Yu tink se prɛshɔn kin afɛkt di yay? Lɛ wi tɔk bɔt (Hypertensive Retinopathy)!

Yu gɛt ay blɔd prɛshɔn, ɔ yu gɛt ay blɔd prɛshɔn? Ɔ sɔmbɔdi na yu famili ɔ yu padi gɛt am? Bɔku tɛm, wi kin tink se we wi de tɔk bɔt aypatɛnshɔn, i kin jɔs afɛkt di men ɔgan dɛn lɛk di at, bren, ɛn kidni. Bɔt yu no se dis ay blɔd prɛshɔn, fɔ tɔk di kɔrɛkt tin, kin mek yu yay pwɛl bad bad wan bak sikrit wan? Tide wi go tɔk bɔt dis kayn kɔndishɔn. dis na mεdikal dεn kכl am `(Hypertensive Retinopathy)`. Pan ɔl we di nem kɔmplikt smɔl, lɛ wi ɔndastand am simpul wan.

Wetin na dis `(Hypertensive Retinopathy)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `(Hypertensive Retinopathy)` na damej pan di `(Retina)` , we na wan layt we rili sɛnsitiv insay yu yay, bikɔs ɔf di ay blɔd prɛshɔn. Tink bɔt am, wi yay tan lɛk kamɛra. Di `(Retina)` de akt lɛk di fim we de na dis kamɛra. We layt kam insay di yay, na dis wan de mek pikchɔ dɛn ɛn sɛn dɛn to di bren. So, wan hεlty `(Retina)` implεnt fכ wi fכ si fayn.

Naw, wetin kin apin we yu gɛt ay blɔd prɛshɔn, ɔ ay blɔd prɛshɔn? bכdi de fכlכ tru wi bכdi in bכdi vεsul dεm (dכkta dεn kכl dεm ``Arteries'') wit hכy prεshכn pas nכmal. I tan lɛk se wata de kɔmɔt na pɔt wit bɔku pawa. We dɛn put di blɔd vesel dɛn ɔnda tumɔs prɛshɔn fɔ lɔng tɛm, dɛn kin bigin fɔ pwɛl. Dis damej kin afɛkt di blɔd vesel dɛn ɔlsay na di bɔdi.

So, dis na wetin de apin na `(Hypertensive Retinopathy)`. di dilik bכdi vεsul dεm we de gi bכdi to di `(Rεtina)` de pwεl bikoz fכ dis hכy prεshכn. afta dat di `(Retina)` nכ de gεt di כksijεn εn nyutrishכn we i nid. as tεm de go, dis kin pwεl pat dεm na di `(Rεtina)`, we kin mek i nכ de si fayn, εn sכmtεm i kin ivin blaynd.

Dis na wɔnin!

Bɔt di stori nɔ de dɔn de. Hypertensive Retinopathy nɔto sik we na di yay nɔmɔ. Na strɔng wɔnin sayn fɔ sho se prɔblɛm de wit di blɔd we de go na ɔda pat dɛn na yu bɔdi. Tink bɔt am, ay blɔd prɛshɔn nɔ jɔs de afɛkt di yay ɛn fɔgɛt bɔt ɔda pat dɛn. I kin afɛkt di blɔd vesel dɛn ɔlsay na di bɔdi. Dis kin afɛkt mɔ di vein dɛn we de gi blɔd to wi at ɛn bren.

Sɔntɛnde, di sayn dɛm fɔ dis damej nɔ kin de fɔ lɔng lɔng tɛm. Bɔt fɔ sɔm pipul dɛn, dis na di fɔs sayn we de sho se ay blɔd prɛshɔn de pwɛl dɛn bɔdi. Infakt, pipul dɛm wae gɛt haypatensive retinopathy kin gɛt mɔ risk fɔ gɛt di sik dɛm wae de kam wit dɛn at ɛn blɔd , lɛk korona at sik ɛn strok, tumara bambay.

