Yu dɔn ɛva yɛri bɔt di wɔd "Hypertensive Encephalopathy"? I kin tan lɛk se na siriɔs nem smɔl bikɔs i gɛt bɔku lɛta dɛn, nɔto so? Fɔ tɔk am simpul wan, dis na tin we di prɛshɔn na yu bɔdi, dat na, blɔd prɛshɔn, kin go ɔp wantɛm wantɛm te i afɛkt di we aw yu bren de wok. Dis nɔto tin fɔ trifle wit, bikɔs dis na kɔndishɔn we nid fɔ gɛt mɛrɛsin kwik kwik wan. Tide, wi go tɔk bɔt dis klia wan ɛn di we we yu go ɔndastand.
Wetin rili na Hypertensive Encephalopathy?
Okay, mek wi stat frɔm di biginin. "Hypertensive" min se yu gɛt ay blɔd prɛshɔn. "Encephalopathy" min se di bren de chenj ɔ i nɔ de wok fayn. Dɔn we dɛn tu tin ya kam togɛda, di aypatɛnshɔnal ɛnsɛfalopathy na we di bren nɔ de wok fɔ sɔm tɛm bikɔs ɔf di ay blɔd prɛshɔn. Insay dis, di men tin we dɛn kin si na we yu de chenj yu maynd.
Naw yu no se as blɔd de pas na wi bɔdi in vein dɛn, i de mek sɔm prɛshɔn pan di wɔl dɛn na dɛn vein dɛn de. Na dat wi kin kɔl blɔd prɛshɔn, ɔ "prɛshɔn." Nɔmal wan, pɔsin we gɛt wɛlbɔdi in blɔd prɛshɔn nɔ kin pas 130/80 mmHg (milimita mɛkkyuri). bכt we dis haypatεnshכn εnεsεfalopati kכndishכn de divεlכp, di prεshכn kin go hכy lεk 220/130 mmHg. sכmtεm, dεn kin se dis kכndyushכn kin apin ivin pan wan lεvεl we na 160/100 mmHg.
Di tin we impɔtant pas ɔl na dat dis na mɛdikal imejensi, ivin we kin mek pɔsin in layf de pan denja. So, if yu notis sɔm sayn dɛn, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.
Aw dis sik kin kɔmɔn?
Infakt, ay blɔd prɛshɔn imejensi kin apin to less dan 2% pan ɔl di pasɛnt dɛn we kin kam na ɔspitul imejensi rum. כltu, haypatεnshכn εnεsεfalopati de apin insay lεk 15%. Dis min se nɔto sɔntin we kin apin to ɔlman, bɔt if i apin, i impɔtant fɔ mek dɛn trit am kwik kwik wan.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu go no am kwik?
Insay dis kɔndishɔn, de sik nɔ kin kam wantɛm wantɛm. Dɛn kin divɛlɔp smɔl smɔl. So, e fayn fɔ no bɔt dɛn kayn sik ya.
Di fɔs sayn dɛn we pɔsin kin si na:
- Ɛd at: Dis kin bi bad bad ed we de at we de wɔs ɛn wɔs. I kin fil lɛk se sɔmbɔdi de prɛs insay yu ed.
- Taya: I kin fil taya pasmak ivin afta i nɔ du natin.
- Nɔs: Fɔ fil lɛk se yu go vɔmit.
- Vɔmit: Sɔntɛnde, yu kin vɔmit.
Dɔn yu kin gɛt sɔm kayn sik wae kin afɛkt yu maynd:
Dɛn sayn ya na de tin wae de tɛl wi se dis kayn tin kin siriɔs.
- Kɔnfyushɔn: Na stet we yu nɔ no usay yu de, ustɛm i de, ɔ udat yu bi.
- Pɔsin kin chenj: I kin chenj lɛk fɔ vɛks ɔ fɔ vɛks wantɛm wantɛm.
- Nɔr de rɛst: Na wae pɔrsin nɔr kin ebul fɔ de na wan ples ɛn muv ɔdasay.
- Yu nɔ de si fayn: Yu nɔ go ebul fɔ si fayn wantɛm wantɛm ɔ yu nɔ go ebul fɔ si am igen.
- Seizures: Bɔdi de twitch, i tan lɛk we pɔsin fit.
- Nɔr kin no natin: Yu kin lɔs kɔnshɛns ɛn fɔdɔm. Dis na di tin we de mek pɔsin denja pas ɔl.
If yu ɔ pɔsin we yu sabi gɛt wan ɔ mɔ pan dɛn sik ya, wit ay blɔd prɛshɔn, kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul imejensi rum we de nia yu. Taym na di men tin na tɛm lɛk dis.
