Yu blɔd prɛshɔn kin go ɔp wantɛm wantɛm? Lɛ wi tɔk bɔt Hypertensive Crisis!

Yu dɔn ɛva wɔnda wetin go apin if yu blɔd prɛshɔn, ɔ "prɛshɔn" as wi ɔl no, wantɛm wantɛm go tu ay? Sɔntɛnde, yu kin fil lɛk se yu ed de tɔn ɔ yu kin fil lɛk sɔntin we strenj na yu chɛst. Dis na de sik wae wi go tɔk bɔt tide, wae dɛn kɔl hypertensive crisis. Dis na siriɔs sik, so i rili impɔtant fɔ mek wi no gud gud wan wetin fɔ du bɔt am.

Wetin na di sik we de mek pɔsin gɛt aypatɛnshɔn? Mek wi no di rayt tin!

Fɔ tɔk am simpul wan, aypatɛnshɔn kraysis na we yu blɔd prɛshɔn kin rili, rili ay wantɛm wantɛm. Naw yu kin de aks, "Wetin yu nɔmal blɔd prɛshɔn fɔ bi?" Mek wi si.

Di nɔmal blɔd prɛshɔn fɔ pɔsin we gɛt wɛlbɔdi fɔ bi lɛk dis:

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

Bɔt, insay wan ``Hypertensive Crisis'' dɛn nɔmba ya kin bɔku we yu nɔ go ebul fɔ imajin:

• Ɔpa limit : 180 mm Hg ɔ pas dat, ɛn/ɔ
• Valyu we smɔl : 120 mm Hg ɔ pas dat.

Dis na sɔntin we wi fɔ mɛmba: Ay blɔd prɛshɔn na tin we pɔsin kin du fɔ mɛn pipul dɛn. Dis min se if yu blɔd prɛshɔn rich dɛn lɛvul ya, yu fɔ go na ɔspitul imejensi rum wantɛm wantɛm.

Bɔrku tɛm, dis kayn imejensi kin apin pan pipul dɛm wae gɛt ay blɔd prɛshɔn (haypa blɔd prɛshɔn). Dis min se dɛn blɔd prɛshɔn kin go ɔp pas aw i kin bi ɔltɛm. Akɔdin to masta sabi pipul dɛm, bitwin 1% ɛn 2% pan pipul dɛm wae gɛt ay blɔd prɛshɔn kin gɛt ``Hypertensive Crisis''. Bɔt, i sɔprayz fɔ no se dis sik kin apin ivin pan pɔsin we nɔ ɛva gɛt blɔd prɛshɔn prɔblɛm bifo.

Tu men kayn dis de, nɔto so? Wetin na dɛn?

Yes, tu men kayn dis `(Hypertensive Crisis)` de. Lɛ wi tɔk bɔt dat smɔl mɔ .

1. Di Urgency we pɔsin kin gɛt we i gɛt aypatɛnshɔn:

Dis na we yu blɔd prɛshɔn de go ɔp tumɔs, to di 180/120 mm Hg ɔ pas dat we wi bin dɔn tɔk bɔt. Bɔt, di tin we impɔtant pas ɔl na dat, nɔ damej nɔ de pan yu insay ɔgan dɛn. Sɔm dɔktɔ dɛn kin kɔl dis ``uncontrolled hypertension'' instead of ``Hypertensive Urgency''. So, ilɛk wetin na di nem, di men tin ya na fɔ briŋ yu prɛshɔn bak kwik kwik wan to wɛlbɔdi lɛvɛl.

2. Imejɛnsi we gɛt aypatɛnshɔn:

Dis na di kayn we we denja pas ɔl. Yu blɔd prɛshɔn bak kin go ɔp bɔku bɔku wan, bɔt i kin mek bak nyu damej pan yu bɔdi in ɔgan dɛm, ɔ i kin mek di damej we dɔn de, wɔs.Jɔs tink bɔt dis kin pwɛl impɔtant pat dɛn lɛk yu at, aorta, yay, bren, ɛn kidni. ivin di kכndishכn dεm lεk siriכs prεeklampsia εn εklampsia we de apin pan bεlε mama dεm de fכl insay dis kεtכgrεf ``Hypertensive Emergency''.

