Wetin yu go tink if, we yu de du yu pikin in mɛdikal chɛk-ap ɛvri ia, di dɔktɔ se wantɛm wantɛm se, "I tan lɛk se yu pikin in blɔd prɛshɔn ay smɔl, lɛ wi chɛk bak?" Lɛk bɔku mama ɛn papa dɛn, yu kin fil smɔl fɔ fred ɛn wɔri. " Oh my , ay blɔd prɛshɔn na so yɔŋ ej? Aw dat bi?" Yu go tink se yu go tink. Bɔt dis rili nɔto natin fɔ fred. Bɔt, i nɔto sɔntin we wi fɔ ignore sɛf. Tide, wi go tɔk bɔt ay blɔd prɛshɔn, ɔ blɔd prɛshɔn we de go ɔp, we nɔ kin afɛkt big pipul dɛn nɔmɔ bɔt i kin afɛkt yɔŋ pikin dɛn bak.
Fɔ tɔk am simpul wan, wetin na dis prɛshɔn?
Wi ɔl gɛt blɔd we de flɔ na wi bɔdi. Tink bɔt am lɛk wata we de flɔd na wata paip. As di blɔd de pas na di vein dɛn, i de mek smɔl prɛshɔn pan di wɔl dɛn na di vein dɛn. Dat prɛshɔn na wetin wi kɔl "blɔd prɛshɔn." If dis prɛshɔn de ɔltɛm pas aw i kin bi, wi kin kɔl am haypatɛnshɔn . We dis sik kin apin to yɔŋ pikin dɛn ɛn yɔŋ pipul dɛn, wi kin kɔl am pikin dɛn ay blɔd prɛshɔn .
Di data we de naw sho se na lɛk wan pan ɛvri 25 pikin dɛn we ol bitwin 12-19 ia gɛt ay blɔd prɛshɔn. Ɛn lɛk wan pan ɛvri 10 pikin dɛn gɛt blɔd prɛshɔn go ɔp.
Di tin we impɔtant pas ɔl na dat, ay blɔd prɛshɔn fɔ lɔng tɛm kin pwɛl di impɔtant pat dɛn lɛk di pikin in at, in kidni, ɛn in yay. So, e fayn fɔ no dis sik kwik kwik wan ɛn go to tritmɛnt we nid fɔ de.
Wetin na di sayn dɛm we de sho se pikin gɛt ay blɔd prɛshɔn?
Na dis kin mek bɔku mama ɛn papa dɛn sɔprayz. Bɔrku tɛm, pikin dɛm wae gɛt ay blɔd prɛshɔn nɔr kin sho ɛni sayn. Dɛn kin ple, rɔn, ɛn du dɛn skul wok nɔmal wan. Dis na di rizin we mek dɛn kin no se dɛn gɛt ay blɔd prɛshɔn we dɛn go to dɔktɔ ɛn mek dɛn no dɛn blɔd prɛshɔn we dɛn de chɛk dɛn ɔltɛm.
If i siriɔs, sɔm kayn sayn dɛm lɛk ed we de at, chɛst pen, ɛn i nɔ kin izi fɔ blo, bɔt dis nɔ kin apin so ɔltɛm.
Bikɔs ɔf dis kayn we aw pɔsin nɔ de tɔk natin, i impɔtant fɔ kɛr yu pikin go fɔ chɛk am ɔltɛm , ilɛksɛf no sik nɔ de. Dis impɔtant mɔ if yu pikin gɛt tin dɛn we kin mek i gɛt ay blɔd prɛshɔn.
Wetin mek yɔŋ pikin dɛn gɛt ay blɔd prɛshɔn? Wetin na di men rizin dɛn?
Tu men kayn tin de we kin mek pikin dɛn gɛt ay blɔd prɛshɔn. Lɛ wi tray fɔ ɔndastand dɛn tin ya simpul wan.
| Tayp fɔ aypatɛnshɔn | Simpul ɛksplen |
|---|---|
| Praymari Haypatɛnshɔn | Dis na di kayn we we dɛn kin si pan pikin dɛn. Nɔr wan tin nɔr de we kin mek di blɔd prɛshɔn go ɔp we dɛn kin rili se na dis sik. I kin bi wan kɔmbaynshɔn fɔ difrɛn tin dɛn we kin mek pɔsin gɛt dis sik. |
| Sɛkɔndari Haypatɛnshɔn | Na ya, di prɛshɔn kin go ɔp bikɔs ɔf ɔda ɔndalayn mɛdikal kɔndishɔn. Dat min se di prɛshɔn kin go ɔp as sayd ɛfɛkt fɔ ɔda sik. |
Smɔl mɔ bɔt Praymari Haypatɛnshɔn...