I tan lɛk yɔlɔ layt na rod. Na signal we se, ‘Tek tɛm, slo, ɛn tek tɛm go bifo.’ So, fɔ no se yu gɛt `(Hypertensive Retinopathy)` kin mek yu fred. Bɔt, tink bɔt am as chans fɔ tek chaj pan yu wɛlbɔdi. Tɔk to yu ay spɛshal dɔktɔ ɛn yu famili dɔktɔ bɔt dis. E fayn fɔ ɔndastand gud gud wan aw ay blɔd prɛshɔn kin afɛkt yu wɛl bɔdi ɛn aw dɛn kin kɔntrol am wit tritmɛnt.

Aw dis sik kin kɔmɔn?

Bikɔs ay blɔd prɛshɔn kin apin to big pipul dɛn we dɔn pas 40 ia, di ay blɔd prɛshɔn kin apin bak pan dɛn. Risach pipul dɛm se dis sik kin afɛkt bitwin 4% ɛn 18.7% pan di big pipul dɛm wae nɔr gɛt dayabitis. Pan ɔl we i kin afɛkt pipul dɛn we kɔmɔt na ɛni trayb, i kin apin smɔl pan pipul dɛn we kɔmɔt na blak ɛn Chaynish famili.

Wetin na di sayn dɛm fɔ `(Hypertensive Retinopathy)`?

Bɔrku pipul nɔr kin gɛt ɛni sayn. Dis na di tin we denja pas ɔl. If yu nɔ no se yu gɛt prɔblɛm, dat kin mek yu gɛt mɔ prɔblɛm. Bɔt as de sik de wɔs, yu nɔ go ebul fɔ si tin klia wan lɛk aw yu bin de si am trade. Dis min se yu kin gɛt smɔl vishɔn.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Di men tin we kin mek pɔsin gɛt ay blɔd prɛshɔn fɔ lɔng tɛm. Imajin, we di prɛshɔn we de insay di dilik blɔd vesel dɛn na yu retina go ɔp, dɛn vesel dɛn de kin tayt ɛn kɔnstrikt fɔ lɔng tɛm pas aw i kin bi. Dɔktɔ dɛn kin kɔl dis vasospasm. we di lumen na di bכdi vεsul dεm sכmtεm, di bכdi we de fכlכ to di rεtina nכ de sכmtεm. I tan lɛk se yu swɛt straw fɔ drink wit yu an, ɛn di blɔd vesel kin kɔnstrikt.

As tɛm de go, di blɔd vesel dɛn na di retina kin tik smɔl smɔl ɛn dɛn kin stif. Dis kin mek i nɔ izi fɔ mek blɔd flɔ. If di prɛshɔn kɔntinyu fɔ bɔku, dɛn blɔd vesel ya kin pwɛl mɔ ɛn mɔ, ɛn dis kin mek i gɛt siriɔs prɔblɛm dɛn lɛk we i nɔ de si fayn igen.

Wetin na di risk factor dɛm fɔ dis?

Di impɔtant tin we kin mek pɔsin gɛt ay blɔd prɛshɔn fɔ lɔng tɛm. Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Fɔ gɛt histri bɔt di sik we de na di at ɛn di blɔd, mɔ di kɔndishɔn dɛn we de afɛkt di men blɔd vesel dɛn na di nɛk (carotid artery disease).
• Fɔ smok ɔ fɔ smok.
• Di bɔku bɔku kɔlɔstrel we de na di blɔd.
• Fat pasmak, dat na fɔ fat pasmak.
• Di blɔd shuga lɛvɛl (pridiabetes ɔ hyperglycemia).
• inkrεs lεvεl dεm fכ `(Creatinine),` wan west prodakt we di kidni dεm nכmal fכ filta.
• fכ gεt sכm sכm `(Albumin)` (wan kayn protin) na yu urine.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ `(Hypertensive Retinopathy)`?

If dɛn nɔ trit dis fayn, bɔku prɔblɛm dɛn kin kam:

• We pɔsin de si tin kin wɔs smɔl smɔl ɛn i kin ivin mek i blaynd.
• di swεla we di rεtina de swεla dεn kכl am makyula εdima.
• bכdi nכ de fכ di rεtina εn di optik nεv.
• di rεtina dεtachmεnt na di sεparashכn fכ di rεtina frכm in sכpכt tisu dεm.

