"Prɛshɔn" na wɔd we wi kin yɛri bɔku tɛm na wi os, bitwin fambul dɛm, ɛn we wi de tɔk to padi dɛm. Fɔ sɔm, dɛn blɔd prɛshɔn kin go ɔp bikɔs ɔf wan sik lɛk dayabitis. Bɔt yu no, fɔ bɔku pipul dɛn, i nɔ pɔsibul fɔ tɔk klia wan wetin mek dɛn blɔd prɛshɔn de go ɔp. Semweso, ay blɔd prɛshɔn we kin apin we nɔ gɛt ɛni patikyula kɔz ɛn we kin kam bikɔs ɔf sɔm tin dɛn we dɛn jɔyn, na in wi kin kɔl praymari haypatɛyshɔn na mɛrɛsin. Trade, dɛn bin de kɔl dis bak `(Essential Hypertension)`. Tide, wi go tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Praymari Haypatɛnshɔn?
Fɔ tɔk am simpul wan, dis na we yu blɔd prɛshɔn go ɔp pas aw i fɔ bi ɛn nɔ gɛt ɛni klia ɔndalayn kɔndishɔn. Pɔsin we gɛt wɛlbɔdi in blɔd prɛshɔn fɔ smɔl pas 120/80 mmHg. If wan ɔ ɔl tu pan dɛn valyu ya kin ɔltɛm ay pas dis lɛvɛl, dat min se di prɛshɔn we de insay yu blɔd vesel dɛn tu ay. Insay Praymari Haypatɛyshɔn, bikɔs nɔto wan kɔz de, wi se na mɔlti-faktɔri kɔndishɔn.
Wetin mek wi fɔ bisin bɔt dis?
Bɔku pipul dɛn kin tink se ay blɔd prɛshɔn na nɔmal tin. Bɔt di ay blɔd prɛshɔn we pɔsin nɔ ebul fɔ kɔntrol, tan lɛk pɔsin we de kil pɔsin we nɔ tɔk natin. I de pwɛl di blɔd vesel dɛn we de na yu bɔdi smɔl smɔl. As tɛm de go, dis damej kin bɔku ɛn mek i gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja.
De impɔtant tin na dat bɔrku pan dɛn kɔmplikeshɔn ya kin kam witout ɛni wɔnin bifo tɛm. Na dat mek i impɔtant fɔ kɔntrol yu blɔd prɛshɔn.
Na sɔm pan di denja tin dɛn we kin apin bikɔs ɔf dis:
- Bren aneurism: Wan blɔd vesel na di bren kin wik ɛn bulge lɛk balyɔn ɛn bɔs.
- Dimɛns: Dɛn kin lɔs di mɛmori ɛn tinkin abiliti smɔl smɔl bikɔs di blɔd nɔ kin ebul fɔ gi di bren.
- At atak: Di blɔd vesel dɛn we de gi di at kin blok.
- At nɔ de wok fayn: Na tin we de mek di at nɔ ebul fɔ pamp inof blɔd to di bɔdi.
- Kidni sik: Di kidni kin pwɛl, di bɔdi in west filta kin stɔp, ɛn yu kin nid fɔ du dayalaysis fɔ di res ɔf yu layf.
- Malignant hypertension: Blɔd prɛshɔn kin rili ay wantɛm wantɛm ɛn i kin mek di ɔgan dɛn pwɛl.
- Strɔk: I kin lɔs layf na wan pat pan di bɔdi bikɔs di blɔd kin stɔp fɔ flɔ to di bren.
- Yu nɔ de si fayn: If di blɔd vesel dɛn we de na di yay pwɛl, dat kin mek i nɔ ebul fɔ si fayn ɛn i kin ivin blaynd.
Wetin na de risk factor wae kin afɛkt dis sik?