Yu go dɔn yɛri di wɔd "Malignant Hypertension." Na rili wan ol wɔd we dɛn bin de yuz insay di fɔs pat pan di 20t sɛntinari. I min se di blɔd prɛshɔn go go ɔp wantɛm wantɛm ɛn mek di kidni ɛn yay pwɛl. Sɔm dɔktɔ dɛn stil de yuz di wɔd "Hypertensive Emergency" we dɛn de tɔk bɔt "Hypertensive Emergency." Bɔt, dɔktɔ dɛn tide lɛk fɔ yuz di wɔd "Hypertensive Emergency" bikɔs i gɛt mɔ spɛshal difinishɔn tide.

Wetin na di sayn dɛm we pɔsin kin gɛt? Aw yu no am?

di simptom dεm fכ ``Hypertensive Crisis'' dipכnt pan if di כgan dεm dεn dכn pwεl, lεk aw wi bin dכn tכk.

Hypertensive Urgency (we min se, we di prɛshɔn tu ay we nɔ gɛt ɔgan damej) bɔku tɛm nɔ kin mek yu gɛt ɛni sayn. Di wangren we fɔ no if yu blɔd prɛshɔn tu ay na fɔ mek dɛn mɛzhɔ am. Bɔt sɔm tɛm dɛn kin gɛt sayn dɛn lɛk:

• Fɔ fil nɔr izi ɛn fɔ fred (Wanxiety) .
• Wan smɔl ed we de at.
• Blɔd we de kɔmɔt na di nos
• I nɔ kin izi fɔ yu fɔ blo smɔl

Di sayn dɛm we de sho se pɔsin gɛt aypatɛnshɔn imejɛnsi (dat na we di prɛshɔn de mek di ɔgan dɛn pwɛl) kin rili bad ɛn dɛn kin inklud:

• Chenj na yu maynd (wɔri, kɔnfyushɔn) .
• Chɛst de pen
• Diziz (vɛrtigo) .
• Swel na di bɔdi (Edima) .
• Di at we de blo
• Les urine output pas aw i kin bi
• Kɔnvulshɔn (kɔnvulsiv stet, we fiba fit) .
• Wan bad bad ed we de at.
• Di sayn dɛm fɔ paralayz (fɔ ɛgzampul, wan say na yu fes kin drɔp wantɛm wantɛm, i nɔ kin izi fɔ tɔk, yu an ɛn/ɔ yu leg kin wik wantɛm wantɛm) .
• Di chenj we yu de si (lɛk di pen we yu de si, we yu nɔ de si fayn, we yu nɔ de si fayn wantɛm wantɛm) .

We dɔktɔ de chɛk yu, yu kin si sɔm kayn sik dɛn lɛk dis na ``Hypertensive Emergency'':

• Jugular venɔs distenshɔn
• Krak krak sawnd dɛn we yu de lisin to di lɔng dɛn
• Abnɔmal at sawnd dɛm we nɔ bin de bifo (at de grɔmbul) .
• Sayn dɛm we de sho se di blɔd vesel dɛm na di bak pat na di yay dɔn pwɛl
• Unusual, asymmetrical wikɛdnɛs wae de sɔspɛkt fɔ wan paralayt kɔndishɔn

Wetin mek dis tin kin apin? Wetin na di rizin dɛn?

