Yu de tek mɛrɛsin fɔ yu blɔd prɛshɔn bɔt dɛn nɔ de kɔntrol am fayn? Ɔ yu gɛt ay blɔd prɛshɔn pan ɔl we yu yɔŋ? Yu go tink se na dis na di ay blɔd prɛshɔn. Bɔt nɔto ɔl di ay blɔd prɛshɔn sik kin gɛt wan patikyula kɔz. Sɔntɛnde, ɔda sik na wi bɔdi, we na mɛrɛsin we wi kin tek, kin mek wi gɛt dis ay blɔd prɛshɔn. Tide, wi de tɔk bɔt ay blɔd prɛshɔn we kin apin bikɔs ɔf dis kayn patikyula kɔz, dat na, sɛkɔndari haypatɛyshɔn .
Wetin na Sɛkɔndari Haypatɛyshɔn?
Fɔ tɔk am simpul wan, dis min fɔ ay blɔd prɛshɔn we kin kam bikɔs ɔf wan patikyula tin we wi kin no , lɛk ɔda sik na wi bɔdi ɔ wan mɛrɛsin we wi de tek.
Di nɔmal blɔd prɛshɔn we bɔku pan wi no, lɛk aw dɔktɔ dɛn se, nɔ go ebul fɔ fɛn am fɔ Praymari Haypatɛyshɔn . Bɔku tin dɛn lɛk wi jin, di we aw wi de liv wi layf, wetin wi de it, ɛn we wi nɔ de du ɛksasaiz, kin afɛkt am. Bɔt insay `Secondary Hypertension`, i nɔ tan lɛk dat, wi kin pɔynt wi finga pan am ɛn se, `Ah... dis na di rizin fɔ di prɛshɔn'.
Imajin dis. Di wata we de kɔmɔt na yu pɔt dɔn go dɔŋ. Yu de chɛk fɔ si if wata de na di tank. Wata de de. So wetin na di prɔblɛm? Sɔntɛm sɔntin dɔn stɔp insay wata paip. Na so i bi wit dis. Di prɛshɔn kin bɔku, bɔt di rizin fɔ dat nɔto prɔblɛm wit di prɛshɔn insɛf, bɔt na prɔblɛm ɔdasay na di bɔdi.
Dɔktɔ dɛn bin de tink se na 5% to 10% pan di pipul dɛn we gɛt ay blɔd prɛshɔn nɔmɔ gɛt sɛkɔndari haypatɛyshɔn. Bɔt nyu risach dɔn sho se di nɔmba kin pas dat fa fawe, bikɔs bɔku tɛm dɛn nɔ kin no di sik di rɔŋ we ɛn dɛn kin trit am lɛk se na nɔmal blɔd prɛshɔn.
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt sɛkɔndari haypatɛnshɔn?
Naw yu kin de wɔnda us kayn sik kin kam wit dis. Luk dis list. Dɛn tin ya na di tin dɛn we kin mek pɔsin gɛt dis sik. Lɛ wi luk ɛni wan pan dɛn tin ya mɔ.
| Mek | Wan simpul ɛksplen |
|---|---|
| Obstructive Slip Apnea we de mek pɔsin nɔ ebul fɔ slip | We yu de slip, di mɔsul dɛn na di trot kin rilaks ɛn di say we yu de blo kin blok, ɛn dis kin mek yu nɔ ebul fɔ blo fɔ smɔl tɛm. dis tεm, di כksijεn we de na di bכdi de dכn, we de put mכr strεs pan di at. As dis de kɔntinyu, blɔd prɛshɔn de go ɔp. |
| Rεnal Atεri Sεnɔsis | Di kidni na wan impɔtant ɔgan we de kɔntrol blɔd prɛshɔn na wi bɔdi. We di blɔd vesel dɛn we de gi dɛn kin smɔl, di kidni dɛn nɔ kin gɛt inof blɔd. Dɔn di kidni dɛn kin tink se di blɔd prɛshɔn na di bɔdi nɔ bɔku, so dɛn kin pul ɔmon dɛn we kin mek di prɛshɔn go ɔp. |
| Prɔblɛm dɛn we de na di ɔmon dɛn | fכ egzampl, pan kכndyushכn dεm lεk Primary Aldosteronism (Conn's Syndrome) εn Cushing Syndrome , di כmon dεm we de kכntro di כmכnt כf sכl εn wata na di bכdi de prodyuz pasmak. Dis kin mek di blɔd prɛshɔn go ɔp. di prεshכn kin chenj bak biכs fכ di inkrεs (Hyperthyroidism) כ di dכn (Hypothyroidism) aktiviti fכ di tayroyd gland. |
