Ay blɔd prɛshɔn, ɔ as wi ɔl no, "prɛshɔn," na wan kɔmɔn wɛlbɔdi prɔblɛm fɔ bɔku pipul dɛn na wi kɔntri. Sɔntɛnde, i nɔ kin izi fɔ kɔntrol di prɛshɔn wit jɔs wan mɛrɛsin. If na so i bi, yu dɔktɔ kin gi yu tu ɔ mɔ mɛrɛsin dɛn we dɛn jɔyn togɛda. Tide, wi go tɔk bɔt wan pan dɛn kayn kɔmbayn mɛrɛsin ya we dɛn kin yuz, we na Telmisartan ɛn Amlodipine.
Fɔ tɔk am simpul wan, us kayn mɛrɛsin dis?
A se dis na tu kayn mɛrɛsin we dɛn jɔyn. Lɛ wi luk wetin na dɛn tu kayn tin dɛn de ɛn aw dɛn kin afɛkt di bɔdi.
1. Telmisartan: dis de pan di klas fכ dכg dεm we dεn kכl ``Angiotensin II rεsεpכta blכk dεm''. Fɔ tɔk am simpul wan, wan kemikal we dɛn kɔl angiotensin II we de na wi bɔdi kin mek wi blɔd vesel dɛn (blɔd vesel dɛn) kɔnstrikt. Jɔs lɛk aw fɔ swɛt wata paip kin mek di wata flɔ fast, we di blɔd vesel dɛn kin kɔnstrikt, di prɛshɔn we di blɔd we de flɔ tru dɛn kin gɛt kin go ɔp. Dis mɛrɛsin we dɛn kɔl telmisartan de stɔp da kemikal de fɔ mek i nɔ wok. Dɔn di blɔd vesel dɛn kin fri ɛn rilaks, so di blɔd kin muv izi wan. Dis kin mek di prɛshɔn nɔ bɔku.
2. Amlodipine: dis de pan di grup we dεn kכl ``Calcium channel blocker''. Dis kin wok bak bay we i de rilaks di blɔd vesel dɛm, bɔt na difrɛn we. Dis mɛrɛsin de mek di kalsiɔm nɔ go insay di wɔl dɛn na di blɔd vesel ɛn insay di at mɔsul. we di kalsiכm dכn dכn, di mכsul dεm we de kכntrakt bak de dכn. Dis kin mek di blɔd vesel dɛn rilaks mɔ, ɛn dis kin mek di at ebul fɔ pɔmp blɔd izi wan.
So we dɛn put dɛn tu mɛrɛsin ya togɛda, bɔku tɛm dɛn kin gɛt gud tin bikɔs dɛn kin kɔntrol blɔd prɛshɔn pan ɔl tu di we dɛn. Dis mɛrɛsin de bak na di makit ɔnda di brand nem Twynsta.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
I impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi istri bifo yu gi yu dis mɛrɛsin. Mek shɔ se yu tɛl dɛn bɔt ɛni wan pan dɛn tin ya, mɔ if yu gɛt ɛni wan pan dɛn:
- At sik: If yu dɔn gɛt at atak bifo, yu gɛt at prɔblɛm, ɔ yu gɛt ɔda at sik.
- Kidni sik: If yu gɛt ɛni sik na yu kidni.
- Liva sik: If yu gɛt ɛni liva wik ɔ sik, bikɔs di liva de ple impɔtant pat fɔ pul dis mɛrɛsin kɔmɔt na di bɔdi.
- Alɛji dɛn:Tɛl wi if yu gɛt ɛni alɛji to dɛn tu mɛrɛsin ya (Telmisartan, Amlodipine), ɔda mɛrɛsin dɛn, it dɛn, ɔ tin dɛn we de mek yu nɔ pwɛl.
- Bɛlɛ: Dis rili impɔtant if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu tink se yu go gɛt bɛlɛ . Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan.
- If yu na mama we de gi pikin in bɛlɛ: Tɛl di dɔktɔ bak if yu na mama we de gi pikin in bɛlɛ.
Aw a fɔ yuz di mɛrɛsin?
- Kɔrɛkt doz: Yuz di kɔrɛkt doz lɛk aw yu dɔktɔ tɛl yu. Nɔ ɛva ridyus, inkrisayz, ɔ stɔp di doz ɛni tɛm.
- Tɛm ɔltɛm: Mek yu abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Dis go mek i nɔr go fɔgɛt fɔ tek yu mɛrɛsin ɛn i go ɛp fɔ mek di mɛrɛsin kɔntinyu fɔ de na yu bɔdi.
- Wit ɔ atɔl it: Dɛn kin tek dis mɛrɛsin bifo ɔ afta it. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn bɛlɛ if dɛn tek dɛn wit it.
