Lɛ wi lan bɔt aypatɛnshɔn we uman gɛt bɛlɛ. Aw i kin afɛkt yu ɛn yu pikin?

If yu na pɔsin we de tink se i go bi mama, sɔntɛm yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. Ɛspɛshali, yu kin fred smɔl bɔt sɔm wɛlbɔdi prɔblɛm dɛn we kin apin we yu gɛt bɛlɛ. Wan tin we bɔku pipul dɛn kin tɔk bɔt, bɔt dɛn nɔ kin rili no, na aypatɛnshɔn, we min se di blɔd prɛshɔn kin go ɔp we dɛn gɛt bɛlɛ. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na di ay blɔd prɛshɔn we uman gɛt bɛlɛ? (`Gestational Hypertɛnshɔn`)

Fɔ tɔk am simpul wan, afta lɛk 20 wiks we yu gɛt bɛlɛ, yu blɔd prɛshɔn, ɔ blɔd prɛshɔn kin go ɔp pas aw i kin bi, we wi kin kɔl gestational hypertension. dis kכndyushכn de apin insay 6% to 8% pan di bεlε. Sɔntɛnde yu dɔktɔ kin kɔl am bak prɛgnɛshɔn-induced hypertension. Di spɛshal tin bɔt dis na dat i kin go insay sɔm dez afta yu dɔn gɛt di pikin.

Bɔt we yu blɔd prɛshɔn go ɔp insay dis tɛm, yu nɔ go notis ɛni big sayn. Na dat mek i impɔtant fɔ go na yu klinik dɛn bifo yu bɔn pikin dɛn di rayt tɛm. Dɔn di dɔktɔ kin mɛzhɔ yu blɔd prɛshɔn ɔltɛm. Bikɔs, if di blɔd prɛshɔn go ɔp dis we, sɔm prɔblɛm dɛn kin apin to yu ɛn di pikin. So, di dɔktɔ go tek tɛm wach yu ɛn di pikin ɔl di tɛm we yu gɛt bɛlɛ ɛn ɛp yu fɔ kɔntrol yu blɔd prɛshɔn.

Wetin rili na ay blɔd prɛshɔn (Hypertension)?

Lɛ wi fɔs luk wetin na ay blɔd prɛshɔn, ɔ ``Hypertension``. We blɔd de pas na yu bɔdi in blɔd vesel dɛn, di prɛshɔn we dɛn kin put pan di wɔl dɛn na dɛn blɔd vesel dɛn de na in wi kin kɔl blɔd prɛshɔn. we dis prεshכn hכy pas nכmal, na dat wi kin kכl ay blכd prεshכn, כ "high prεshכn."

Aw di blɔd prɛshɔn we de go ɔp we uman gɛt bɛlɛ difrɛn frɔm ɔda tɛm dɛn?

We yu gɛt bɛlɛ, yu blɔd prɛshɔn kin go ɔp, ɛn dis kin afɛkt yu bɔdi difrɛn we pas we yu nɔ gɛt bɛlɛ. Tink bɔt am, yu at fɔ wok tranga wan pas aw i kin wok we yu gɛt bɛlɛ bikɔs i fɔ pɔmp mɔ blɔd ɔlsay na yu bɔdi. Dis kin mek yu bɔdi gɛt mɔ strɛs.

Dɔn bak, di ay blɔd prɛshɔn kin afɛkt di we aw di plasɛnta de divɛlɔp ɛn wok. di plasεnta na di rod we de gi di pikin di nyutriεnt dεm εn כksijεn we i nid. So if i afɛkt, di pikin nɔ kin gɛt di tin dɛn we i nid fɔ divɛlɔp nɔmal wan. If yu gɛt ay blɔd prɛshɔn, yu ɛn yu pikin kin gɛt prɔblɛm dɛn bifo yu bɔn, we yu bɔn am, ɛn afta yu bɔn am.

Us kayn prɛshɔn kin apin we uman gɛt bɛlɛ?

