Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo we yu de waka ɔp wan stej ɔ fɔ shɔt tɛm? Yu kin fil se yu taya bad bad wan? Yu leg ɛn yu anklɛ dɛn kin swel na ivintɛm? Nɔ dismis dɛn tin ya as jɔs ɔda tin. Dɛn tin ya kin bi sayn dɛn fɔ sho se yu at de tray fɔ tɛl yu sɔntin. Tide wi go tɔk bɔt wan rili impɔtant tɔpik we bɔku pipul dɛn nɔ no bɔt. Dat na at pwɛl hat, ɔr lɛk aw wi kin kɔl am pan mɛrɛsin, at pwɛl, ɛn di mɛrɛsin dɛn we dɛn kin gi fɔ am.
Fɔs, lɛ wi ɔndastand wetin na At Failure.
Bɔrku pipul kin frayd wae dɛn yɛri de wɔd At Failure. Dɛn kin tink se, "O mi, mi at dɔn stɔp fɔ wok?" Bɔt nɔto so i bi. Fɔ tɔk am simpul wan, At Fail na wan sik we yu at mɔsul nɔ kin ebul fɔ pɔmp blɔd fayn fayn wan to di bɔdi. I tan lɛk wata pɔmp we wik smɔl ɛn nɔ ebul fɔ pɔmp wata insay tank wit di rayt spid.
Dis na wan sik we de go bifo. As di at nɔ de pɔmp blɔd fayn, wata kin bigin fɔ gɛda na difrɛn pat dɛn na di bɔdi, mɔ di lɔng , leg, ɛn fut. Dis na di rizin we mek a tɔk bɔt di sayn dɛn we de sho se pɔsin nɔ de blo fayn , a taya, ɛn in leg dɛn kin swel . If dɛn nɔ trit dis sik, i kin gɛt bɔku prɔblɛm dɛn lɛk fɔ pwɛl di ɔgan dɛn lɛk di liva ɛn di kidni, ɛn di at kin stɔp wantɛm wantɛm.
De tin wae impɔtant pas ɔl na dat, pɔrsin nɔr kin ebul fɔ wɛl ɔltin wit mɛrɛsin. Bɔt nɔ wɔri! If yu tek di rayt mɛrɛsin ɛn chenj yu layf, yu kin kɔntrol di sik fayn fayn wan, mek i nɔ wɔs, ɛn kɔntinyu fɔ liv fayn layf.
Yu dɔktɔ go disayd us mɛrɛsin go fayn fɔ yu bay di sayn dɛm we yu gɛt, if yu gɛt ɔda sik lɛk dayabitis , ay blɔd prɛshɔn , ɔ kidni sik , ɛn aw yu sik dɔn go bifo. So, di mɛrɛsin we dɛn gi wan pɔsin nɔ go gi ɔda pɔsin.
Wetin na di men mɛrɛsin dɛm wae dɛn kin yuse fɔ Hat Fayla?
We dɛn de trit at pwɛl, dɛn kin yuz wan kɔmbayn mɛrɛsin, pas fɔ yuz wan mɛrɛsin. Di rizin fɔ dis na bikɔs ɛni drɔg de du difrɛn wok dɛn na di bɔdi ɛn ɛp di at. Jɔs lɛk aw ɛni mɛmba na kriket tim sabi wan tin ɛn togɛda dɛn kin win di mats.
Lɛ wi luk di drɔg klas dɛm we dɛn kin yuz mɔ ɛn aw dɛn kin wok na di tebul we de dɔŋ ya.
