Yu kin fil bak diziz we yu tinap wantɛm wantɛm? I kin bi (Orthostatic Hypotension)! Mek wi tok.

Yu kin fil diziz ɔ layt ed we yu tinap wantɛm wantɛm, ilɛksɛf yu sidɔm ɔ yu ledɔm? Sɔntɛnde, yu kin ivin fil lɛk se yu go fɔdɔm fɔ sɔm tɛm, nɔto so? Dis na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl ``Orthostatic Hypotension''. Sɔm pipul kin kɔl am bak ``Postural Hypotension.'' Nɔr wɔri, dis na tin wae kin apun to bɔrku pipul dɛm, mɔr lɛk wae dɛn de ol. Lɛ wi tɔk bɔt dis ditayli ɛn simpul wan.

Wetin na `(Orthostatic Hypotension)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `(Orthostatic Hypotension)` na we yu blɔd prɛshɔn de dɔŋ wantɛm wantɛm we yu tinap frɔm we yu sidɔm ɔ ledɔm. Imajin, yu sidɔm na chia de rid nyuspepa ɛn yu tinap wantɛm wantɛm bikɔs sɔmbɔdi de tɔk. Na da tɛm de yu kin fil lɛk se yu ed de tɔn. `(Orthostatic)` de rifer to wan pozishɔn we tinap stret. `(Hypotension)` de tכk bכt di bכdi prεshכn we de dכn. So, dis na we yu blɔd prɛshɔn de dɔŋ we yu chenj yu pozishɔn.

So, wetin na dis blɔd prɛshɔn?

Bɔku tɛm wi kin yɛri bɔt blɔd prɛshɔn, ɔ ``Blɔd Prɛshɔn''. Dis de mekɔp di prɛshɔn we blɔd de put pan di wɔl dɛn na di at we wi at de bit. I tan lɛk di prɛshɔn we wata kin put pan di paip dɛn we i de pas na wata pɔmp. dis dεn de mכsu insay milimita mεkkyuri ``(mmHg)``.

We yu go to dɔktɔ, dɛn kin tɛl yu tu nɔmba we dɛn de chɛk yu blɔd prɛshɔn, nɔto so?

• di tכp nכmba `(Systolic)`: dis de tכk bכt di prεshכn we yu at de bit εn pכmp bכdi insay yu vein dεm.
• di bכtכm nכmba `(Diastolic)`: dis de tכk bכt di prεshכn we de na di at dεm bitwin tu at bit, dat na we di at rilaks sכmtεm.

di dכkta de rayt am lεk tכp nכmba/bכtכm nכmba (e.g. 120/80 mmHg). Bɔrku pipul dɛn wɛl bɔdi blɔd prɛshɔn nɔr pas 120/80 mmHg. if yu rid dכn 90/60 mmHg dεn kin tek am se na lכw bכdi prεshכn.

Aw bɔku blɔd prɛshɔn de drɔp pan ``Ɔrtɔstatik Haypɔtɛnshɔn''?

No rayt valyu nɔ de fɔ dis. Bɔt, dɔktɔ dɛn kin no dis bay we dɛn de luk yu nɔmal blɔd prɛshɔn ɛn aw i kin go dɔŋ we yu tinap. jεnarali, if di tכp nכmba ``Systolic`` dכn bay 20 mmHg כ di bכtכm nכmba ``Diastolic`` dכn bay 10 mmHg insay tri minit we i tinap , dεn kin kכnsid am as ``Orthostatic Hypotension``.

Udat kin gɛt mɔ chans fɔ gɛt Ɔtostatik Aypɔtɛnshɔn?