Bɔku rizin kin de we mek ``Hypertensive Crisis`` lɛk dis kin apin. Lɛ wi luk di men wan dɛn:

• De rizin wae kin pasmak na wae yu nɔr de tek yu blɔd prɛshɔn mɛrɛsin fayn ɛn lɛk aw dɛn tɛl yu fɔ tek. If yu mis yu doz fɔ ɛni rizin, yu kin gɛt di risk fɔ mek dis apin.
• Wantɛm wantɛm, fɔ stɔp di mɛrɛsin we dɛn kin yuz fɔ blɔd prɛshɔn.
• Mɛrɛsin wae de intarakt wit ɔda mɛrɛsin dɛm wae yu de tek.
• Kidni sik.
• Di tin dɛn we de apin na di ɛndɔkrin.
• Preeclampsia ɔ eclampsia we uman gɛt bɛlɛ.
• Yuz sɔm drɔgs dɛn we kin mek pɔsin gɛt adikshɔn.
• Hɛd trauma (injuri na di ed).
• Bren tumor.
• Sɔm mɛrɛsin wae yu kin tek fɔ ɔda sik dɛm.

Sɔm pan di mɛrɛsin dɛm wae kin mek yu gɛt ``Hypertensive Crisis'' na:

• Di kayn Stɛroyd dɛn we dɛn kin yuz
• Sɔm mɛrɛsin fɔ pwɛl hat
• Sayklɔspɔrin we dɛn kɔl
• Pseudoephedrine, we de insay sɔm kol ɛn flu mɛrɛsin dɛn

Udat dɛn de pan big risk? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Sɔm pipul dɛn kin gɛt mɔ risk fɔ gɛt ``Hypertensive Crisis'' pas ɔda pipul dɛm. Lɛ wi si udat dɛn bi:

• Fɔ di wan dɛn we fat pasmak.
• Fɔ man dɛn.
• Fɔ blak pipul dɛm (dis kin bi bay di jenɛtik ɛn soshio-ikɔnomik tin dɛm).
• Di mɛrɛsin we dɛn kin gi fɔ blɔd prɛshɔn fayn fɔ di wan dɛn we nɔ de yuz am ɔltɛm.
• Fɔ di wan dɛn we de yuz mɛrɛsin we de mek pɔsin fil fayn we nɔ gɛt dɔktɔ in prɛskrishɔn.

Us denja prɔblɛm dɛn dis kin mek?

If di prɛshɔn go ɔp to dis denja lɛvɛl, i kin mek siriɔs prɔblɛm dɛn. Dɛn tin ya na:

• Wantɛm wantɛm, di at kin wik kwik kwik wan (akyu at fayl).
• di wata we de kכmכt wan wan na di lכng dεm (akyu pulmonari εdima).
• di kidni dεm we de lכs fכ wok wan wan (akyu kidni fεil).
• di aorta disekshכn na we di blכd vesel we big pas כl na yu bכdi, we na di aorta.
• Blɔd we de kɔmɔt insay di bren (intracranial hemorrhage).
• Hat atak kin kam bikɔs di blɔd nɔ de flɔ na di at.
• wan strok we de kכz fכ ridyus di bכdi fכ fכlכ to di bren (`ischemic stroke`).
• tεmporari impεryans fכ di bren fכnshכn (`haypa tεnshכn εnεsεfalopati`).

Tink bɔt aw ɔl dis rili siriɔs. Na dat mek i impɔtant fɔ kɔntrol yu blɔd prɛshɔn ɛn go fɛn tritmɛnt kwik if ``Hypertensive Crisis'' apin.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Dɔktɔ go fɔs mɛzhɔ yu blɔd prɛshɔn na yu tu an. Dɔn, dɛn go aks yu bɔt yu mɛdikal histri, tɔk bɔt yu sik, ɛn du ɛgzam fɔ yu bɔdi. Dɛn kin nid fɔ du sɔm tɛst bak fɔ ɛp fɔ no wetin mek yu gɛt dis sik.

