Yu dɔn ɛva wek wantɛm wantɛm ɛn fil lɛk se yu ed de tɔn ɛn yu ed layt? Ɔ yu kin fil taya ɛn taya ɔl di de? Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal tin, dis kin bi sayn fɔ lɛ blɔd prɛshɔn dɔn dɔŋ, ɔ ``haypɔtɛnshɔn''. Pan ɔl we bɔku pipul dɛn kin tɔk bɔt ay blɔd prɛshɔn, wi nid fɔ ɔndastand bak di lɔw blɔd prɛshɔn. So tide, lɛ wi tɔk bɔt dis insay simpul wɔd dɛn.
Wetin rili na lɔw blɔd prɛshɔn (Hypotension)?
Fɔ tɔk am simpul wan, lɔw blɔd prɛshɔn (Hypotension) na we di prɛshɔn (thrust) we blɔd we de muv tru yu blɔd vesel dɛn de mek, smɔl pas aw yu bin de tink.
Yu go mɔs no se we wi de mɛzhɔ prɛshɔn, wi kin tɔk bɔt tu valyu dɛn.
- Di nɔmba we de ɔp (Systolic): Dis de tɔk bɔt di prɛshɔn we yu blɔd vesel dɛn kin fil ɛvri tɛm we yu at de bit ɛn pɔmp blɔd.
- Diastolic: Dis de tɔk bɔt di prɛshɔn we de na di blɔd vesel dɛn bitwin tu at bit, we di at rilaks smɔl.
Nɔmal wan, wi kin tek pɔsin we gɛt wɛlbɔdi in blɔd prɛshɔn as 120/80 mm Hg (milimita mɛkkyuri). If yu blɔd prɛshɔn smɔl pas 90/60 mm Hg , dɛn kin kɔl am lɔw blɔd prɛshɔn (Hypotension).
Bɔt na wan impɔtant pɔynt ya. Sɔm pipul dɛn, mɔ di yɔŋ wan dɛn we de du bɔku ɛksesaiz ɛn we gɛt gud wɛlbɔdi, kin bɔn wit blɔd prɛshɔn we smɔl smɔl. If dɛn nɔr gɛt ɛni sayn, i nɔr kin bi prɔblɛm. Na jɔs dɛn nɔmal kɔndishɔn. Di prɔblɛm na we di blɔd prɛshɔn we de dɔŋ de mek yu nɔ fil fayn, dat na we yu bigin fɔ gɛt sɔm sayn dɛn.
Wetin na di men kayn lɔw prɛshɔn?
Wi kin no di blɔd prɛshɔn we de dɔŋ tu men we dɛn. Fɔ ɔndastand dis klia wan, luk di tebul we de dɔŋ ya.
| Tayp fɔ low blɔd prɛshɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Absolut Haypɔtɛnshɔn | Dis na wetin wi kin kɔl ‘lɔ blɔd prɛshɔn’. we dεn mכsu yu blכd prεshכn we yu de rεst (fכ egzampl, we yu sidon), i nכ de sכmtεm 90/60 mm Hg. |
| Ɔtostatik Haypɔtɛnshɔn (Postural Haypɔtɛnshɔn) . | Dis na tin we difrɛn smɔl. Dis na wetin wi kin kɔl we yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm we yu tinap frɔm we yu sidɔm ɔ ledɔm. Nɔmal wan, wi bɔdi kin wɛl frɔm dis insay sɔm sɛkɔn. Bɔt fɔ pɔsin we gɛt dis sik, in blɔd prɛshɔn kin de dɔŋ fɔ lɛk 3 minit afta i dɔn tinap. Dis na sɔntin we kin apin mɔ ɛn mɔ as wi de ol. |
Us sayn dɛn pɔsin we gɛt lɔw blɔd prɛshɔn kin gɛt?
As wi bin dɔn tɔk, sɔm pipul dɛn nɔ kin gɛt ɛni sayn ivin we dɛn blɔd prɛshɔn smɔl. Bɔt if di sayn dɛn kin apin, dɛn kin gɛt:
- Diziz ɔ layt ed: Na filin fɔ flot, lɛk se natin nɔ de insay di ed.
- Faint ɔr nɔr de no natin (Syncope): Yu kin lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm na grɔn.
- Blu yay ɔr yu nɔ de si fayn: Fɔ fil lɛk se i de dak we yu wek wantɛm wantɛm, ɔ yu nɔ ebul fɔ si tin klia wan.
- Nɔs ɔ vɔmit: Yu kin fil sik to yu bɛlɛ ɔ yu kin vɔmit.
