Yu de tek mɛrɛsin bak fɔ yu blɔd prɛshɔn , bɔt i stil nɔ de go dɔŋ? Sɔntɛm yu dɔktɔ se, "Ivin afta i dɔn gi yu sɔm kayn mɛrɛsin , yu blɔd prɛshɔn nɔ go go dɔŋ." Sɔntɛnde, ilɛksɛf yu chenj di we aw yu de liv yu layf, kɔntrol di we aw yu de it , ɛn ɛksesaiz, yu blɔd prɛshɔn kin stil ay. Sɔntɛnde lɛk dis, wi fɔ tink se di tin we kin mek wi gɛt dis sik kin bi prɔblɛm wit di kidni dɛn. Tide wi go tɔk bɔt dis kayn tin.
Fɔ tɔk am simpul wan, wetin na renovaskyuɛl haypatɛyshɔn?
Pan ɔl we di nem tan lɛk se i kɔmplikt smɔl, di stori rili simpul. Renovascular Hypertension na ay blɔd prɛshɔn we yu gɛt prɔblɛm wit yu kidni .
Tink bɔt am dis we. Di kidni na wan pan di impɔtant pat dɛn na wi bɔdi. Dɛn men wok na fɔ filta di blɔd ɛn pul di dɔti tin dɛn lɛk urine . Fɔ mek di kidni dɛn ebul fɔ du dis wok fayn fayn wan, dɛn nid fɔ gɛt gud blɔd. di men bכ di vεsεl dεm ( atεri dεm ) we de kכri bכdi to di kidni dεm dεn kכl dεm `rεnal atεri`.
Naw imajin se fɔ sɔm rizin dɛn blɔd vesel dɛn ya kin smɔl ɔ tan smɔl smɔl. Lɛk wata paip we dɛn de swɛt na di midul. Wetin kin apin da tɛm de? di bכdi we de rich na di kidni dεm de dכn.
We blɔd flɔ de dɔŋ lɛk dis, wi intɛligent kidni dɛn kin tink se, “O, mi blɔd prɛshɔn de dɔŋ ɔlsay na di bɔdi, na dat mek a de gɛt smɔl blɔd.” So, bikɔs dɛn want fɔ du dɛn wok fayn fayn wan, dɛn kin tek stɛp fɔ mek di blɔd prɛshɔn na di bɔdi go ɔp. Fɔ du dat, dɛn kin mek wan ɔmon sistɛm na di bɔdi wok. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis RAAS (Renin-Angiotensin-Aldosterone System) . We dis ɔmon sistɛm wok, di blɔd vesel dɛn ɔlsay na di bɔdi kin kɔnstrikt, ɛn di blɔd prɛshɔn kin go ɔp.
Fɔ tɔk am simpul wan, bikɔs nɔto inɔf blɔd de go na di kidni dɛn, di kidni dɛnsɛf kin mek di prɛshɔn go ɔp na di wan ol bɔdi. Dɛn kɔl dis rɛnovaskyuɛl haypatɛnshɔn.
Dis nɔto di sem wit di nɔmal blɔd prɛshɔn. Dis kin fɔdɔm insay wan kategori we dɛn kɔl sɛkɔndari haypatɛnshɔn. Dat min se, ay blɔd prɛshɔn we ɔda sik kin kam wit.
Wetin na di sayn dɛm fɔ dis sik? Aw wi kin saspek am?
De big prɔblɛm ya na dat, bɔrku tɛm nɔr kin gɛt sɔm patikyula sayn fɔ dis sik. Dat min se yu nɔ go notis ɛnitin we difrɛn. Bɔt we dɔktɔ luk yu mɛdikal istri ɛn di mɛrɛsin dɛn we yu de tek, i kin pik sɔm tin dɛn we yu go no bɔt. Na dɛn tin ya kin mek dɔktɔ sɔprayz dis.
Lɛ wi si wetin na dɛn tin dɛn de.