Bɔku kayn ay blɔd prɛshɔn de we kin apin we uman gɛt bɛlɛ. Dɛn tin ya kin difrɛn difrɛn wan bay aw di prɛshɔn bigin fɔ go ɔp ɛn di sayn dɛm wae i kin kam wit.

Di men kayn dɛn we dɛn kin si na:

• Krɔnik haypatɛyshɔn:Dis kin min di ay blɔd prɛshɔn we bin de bifo yu gɛt bɛlɛ, ɔ we bigin insay di fɔs 20 wiks we yu gɛt bɛlɛ. dis kayn prεshכn kin kכntinyu afta dεn bכn di pikin. Pipul wae gɛt krɛse haya blɔd prɛshɔn kin gɛt wan sik bak wae dɛn kɔl ``Preeclampsia``. dis dεn kכl am ``krכnik haypatεnshכn wit supεrimכz prεeklampsia``.
• Gestational hypertension: Dis na di ay blɔd prɛshɔn we wi bin dɔn tɔk bɔt, we kin bigin we uman gɛt bɛlɛ let. Sɔm pipul dɛm wae gɛt gestational hypertension kin leta gɛt preeclampsia. If yu gɛt dis sik, yu dɔktɔ go nid fɔ si yu bɔku tɛm.
• Preeclampsia: dis na kכndyushכn we de apin כnli insay di sεkכn haf fכ di bεlε (bכku tεm afta 27 wik). Dɛn kin no dis sik we yu dɔktɔ si se yu blɔd prɛshɔn ay ɛn yu gɛt prɔtin na yu urine. I kin afɛkt yu liva, kidni, lɔng, bren, ɛn plasɛnta. If i afɛkt di bren, risk de fɔ mek yu gɛt sik (eclampsia).

Udat de pan ay risk fɔ gɛt ay blɔd prɛshɔn we i gɛt bɛlɛ?

Naw yu go de wɔnda, ‘Dis kin apin to ɔlman? Ɔ pipul dɛn de we de pan denja mɔ?’ Fɔ tru, sɔm pipul dɛn kin gɛt dis sik. Lɛ wi tek wan luk pan udat dɛn bi:

• If yu nɔ rich 20 ia ɔ pas 40 ia.
• If yu bin dɔn gɛt gestational hypertension ɔ preeclampsia di tɛm we yu bin dɔn gɛt bɛlɛ bifo.
• if sɔmbɔdi na di famili dɔn gɛt ``gestational hypertension`` (we min se i kin bi ɛritayt).
• If yu gɛt dayabitis ɔ gestational dayabitis.
• If yu gɛt wan sik we de ambɔg yu bɔdi, fɔ ɛgzampul, lupus.
• If yu gɛt sik na yu kidni.
• If yu de op fɔ gɛt bɔku pikin dɛn, lɛk twins ɔ tri pikin dɛn.
• If yu blak (sɔm jɛnɛtik tin dɛn kin ple wan rol).

``Gestational Hypertension`` ɛn ``Preeclampsia`` na tu difrɛn tin?

Yɛs, dɛn tu tin ya difrɛn smɔl. ``Gestational Hypertension`` na jכs hεy bכdi prεshכn we de apin di las pat pan di bεlε. Bɔt i nɔ de afɛkt yu kidni, we min se yu nɔ gɛt prɔtin na yu urine. Bɔt bikɔs dis sik kin divɛlɔp to ``Preeclampsia``, dɔktɔ dɛn go de chɛk yu ɔltɛm.

Preeclampsia na wan sik we rili siriɔs . i kin apin bak insay di sεkכn pat pan di bεlε. pan dis kכndyushכn, wit di ay blכd prεshכn, di protin de bigin fכ apia na di urine. If dɛn nɔ trit am, i kin pwɛl di ɔgan dɛn lɛk di kidni, di liva, ɛn di bren. Prieklampsia kin mek prɔblɛm bak wit di pikin in divɛlɔpmɛnt ɛn i kin mek di pikin bɔn we i day.

Wetin kin mek pɔsin gɛt ay blɔd prɛshɔn we uman gɛt bɛlɛ?