| Renal Parenchymal Disiz we pɔsin kin gɛt | Sik dɛm we kin pwɛl di kidni dɛnsɛf kin mek dɛn nɔ ebul fɔ rigul di wata ɛn sɔl we de na di bɔdi fayn fayn wan, ɛn dis kin mek bak di blɔd prɛshɔn ay. |
| Sɔm mɛrɛsin ɛn ɔda tin dɛn | Sɔm pan di tin dɛn we wi kin yuz, lɛk mɛrɛsin fɔ mek pɔsin nɔ fil pen, mɛrɛsin fɔ mek i nɔ bɔn pikin, ɛn mɛrɛsin fɔ kol, kin mek di blɔd prɛshɔn go ɔp. Apat frɔm dat, fɔ drink pasmak rɔm, tabak, ɛn ɔda drɔgs kin afɛkt bak. |
| Sɔm kayn tumbu dɛn | di tכmכro dεm we de divεlכp na di adrenal gland dεm lεk fεochromocytoma εn paraganglioma, de mek כmon dεm we pasmak. Dɛn ɔmon ya kin mek di at rit ɛn blɔd prɛshɔn go ɔp wantɛm wantɛm. |
| Hat sik we dɛn bɔn wit (Coarctation of the Aorta) . | Dis kin apin we di aorta, we na di men blɔd vesel we de kɛr blɔd frɔm di at to di bɔdi, kin smɔl. Dis kin mek di at wok tranga wan fɔ pɔmp blɔd tru di say we dɔn smɔl. Dis kin mek di prɛshɔn bɔku. |
Mɛrɛsin ɛn ɔda tin dɛn we kin mek yu blɔd prɛshɔn go ɔp
Sɔm pan di mɛrɛsin dɛn we wi kin tek kin mek wi blɔd prɛshɔn go ɔp bak we wi nɔ no.
- Sɔm mɛrɛsin fɔ kol ɛn alɛji (Decongestants) .
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen (NSAID) .
- Pils fɔ kɔntrol bɔn pikin (Oral Contraceptives) .
- Sɔm mɛrɛsin dɛn we de mek pɔsin in at pwɛl
- Kɔtikosterɔyd dɛn - ɛgz. prɛdnisɔn we dɛn kɔl prednison
- Di tin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik
- Sɔm mɛrɛsin dɛn fɔ kansa
Di tin we impɔtant pas ɔl: Ilɛksɛf yu tink se wan mɛrɛsin we yu dɔktɔ dɔn gi yu de mek yu blɔd prɛshɔn go ɔp, nɔ ɛva stɔp fɔ tek am fɔ yusɛf. I impɔtant fɔ tɔk to yu dɔktɔ fɔs ɛn aks fɔ advays.
Apat frɔm dat, fɔ drink rɔm pasmak, fɔ yuz nikotin, fɔ tek sɔm ɛbul supamakit , ɛn fɔ tek drɔgs we nɔ rayt , na dɛn bak kin mek pɔsin gɛt ay blɔd prɛshɔn.
Wetin na di sayn dɛm fɔ sɛkɔndari haypatɛnshɔn?
Bɔrku tɛm, nɔr simptom nɔr de wae gɛt fɔ du wit `Sɛkɔndari Haypatɛnshɔn`. Dis min se yu nɔ go notis bɔku difrɛns pan yu blɔd prɛshɔn (pas nɔmɔ i go ay pasmak). Bɔt yu kin gɛt sayn dɛn fɔ di ɔndalayn kɔndishɔn we de mek yu gɛt ay blɔd prɛshɔn .
Fɔ ɛgzampul, if yu blɔd prɛshɔn na bikɔs yu gɛt tayroyd prɔblɛm, yu kin gɛt sɔm tin dɛn lɛk we yu at kin bit, yu kin swet pasmak, ɛn yu kin lɛf fɔ it bɔku bɔku it. Semweso, di sayn dɛm go difrɛn difrɛn wan bay di ɔndalayn kɔz.
Ustɛm dɔktɔ kin bigin fɔ dawt dis?
Bɔku tin dɛn de we kin mek yu dɔktɔ tink se yu gɛt sɛkɔndari haypatɛyshɔn. Dɛn kɔl dɛn tin ya "rɛd flag" fɔ di kɔndishɔn.
- If yu blɔd prɛshɔn nɔmal fɔ kɔntrol ɛn i go go ɔp wantɛm wantɛm.
- If pɔsin we nɔ rich 30 ia yet gɛt ay blɔd prɛshɔn.
- If di prɛshɔn go ɔp wantɛm wantɛm we denja (Hypertensive Crisis).
- If yu nɔ ebul fɔ kɔntrol yu blɔd prɛshɔn pan ɔl we yu de yuz tri ɔ mɔ mɛrɛsin (Resistant Hypertension).
