Yu dɔktɔ dɔn gi yu wan kayn mɛrɛsin we dɛn kɔl ‘wata pils’? Sɔntɛm na fɔ yu blɔd prɛshɔn ɔ fɔ swel. Bɔrku pipul dɛn kin fil fayn smɔl we dɛn de tek dɛn mɛrɛsin ya bikɔs dɛn nid fɔ pis bɔku tɛm. So, wetin rili na dɛn wata pils ya? We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dɛn diuretics. Wetin dɛn kin du to di bɔdi? Lɛ wi tɔk bɔt ɔl dis simpul we we yu go ɔndastand.
Wetin na diuretik? Aw dɛn kin wok?
Fɔ tɔk am simpul wan, diuretics na mɛrɛsin dɛn we de ɛp yu bɔdi fɔ pul di wata ɛn sɔl we pasmak tru yu urine . Dis na di rizin we mek dɛn kin kɔl dɛn bak ‘wata pils’.
Imajin wan spɔnj we dɛn dɔn sok insay wata. We wi swɛt am, ɔl di wata we pasmak kin kɔmɔt, nɔto so? Na dat dɛn mɛrɛsin ya kin du to wi bɔdi.
Dɛn mɛrɛsin ya kin afɛkt wi kidni dɛn dairekt wan. dεn de signal di kidni dεm fכ "ad di εkstra sכlt εn wata na di bכdi εn trowe am na di urine." Wetin kin apin we dis kin apin?
1. Di wata we de na yu blɔd vesel dɛn de go dɔŋ: We yu bɔdi lɔs wata, di blɔd we de rɔn na yu veins dɛn de go dɔŋ smɔl bak.
2. di wok we di at de du de dכn: we di wata we de insay di bכdi de dכn, di wok we di at gεt fכ pכmp de dכn. Jɔs lɛk we yu tay smɔl paip to wata pɔmp, di wok we yu kin du pan am kin go dɔŋ. Dis na impɔtant tin fɔ pipul dɛm wae gɛt sik lɛk at pwɛl hat .
3. I de mek yu blɔd prɛshɔn go dɔŋ: We di wok we yu de du na di at de go dɔŋ ɛn di prɛshɔn we de na di blɔd vesel dɛn go dɔŋ, na in dɛn de kɔntrol yu blɔd prɛshɔn. Sɔm diuretic dɛn kin ɛp bak fɔ mek di blɔd vesel dɛn big. Dis kin mek bak di prɛshɔn go dɔŋ.
Bɔku tɛm, dɛn kin tek dis mɛrɛsin as pil. Bɔt sɔntɛnde dɛn kin gi am tru wan salin sɔlvushɔn (IV) na ɔspitul. Bikɔs yu go de pis bɔku tɛm, i bɛtɛ fɔ tek dis mɛrɛsin na mɔnin ɛnitɛm we i pɔsibul . If nɔto dat, yu go gɛt fɔ grap na nɛt.
Wetin na di men kayn diuretics?
Bɔku kayn mɛrɛsin dɛn de we dɛn kin yuz fɔ mek wata kɔmɔt na yu bɔdi. Ɛni wan pan dɛn de wok bay we i de afɛkt difrɛn pat dɛn na di kidni. Yu dɔktɔ go no di kayn we we go fayn fɔ yu bay aw yu de mɛn yu.
| Tayp fɔ diuretik | Drug dɛn we dɛn kin yuz bɔku tɛm | Speshal pɔynt dɛn |
|---|---|---|
| Thiazide diuretiks we dɛn kin yuz fɔ mek wata | Haydroklorotiazayd, Klɔrtalidɔn | Dis na di kayn we we dɛn kin gi pɔsin we gɛt ay blɔd prɛshɔn. |
| Loop diuretiks we dɛn kin yuz fɔ mek di bɔdi | Furosemide, Bumetanide, we de na di wɔl | Dɛn tin ya rili pawaful. dεn kin gi dεn tin ya to pipul dεm we gεt lכw kidni fכnshכn (lכw GFR - Glomerular Filtration Rate). |
| Diuretik dɛn we nɔ de mek pɔsin nɔ gɛt potashɔm | Triamtɛrin, Amilɔrayd | dis dεm go mek di bכdi in potashכm lεvεl nכ go dכn we i nכ nid. |
| Kɔmbayn pils dɛn | Triamterene ɛn Hydrochlorothiazide togɛda | Tu kayn dɛn de insay wan tablɛt. Dis kin ɛp fɔ mek di potashɔm lɛvɛl balans. |
Us kɔndishɔn dɛn kin yuz dis mɛrɛsin fɔ?
Diuretics na wan kayn mɛrɛsin we yusful fɔ bɔku bɔku sik dɛn. Dɛn kin yus dɛn mɔ fɔ:
- Ay blɔd prɛshɔn: Na dis na di men tin we kin mek i gɛt am.
- At we nɔ de wok fayn: Ridyus di wok we di at de du.
- Ɛdima: Di leg, an, ɛn anklɛ dɛn kin swel bikɔs di wata kin gɛda.
- Cardiomyopathy: Na kes dɛm we di at mɔsul wik.
- Pulmonary edema: Dis na imejensi.
- Asayt: Asayt na di wata we de gɛda na di bɛlɛ bikɔs ɔf tin dɛn lɛk liva sik.
- Kidni we nɔ de wok fayn: We di kidni dɛn nɔ de wok fayn.