Pan ɔl we no wan tin nɔ de we kin mek pɔsin gɛt praymari haypatɛyshɔn, bɔku tin dɛn de we kin mek pɔsin gɛt dis sik. Sɔm pan dɛn tin ya na tin dɛn we wi kin chenj. Sɔm na tin dɛn we wi nɔ ebul fɔ kɔntrol. Lɛ wi tek tɛm luk wetin na dɛn tin ya.
| Risk Factor | Wan simpul ɛksplen |
|---|---|
| We pɔsin de ol | Jɛnɛral wan, pipul dɛm wae dɔn pas 65 ia kin gɛt bɔrku risk. As wi de ol, di we aw wi blɔd vesel dɛn kin ebul fɔ chenj chenj kin stɔp. |
| Shuga | Pipul wae gɛt shuga kin gɛt bɔrku risk fɔ gɛt ay blɔd prɛshɔn. |
| Sɔl we pasmak na di it | Di sɔl, sos, dray fish, ɛn snek dɛn we wi kin it gɛt bɔku sodium. Dɛn tin ya kin mek di bɔdi gɛt wata ɛn mek di blɔd prɛshɔn go ɔp. |
| Kafin we dɛn kin yuz pasmak | If yu drink bɔku kɔfi, ti, ɛn sɔm sɔft drink dɛn, dat kin mek yu blɔd prɛshɔn go ɔp fɔ sɔm tɛm. |
| Famili istri | If yu mama, papa, ɔr brɔda ɛn sista dɛn gɛt pwɛl hat, yusɛf de pan denja fɔ gɛt dis sik. |
| Fat | As di bɔdi wet de go ɔp, di at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd. Dis na di men tin we kin mek pɔsin gɛt ay blɔd prɛshɔn. |
| Yuz rɔm | If pɔsin drink pasmak, dat kin afɛkt di blɔd prɛshɔn dairekt wan. |
| Nɔ ebul fɔ du ɛksɛsayz | If yu sidɔm na wan ples ɔl di de ɛn yu nɔ de du ɛni ɛksesaiz, dat kin mek yu strɛs. |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de slip | If yu gɛt prɔblɛm lɛk we yu nɔ de slip, i kin mek bak yu gɛt ay blɔd prɛshɔn. |
Aw dis difrɛn frɔm ɔda kayn prɛshɔn?
Wi kin sheb di ay blɔd prɛshɔn to tu men kayn.
1. Praymari Haypatɛnshɔn: Dis na di kayn we we wi de tɔk bɔt. No wan rizin nɔ de fɔ mek dis apin.
2. Sɛkɔndari Haypatɛyshɔn: Insay dis kes, klia rizin de fɔ mek di blɔd prɛshɔn go ɔp. Dat min se, di inkris na di blɔd prɛshɔn kin apin as sayd ɛfɛkt fɔ ɔda mɛrɛsin ɔ mɛrɛsin.
Tin dɛm wae kin mek yu gɛt sɛkɔndari haypatɛnshɔn na:
- Kidni sik
- Tayrɔyd sik
- di ay blɔd prɛshɔn we uman gɛt bɛlɛ (preeclampsia) .
- Obstruktiv slip apnɛa
- Di sik dɛn we de na di adrenal gland
- Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) .
Sɔmtɛm pɔrsin kin gɛt ɔl tu di kayn haypatɛyshɔn togɛda. Fɔ ɛgzampul, if pɔsin we gɛt praymari haypatɛyshɔn wantɛm wantɛm in blɔd prɛshɔn go ɔp bad bad wan, di dɔktɔ go luk bak fɔ nyu tin we de mek i gɛt sɛkɔndari haypatɛyshɔn.
Wetin na di sayn dɛm fɔ dis? Wi nɔ go ebul fɔ no bifo tɛm?
Na dis say di denja de. Praymari Haypatɛnshɔn nɔ de sho ɛni sayn we i de bigin. Yu kin pwɛl di blɔd vesel dɛn we de insay yu bɔdi we yu nɔ ivin no. Na dat mek wi de kɔl am di "Silent Killer."