Infakt, dɛn nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt ay blɔd prɛshɔn we uman gɛt bɛlɛ . Bɔt sɔm pan de tin dɛm ɛn tin dɛm wae wi bin dɔn tɔk bɔt kin mek dis risk bɔku.

Wetin na di sayn dɛm we de sho se pɔsin gɛt ay blɔd prɛshɔn we uman gɛt bɛlɛ?

Sɔmtɛm dɛn kin kɔl ay blɔd prɛshɔn "saylent killer" bikɔs bɔku pipul dɛn nɔ kin no se dɛn gɛt ay blɔd prɛshɔn. Apat frɔm we yu dɔktɔ tɛl yu se yu blɔd prɛshɔn ay, ɔda sayn dɛn kin de:

• Swɛlin (dɛn kin kɔl am bak ɛdima). Ɛspɛshali di fes, an, ɛn fut kin swel.
• Ed de at. Yu kin gɛt siriɔs ed pen we nɔ de chenj.
• We yu de gɛt bɔku bɔku wet wantɛm wantɛm.
• di vishכn de chenj (blכr vishכn, dכbl vishכn, sεnsitiviti to layt).
• Nɔs ɔ vɔmit.
• Na smɔl urine nɔmɔ dɛn kin pas wan tɛm.
• Bɛlɛ pen (espɛshali na di ɔp rayt pat na di bɛlɛ).

If yu notis ɛni wan pan dɛn sayn ya, yu fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na di denja dɛn we pɔsin kin gɛt we i gɛt ay blɔd prɛshɔn we i gɛt bɛlɛ?

Nɔto ɔlman kin gɛt prɔblɛm frɔm di ay blɔd prɛshɔn we dɛn gɛt bɛlɛ. Bɔt, ay blɔd prɛshɔn kin put yu pan denja fɔ gɛt prɔblɛm dɛn lɛk:

• Di sik dɛn we kin mek pɔsin sik
• Strok
• Di kidni we nɔ de wok fɔ sɔm tɛm
• Liva prɔblɛm dɛn
• Prɔblɛm fɔ mek blɔd klɔt

Dɔn bak, if yu gɛt ay blɔd prɛshɔn, i go mɔs bi se yu go gɛt fɔ bɔn yu pikin bay sizarian sɛkshɔn (C-section).

Aw gestational hypertension kin afɛkt mi pikin?

we uman bεlε, we di prεshכn go bכku i kin mek di bכdi we de rich na di plasεnta (di rod we de gi di pikin it εn כksijεn) dכn. Dis we aw di pikin nɔ gɛt blɔd ɛn tin dɛn we i nid kin mek i:

• di wet we dεn bכn we dεn bכn lכw כ Intrauterine Growth Restriction (IUGR). di wet we dεn bכn we dεn bכn lכw na we di pikin in wet we nכ rich 5 paund εn 8 כns (lεk 2.5 kilogram) we dεn bכn am.
• di pikin we dεn bכn bifo tεm (dεn bכn am bifo 37 wik).
• We dɛn bɔn pikin we dɔn day .
• di leba induksh כn de apin we di pikin nכ fulכp divεlכp (bifo 39 wik).

Bɔt mɛmba se bɔku tɛm, if dɛn no dis sik kwik kwik wan we uman gɛt bɛlɛ ɛn dɛn kɔntrol di prɛshɔn fayn fayn wan, dɛn kin bɔn pikin we gɛt wɛlbɔdi. Di mɔr de sik, na di mɔr de risk fɔ gɛt siriɔs prɔblɛm.

Wetin na di nɔmal blɔd prɛshɔn we uman gɛt bɛlɛ?

Tu nɔmba dɛn de we yu de mɛzhɔ yu blɔd prɛshɔn. di fכs nכmba na di ``Systolic blood pressure``. Dis kin mɛzhɔ di prɛshɔn we yu at kin kɔntrakt. di sεkכn nכmba na di ``Diastolic blood pressure``. Dis kin mɛzhɔ di prɛshɔn we yu at de rɛst bitwin di bit dɛn.