Dis sik kin rili kam pan ɛnibɔdi, bɔt i kin kam mɔr as yu de ol. Dɛn tin ya kin mek yu gɛt mɔ prɔblɛm:

• Anemia ɔ Vitamin B12 we nɔ de: Dis sik kin apin we di blɔd volyum dɔn go dɔŋ ɔ we di vaytamɛn B12 go dɔŋ.
• Di wata we de kɔmɔt na di bɔdi bikɔs ɔf di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt wata, we i de vɔmit, ɔ we de mek di wata kɔmɔt na di bɔdi: We di wata we de na di bɔdi go dɔŋ, di blɔd prɛshɔn kin go dɔŋ.
• Prɔblɛm dɛn we de na di ɛndɔkrin:Kɔndishɔn lɛk dayabitis, tayroyd sik, ɛn Addison in sik.
• At kɔndishɔn: Tin dɛm lɛk at ritm dizayd (Arrhythmias), at valv sik.
• Sɔm mɛrɛsin: I kin kam bak bikɔs ɔf sɔm mɛrɛsin wae dɛn kin tek fɔ gɛt ay blɔd prɛshɔn, at sik, ɔr pwɛl hat.
• Nyurolɔjik prɔblɛm: Sik dɛm lɛk Pakinsin sik ɛn dis maynia sik.
• Bεlε: εspεshali insay di fכs 24 wik.
• Fɔ de na bed fɔ lɔng tɛm bikɔs ɔf sik: Lɛk fɔ rɛst na bed we yu gɛt bɛlɛ.

Imajin, Ɔnkul Somapala we kɔmɔt na wi vilej. I gɛt dayabitis ɛn i de tek mɛrɛsin fɔ mek i gɛt ay blɔd prɛshɔn. I se i kin fil diziz we i grap na bed na mɔnin. Pipul dɛm lɛk dat kin gɛt dis sik.

Aw dis sik kin kɔmɔn?

Ɔtostatik haypɔtɛnshɔn kin afɛkt lɛk 20% pan di ol pipul dɛm , mɔ di wan dɛm we de na nɔs os. I kin apin bak pan pipul dɛm we dɔn de na bed fɔ lɔng tɛm, ɛn pan nyu mama dɛm we dɔn bɔn pikin. I kin apin bak pan titi dɛm we de gɛt prɔblɛm wit dɛn growth.

Wetin na di sayn dɛm fɔ dis?

כtכstatik haypotεnshכn na in dεn kin notis mכst εn di simptom dεm kin wכs na mכnin. Dis na bikɔs wi blɔd prɛshɔn kin go dɔŋ smɔl we wi wek na mɔnin.

Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Fɔ ɔda pipul dɛn, dɛn sik ya kin wɔs we di ples wam, we dɛn gɛt fiva, ɔ we dɛn de was na wam wata.

Di men sayn na diziz ɔ layt ed we yu tinap . Dis fɔ go we yu sidɔm ɔ ledɔm bak. Sɔm pipul kin ivin lɔs kɔnshɛns (syncope).

Ɔda sayn dɛn we de sho se yu gɛt dis sik na:

• Di vishɔn we nɔ klia
• Chɛst pen, sholda pen ɔ nɛk pen
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu
• Taya ɔ wik
• Headaches (Sɔri, dɛn aksidɛntli put wan wɔd frɔm ɔda langwej ya. Kɔrɛkt wɔd: Headaches )
• Di at we de blo
• Nɔs ɔ fil wam ɛn swet
• Shot we yu de blo / Dyspnea

Wetin mek dis `(Orthostatic Hypotension)` kin apin? Wetin na di tin dɛn we kin mek i apin?

We wi sidɔm ɔ ledɔm, di blɔd we de na di vein dɛn na wi leg kin flɔ bak to wi at izi wan. Bɔt we wi tinap, graviti de mek i nɔ izi fɔ mek di blɔd we de na wi leg ɛn fut rich wi at. Dis kin mek di blɔd we dɛn kin pɔmp go na wi at, ɔda pat dɛn, ɛn mɔsul dɛn nɔ bɔku. Dis kin mek wi blɔd prɛshɔn go dɔŋ fɔ sɔm tɛm.

Bɔku rizin dɛn kin de fɔ dis:

• Yu at nɔ ebul fɔ pɔmp inof blɔd.
• Yu ɔtonomik nervɔs sistɛm (we nɔmal fɔ rigul blɔd prɛshɔn) nɔ de wok fayn.
• If yu gɛt sik dɛn lɛk Pakinsin sik, Lewy bɔdi dimɛnshɔn, ɔr multiple system atrophy .
• if yu bin de na di sem posishכn (e.g. we yu de ledɔm) fכ lכng tεm (lεk fכ rεst na bed we yu bεlε).
• If yu blɔd volyum dɔn ridyus bikɔs ɔf di blɔd ɔ wata we de kɔmɔt (dehydration).
• If yu gɛt prɔblɛm wit yu adrenal gland .
• Bikɔs ɔf di we aw yu bɔdi de ansa wan patikyula mɛrɛsin we yu de tek .