Dis na di kayn we we dɛn kin si pan pikin dɛn. Pikin dɛn we gɛt dis sik gɛt sɔm tin dɛn we dɛn kin du:
- I pas 6 ia.
- Fɔ gɛt ay blɔd prɛshɔn na di famili (mama, papa, grani, anti). Dis na tin we pɔsin kin gɛt frɔm in jɛnɛtiks.
- Fɔ gɛt bɔku bɔku bɔdi ɔ fɔ fat pasmak. If pikin fat pasmak fɔ in ayt, i kin mek in blɔd prɛshɔn go ɔp. Dɔktɔ dɛn kin mɛzhɔ dis bay we dɛn de yuz wan valyu we dɛn kɔl BMI (Body Mass Index) .
Smɔl mɔ bɔt Sɛkɔndari Haypatɛyshɔn...
Na ya wi se di prɛshɔn de go ɔp bikɔs ɔf ɔda sik. Di men tin we kin mek pikin dɛn gɛt sɛkɔndari haypatɛnshɔn na di sik dɛn we dɛn kin gɛt na dɛn kidni. Tin dεm lεk we di vein dεm we de gi bכdi to di kidni dεm sכmtεm sכmtεm, kidni infεkshכn (Glomerulonephritis, Pyelonephritis) kin afekt dis.
Apat frɔm di sik we pɔsin kin gɛt na in kidni, bɔku ɔda tin dɛn de we kin mek i sik:
- Hat sik we dεn bכn wit: fכ egzampl, wan kכndyushכn we dεn kכl `(Aortic Coarctation)`.
- Ɔmon imbalans: Kɔndishɔn lɛk haypa tayroyd.
- difεlεns fכ brith we de asai wit snor we yu de slip: Wi kכl dis `(Obstructive Sleep Apnea)`.
- Sɔm mɛrɛsin dɛn: Sɔm bɔn kɔntrol pils, stɛroyd (Corticosteroids).
- jεnεtik sik dεm: jεnεtik kכndishכn dεm we nכ kin apin lεk `(Nyurofibromatosis tayp 1)`.
- Di tin dɛn we de apin na di envayrɔmɛnt:Fɔ gɛt ebi ebi mɛtal lɛk lid.
Wetin na di tin dɛn we kin mek pɔsin gɛt ay blɔd prɛshɔn?
If yu pikin gɛt dɛn tin ya, di risk fɔ gɛt ay blɔd prɛshɔn go bɔku smɔl.
- We pɔsin wet pasmak ɔ we fat pasmak: We di bɔdi fat bɔku, i kin mek di kidni dɛn prɛshɔ ɛn i kin mek di blɔd prɛshɔn go ɔp.
- Famili istri: If yu mama, papa, grani, ɔ granpa gɛt ay blɔd prɛshɔn bifo i ol 60 ia, yu pikin in chans fɔ gɛt am tu tɛm.
- Fɔ it dɛn we gɛt bɔku sɔl: Sɔl (sɔdiɔm) na sɔntin we de mek di bɔdi gɛt wata. If di it we wi de it tu sɔl, di wata we de na di blɔd go bɔku ɛn di prɛshɔn we de na di blɔd vesel dɛn go bɔku. Tin dɛn lɛk biskit, sosish, chiz, it dɛn we dɛn dɔn kip, ɛn pikɛl, gɛt bɔku sɔl.
- Nɔ ɛksesaiz: If pikin sidɔm na wan ples ɔl di de (bifo fon, tablɛt, TV), in at kin wik. We di at de du ɛksɛsayz, i kin strɔng ɛn i kin yus fɔ pɔmp blɔd wit smɔl tray.
- Dayabitis: If yu gɛt bɔku blɔd shuga as tɛm de go, i kin pwɛl di blɔd vesel ɛn kidni ɛn i kin mek yu blɔd prɛshɔn go ɔp.
- Di pikin we dɛn bɔn bifo tɛm ɛn we i nɔ gɛt bɛtɛ wet: Nyu risach dɔn sho se if dɛn bɔn pikin bifo tɛm ɔ i nɔ gɛt bɛtɛ wet, i go mek di blɔd prɛshɔn go ɔp tumara bambay.