Dɛn kin mɛzhɔ di blɔd prɛshɔn insay milimita mɛkkyuri (mmHg). di dכkta go rid di prεshכn as "120 ova 80" (120/80 mmHg), we na di sistolik prεshכn na di tכp εn di dayastolik prεshכn na di bכtכm.

I rili impɔtant fɔ go to yu dɔktɔ insay di fɔs tri mɔnt we yu gɛt bɛlɛ fɔ no yu nɔmal blɔd prɛshɔn lɛvɛl. Insay di sɛkɔn tri mɔnt, di blɔd prɛshɔn kin go dɔŋ smɔl, so i kin at fɔ no se pɔsin gɛt ay blɔd prɛshɔn we nɔ de dɔn. If yu blɔd prɛshɔn pas 140/90 mmHg we yu gɛt bɛlɛ, yu dɔktɔ kin gi yu mɛrɛsin fɔ kɔntrol am. Sistolik blɔd prɛshɔn we pas 160 mmHg ɔ dayastolik blɔd prɛshɔn we pas 110 mmHg kin mek siriɔs tin dɛn lɛk strok ɔ sik. If na so i bi, i kin nid fɔ go na ɔspitul we i gɛt bɛlɛ.

Aw yu kin no se yu gɛt ay blɔd prɛshɔn we yu gɛt bɛlɛ?

Yu dɔktɔ go mɛzhɔ yu blɔd prɛshɔn ɛvri tɛm we yu go na yu klinik bifo yu bɔn. Yu blɔd prɛshɔn kin chenj ɔl di de, ɛn i kin go ɔp bak bikɔs ɔf bɔku tin dɛn.

If yu notis se yu nɔmal blɔd prɛshɔn dɔn chenj, ɔ if i pas aw i fɔ bi, yu dɔktɔ go tink se yu gɛt ay blɔd prɛshɔn. Di fɔs tin we yu fɔ du na fɔ mek dɛn mɛzhɔ yu blɔd prɛshɔn bak na di klinik afta sɔm tɛm. If yu blɔd prɛshɔn stil nɔ nɔmal, yu dɔktɔ kin du sɔm ɔda tɛst dɛn.

Apat frɔm we di dɔktɔ de tek mɔ prɛshɔn, i kin du dɛn tin ya bak:

• Chek yu pis fɔ si if i gɛt prɔtin.
• Wi go chɛk yu fɔ si if yu swel.
• Du blɔd tɛst fɔ chɛk di liva ɛn kidni we de wok ɛn di tin dɛn we de mek blɔd klɔt.

Wetin na di tritmɛnt dɛm fɔ Gestational Hypertension?

Dɔktɔ dɛn kin trit ay blɔd prɛshɔn we uman gɛt bɛlɛ difrɛn we dɛn. Di tritmɛnt dipen pan aw di sik tranga, yu ɔl wɛl bɔdi, ɛn aw fa yu de along we yu gɛt bɛlɛ.

Yu dɔktɔ go want fɔ wach yu blɔd prɛshɔn gud gud wan ɛn wach fɔ sayn dɛn we de sho se yu gɛt ay blɔd prɛshɔn. Dis go inklud fɔ go na di klinik ɔltɛm fɔ chɛk yu blɔd prɛshɔn ɛn yu urine fɔ si if yu gɛt sayn dɛn fɔ prɛeklampsia. Yu dɔktɔ kin tɛl yu bak fɔ du dɛn tritmɛnt ya:

• Fɔ wach yu blɔd prɛshɔn na os .
• Mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ .
• Ɔspitul fɔ go na ɔspitul .

Di men gol fɔ tritmɛnt na fɔ mek yu blɔd prɛshɔn go dɔŋ, ɔ at ɔl fɔ mek i nɔ wɔs ɛn mek yu gɛt prɔblɛm.