Wetin mek dis de apin? Wetin na di rizin dɛn?
Fɔ tɔk am simpul wan, di men tin we kin mek pɔsin gɛt ay blɔd prɛshɔn na we i rili ay. Imajin, wetin go apin if yu sɛn wata fast pas aw wata paip kin ebul fɔ du? Di paip kin pwɛl, nɔto so? Na so i kin bi, di ay prɛshɔn kin bigin fɔ pwɛl di dilik blɔd vesel dɛn na di bren. Dɔn, wata we tan lɛk wata kin bigin fɔ lik frɔm dɛn blɔd vesel dɛn de ɛn go insay di bren. Wi kin kɔl dis sɛribra ɛdima. Na da tɛm de di bren in wok kin ambɔg.
Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)
Sɔm pipul dɛn kin gɛt dis sik. Lɛ wi tek wan luk pan udat dɛn bi:
- Pipul wae nɔr no se dɛn gɛt ay blɔd prɛshɔn: Bɔrku pipul nɔr kin ivin no if dɛn gɛt am bikɔs dɛn nɔr kin chɛk dɛn blɔd prɛshɔn. Dɛn kayn pipul ya kin go insay wan denja tin lɛk dis wantɛm wantɛm.
- Pipul dɛn we bin stɔp fɔ tek blɔd prɛshɔn mɛrɛsin wantɛm wantɛm: I rili denja fɔ lɛf fɔ tek mɛrɛsin fɔ yusɛf we yu nɔ go to dɔktɔ.
- Pipul wae gɛt kidni sik: Di kidni na impɔtant ɔgan wae de ɛp fɔ kɔntrol blɔd prɛshɔn na wi bɔdi. We yu gɛt sik na yu kidni, yu blɔd prɛshɔn kin go ɔp.
- uman dεm we gεt hεy blכd prεshכn (eclampsia) we dεn bεlε: Dis na kכndyushכn bak we nid fכ tek kia bכku.
- Pipul wae de gɛt sɔm kayn kansa tritmɛnt (kimotɛrapi): Sɔm kansa mɛrɛsin kin mek yu blɔd prɛshɔn go ɔp as sayd ɛfɛkt.
Us prɔblɛm dɛn dis kin mek? Yu tink se i siriɔs?
Yɛs, if dɛn nɔ de manej dis fayn, siriɔs prɔblɛm dɛn kin apin.
- Di bren we de pwɛl ɔltɛm: If dɛn nɔ trit am kwik, i kin pwɛl di bren sɛl dɛn fɔ ɔltɛm.
- Sεribra εdima: As wi bin dכn tכk, dis na di men tin.
- Damej to ɔda ɔgan dɛm: Di ay blɔd prɛshɔn kin mek di kidni nɔ wok fayn, i kin mek i nɔ ebul fɔ si fayn, ɛn i kin mek i gɛt at atak.
- Kɔma: Na tin we pɔsin nɔ de no natin, we fiba we pɔsin de slip dip dip wan.
- Lɔs fɔ layf:If dɛn nɔ trit am, i kin ivin day.
Na dat mek dɛn kin tek dis as imejensi.
Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .
We yu go na di imejensi rum, di dɔktɔ dɛn go fɔs chɛk yu maynd ɛn yu blɔd prɛshɔn. Dɛn go du wan jenɛral fyzikal ɛgzam ɛn wan nyurolɔjik ɛgzam fɔ chɛk aw yu bren de wok. Dɛn go aks bak bɔt yu mɛdikal istri, ɛni mɛrɛsin we yu de tek naw, ɛn ɛni mɛrɛsin we yu jɔs dɔn stɔp.
Apat frɔm we dɛn de mɛzhɔ di prɛshɔn, dɛn kin du sɔm ɔda tɛst dɛn fɔ si if ɔda ɔgan dɛn dɔn pwɛl:
- Blɔd tɛst: Chɛk tin dɛn lɛk aw di kidni de wok ɛn di blɔd sɔl lɛvɛl.
- ECG test (Electrocardiogram): Luk di ilɛktrik aktiviti na di at.
- Chɛst X-ray ɛgzamin.
- Bren CT skan ɔ MRI skan: Fɔ chɛk fɔ si if di bren de swel ɔ blɔd de kɔmɔt.
Ɔl dis na aw dɔktɔ dɛn kin kɔrɛkt wan fɔ no if pɔsin gɛt aypatɛnshɔn ɛnsɛfalopati.
Aw fɔ trit am? (Tritmɛnt)
Di men gol we yu de trit dis na fɔ mek yu ay blɔd prɛshɔn go dɔŋ kwik kwik wan, bɔt sef wan, as yu ebul.
