Yu blɔd prɛshɔn kin go ɔp wantɛm wantɛm? Lɛ wi lan bɔt aypatɛnshɔn kraysis!

Yu dɔn ɛva yɛri se pɔsin in blɔd prɛshɔn rili ay wantɛm wantɛm ɛn kɛr am go na ɔspitul rɔsh? Ɔ yu dɔn gɛt dis kayn ɛkspiriɛns? Dis na wetin wi mεdikal kכl haypatεnshכn krεse כ ``Hypertεnshכn Krεse''. Dis nɔto sɔntin we wi nɔ fɔ tek tɛm wit, bikɔs i kin mek pɔsin in layf de pan denja. So, lɛ wi tɔk bɔt dis wan we we nɔ rayt.

Wetin na dis kayn sik we de mek pɔsin gɛt aypatɛnshɔn?

Fɔ tɔk am simpul wan, dis min se yu blɔd prɛshɔn kin rili ay wantɛm wantɛm. Naw, lɛ wi luk aw pɔsin we gɛt wɛlbɔdi in blɔd prɛshɔn fɔ tan lɛk:

• כp valyu (systolic prεshכn) : less dan 120 milimita mεkkyuri (120 mm Hg) .
• lכw valyu (diastolik prεshכn) : less dan 80 milimita mεkkyuri (80 mm Hg) .

Bɔt, insay dis kayn sik we de mek yu gɛt ay blɔd prɛshɔn, yu blɔd prɛshɔn kin tan lɛk dis:

• כp valyu : 180 mm Hg כ mכr, εn/כ
• Valyu we smɔl : 120 mm Hg ɔ mɔ.

Dis na mɛdikal imejensi ! If yu blɔd prɛshɔn rich dɛn lɛvul ya, yu fɔ go na imejensi rum (ER) wantɛm wantɛm.

Bɔrku tɛm, dis kayn krɛse kin kam pan pipul dɛm wae dɔn ɔlrɛdi gɛt ay blɔd prɛshɔn (haypa blɔd prɛshɔn). Dat min se dɛn prɛshɔn kin pas aw i kin bi ivin na ɛvride layf. Akɔdin to masta sabi pipul dɛm, bitwin 1% ɛn 2% pan pipul dɛm wae gɛt ay blɔd prɛshɔn kin gɛt dis kayn krɛse. Bɔt i impɔtant fɔ mɛmba se dis sik kin apin bak pan pipul dɛm wae nɔr dɔn ɛva gɛt prɛshɔn prɔblɛm bifo.

Tu men kayn dis de.

Dɛn kin sheb di prɔblɛm dɛn we kin mek pɔsin gɛt ay trɛnk to tu men kayn:

1. Hypertensive urgency : If na so i bi, yu blɔd prɛshɔn kin rili ay, bɔt nɔ sayn nɔ de fɔ se yu insay ɔgan dɛn (lɛk yu at, bren, ɔ kidni dɛn) dɔn pwɛl. Sɔm dɔktɔ dɛn kin kɔl dis bak "uncontrolled hypertension." Ilɛk wetin na di nem, di tin we impɔtant pas ɔl na fɔ mek yu blɔd prɛshɔn kam bak to nɔmal kwik kwik wan.

2. Hypertensive emergency : Dis na di kɔndishɔn we denja pas ɔl. Na ya, yu blɔd prɛshɔn kin so ay dat i kin mek nyu damej to yu insay ɔgan dɛn, ɔ i kin mek di damej we dɔn de, wɔs. Fɔ ɛgzampul, ɔgan dɛn lɛk di at, di aorta, di yay, di bren, ɛn di kidni dɛn kin pwɛl. Sivεr prεeklampsia εn εklampsia, we kin apin pan bεlε uman dεm, dεn tu kin fכl insay dis kεtכgrεf.