- Fɔ fil taya pasmak ɔr nɔr gɛt layf: Fɔ fil taya ɛn nɔr gɛt trɛnk ɔl di de, ivin if yu nɔ du natin.
- Di brith kin bi fast ɛn i nɔ kin dip.
- I nɔ izi fɔ pe atɛnshɔn: I nɔ de pe atɛnshɔn we i de wok.
- Nɔr de rɛst ɔr yu de chenj yu bihayvya: Yu kin biev difrɛn frɔm aw yu kin biev, ɛn yu kin gɛt pwɛl hat.
Wi bɔdi rili wɔndaful. Nɔmal wan, we wi blɔd prɛshɔn bigin fɔ go dɔŋ, wi bɔdi kin tray fɔ kɔntrol am. Dɛn kin mek wi at bit mɔ ɛn mɔ ɔ dɛn kin mek wi blɔd vesel dɛn smɔl fɔ tray fɔ mek di prɛshɔn go ɔp. Bɔt we wi bɔdi nɔ ebul fɔ kɔntrol am dis we, wi kin bigin fɔ gɛt dɛn sik ya.
Wetin mek di prɛshɔn de drɔp lɛk dis? Wetin na di rizin dɛn?
Nɔto wan rizin nɔmɔ de we mek pɔsin in blɔd prɛshɔn go dɔŋ, bɔt bɔku tin dɛn kin mek i gɛt am. Lɛ wi luk di men rizin dɛn.
- Ɔtostatik haypɔtɛnshɔn: As wi bin dɔn tɔk, dis kin apin bikɔs di blɔd we de flɔ na di bren kin go dɔŋ wantɛm wantɛm we yu tinap wantɛm wantɛm.
- Dehydration: If yu nɔ drink inof wata insay wan de we yu de swet bad bad wan, vɔmit, ɔ dayarɛa, yu bɔdi nɔ go gɛt wata igen. Dis kin mek yu blɔd volyum go dɔŋ, ɛn dis kin mek yu blɔd prɛshɔn go dɔŋ.
- Siriɔs injuri ɛn blɔd: We bɔku blɔd lɔs na di bɔdi, lɛk we aksidɛnt apin, blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm.
- We uman gɛt bɛlɛ:Insay di fɔs mɔnt dɛn we uman gɛt bɛlɛ, we uman in blɔd prɛshɔn chenj, dat kin mek in blɔd prɛshɔn go dɔŋ. dis kin kam bak to nכmal afta dεn bכn di pikin.
- Sɔm mɛrɛsin wae yu de tek: Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn, at sik, ɛn pwɛl hat kin mek yu blɔd prɛshɔn dɔŋ as sayd ɛfɛkt. Bɔt mɛmba se, nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ go to yu dɔktɔ fɔs.
- At sik: We di at nɔ ebul fɔ pɔmp blɔd fayn bikɔs ɔf tin dɛn lɛk at bit we nɔ de bit ɔltɛm (arrhythmias), at atak, ɛn at mɔsul dɛn wik, blɔd prɛshɔn de go dɔŋ.
- Prɔblɛm wit ɔmon: Lɔw blɔd prɛshɔn kin kam bak bikɔs ɔf sik dɛn we gɛt fɔ du wit ɔmon lɛk haypo tayroyd ɛn dayabitis.
- Sivεr Infεkshכn (Sepsis): We di bכdi gεt bad bad infεkshכn, chenj kin apin na di blɔd vesel dεm fכ ansa, we kin mek di blɔd prεshכn dכn dכn denja.
- Sivɛri alɛji (Anaphylaxis): If yu gɛt siriɔs alɛji to sɔm it, mɛrɛsin, ɔ insɛkt sting kin mek bak yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm.
- Di tin dɛn we yu nɔ de it: We di tin dɛn we yu nid lɛk vaytamɛn B12 ɛn folate nɔ de, di bɔdi kin gɛt anemia, we kin mek bak blɔd prɛshɔn go dɔŋ.
- Alkol ɛn drɔgs: Rɔk ɛn sɔm drɔgs kin mek bak blɔd prɛshɔn go dɔŋ.
Us siriɔs tin dɛn kin apin if yu jɔs nɔ pe atɛnshɔn to di lɔw blɔd prɛshɔn?
Lɔw blɔd prɛshɔn nɔto big prɔblɛm if no sayn nɔ de. Bɔt if sɔm sayn dɛn de, yu fɔ wɔri bɔt am, bikɔs i kin mek yu gɛt siriɔs prɔblɛm dɛn.
Fɔdɔm ɛn injuri na di big ɛn kwik risk ya. Imajin wetin go apin if yu trip ɛn fɔdɔm wantɛm wantɛm. Yu kin nak yu ed, brok yu an ɔ yu leg, ɔ brok yu hip, ɛn dis kin mek yu gɛt disabled fɔ ɔl yu layf.