Aw yu kin no di ɔrtɔstatik haypɔtɛnshɔn kɔrɛkt wan?

We yu go to dɔktɔ, dɛn go fɔs mɛzhɔ yu blɔd prɛshɔn we yu sidɔm, dɔn yu ledɔm, dɔn yu tinap. Nɔto dat nɔmɔ, dɛn go aks yu bak bɔt yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.

Apat frɔm dat, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:

• Blɔd tɛst: Chɛk fɔ sik dɛn lɛk dayabitis ɛn anemia.
• Echocardiogram (Echocardiogram / echo): Si aw di at de pɔmp blɔd.
• Ilɛktrokardiogram (EKG): Luk fɔ chenj dɛn na di at in ritm.
• Ɛksesaiz strɛs tɛst: Mek yu at rit we yu de du ɛksɛsayz.
• Pɔtabl EKG divays / Holter monita: Mɛzhɔ at ritm ɔl di de.
• Tilt tebul tɛst: Na tɛst we de mek yu no sef wan fɔ no blɔd prɛshɔn, at rit, ɛn at ritm bay we yu de ledɔm pan tebul ɛn tilt di tebul fɔ mek i tinap.

Wetin na di tritmɛnt dɛm fɔ Ɔtostatik Haypɔtɛnshɔn?

Di tritmɛnt dɛn kin dipen pan wetin kin mek dis sik kam.

Dɛn kin du dɛn tin ya as tritmɛnt:

• If sik ɔ kɔndishɔn de we de mek yu gɛt ɔrtɔstatik haypɔtɛnshɔn, trit am.
• Fɔ chenj di doz fɔ wan mɛrɛsin we de mek yu gɛt dis sik ɔr fɔ chenj to ɔda mɛrɛsin (dɛn fɔ du dis afta yu dɔn tɔk to yu dɔktɔ).
• If yu de na bed rɛst, yus fɔ sidɔm ɔp na bed.
• We yu wɛr ɛlastik stɔkin. Dɛn tin ya kin mek di blɔd kin gɛda na di leg dɛn.
• If yu nɔ gɛt wata na yu bɔdi, drink bɔku wata ɛn wata we gɛt sɔl.

Us mɛrɛsin dɛn kin gi fɔ dis?

Bɔku tɛm, dɛn kin kɔntrol dis wit di chenj dɛn we dɛn de chenj dɛn layf. Bɔt sɔm pipul dɛn kin nid fɔ tek mɛrɛsin fɔ mek dɛn blɔd bɔku ɛn fɔ mek dɛn blɔd prɛshɔn go ɔp. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.

Sɔm pan dɛn kayn mɛrɛsin ya na:

• `Drɔxidopa`
• εrythropoiesis-stimulating ejen dεm (ESA dεm) (e.g. Procrit® כ Epogen®) .
• `Desmopresin (Nocdurna® ɔ `DDAVP®)`
• `Ɔktriɔtayd (Bynfezia PenTM` ɔ `Mycapssa®)`
• `Fludrokɔrtizɔn`
• `Midodrine haydroklɔrayd`
• `Piridostigmin (Mɛstinɔn®` ɔ `Rɛgɔnɔl®)`

Impɔtant: Dɛn fɔ tek dɛn mɛrɛsin ya ɔnda dɔktɔ in advays nɔmɔ. If yu tek mɛrɛsin fɔ yusɛf, dat kin mek yu gɛt prɔblɛm.

Ɛni bad tin de we di tritmɛnt kin du?

Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ Orthostatic Hypotension kin mek yu gɛt sayd ɛfɛkt lɛk:

• Fɔ mek pɔsin nɔ ebul fɔ du natin
• I de it
• Ɛd we de at
• De swɛl
• Di potashɔm lɛvɛl we smɔl
• At nɔ de wok fayn (dis nɔ kin apin so ɔltɛm) .

