Ay blɔd prɛshɔn, ɔ as wi ɔl no, "prɛshɔn," na wan sik we bɔku pipul dɛn na wi kɔntri de gɛt naw. Sɔntɛm yu de tek mɛrɛsin bak fɔ dis, ɔr sɔmbɔdi na yu famili kin gɛt dis sik. We dɔktɔ gi yu mɛrɛsin fɔ yu blɔd prɛshɔn, bɔku kayn mɛrɛsin dɛn de. So tide wi go tɔk bɔt wan pan di klas dɛm fɔ mɛrɛsin we dɛn kin yuz ɛn impɔtant pas ɔl. Dat na di ARB dɛn, ɔ Angiotensin II Risɛptɔ Blɔka dɛn.
Simply put, wetin na dis ARB?
ARB (Angiotensin II Receptor Blockers) na wan klas ɔf drɔgs we dɛn kin yuz fɔ trit nɔto jɔs ay blɔd prɛshɔn, bɔt dɛn kin yuz sɔm ɔda tin dɛn bak, lɛk at pwɛl ɛn kidni sik. Dɛn kin kam insay di fɔm fɔ pils, we min se dɛn kin tek dɛn wit mɔt. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, di minin we i gɛt rili simpul. Mek wi brok am dɔŋ.
- Angiotensin II na wan ɔmon we dɛn kin mek na wi bɔdi. Di men wok we i de du na fɔ kɔnstrikt (tayt) wi blɔd vesel dɛn .
- Risεptor na wan patikyula say na di wכl dεm na di bכdi we dis כmon kin tay. I tan lɛk di bled fɔ ki.
- Blɔka na sɔntin we de blok.
wetin dis mεdisin de du na fכ blכk di כmon (ki) fכ bכn to di rεsεpכta (plet) na di bכdi vεsul dεm. Dɔn di blɔd vesel dɛn nɔ kin lɔk, dɛn kin opin fayn fayn wan, so blɔd kin muv izi wan, ɛn di prɛshɔn bak kin ridyus. Lɛ wi luk sɔm pan di sityueshɔn dɛm we dɔktɔ dɛn kin gi dis kayn ARB mɛrɛsin dɔŋ ya.
| Kɔndishɔn | Aw ARB mɛrɛsin dɛn kin ɛp |
|---|
| Ay Blɔd Prɛshɔn | I de mek di blɔd vesel dɛn big, ɛn dis de mek di blɔd ebul fɔ flɔ izi wan. Dis kin mek di prɛshɔn we de insay di blɔd vesel dɛn nɔ bɔku. |
| Kɔnjɛstiv At Failure | I de ɛp fɔ ridyus di wok we di at de du ɛn fɔ mek i ebul fɔ pɔmp blɔd ɔlsay na di bɔdi. |
| Kidni Sik we pɔsin kin gɛt | I kin ɛp fɔ kɔntrol di damej we di kidni dɛn kin gɛt, mɔ bikɔs ɔf dayabitis, ɛn i kin slo di rit we da damej de kin apin. |
| Fɔ mek pɔsin nɔ gɛt strok | Bikɔs di blɔd vesel dɛn wayd, di chans fɔ mek smɔl smɔl blɔd klɔt dɛn blok di blɔd vesel dɛn we de go na di bren kin stɔp. |
| Afta we pɔsin gɛt at atak | I kin ɛp fɔ mek di at nɔ pwɛl ɛn nɔ gɛt ɔda at atak. |
Wetin na di ARB mɛrɛsin dɛn we dɛn kin gi?
Bɔku kayn drɔgs de we de insay di ARB klas. Wan rili izi we de fɔ no dɛn. Di nem fɔ dɛn drɔgs ya kin dɔn wit
“-sartan.” Chek di mɛrɛsin bɔks we yu dɔktɔ gi yu, i kin gɛt nem lɛk dis bak. Di tebul we de dɔŋ ya de sho sɔm pan di ARB dɛn we dɛn kin yuz mɔ.
| Jɛnɛrik Nem fɔ di Mɛdisin | Wan kɔmɔn brand nem (Brand Name Example) . |
|---|
| Losartan we dɛn kɔl | Cozaar® (di kayn ARB we dɛn kin yuz mɔ) . |
| Valsartan we dɛn kɔl Valsartan | Diovan®, Prɛxxartan®, we de wok fɔ di kɔmni |
| Irbesartan we dɛn kɔl | Avapro® we dɛn kɔl |
| Kandesartan we dɛn kɔl Candesartan | Atacand® we dɛn kɔl |
| Olmesartan we dɛn kɔl | Benicar® we gɛt fɔ du wit am |
| Telmisartan we dɛn kɔl Telmisartan | Micardis® we gɛt fɔ du wit am |
Impɔtant: Di brand nem dɛn we dɛn rayt ya na jɔs ɛgzampul dɛn. Yu dɔktɔ go dɔn gi yu dis mɛrɛsin ɔnda difrɛn brand nem. Nɔ wɔri bɔt dat.