Apat frɔm dis, .If yɔŋ pikin in blɔd prɛshɔn go ɔp bifo i rich di tɛm we i de bɔn, dat go mɔs bi se na wan men tin we kin mek wi luk fɔ ɔda tin we kin mek wi gɛt am.
Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?
If dɛn nɔ trit dis sik, di ay blɔd prɛshɔn fɔ lɔng tɛm kin pwɛl di at, blɔd vesel, bren, ɛn kidni. Wi kin kɔl dis at sik we de mek pɔsin gɛt ay blɔd .
Dɔn bak, kɔmplikeshɔn kin kam frɔm di ɔndalayn mɛdikal kɔndishɔn we mek di prɛshɔn. Bɔt wan gud say de fɔ dis. Fɔ no `Sɛkɔndari Haypatɛnshɔn` kin bi di fɔs tin we go mek yu no ɔda sik we bin ayd na yu bɔdi. So, fɔ trit am na fayn tin fɔ mɛn di sik we de ɔnda am bak.
Aw dɔktɔ dɛn kin no bɔt dis sik?
Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt dis sik, sɔntɛnde i kin tek sɔm tɛm fɔ mek dɛn no di sik kɔrɛkt wan. Di dɔktɔ kin gɛt fɔ pul sɔm tin dɛn we kin mek i apin ɛn fɔ chɛk ɔda wan dɛn mɔ dip wan.
Di tɛst prɔses tipikli go lɛk dis:
1. Fɔs , yu dɔktɔ go chɛk yu bɔdi, aks yu bɔt yu mɛdikal istri, di mɛrɛsin dɛn we yu de tek, ɛn di supamakit dɛn we yu de tek. I go tɔk bak bɔt aw yu de it, aw yu de drink sɔl, ɛn aw yu de drink rɔm.
2. Besik tɛst: Dɔn dɛn kin du EKG (ECG) tɛst, sɔm besik blɔd ɛn urine tɛst dɛn .
3. Spɛshal tɛst: If di kɔz nɔ klia frɔm di fɔs tɛst dɛn, dɛn kin du ɔda spɛshal tɛst dɛn dipen pan di mɛdikal kɔndishɔn we dɛn tink se gɛt.
- Kidni Ɔltrasɔund
- CT Angiogram ɔ MRA (spɛshal skan we de luk di blɔd vesel dɛn) .
- Slip stɔdi ɔ polysomnography
- Mɔ blɔd ɛn urine tɛst fɔ luk fɔ patikyula ɔmon lɛvɛl
Aw dɛn kin trit am?
Di tritmɛnt fɔ dis kin dipen ɔl pan di tin we mek di prɛshɔn de. No wan saiz tritmɛnt nɔ de fɔ ɔlman. Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu ɛn ɛksplen am to yu.
Yu tritmɛnt plan kin gɛt fɔ du wit:
- Fɔ tek mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ.
- Fɔ tek ɔda mɛrɛsin fɔ trit wan ɔndalayn mɛdikal kɔndishɔn.
- fכ mek chenj dεm na di it (e.g. fכ ridyus di sכl).
- Fɔ stɔp fɔ drink rɔm.
- Fɔ lɛf fɔ smok kpatakpata.
- Fɔ du ɛksɛsayz ɔltɛm.
- If yu gɛt prɔblɛm fɔ blo we yu de slip, yuz tin lɛk CPAP mashin .
- Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn ɔ ɔda tin dɛn we dɛn kin du fɔ mɛn pipul dɛn.
If yu trit dis sik, dat kin gi yu fayn fayn tin. We dɛn dɔn trit di tin we mek yu blɔd prɛshɔn fayn, yu blɔd prɛshɔn kin kam bak to nɔmal. If yu blɔd prɛshɔn kɔntinyu fɔ go ɔp smɔl, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin fɔ kɔntrol am. De tin wae impɔtant pas ɔl na fɔ fɛn di tin wae de mek yu gɛt dis sik ɛn trit am fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Nɔto ɔl di ay blɔd prɛshɔn sik dɛn na di sem. Sɔntɛm wan patikyula tin de we kin mek yu gɛt yu blɔd prɛshɔn.
- If yu nɔ de kɔntrol yu blɔd prɛshɔn wit mɛrɛsin, if i bigin we yu yɔŋ, ɔ if i go ɔp wantɛm wantɛm, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
- We dɛn trit di ɔndalayn kɔz, bɔku tɛm dɛn kin kɔntrol di prɛshɔn, ɛn sɔm tɛm dɛn kin ivin wɛl ɔl.
- Nɔ stɔp fɔ tek mɛrɛsin we dɔktɔ gi yu fɔ yusɛf. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, tɔk bɔt am wit yu dɔktɔ fɔs.
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