As tɛm de go, sɔm sayn dɛn kin bigin fɔ sho bikɔs di blɔd vesel dɛn dɔn pwɛl.
| Sɔm sayn dɛn we kin apin | Wetin dis min? |
|---|---|
| Blɔd we de na di urine (hematuria) . | I kin bi sayn fɔ sho se di kidni dɛn de pwɛl. |
| Di vishɔn we nɔ klia | Wan sayn we de sho se di blɔd vesel dɛn na di yay de pwɛl. |
| Chɛst pen ɛn i nɔ kin izi fɔ blo | Wan wɔnin fɔ se di at de afɛkt. |
| Diziz ɛn fɔdɔm | I kin bi bikɔs di blɔd nɔ de wok fayn na di bren. |
| Fɔ taya ɔltɛm | I kin kam bikɔs di at kin gɛt fɔ wok tranga wan. |
| Nɔs blɔd de kɔmɔt | Wan sayn wae kin apun wit blɔd prɛshɔn we rili ay. |
| Di ed we de at bad bad wan | Di ed we de at, mɔ na mɔnin, kin gɛt fɔ du wit di ay blɔd prɛshɔn. |
If yu gɛt ɛni wan pan dɛn sik ya, duya go to yu dɔktɔ wantɛm wantɛm.
Aw dɔktɔ kin no dis kɔrɛkt wan?
Dɛn kin no di praymari haypatɛnshɔn afta dɛn dɔn kɔnfyus se yu blɔd prɛshɔn ay ɛn nɔ `sɛkɔndari` kɔz (lɛk kidni sik) we de afɛkt am.
Aw fɔ chɛk prɛshɔn
Di dɔktɔ kin mɛzhɔ yu blɔd prɛshɔn bay we i kin put kɔf rawnd yu an ɛn blo am. Dis de gi tu valyu dɛn.
- Sistolik prεshכn (tכp nכmba): Dis de mכsu di maksimal prεshכn insay yu bכdi we yu at de bit εn pכmp blכd.
- Diastolik prɛshɔn (nɔmba we de dɔŋ): .dis de mכsu di minimכm prεshכn insay di bכdi vεsul dεm we di at de rεst bitwin tu at bit.
Yu nɔ go se yu gɛt ay blɔd prɛshɔn jɔs bikɔs yu blɔd prɛshɔn ay wan tɛm. Di dɔktɔ go mɛzhɔ yu blɔd prɛshɔn fɔ sɔm dez ɛn bɔku tɛm fɔ mek i go ebul fɔ du sɔntin.
Yu tink se dɛn nid fɔ du ɔda tɛst dɛn?
If yu blɔd prɛshɔn de ɔp ɔltɛm, yu dɔktɔ go tɛl yu fɔ de wach yu blɔd prɛshɔn fɔ 24 awa . Dis min se yu fɔ wɛr smɔl tin rawnd yu wes ɛn tay kɔf pan am na yu an fɔ 24 awa ɛvride. Di divays kin mɛzhɔ yu blɔd prɛshɔn ɔltɛm, ivin we yu de wok ɔ we yu de slip. We di de dɔn, yu kin avrej dɛn ridin ya fɔ no if yu rili gɛt ay blɔd prɛshɔn.
Aw dɛn kin trit am? Wetin wi fɔ du?
Tu men tin dɛn de fɔ trit praymari haypatɛyshɔn. Dɛn tin ya na fɔ chenj di we aw pɔsin de liv in layf ɛn fɔ tek mɛrɛsin. Dɛn ɔl tu nid fɔ tek dɛn togɛda.
1. Di Chenj dɛn we Yu De Layf
Dis impɔtant pas fɔ tek mɛrɛsin. If yu mek dɛn chenj ya kɔrɛkt wan, yu kin ebul fɔ ridyus di doz fɔ di mɛrɛsin, ɔ ivin kɔntrol yu blɔd prɛshɔn we yu nɔ tek mɛrɛsin.
- Ɛksesaiz: Du ɛksɛsayz fɔ at le 30 minit ɛvride, lɛk fɔ waka kwik kwik wan, rɔn, ɔ bayk.