| Sayn we de mek pɔsin sɔprayz | Wan simpul ɛksplen |
|---|---|
| Di prɛshɔn kin bigin pan di ej we nɔ kɔmɔn | Bɔku tɛm, di ay blɔd prɛshɔn kin kam wantɛm wantɛm bifo i ol 30 ia ɔ afta i ol 50 ia. |
| Wan prɛshɔn we dɛn bin dɔn kɔntrol fayn fayn wan we bin de go ɔp wantɛm wantɛm | Di prɛshɔn, we dɛn bin dɔn kɔntrol fayn wit mɛrɛsin fɔ lɔng tɛm, bin go ɔp wantɛm wantɛm te i nɔ ebul fɔ kɔntrol am. |
| Fɔ nɔ ansa to mɛrɛsin | Di dɔktɔ dɔn gi am bɔku kayn mɛrɛsin fɔ blɔd prɛshɔn (tri ɔ mɔ), bɔt di blɔd prɛshɔn nɔ dɔn go dɔŋ. Wi kin kɔl dis `rɛsistant haypatɛyshɔn`. |
| Kraysis we gɛt aypatɛnshɔn | rεpεtεd inkrεs bכdi prεshכn to denja lεvεl (e.g., pas 180/120 mmHg). |
| Flash Pulmonari Ɛdima | Bɔku kes dɛm we wata kin ful-ɔp di lɔng dɛn wantɛm wantɛm, we dɛn nɔ kin ɛksplen. |
| Fat we de na ɔda blɔd vesel dɛn | Fɔ gɛt histri bɔt fat (plek) na di blɔd vesel dɛm na di at, nɛk, ɔ leg. |
| Kidni we nɔ de wok fayn | di kidni fכ wok we de dכn sכmtεm we nכ gεt nכ כda kכz we i kכmכt. |
| Wan spɛshal sawnd we di dɔktɔ de yɛri (Bruit) . | We di dɔktɔ put stetɔskɔp na yu bɛlɛ, yu kin yɛri "swooshing" sawnd as di blɔd de muv tru di blɔd vesel we dɔn blok. |
Wetin mek dis de apin? Wetin na di men rizin dɛn?
di men tin we kin mek di blɔd vesel dɛn we de go na di kidni dɛn kin blok na wan sik we dɛn kɔl renal artery stenosis . dis min se di at dεm na di kidni dεm kin sכmtεm sכmtεm. Tu men rizin dɛn de fɔ dis.
1. Atɛrosklɛrosis: Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl. fכ simpul wan, na di bכdi we de sכmtεm sכmtεm sכmtεm bikoz fεt εn kכlestכl (dεn kכl am `plak`) de bכku na di bכdi in wכl dεm. Dis kin apin mɔ we yu dɔn ol, yu gɛt dayabitis, yu gɛt bɔku kɔlɔstrel, ɛn yu de smok.
2. Fibromuscular Dysplasia (FMD): Dis na wan sik we nɔ kin apin so ɔltɛm. i kin apin we di sεl dεm (mכsul εn fayv sεl dεm) na di wכl dεm na di bכdi in bכdi de gro nכmal wan, we de mek di bכdi bכdi sכmtεm sכmtεm sכm say dεm. Dis kכndyushכn kin bכku pan yכng uman dεm.
Apat frɔm dɛn tu men rizin ya, sɔm ɔda rizin dɛn kin de we nɔ kin apin so ɔltɛm.
| Di tin dɛn we kin mek pɔsin nɔ bɔku | Wan simpul ɛksplen |
|---|---|
| Vaskulaytis we gɛt di sik | Blɔd vesel dɛn kin tan bikɔs ɔf inflamɛns. |
| Rεnal Atεri Anεrizm | We di wɔl na wan rεnal at de wik, we de mek i bulge lεk balɔ. |
| Prɛshɔn frɔm wan tumbu | Tumɔs we kin mek nia di kidni ɔ di at, we kin mek prɛshɔn na di ɔdasay na di blɔd vesel. |
| Ska (Fibrosis) we kin kam bikɔs ɔf redyushɔn tɛrapi | Afta dɛn dɔn gɛt redyushɔn tɛrapi fɔ wan sik lɛk kansa, di blɔd vesel dɛn na da say de kin tik, dɛn kin gɛt skata, ɛn dɛn kin blok. |
Us prɔblɛm dɛn kin apin if dɛn nɔ tek dis?
Lɛk ɛni kayn ay blɔd prɛshɔn, dis sik kin mek i gɛt siriɔs prɔblɛm dɛn if dɛn nɔ kɔntrol am fɔ lɔng tɛm.
- At pwɛl hat: If yu gɛt ay blɔd prɛshɔn fɔ lɔng tɛm, dat kin mek di at wok tranga wan, ɛn dis kin mek yu gɛt tin dɛn lɛk we di at mɔsul tik, at atak, ɛn at nɔ de wok fayn.
- di kidni dεm we de pwεl mכr: Di kidni dεm we dεn כlrεdi dכn rεdכks bכdi fכ fכlכ, kin pwεl mכr we dεn gεt hεy prεshכn, we kin mek di kidni dεm nכ de wok fayn.
- di yay dεm we de pwεl: If di blכd vesel dεm we de na di yay dεm dεm dεm, i kin mek i nכ de si fayn (retina sik).
- Strɔk: We di blɔd vesel dɛn we de go na di bren pwɛl, dat kin mek i gɛt strok.