Na dat mek i impɔtant fɔ gɛt tritmɛnt ɔnda dɔktɔ in sɔpɔtishɔn.

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf Ɔtostatik Haypɔtɛnshɔn?

Pipul wae gɛt dis sik kin gɛt bɔrku risk fɔ gɛt dɛn tin ya:

• Bɔn frakt ɔ ed injury (kɔnkyushɔn) kin apin we yu fɔdɔm we yu gɛt diziz ɔ we yu nɔ no natin .
• Pɔstprandial haypɔtɛnshɔn: Dis na we di blɔd prɛshɔn de drɔp insay 30 minit to tu awa afta yu it it (espɛshali it we gɛt bɔku kabɔhaydrɛt).
• If blɔd prɛshɔn kɔntinyu fɔ de dɔŋ tumɔs, shɔk ɔ ɔgan dɛn kin pwɛl (dis nɔ kin apin so ɔltɛm).
• Risk fɔ strok ɔ at sik bikɔs ɔf di chenj we di blɔd prɛshɔn de chenj .
• Supine hypotension: Dis min se blɔd prɛshɔn kin go dɔŋ we yu de ledɔm (dis kin bi bikɔs ɔf sɔm mɛrɛsin dɛn).

Wetin kin apin if a gɛt `(Orthostatic Hypotension)`?

Bɔrku pipul kin kɔntrol di sayn dɛm fɔ dis sik (Orthostatic Hypotension) bay wae dɛn fala sɔm tin dɛm wae fɔ mek dɛn nɔr gɛt dis sik. Fɔ ɛgzampul, yu fɔ tek yu tɛm we yu grap. Dis nɔ kin izi fɔ mek wi gɛt siriɔs prɔblɛm dɛn we go de fɔ lɔng tɛm.

Yu tink se i nɔ pɔsibul fɔ mek yu wɛl gud gud wan frɔm dis sik?

No "cure" nɔ de fɔ ɔrthostatic haypotɛnshɔn. Bɔt, yu kin ebul fɔ kɔntrol di sayn dɛm wae yu de si if yu fala di advays wae yu dɔktɔ gi yu. Dis advays kin inklud:

• Fɔ tek di mɛrɛsin we dɛn gi yu kɔrɛkt wan.
• It smɔl it dɛn instead fɔ it big it dɛn wan tɛm.
• Drink bɔku wata ɛn wata.
• We yu wɛr spɛshal kayn sɔks (Kɔmreshɔn stɔking).

Aw a go ridyus di risk fɔ gɛt Ɔtostatik Haypɔtɛnshɔn?

If yu gɛt diziz lɛk dis, fɔ fala dɛn step ya kin ɛp fɔ ridyus di sayn dɛm:

• Kɔntrol yu bɔdi tɛmpracha: Nɔ was wit wata we rili wam.
• Stay hydrated: Drink bɔku wata. Nɔ stɔp fɔ drink rɔm. Nɔ it ebi ebi it we gɛt bɔku bɔku kabɔhaydrɛt wan tɛm.
• Kip yu ed ɔp smɔl we yu de slip na bed: yuz wan ɔ tu ɛkstra pilo, ɔ es di ed fɔ di matres smɔl.
• Pripia bifo yu grap: Tek smɔl tɛm fɔ tinap frɔm usay yu sidɔm ɔ ledɔm. Gɛt sɔntin we strɔng fɔ ol we yu grap.
• Ɛksesaiz yu mɔsul dɛn: If yu fɔ tinap fɔ lɔng tɛm, bifo yu tinap, waka shɔt bay we yu es yu leg dɛn wan bay wan. Bifo yu grap, du isometrik ɛgzampul (e.g., swɛt wan smɔl rɔba bɔl). Dis kin mek yu blɔd prɛshɔn go ɔp smɔl.
• Impruv di blɔd sakulayshɔn ɛn prɛshɔn: Wear spɛshal kɔmpreshɔn stɔking ɔ abdominal binder.

Ustɛm a fɔ go to dɔktɔ?