Aw dɔktɔ go no if pikin in blɔd prɛshɔn ay?
Nɔ lɛk fɔ chɛk big pɔsin in blɔd prɛshɔn, fɔ chɛk pikin in blɔd prɛshɔn kin at smɔl bikɔs di nɔmal blɔd prɛshɔn valyu kin difrɛn difrɛn wan bay di pikin in ej, man ɔ uman, ɛn ayt .
Di dɔktɔ nɔ kin no if pɔsin gɛt sik bay we i chɛk di prɛshɔn wan tɛm. I kin mɛzhɔ di prɛshɔn fɔ sɔm dez, bɔku tɛm. Rizin de fɔ dat. Sɔm pikin dɛm (ɛn big pipul dɛm) kin fred ɛn fred smɔl we dɛn si dɔktɔ ɔ kam na ɔspitul. Da tɛm de, di prɛshɔn kin go ɔp fɔ sɔm tɛm. Wi kin kɔl dis Wait Kot Sindrom . Na dat mek dɛn kin mɛzhɔ am bɔku tɛm.
If dɛn kɔnfyus se di prɛshɔn bɔku, di dɔktɔ go tray nɛks fɔ fɛn di rizin. Fɔ du dis:
- Aks di pikin ɛn in mama ɛn papa bɔt aw dɛn de it, ɛksesaiz, ɛn di sik dɛn we dɛn gɛt na dɛn famili .
- Dɛn kin du blɔd tɛst fɔ chɛk tin dɛn lɛk aw di kidni de wok ɛn di ɔmon lɛvɛl.
- Dɛn kin du EKG (Electrocardiogram) tɛst fɔ chɛk aw di at de wok.
- If nid de, dɛn go rifer yu fɔ mek dɛn du imej tɛst fɔ yu at ɔ yu kidni.
Wetin na di nɔmal ɛn abnɔmal blɔd prɛshɔn lɛvɛl na pikin dɛn?
Fɔ pikin dɛn we ol 13 ia ɔ pas dat, dɛn kin disayd di valyu dɛn di sem we aw dɛn kin disayd fɔ big pipul dɛn.
| Prɛshɔn lɛvɛl | Valyu dɛn (fɔ di wan dɛn we ol 13+ ia) |
|---|---|
| Nɔmal | di sistolik de sכmtεm sכmtεm 120 εn di diastolik de sכmtεm 80. (Lεs dan 120/80 mm Hg) |
| I ay smɔl (Elevated) . | Di ɔpa limit na 120-129 ɛn di lɔwa limit nɔ pas 80. |
| Ay blɔd prɛshɔn - Stej 1 Haypatɛnshɔn | Ɔpa valyu 130-139 ɔ lɔwa valyu 80-89. |
| Stej 2 Haypatɛnshɔn | Wan ay valyu we na 140 ɔ pas dat ɔ wan lɔw valyu we na 90 ɔ pas dat. |
Fɔ pikin dɛn we ol 12 ia ɛn smɔl pas dat, dɛn kin no di nɔmal rɛnj bay pasɛnt chɔt dɛn we de kɔmpia dɛn ej ɛn ayt. Yu dɔktɔ go ɛksplen dis to yu.
Wetin dɛn kin du fɔ kɔntrol di pikin in blɔd prɛshɔn?
Di gud nyus na dat, dɛn kin ebul fɔ kɔntrol di ay blɔd prɛshɔn na pikin dɛn fayn fayn wan. Di tritmɛnt we dɛn kin pik kin difrɛn frɔm wan pikin to ɔda pikin.
1. Di Chenj dɛn we Yu De Layf
Bɔku tɛm, dɛn tin ya na di fɔs tin dɛn we dɔktɔ dɛn kin tɛl dɛn fɔ du. If di wan ol famili jɔyn pan dɛn tin ya, di tin dɛn we kin apin kin rili fayn.
- Di it we gɛt wɛlbɔdi: Wan spɛshal it de we dɛn kɔl DASH Diet . Fɔ tɔk am simpul wan, i min fɔ it mɔ vɛjitebul, frut, ligɛm, nɛt, ɛn ɔl di tin dɛn we dɛn kin it. Ɛn fɔ ridyus di it dɛn we gɛt bɔku sɔl, shuga, ɛn fat (espɛshali di sɛtyuret fat).