Yu go dɔn yɛri di wɔd "malignant hypertension." Na bin wɔd we dɛn bin de yuz insay di fɔs pat pan di ia 1900. I bin min se di kidni ɛn yay dɛn kin pwɛl bikɔs ɔf di ay blɔd prɛshɔn wantɛm wantɛm. Sɔm dɔktɔ dɛn stil de yuz dis wɔd we dɛn de tɔk bɔt "haypertensive emergency." Bɔt naw, dɛn kin yuz "hypertensive emergency" mɔ bikɔs i gɛt klia difinishɔn.

Wetin na de sayn dɛm wae de sho dis kayn sik wae de mɛk pɔrsin gɛt dis sik?

Di sayn dɛm kin dipen pan if di insay pat dɛm dɔn pwɛl ɔ nɔ pwɛl.

Hypertensive urgency (blɔd prɛshɔn we de go ɔp we nɔ gɛt ɛni ɔgan damej) .

Bɔrku tɛm, nɔr big sayn nɔr kin de. Di wangren we fɔ no if yu blɔd prɛshɔn tu ay na fɔ mek dɛn mɛzhɔ am. Bɔt sɔmtɛm yu kin gɛt sɔm kayn sik lɛk:

• Fɔ fil fɔ fred ɛn nɔr de fil fayn (Wanxiety) .
• Smɔl ed we de at
• Wan smɔl nos blɔd
• I nɔ kin izi fɔ yu fɔ blo smɔl

Hypertensive emergency (blɔd prɛshɔn we de go ɔp wit ɔgan dɛn we dɔn pwɛl) .

If na so i bi, di sayn dɛm kin rili bad bikɔs di ɔgan dɛm we de insay di bɔdi kin pwɛl.

• Altered mental status, fil fɔ kɔnfyus
• Chɛst pen ɔ fil se yu chɛst tayt
• Diziz we pɔsin kin gɛt
• Swɛl, mɔ na di leg (ɛdima) .
• Di at we de blo
• Les urine output pas aw i kin bi
• Di sik dɛn we kin mek pɔsin sik
• Wan bad bad ed pen we pɔsin nɔ go ebul fɔ bia
• Di sayn dɛm fɔ strok : Fɔ ɛgzampul, wan say na yu fes kin drɔp wantɛm wantɛm, yu nɔ kin tɔk fayn, ɔ yu nɔ gɛt pawa na yu an ɔ yu leg (na wan say).
• Di chenj we yu de si : Di yay de at, yu nɔ de si wantɛm wantɛm, ɔ yu nɔ de si fayn.

We dɔktɔ de chɛk yu, dɛn kin luk bak fɔ sayn dɛn lɛk dɛn wan ya:

• Jugular venɔs distenshɔn
• Fɔ yɛri abnɔmal sawnd (krak krak) we yu de lisin to di lɔng dɛn
• Nyu, ɔnusual at sawnd dɛm we nɔ bin de bifo (at murmurs) .
• di damej pan di bכdi we de insay di yay (rεtina mεmbran) .
• Unusual, asymmetric wikɛdnɛs wae de mek pipul dɛn sɔprayz fɔ gɛt strok

Wetin kin mek dis kayn sik wae de kam pan pɔrsin wae gɛt dis sik?

Bɔku rizin dɛn de fɔ dis:

• Di rizin we kin apin mɔ na bikɔs yu nɔ de tek yu blɔd prɛshɔn mɛrɛsin kɔrɛkt wan, lɛk aw yu dɔktɔ tɛl yu fɔ tek am, ɛn yu nɔ de tek am di rayt tɛm. Dis kin apin fɔ ɛni nɔmba pan rizin (fɔgɛt, fɔ dɔn wit di mɛrɛsin, nɔr fɔ tek am bay wilful).
• Fɔ stɔp fɔ tek blɔd prɛshɔn mɛrɛsin wantɛm wantɛm.
• Wan mɛrɛsin we yu tek kin intarakt wit ɔda mɛrɛsin (drug interaction).
• Kidni sik.
• εndokrin εshyu (hכmon εshyu).
• Preeclampsia ɔ eclampsia na ay blɔd prɛshɔn we kin apin we uman gɛt bɛlɛ.
• Yuz sɔm tin dɛn we kin mek pɔsin adikshɔn (drɔg).
• Sivɛri ed injuri (Hɛd trauma).
• Wan tumbu we de na di bren.
• Sɔm mɛrɛsin dɛn we yu kin tek fɔ ɔda sik dɛn.

