Di dɔktɔ tɛl yu se yu gɛt ay blɔd prɛshɔn (haypa prɛshɔn)? Dɔn dɛn dɔn tɛl yu wan ɔ tu pils fɔ tek ɛvride. Infakt, bɔku pipul dɛn na wi kɔntri gɛt dis sik. Bɔt ɔmɔs pipul dɛn rili no bɔt di mɛrɛsin we dɛn de tek? Sɔntɛnde wi kin jɔs tink se, "O, dis na mɛrɛsin fɔ blɔd prɛshɔn." Bɔt bɔku tin dɛn de we wi fɔ tink bɔt, lɛk wetin dis mɛrɛsin rili de du insay di bɔdi, wetin mek dɛn gi ɛnibɔdi difrɛn kayn mɛrɛsin, ɛn if ɛni bad bad tin de apin to am. So tide, lɛ wi tɔk bɔt ɔl dis insay simpul Sinhala we yu go ɔndastand, lɛk se wi de tɔk to wi padi.
Fɔ tɔk am simpul wan, wetin na di mɛrɛsin we dɛn kin gi fɔ dis prɛshɔn?
Antihaypatensives, ɔr insay mɛrɛsin, "antihypertensives," na mɛrɛsin dɛm wae de ɛp fɔ lɛ yu blɔd prɛshɔn dɔŋ ɛn kip am na nɔmal lɛvɛl. Dɛn mɛrɛsin ya kin wok di sem we.
Imajin se yu gɛt paip we de kɛr wata na yu gadin. If da paip de klos ɔ if di paip wik, yu fɔ put bɔku prɛshɔn fɔ mek di wata flɔ, nɔto so? Wi blɔd vesel dɛn tan lɛk dat. Ay blɔd prɛshɔn min se bɔku prɛshɔn de we di blɔd de muv tru di blɔd vesel dɛn. Wetin dɛn mɛrɛsin ya de du na fɔ ridyus da prɛshɔn de.
Aw fɔ du am?
- Sɔm mɛrɛsin dɛn kin mek yu blɔd vesel dɛn big smɔl, so dat blɔd kin flɔ izi wan ɛn nɔ go stɔp. I tan lɛk se yu chenj smɔl tiub wit big wan.
- Ɔda mɛrɛsin dɛn kin mek di bɔdi pul di wata ɛn sɔl we pasmak tru di urine, we kin mek di blɔd nɔ bɔku ɛn i kin mek di blɔd prɛshɔn go dɔŋ.
- Sɔm ɔda mɛrɛsin dɛn kin wok bay we dɛn kin blok di ɔmon dɛn we dɛn kin mek na di bɔdi ɛn we kin mek di blɔd prɛshɔn go ɔp.
Bɔku tɛm dɛn kin gi dis mɛrɛsin as pil we yu kin swɛla ɛvride. Bɔt pan sɔm imejensi, dɛn kin gi am bak as injɛkshɔn we dɛn kin put insay yu bɛlɛ (IV) insay wan vein na yu an we yu de na ɔspitul.
Wetin mek yu nid fɔ tek mɛrɛsin fɔ blɔd prɛshɔn?
Dis na kwɛstyɔn we rili impɔtant. Sɔm pipul dɛn kin tink se, "A nɔ gɛt ɛni prɔblɛm, so wetin mek a fɔ tek mɛrɛsin?" Bɔt ay blɔd prɛshɔn tan lɛk "saylent killer." Bɔrku tɛm, e nɔr kin sho ɛni big big sayn. Bɔt we yu luk insay, i kin pwɛl yu at, yu kidni, yu bren, ɛn yu yay.
We di prɛshɔn go ɔp, yu at fɔ wok tranga wan fɔ pɔmp blɔd. I tan lɛk wata pɔmp we de wok ɔp wan il. As tɛm de go, dis at kin taya ɛn wik.
So, di men gol fɔ tek mɛrɛsin fɔ blɔd prɛshɔn ɛn kɔntrol am na:
- Fɔ protɛkt yu at.
- Fɔ ridyus di risk fɔ gɛt at atak.
- Fɔ ridyus di risk fɔ gɛt strok.
- Fɔ mek di kidni nɔ wok fayn.
Fɔ tɔk am simpul wan, dis pil go ɛp yu fɔ protɛkt yu layf fɔ di res ɔf yu layf.
Dɛn kin gi ɔlman di sem mɛrɛsin? Aw di dɔktɔ kin pik di mɛrɛsin?
