Wi fɔ lan bak bɔt ‘Perfusion Pressure’, nɔto jɔs di blɔd prɛshɔn we wi de fil na wi bɔdi?

Yu go mɔs dɔn yɛri bɔt ‘blɔd prɛshɔn’, nɔto so? Bɔt tide wi go tɔk bɔt sɔntin we impɔtant bak, bɔt sɔntɛm yu nɔ yɛri bɔku bɔt am. Dat na ‘Pɛrfyushɔn Prɛshɔn’. Fɔ tɔk am simpul wan, dis na di prɛshɔn we wi nid fɔ pɔmp blɔd fayn fayn wan na di difrɛn pat dɛn na wi bɔdi. Na we dis prɛshɔn rayt nɔmɔ wi ɔgan dɛn go gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid.

Wetin na ‘Pɛrfyushɔn Prɛshɔn’? Lɛ wi ɔndastand am simpul wan.

Imajin se fɔ mek yu ebul fɔ wata di plant dɛn na yu gadin, gud prɛshɔn nid fɔ de na di paip we de kɔmɔt na di wata pɔmp, nɔto so? semweso, fכ mek di כgan dεm we imכtant pas ɔl na wi bכdi, we na di at, di bren, di kidni dεm, כl dεn tin ya, go gεt כksijεn εn nyutriεnt dεm tru di bכdi, dis we dεn kכl ‘pεrfyushכn prεshכn’ fכ de in ples. Fɔ tɔk am simpul wan, ‘perfusion pressure’ na di net prɛshɔn we dɛn nid fɔ gi blɔd to wan tisu ɔ ɔgan. As lɔng as dis prɛshɔn de na inof lɛvɛl, da ɔgan de go gɛt di blɔd we dɛn nid. Na dat mek dis na impɔtant pat pan wi blɔd blɔd. Imajin, wetin go apin if dis prɛshɔn go dɔŋ na sɔm say dɛn? Na da tɛm de big big prɔblɛm dɛn kin kam. Dis prɛshɔn we de go dɔŋ kin denja, mɔ na wi at ɛn bren. Na bikɔs if dɛn ɔgan dɛn ya nɔ gɛt blɔd fayn, i kin mek pɔsin gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja.

Aw dis ‘perfusion pressure’ de wok?

Wi at tan lɛk pɔmp. I de wok ɔltɛm, nɔto so? εvri tεm we wi at de bit, i de push sכm blכd kכmכt na di at εn sεnd am to di bכdi vεsεl dεm (atεri dεm) כlsay na wi bכdi. Dɔn dis blɔd kin kɔmɔt na di at dɛn to di kapilari dɛn. Na de di ɔksijɛn we de na di blɔd de chenj wit di sɛl dɛn na wi bɔdi. We dɛn dɔn du da wok de, di blɔd we de na di kapilari dɛn kin go bak na di at tru di vein dɛn. Dis saykl de apin ɛvri sɛkɔn we di at de bit. so fכ dis prכsεs fכ wok fayn fayn wan, di tin we dεn kכl ‘pεrfyushכn prεshכn’ implεnt.

Aw yu go no if dis ‘perfusion’ de go fayn?

Pεrfyushכn tεst dεm we nכ involv כgan dεm insay di bכdi kin stat wit wan tin we dεn kכl puls כksimita. Yu go mɔs dɔn si am, sɔntɛnde yu kin put tin we tan lɛk klip na yu finga fɔ chɛk di ɔksijɛn we de na yu blɔd. Na dat. I de sɛn rɛd ɛn infrarɛd layt tru yu skin. Di mɔlyul we de na wi blɔd we dɛn kɔl ɛmoglobin de kɛr ɔksijɛn. Dis ɛmoglobin de absɔb layt difrɛn we we i de kɛr ɔksijɛn ɛn we i nɔ de kɛr am. If yu yuz da difrɛns de, di puls ɔksimita kin kɔl ɔmɔs ɔksijɛn de na yu blɔd ɛn if blɔd de rich wan patikyula say fayn fayn wan. Sɔm pan dɛn puls ɔksimita ya tan lɛk klip we yu kin put na yu finga. Sɔm kin kam wit sɛns we yu kin stik na yu finga ɔ ɔdasay, lɛk stika. Sɔntɛnde dis kin tay pan di yes ɔ fɔrɛst.

