Prɔblɛm we bɔku pipul dɛn gɛt dɛn tɛm ya na ay blɔd prɛshɔn, ɔ as wi ɔl no am, ‘prɛshɔn’. So, as tritmɛnt fɔ dis, dɔktɔ dɛn kin gi dɛn difrɛn kayn mɛrɛsin dɛn. Wan pan dɛn na wan spɛshal drɔg we dɛn kɔl Aliskiren. Sɔntɛm dɛn dɔn gi yu dis mɛrɛsin bak. So tide, lɛ wi tɔk simpul ɛn fayn bɔt dis Aliskiren pil, di tin dɛn we wi fɔ tek tɛm we yu de yuz am, ɛn di sayd ɛfɛkt dɛn we pɔsin kin gɛt.
Wetin na Aliskiren?
Fɔ tɔk am simpul wan, Aliskiren na spɛshal kayn mɛrɛsin we dɛn kin yuz fɔ kɔntrol ay blɔd prɛshɔn. I de pan wan klas ɔf drɔgs we dɛn kɔl ‘renin inhibitors.’ Naw yu kin de wɔnda wetin dis ‘renin’ min.
Imajin, wi bɔdi gɛt natura l sistɛm we de kɔntrol blɔd prɛshɔn. wan εnzym we de ple imכtant rol insay dis sistεm dεn kכl am 'renin'. sכmtεm, we dis rεnin εnzym tu aktv, di bכdi vεsul dεm kin kכnstrikt (tayt) εn di prεshכn kin go כp. So wetin Aliskiren de du na fɔ kɔntrol di wok we da renin ɛnzay de du dairekt wan. Dɔn di blɔd vesel dɛn kin fri smɔl, dɛn kin wayd, ɛn di blɔd prɛshɔn kin go dɔŋ. Dis na di men tin we dis drɔg de du.
Dis mɛrɛsin de ɔnda difrɛn brand nem dɛn na Sri Lanka ɛn ɔlsay na di wɔl. Wan pan di wan dɛn we pipul dɛn sabi pas ɔl na `Tekturna`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu gi yu Aliskiren, yu dɔktɔ go aks yu bɔt sɔm tin dɛn. Bɔt sɔntɛnde wi kin fɔgɛt fɔ tɔk bɔt dɛn tin ya. So yu fɔ rili tɛl yu dɔktɔ bɔt dɛn tin ya.
- If yu gɛt dayabitis: Dis rili impɔtant. Wi fɔ tek tɛm spɛshal we yu de gi dis mɛrɛsin to pɔsin we gɛt dayabitis.
- If yu gɛt kidni sik: If yu gɛt ɛni kidni sik, yu fɔ tɔk bɔt am.
- If yu nɔ gɛt wata na yu bɔdi: I kin denja fɔ tek dis mɛrɛsin we yu nɔ gɛt wata na yu bɔdi ɛn yu nɔ gɛt wata na yu bɔdi.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ: Dis rili impɔtant . If yu gɛt bɛlɛ ɔ yu plan fɔ bɔn pikin jisnɔ, yu fɔ rili tɛl yu dɔktɔ. Dis mɛrɛsin kin rili ambɔg di pikin we nɔ bɔn yet.
- Fɔ gi pikin in mama in bɛlɛ: If yu na mama we de gi pikin in bɛlɛ, tɔk bɔt dat bak.
- Ɔda Alɛji: I impɔtant fɔ tɛl wi if yu gɛt ɛni alɛji, nɔto jɔs to Aliskiren, bɔt to ɛni ɔda mɛrɛsin, it, ɔ day.
Di kɔrɛkt we fɔ yuz di mɛrɛsin
I rili impɔtant fɔ yuz di kɔrɛkt doz, jɔs lɛk aw di dɔktɔ tɛl yu.
- Tek am di rayt tɛm: Gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Na mɔnin, mɔnin, ɛn ivintɛm, na di sem tɛm ɛvri nɛt. Dis go ɛp fɔ mek di mɛrɛsin kɔntinyu fɔ wok fayn na di bɔdi.
- We yu it ɔ yu nɔ it: Yu kin tek dis mɛrɛsin wit it ɔ yu nɔ it am. Bɔt di tin we impɔtant pas ɔl na dat yu de tek am di sem we ɛvride. Fɔ ɛgzampul, if yu tek am afta yu it brɛf ɛvride, kɔntinyu fɔ tek am da we de. Nɔ tek am bifo yu it brɛf wan de ɛn afta yu it brɛf di nɛks de.
- Nɔ stɔp fɔ tek am te yu dɔktɔ tɛl yu fɔ: Nɔ stɔp fɔ tek yu mɛrɛsin we yu nɔ aks yu dɔktɔ, jɔs bikɔs yu tink se yu de fil fayn naw ɛn yu blɔd prɛshɔn nɔmal. Kɔntinyu fɔ tek am.
Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
Sɔntɛnde wi kin fɔgɛt fɔ tek wi mɛrɛsin. If wi mis wan doz, tek am jɔs afta wi mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ wi tek di nɛks doz (e.g., insay sɔm awa), skip di doz we yu mis ɛn tek di nɛks doz na di tɛm we dɛn dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink wantɛm wantɛm se yu dɔn tek dis mɛrɛsin tumɔs, nɔ panik ɛn kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Ɔda mɛrɛsin dɛm wae kin intarakt wit Aliskiren
Sɔm ɔda mɛrɛsin dɛm wae yu kin tek kin intarakt wit Aliskiren, mek i woke pasmak ɔr nɔr de woke fayn, ɔr kin mek yu gɛt sayd ɛfɛkt. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
| Tayp fɔ mɛrɛsin | Tin dɛn we yu fɔ wach bɔt |
|---|---|
| Ɔda mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn | I nɔ fayn fɔ tek dis wit sɔm blɔd prɛshɔn mɛrɛsin (especially fɔ di wan dɛn we gɛt dayabitis). |
| Di tin dɛn we dɛn kin yuz fɔ sɔpɔt potashɔm | If yu tek dɛn tin ya togɛda, dat kin mek yu gɛt bɔku bɔku potashɔm na yu blɔd we denja. |
| Sɔl sɔbstityuyt dɛn we gɛt potashɔm | Dɛn tin ya bak gɛt bɔku potashɔm, so nɔ yuz dɛn if yu nɔ gɛt dɔktɔ advays. |
| Atorvastatin (na mɛrɛsin fɔ kɔlɔstrel) . | I kin bi se na intarakshɔn de bitwin dɛn tu mɛrɛsin ya. |
| Furosemide (na mɛrɛsin we de pul wata na di bɔdi) . | Aliskiren kin ridyus di effektiv we Furosemide de wok. |
| Ketoconazole (wan tin we de mek pɔsin nɔ gɛt bɛlɛ) . | Dis kin mek di lɛvɛl we Aliskiren de na di bɔdi go ɔp. |
I rili impɔtant: If yu gɛt dayabitis, ɛn yu dɔn ɔlrɛdi de tek ɔda blɔd prɛshɔn mɛrɛsin frɔm di ARB (angiotensin-receptor-blocker) ɔ ACE inhibitor (angiotensin-converting-enzyme-inhibitor) klas (e.g. Losartan, Telmisartan, Enalapril, Ramipril), nɔ tek Aliskiren fɔ ɛni rizin. Dis sik kin mek di kidni dɛn pwɛl bad bad wan. Mek shɔ se yu tɔk to yu dɔktɔ bɔt dis.
Sɔm sayd ɛfɛkt dɛn we dis mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Aliskiren kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya siriɔs, ɛn ɔda wan dɛn nɔ kin at fɔ du.
| Sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, it, swel na di lip, tong, fes ɔ trot. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ izi fɔ blo, di chɛst tayt. |
| Di chenj dɛn we de apin na di at rit | Fɔ fil lɛk se yu at de bit fast ɔ nɔ de bit ɔltɛm. |
| Diziz ɔ layt ed | Fɔ fil lɛk gnat, yay dɛn de tɔn blu, de drɔp. |
| Prɔblɛm dɛn na di kidni | Di urine autput we de dכn, pen we yu de pis. |
| Ɔda | Fiva, trot we de at, gaut pen, di limb dɛn we de swɛla. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Bɛlɛ de at | Bɛlɛ de at, dayarɛa. |
| Ed de at | Wan ed we nɔ kin at fɔ pen. |
| Kɔf | Sɔm pipul dɛn kin gɛt dray kɔf. |
| We pɔsin taya | Fɔ fil taya pas aw i kin fil. |
Aw yu kin kip mɛrɛsin fayn fayn wan?
- Kip am fa frɔm pikin dɛn: Ɔltɛm kip mɛrɛsin na say we sef, usay pikin ɛn animal dɛn we yu de mɛn nɔ go ebul fɔ rich.
- Di tɛmpracha we fit:I bεst fכ kip am na rum tεmprachכ (bitwin 20-25 sεlshiכs). Protɛkt frɔm ɔt ɛn humidity we pasmak.
- Klos di bɔtul tayt: Kip di mɛrɛsin bɔtul ɔ paket in mɔt tayt tayt wan. Nɔ pul di smɔl paket (silica gel paket) we de insay di bɔtul. I de tek di wata we de kɔmɔt na di mɛrɛsin ɛn mek i dray.
- Trowe afta di mɛrɛsin dɔn: Chɛk di de we di mɛrɛsin dɛn dɔn ɛn trowe ɛni mɛrɛsin we dɔn pas we yu nɔ yuz am.
Mɛsej we dɛn kin kɛr go na os
- Aliskiren na wan drɔg we de insay di ‘renin inhibitor’ klas fɔ drɔgs we dɛn kin yuz fɔ trit ay blɔd prɛshɔn.
- Bifo yu bigin dis mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin (especially dayabitis, kidni sik) ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- If yu gɛt dayabitis ɛn yu de tek ɔda blɔd prɛshɔn mɛrɛsin frɔm di ARB ɔ ACE inhibitor klas, nɔ tek Aliskiren.
- Nɔ yuz dis mɛrɛsin we yu gɛt bɛlɛ ɔ we yu de tray fɔ gɛt bɛlɛ. Tɛl yu dɔktɔ wantɛm wantɛm.
- Tek yu mɛrɛsin di sem tɛm ɛn di sem we ɛvride. Nɔ stɔp yu mɛrɛsin we yu nɔ go to yu dɔktɔ.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk fɔ swel na yu fes, yu lip, ɔ yu nɔ go ebul fɔ blo, go to dɔktɔ wantɛm wantɛm.
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