Atɔl. Di sem blɔd prɛshɔn mɛrɛsin we yu padi de tek nɔ go wok fɔ yu. Dɔktɔ kin tink bɔt bɔku tin dɛn we i de gi yu mɛrɛsin.
- Yu ej, yu jɛnɛral
- Aw yu blɔd prɛshɔn ay
- If yu gɛt ɔda sik dɛn lɛk dayabitis, kɔlɔstrel, at sik, ɔ kidni sik
- Di we aw yu bɔdi de biev we yu tek sɔm mɛrɛsin dɛn
Sɔntɛnde, yu nɔ go ebul fɔ kɔntrol yu blɔd prɛshɔn wit wan mɛrɛsin nɔmɔ. Yu dɔktɔ kin disayd fɔ gi yu tu ɔ tri mɛrɛsin dɛn togɛda . Dɔn bak, if yu gɛt sayd ɛfɛkt dɛn we yu nɔ go ebul fɔ bia bikɔs ɔf wan patikyula mɛrɛsin ɔ if yu blɔd tɛst sho se yu dɔn chenj, yu go nid fɔ stɔp fɔ tek da mɛrɛsin de ɛn bigin fɔ tek ɔda mɛrɛsin.
So, nɔ ɛva tek di mɛrɛsin we yu neba de tek, ɛn tink se, "I kin fayn fɔ mi bak." Na di dɔktɔ we de chɛk yu nɔmɔ go disayd us mɛrɛsin go fayn fɔ yu.
Di mɛrɛsin dɛn we dɛn kin yuz fɔ blɔd prɛshɔn ɛn di tin dɛn we dɛn kin du
Bɔku kayn mɛrɛsin de fɔ mek pɔsin gɛt ay blɔd prɛshɔn. Lɛ wi tek tɛm luk sɔm pan di men wan dɛn. Gud chans de fɔ mek di mɛrɛsin we yu de tek na wan pan dɛn.
| Drug klas nem | Aw i de wok (insay simpul wɔd dɛn) . | Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt |
|---|---|---|
| Diuretiks we dɛn kin yuz fɔ pul wata (Dɛn kin kɔl am bak "wata pils") | I de pul sɔl ɛn wata we nɔ nid na di bɔdi tru di urine, we de mek di prɛshɔn we de na di blɔd vesel dɛn nɔ bɔku. | Yu kin pis ɔltɛm, yu kin gɛt diziz, yu kin gɛt smɔl/ay potashɔm/magnesium lɛvɛl na di bɔdi. |
| ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am | I de stɔp di bɔdi fɔ mek wan kemikal (angiotensin II) we de mek di blɔd vesel dɛn smɔl. | Dray kɔf, diziz, di potashɔm lɛvɛl we de go ɔp na di blɔd, nɔ kin swel na di fes ɛn nɛk (Angioedema). |
| ARB dεm (Angiotensin II rεsεptכr blכk dεm) . | I de mek di kemikal we wi bin dɔn tɔk bɔt nɔ ebul fɔ mek di blɔd vesel dɛn big. | Diziz, inkris na di bכdi potashכm lεvεl (lεs kכf pas ACE inhibitor dεm). |
| Di wan dɛn we de blok di chanɛl dɛn we gɛt kalsiɔm | I de mek di kalsiɔm nɔ go insay di blɔd vesel dɛn ɛn i de mek di mɔsul dɛn we de na di wɔl dɛn na di blɔd vesel dɛn rilaks. | Ɛd we de at, diziz, di anklɛ ɛn di leg dɛn we de swel, di at rit we de dɔŋ/inkrisayz. |
| Beta-blɔk dɛn | I de ridyus di spid ɛn trɛnk we di at de bit, so di at de pɔmp blɔd wit prɛshɔn we smɔl. | Fɔ fil se yu taya bad bad wan, yu at de rit sloslo, yu de tɔn diziz, yu an ɛn yu fut kol. |
Yu fɔ fred fɔ di bad tin dɛn we go apin to yu?
Yu kin frayd smɔl we yu si di sayd ɛfɛkt dɛn na dis tebul. Bɔt fɔ tru, nɔto ɔlman kin gɛt ɔl dɛn bad bad tin ya. Bɔrku pipul kin yuse dis mɛrɛsin wae nɔr gɛt ɛni prɔblɛm.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛnitin we nɔ kɔmɔn ɔ yu gɛt ɛni nyu sayn. I kin no if na bikɔs ɔf di mɛrɛsin ɔ ɔda tin, ɛn if nid de, chenj di doz ɔ gi am difrɛn mɛrɛsin.
