Yu blɔd prɛshɔn kin go ɔp we yu go to dɔktɔ? Dɛn kɔl dis "White Coat Syndrome"!

Yu dɔn ɛva go to dɔktɔ ɛn mek dɛn chɛk yu blɔd prɛshɔn ɛn si se i ay pas aw i de na os? Sɔntɛnde, yu kin tink se, ‘O, a gɛt ay blɔd prɛshɔn?’ Bɔt we yu rich na os ɛn chɛk bak, yu blɔd prɛshɔn nɔmal. Na dat wi go tɔk bɔt, we dɛn kɔl "White Coat Syndrome." Tide, wi go tɔk bɔt wetin i rili bi, wetin mek i kin apin, if i denja, ɛn wetin wi kin du bɔt am.

Wetin na "Wayt Kot Sindrom"?

Fɔ tɔk am simpul wan, "wayt kot sindrom" na we yu go si dɔktɔ, ɔ na ɔspitul, yu blɔd prɛshɔn, ɔ blɔd prɛshɔn, pas aw i fɔ bi. Bɔt i sɔprayz fɔ no se if yu mɛzhɔ yu prɛshɔn na os, i de insay di nɔmal limit. nכmal blכd prεshכn na di sistolik prεshכn we nכ pas 120 milimita mεkkyuri (mmHg) εn di dayastolik prεshכn we nכ pas 80 milimita mεkkyuri . Imajin, yu prɛshɔn kin jɔs go ɔp bifo di dɔktɔ, bɔt na os i nɔmal!

Dis na sɔntin fɔ tink bɔt, bikɔs sɔv dɔn sho se lɛk 5% pan di pipul dɛn we gɛt "wayt kot sindrom" kin rili gɛt ay blɔd prɛshɔn, ɔ ay blɔd prɛshɔn, ɛvri ia .

I impɔtant fɔ mek dɛn chɛk yu blɔd prɛshɔn kɔrɛkt wan. Dis na bikɔs i kin no if yu nid mɛrɛsin ɔ ɔmɔs mɛrɛsin fɔ tek. Imajin if yu blɔd prɛshɔn jɔs go ɔp na di dɔktɔ in ɔfis, so dɛn gi yu wan mɛrɛsin we yu nɔ rili nid, ɔ dɛn gi yu wan mɛrɛsin we pas aw yu fɔ gi yu. Dɔn bak, if yu dɔn ɔlrɛdi de tek mɛrɛsin fɔ yu blɔd prɛshɔn, yu dɔktɔ kin tink se yu mɛrɛsin nɔ de wok, ɛn di prɔblɛm na rili "wayt kot sindrom."

Dis "wayt kot sindrom" na tru? Na lay?

Yɛs, dis na rial tin . Dis nɔto jɔs lay lay stori ɔ sɔntin we pɔsin kin tink bɔt. Risach pipul dεm dכn du bכku stכdi pan dis εn dכkument dεn fכnd dεm. So dis na sɔntin we sayɛnsman dɛn gri wit.

"wayt kot sindrom" denja?

Dis na sɔntin we wi fɔ tink bɔt. Sɔntɛnde, i kin denja. Pipul wae gɛt "wayt kot sindrom" kin gɛt smɔl ay blɔd prɛshɔn pas pipul dɛm wae nɔr gɛt dis sik. Na mɔtalman, stɔdi dɔn sho se pipul dɛm wae dɔn pas 60 ia ɛn na grup dɛm wae gɛt ay risk (i.e. di wan dɛm wae dɔn gɛt hat atak bifo, gɛt dayabitis, ɔr ɔda tin dɛm wae kin mek dɛn gɛt at sik) kin gɛt at sik wit dis sindrom lɛk tu tɛm pas di wan dɛm wae de na grup dɛm wae gɛt bɔrku risk.