| Medikeshɔn Klas | Fɔ tɔk am simpul wan, wetin kin apin wit dis? | Kɔmɔn Ɛgzampul dɛn |
|---|---|---|
| ACE Inhibitors (Angiotensin-Kכnvεrt εnzym Inhibitors) . | Dɛn tin ya kin wok bay we dɛn de mek di blɔd vesel dɛn big ɛn mek di blɔd prɛshɔn go dɔŋ. Dis de ridyus di wok we di at de du fɔ pɔmp blɔd. Tink bɔt am lɛk we yu de mek paip we dɔn lɔk big fɔ mek i izi fɔ mek wata flɔ. | Kaptɔpril, Ɛnalapril, Lisinopril, Ramipril |
| ARB dɛn (Angiotensin-2 Risɛptɔ Blɔka dɛn) . | Lɛk di ACE inhibitors, dɛn tin ya kin ɛp di at bak bay we dɛn de mek di blɔd vesel dɛn big. Dɔktɔ dɛn kin advays dis kayn we we sɔm pipul dɛn kin gɛt sayd ɛfɛkt lɛk fɔ kɔf bikɔs ɔf di ACE inhibitors. | Losartan, Valsartan, Kandesartan, ɛn ɔda pipul dɛn |
| Beta Blɔka dɛn | Dɛn tin ya kin mek di at slo ɛn ridyus di prɛshɔn we de pan di at. dis de gi di at "rεst" εn de alaw am fכ pכmp bεtεh ova tεm. Dɛn kin kɔntrol bak di ɔmon dɛn we kin mek di at strɛs. | Karvedilol, Bisoprolol, Metoprolol Suksinat |
| Diuretics (Wata Pil) . | Wi kin kɔl dɛn tin ya "wata pils." Dɛn kin ɛp fɔ pul di wata we pasmak na di bɔdi tru di urine. dis kin ridyus di swel na di leg dεm bכku bכku wan εn i kin at fכ brith we di wata we de insay di lכng dεm kin mek. | Furosemide (Lasix®), Spironolaktɔn, Haydroklɔrotiazayd |
| ARNI dɛn (ARB + Neprilysin Inhibitɔ) . | Dis na nyu, advans klas fɔ mɛrɛsin. I de ɛp di bɔdi fɔ kip mɔ pan di natura ɔmon dɛm we de protɛkt di at, ɛn i de ɛp bak fɔ mek di blɔd vesel dɛn big. I kin yus mɔ fɔ pipul dɛn we nɔ gɛt bɛtɛ at fɔ pɔmp (ejection fraction). | Sakubitril/Valsartan (Entresto®) we dɛn kɔl di . |
| SGLT2 Inhibitɔ dɛn | Pan ɔl we dɛn bin dɔn mek dɛn tin ya fɔs fɔ mɛn dayabitis, leta dɛn kam fɔ no se dɛn kin ridyus di risk fɔ go na ɔspitul fɔ di wan dɛn we gɛt at pwɛl. Dɛn kin ɛp di kidni fɔ pul shuga ɛn sɔdiɔm. | Dapagliflɔzin (Farxiga®), Ɛmpagliflɔzin (Jardiance®) |
| Digoxin we dɛn kin yuz | Dis mɛrɛsin de mek di at rit slo ɛn i de mek di at mɔsul kɔntrakshɔn strɔng. Dɛn kin gi am to pipul dɛm wae gɛt sɔm kayn sik pan ɔl wae dɛn de tek ɔda mɛrɛsin ɛn to pipul dɛm wae gɛt abnɔmal at ritm (atrial fibrillation). | Digoxin (Lanoxin®) we dɛn kɔl di . |
Ɛni sayd ɛfɛkt de we yu de yuz dis mɛrɛsin?
Yɛs, lɛk ɛni ɔda mɛrɛsin, sɔm pipul dɛn kin gɛt sɔm bad bad tin dɛn we dɛn mɛrɛsin ya kin gɛt. Bɔt nɔto ɔlman kin gɛt dɛn. Di sayd ɛfɛkt dɛm wae yu go gɛt go dipen pan di kayn mɛrɛsin wae dɛn gi yu.
Sɔm pan di bad tin dɛn we kin apin to pɔsin na:
- Diziz, mɔ we yu grap frɔm we yu sidɔm.
- Fɔ fil se yu taya.
- Lɔw blɔd prɛshɔn.
- Sɔm pipul dɛm (especially di wan dɛm wae de tek ACE inhibitors) kin gɛt dray kɔf.
- Yu kin pis bɔku tɛm bikɔs ɔf di diuretics.
- Di potashɔm lɛvɛl we smɔl ɔ bɔku na di blɔd.
- Mɔsul dɛn we de kramp.
If yu gɛt ɛni nyu sayn we nɔ kɔmɔn, nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ aks yu dɔktɔ fɔs. Dis kin rili denja. Tɛl yu dɔktɔ bɔt di diskɔmfɔt we yu de gɛt. I kin ebul fɔ chenj di doz ɔ gi yu difrɛn mɛrɛsin we go fayn fɔ yu.
Apat frɔm di mɛrɛsin, wetin na di tin dɛn we yu nid fɔ du pan yu pat?
Mɛrɛsin na jɔs af pan di fɛt. Di ɔda pat de na yu an. If yu ajɔst di we aw yu de liv yu layf, dat kin mek yu gɛt bɛtɛ tin fɔ du pas fɔ tek mɛrɛsin.
Tek kia ɔf dɛn tin ya ɛvride.