- Klos smok: If yu na pɔsin we de smok, lɛf fɔ smok tide. Smok kin rili ambɔg di blɔd vesel dɛn.
- Nɔ fɔ drink rɔm ɛn tek drɔgs: I bɛtɛ lɛ yu nɔ de nia dɛn tin ya atɔl.
- Di it we go ɛp yu at:
- Ridyus sɔl: Stɔp fɔ ad sɔl to yu it ɛn it it dɛn we gɛt bɔku sɔl (sɔs, ketchup, dray fish, sosish, snek).
- Ridyus ɔyl ɛn shuga: Ridyus di it dɛn we dɛn dɔn frɛsh, swit it dɛn, ɛn it dɛn we dɛn kin mek na bekɛri as mɔ as yu ebul.
- Vɛjitebul, frut, ɛn ɔyl: Ad mɔ pan dɛn tin ya to yu it.
- Gud slip: Fɔ gɛt 7-8 awa gud slip insay wan de rili impɔtant fɔ kɔntrol blɔd prɛshɔn.
2. Di mɛrɛsin dɛn we di dɔktɔ gi
If di chenj we yu de chenj yu layf nɔmɔ nɔ de kɔntrol yu blɔd prɛshɔn, yu dɔktɔ go gi yu mɛrɛsin. Nɔ ɛva bigin, stɔp, ɔ chenj di doz fɔ dis mɛrɛsin fɔ yusɛf.
| Tayp fɔ mɛrɛsin | Wetin kin apin to am? |
|---|---|
| ACE Inhibitor dɛn we dɛn kin yuz | I de ridyus di protin we dɛn kɔl angiotensin we de mek di blɔd prɛshɔn go ɔp na di bɔdi. |
| Angiotensin II Risɛptɔ Blɔka dɛn (ARB) . | I de mek di blɔd vesel dɛn nɔ kɔnstrikt. |
| Beta Blɔka dɛn | I de mek di at slo ɛn i de ridyus di blɔd we dɛn de pɔmp kɔmɔt na di at. Dis kin mek di blɔd prɛshɔn go dɔŋ. |
| Kalsiɔm Chanɛl Blɔka dɛn | I de mek di kalsiɔm nɔ go insay di blɔd vesel dɛn ɛn i de mek di mɔsul dɛn na di blɔd vesel dɛn rilaks. |
| Diuretics (wata pils) . | I de ɛp fɔ pul ɛkstra wata ɛn sɔdiɔm (sɔl) na di bɔdi tru urine. |
| Vasodilator dɛn we dɛn kin yuz | I de mek di mɔsul dɛn we de na di wɔl dɛn na di blɔd vesel dɛn rilaks, ɛn dis de mek blɔd ebul fɔ flɔ izi wan. |
Mɛsej we dɛn kin kɛr go na os
- Praymari haypatɛnshɔn na ay blɔd prɛshɔn we kin apin we nɔ gɛt ɛni patikyula kɔz. Dis na di kayn we we pipul dɛn kin gɛt mɔ.
- Bikɔs nɔr simptom nɔr de na di fɔs stej, dis kin bi "saylent killer." So, mek dɛn chɛk yu blɔd prɛshɔn wan tɛm insay di ia, ɛn bigin we yu ol 30 ia.
- Di mɛrɛsin nɔmɔ nɔ go du fɔ tritmɛnt. Fɔ fala wɛlbɔdi layf rili impɔtant.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Tek yu mɛrɛsin di rayt tɛm, insay di rayt doz. Atɛnd klinik dɛn ɔltɛm.
- Nɔ ɛva stɔp ɔ chenj yu blɔd prɛshɔn mɛrɛsin if yu dɔktɔ nɔ advays yu. Dis kin gɛt bad bad tin dɛn fɔ du.
- Dis na kɔndishɔn we pɔsin kin ebul fɔ kɔntrol. If yu gɛt di rayt tritmɛnt ɛn layf, yu go ebul fɔ liv lɔng ɛn gɛt wɛlbɔdi.
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