Aw di bɔdi? Tide wi go tɔk bɔt wan tɔpik we impɔtant to bɔku pipul dɛn, bɔt sɔntɛnde dɛn nɔ kin ɔndastand am gud gud wan. Dat na ‘Blɔd Prɛshɔn’ ɔ ‘prɛshɔn’ lɛk aw wi kin kɔl am. I tan lɛk di prɛshɔn we wi kin fil we blɔd de pas na wi at, we na di big blɔd vesel dɛn na wi bɔdi. Ɛvri sɛkɔn we yu at de bit, i de pɔmp blɔd insay di at we de kɛr blɔd go ɔlsay na di bɔdi. Dis kin apin bitwin 60 ɛn 100 tɛm insay wan minit, 24 awa insay di de. na dεn at dεm ya de kכri כksijεn εn nyutriεnt dεm to yu כl bכdi εn εp yu bכdi fכ wok fayn fayn wan.
Yu tink se ‘Blɔd Prɛshɔn’ ɛn ‘At Rɛt’ na tu difrɛn tin?
Naw sɔm pipul dɛn kin tink se ‘Blɔd Prɛshɔn’ ɛn ‘At Rɛt’ ɔ di spid we di at de bit na di sem. Bɔt nɔto so i bi. Pan ɔl we dɛn ɔl tu gɛt sɔntin fɔ du wit di at, dɛn tin ya na tu difrɛn tin dɛn. Tink bɔt am, ‘Blɔd Prɛshɔn’ na aw fast ɛn wit us fɔs yu blɔd de muv tru yu blɔd vesel dɛm. ‘Hat Rεt’ na כl di tεm we yu at de bit pan wan minit.
If yu at rit bɔku, dat nɔ kin min ɔltɛm se di blɔd prɛshɔn bak kin ay. Fɔ no di rayt prɛshɔn, yu nid fɔ yuz blɔd prɛshɔn kɔf ɛn gaj.
Wetin mek blɔd prɛshɔn nɔ kin bi di sem ɔltɛm?
Yu blɔd prɛshɔn nɔ kin bi di sem ɔltɛm. I kin chenj dipen pan wetin yu de du. We yu de du ɛksɛsayz ɔ yu strɛs, yu prɛshɔn kin go ɔp. We yu de slip ɛn rilaks, yu prɛshɔn kin go dɔŋ.
Nɔto dat nɔmɔ, bɔt dɛn tin ya kin mek yu blɔd prɛshɔn chenj bak:
- Ej: Blɔd prɛshɔn kin chenj as yu de ol.
- Di mɛrɛsin dɛn we yu de tek: Sɔm mɛrɛsin dɛn kin afɛkt blɔd prɛshɔn.
- Di chenj we yu de tinap: I kin chenj smɔl bak pan di we aw yu de tinap, lɛk we yu sidɔm wantɛm wantɛm we yu nɔ tinap.
Wetin mek wi nid fɔ tink bɔku bɔt blɔd prɛshɔn? Na ‘saylent killer’?
Sɔntɛnde dɛn kin kɔl am ay blɔd prɛshɔn, we dɛn kin kɔl bak ay blɔd prɛshɔn, "saylent killer" bikɔs bɔku tɛm i nɔ kin mek pɔsin gɛt ɛni sayn. Ivin if yu nɔ fil natin, ay blɔd prɛshɔn kin pwɛl yu at, yu kidni, ɛn yu bren.
Di ay blɔd prɛshɔn na wan big tin we kin mek pɔsin gɛt sik na in at ɛn blɔd. If dɛn nɔ trit am, ay blɔd prɛshɔn kin mek pɔsin gɛt tin dɛn lɛk:
- Transiεnt ischemik atak (TIA) .
- Strok
- At atak
- At we dɔn big
- At we nɔ de wok fayn
- Pεrifεral atεri sik - Dis min se di bכdi fכ fכlכ na di lεg dεm de rεdכks εn pen de apin.
- di wik εn bulg fכ di atεri wכl dεm (`Aneurysms`) .
- Kidni sik
- Di smɔl smɔl blɔd vesel dɛn we de na di yay dɛn kin bɔs.