Dɔn bak, dɔktɔ dɛn kin wach di pikin ɔltɛm ɛn du tɛst ɔltɛm fɔ chɛk di pikin in wɛlbɔdi. Sɔm pan dɛn tɛst ya na:

• Ultrasound skan (`Ɔltrasaund`) .
• Test we nɔ gɛt strɛs
• Bayofizikal prɔfayl
• Doppler ultrasound (dis de mek di blɔd de flɔ) .
• Kכnt yu fetal muvmεnt כ kik kכnt

If yu dɔktɔ tink se dɛn go bɔn yu pikin bifo tɛm, dɛn kin gi yu stɛroyd fɔ ɛp yu pikin in lɔng dɛn fɔ machɔ. Dɛn stɛroyd ya kin ridyus di risk fɔ mek yu pikin gɛt prɔblɛm wit in brith afta dɛn bɔn am.

Wetin a go du fɔ bɔn mi pikin sef wan, pan ɔl we mi blɔd prɛshɔn ay?

Bɔku tin dɛn de we yu kin du fɔ mek yu gɛt mɔ chans fɔ gɛt pikin we sef ɛn we gɛt wɛlbɔdi:

• Tek yu blɔd prɛshɔn mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek.
• Chek yu blɔd prɛshɔn ɔltɛm na os.
• Mek shɔ se yu go na ɛvri klinik usay dɛn kin gɛt bɛlɛ.
• If nid de, gri fɔ mek dɛn sɛn di pikin kwik kwik wan.
• It fayn it ɛn ridyus sɔl we yu de it. (Fɔ ɛgzampul, ridyus di sɔl we yu de ad to yu it, it dɛn we gɛt bɔku sɔl, ɛn it dɛn we gɛt tin dɛn we de mek yu nɔ pwɛl as yu ebul.)
• Fɔ fala yu dɔktɔ in advays bɔt di tin dɛn we yu fɔ du ɛn fɔ du ɛksɛsayz.

Di tin we impɔtant pas ɔl na dat if dɛn kɔntrol di blɔd prɛshɔn fayn fayn wan, siriɔs prɔblɛm dɛn nɔ go apin we uman gɛt bɛlɛ ɛn we i de bɔn pikin.

If a gɛt `Gestational Hypertension`, a go `induced` (lɛba artificially stat)?

Sɔntɛm. if yu dכkta tink se i sef fכ bכn yu pikin kwik, i kin rεkכmand fכ stat fכ bכn (`inducing labor`). dis kin apin ivin bifo yu pikin ol 37 wik (dεn kכl am prεtεm bכn).

Yu tink se Bed Rɛst kin ɛp fɔ gɛt Gestational Hypertension?

Yɛs. yu dכkta kin rεkכmand ``bed rεst`` as tritmεnt fכ hεy blכd prεshכn we yu bεlε. Dis min se dɛn kin advays yu fɔ rɛst as yu ebul.

A go kɔntinyu fɔ gɛt di prɛshɔn afta a dɔn bɔn di pikin?

di ay blɔd prɛshɔn (haypa blɔd prɛshɔn) we kin apin we yu gɛt bɛlɛ kin go afta yu dɔn bɔn yu pikin. Bɔt i kin mek yu gɛt ay blɔd prɛshɔn ɛn at sik tumara bambay. If yu dɔn gɛt siriɔs prɛeklampsia ɔ gestational hypertension, yu kin nid fɔ tek mɛrɛsin fɔ sɔm wiks afta yu dɔn bɔn yu pikin. If yu bin gɛt siriɔs ay blɔd prɛshɔn we yu bin de bɔn pikin, i impɔtant fɔ go to yu dɔktɔ insay 10 dez afta yu bɔn pikin.

Pipul dεm we bin gεt krεse hapεtεnshכn bifo dεn bεlε kin kכntinyu fכ gεt am afta dεn bכn pikin. Sɔntɛnde, yu blɔd prɛshɔn kin kɔntinyu fɔ de ɔp afta yu bɔn pikin, ɛn yu kin nid fɔ tek mɛrɛsin fɔ trit am. Yu dɔktɔ kin ɛp yu fɔ kɔntrol yu blɔd prɛshɔn afta yu gɛt bɛlɛ.