Bɔrku kayn mɛrɛsin de wae kin mek pɔrsin gɛt hypertensive crisis:

• Di kayn Stɛroyd dɛn we dɛn kin yuz
• Sɔm mɛrɛsin fɔ pwɛl hat
• Sayklɔspɔrin we dɛn kɔl
• Pseudoephedrine, we na wan pat pan sɔm kol ɛn flu mɛrɛsin dɛn

Udat de pan big risk fɔ gɛt dis?

Yu kin gɛt mɔ risk fɔ gɛt dis sik if yu:

• If yu bɔdi mas indeks bɔku, dat min se yu fat .
• If yu na man .
• Sɔm intanashɔnal stɔdi dɛn dɔn sho se pipul dɛn we kɔmɔt na Afrika kin gɛt prɔblɛm smɔl. Bɔt mɛmba se dis sik kin afɛkt ɛnibɔdi, pan ɛni trayb.
• If yu na pɔsin we nɔ de tek yu blɔd prɛshɔn mɛrɛsin di rayt tɛm .
• If yu de yuz drɔgs we de mek yu fil fayn (e.g. kɔkɛyn, amfɛtamin) we dɔktɔ nɔ dɔn gi yu.

Us denja prɔblɛm dɛn dis kin mek?

If di prɛshɔn kam pan denja dis we, i kin mek siriɔs prɔblɛm dɛn lɛk:

• Hat de pwɛl kwik kwik wan (acute heart failure) .
• Fɔ ful-ɔp di lɔng dɛn wantɛm wantɛm wit wata (acute pulmonary edema) .
• Di kidni nɔ de wok wantɛm wantɛm (acute kidney failure) .
• di big blɔd vesel we de na yu bɔdi we de te ɔ bɔs (aorta) (aortic dissection) .
• Blɔd we de kɔmɔt na di bren (intracranial hemorrhage) .
• Hat atak kin apin bikɔs di blɔd nɔ de flɔ na di at.
• Ischemic strok kin apin bikɔs di blɔd nɔ de flɔ na di bren.
• Di bren nɔ de wok fayn fɔ sɔm tɛm (haypa tɛnsiv ɛnsɛfalopati) .

Ɔl dɛn tin ya kin mek pɔsin in layf de pan denja. Na dat mek wi se fɔ tek tɛm wit di prɛshɔn.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ go fɔs mɛzhɔ yu blɔd prɛshɔn na yu tu an fɔ no if yu gɛt aypatɛnshɔn kraysis. Apat frɔm dat, i go aks yu bɔt yu kɔmplit mɛdikal istri (lɛk di sik dɛn we yu bin dɔn gɛt trade ɛn di mɛrɛsin dɛn we yu de tek), tɔk to yu bɔt di sik dɛn we yu gɛt, ɛn du wan kɔmplit ɛgzam fɔ yu bɔdi. Sɔntɛm dɛn kin nid fɔ du bɔku ɔda tɛst dɛn fɔ no wetin mek i apin.

Di kayn tɛst dɛn we dɛn kin du:

• Blɔd tɛst (fɔ chɛk tin dɛn lɛk aw di kidni de wok ɛn di sɔl lɛvɛl) .
• Test fɔ yu urine
• wan ``EKG/ECG'' strip we de mכnitor di ilektrikal aktiviti fכ di at
• Fɔndoskɔpik ɛgzam (fɔ chɛk fɔ si if di blɔd vesel dɛn we de insay di yay dɔn pwɛl) .
• Wan nyurolɔjik ɛgzam
• Wan ɔltra saund skan fɔ di at (`Transthoracic echocardiogram`) .
• Chɛst ɛn ed CT skan

If sayn dεm de fכ nyu damej pan yu insay כgan dεm, di dכkta go kכl am ``haypa tεnshכn imejensi'', εn if dεn kayn sayn dεm ya nכ de, i go bi ``haypa tεnshכn urgency.''