Imejɛnsi tritmɛnt
- Antihypertensive medications: Dɛn nɔ kin gi dɛn mɛrɛsin ya bay mɔt fɔs. Dɛn kin gi dɛn tru wan smɔl kanula we dɛn put insay wan vein na di an. Dis kin mek i izi fɔ kɔntrol di prɛshɔn kɔrɛkt wan.
- Intensive care unit (ICU) care: We dɛn de trit yu, dɔktɔ ɛn nɔs dɛn go tek kia ɔf yu gud gud wan. Dɛn kin du dis tritmɛnt na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU).
- Spid fɔ mek yu blɔd prɛshɔn go dɔŋ: Imajin se yu blɔd prɛshɔn na 220/120 mmHg. afta dat, insay di fכs awa, di prεshכn de dכn bitwin 10% εn 15%. I nɔ de ridyus pas 25% insay 24 awa. Bikɔs, if yu ridyus am tumɔs wan tɛm, di blɔd vesel dɛn na di bren nɔ kin gɛt bɛtɛ tɛm fɔ wɛl, ɛn ɔda prɔblɛm dɛn lɛk strok kin apin. So, dɛn kin tek tɛm mek di doz fɔ di mɛrɛsin.
- Mɔl mɛrɛsin: We dɛn dɔn kɔntrol di prɛshɔn, dɛn kin bigin fɔ tek mɛrɛsin afta 8 to 24 awa.
- Tritmɛnt fɔ sik: If yu gɛt sɔm kayn sik dɛn we tan lɛk se yu gɛt sik, dɛn kin gi yu mɛrɛsin fɔ dat bak fɔ shɔt tɛm.
Manejmɛnt fɔ lɔng tɛm
Ivin afta yu dɔn go na os frɔm ɔspitul, i go mɔs bi se yu dɔktɔ go tɛl yu fɔ kɔntinyu fɔ tek yu blɔd prɛshɔn mɛrɛsin (moral antihypertensive medications). Dɛn mɛrɛsin ya kin ɛp fɔ kɔntrol yu blɔd prɛshɔn. Dɛn go tɛl yu bak fɔ mek sɔm chenj dɛn na yu layf:
- Di it kɔntrol: Ridyus sɔl (sɔdiɔm), ridyus di it dɛn we gɛt ɔyl.
- Ɛksesaiz: I rili fayn fɔ ɛksesaiz ɛvride.
Us mɛrɛsin dɛn kin yuz fɔ trit pɔsin?
Bɔku kayn mɛrɛsin dɛn de we de wok kwik kwik wan/we kin bigin kwik kwik wan fɔ mɛn dis sik. Fɔ ɛgzampul:
- Nikadipin we dɛn kɔl
- Labetalɔl we de na di wɔl
- Hydralazin we dɛn kɔl Hydralazine
- Fɛnɔldopam we dɛn kɔl
- Klividipin we dɛn kɔl
- Sɔdiɔm naytroprussayd
Dis nɔto mɛrɛsin dɛn we yu kin jɔs tek. Na dɔktɔ we de na ɔspitul kin gi dɛn.
Ɛni bad tin de we di tritmɛnt kin du?
Yɛs, sɔm bad bad tin dɛn kin apin we yu de stɔp blɔd prɛshɔn tumɔs. Bɔt nɔ wɔri, dɔktɔ dɛn de pe atɛnshɔn to dat bak.
- We pɔsin taya
- Diziz, fil lɛk se yu nɔ gɛt bɛtɛ ed
- Fɔ mek pɔsin nɔ ebul fɔ du natin
- Kidni injury
- Strok
Bikɔs dɛn sayd ɛfɛkt ya rili siriɔs, dɛn go de wach yu gud gud wan ɔlsay na yu tritmɛnt.
Aw kwik a go wɛl afta dɛn dɔn trit mi?
As yu blɔd prɛshɔn bigin fɔ kam dɔŋ, yu go bigin fɔ fil fayn. Dis kin apin insay 24 to 48 awa. Bɔt i kin dipen pan aw di ɛnsefalopathy dɔn afɛkt yu bren fɔ wok, i kin tek sɔm dez, ɔ ivin sɔm wiks fɔ mek i wɛl. If kɔmplikɛshɔn kam, di tɛm fɔ wɛl kin lɔng.
Wetin na di lukin-grɔn fɔ dis sityueshɔn? (Autluk) .
Di gud nyus na dat if dɛn trit am kwik ɛn fayn, dɛn kin chenj di tin dɛn we kin apin to pɔsin we gɛt aypatɛnshɔn. Dat min se, as di prɛshɔn de go dɔŋ, di sayn dɛn we di bren dɔn pwɛl kin dɔn smɔl smɔl. Bɔt if yu gɛt ɔda kɔmɔn sik dɛn wit ay blɔd prɛshɔn, yu go gɛt prɔblɛm dɛn. Na dat mek dɔktɔ dɛn go de wach yu gud gud wan we dɛn de trit yu.