If yu kin fil diziz bɔku tɛm we yu tinap, yu fɔ rili go to dɔktɔ . Ivin if dis kin apin sɔm tɛm nɔmɔ, i fayn fɔ tɛl yu dɔktɔ bɔt am.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt dɛn sik ya, go to tritmɛnt wantɛm wantɛm :

• Chɛst de pen.
• Fɔdɔm ɔ fɔdɔm.
• Prɔblɛm dɛn wit balans ɔ kɔdineshɔn.
• If dɛn tink se pɔsin brok ɔ in ed wund bikɔs i fɔdɔm.
• If yu stɔl gɛt blɔd ɔ blak.
• Sayn dɛm fɔ shok (kol bɔdi, swet, brith kwik, blu skin, wik puls).

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a gɛt dis kɔndishɔn we dɛn kɔl ``Orthostatic Hypotension''?
• Wetin na di bɛst tritmɛnt fɔ dis?
• Na di mɛrɛsin we a de tek kin kam wit dɛn sayn ya? A fɔ chenj di mɛrɛsin we a de tek?
• Us chenj dɛn a fɔ mek fɔ kɔntrol dɛn sik ya?
• Us sayn dɛm fɔ kɔmplikeshɔn a fɔ luk fɔ?

`(Orthostatic Hypotension)` ɛn `(Postural Tachycardia Syndrome - POTS)` na di sem tin?

di simptom dεm fכ wan kכndyushכn we dεn kכl `(Postural Tachycardia Syndrome)` כ `(POTS)` na di sem lεk `(Orthostatic Hypotension).` Insay dεn tu kes dεm, diziz εn fεn kin apin we yu tinap. כltu, insay `(POTS)`, apat frכm we di bכdi prεshכn de dכp, di at rεt de inkrεs bay lεk 30-40 bit pan minit insay 10 minit we i tinap. insay `(Orthostatic Hypotension)`, di hat rεt nכ kin inkrεs bכku bכku wan.

di kכndishכn ``POTS'' dεn kin si am sכmtεm sכmtεm pas ``Orthostatic Hypotension''.

Ɔtostatik haypɔtɛnshɔn (Hypotension) kin bi wan sik we rili siriɔs. I kin denja if yu nɔ balans ɛn fɔdɔm ɔ if yu nɔ no natin igen. Bɔt bɔku tɛm, de sik kin bɛtɛ we yu chenj di we aw yu tinap. Tɔk to yu dɔktɔ bɔt yu sik dɛn. Yu kin nid fɔ chenj di mɛrɛsin dɛn we yu de tek. If tin tranga, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu blɔd go fayn ɛn fɔ mek yu blɔd prɛshɔn bɛtɛ.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, Ɔtɔstatik Haypɔtɛnshɔn. Na nɔrtin fɔ wɔri bɔt, na kɔndishɔn wae kin apun to bɔrku pipul. Di tin we impɔtant pas ɔl na:

• If yu fil diziz wantɛm wantɛm ɔ yu yay nɔ de shayn bɛtɛ, nɔ ignore am. Go to dɔktɔ fɔ advays yu.
• Wek ali, mɔ we yu de grap na bed na mɔnin, ɔ we yu grap afta yu dɔn sidɔm fɔ lɔng tɛm, tek smɔl tɛm ɛn grap sɔntin fɔ tinap.
• Drink bɔku wata. Dis kin apin bak if yu nɔ gɛt wata na yu bɔdi.
• Tɔk to yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek. Sɔm mɛrɛsin dɛn kin mek pɔsin gɛt dis sik bak.
• Nɔ it ples we wam ɛn was insay wam wata.
• Tek tɛm as yu go ebul fɔ fɔdɔm. If yu fil se yu ed de tɔn, tray fɔ sidɔm ɔ ledɔm kwik kwik wan.

Wi op se dis infɔmeshɔn go ɛp yu. I bɛtɛ fɔ mek yu go to dɔktɔ fɔ ɛni wɛlbɔdi prɔblɛm we yu gɛt.

` Ɔtostatik haypɔtɛnshɔn, postural haypɔtɛnshɔn, lɔw blɔd prɛshɔn, diziz, fɔdɔm, blɔd prɛshɔn drɔp, blɔd prɛshɔn, at wɛlbɔdi, ol pipul dɛn wɛlbɔdi, dɛhaydreshɔn, mɛrɛsin sayd ifɛkt, Sinhala wɛlbɔdi infɔmeshɔn