If yu blɔd prɛshɔn go dɔŋ we yu de blo, na sayn fɔ se yu gɛt siriɔs sik? (Pulsus Paradoxus) we dɛn kɔl di .

Yu dɔn ɛva yɛri dɔktɔ, we i de chɛk yu blɔd prɛshɔn, se sɔntin lɛk, "Tek dip briz insay... naw briz kɔmɔt..."? Sɔntɛnde, wi kin tink se na jɔs wan wɔd. Bɔt fɔ tru, sɔntɛnde di dɔktɔ kin chɛk fɔ si if patikyula chenj de na yu blɔd prɛshɔn wit di we aw yu de blo. Wan rili impɔtant rizin de fɔ dis. Tide wi go tɔk bɔt wan pan dɛn kayn spɛshal mɛdikal sayn ya, we na ‘Pulsus Paradoxus’. Dis nem kin tan lɛk se i kɔmplikt smɔl we yu yɛri am, bɔt lɛ wi ɛksplen am simpul wan.

Wetin rili na Pulsus Paradoxus?

Fɔ tɔk am simpul wan, Pulsus Paradoxus na we yu blɔd prɛshɔn, mɔ di tɔp nɔmba (systolic pressure), de drɔp bɔku pas aw yu bin de tink we yu de blo.

Naw yu kin de tink se, "So wetin so strenj bɔt dat?" Di paradoks ya na dat nɔmal wan, we pɔsin we gɛt wɛlbɔdi de blo, in blɔd prɛshɔn fɔ jɔs go ɔp smɔl ɔ nɔ fɔ chenj bɔku. Bɔt insay dis kes, di kɔmɔn tin kin apin. Dat min se di prɛshɔn kin go dɔŋ we yu nɔ bin de ɛkspɛkt. Dis nɔto sik, bɔt na sayn we rili impɔtant we de tɛl wi se sɔntin nɔ rayt insay yu bɔdi, mɔ na di at ɔ yu lɔng.

Tink bɔt am, na wi at de pɔmp blɔd ɔlsay na wi bɔdi. We wi de blo, di prɛshɔn we de na wi chɛst kin chenj. Dɛn chenj ya kin afɛkt smɔl pan aw di at kin ful-ɔp wit blɔd. Bɔt if di at nɔ ebul fɔ go ɔp fayn bikɔs ɔf wan mɛrɛsin, ɔ if bɔku prɛshɔn de rawnd di at, di blɔd we de go insay di at we wi de blo kin go dɔŋ bad bad wan . Dis kin mek di blɔd we di at kin pɔmp to di bɔdi kin go dɔŋ bak, ɛn na dat mek wi kin si se di blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm.

Aw dɔktɔ kin mɛzhɔ dis?

Dis nɔto sɔntin we yu kin mɛzhɔ wit dijital prɛshɔn mita na os. Na bikɔs dis na sɔntin we wi fɔ tek tɛm mɛzhɔ. Fɔ dis, dɔktɔ kin yuz prɛshɔn kɔf we dɛn kin pɔmp wit in an ɛn stetɔskɔp (blɔd prɛshɔn kɔf we dɛn kin yuz in an).

Na dis na aw fɔ du am:

1. Fɔs, di dɔktɔ go put prɛshɔn kɔf pan yu an ɛn inflate am te yu nɔ ebul fɔ yɛri yu puls igen.

2. afta dat, we dεn de dεflet di kכf kwik kwik wan (we dεn de yuz di stεtoskop fכ fכn di fכs ples we dεn de yεri di puls sawnd. na dis tεm ya, dεn de yεri di sawnd we yu de blo (exhaling). Dɛn kin rayt da valyu de.

3. Neks, as yu de inflate di cuff likli mo, yu go fain di point we yu kin stil hie di pulse as yu de blo in en out . Yu go rayt da valyu de bak.

4. Fɔ dɔn, dɛn kin kɔl di difrɛns bitwin dɛn tu ɔpa prɛshɔn valyu ya we dɛn rayt.

Wetin na di men tin dɛn we kin mek pɔsin gɛt Pulsus Paradoxus?

If yu si di sayn we dɛn kɔl Pulsus Paradoxus, dat min se sɔntin de mek di at nɔ wok fayn. Bɔku rizin dɛn kin de fɔ dis.

di men εn di mכst kכmכn kכz na we di wata we de kכmכt rawnd di at, we de mek di at tampכn. Lɛ wi ɛksplen dis smɔl mɔ. wi at de insay wan tin we lεk sak we dεn kכl ‘pεrikardium’. dis kin gεt sכm sכm wata fכ protεkt εn lכbrik di at. Bɔt if bikɔs ɔf sɔm mɛrɛsin, tumɔs wata (lɛk wata) gɛda insay dis sak, dɛn kin kɔl am Pɛrikardial Ɛfyushɔn . If dis wata we de na di bɔdi go ɔp, di sak we de na di bɔdi kin strɛch, ɛn leta i kin mek di kadyak tamponade . Dis na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan. Dis na di tin wae kin mek pɔrsin gɛt Pulsus Paradoxus.

Apat frɔm dis, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt Pulsus Paradoxus na di tebul we de dɔŋ ya.

Aw dɛn kin trit dis?

Di impɔtant tin we wi ɔl nid fɔ ɔndastand ya na dat, nɔr dairekt tritmɛnt nɔr de fɔ di sik wae dɛn kɔl Pulsus Paradoxus. Na bikɔs i nɔto sik. I tan lɛk wɔnin layt we kin shayn na di dɛshbɔd we prɔblɛm de wit di injin na motoka. Wetin wi de du nɔto fɔ ɔf ɛn on di layt, bɔt na fɔ fiks di prɔblɛm we de na di injin.

Dɛn kin no di we aw dɛn de trit am bay di tin we mek dɛn du am.

• If di kɔz na Cardiac Tamponade , imejensi tritmɛnt involv fɔ pul di ɛkstra wata we de rawnd di at yuz sirinj ɛn nidul (pericardiocentesis). I kin nid fɔ du ɔpreshɔn bak.
• If di kɔz na siriɔs asma , dɛn kin gi mɛrɛsin ɛn nebulizer tritmɛnt fɔ kɔntrol di asma.
• If di kɔz na nyumotɔraks (we na di lɔng we dɔn fɔdɔm), dɛn kin put wan tiub insay di chɛst fɔ pul di briz we pasmak.
• pan kes dεm lεk Constrictive Pericarditis , dεn kin nid fכ כpכt di pεrikardiכm we tik.

Dis we ya, di dɔktɔ go fɔs no di rayt tin ɛn gi yu di bɛst tritmɛnt we fit am. So, if yu dɔktɔ tɛl yu bɔt wan sik lɛk dis, i rili impɔtant fɔ mek yu nɔ fred am ɛn fɔ wok togɛda wit di tɛst ɛn tritmɛnt we dɛn de du fɔ no di tin we de mek yu gɛt am.