Dɔn bak, ay blɔd prɛshɔn, we kin mek pɔsin gɛt ay blɔd prɛshɔn, kin mek i gɛt ɔda sik dɛn na di yay. Fɔ ɛgzampul:

• di rεtina atεri oklushכn na di blכk we wan at we de gi bכdi to di rεtina.
• di rεtina vein oklushכn na we di vein de blok we de drεn bכdi kכmכt na di rεtina.
• Dayabitis-rilayt retinopathy (ay damej we dayabitis kin kam wit) de wɔs.

Aw fɔ no `(Hypertensive Retinopathy)`?

Na di wan dɛm wae de mɛn yu yay kin no bɔt dis sik. Fɔ du dis, dɛn kin du dɛn tin ya:

• Lan bɔt yu mɛdikal histri (especially if yu gɛt ay blɔd prɛshɔn ɛn aw lɔng yu dɔn gɛt am).
• Dɛn kin du wan kɔmplit ay ɛgzamin.
• Dɛn kin tek pikchɔ dɛn fɔ yu retina. Dɛn kin yuz spɛshal skan tɛknik dɛn lɛk Optical Coherence Tomography (OCT) fɔ dis.

Us sayn dɛn di dɔktɔ de si?

Yu nɔ go ebul fɔ si di sayn dɛm fɔ `(Hypertensive Retinopathy)` fɔ yusɛf. Bɔt dɔktɔ we de mɛn yu yay go luk fɔ dɛn tin ya we dɛn de du ɛgzam. Sɔm pan di sayn dɛm wae yu kin si na di `(Retina)` na:

• di sכm sכm bכdi vεsul dεm we de sכm (Arterioles).
• di wכl dεm fכ dεn `(Arterioles)` dεm kin tik.
• Wait, klawd-layk spat (Kɔtɔn wul spat).
• Maykro aneurism (dεn na sכm sכm sכm blכd vesel dεm we dilayt) we lεk sכm sכm rεd dכt dεm.
• di had exudates na yכlכ spat dεm we dεn mek wit fεt εn protin dεm we de lik frכm di bכdi we dεn dכn pwεl.
• Swel na di optik nεv ed (Papilledema).

Sɔm simptom dɛm, lɛk ``(Papilledema),'' kin jɔs sho we di sik de kam tranga.

Wetin na di stej dɛm fɔ `(Hypertensive Retinopathy)`?

Dɔktɔ dɛn kin yuz di wɔd dɛn "stej" ɔ "grɛd" fɔ tɔk bɔt aw wan sik kin tranga. Dɛn kin sheb di haypatɛnsiv rɛtinopati to 4 gred (Grɛd 1 to Gret 4) bay aw i siriɔs. Gret 1 de sho di mכst bεsik simptom dεm, lεk we di atεriכl dεm de sכmtεm sכmtεm. Gret 4 de sho se di retina de damej bad bad wan.

כda klasification de divayd am to tri stej dεm: Mild, Moderate, εn Malignant (dis na di stej we de mכst siriכs). Afta yu dɔn chɛk yu yay, yu dɔktɔ go ɛksplen us stej yu sik de ɛn aw i go afɛkt yu.

Aw fɔ trit dis?

Di men gol fɔ tritmɛnt na fɔ mek yu blɔd prɛshɔn go dɔŋ.Dis kin involv fɔ chenj yu layf ɛn/ɔ fɔ tek mɛrɛsin. Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu.

We wi de tɔk bɔt di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:

• Fɔ mek yu gɛt wɛlbɔdi wet fɔ yu.
• Fɔ fala di it we go ɛp yu at, mɔ fɔ ridyus di sɔl we yu de it, rili impɔtant.
• Ɛksesaiz ɔltɛm . Tray fɔ du ɛksɛsayz fɔ at le 150 minit, lɛk fɔ waka, insay di wik.
• Fɔ stɔp fɔ drink rɔm.

If yu nid mɛrɛsin fɔ yu blɔd prɛshɔn, yu dɔktɔ go tɛl yu us kayn mɛrɛsin yu nid ɛn ɔmɔs yu fɔ tek. I rili impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am ɛn di rayt tɛm. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin we yu nɔ tɔk to yu dɔktɔ.

Yu tink se dɛn kin mɛn Hypertensive Retinopathy?