Bɔt i pɔsibul se dis risk we de go ɔp nɔto bikɔs ɔf "wayt kot haypatɛnshɔn" nɔmɔ, bɔt na bikɔs ɔf di risk factor dɛm we wi bin dɔn tɔk bɔt. Na dat mek i impɔtant fɔ tɔk to dɔktɔ bɔt dis.

Udat kin gɛt "wayt kot sindrom"?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt am mɔ. Dɛn tin ya na:

• Pipul dɛn we dɔn pas 50 ia.
• Uman dɛn (uman dɛn).
• Pipul dɛn we dɛn jɔs dɔn no se gɛt ay blɔd prɛshɔn.
• Pipul dɛn we fat pasmak.
• Pipul dɛm we nɔ de yuz tabak prodakt (dis kin sɔprayz smɔl, bɔt stɔdi dɔn sho dat).

Aw kכmכn na "wayt kot haypatεnshכn"?

Dis kכndyushכn we dεn kכl "wayt kot haypatεnshכn," de afekt bitwin 15% εn 30% pan pipul dεm we gεt hεy blכd prεshכn. Dat min se lɛk wan pan ɔl tri pipul dɛn we gɛt ay blɔd prɛshɔn kin gɛt am. Nɔto dat nɔmɔ, bɔt i kin kam bak pan pipul dɛn we nɔ gɛt ay blɔd prɛshɔn.

Wetin na di sayn dɛm fɔ "wayt kot sindrom"?

If yu gɛt "wayt kot haypatɛnshɔn," yu kin fil fɔ fred ɛn wɔri we yu go to dɔktɔ. I tan lɛk se yu de jit smɔl. Dis nervɔs kin bɔku we yu go insay di ɛgzam rum, mɔ we dɛn de mɛzhɔ yu blɔd prɛshɔn. Sɔm pipul dɛn kin swet bak ɛn gɛt at we de bit.

Aw "wayt kot sindrom" kin afɛkt yu bɔdi?

Dis nɔto jɔs fɔ fred di dɔktɔ. If "wayt kot sindrom" de fɔ lɔng tɛm, i kin gɛt fɔ du wit:

• Yu at dɛn kin stif.
• Di blɔd vesel dɛn nɔ kin wok fayn.
• Di risk fɔ day we gɛt fɔ du wit at sik (cardiovascular mortality) kin go ɔp.
• di risk fכ lεft vεntrikulכr haypatrכfi kin inkrεs.
• Di risk fɔ gɛt dayabitis ɔ ay blɔd prɛshɔn kin go ɔp.

Dat se, dis nɔto sɔntin fɔ tek am layt. I impɔtant fɔ mɛmba se ilɛksɛf yu blɔd prɛshɔn go ɔp bifo dɔktɔ, i kin afɛkt yu bɔdi fɔ lɔng tɛm.

Wetin mek dis "wayt kot sindrom" kin apin? Wetin na di kɔz?

Imajin, yu go go to dɔktɔ, ɛn yu de fred smɔl, yu want fɔ no smɔl, lɛk, ‘Aw mi blɔd prɛshɔn go bi? Wetin yu go du if i ay?’ Da tɛm de, yu bɔdi, bikɔs yu de wɔri bɔt wetin go apin, kin du sɔntin fɔ insɛf . I tan lɛk we wi si denja, wi bɔdi de rɛdi insɛf fɔ "fayt ɔ flay." Fɔ go na di dɔktɔ in ɔfis, fɔ go insay di ɛgzam rum, ɛn leta fɔ mek dɛn chɛk yu blɔd prɛshɔn ɔl kin mek dɛn du dis.

Dɔn bak, wi blɔd prɛshɔn nɔ kin de di sem ɔl di de. Na nɔmal tin fɔ mek i chenj wit tin dɛn lɛk:

• Di tɛm fɔ di de (i kin difrɛn bitwin mɔnin, aftanun, ɛn nɛt).
• Ilɛksɛf yu rɛst bifo yu mɛzhɔ yu blɔd prɛshɔn ɔ yu nɔ rɛst.
• Di kayn nɔys we de pwɛl di say we yu de.
• Yu maynd stet (ilɛksɛf yu gladi, yu at pwɛl, ɔ yu de fred).