Aw ɛksaktɔli di dɔktɔ kin fɛn dis?
If yu dɔktɔ saspek dis sik, i go wok lɛk ditektiv, ɛn i go put ɔl di tin dɛn we go ɛp yu fɔ no sɔntin. Dis prɔses involv sɔm impɔtant step dɛn.
1. Fɔ chɛk yu bɔdi: Di dɔktɔ go chɛk yu, mɔ fɔ put di stetɔskɔp na yu bɛlɛ fɔ chɛk fɔ di ‘bruit’ sawnd we wi bin dɔn tɔk bɔt.
2. Fɔ aks bɔt yu mɛdikal istri: Dɛn go aks yu bɔku kwɛstyɔn dɛn, lɛk di ej we yu gɛt ay blɔd prɛshɔn, if ɛnibɔdi na yu famili gɛt am, us mɛrɛsin yu de tek, ɛn if yu gɛt ɛni ɔda sik.
3. Spɛshal tɛst: Dɛn go nid fɔ du bɔku tɛst fɔ kɔnfirm di saspekshɔn.
- Blɔd tɛst: Chɛk di kidni in wok (kriatinin, eGFR) ɛn di ɔmon lɛvɛl na di RAAS sistɛm.
- Yurin tɛst: Chɛk fɔ tin dɛn lɛk prɔtin na di urine.
- Kidney Ultrasound Doppler: Dis na di tɛst we impɔtant pas ɔl. I de mɛzhɔ di spid we di blɔd de flɔ na di at dɛn we de kɛr blɔd go na di kidni dɛn ɛn i kin no klia wan ɛnitin we dɔn blok.
- Ɔda skan dɛn: Sɔntɛnde, dɛn kin se dɛn fɔ du mɔ kɔmpleks skan lɛk CT angiogram ɔ MR angiogram.
Okay, naw mek wi tok abaut tritment.
Wae dɛn dɔn no dis sik, natin nɔr de fɔ frayd. Sɔm tritmɛnt dɛn de we go ɛp dis. Di men gol fɔ tritmɛnt na fɔ kɔntrol di blɔd prɛshɔn ɛn protɛkt di kidni ɛn ɔda ɔgan dɛm.
Mɛrɛsin dɛn (drɔg dɛn) .
Bɔrku tɛm, dɛn kin kɔntrol dis sik fayn fayn wan wit mɛrɛsin. Apat frɔm di mɛrɛsin dɛn we dɛn kin gi fɔ di nɔmal blɔd prɛshɔn, di dɔktɔ go gi am mɛrɛsin dɛn we gɛt fɔ du wit dis sik.
- Angiotensin-Converting Enzyme (ACE) Inhibitors: Fɔ ɛgzampul, mɛrɛsin dɛn lɛk Enalapril ɛn Lisinopril.
- Angiotensin Receptor Blockers (ARBs): Fɔ ɛgzampul, mɛrɛsin dɛn lɛk Losartan ɛn Telmisartan.
Dɛn tu mɛrɛsin ya kin kɔntrol di wok we di RAAS ɔmon sistɛm we wi bin dɔn tɔk bɔt bifo tɛm de du ɛn dɛn kin stɔp di blɔd prɛshɔn fɔ go ɔp.
Impɔtant: We yu bigin fɔ tek dɛn mɛrɛsin ya, i kin gɛt smɔl ifɛkt pan di wok we di kidni de du. So, yu dɔktɔ go chɛk yu kidni fɔ wok bak afta lɛk wan ɔ tu wiks afta i dɔn bigin fɔ tek dɛn mɛrɛsin ya. Nɔ wɔri, na nɔmal prɔses.
Apat frɔm dat, dɛn kin gi yu ɔda mɛrɛsin dɛn lɛk statin we de mek yu nɔ gɛt bɔku kɔlɔstrel, we de blok di kalsiɔm chanɛl, ɛn we de mek yu nɔ gɛt wata, i go dipen pan yu kɔndishɔn.
Di we aw dɛn fɔ du am if nid de
Sɔntɛnde, i nɔ kin izi fɔ kɔntrol yu blɔd prɛshɔn wit mɛrɛsin nɔmɔ. Ɔ if di blɔd vesel dɔn blok bad bad wan, yu dɔktɔ kin tɛl yu fɔ du spɛshal we fɔ du am.
- Renal Artery Angioplasty ɛn Stenting: Dis tan lɛk angioplasty fɔ di blɔd vesel dɛn na di at. wan tin tכb de insay tru wan vein na di leg כ an εn go bifo to di rεnal at we blכk. Dɔn dɛn kin ful-ɔp di tiub wit smɔl balyɔn fɔ mek di say we dɛn blok big. Fɔ mek i nɔ blok bak, dɛn kin put wan smɔl tiub we tan lɛk mɛsh (wan stent) na di say.