- Fɔdɔm ɛn Injuri: Diziz ɛn layt ed de mek pɔsin fɔdɔm. Dis kin mek yu frakt ɛn gɛt siriɔs injury na yu ed (kɔnkɔshɔn).
- Shok: We blɔd prɛshɔn go dɔŋ tumɔs, di impɔtant pat dɛn lɛk di bren, di kidni, ɛn di at nɔ kin gɛt di blɔd ɛn ɔksijɛn we dɛn nid. Dis kin mek dɛn ɔgan dɛn de pwɛl. Dis kin mek pɔsin in layf de pan denja.
- At sik ɛn strok: Lɔw blɔd prɛshɔn min se di at fɔ wok tranga wan fɔ pɔmp blɔd ɔlsay na di bɔdi. As tɛm de go, dis kin pwɛl di at. Dɔn bak, bikɔs blɔd nɔ de go fayn, blɔd kin klɔt ɛn travul go na di bren, we kin mek pɔsin gɛt tin dɛn lɛk strok.
Aw dɔktɔ kin fɛn dis?
If yu gɛt sayn dɛn we de sho se yu blɔd prɛshɔn smɔl, i go fayn fɔ mek yu go to dɔktɔ. I rili izi fɔ no if yu blɔd prɛshɔn smɔl. Yu kin no bay we yu luk di blɔd prɛshɔn mɛzhɔmɛnt divays (BP apparatus).
Bɔt di tin we at pas ɔl na fɔ no wetin mek yu blɔd prɛshɔn smɔl . Di dɔktɔ go aks yu bɔt yu sik dɛn, di mɛrɛsin dɛn we yu de tek, ɛn ɔda sik dɛn we yu de gɛt. Dɔn, dɛn kin du sɔm tɛst dɛn fɔ no wetin mek i apin.
| Test tayp | Wetin yu de luk? |
|---|---|
| Blɔd ɛn urine tɛst | Chek fɔ tin dɛn lɛk dayabitis, tayroyd ɔmon prɔblɛm, vaytamɛn we nɔ de, ɛn blɔd we nɔ gɛt blɔd. |
| ECG (Ilɛktrokardiogram) . | Chek di ilɛktrik aktiviti na di at fɔ si if ɛni prɔblɛm de lɛk we di at de bit we nɔ de bit ɔltɛm. |
| Ekokardiogram we dɛn kin du | Dis na skan fɔ di at. I de ɛp fɔ mek yu no klia wan aw di at tan ɛn aw i de wok. |
| Tilt Tebul Tɛst | dis na tεst we dεn mek spεshal fכ no כtכstatik haypotεnshכn. Dɛn kin mek yu ledɔm pan bed ɛn dɛn kin wach yu blɔd prɛshɔn ɛn at rit as di bed de tilt smɔl smɔl vertikal. |
Tritmɛnt ɛn manejmɛnt fɔ lɔw blɔd prɛshɔn
De tin wae impɔtant pas ɔl wae yu de trit yu na fɔ fɛn de ɔndalayn kɔz fɔ de low blɔd prɛshɔn ɛn trit am. Fɔ ɛgzampul, if di blɔd prɛshɔn we de dɔŋ na bikɔs ɔf wan sayd ɛfɛkt we wan mɛrɛsin gɛt, di dɔktɔ go chenj di doz fɔ da mɛrɛsin de ɔ gi yu ɔda mɛrɛsin. If na bikɔs yu nɔ gɛt wata na yu bɔdi, dɛn go gi yu wata lɛk salin.
Apat frɔm we yu de trit di tin we de mek yu gɛt dis sik, yu kin du tin dɛn lɛk dis bak fɔ kɔntrol di sayn dɛm:
- Di chenj we dɛn kin chenj di it we dɛn de it: Sɔm pipul dɛn kin advays dɛn dɔktɔ fɔ ad smɔl mɔ sɔl to dɛn it. Dis na bikɔs sɔl (sɔdiɔm) kin ɛp fɔ mek di wata we de na di bɔdi go ɔp ɛn mek di blɔd prɛshɔn go ɔp. Bɔt, na ɔnda di advays we yu dɔktɔ gi yu nɔmɔ fɔ du dis. I nɔ fayn fɔ it sɔl lɛk aw yu want.
- Drink inof wata: Drink at le 8-10 glas wata wan de. Dis go ɛp fɔ mek di wata we de na di bɔdi kɔntinyu fɔ de ɛn mek i nɔ gɛt wata na di bɔdi.
