Yu na pɔsin we gɛt ay blɔd prɛshɔn, ɔ as wi ɔl no, de tek mɛrɛsin fɔ "prɛshɔn"? Yu de tek ɔl di mɛrɛsin dɛn we di dɔktɔ gi yu di rayt tɛm, ɛn yu de kɔntrol yu it ɛn drink, bɔt ɛvri tɛm we yu de chɛk yu blɔd prɛshɔn na os, i kin pas 140/90 ɔltɛm. Yu de wɔnda bak wetin mek dis de apin? Sɔntɛm yu gɛt wetin wi de tɔk bɔt tide, we dɛn kɔl ‘resistant hypertension’ ɔ resistant hypertension . Nɔ wɔri, wi go tɔk bɔt ɔltin insay simpul wɔd dɛn.
Wetin rili na Resistant Hypertension?
Fɔ tɔk am simpul wan, dis na kɔndishɔn usay yu ay blɔd prɛshɔn "rili resistant" to tritmɛnt. Fɔ tɔk bɔt mɛrɛsin, if yu blɔd prɛshɔn stil de ɔp 140/90 mmHg pan ɔl we yu dɔktɔ gi yu tri ɔ mɔ mɛrɛsin fɔ kɔntrol yu ay blɔd prɛshɔn, pan di maksimam doz, den dɛn kɔl da kɔndishɔn de Resistant Hypertension.
Dɛn tri kayn mɛrɛsin ya kin bi:
- Wan kayn diuretic: Na dɛn tin ya wi kin kɔl ‘wata pils.’ Dɛn kin wok bay we dɛn kin mek di bɔdi pul ɛkstra wata ɛn sɔl tru di urine.
- Wan kayn kalsiɔm chanɛl blɔk: Dɛn tin ya kin mek di blɔd vesel dɛn rilaks ɛn mek i izi fɔ mek di blɔd flɔ.
- Wan ACE inhibitor ɔ wan ARB: Dɛn tu mɛrɛsin ya (Angiotensin-Converting Enzyme inhibitor / Angiotensin II Receptor Blocker) de wok bay we dɛn de afɛkt di blɔd vesel dɛn ɛn mek di blɔd prɛshɔn go dɔŋ.
If yu nɔ ebul fɔ kɔntrol yu blɔd prɛshɔn afta siks mɔnt we yu dɔn tek ɔl dɛn tri mɛrɛsin ya pan di maksimam doz, yu dɔktɔ go tink se yu gɛt resistant haypatɛyshɔn.
Aw dis sik kin kɔmɔn?
Ay blɔd prɛshɔn na wan sik we rili kɔmɔn na Sri Lanka ɛn bak na di wɔl. Stɔdi dɔn sho se lɛk 10% to 12% pan pipul dɛm wae gɛt ay blɔd prɛshɔn kin gɛt dis sik, wae min se dis nɔr kin gɛt dis sik.
Wetin na di sayn dɛm fɔ Resistant Hypertension?
Di tin we denja pas ɔl ya na dat, ay blɔd prɛshɔn na "saylent killer." Bɔrku pipul nɔr kin sho ɛni sayn. Sɔm pipul dɛn nɔ kin ivin no se dɛn gɛt ay blɔd prɛshɔn fɔ lɔng lɔng tɛm. Bɔt we dɛn nɔ trit am, i kin pwɛl di bɔdi bad bad wan.
Bɔt sɔm pipul dɛn kin gɛt dɛn sik ya:
- Ed de at
- Chɛst tayt ɔ prɛshɔn
- I nɔ kin izi fɔ yu fɔ blo
De tin wae impɔtant pas ɔl na fɔ nɔr de wet fɔ mek di sayn dɛm fɔ sho. As yu de ol, mɔ if pɔsin na yu famili gɛt ay blɔd prɛshɔn, mek yu dɔktɔ chɛk yu blɔd prɛshɔn ɔltɛm. I fayn bak fɔ gɛt gud ilɛktronik BP mita, aks yu dɔktɔ fɔ di kɔrɛkt we fɔ yuz am, ɛn kip rɛkɛd na os.
Wetin mek dɛn nɔ go ebul fɔ kɔntrol di prɛshɔn dis we? Wetin na di rizin dɛn?
Bɔku rizin dɛn de fɔ dis. Lɛ wi sheb dɛn to pat dɛn.
| Rizin kategori | Diskripshɔn ɛn ɛgzampul dɛn |
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| Di we aw pɔsin de liv in layf ɛn di we aw i de it |
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| Sɔm mɛrɛsin dɛn | Sɔm mɛrɛsin dɛn we yu kin tek fɔ ɔda sik dɛn kin mek yu blɔd prɛshɔn go ɔp bak.