Aw dɛn kin trit dis sik we de mek pɔsin gɛt aypatɛnshɔn?

Dɛn kin trit dis na di ɔspitul imejensi rum . Dɔktɔ dɛn go gi yu mɛrɛsin ɛn briŋ yu blɔd prɛshɔn dɔŋ to say we sef.

• If yu nɔ gɛt ɛni sayn fɔ se di ɔgan dɛn we de insay yu bɔdi dɔn pwɛl (i.e., hypertensive urgency), yu kin ebul fɔ go na os di sem de. Bɔt dɛn go sɛn yu na os wit sɔm mɛrɛsin fɔ tek na os.
• Bɔt if yu gɛt ``haypa prɛshɔn imejensi`` (ɔgan damej), yu go nid fɔ de na di ɔspitul in intensiv kia yunit (ICU) fɔ sɔm dez. Na de, dɔktɔ dɛn go gi yu mɛrɛsin we dɛn kin put insay yu bɛlɛ (IV) ɛn dɛn go kɔntinyu fɔ wach yu blɔd prɛshɔn.

Yu mɛdikal tim go disayd aw kwik yu blɔd prɛshɔn nid fɔ go dɔŋ. I go dipen pan di ɔda mɛrɛsin dɛn we yu gɛt. Mɛmba se sɔntɛnde if yu blɔd prɛshɔn go dɔŋ tumɔs kwik, dat kin mek yu ɔgan ɛn tisu dɛn nɔ gɛt bɛtɛ blɔd igen. So, i kin tek 24 to 48 awa fɔ mek yu blɔd prɛshɔn go dɔŋ.

Bɔt if yu gɛt spɛshal tin dɛn lɛk fɔ kɔt di aɔta, fɔ mek yu gɛt siriɔs prɛeklampsia, ɔ fɔ mek yu gɛt blɔd prɛshɔn, dɔktɔ dɛn go mek yu blɔd prɛshɔn go dɔŋ kwik kwik wan. Insay dɛn kayn tin ya, di bɛnifit dɛn we yu go gɛt if yu blɔd prɛshɔn go dɔŋ kwik kwik wan, pas di smɔl smɔl prɔblɛm dɛn we yu go gɛt.

Sɔm pan di mɛrɛsin dɛn we dɛn kin yuz fɔ dis na `(Captopril)`, `(Clevidipine)`, `(Clonidine)`, `(Esmolol)`, `(Hydralazine)`, `(Labetalol)`, `(Nicardipine)`, `(Nifedipine)`, `(Nitroglycerin)` ɛn `(Nitroprusside)`. Yu dɔktɔ go pik di bɛst mɛrɛsin fɔ yu bay aw yu sik, ɔda mɛrɛsin dɛn we yu de tek, ɛn yu ɔl wɛlbɔdi.

Ustɛm a fɔ go to dɔktɔ?

If yu blɔd prɛshɔn na 180/120 mm Hg ɔ pas dat, kɔl 1990 (imejɛnsi nɔmba) wantɛm wantɛm, ɔ go na di imejensi rum we de nia yu. Yu nid tritmɛnt kwik kwik wan!

Afta dɛn dɔn trit yu fɔ ay blɔd prɛshɔn kraysis lɛk dis, go to yu famili dɔktɔ ɔltɛm. I kin disayd fɔ chenj di doz fɔ yu blɔd prɛshɔn mɛrɛsin ɔ ad nyu mɛrɛsin. I go tɔk to yu bak bɔt di chenj dɛn we yu nid fɔ mek na yu layf ɛvride (lɛk aw yu de it ɛn ɛksesaiz). Fɔ ɛgzampul, dɛn kin advays yu fɔ it it we nɔ gɛt bɔku sɔl ɛn we gɛt bɔku frut ɛn vɛjitebul (lɛk di `DASH it`) ɛn fɔ du ɛksɛsayz ɛvride.