Jɔs tink bɔt, if bɔku tin dɛn kin apin insay di bɔdi we nɔ gɛt ɛni sayn, i rili impɔtant fɔ tek kia ɔf yu blɔd prɛshɔn!
Udat dɛn kin gɛt prɛshɔn mɔ?
Yu kin gɛt ay blɔd prɛshɔn if yu gɛt ɛni wan pan dɛn rizin ya:
- If ɛnibɔdi na di famili gɛt ay blɔd prɛshɔn, at sik, ɔ dayabitis (`Diabetes Mellitus`).
- If yu blak (dis na jenɛtik ifɛkt).
- If yu ol 60 ia ɔ pas dat.
- If di kɔlɔstrel lɛvɛl na di blɔd bɔku.
- If yu de yuz bɔn kɔntrol pils (`oral kɔntraseptiv`).
- If yu fat pasmak.
- If yu gɛt dayabitis (`Diabetes Mellitus`).
- If yu de yuz tin dɛn we dɛn kin mek wit tabak (lɛk sigrɛt, beedis).
- If yu nɔ de du ɛksɛsayz fayn.
- If yu kin it tin dɛn we gɛt bɔku sɔl bɔku tɛm.
Aw ɛn ustɛm yu kin chɛk yu blɔd prɛshɔn?
If yu blɔd prɛshɔn nɔmal, yu dɔktɔ fɔ chɛk am we yu de chɛk yu ɛvri ia. Bɔt if yu blɔd prɛshɔn ridin ay we yu go to yu dɔktɔ, i kin tɛl yu fɔ chɛk yu blɔd prɛshɔn na os. Dis kin bi bɔku tɛm insay di de, ɔ wan tɛm insay di wik.
Di tin we impɔtant pas ɔl na fɔ chɛk yu blɔd prɛshɔn di sem tɛm ɛvride . Yu kin chɛk am tu ɔ tri tɛm insay wan row, bɔt wet lɛk wan minit bitwin ɛni ridin. We yu dɔn, tek di avrej fɔ di tu ɔ tri ridin dɛn we yu tek.
Sɔntɛnde, yu dɔktɔ kin aks yu fɔ wɛr 24 awa blɔd prɛshɔn monita, we go ɔtomɛtik mɛzhɔ yu blɔd prɛshɔn ɛvri 15 ɔ 30 minit we yu de du yu nɔmal tin dɛn.
Wetin na di tritmɛnt fɔ ay blɔd prɛshɔn?
Di ay blɔd prɛshɔn na wan big tin we kin mek pɔsin gɛt sik dɛn we de ambɔg di at ɛn di blɔd. If dɛn nɔ trit am, i kin mek pɔsin gɛt siriɔs sik lɛk di TIA, Stroke, ɛn At atak we wi bin dɔn tɔk bɔt. So, de tritmɛnt na fɔ mek chenj lɛk aw yu dɔktɔ se.
Di chenj dɛn we de apin na di it ɛn di we aw dɛn de liv dɛn layf
- Get to wan weight we fit yu bodi en maintain am.
- Ɛksesaiz ɔltɛm.
- It fayn it we go ɛp yu at, we nɔ gɛt bɔku sɔl, fat, ɛn kɔlɔstrel, ɛn we gɛt bɔku fresh frut ɛn vɛjitebul. Fɔ it fayn na impɔtant tin fɔ mek yu ebul fɔ kɔntrol yu blɔd prɛshɔn. Di DASH (Dietary Approaches to Stop Hypertension) it plan ɛn fɔ stɔp sɔdiɔm (sɔl) kin ɛp fɔ kɔntrol blɔd prɛshɔn. Aks yu dɔktɔ fɔ rifer yu to wan dɔktɔ we de mɛn yu it fɔ ɛp yu fɔ mek wan it plan we go fayn fɔ yu.
- Limit yu rɔm we yu de drink. Dɛn kin advays bɔku man dɛn nɔ fɔ drink pas tu rɔm fɔ wan de, ɛn dɛn kin advays uman ɛn smɔl man dɛn nɔ fɔ drink pas wan rɔm fɔ wan de. (Wan drink na lɛk 12 ɔns bia, 12 ɔns wayn kul, 5 ɔns wayn, ɔ 1.5 ɔns had rɔm.)
- Kɔntrol strɛs ɛn vɛks.