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| Ɔda sik dɛn we pɔsin kin gɛt (Sɛkɛn Kɔz) . | Sɔmtɛm, de tin wae kin mek pɔrsin gɛt ay blɔd prɛshɔn kin bi ɔda sik na di bɔdi. If yu trit dis sik, i go kɔntrol di blɔd prɛshɔn bak.
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Udat de pan ay risk fɔ gɛt resistant hypertension?
Dɛn pipul ya kin gɛt dis sik smɔl:
- Fɔ di wan dɛn we gɛt Kronik Kidni Disease
- Fɔ di wan dɛn we gɛt dayabitis
- Fɔ di wan dɛn we kɔmɔt na Afrika-Amɛrikan
- Fɔ uman dɛn (rilaytiv to man dɛn) .
Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?
Pɔsin we gɛt resistant hypertension, we at fɔ kɔntrol dis we, kin gɛt bɔku bɔku risk fɔ gɛt dɛn tin ya pas pɔsin we dɛn kin kɔntrol in blɔd prɛshɔn wit mɛrɛsin.
- Strok
- Kidni Sik we pɔsin kin gɛt
- At sik ɛn at we nɔ de wok fayn
So, i nɔ fayn fɔ lɛ wi tek dis tin we de apin na sɔntin we nɔ impɔtant.
Aw dɔktɔ kin no bɔt dis?
Fɔ no if yu gɛt resistant hypertension, yu dɔktɔ go luk fɔ sɔm tin dɛn.
1. Aks bɔt yu mɛdikal istri ɛn aw yu de liv yu layf.
Di dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk dɛn wan ya:
- "Aw long yu don get di preshos?"
- "Wetin yu de du wen yu de chɛk yu blɔd prɛshɔn na os? Yu de yuz di mashin kɔrɛkt wan?"
- "Us mɛrɛsin yu de tek naw? (inklud vaytamɛn ɛn ɛbul mɛrɛsin). Yu de tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm, ɛn di doz we dɛn gi yu?"
- "Yu de yuz rɔm ɔ sigrɛt?"
- "Yu de snor fo yu slip? Yu de fil laik se yu de sfok?"
2. Fɔ du ɛgzam fɔ yu bɔdi
We dɛn de du dis ɛgzamin, di dɔktɔ go luk fɔ dɛn tin ya spɛshal wan:
- Ay egzam: Dis de chɛk fɔ si if di blɔd vesel dɛn na di yay dɔn pwɛl bikɔs ɔf di ay blɔd prɛshɔn. Dɛn kɔl dis `Hypertensive Retinopathy`.
- fכ lisin to di big bכdi vεsεl dεm: fכ lisin to di sawnd we bכdi de pas tru sכm big bכdi vεsul dεm (e.g., dεn wan dεm na di nεk כ kidni) fכ si if abnכmal sawnd de (`bruit`). Dis kin gi yu aidia fɔ no if di vessel dɛn smɔl.
3. Labɔrɔtɔri ɛn ɔda tɛst dɛn
- Urin tɛst: .Chek fɔ protin na di urine.
- Blɔd tɛst: Chɛk di kidni we de wok (Creatinine), di shuga lɛvɛl (Glucose), ɛn ilɛktrɔlayt dɛn lɛk sɔdiɔm ɛn potashɔm.
- כmon tεst: Chεk fכ prכblεm wit di wok we di adrenal gland dεm כ di tayroyd gland de wok.
- Skan: Dɛn kin du ɔltra saund ɛn CT skan fɔ chɛk aw di kidni ɛn adrenal gland dɛn de.
- Stɔdi fɔ Slip: If yu tink se yu gɛt slip apnea, dɛn kin sɛn yu fɔ go du spɛshal stɔdi fɔ slip.
Aw dɛn kin trit dis?
Nɔ wɔri. Wan tritmɛnt de fɔ dis. Tu men pat dɛn de.
1. Di chenj dɛn we pɔsin de liv in layf
Dis na di impɔtant tin dɛn we yu go ebul fɔ du. I nɔ gɛt wan yus fɔ jɔs tek mɛrɛsin ɛn nɔ du dɛn tin ya.