Ustɛm a fɔ wɔri bɔt Gestational Hypertension?

If yu gɛt ɛni wan pan dɛn sik ya , kɔl yu dɔktɔ we de na di klinik bifo yu bɔn pikin wantɛm wantɛm:

• Ed we kin kam wantɛm wantɛm ɛn nɔ kin stɔp ilɛksɛf i tek lɔng tɛm.
• Blɔr vishɔn, dabl vishɔn.
• Swel (especially di fes, an, fut).
• Les urine output pas aw i kin bi.

If yu dɔktɔ dɔn tɛl yu se yu gɛt ay blɔd prɛshɔn, tɔk to dɛn bɔt aw fɔ mɛn di sik fayn fayn wan. Dɛn kin ɛp yu fɔ avɔyd siriɔs prɔblɛm fɔ yu ɛn yu pikin bikɔs ɔf ay blɔd prɛshɔn.

Yu tink se dɛn kin mek dɛn nɔ gɛt ay blɔd prɛshɔn we uman gɛt bɛlɛ?

Bikɔs wi nɔ no bɛtɛ bɛtɛ wan wetin kin mek wi gɛt ay blɔd prɛshɔn we wi gɛt bɛlɛ, i nɔ kin izi fɔ mek wi nɔ gɛt am. Bɔt na sɔm pan di bɛst tin dɛn we yu kin du fɔ mek yu nɔ gɛt ay blɔd prɛshɔn we yu gɛt bɛlɛ (ɛn ivin we yu nɔ gɛt bɛlɛ):

• Mek yu gɛt wɛlbɔdi wet.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. (It mɔ frut, vɛjitebul, ɛn grɛn. Rid ɔyl, sɔl, ɛn shuga.)
• Du sɔm ɛksesaiz, lɛk fɔ waka, baysikul, ɔ yoga, fɔ sɔm dez insay di wik.
• Nɔ smok ɛn drink rɔm ɔltogɛda.
• Gɛt inof rɛst ɛn slip fayn.

If yu de pan denja fɔ gɛt ay blɔd prɛshɔn, yu dɔktɔ kin se yu fɔ tek pikin aspirin fɔ wan de. Fɔ ɔndastand yu risk fɔ gɛt ay blɔd prɛshɔn ɛn fɔ no di sayn dɛm wae de wɔn yu kin ɛp yu fɔ avɔyd siriɔs prɔblɛm dɛm frɔm dis sik.

If yu gɛt ɛnitin fɔ wɔri bɔt yu blɔd prɛshɔn ɔ yu risk fɔ gɛt ay blɔd prɛshɔn, mek shɔ se yu tɔk to yu dɔktɔ.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

di ay blכd prεshכn we yu bεlε, we dεn kכl ``gεstashכnal haypatεnshכn,'' kin mek yu εn yu pikin gεt siriכs kכmplikεshכn. Bɔt di gud nyus na dat, dis kayn ay blɔd prɛshɔn kin dɔn afta yu dɔn gɛt di pikin.

Di men tritmɛnt na fɔ mɛzhɔ blɔd prɛshɔn ɔltɛm, tek mɛrɛsin if nid de, ɛn mek chenj dɛn na yu layf (lɛk aw yu de it ɛn ɛksesaiz). If dɛn de kɔntrol di blɔd prɛshɔn fayn fayn wan, i nɔ de kɔz siriɔs prɔblɛm. כltu, if dεn nכ kכntrol am, siriכs kכmplikεshכn dεm lεk fכ bכn pikin bifo tεm εn di plasεnta abrupshכn kin apin.

So, if yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt aw yu blɔd prɛshɔn de rid ɔ aw fɔ kɔntrol yu blɔd prɛshɔn, nɔ shem fɔ tɔk to yu dɔktɔ. Yu sef ɛn di wan fɔ yu pikin we nɔ bɔn yet na di tin dɛn we impɔtant pas ɔl!

` Gestational haypatεnshכn, prεshכn, prεeklampsia, bεlε hεlth, pikin in hεlth, bכdi prεshכn, bεlε kכmplikεshכn