- Nɔ tek ɔl di tin dɛn we gɛt tabak ɛn nikotin kpatakpata.
- I impɔtant bak fɔ kɔntrol di blɔd lipid lɛvɛl (LDL, Cholesterol, Triglycerides) ɛn ɔda wɛlbɔdi prɔblɛm dɛn lɛk dayabitis.
Mitin di dɔktɔ ɛn di mɛrɛsin man
- Tek ɔl di mɛrɛsin dɛn we yu dɔktɔ gi yu jɔs lɛk aw dɛn tɛl yu fɔ tek. Nɔ bigin ɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Blɔd prɛshɔn mɛrɛsin nɔ kin kɔntinyu fɔ wok afta yu dɔn stɔp fɔ tek am.
- Sɔm mɛrɛsin dɛn we yu nɔ kin bay, lɛk di wan dɛn we de mek yu blɔd prɛshɔn, kin afɛkt di we aw yu blɔd prɛshɔn mɛrɛsin de wok.
- Nɔ fɔgɛt fɔ si yu dɔktɔ di de dɛn we yu dɔn sɛtul. I kin ebul fɔ wach yu blɔd prɛshɔn, mek ɛni ajɔstmɛnt we yu nid fɔ tek di mɛrɛsin dɛn we yu de tek, ɛn ɛp yu fɔ kɔntrol yu at sik.
Yu dɔktɔ kin tɛl yu bak fɔ chɛk yu blɔd prɛshɔn na os ɛn rayt am. If i tɛl yu fɔ du dat, fala wetin i tɛl yu fɔ du.
Aw yu kin pripia bifo yu chɛk yu blɔd prɛshɔn?
Fɔ no yu blɔd prɛshɔn kɔrɛkt wan, mɛmba dɛn tin ya:
- If yu jɔs dɔn fɔ smok, ɛksesaiz, ɔ drink kɔfi, wet fɔ lɛk 30 minit bifo yu chɛk yu blɔd prɛshɔn.
- Go na tɔylɛt ɛn ɛmti yu blad.
- Rol op yu shirt sliv. Nɔ wɛr bɛlt oba yu shirt sliv.
- Sidɔm kwayɛt wan ɛn nɔ tɔk fɔ fayv minit.
- Sidɔm stret, wit yu tu fut dɛn na grɔn. Nɔ krɔs yu leg dɛn.
- Put yu an pan tebul we de na di at lɛvɛl.
Aw dɛn kin mɛzhɔ blɔd prɛshɔn?
If dɛn yuz an fɔ mɛzhɔ yu blɔd prɛshɔn, dɔktɔ ɔ nɔs go du am lɛk dis:
- wan spεshal bכnd (`cuff`) - we kכnekt to wan mita (`gauge` כ `Sphygmomanometer`) - dεn rap am rawnd yu כp an (abov di εlbo).
- Dɔn dɛn kin blo di band te i tayt rawnd yu an. Dɛn kin swɛt wan smɔl tin we tan lɛk bɔl we dɛn tay pan di band. dis de kכmprεs yu brachial atεri, we de stכp di bכdi fכ fכlכ tru am fכ sכm tεm. na dis tεm, di mita fכ rid bכt 200 mmHg.
- Neks, we yu de lisin to di sawnd we blɔd de flɔ tru yu an at wit stetɔskɔp, di kɔf de kɔmɔt na di kɔf smɔl smɔl (via wan valv we dɛn tay pan di kɔf). Dɔn di nidul we de na di mita go bigin fɔ kam dɔŋ.
- We yu bigin fɔ yɛri di sawnd we blɔd de flɔ (di sawnd we di puls de mek), yu de luk di valyu we de na di mita. Dat na di sistolik valyu, we na di tכp valyu.
- Dɔn, dɛn kin opin di valv mɔ ɛn di band kin lɔs ɔl. Dɔn, di prɛshɔn na di an at kin stɔp, ɛn di blɔd kin bigin fɔ flɔ nɔmal wan bak. We di band lus ɛn di sawnd we di blɔd de flɔ dɔn stɔp, dɛn kin rid di valyu na di mita. Dat na di diastolic value, we na di bottom value.
Ɔtomɛtik blɔd prɛshɔn monita dɛn de bak we yu kin yuz na os.