Okay, naw lɛ wi si aw dis mɛrɛsin de wok insay di bɔdi.
Fɔ ɔndastand dis, lɛ wi tek wan smɔl ɛgzampul. Imajin se wata paip de, wetin go apin if yu swɛt di midul pan di paip ɛn ol am? Di wata prɛshɔn we de insay di paip de go ɔp, nɔto so? Wi blɔd vesel dɛn tan lɛk dat. di כmon `Angiotensin II` we de insay wi bכdi de kכnstrikt wi bכdi vεsul dεm lεk se i de sכk di wata paip. We di blɔd vesel dɛn kɔntrakt, di ples fɔ blɔd fɔ flɔ tru dɛn kin stɔp. Dɔn di at gɛt fɔ pɔmp blɔd wit mɔ
pawa . Dis na wetin wi kin kɔl ay blɔd prɛshɔn, ɔ prɛshɔn. fכ mek dis `Angiotensin II` כmon du in wok, i nid fכ atak wan spεsifi k ples na di bכdi vεsul dεm, we na ``rεsεpכta``. ARB drɔgs de du wan rili simpul tin.
Dɛn kin go sidɔm pan da riseptɔ de. afta dat di `Angiotensin II` כmon nכ gεt nכsay fכ atak. I tan lɛk se we yu go sidɔm na chia ɛn ɔda pɔsin sidɔm pan am, yu nɔ ebul fɔ sidɔm.
Fɔ tɔk am simpul wan, di ARB mɛrɛsin dɛn kin mek di ɔmon we de mek di blɔd vesel dɛn nɔ wok fayn. Dis kin mek di blɔd vesel dɛn opin big wan ɛn i kin mek di blɔd prɛshɔn go dɔŋ .
Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?
Lɛk ɛni mɛrɛsin, ARB kin mek sɔm smɔl smɔl sayd ɛfɛkt dɛn. Bɔt bɔku pipul dɛn nɔ kin gɛt ɛni bad bad tin we kin apin to dɛn. Di wan dɛn we kin apin pas ɔl na:
Di men rizin fɔ mek yu diziz na bikɔs i kin tek yu bɔdi tɛm fɔ ajɔst to di lɔw blɔd prɛshɔn. Dis sik kin dɔn insay sɔm dez.
Speshal atɛnshɔn fɔ di kidni dɛn:Na sכm tεm, ARB dεm kin afekt di bכdi fכ fכlכ to di kidni dεm. Dis risk kin pasmak if yu dɔn ɔlrɛdi gɛt rεnal atεri sik. Bɔt nɔ wɔri. Afta yu bigin fɔ tek dis mɛrɛsin, yu dɔktɔ
go ɔda fɔ mek dɛn du blɔd tɛst (Serum Creatinine test) fɔ chɛk yu kidni fɔ wok wan wan tɛm. So, i impɔtant fɔ mek dɛn du dɛn tɛst ya lɛk aw yu dɔktɔ se.
Aw lɔng a nid fɔ tek dis mɛrɛsin?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Bɔku tɛm, ay blɔd prɛshɔn na tin we pɔsin kin gɛt fɔ ɔl in layf. If yu stɔp fɔ tek yu mɛrɛsin, yu blɔd prɛshɔn kin kam bak to di we aw i bin de. So,
nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu. Yu kin nid fɔ tek ARB ɔ ɔda blɔd prɛshɔn mɛrɛsin fɔ di res ɔf yu layf.
Wetin na di difrɛns bitwin ACE inhibitor ɛn ARB?
Yu go dɔn yɛri bak bɔt wan klas ɔf mɛrɛsin dɛn we dɛn kɔl ACE inhibitors. Dɛn tu klas ya mɛrɛsin ya de wok bay we dɛn de ridyus di ifɛkt dɛn we angiotensin gɛt. Bɔt dɛn de wok tu difrɛn we dɛn.
- ACE inhibitors : Dɛn wan ya de wok bay we dɛn de ridyus di prodakshɔn fɔ di ɔmon `Angiotensin II` we de mek di prɔblɛm. I tan lɛk fɔ ridyus di prodakshɔn na faktri we de mek pipul dɛn we de kɔz di prɔblɛm.
- ARB dεm: dεn ya nכ de stכp di prodyushכn fכ di כmon `Angiotensin II`, bכt dεn de blכk di abiliti fכ di כmon fכ tay di bכdi vεsul dεm.
Wan pan di men ɛn kɔmɔn sayd ɛfɛkt dɛm fɔ ACE inhibitors na we
yu de kɔf we yu de kɔf we de mek yu fil pen ɛn we de mek yu fil pen. If yu gɛt dis kayn kɔf we yu de tek wan ACE inhibitor (e.g., Enalapril, Lisinopril), yu dɔktɔ go mɔs stɔp di mɛrɛsin ɛn bigin yu fɔ tek ARB insted.
A nid fɔ tek tɛm wit ɔda mɛrɛsin ɛn it dɛn we a de tek ARB?