- Nεfrotik sεndrכm: Na di kכndyushכn we di prכtin we pasmak de kכmכt na di urine.
- dεn kin yus am bak fכ כda spεshal kכndyushכn dεm lεk we di yay prεshכn de go כp εn di prεshכn we de go כp na di bren.
Di tin we impɔtant pas ɔl na fɔ nɔ ɛva yuz dis mɛrɛsin if yu nɔ gɛt dɔktɔ in prɛskrishɔn. Dɔn bak, nɔ tek am jɔs bikɔs yu dɔn si ɔda pɔsin gi yu am ɛn tink se yu gɛt di sem sayn.
So no sayd ɛfɛkt nɔ de?
Jɔs lɛk ɛni mɛrɛsin, sɔm bad bad tin dɛn de we kin apin to am. Bɔt bɔku pipul dɛn nɔ kin gɛt siriɔs sayd ɛfɛkt. Dɛn tin ya na di wan dɛn we kɔmɔn pas ɔl:
- Fɔ pis bɔku tɛm (dis nɔto rili sayd ɛfɛkt, na jɔs aw di mɛrɛsin de wok) .
- Diziz , taya
- Di wata we nɔ de na di bɔdi. Dis kin apin if yu nɔ drink bɛtɛ wata.
- Mɔsul dɛn we de kramp. Dis kin bi bikɔs di potashɔm we de na di bɔdi nɔ bɔku.
- Bɛlɛ we nɔ fayn, we de blo, ɔ we de blo
- Fil fɔ it
- Sɔm pipul dɛn kin gɛt gaut .
- Di shuga lɛvɛl kin go ɔp smɔl pan pipul dɛm wae gɛt shuga
- Smɔl chans de bak fɔ mek man dɛn gɛt prɔblɛm wit mami ɛn dadi biznɛs.
We yu de tek dis mɛrɛsin, i go mɔs bi se yu dɔktɔ go tɛl yu fɔ du blɔd tɛst ɔltɛm fɔ chɛk aw yu kidni de wok ɛn di ilɛktrɔlayt lɛvɛl lɛk potashɔm. I rili impɔtant fɔ mek dɛn du dɛn tɛst ya ɔltɛm.
Wetin a fɔ tek tɛm we a de tek dis mɛrɛsin?
We yu de tek diuretics, yu nid fɔ tek tɛm bak bɔt sɔm smɔl smɔl tin dɛn.
1. Ridyus sɔl we yu de it: If yu it bɔku sɔl, i kin ambɔg di wok we dis mɛrɛsin de du. So ridyus di sɔl we de insay yu it.
2. Drink bɔku wata fɔ mek yu nɔ gɛt wata na yu bɔdi: If yu pis bɔku tɛm, dat kin mek yu bɔdi nɔ gɛt wata. So, drink di rayt wata fɔ wan de. Aks yu dɔktɔ ɔmɔs wata yu fɔ drink fɔ wan de.
3. Nɔ chenj di doz fɔ di mɛrɛsin: Ivin if yu fil fayn, nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz te yu dɔktɔ tɛl yu fɔ du am.
4. Nɔ mis di mɛdikal tɛst ɛn apɔntinmɛnt: Mek dɛn du yu blɔd ɛn urine tɛst di rayt tɛm lɛk aw yu dɔktɔ tɛl yu fɔ du. Dɔn bak, mek shɔ se yu go na di say dɛn we yu dɔn arenj fɔ mek yu go si yu.
5. If yu gɛt bɛlɛ ɔ yu de plan fɔ bɔn pikin: Tɛl yu dɔktɔ wantɛm wantɛm, bikɔs di mɛrɛsin dɛn we fit yu kin chenj we yu gɛt bɛlɛ.
Ustɛm a fɔ go to di dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya, i go fayn fɔ mek yu tɔk to yu dɔktɔ:
- If yu fil se yu at de bit abnɔmal fast (at de bit) .
- If yu fil diziz ɔltɛm (Diziz) .
- If yu gɛt sɔm sayn dɛn we de sho se yu nɔ gɛt wata na yu bɔdi, lɛk we yu mɔt ɛn yu lip dray, yu nɔ de pul yu urine ɛn yu urine dak, ɔ yu de fil taya pasmak.
Na nɔmal tin fɔ fil smɔl we yu bigin fɔ tek nyu mɛrɛsin. I kin tek sɔm dez fɔ yus to di ‘wata pil’. Bɔt mɛmba se fɔ pis bɔku tɛm min se di mɛrɛsin de wok. If yu gɛt prɔblɛm wit di sayd ɛfɛkt dɛm, tɔk to yu dɔktɔ bɔt aw fɔ chenj to ɔda mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Diuretics, ɔ ‘wata pills’, na wan kayn mɛrɛsin we de pul wata ɛn sɔl we nɔ nid na di bɔdi tru urine.
- Dɛn kin yuse dɛn tin ya fɔ ay blɔd prɛshɔn, at sik, ɛn fɔ swel na di bɔdi.
- I kɔmɔn fɔ mek yu de pis bɔku tɛm we yu de tek dis mɛrɛsin. So, i bɛtɛ fɔ tek di mɛrɛsin na mɔnin.
- Yu fɔ no bɔt di sayd ɛfɛkt dɛm lɛk we yu nɔ gɛt wata na yu bɔdi ɛn we yu nɔ gɛt bɛtɛ potashɔm. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- If yu gɛt ɛni sayd ɛfɛkt we nɔ fayn, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ yusɛf.
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