Wetin kin apin afta dɛn dɔn chɛk yu blɔd prɛshɔn?
If yu de fred ɛn wɔri we yu go to yu dɔktɔ, yu blɔd prɛshɔn kin go ɔp pas aw i rili bi. Dɛn kɔl dis "White Coat Syndrome." I tan lɛk se yu blɔd prɛshɔn de go ɔp we yu si di dɔktɔ in wayt kot. If dat apin, yu dɔktɔ go tɛl yu fɔ chɛk yu blɔd prɛshɔn na os ɔl di de. Dɔn yu kin rayt yu blɔd prɛshɔn ridin ɛn sho am to yu dɔktɔ.
Ɛni bad tin de we kin apin we pɔsin mɛzhɔ blɔd prɛshɔn?
We yu mɛzhɔ yu blɔd prɛshɔn, yu kin fil tayt smɔl we yu inflayt di kɔf rawnd yu an. Bɔt i kin jɔs las fɔ shɔt tɛm. Dɔn i kin go bak to nɔmal tin. No big big sayd ɛfɛkt nɔ de.
Wetin na di blɔd prɛshɔn valyu dɛn we wi kin gɛt?
Tu tin dɛn de we yu kin du fɔ no aw yu blɔd prɛshɔn de rid:
- Sistolik blɔd prɛshɔn (tɔp/fɔs nɔmba): Dis na di prɛshɔn we de insay yu at we yu at de bit ɛn pɔmp blɔd insay yu at.
- di diastolik bכdi prεshכn (bכtכm/sεkכn nכmba): Dis na di prεshכn we de insay di at dεm we di at de rεst, bitwin tu at bit.
Dɔktɔ dɛn kin gi dɛn mɛzhɔmɛnt ya insay milimita mɛkkyuri (mm Hg). Dɛn kɔl am so bikɔs trade, tin dɛn we dɛn kin yuz fɔ mɛzhɔ prɛshɔn bin gɛt mɛkuri.
Wetin na nɔmal blɔd prɛshɔn?
di nכmal bכdi prεshכn de sכmtεm 120/80 mm Hg.
if di ‘blכd prεshכn' na 120-129 (di כp nכmba) εn di lכw nכmba less dan 80 `mm Hg` , dεn kin kכnsid am as ‘εlevεt blכd prεshכn’ (dεn εlevεt sכmtεm). Pipul dεm na dis kεtכgrεf, if dεn nכ du sכmtin fכ rεdכks dεn prεshכn, dεn prεshכn kin bכku mכr.
Aw bɔku blɔd prɛshɔn denja fɔ ay?
If yu tɔp nɔmba ɛva bi 180 ɔ pas dat, ɛn/ɔ yu bottom nɔmba na 120 ɔ pas dat, go to dɔktɔ wantɛm wantɛm, ɔ mek sɔmbɔdi kɛr yu go na ɔspitul wantɛm wantɛm. Dis na wan denja kכndyushכn wae dεn kכl ``Hypertensive Crisis`` .
Wae yu gɛt ‘Hypertensive Crisis’, yu kin gɛt sɔm kayn sik lɛk:
- I nɔ kin izi fɔ yu fɔ blo.
- Chɛst de pen.
- Nɔ ebul fɔ si klia wan ɔ i nɔ kin izi fɔ tɔk.
- Bak pen.
- Nɔr kin no natin ɔr kin swɛla.
Di prɛshɔn ridin we smɔl, bɔt we ay, min se yu kin gɛt ‘Stage 1’ ɔ ‘Stage 2’ haypatɛnshɔn.
- Stej 1 haypatɛnshɔn: Ɔpa ridin 130-139 ɔ lɔwa ridin 80-89.
- Stej 2 haypatɛnshɔn: Di nɔmba we de ɔp na 140 ɔ pas dat, ɔ di nɔmba we smɔl pas dat na 90 ɔ pas dat.
If yu blɔd prɛshɔn ridin de na ‘Stage 1’ ɔ ‘Stage 2’, yu dɔktɔ go tɛl yu fɔ mek chenj na yu layf ɛn gi yu mɛrɛsin bak fɔ yu blɔd prɛshɔn.