- If yu fɔgɛt: If yu fɔgɛt fɔ tek wan pil, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek tu pils wan tɛm (dɔbul doz) fɔ ɛni rizin.
- Ɔvados: If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Di tin we impɔtant pas ɔl na dat, dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi dis mɛrɛsin to ɛni ɔda pɔsin we gɛt di sem sik lɛk yu.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I impɔtant fɔ tɛl yu dɔktɔ if yu de tek ɛni ɔda mɛrɛsin, vaytamɛn, ɔ ɛbul prɔdak (lɛk Ayurveda mɛrɛsin, dɛkɔkshɔn) we yu de tek dis mɛrɛsin. Sɔm tin kin miks wit dis mɛrɛsin ɛn kɔz bad bad tin.
| Sɔbstans dɛn we kin mek prɔblɛm | Wan simpul ɛksplen |
|---|---|
| Di tin dɛn we dɛn kin yuz fɔ sɔpɔt potashɔm | Dis mɛrɛsin kin mek di bɔdi gɛt mɔ potashɔm. If yu tek potassium frɔm ɔdasay, dat kin mek dɛn lɛvɛl dɛn de go ɔp bad bad wan. |
| Sɔl we de tek ples fɔ sɔl | Bɔku pan di tin dɛn we dɛn kin yuz fɔ mek sɔl gɛt potashɔm klorayd, so nɔ du dɛn tin ya. |
| Sɔm diuretik dɛn | Sɔm diuretics, we dɛn kɔl ‘wata pills’, kin afɛkt di potassium lɛvɛl. |
| Ɔda mɛrɛsin dɛn we dɛn kin yuz fɔ mek blɔd prɛshɔn | If yu tek am wit ɔda blɔd prɛshɔn mɛrɛsin dɛn, dat kin mek yu blɔd prɛshɔn go dɔŋ tumɔs. |
| Tin dɛn lɛk Rifampin, Sɛnt Jɔn Wɔt | Dɛn tin ya kin mek di Telmisartan/Amlodipine nɔ wok fayn. |
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt we yu de tek di mɛrɛsin
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya nɔ kin siriɔs, bɔt sɔm kin nid fɔ pe atɛnshɔn to dɛn wantɛm wantɛm.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Siriɔs alɛji dɛn | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Diziz/vɛrtigo | Blu yay, diziz, ɛn fɔdɔm (espɛshali we yu de grap). |
| Chɛst de pen | Nyu ɔr de wɔs pen na yu chɛst. |
| De swɛl | Di an, anklɛ, ɔ fut kin swel. |
| Di chenj dɛn we de apin na di at rit | Fɔ fil lɛk se yu at de bit fast ɔ nɔ de bit ɔltɛm. |
| Chenj we yu de pis | I nɔ izi fɔ pis ɔ di urine we de kɔmɔt na di bɔdi nɔ de kɔmɔt fayn. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Kɔf | Sɔm pipul dɛn kin gɛt dray kɔf. |
| Ed de at | I kin apin ali we yu de tek di mɛrɛsin. |
| Bɛlɛ nɔ kin fil fayn | Gas , blo, nɔs. |
| Taya/taya | Wan filin wae de mek yu nɔr fil fayn na yu bɔdi. |
Ɔda tin dɛn we yu fɔ tink bɔt we yu de tek di mɛrɛsin
- Diziz: Dis mɛrɛsin kin mek yu fil fɔ slip ɔr yu ed de tɔn. So, nɔ du tin dɛn we nid fɔ de wach, lɛk fɔ drayv ɔ fɔ yuz mashin, te yu no aw dis mɛrɛsin de afɛkt yu. Grap sloslo, mɔ if yu dɔn ol, we yu de grap na bed ɔ na chia.
- Alkol: If yu drink rɔm, i kin mek yu gɛt mɔ diziz we dis mɛrɛsin kin mek yu ed ɛn mek yu blɔd prɛshɔn go dɔŋ we yu nɔ nid. So, i fayn fɔ lɛ wi avɔyd fɔ drink rɔm.
- Ɔpreshɔn: If yu go gɛt ɛni ɔpreshɔn, mek shɔ se yu tɛl di dɔktɔ we de du di ɔpreshɔn ɛn di dɔktɔ we de anestez se yu de tek dis mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt tɛm, ɛn di rayt doz.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu nɔ gɛt dɔktɔ advays.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud Ayurvedic) ɛn ɛni mɛrɛsin we yu gɛt.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, i impɔtant fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni bad bad tin lɛk fɔ swel na yu fes, yu an ɛn fut, yu chɛst de pen, ɔ yu de tɔn bad bad wan.
- Mekɔp yu blɔd prɛshɔn na os ɛn kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm.
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