Yɛs, yu kin ebul! If yu tek tritmɛnt fɔ mek yu blɔd prɛshɔn go dɔŋ, dat kin ɛp yu retina fɔ wɛl. Risach dɔn sho se sɔm sayn dɛm fɔ haypatɛnshɔnal retinopathy kin bɛtɛ as tɛm de go wit tritmɛnt. Bɔt nɔto ɔltɛm dis kin apin, ɛn i kin dipen pan aw yu sik kin tranga. If yu bigin tritmɛnt kwik, bifo di sik wɔs, yu gɛt bɛtɛ chans fɔ rivɛns di damej na yu retina.

So, i rili impɔtant fɔ wok togɛda wit yu dɔktɔ dɛn fɔ mek yu ebul fɔ kɔntrol yu blɔd prɛshɔn ɛn ɔl yu wɛlbɔdi.

Wetin a go ɛkspɛkt if a gɛt dis sik?

Yu prɔgnosis de dipen pan bɔrku tin, lɛk aw yu sik tranga ɛn aw yu kin go fɔ tritmɛnt kwik kwik wan. Sɔm pipul dɛn nɔ kin si atɔl, ɛn di sayn dɛm fɔ aypatɛnshɔnal retinopathy kin go we di prɛshɔn dɔn ridyus. Ɔda pipul dɛn kin gɛt prɔblɛm wit dɛn yay ɔ ɔda prɔblɛm dɛn we kin mek dɛn nid fɔ gɛt mɔ tritmɛnt.

Yu ɔftalmolɔg ɛn famili dɔktɔ kin tɛl yu wetin fɔ ɛkspɛkt bay yu wan wan sityueshɔn.

Hypertensive Retinopathy ɛn Risk fɔ gɛt at sik

As wi bin dɔn tɔk, `(Hypertensive Retinopathy)` na wɔnin sayn fɔ se prɔblɛm de wit blɔd flɔ na ɔda pat dɛn na yu bɔdi. Dɛn prɔblɛm ya kin dɔn de, ɔ dɛn kin kam bifo tumara bambay. Pipul wae gɛt `(Hypertensive Retinopathy)` kin gɛt bɔrku risk fɔ gɛt difrɛn kayn sik dɛm wae de kam pan dɛn at. Dɛn tin ya na prɔblɛm wit yu at ɛn prɔblɛm wit di blɔd we de flɔ na di at we de gi blɔd to di bren (Carotid arteries).

So, yu dɔktɔ kin disayd fɔ du sɔm tɛst fɔ chɛk if yu at ɔ yu carotid at dɛn gɛt wɛlbɔdi. Bikɔs if yu retina nɔ de gɛt inof blɔd, yu bren nɔ go gɛt inof blɔd sɛf.

E fayn fɔ woke wit yu dɔktɔ fɔ ridyus yu risk fɔ gɛt dɛn kayn sik ya. Dis kin min fɔ chenj di we aw pɔsin de liv in layf, fɔ tek mɛrɛsin, ɛn ɔda tritmɛnt dɛn. Yu kin nid fɔ tek sɔm mɛrɛsin dɛn bak fɔ kɔntrol di sik dɛn we yu dɔn gɛt ɛn fɔ ridyus yu risk fɔ gɛt siriɔs prɔblɛm dɛn lɛk strok.

Yu tink se dɛn kin mek dɛn nɔ gɛt Hypertensive Retinopathy?

Yɛs, yu kin ɛp fɔ mek dis tin nɔ apin to sɔm mak:

• Go fɔ mek dɛn chɛk yu bɔdi ɛvri ia. Yu dɔktɔ go mɛzhɔ yu blɔd prɛshɔn ɛn tɛl yu di rizɔlt. We yu no se yu gɛt ay blɔd prɛshɔn na di fɔs tin we yu fɔ du fɔ mek yu blɔd prɛshɔn go dɔŋ.
• Manej di ay blɔd prɛshɔn. If yu blɔd prɛshɔn ay, yu dɔktɔ go tɔk to yu bɔt aw fɔ mek i go dɔŋ to wɛlbɔdi lɛvɛl. Fɔ ɛgzampul, dɛn kin se yu fɔ chenj di we aw yu de liv yu layf (lɛk fɔ it tin dɛn we go ɛp yu at) ɔ fɔ du ɛksɛsayz ɔltɛm. Dɛn kin gi yu mɛrɛsin bak.

