plan go bi fɔ:Dis monitarin de ɛp fɔ asɛs aw yu de ansa to lɔng tɛm aypatɛnshɔn mɛrɛsin. Yu dɔktɔ kin ajɔst yu tritmɛnt plan as nid de.

Ɛni bad tin dɛn de we kin apin to am?

Pan ɔl we dis we fɔ mɛzhɔ blɔd prɛshɔn nɔ de ambɔg di bɔdi ɛn i nɔ de du ɛni bad tin to di bɔdi , i kin mek sɔm pipul dɛn nɔ fil fayn smɔl. Di bad tin dɛn we kin apin na:

• An pen: Di ɔp an kin at bikɔs di bɛlt de blo ɔltɛm.
• Slip distɔblɛshɔn: If yu mɛzhɔ blɔd prɛshɔn na nɛt, dat kin mek yu nɔ slip fayn.
• Skin alɛji: Di ​​bɛlt kin mek yu skin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku tɛm, dis kin go fɔ insɛf.
• Kɔst: Sɔm inshɔrans kɔmni dɛn kin jɔs pe fɔ dɛn ambulatory divays dɛn ya insay spɛshal kes dɛn. Fɔ ɛgzampul, if yu dɔktɔ tink se yu gɛt ‘wayt kot sindrom’ ɔ ‘masked hypertension.’ Aks yu dɔktɔ ɔmɔs i go kɔst yu.

Aw dɛn kin gɛt di rizɔlt? Wetin dɛn kin se?

Yu dɔktɔ go dawnlod di data frɔm di divays to kɔmpyuta, we go analayz di prɛshɔn ridin dɛn we yu gɛt. Dɔn di dɔktɔ go tɔk to yu bɔt di rizɔlt ɛn wetin dɛn min fɔ yu.

Na sɔm pan di tin dɛn we di dɔktɔ kin tɔk bɔt wit yu:

• 24 awa avrej blɔd prɛshɔn: Dis na di avɛrej valyu fɔ yu prɛshɔn fɔ di wan ol tɛm we yu de wach.
• De blɔd prɛshɔn: Dis na yu nɔmal prɛshɔn we yu de wek.
• Na nɛt blɔd prɛshɔn: Dis na yu nɔmal prɛshɔn insay di awa dɛn we yu de slip.
• Di we aw yu de dip na nɛt: Dis na di difrɛns bitwin di prɛshɔn we yu gɛt na di de ɛn di prɛshɔn we yu gɛt na nɛt. Di ridin we dɛn kin rid na nɛt fɔ smɔl.

Wetin na gud ambulatory blood pressure values?

Dɛn kin tek dɛn tin ya as nɔmal (gud) valyu fɔ ambulatory blɔd prɛshɔn monitarin:

• 24 awa avrej: 125/75 mmHg ɔ less.
• BP we de na di de: 130/80 mmHg ɔ less.
• Nayt tɛm BP: 110/65 mmHg.
• di pat dεm we de dip na nɛt: di prεshכn de dכn bitwin 10% εn 20%.

Di dɔktɔ go tɛl yu ustɛm yu go ebul fɔ ɛkspɛkt fɔ si di rizɔlt. Dɛn go tɔk bak bɔt di rizɔlt wit yu ɛn tɛl yu wetin fɔ du nɛks, fɔ ɛgzampul, if dɛn nid fɔ chenj yu mɛrɛsin.

Ustɛm yu nid fɔ kɔl di dɔktɔ?

We yu de wach dis 24 awa tɛm, kɔl yu dɔktɔ di tɛm dɛn lɛk dis:

• If tɛknikal prɔblɛm de wit di divays.
• If yu gɛt ɛni kwɛstyɔn bɔt wetin yu fɔ du ɔ nɔ fɔ du insay dis tɛm we yu de wach.

I nɔ mata ɔmɔs tɛm yu tɛl yusɛf fɔ "calm down, calm down," yu kin fil smɔl nervɔs ɛn wɔri we di dɔktɔ put di blɔd prɛshɔn kɔf na yu an. Dat na nɔmal tin, ɛn i nɔ kin izi fɔ mek yu nɔ gɛt wanwɔd. If na so i bi, dis ambulatory blood pressure monitoring system kin ɛp yu. Dis divays de wach yu blɔd prɛshɔn we yu de du yu ɛvride rutin. I kin sho yu if di ay blɔd prɛshɔn ridin dɛm we yu dɔktɔ de sho na rili nɔmal fɔ yu bɔdi.

Apat frɔm we dɛn kin no ‘wayt kot sindrom,’ dis we ya kin ɛp yu dɔktɔ fɔ no ɛn trit difrɛn ɔda prɔblɛm dɛn we gɛt fɔ du wit blɔd prɛshɔn. Tɔk to yu dɔktɔ bɔt aw dis ambulatory blood pressure test kin ɛp yu ɛn wetin yu kin lan frɔm di rizɔlt.

Di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Ambulatory Blood Pressure Monitoring (ABPM) na wan valyu we fɔ gɛt mɔ kɔrɛkt pikchɔ bɔt yu blɔd prɛshɔn. I kin ɛp yu fɔ no if yu gɛt ‘wayt kot haypatɛyshɔn’, we de ay na di dɔktɔ in ɔfis nɔmɔ, ‘masked hypertension’, we de ay na os we di dɔktɔ nɔ de, ɔ ‘sustained hypertension’, we rili de go bifo. I kin tɛl yu bɔku tin bak if yu blɔd prɛshɔn mɛrɛsin de wok fayn, us tɛm pan de yu blɔd prɛshɔn ay pas ɔl, ɛn if i de go dɔŋ na nɛt. So if yu dɔktɔ tɛl yu fɔ du dis tɛst, nɔ fred fɔ mek dɛn du am. I rili impɔtant fɔ yu at wɛlbɔdi!

` Ay blɔd prɛshɔn, prɛshɔn monitarin, ɔl-de prɛshɔn, wayt kot haypatɛnshɔn, blɔd prɛshɔn, at sik, prɛshɔn tɛst