Wetin a fɔ ɛkspɛkt if dis tin apin?

Wae pɔrsin gɛt haypatɛnshɔn na siriɔs wɔnin sayn wae de sho se yu nɔr de kɔntrol yu blɔd prɛshɔn fayn fayn wan. Yu dɔktɔ kin ɛp yu fɔ mek yu blɔd prɛshɔn go dɔŋ ɛn mek i nɔ gɛt wɛlbɔdi. Di tin we impɔtant pas ɔl na fɔ kip yu apɔntinmɛnt ɛn tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek am.

Na nɔmal tin fɔ fil frayd ɛn wɔri we yu yɛri di wɔd "kraysis." Yu kin tink se, "Mi blɔd prɛshɔn go ɛva go ɔp lɛk dis igen?" Ɔ, "Aw dis ay blɔd prɛshɔn kraysis go afɛkt mi wɛlbɔdi ɛn mi fiuja?"

Jɔs tink bɔt, bɔku rizin dɛn de we mek yu blɔd prɛshɔn kin go ɔp dis kayn we. Dɔktɔ dɛn de wok fɔ no wetin na di patikyula tin dɛn we kin mek ɛnibɔdi gɛt dis sik. Wae yu dɔn no di rayt kɔz, yu kin tek step fɔ ridyus de risk fɔ mek dis kayn prɔblɛm apin bak.

Dis kin min se yu fɔ sɛt mɛsej na yu fon fɔ mɛmba yu fɔ tek yu mɛrɛsin. Ɔ, i kin min fɔ tɔk to yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek ɛn ajɔst am if nid de. Mɛmba se ɛni smɔl tin we yu du fɔ kɔntrol yu blɔd prɛshɔn naw kin go fa fɔ mek yu nɔ gɛt siriɔs wɛlbɔdi prɔblɛm dɛn tumara bambay.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• No yu blɔd prɛshɔn valyu: Wetin na yu nɔmal blɔd prɛshɔn? No gud gud wan wetin na imejensi (180/120 mm Hg ɔ pas dat).
• Tek yu mɛrɛsin kɔrɛkt wan: If yu dɔktɔ dɔn tɛl yu di mɛrɛsin fɔ yu blɔd prɛshɔn, mek shɔ se yu tek am di rayt tɛm ɛn di rayt doz. Nɔ skip wan de.
• No di sayn dɛm we de wɔn yu: If yu gɛt sɔm sayn dɛm lɛk bad bad ed pen, chɛst pen, i nɔ izi fɔ blo, yu nɔ de si fayn, yu nɔ de tɔk fayn, ɔ yu de lɔs yu an ɛn fut, i kin bi siriɔs sik.
• Go to dɔktɔ wantɛm wantɛm: If yu gɛt ɛni wan pan dɛn sayn ya we wi dɔn tɔk bɔt, ɔ if yu blɔd prɛshɔn na 180/120 mm Hg ɔ pas dat, nɔ west tɛm ɛn go to dɔktɔ wantɛm wantɛm. Go na ɔspitul ɔ kɔl 1990.
• chenj di we aw yu de liv yu layf: Fɔ it fayn fayn tin dɛn (we nɔ gɛt bɔku sɔl, ɔyl, ɛn shuga), fɔ du ɛksɛsayz ɔltɛm , fɔ avɔyd fɔ smok, ɛn fɔ nɔ drink bɛtɛ rɔm, dat kin ɛp yu fɔ kɔntrol yu blɔd prɛshɔn.

A op se dis infɔmeshɔn go yusful to yu. Mɛmba se yu wɛlbɔdi de na yu an. Tek kia ɔf am!

` Ay blɔd prɛshɔn, prɛshɔn, imejensi, blɔd prɛshɔn kraysis, simptom dɛm, tritmɛnt, at sik