Aw bɔku blɔd prɛshɔn tu smɔl?
if prεshכn ridin lכ w pas 90/60 mm Hg dεn kin kכnsidr am lכw bכdi prεshכn. Sɔm pipul dɛn kin gɛt lɔw blɔd prɛshɔn ɔltɛm, we na nɔmal tin fɔ dɛn. Bɔt fɔ ɔda pipul dɛn, lɔw blɔd prɛshɔn min se sɔntin nɔ de apin. Sɔntɛm dɛn nɔ de gɛt inof blɔd to dɛn impɔtant pat dɛn.
Yu tink se di valyu we de ɔp ɔ di valyu we de dɔŋ impɔtant pas ɔl?
Yu dɔktɔ kin yuz di nɔmba we de ɔp ɔ di nɔmba we de dɔŋ fɔ no if yu gɛt ay blɔd prɛshɔn. Bɔt if yu pas 50 ia, dɛn kin pe atɛnshɔn mɔ pan di tɔp nɔmba (di sistolik nɔmba) as sɔntin we kin mek yu gɛt at sik.
As yu de ol, yu at dɛn kin stif as tɛm de go, ɛn as di fat ɛn kɔlɔstrel (plek) de bɔku, yu blɔd prɛshɔn kin go ɔp.
Aw lɔng i kin tek fɔ gɛt di rizɔlt?
Yu kin gɛt yu blɔd prɛshɔn ridin wantɛm wantɛm. Bɔt yu dɔktɔ go nid fɔ rid tu ɔ mɔ (we dɛn tek am difrɛn de dɛn) fɔ no if yu gɛt ay blɔd prɛshɔn. I kin aks yu fɔ kam bak fɔ ɔda chɛk ɔda de.
Ustɛm a fɔ go to di dɔktɔ?
If yu os blɔd prɛshɔn ridin ay ɔ smɔl pas aw i fɔ bi, kɔl yu dɔktɔ. If yu ridin na 180/120 mm Hg, ɔ ɛni wan pan dɛn valyu dɛn de ay pas dat, kɔl 911 wantɛm wantɛm ɔ go na imejensi rum.
Ivin if yu nɔr gɛt ɛni sayn, yu blɔd prɛshɔn kin ay. So, i impɔtant fɔ chɛk yu blɔd prɛshɔn ɔltɛm fɔ mek shɔ se i de insay di nɔmal rɛnj. If yu gɛt ay blɔd prɛshɔn, tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu. Nɔ bigin ɔ stɔp fɔ tek yu mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Blɔd prɛshɔn mɛrɛsin nɔ de stɔp fɔ wok afta yu dɔn stɔp fɔ tek am. Si yu dɔktɔ di rayt tɛm so dat i go ebul fɔ wach yu blɔd prɛshɔn, mek ɛni chenj we nid fɔ chenj to yu mɛrɛsin, ɛn ɛp yu fɔ kɔntrol yu at sik.
Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .
Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt gud aidia bɔt ‘blɔd prɛshɔn’. Fɔ sɔmtin:
- Blɔd prɛshɔn rili impɔtant fɔ yu bɔdi in wɛlbɔdi.
- I rili impɔtant fɔ chɛk yu blɔd prɛshɔn ɔltɛm, mɔ if yu gɛt tin dɛn we kin mek yu gɛt dis sik.
- Ha blɔd prɛshɔn kin bi "saylent killer," so nɔ wet fɔ mek di sayn dɛm sho.
- Fɔ liv fayn layf (gud it, ɛksesaiz, fɔ lɛf fɔ smok, fɔ kɔntrol strɛs) na big ɛp fɔ kɔntrol blɔd prɛshɔn.
- If di dɔktɔ tɛl yu fɔ tek di mɛrɛsin, tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am. Nɔ ɛva stɔp fɔ tek mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Yu fɔ no aw yu blɔd prɛshɔn de rid, mɔ di denja lɛvɛl lɛk 180/120 mm Hg, ɛn go to dɔktɔ wantɛm wantɛm if dɛn apin.
Yu wɛlbɔdi de na yu an! So i bɛtɛ fɔ tek kia ɔf dis.
` Blɔd prɛshɔn, ay blɔd prɛshɔn, at sik, wɛlbɔdi, blɔd prɛshɔn mɛzhɔmɛnt, prɛshɔn, aypatɛnshɔn
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