- Renal Denervation: Dis na nyu tritmɛnt. i de yuz hεt כ כltra saund εnεji fכ ridyus di nεv dεm we de rawnd di rεnal at. na dεn nεv dεm ya de sεnd signal to di bren fכ mek di prεshכn go כp. So if dɛn ridyus di tin dɛn we dɛn de du, dɛn go ebul fɔ ridyus di blɔd prɛshɔn.
Ɔpreshɔn
Dɛn nɔ kin du ɔpreshɔn pan ɔpreshɔn. Dɛn kin jɔs du ɔpreshɔn if di strɔkchɔ na di blɔd vesel dɛn tu kɔmpleks fɔ mek dɛn ebul fɔ du tin dɛn lɛk angioplasty, ɔ if dɛn we dɛn de nɔ wok.
- Surgical Renal Revascularization: Dɛn kin kɔl dis bak rεnal baypas ɔpreshɔn.Na ya, di ɔspitul de yuz wan pat pan blɔd vesel we dɛn tek frɔm ɔda pat na yu bɔdi ɔ wan atifishal tiub fɔ mek nyu rod (baypas) fɔ kɛr blɔd go na di kidni, baypas di pat we dɔn blok.
Wetin kin apin afta dɛn dɔn trit am?
Nɔ tink se ɔltin dɔn dɔn wans yu bigin fɔ trit am. I impɔtant fɔ atɛnd fɔl-ɔp apɔntinmɛnt dɛn lɛk aw yu dɔktɔ tɛl yu.
Insay dɛn klinik ya, Dɔktɔ.
- Dɛn kin mɛzhɔ yu blɔd prɛshɔn ɛn si aw di tritmɛnt go wok fayn.
- Dɛn kin du blɔd tɛst fɔ no aw di kidni de wok.
- If nid de, dɛn go chenj di we aw yu de tek di mɛrɛsin ɔ dɛn go ad nyu mɛrɛsin dɛn.
Dɛn apɔntinmɛnt ya rili impɔtant fɔ yusɛf. Dis na fayn chans fɔ aks di dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?
Rinovaskul haypatɛyshɔn na wan sik we dɛn kin trit . Dat min se if yu tek di rayt mɛrɛsin ɛn if nid de, yu fɔ du di rayt tin, yu blɔd prɛshɔn go dɔŋ to wɛlbɔdi lɛvɛl. bכt i kכrekt fכ se i kin "kכntrol gud gud wan" pas fכ "kכl am kכmplit wan."
Mɛmba se yu kɔntribyushɔn rili impɔtant na dis waka. I nɔ mata aw di dɔktɔ in tritmɛnt fayn, if yu nɔ du di rayt tin na yu pat, di rizɔlt nɔ go fayn.
- Tek yu mɛrɛsin di rayt tɛm: Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, ɛn nɔ skip wan de.
- Tek kia ɔf yu it: Rid di it dɛn we gɛt bɔku sɔl, ɔyl, ɛn shuga. If yu dɔktɔ se yu fɔ it spɛshal it lɛk di DASH it , fala am.
- Ɛksesaiz: Aks yu dɔktɔ us ɛksesaiz dɛn we fayn fɔ yu bɔdi ɛn aw lɔng yu fɔ du dɛn, ɛn du wetin yu want.
We yu no se na dis kin mek yu gɛt ay blɔd prɛshɔn we yu nɔ ebul fɔ kɔntrol, yu go fil fayn. Bikɔs naw we yu dɔn no di tin we de mek yu gɛt am, yu go ebul fɔ gɛt di rayt tritmɛnt fɔ am. So, if yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Di ay blɔd prɛshɔn we dɛn nɔ kin ebul fɔ kɔntrol ivin wit bɔku mɛrɛsin dɛn kin bi bikɔs ɔf wan prɔblɛm na di kidni.
- Di men rizin fɔ dis na we di at we de kɛr blɔd go na di kidni dɛn kin smɔl.
- Dis sik kin mek yu at, bren, ɛn kidni pwɛl.
- Dɛn kin no dis sik kɔrɛkt wan tru skan tɛst.
- Nɔ nid fɔ fred bikɔs tritmɛnt dɛn de we go wok fayn lɛk mɛrɛsin ɛn angioplasty.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na klinik dɛn di rayt tɛm.
Renovascular Hypertension, haypatɛnshɔn, prɛshɔn, kidni, rεnal at stenosis, ay blɔd prɛshɔn, ay blɔd prɛshɔn Sinhala, kidni sik Sinhala, kidni sik, kin mek prɛshɔn
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