Afta dɛn dɔn trit yu fɔ dis sik, yu dɔktɔ go de chɛk yu blɔd prɛshɔn ɔltɛm. Si aw dɛn kin kɔntrol yu blɔd prɛshɔn fayn fayn wan wit di mɛrɛsin we yu de tek. If yu ebul, gɛt pɔsin we de wach yu blɔd prɛshɔn na os ɛn rayt yu blɔd prɛshɔn lɛk aw yu dɔktɔ tɛl yu. If yu gɛt ɛni bad bad tin we kin apin to yu, tɛl yu dɔktɔ . Nɔ ɛva stɔp fɔ tek yu blɔd prɛshɔn mɛrɛsin if yu dɔktɔ nɔ advays yu.
Yu nɔ tink se dɛn go ebul fɔ stɔp dis? Wetin dɛn kin du?
Pan ɔl we yu nɔ go ebul fɔ stɔp am ɔl, yu kin ridyus dis prɔblɛm bad bad wan bay we yu kɔntrol yu blɔd prɛshɔn. Na sɔm tin dɛn we yu kin du fɔ du dis:
- It fayn it: It mɔ frut ɛn vɛjitebul. Ridyus ɔyl, sɔl, ɛn shuga.
- Ridyus di sɔl we yu de it: Nɔ it pas 2 gram sɔl fɔ wan de.
- Ɛksesaiz ɔltɛm: Na sɔntin lɛk fɔ waka fɔ at le 30 minit ɛvride.
- Nɔ yuz tin dɛn we dɛn kin yuz fɔ smok: Stɔp fɔ smok sigrɛt kpatakpata.
- Fɔ kɔntrol strɛs: Tin dɛn lɛk fɔ tink gud wan ɛn yoga kin ɛp.
- Fɔ stɔp fɔ drink rɔm.
- Fɔ tek di blɔd prɛshɔn mɛrɛsin we di dɔktɔ tɛl yu fɔ tek di rayt tɛm ɛn di rayt tɛm.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ay blɔd prɛshɔn, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. Yu dɔktɔ go gi yu di rayt tritmɛnt ɛn wach aw i de afɛkt yu. Mɛmba se nɔ stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu. If yu gɛt ɛni nyu sayn ɔ sayd ɛfɛkt, tɛl yu dɔktɔ .
Ustɛm yu fɔ go na ɔspitul wantɛm wantɛm? (ETU) .
If yu gɛt di sayn dɛm fɔ haypatɛnshɔnal ɛnsɛfalopathy we wi bin dɔn tɔk bɔt (lɛk fɔ gɛt siriɔs ed pen, kɔnfyushɔn, yu nɔ de si fayn, yu kin gɛt sik), kɔl 911 ɔ go na di ɔspitul imejensi rum we de nia yu ɛn nɔ de te. Di ay blɔd prɛshɔn na denja ɛn i kin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik kwik wan.
Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?
We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:
- Aw a go ebul fɔ kɔntrol mi blɔd prɛshɔn?
- Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
- Ɛni bad bad tin dɛn de we dɛn tritmɛnt dɛn de kin du?
- Wetin a fɔ avɔyd fɔ it ɛn drink fɔ mek a gɛt wɛlbɔdi?
- Us kayn ɛksesaiz dɛn we sef a kin du?
Faynal Mɛsej fɔ Tek-Hom
Na tru se fɔ kɔntrol yu blɔd prɛshɔn nɔto izi wok. Fɔ mek wi kɔntinyu fɔ liv fayn layf, i kin tek tɛm, ɛnaji, ɛn gi yu layf to Jiova. Bɔt, tink bɔt aw wan sik lɛk haypatɛnshɔnal ɛnsɛfalopathy, we kin kam wit ay blɔd prɛshɔn, kin denja. Pan ɔl we i kin wɛl if dɛn trit am kwik, di bɛst tin fɔ du na fɔ mek i nɔ apin bifo i apin. Fɔ du dis, wok wit yu dɔktɔ fɔ kɔntrol yu blɔd prɛshɔn fayn fayn wan. Nɔ stɔp fɔ tek yu blɔd prɛshɔn mɛrɛsin if yu dɔktɔ nɔ gri fɔ ɛni rizin. Yu wɛlbɔdi de na yu an!
` Hypertensive Encephalopathy, ay blɔd prɛshɔn, bren dizayd, prɛshɔn, imejensi tritmɛnt, ed we de at, siz
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