Yɛs, na fɔ tru. I rili impɔtant fɔ tɛl yu dɔktɔ if yu de tek ɛni ɔda mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek yu blɔd prɛshɔn mɛrɛsin.
Ɔda mɛrɛsin dɛn
Sɔm mɛrɛsin dɛn we yu nɔ kin bay na kɔt fɔ kol, kɔf, ɛn alɛji kin mek yu blɔd prɛshɔn go ɔp. Dɔn bak, if yu tek
mɛrɛsin fɔ mek yu fil pen, mɔ di NSAID (lɛk ibuprofen, diclofenac, naproxen), i kin mek di ARB nɔ wok fayn ɛn i kin pwɛl yu kidni. So
aks yu dɔktɔ bifo yu yuz ɛni mɛrɛsin fɔ mek yu fil pen. Tek tɛm mɔ bɔt potashɔm.
ARB mεdikeshכn kin mek di potashכm lεvεl na di bכdi go כp. Dat mek,
- Nɔ tek potassium supliment if yu dɔktɔ nɔ advays yu.
- Sɔm "sɔl sɔbstityuyt" dɛm we pipul dɛm we de yuz sɔl kɔntrol it gɛt potashɔm klorayd. Rid di lɛbl gud gud wan bifo yu yuz dɛn tin ya.
If di potashɔm lɛvɛl na di blɔd go ɔp, i kin mek yu gɛt prɔblɛm dɛn lɛk we yu at nɔ de bit ɔltɛm.
Wetin wi go se bɔt rɔm?
If yu de drink rɔm ɔltɛm ɛn yu de drink pasmak, i kin mek yu blɔd prɛshɔn go ɔp mɔ. Dɔn bak, if yu drink bɔku rɔm wan tɛm, yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm ɛn yu kin fɔdɔm. So if yu de drink rɔm, du am di rayt we.
I sef fɔ tek ARB mɛrɛsin we yu gɛt bɛlɛ?
Nɔ, i nɔ sef atɔl. כl tu di ARB εn ACE inhibitor mεdikeshכn dεm kin kכz siriכs harm to di pikin we nכ bכn if dεn tek am we i bεlε.
- Di tin dɛn we dɛn bɔn we dɛn bɔn
- Kidni we nɔ de wok fayn
- Di potashɔm lɛvɛl we bɔku
- Lɔw blɔd prɛshɔn
- We dɛn bɔn pikin we dɔn day
Dɛn siriɔs prɔblɛm ya kin apin. If yu gɛt ay blɔd prɛshɔn ɛn yu gɛt bɛlɛ ɔ yu de plan fɔ bɔn pikin,
tɛl yu dɔktɔ wantɛm wantɛm. Yu dɔktɔ go gi yu difrɛn mɛrɛsin we nɔ bad fɔ yu ɛn yu pikin.
ARB na wan kayn ‘wata pil’ (Diuretics)?
Nɔ, ARB nɔto diuretik, ɔ "wata pils" lɛk aw wi kin kɔl dɛn. Wata pils de ɛp di bɔdi fɔ pul ɛkstra wata ɛn sɔl na di urine. Bɔt sɔntɛnde, dɔktɔ dɛn go gi yu
wan kɔmbayn ARB ɛn wan diuretic (bɔku tɛm na thiazide diuretic) insay wan pil . If dɛn rayt yu mɛrɛsin "Losartan H" ɔ "Valsartan HCT," dat min se i gɛt ARB ɛn diuretic. Bɔku kayn blɔd prɛshɔn mɛrɛsin de, so i kin at fɔ no uswan fayn fɔ yu. ARB na di fɔs klas fɔ mɛrɛsin we dɔktɔ dɛn kin gi, ɛn dɛn kin wok fayn fɔ bɔku pipul dɛn. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dɛn mɛrɛsin ya, nɔ shek fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- ARB na wan rili impɔtant klas fɔ mɛrɛsin we dɛn kin yuz fɔ trit tin dɛn lɛk ay blɔd prɛshɔn, at sik, ɛn kidni sik.
- Dɛn tin ya kin wok bay we dɛn kin blok di wok we wan ɔmon we kin mek di blɔd vesel dɛn nɔ ebul fɔ du ɛn mek di blɔd vesel dɛn big.
- Nɔ ɛva stɔp fɔ tek dis mɛrɛsin if yu nɔ gɛt dɔktɔ advays.If yu du dat, yu blɔd prɛshɔn kin go ɔp bak bad bad wan.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, mɔ di mɛrɛsin dɛn we de mek yu fil pen (NSAID).
- I nɔ fayn fɔ tek dis mɛrɛsin we yu gɛt bɛlɛ ɔ if yu de op fɔ bɔn pikin. Kɔnsul yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni sayd ɛfɛkt ɔ yu gɛt ɛnitin fɔ wɔri bɔt di mɛrɛsin, tɔk to yu dɔktɔ.
ARB in sinhala, Angiotensin II Risɛptɔ Blɔka, Ay Blɔd Prɛshɔn, Prɛshɔn Mɛdikeshɔn, Losartan, Valsartan, At Atak
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