- Fɔ mek yu bɔdi wok mɔ ɛn mɔ:I rili impɔtant fɔ mek pikin dɛn rɔn ɛn ple te dɛn swet ɛn slip. If dɛn du dis kayn ɛksɛsayz fɔ at le 40-60 minit insay di de, 3-5 dez insay di wik, i go rili ɛp fɔ ridyus prɛshɔn.
- Fɔ manej strɛs: Yɛs, ivin yɔŋ pikin dɛn kin gɛt strɛs bikɔs ɔf tin dɛn lɛk ɛgzam ɛn skul wok. Dis strɛs kin mek bak blɔd prɛshɔn go ɔp. Dɛn kin kɔntrol dis sik wit tin dɛm lɛk fɔ du ɛksɛsayz fɔ blo ɛn fɔ tink gud wan.
2. Mɛrɛsin we dɛn kin gi
If di chenj we yu de chenj yu layf nɔmɔ nɔ ebul fɔ kɔntrol yu blɔd prɛshɔn, ɔ if yu blɔd prɛshɔn rili ay, yu dɔktɔ go gi yu mɛrɛsin.
Di tritmɛnt kin bigin wit di doz we smɔl pas ɔl.
- ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am
- Angiotensin II risεptor blכkεr dεm (ARB) .
- Di wan dɛn we de blok di chanɛl dɛn we gɛt kalsiɔm
- Beta-blɔk dɛn
- Diuretics (wata pils) .
Mɛrɛsin lɛk: Ɔl dɛn mɛrɛsin ya kin gɛt sayd ɛfɛkt. So, tɔk to yu dɔktɔ bɔt dɛn bifo yu bigin fɔ tek ɛni mɛrɛsin.
Wi kin mek wi pikin nɔ gɛt ay blɔd prɛshɔn?
Yɛs, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Mek yu pikin gɛt wɛlbɔdi wet fɔ di ayt we yu gɛt.
- As famili, ridyus di it dɛn we gɛt bɔku sɔl, shuga, ɛn fat. Limit tin dɛn lɛk it dɛn we yu bay na stɔ, drink dɛn we dɛn dɔn swit, ɛn snek dɛn.
- Ɛnkɔrej yu pikin fɔ de du tin fɔ at le wan awa ɛvride.
- Gɛt gud slip. Mek am yu abit fɔ go slip di tɛm we yu dɔn sɛt ɛn wek di tɛm we yu dɔn sɛt.
- Kip yu pikin fa frɔm smok kpatakpata. If pɔsin na di os smok, i go afɛkt di pikin bak (sɛkɔnd smok).
Mɛmba se wi nɔ go ebul fɔ chenj di tin dɛn we de apin na wi jɛnɛtiks lɛk famili istri, bɔt wi kin kɔntrol ivin da prɔblɛm de bay we wi de fala wɛlbɔdi layf.
Na nɔmal tin fɔ fil bad ɛn fred we yu kam fɔ no se yu pikin gɛt ay blɔd prɛshɔn. Bɔt di impɔtant tin na dat, dis na kɔndishɔn we pɔsin kin ebul fɔ kɔntrol. Yu dɔktɔ ɛn wɛlbɔdi tim de ya fɔ ɛp ɛn gayd yu, yu pikin, ɛn yu famili fɔ du dis joyn.
Mɛsej we dɛn kin kɛr go na os
- Ay blɔd prɛshɔn pan pikin dɛn na kɔmɔn sik we bɔku tɛm nɔ kin mek dɛn gɛt di sik.
- So, i rili impɔtant fɔ rifer di pikin fɔ mek dɛn du di rayt mɛdikal tɛst, ilɛksɛf i nɔ gɛt ɛni sayn.
- Fɔ gɛt bɔku bɔku bɔdi, fɔ gɛt famili istri, fɔ it we gɛt bɔku sɔl, ɛn fɔ nɔ du ɛksɛsayz na di men tin dɛn we kin mek pɔsin gɛt dis sik.
- Fɔs, di tritmɛnt we dɛn kin se na fɔ liv fayn layf ɛn fɔ chenj di it we dɛn de it. I kin wok fayn pas ɔl we di wan ol famili jɔyn fɔ du dis.
- If dɛn nɔ kɔntrol am fayn, di ay blɔd prɛshɔn kin pwɛl di ɔgan dɛn lɛk di at ɛn di kidni tumara bambay.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ dawt bɔt dis, tɔk to yu dɔktɔ wantɛm wantɛm.
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