Bɔku kayn tɛst dɛn de we dɛn kin du:

• Blɔd tɛst dɛn
• Test fɔ yu urine
• Ilektrokardiogram (EKG/ECG) tɛst we de rayt di at rit
• Fɔndoskɔpik ɛgzamin (ɛgzamin fɔ di insay pat pan di yay) .
• Nyurolɔjik ɛgzam
• Ultrasound fɔ di at (Transthoracic echocardiogram) .
• wan ``Kכmpyuta Tomografi (CT) skan`` fכ di chεst εn ed

If yu gɛt sayn dɛm fɔ nyu ɔgan dɛm we dɔn pwɛl, yu dɔktɔ go no se yu gɛt ``Hypertensive Emergency''. If dɛn kayn sayn ya nɔ de, dɛn go no se na ``Hypertensive Urgency''.

Aw dɛn kin trit am? Yu tink se dɛn kin mɛn am kwik kwik wan?

Dɛn kin trit wan ``Hypertensive Crisis'' na ɔspitul imejensi rum. Dɔktɔ dɛn go gi yu mɛrɛsin ɛn briŋ yu blɔd prɛshɔn dɔŋ to say we sef.

• If nɔr ɔgan damej (in kes fɔ `Hypertensive Urgency`): Yu go ebul fɔ go na os di sem de (wit mɛrɛsin fɔ tek na os).
• Bɔt, if yu gɛt ``Hypertensive Emergency``: Yu go nid fɔ de na di ɔspitul in intensiv kia yunit (ICU) fɔ sɔm dez. na de, dכkta dεm go gi yu mεdikeshכn dairekt insay wan vein (wan ``IV - intravenous`` mεtכd). Dɛn go de wach yu blɔd prɛshɔn bak ɔltɛm.

Yu mɛdikal tim go disayd aw kwik fɔ lɛ yu blɔd prɛshɔn go dɔŋ, ɛn dɛn go tink bɔt di ɔda mɛrɛsin dɛn we yu gɛt. Sɔntɛnde, if yu blɔd prɛshɔn go dɔŋ tumɔs kwik, dat kin mek yu ɔgan ɛn tisu dɛn nɔ gɛt bɛtɛ blɔd. So, dɔktɔ dɛn kin mek yu blɔd prɛshɔn go dɔŋ smɔl smɔl, fɔ 24 to 48 awa.

Bɔt if yu gɛt tin dɛn lɛk fɔ kɔt di aɔta, siriɔs prɛeklampsia, ɔ ɛklamsia, dɔktɔ dɛn go mek yu blɔd prɛshɔn go dɔŋ kwik kwik wan we yu gɛt aypatɛnshɔn kraysis. 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.

Mɛrɛsin dɛn we dɛn kin gi fɔ tritmɛnt

Na sɔm pan di mɛrɛsin dɛm wae dɛn kin gi fɔ trit ``Hypertensive Crisis``:

• `Kaptopril`
• `Klividipin`
• `Klɔnidin`
• `Esmolol`
• `Hydralazin`
• `Labetalol`
• `Nikadipin`
• `Nifedipin`
• `Naytroglisrin`
• `Naytroprɔssayd`

Dɔktɔ dɛn go pik di mɛrɛsin we go fayn fɔ yu. Dɛn go tink bak bɔt yu ɔda mɛrɛsin dɛn ɛn di ɔda mɛrɛsin dɛn we yu de tek. So, nɔ panik we yu si dɛn mɛrɛsin ya, na di dɔktɔ/ledi go disayd wetin bɛtɛ fɔ yu.

Ustɛm a fɔ go to dɔktɔ?

If yu blɔd prɛshɔn na 180/120 mm Hg ɔ pas dat, kɔl 911 (1990 Suwaseriya Ambulans Savis na Sri Lanka) wantɛm wantɛm, ɔ go na di imejensi rum na di ɔspitul we de nia yu. Yu nid tritmɛnt kwik kwik wan!

Afta dɛn dɔn trit yu fɔ ``Hypertensive Crisis'', go to yu rɛgyula dɔktɔ. I kin disayd fɔ ``adjɔst'' yu blɔd prɛshɔn mɛrɛsin. I go tɔk to yu bak bɔt ɛni chenj we yu nid fɔ mek na yu layf ɛvride.