- Sɔl kɔntrol: Nɔ it sɔl to 2,400 miligram (lɛs dan wan ti spɔnj) fɔ wan de. Stɔp fɔ briŋ sɔl na tebul. Ridyus di it dɛn we yu de it we dɛn dɔn prosɛs ɛn we dɛn dɔn pak.
- Fɔ stɔp fɔ drink rɔm.
- Di tin dɛn we de mek pɔsin fil pen: Nɔ tek mɛrɛsin lɛk Ibuprofen ɛn Diclofenac we yu nɔ go to yu dɔktɔ. If nid de, tɔk to yu dɔktɔ bɔt mɛrɛsin lɛk Paracetamol.
- Ɛksesaiz: Du sɔm ɛksesaiz, lɛk fɔ waka ɔ bayk, fɔ at le 30 minit insay di de, sɔm dez insay di wik.
2. Yuz mɛrɛsin kɔrɛkt wan
Dis na di say we bɔku pipul dɛn kin go rɔng.
Sɔv dɔn sho se 40% pan di pipul dɛm wae tink se dɛn gɛt resistant hypertension kin rili gɛt prɔblɛm fɔ nɔr de tek dɛn mɛrɛsin fayn fayn wan.
Fɔ mek mɛrɛsin wok, dɛn fɔ tek am ɛvride, di rayt tɛm, ɛn di rayt doz . Sɔm pipul dɛn kin gɛt prɔblɛm fɔ tek dɛn mɛrɛsin bikɔs ɔf di sayd ɛfɛkt dɛn (e.g., diziz, kɔf). If yu gɛt dis kayn prɔblɛm, tɛl yu dɔktɔ. Dɔn i kin gi am difrɛn mɛrɛsin. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ aks yu dɔktɔ.
If dɛn nɔ kɔntrol yu blɔd prɛshɔn ivin afta yu dɔn tek yu mɛrɛsin kɔrɛkt wan, yu dɔktɔ kin ad di nɔmba 4 ɔ 5 mɛrɛsin. Fɔ ɛgzampul, wan mɛrɛsin we dɛn kɔl Spironolactone ɔ wan beta-blɔka .
Ustɛm yu fɔ go na ɔspitul (ETU) wantɛm wantɛm?
Sɔntɛnde, blɔd prɛshɔn kin rili ay wantɛm wantɛm. Dɛn kɔl dis wan sik we de mek pɔsin gɛt aypatɛnshɔn . Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
If yu blɔd prɛshɔn pas 180/120 mmHg ɛn yu gɛt dɛn sik ya bak, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm:Go na di (ETU - Imejɛnsi Tritmɛnt Yunit) .
- Di ed we de at bad bad wan
- Palpitations (fɔ fil lɛk se yu at de bit fast) .
- Diziz we pɔsin kin gɛt
- I nɔ kin izi fɔ yu fɔ blo
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
E fayn fɔ ɔndastand yu sik gud gud wan. Nɔ shek fɔ aks dɛn kwɛstyɔn ya di nɛks tɛm we yu go to yu dɔktɔ.
- "Dɔkta, a nid fɔ chenj mi mɛrɛsin dɛn?"
- "Us kɔmbayn mɛrɛsin dɛn we bɛtɛ fɔ mi?"
- "Aw often a fɔ chɛk mi blɔd prɛshɔn na os?"
- "Wetin a fɔ kam si di dɔktɔ bak?"
Na nɔmal tin fɔ fil bad we yu dɔn tek bɔku mɛrɛsin bɔt yu nɔ si ɛni impɔtant tin. Bɔt di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ opin wan ɛn fɛn sɔlv fɔ yu prɔblɛm dɛn.
Mɛsej we dɛn kin kɛr go na os
- Resistant hypertension na wan sik wae de blɔd prɛshɔn nɔr de kɔntrol bɔrku mɛrɛsin. Dis na sɔntin we wi fɔ tek siriɔs wan.
- Dis kin bi bikɔs ɔf di we aw yu de liv yu layf, ɔda mɛrɛsin dɛn we yu de tek, ɔ ɔda sik we de ɔnda yu.
- Di impɔtant pat dɛm fɔ tritmɛnt na fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu ɛn mek chenj na yu layf (fɔ ridyus sɔl we yu de it, ɛksɛsayz).
- If i nɔ izi fɔ yu fɔ kɔntrol yu blɔd prɛshɔn, nɔ pwɛl at, tɔk to yu dɔktɔ opin wan ɛn fɛn di bɛst sɔlv. If dɛn trit am di rayt we ɛn gi dɛn layf to Gɔd, dɛn kin ebul fɔ kɔntrol dis sik.
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