- Kɔmpreshɔn Stɔking: Dɛn stɔking ya de prɛs saful wan pan di leg ɛn fut, we de ɛp fɔ mek blɔd nɔ gɛda na di leg ɛn muv am ɔp. Dis kin mek pɔsin gɛt mɔ prɛshɔn.
- Mɛrɛsin: Sɔntɛnde, yu dɔktɔ kin gi yu spɛshal mɛrɛsin fɔ ɛp fɔ mek yu blɔd prɛshɔn go ɔp.
If yu blɔd prɛshɔn smɔl, aw yu go kia fɔ yusɛf?
Apat frɔm di tritmɛnt dɛn we yu dɔktɔ de gi yu, if yu tek kia ɔf dɛn smɔl smɔl tin ya na yu layf ɛvride, bɔku pan yu go ebul fɔ avɔyd di sayn dɛn we de sho se yu blɔd prɛshɔn go dɔŋ.
- Grap sloslo: We yu grap na bed na mɔnin, nɔ grap wantɛm wantɛm. Fɔs, sidɔm na bed fɔ lɛk wan minit so. Dɔn grap smɔl smɔl. Na di sem tin kin apin we pɔsin grap na chia.
- It: It smɔl it dɛn we yu kin it ɔltɛm instead fɔ it big it dɛn we gɛt ful-ɔp. Sɔm pipul dɛn kin gɛt blɔd prɛshɔn we kin go dɔŋ afta dɛn dɔn it bɔku tin, mɔ di wan we gɛt bɔku kabɔhaydrɛt (lɛk rays ɛn bred).
- Nɔ rɔm: If yu drink rɔm, dat kin mek yu nɔ gɛt bɔku wata ɛn yu blɔd prɛshɔn go dɔŋ, so i rili impɔtant fɔ lɛ yu nɔ drink bɛtɛ rɔm.
- Sidɔm we yu fil se yu gɛt diziz: If yu fil se yu de ed de tɔn ɔ yu ed de layt, sidɔm na grɔn ɔ na chia wantɛm wantɛm, ilɛk wetin yu de du. Dis na impɔtant tin fɔ yu sef bikɔs i kin mek yu nɔ fɔdɔm.
Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di ETU?
Dis na pat we rili impɔtant. Yu nid fɔ no ustɛm yu fɔ go to dɔktɔ nɔmal wan ɛn ustɛm yu fɔ go na ɔspitul wantɛm wantɛm.
| Ustɛm fɔ go to dɔktɔ | Ustɛm fɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm |
|---|---|
| If yu gɛt sayn dɛn ɔltɛm fɔ lɛ yu blɔd prɛshɔn go dɔŋ (lɛk we yu de tɔn diziz, we yu de fɔdɔm). | If yu gɛt pen na yu chɛst . |
| If dɛn sayn ya de ambɔg yu ɛvride wok. | If yu lɔs kɔnshɛns afta di de dɔn. |
| If yu tink se wan mɛrɛsin we yu de tek de mek yu blɔd prɛshɔn go dɔŋ. | If yu fɔdɔm ɛn wund yu ed bikɔs ɔf diziz (especially if yu de tek blɔd thinner ). |
| If dis simptom dεm de sho we uman bεlε. | If yu de sho sayn dɛm fɔ shok: kol skin, swet, brith kwik, at bit kwik, blu lip ɔ finga nel. |
Mɛsej we dɛn kin kɛr go na os
- Lɔw blɔd prɛshɔn (Hypotension) nɔr kin bi sik ɔltɛm. Bɔt if yu gɛt sɔm sayn dɛn lɛk we yu de tɔn ɔ we yu de fɔdɔm, nɔ ignore am. Fɔ tru, yu go si dɔktɔ.
- De tin wae impɔtant pas ɔl na tritmɛnt na fɔ fɛn de ɔndalayn kɔz fɔ de low blɔd prɛshɔn ɛn trit am.
- Simpul tin dɛm lɛk fɔ drink bɔku wata ɛvride, fɔ chenj yu pozishɔn sloslo, ɛn fɔ ajɔst yu it lɛk aw yu dɔktɔ se kin ɛp fɔ kɔntrol di sik dɛn bɔku bɔku wan.
- As yu fil se yu ed de tɔn, tink bɔt sef ɛn sidɔm na grɔn ɔ na chia. Fɔ mek pɔsin nɔ fɔdɔm na di tin we dɛn fɔ pe atɛnshɔn pan pas ɔl.
- If yu gɛt pen na yu chɛst, yu nɔ de no natin, yu fɔdɔm ɛn wund yu ed, ɔ yu gɛt sayn dɛn fɔ shok, na imejensi. Go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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