Aw fɔ no "wayt kot sindrom"?

Yu dɔktɔ go ebul fɔ no dis if yu blɔd prɛshɔn ay pas aw i fɔ bi (140 mmHg ɔ pas dat na di sistolik ɛn/ɔ 90 mmHg ɔ pas dat na di dayastolik) at le tri tɛm we yu de go. Bɔt yu fɔ chɛk yu blɔd prɛshɔn bak wit 24 awa ambulatory blɔd prɛshɔn monitarin ɔ os blɔd prɛshɔn monitarin.

Jɛnɛral wan, if yu blɔd prɛshɔn smɔl pas 135/85 mmHg we dɛn de wach yu fɔ 24 awa (na os), bɔt i pas 140/90 mmHg we di dɔktɔ chɛk am, den dɛn kin sɔprayz se "wayt kot sindrom".

Ambulatory Blood Pressure Monitoring (ABPM) na smɔl tin we yu kin wɛr na yu an ɔ yu an fɔ 24 awa ɛvride. I kin mɛzhɔ ɛn rayt yu blɔd prɛshɔn ɔtomɛtik wan ɔl di de, we yu de wok ɛn slip. Dis na aw yu go no gud gud wan aw yu blɔd prɛshɔn tan na os.

Dis "wayt kot sindrom" de go?

Bɔrku tɛm, dis sik kin de fɔ lɔng lɔng tɛm . Ivin if yu go si di sem dɔktɔ ɛvri ia, ilɛksɛf yu gɛt padi biznɛs wit da dɔktɔ de ɛn yu fil fayn, i go mɔs bi se dis go kɔntinyu. Dis min se dis nɔto jɔs fɔ fred di dɔktɔ , bɔt na sɔntin we rili kɔmpleks.

Aw dɛn kin trit "wayt kot sindrom"?

Yu dɔktɔ go mɔs tɛl yu fɔ chɛk yu blɔd prɛshɔn ɔltɛm na os. Dis go ɛp yu fɔ no if yu rili gɛt ay blɔd prɛshɔn. Yu kin bay ɔtomɛtik blɔd prɛshɔn monita fɔ yuz na os. Ɔ, sɔm famasi dɛn gɛt mashin dɛn we de mɛzhɔ yu blɔd prɛshɔn, nɔto so? Yu kin yuz dɛn wan dɛn de bak.

Apat frɔm dat, yu dɔktɔ kin aks yu fɔ mek sɔm chenj dɛn na yu layf, lɛk:

• Ɛksesaiz mɔ ɛn mɔ. Sɔntin lɛk fɔ waka fɔ at le 30 minit ɛvride.
• Fɔ lɔs yu wet . I impɔtant fɔ mek yu gɛt wet we fit yu ayt.
• Ridyus di sɔl we yu de it. Limit tin dɛn lɛk pikɛl, dray fish, ɛn sosish.
• Fɔ avɔyd fɔ yuz tin dɛn we dɛn mek wit tabak .

Bɔt if yu gɛt ɔda tin dɛn we kin mek yu gɛt prɔblɛm wit yu at ɛn blɔd, lɛk fɔ fat ɛn fɔ smok, yu dɔktɔ kin tɛl yu bak fɔ bigin tek mɛrɛsin dɛn we de mek yu blɔd prɛshɔn go dɔŋ, we dɛn kɔl "antihypertensives."

Wetin dɛn kin du fɔ pul, ɔ ridyus, "wayt kot sindrom"?