Fɔ ɛgzampul, dɛn kin advays yu fɔ chenj wetin yu de it (fala it lɛk di DASH it) ɔ ad mɔ ɛksesaiz to yu rutin.

Yu tink se dis go apin to mi bak? Wetin a fɔ no?

``Hypertensive Crisis'' na wɔnin sayn fɔ se yu blɔd prɛshɔn nɔ de na di rayt lɛvɛl. 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 fɔlɔp apɔntinmɛnt ɛn tek yu mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.

Na nɔmal tin fɔ mek ɛnibɔdi fil fred we i yɛri di wɔd "Kraysis." Yu kin tink se, "O, mi blɔd prɛshɔn go go ɔp lɛk dis bak?" We yu gɛt diagnosis fɔ ``Hypertensive Crisis,'' yu kin wɔnda bak aw e go afɛkt yu wɛl bɔdi ɛn fiuja.

Bɔt mɛmba se bɔku rizin dɛn kin de we mek yu blɔd prɛshɔn kin ay dis. Dɛn tren dɔktɔ dɛn fɔ no di tin dɛn we kin mek ɛnibɔdi gɛt di prɔblɛm. Wae yu dɔn no de kɔz, yu kin tek step fɔ ridyus yu risk fɔ mek i apin bak.

Dis kin inklud fɔ sɛt mɛsej fɔ mɛmba yu fɔ tek yu mɛrɛsin. Ɔ, i kin min fɔ tɔk to yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek fɔ ɔda rizin ɛn ajɔst dɛn. Ɛnitin we yu du fɔ kɔntrol yu blɔd prɛshɔn naw go ɛp fɔ protɛkt yu frɔm siriɔs prɔblɛm dɛn tumara bambay.

Di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis (Take-Home Message) .

Okay, so, wi go mɛmba yu bak di impɔtant tin dɛn we wi dɔn tɔk bɔt we yu nid fɔ mɛmba?

• Hapatɛnshɔn kraysis na we yu blɔd prɛshɔn go ɔp to 180/120 mm Hg ɔ pas dat. Dis na mɛdikal imejensi.
• Tu kayn dis de: `Hypertensive Urgency` we nɔ gɛt ɔgan damej ɛn `Hypertensive Emergency` we gɛt ɔgan damej.
• Di sayn dɛn we pɔsin kin gɛt kin difrɛn. Sɔntɛnde, nɔrbɔdi nɔr kin si atɔl, ɔr kin bi se yu ed kin at bad bad wan, yu chɛst kin pen, ɛn yu nɔ kin si fayn.
• Di men rizin na we yu nɔ de tek di mɛrɛsin we dɛn gi yu fɔ blɔd prɛshɔn fayn fayn wan. Kidni sik ɛn sɔm mɛrɛsin dɛn kin mek dis sik bak.
• If di prɛshɔn na 180/120 mm Hg ɔ pas dat, go na ɔspitul wantɛm wantɛm.
• Di tritmɛnt inklud mɛrɛsin fɔ mek di blɔd prɛshɔn go dɔŋ. Yu kin nid bak fɔ de na ɔspitul.
• Fɔ mek dis nɔ apin igen, tek tɛm fala wetin yu dɔktɔ tɛl yu, tek yu mɛrɛsin fayn fayn wan, ɛn chenj di we aw yu de liv yu layf.

Fɔ dɔn, tek kia ɔf yu blɔd prɛshɔn. Chek am ɔltɛm. Bikɔs, fɔ liv wɛlbɔdi layf, i rili impɔtant fɔ mek wi ɔl no bɔt dis "saylent killer". If yu gɛt ɛni ɔda kwɛstyɔn, nɔ fred fɔ aks yu dɔktɔ ɔ midwayf. Dɛn go ɛp yu!

` Haypatɛnshɔn, Haypatɛnshɔn Krays, Ay Blɔd Prɛshɔn, Blɔd Prɛshɔn, At Sik, Prɛshɔn, blɔd prɛshɔn