So wetin na dis ‘Perfusion Index’?

Pɛrfyushɔn Indeks (PI) na fɔ no aw blɔd de go fayn fayn wan na wan patikyula pat na yu bɔdi. I de mɛzhɔ di blɔd we gɛt ɔksijɛn na da eria de we yu kɔmpia am to di blɔd we nɔ gɛt ɔksijɛn. Di sem we aw puls ɔksimita kin ebul fɔ no di ɔksijɛn we de na di blɔd kin ɛp bak wit di Pɛrfyushɔn Indeks. bay we yu mכsu כl di כksijεn we εmoglobin de kכri, i pכsibul fכ mכsu כl di nyu bכdi (i.e. bכdi we stil gεt כksijεn) de fכlכ tru da εria de. Di Peripheral Perfusion Index na wan we we de yuz dis prinsipul fɔ ɛp dɔktɔ dɛn fɔ asɛs ɛn trit pɔsin we sik. If yu valyu smɔl, dat min se yu at nɔ de pɔmp inof blɔd, ɔ sɔntin de we de mek blɔd nɔ flɔ fayn fayn wan to di pat dɛn na yu bɔdi we de fa pas ɔl na yu at (lɛk yu an ɛn yu fut).

Wetin na di difrɛns bitwin ‘Perfusion Index’ ɛn ‘Blood Pressure’?

Dɛn tu tin ya na fɔ no aw wi blɔd de wok fayn fayn wan. Bɔt di we aw dɛn de du am difrɛn, ɛn dɛn nɔ de mɛzhɔ di sem tin.

• Perfusion Index: Dis na fɔ no ɔmɔs blɔd de pas na wan patikyula say. If yu gɛt ay valyu i de sho se blɔd de flɔ bɛtɛ . If yu valyu smɔl , dat kin sho se yu gɛt prɔblɛm wit yu at ɔ yu blɔd vesel .
• Blɔd Prɛshɔn : Dis de mɛzhɔ di prɛshɔn we de insay yu blɔd vesel dɛm, we dɛn de mɛzhɔ insay milimita mɛkkyuri (mm/Hg). Wan valyu we de ɔp ɛn we de dɔŋ de. di כp valyu (`Systolic` prεshכn) na di prεshכn pan di at dεm εvri tεm we di at de bit. di lכw valyu (` Diastolic` prεshכn) na di prεshכn pan di at dεm bitwin tu at bit dεm.

Impɔtant: Bikɔs dɛn tu ya de mɛzhɔ difrɛn tin dɛn, yu nɔ go ebul fɔ tink se wan gud ɛn di ɔda wan bak gud. Dɛn tu tin ya impɔtant.

Aw ‘perfusion pressure’ de wok na yu at?

Wi at na mɔsul we nid fɔ wok ɔltɛm ɔlsay na wi layf. Fɔ mek di at ebul fɔ du in wok fayn fayn wan, i nid fɔ gɛt ɔksijɛn ɔltɛm. I kin gɛt dis frɔm spɛshal blɔd vesel dɛn we dɛn kɔl di korona at . Imajin, di at de yuz bitwin 70% ɛn 80% pan di ɔksijɛn we de pas na dɛn at ya! No ɔda ɔgan nɔ de we de yuz bɔku ɔksijɛn lɛk dis.Koronari Pεrfyushכn Prεshכn (CPP) na in de mek bכdi fכ fכlכ tru dεn at dεm ya. If dis prɛshɔn go dɔŋ, di at nɔ go gɛt inof blɔd ɛn ɔksijɛn. Dis kin mek yu gɛt prɔblɛm dɛn we go mek yu layf de pan denja.