- Chek yu wet di sem tɛm ɛvride, na mɔnin. If yu gɛt 2 kilo wantɛm wantɛm insay wan ɔ tu dez, i kin bi sayn fɔ se yu nɔ gɛt wata. If dis apin, tɔk to yu dɔktɔ wantɛm wantɛm.
- I go fayn if yu ebul fɔ mɛzhɔ yu blɔd prɛshɔn na os. Aks yu dɔktɔ bɔt aw fɔ gɛt gud blɔd prɛshɔn monita.
- Tek tɛm bad bad wan bɔt di bɔku sɔl (sɔdiɔm) we de na di it we yu de it. Tumɔs sɔl kin mek wata kɔntinyu fɔ de na di bɔdi ɛn i kin mek di at lod mɔ. Nɔ tek tin dɛn lɛk pikɛl, dray frut, sos, tin dɛn we dɛn kin put insay tin fɔ it, ɛn sosish as yu ebul.
- Na di wata nɔmɔ we yu dɔktɔ tɛl yu fɔ drink fɔ wan de. Sɔntɛnde, yu go nid fɔ stɔp di wata we yu de drink.
Di we aw pipul dɛn de liv dɛn layf kin chenj
- If yu de smok, stɔp am tide. Smok na wan pan di big ɛnimi dɛn we de na di at.
- Limit ɔ stɔp fɔ drink rɔm ɔltogɛda.
- As yu dɔktɔ advays, du mɔdaret ɛksɛsayz ɛvride we go fayn fɔ yu. Ivin fɔ waka na tin we fayn fɔ du.
- Tink bɔt yu maynd wɛlbɔdi bak. Na nɔmal tin fɔ fil sɔri ɛn wɔri wae yu de liv wit sik lɛk dis fɔ lɔng tɛm. Tɔk to yu fambul ɛn padi dɛn bɔt dis. Go to advays if nid de.
Aw fɔ manej di mɛrɛsin?
Sɔntɛnde, i kin fil lɛk se na tranga wok we yu fɔ tek bɔku mɛrɛsin dɛn. Bɔt if yu du dɛn tin ya di rayt we, yu go fil big difrɛns.
- Gɛt wan rifil sɔm dez bifo yu mɛrɛsin dɔn. Nɔ wet te di las de.
- Mek wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek ɛn kip am nia yu.Rayt ɔltin pan am, inklud di nem fɔ di mɛrɛsin, di doz (e.g. 50mg), ɔmɔs tɛm insay di de yu de tek am, ɛn if yu tek am bifo ɔ afta yu it. Tek dis list wit yu we yu go si dɔktɔ.
- Nɔ stɔp fɔ tek yu mɛrɛsin we yu nɔ go to yu dɔktɔ fɔ ɛni rizin. Ivin if yu fil fayn, nɔ stɔp fɔ tek yu mɛrɛsin. Yu kin fil fayn bikɔs di mɛrɛsin de wok fayn. If yu stɔp fɔ tek am, yu sik kin wɔs bak.
- If yu de plan fɔ gɛt bɛlɛ ɔ yu gɛt bɛlɛ naw, tɛl yu dɔktɔ wantɛm wantɛm, bikɔs sɔm mɛrɛsin dɛn we de mek yu at pwɛl nɔ fayn we yu gɛt bɛlɛ.
Hat Failure nɔr min se yu hat dɔn "fail." I jɔs min se yu at nid smɔl ɛp fɔ du wetin i nid fɔ du. Dat ɛp de kɔmɔt frɔm dɛn mɛrɛsin ya ɛn chenj dɛn na yu layf. So kɔntinyu fɔ strɔng ɛn fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du. Dɔn yu kin liv lɔng, gladi, ɛn wɛl bɔdi layf wit dis sik.
Mɛsej we dɛn kin kɛr go na os
- At Fail nɔr na at pwɛl hat, bɔt na we di at in blɔd pɔmp prɔses wik.
- Pan ɔl we mɛrɛsin nɔ kin ebul fɔ mɛn dis sik kpatakpata, i pɔsibul fɔ kɔntrol di sik we de wɔs ɛn liv gud layf.
- Ivin if yu fil fayn, nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ gɛt dɔktɔ advays. I kin denja.
- Apat frɔm mɛrɛsin, fɔ it tin dɛn we nɔ gɛt bɔku sɔl, fɔ avɔyd fɔ smok, ɛn fɔ du ɛksɛsayz lɛk aw yu dɔktɔ tɛl yu fɔ du, rili impɔtant bak.
- If yu gɛt ɛni sayd ɛfɛkt frɔm yu mɛrɛsin ɔ yu sik chenj, nɔ shek fɔ tɔk to yu dɔktɔ bɔt am.
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