Wetin mek mi blɔd prɛshɔn nɔ de go dɔŋ pan ɔl we a de tek mɛrɛsin?
Dis na prɔblɛm bak we bɔku pipul dɛn gɛt. Sɔm pipul dɛn kin se, "A kin tek mi mɛrɛsin di rayt tɛm ɛvride, bɔt we a luk di mashin, mi blɔd prɛshɔn stil de ɔp." Bɔku rizin dɛn kin de fɔ dis.
- Di mɛrɛsin we yu nɔ fɔ tek: Sɔntɛm di mɛrɛsin we dɛn gi yu nɔ go du fɔ yu.
- Medike incompatibility: Yu kin nid mɔr pas wan mɛrɛsin, tu ɔ tri kayn.
- Mistek dɛn we pɔsin kin mek we i de liv in layf: Fɔ tek mɛrɛsin nɔmɔ nɔ go du fɔ am. If yu it bɔku sɔl , drink rɔm , ɔ nɔ de du ɛksɛsayz , i kin at fɔ kɔntrol yu blɔd prɛshɔn.
- Ɔda mɛrɛsin dɛn: Sɔm pen kil ɛn ɔyl dɛn we yu kin tek fɔ ɔda tin dɛn kin ambɔg di mɛrɛsin dɛn we yu kin yuz fɔ mɛn yu blɔd prɛshɔn.
- Nɔ tek mɛrɛsin fayn: If yu fɔgɛt fɔ tek yu mɛrɛsin sɔm dez, yu blɔd prɛshɔn kin chenj.
- Ɔda ɔndalayn mεdikal kכndyushכn dεm: Na sכm tεm, hεy blכd prεshכn kin kכz fכ כda mεdikal kכndyushכn (e.g. kidni sik, כmon prכblεm). dis dεn kכl am ``sεkכnd haypatεnshכn''. If yu nɔ kɔntrol yu blɔd prɛshɔn pan ɔl we yu de tek bɔku mɛrɛsin, yu dɔktɔ go luk insay dis bak.
If yusɛf de gɛt dis prɔblɛm, duya tɔk to yu dɔktɔ bɔt am. I go ebul fɔ no di tin we de mek yu gɛt dis sik ɛn mek wan tritmɛnt plan fɔ yu.
Ustɛm yu nid fɔ go to dɔktɔ?
As pɔsin we de tek mɛrɛsin fɔ blɔd prɛshɔn, i impɔtant fɔ mek yu go to yu dɔktɔ fɔ chɛk-ap ɔltɛm. Apat frɔm dat, go to dɔktɔ fɔ advays pan dɛn tin ya:
- If yu gɛt sayd ɛfɛkt dɛn we at fɔ bia (lɛk ed we de at, diziz bad bad wan, yu leg dɛn we de swel).
- if, we yu de mכsu yu bכdi prεshכn na os, di ridin kin kכnsistεnt fכ rili hכy (e.g., pas 180/110 mmHg).
- If yu blɔd prɛshɔn ridin rili smɔl (e.g., dɔŋ 90/60 mmHg) ɛn yu fil diziz ɔ fɔdɔm we yu tinap.
- If yu de plan fɔ gɛt bɛlɛ ɔ yu kam fɔ no se yu gɛt bɛlɛ , yu dɔktɔ go gi yu wan mɛrɛsin we nɔ bad fɔ yu, bikɔs sɔm blɔd prɛshɔn mɛrɛsin dɛn nɔ fayn we yu gɛt bɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- Ay blɔd prɛshɔn na di men tin we kin mek pɔsin gɛt at atak, strok, ɛn kidni sik, so i impɔtant fɔ tek mɛrɛsin ɛn kɔntrol am.
- Tek di mɛrɛsin we di dɔktɔ tɛl yu ɔltɛm di rayt tɛm ɛn di rayt doz . Nɔ mis wan de.
- Ivin if yu fil fayn, nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ aks yu dɔktɔ.
- We yu de tek mɛrɛsin, tek it we nɔ gɛt bɔku sɔl ɛn ɛksesaiz ɔltɛm . Dɛn tu tin ya go ɛp fɔ kɔntrol yu blɔd prɛshɔn.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔr sayd ɛfɛkt bɔt yu mɛrɛsin, nɔr fred fɔ tɔk to yu dɔktɔ bɔt am.
- We yu de tek mɛrɛsin fɔ ɛni ɔda sik, nɔ fɔgɛt fɔ tɛl di dɔktɔ se yu de tek mɛrɛsin fɔ blɔd prɛshɔn.
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