Aw yu kin fɛn dis?

dεn nכ de yuz puls כksimεtri fכ mεzj korona pεrfyushכn prεshכn (CPP). Fɔ mɛzhɔ dis, dɔktɔ dɛn kin tek tu ɔda mɛzhɔmɛnt dɛn ɛn yuz dɛn fɔ kɔl di prɛshɔn we di korona gɛt. Dɛn kin tek dɛn mɛzhɔmɛnt ya bay ɛkokadyografi (we dɛn kin skan di at) ɔ bay we dɛn de yuz at kateshɔn ( tɛst we dɛn kin put wan tin tiub insay di at). di tu mכsul dεm na: 1. Aortic Diastolic Pressure: Dis na di prεshכn we de insay yu aorta (di big bכdi we de kכri bכdi frכm di at to di rεst pat na di bכdi) bitwin di at bit. Dis kin bi bay we yu de mɛzhɔ yu nɔmal ‘blɔd prɛshɔn’. dis na di bכtכm nכmba (`Diastolic` prεshכn) fכ yu bכdi prεshכn. 2. ‘Left Ventricular End-Diastolic Pressure` (LVEDP): dis na di prεshכn we de insay di lεft vεntrikul, we na wan pan di tu lכw chεmba dεm na di at, bitwin tu at bit dεm. naw dεn de fכn dis ‘kכrona pεrfyushכn prεshכn’ (CPP) lεk dis: ‘Aortic Diastolic Pressure’ - ‘Lεft Ventricular End-Diastolic Pressure’ = ‘Koronary Pεrfyushכn Prεshכn’.

So aw dis ‘pεrfyushכn prεshכn’ de afekt di bren?

Afta di at, di ɔda pat we impɔtant pas ɔl we nid ɔksijɛn na wi bren. Sεribra Pεrfyushכn Prεshכn (CPP) na di wan we de mek sכh se bכdi de fכlכ fayn fayn wan to כl di pat dεm na di bren. If di bren nɔ gɛt inof blɔd, yu kin lɔs kɔnshɛns insay smɔl sɛkɔn. Na so i impɔtant.

Aw yu kin fɛn dis?

tu tεst dεm dεn nid bak fכ kכl di ‘sεribral pεrfyushכn prεshכn’ (CPP) na di bren. 1. Blɔd Prɛshɔn: Fɔs, dɛn kin mɛzhɔ di ‘blɔd prɛshɔn’. Dɔn, dɔktɔ dɛn kin kɔl di ‘Mean Arterial Pressure’ (MAP) . dis MAP na di avrej prεshכn na yu at dεm insay wan kadyak saykl (di tεm bitwin we yu at kכntrakt εn rilaks). Dɛn kin kɔl dis MAP lɛk dis:

• mכltiply di bכtכm nכmba fכ yu 'blכd prεshכn' (`Diastolic` prεshכn) wit tu.
• Ad di valyu we de ɔp (`Systolic` prɛshɔn) to di ansa we yu gɛt.
• Ad dɛn ɔl ɛn sheb di valyu we kɔmɔt bay 3. (MAP = [Systolic BP + (2 x Diastolic BP)] / 3)

2. Intrakranial Prεshכn (ICP): Intrakranial min "insay di sכkul." bitwin wi bren εn di sכkul bon na di sεribrospεnal fכluid (CSF).wan wata de we dεn kכl intrakranial prεshכn. dis ICP na di tכtal prεshכn insay di sכkul bikoz fכ yu bren, di bכdi we de insay, εn di CSF fכluid. Speshal we dɛn de fɔ mɛzhɔ dis, ɛn sɔntɛnde yu kin put wan fayn fayn inschrumɛnt insay di skel. naw, dεn fכnshכn di ‘sεribral pεrfyushכn prεshכn’ (CPP) lεk dis: ‘Min Atεrial Prεshכn’ (MAP) - ‘Intrakranial Prεshכn’ (ICP) = ‘Sεribral pεrfyushכn prεshכn’ (CPP) .

Wetin na di kɔmɔn mɛdikal kɔndishɔn dɛm wae kin kam wit prɔblɛm wae gɛt fɔ du wit ‘perfusion pressure’?

di men prכblεm we kin apin we di ‘pεrfyushכn prεshכn’ nכ de εnisay na yu bכdi dεn kכl am ‘ischemia’ . Dis min se di eria nɔ de gɛt inof blɔd, so i nɔ de gɛt inof ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it. if dis ‘ischemia’ apin na wan an כ leg, di tisu we de na da εria de kin bigin fכ day. Dis kin mek yu gɛt tin dɛn lɛk ‘gangrene’ (tissue rot) ɛn infɛkshɔn. If dis afɛkt wan big ɔgan, da ɔgan de kin bigin fɔ pwɛl smɔl smɔl, ɛn dis kin mek i gɛt mɔ siriɔs prɔblɛm dɛn, ɛn ivin kil pɔsin. Na sɔm pan di kɔndishɔn dɛm wae kin kam wit ɔr kin gɛt fɔ du wit ‘perfusion pressure’ prɔblɛm:

• At atak
• At we nɔ de wok fayn
• Koronari at sik
• Strok
• Shok we de mek pɔsin in at
• Sεribral haypoksia (di bren dεm we de pwεl we dεn nכ gεt כksijεn na di bren) .
• Atɛrosklɛrosis we kin mek pɔsin gɛt at
• Ɔlsa na di leg ɛn fut
• Raynaud in sik (we de mek blɔd nɔ de go na di an ɛn fut dɛn) .

Wetin a kin du fɔ kip mi ‘perfusion pressure’ na sef lɛvɛl?

Yu ‘perfyushɔn prɛshɔn’, mɔ na yu at ɛn bren, nɔ kin bi prɔblɛm pas yu gɛt wan patikyula sik we gɛt fɔ du wit yu at ɛn di blɔd sistɛm. Bɔt yu kin du dɛn tin ya fɔ mek dɛn nɔ gɛt dɛn sik ya ɔ fɔ mek dɛn nɔ gɛt dis sik:

• Mek yu gɛt wɛlbɔdi wet. I nɔ fayn fɔ bi tu big ɔ tu tin.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. It tin dɛn we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul.
• Stɔp fɔ yuz tabak prɔdak (inklud tabak we nɔ gɛt smok ɛn vaping). Dɛn tin ya kin mek di blɔd vesel dɛn pwɛl bad bad wan.

"Tink bɔt am, wɛlbɔdi layf tan lɛk fɔ mek wi bɔdi kɔntinyu fɔ de. Jɔs lɛk aw wi de savis motoka fɔ mek i kɔntinyu fɔ de fayn, wi nid fɔ tek kia ɔf wi bɔdi gud gud wan."

di bεst we fכ no εni prכblεm we kin de afekt ‘pεrfyushכn prεshכn’ na fכ du fכ ɛgzam pan yu bכdi ɛvri ia.Dɛn kin kɔl dis bak ‘wɛlbɔdi chɛk’. If yu du simpul tɛst we yu go to yu dɔktɔ, bɔku tɛm yu kin no di siriɔs prɔblɛm dɛn bifo yu ivin sho di sayn dɛn. If yu kech dɛm kwik, yu kin gɛt tritmɛnt ɛn stɔp fɔ damej fɔ ɔltɛm ɔr ridyus dɛn impak. If yu dɔn gɛt wan sik we de afɛkt ‘perfusion pressure’, mek shɔ se yu de go to dɔktɔ ɔltɛm fɔ wach yu kɔndishɔn ɛn gɛt tritmɛnt if nid de. Dɔn bak, fala wetin yu dɔktɔ tɛl yu ɛn tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek. If yu gɛt kwɛstyɔn ɔ yu nid ɛp, yu dɔktɔ na di bɛst pɔsin fɔ tɔk to.

Faynal Mɛsej fɔ Tek-Hom

Pεrfyushכn prεshכn impɔtant fכ εvri pat na wi bכdi, εvri כgan, fכ wok fayn fayn wan. If dis ‘perfusion’ nɔ de, blɔd nɔ de flɔ to ɔl di ples dɛn we i nid fɔ go. Dis we aw blɔd nɔ de flɔ kin gɛt siriɔs prɔblɛm dɛn as tɛm de go, ɔ ivin mek i gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja. If yu want fɔ no mɔ bɔt dis ‘perfusion pressure’ ɛn aw i kin afɛkt yu, mek shɔ se yu tɔk to dɔktɔ. Dɛn na di bɛst pipul dɛn fɔ tɛl yu di rayt tin we yu nid ɛn wetin yu nid fɔ du fɔ kia fɔ yusɛf. Dɔn yu kin tek kia ɔf yu wɛlbɔdi ɛn spɛn tɛm pan di tin dɛn we impɔtant to yu pas ɔl. Natin nɔ de we valyu pas fɔ gɛt wɛlbɔdi, nɔto so?

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Prfyushɔn prɛshɔn, blɔd prɛshɔn, at wɛlbɔdi, bren wɛlbɔdi, blɔd sirkuleshɔn, ɔksijɛn, wɛlbɔdi