Aw a kin kia fɔ misɛf?

Di impɔtant tin we yu kin du na fɔ fala wetin yu dɔktɔ tɛl yu fɔ kɔntrol yu blɔd prɛshɔn. Dis inklud fɔ tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek. Tɔk to yu dɔktɔ if yu gɛt ɛni kwɛstyɔn ɔr wɔri bɔt yu tritmɛnt plan ɔr yu ebul fɔ stik to am.

Ustɛm a fɔ go to dɔktɔ?

Go fɔ mek dɛn chɛk yu bɔdi ɛvri ia. Yu dɔktɔ go chɛk yu impɔtant sayn dɛn , ivin yu blɔd prɛshɔn. We yu de chɛk yu ɔltɛm lɛk dis, dat kin ɛp yu fɔ no di prɔblɛm dɛn kwik kwik wan bifo dɛn bigin fɔ bi siriɔs.

Yu fɔ go to ay spɛshal pɔsin bak ɔltɛm fɔ mek dɛn chɛk yu yay. Bɔku pan di big pipul dɛn we dɔn pas 40 ia fɔ gɛt kɔmplit ay ɛgzam ɛvri ia ɔ tu ia. Yu ay spɛshal dɔktɔ go tɛl yu ɔmɔs tɛm yu fɔ go, i go dipen pan di wɛlbɔdi na yu yay, yu ej, ɛn ɔda tin dɛn.

Ustɛm a fɔ go na di imejensi rum?

If yu gɛt sayn fɔ gɛt aypatɛnshɔn kraysis, kɔl 911 ɔ yu lokal imejensi nɔmba wantɛm wantɛm. Dis na wan sik wae de blɔd prɛshɔn kin rili ay wae dɛn nɔr wɔn am. Di sayn dɛm na:

• Blɔd prɛshɔn na 180/120 mmHg ɔ pas dat.
• Chɛst de pen.
• I nɔ kin izi fɔ yu fɔ blo.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Di chenj dɛn we de apin na di we aw pɔsin de si tin.
• I nɔ izi fɔ tɔk.

Fɔ no se yu gɛt Hypertensive Retinopathy kin kam as shɔk. Sɔntɛm yu bin no se yu blɔd prɛshɔn ay, bɔt yu nɔ bin no se i de afɛkt yu yay. Ɔ sɔntɛm yu nɔ bin no se yu blɔd prɛshɔn nɔ fayn. Bɔt naw na di tɛm fɔ lan mɔ bɔt aw yu gɛt di sik ɛn wetin i min fɔ yu. Wok wit yu yay dɔktɔ ɛn yu famili dɔktɔ fɔ gɛt di tritmɛnt we yu nid. Tugeda, una kin protɛkt yu vishɔn ɛn ɔl yu wɛl bɔdi fɔ lɔng lɔng tɛm.

Mɛsej we dɛn kin kɛr go na os

• Hypertensive Retinopathy na di damej pan di retina na di yay we kin kam bikɔs ɔf ay blɔd prɛshɔn.
• Bɔrku tɛm, no sayn nɔr kin de pan di fɔs tɛm, so i impɔtant fɔ de chɛk yu yay ɔltɛm.
• Dis sik kin bi sayn bak wae de sho se yu gɛt prɔblɛm wit di blɔd vesel dɛm na ɔda pat dɛm na di bɔdi, lɛk di at ɛn di bren.
• Di men tritmɛnt na fɔ kɔntrol blɔd prɛshɔn, we na fɔ chenj di we aw pɔsin de liv in layf ɛn if nid de, fɔ tek mɛrɛsin.
• If dɛn no am ɛn trit am kwik, i kin mek di damej we pɔsin de si nɔ bɔku ɛn sɔntɛm i kin ivin wɛl ɔl.
• Tɔk to yu dɔktɔ dɛn ɛn fala dɛn instrɔkshɔn dɛn di rayt we.

Nɔ panik, tɛl yu, ɛn tek di step dɛn we yu nid. Yu wɛlbɔdi de na yu an!

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