If yu ebul, tray fɔ de kwayɛt ɛn rilaks we yu go to dɔktɔ. Dis go ɛp yu fɔ gɛt yu blɔd prɛshɔn as klos to di lɛvɛl we yu gɛt na os. Si if dɛn advays ya ɛp:

• Bil gud padi biznɛs wit yu dɔktɔ. Dis go ɛp yu fɔ fil fayn fɔ tɔk to am. If yu nɔr fil fayn wit yu dɔktɔ naw, tray fɔ fɛn ɔda dɔktɔ.
• Rayt sɔm kwɛstyɔn dɛn we yu want fɔ aks ɛn tek dɛn wit yu. Dɔn yu nɔ go wɔri fɔ tink se, "O, a fɔgɛt fɔ aks dat."
• Tek smɔl ɛkstra tɛm bifo yu go na yu apɔntinmɛnt. Pak yu motoka, go witout eni wori, en yu go fil fri.
• Nɔ smok, drink kɔfi, ɔ du ɛksɛsayz fɔ af awa bifo yu apɔntin. Dɛn tin ya kin mek yu blɔd prɛshɔn go ɔp fɔ sɔm tɛm.

Mεdikeshכn dεm fכ "White Coat Syndrome" εn dεn sayd ifekt dεm

Dɔktɔ dɛn kin jɔs gi yu mɛrɛsin fɔ "wayt kot sindrom" if yu gɛt ɔda tin dɛn we kin mek yu gɛt at sik. Bɔrku tɛm, tritmɛnt kin gɛt fɔ chenj aw yu de liv yu layf , lɛk fɔ lɛf fɔ it bɔku bɔku it ɛn fɔ stɔp sɔl we yu de it. Bɔt pipul dɛm wae gɛt bɔrku risk fɔ gɛt hat sik kin nid fɔ tek mɛrɛsin wae de mek dɛn blɔd prɛshɔn dɔŋ ("antihypertensives").

Lɛk ɛni mɛrɛsin, blɔd prɛshɔn mɛrɛsin kin mek sɔm pipul dɛn gɛt smɔl smɔl sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt sɔm pipul dɛn kin gɛt tin dɛn lɛk:

• Fɔ fil se yu gɛt diziz.
• Ed de at.
• Fɔ fil lɛk se yu bɛlɛ dɔn pwɛl.

If dis apin, tɛl yu dɔktɔ . I kin ebul fɔ chenj di mɛrɛsin ɔ ajɔst di doz.

Aw fɔ ridyus di risk fɔ "wayt kot sindrom"?

If yu tɔk to yu dɔktɔ ɛn ɛksplen wetin de mɔna yu , yu go rili ridyus yu fred ɛn wɔri. dis kin ridyus bak di risk fכ divεlכp "wayt kot haypatεnshכn."

If a geht "white coat syndrome", wetin a fo ehkspihkt?

Stɔdi dɔn sho se pipul dɛm wae gɛt "wayt kot haypatɛnshɔn" kin gɛt bɔrku risk fɔ gɛt prɔblɛm wit dɛn at pas di wan dɛm wae gɛt nɔrmal blɔd prɛshɔn. Dis min se nɔto sɔntin we yu kin jɔs ignore na di dɔktɔ in ɔfis. Bɔt di tin we impɔtant pas ɔl na fɔ wach yu blɔd prɛshɔn na os ɛn mek di chenj dɛn we yu dɔktɔ se yu fɔ liv yu layf. If nid de, i impɔtant bak fɔ tek di mɛrɛsin we dɛn gi yu jɔs lɛk aw dɛn tɛl yu fɔ tek.

Aw a kin kia fɔ misɛf?

• Chek yu blɔd prɛshɔn ɔltɛm na os. Dis go ɛp yu fɔ no if yu blɔd prɛshɔn de insay di nɔmal limit.
• If yu blɔd prɛshɔn de ɔp ɔltɛm ivin we yu de chɛk am na os, mek shɔ se yu go to yu dɔktɔ. Da we de, yu go ebul fɔ no if yu blɔd prɛshɔn rili ay.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fɔgɛt fɔ aks kwɛstyɔn dɛn lɛk dis. Da we de, yu go ebul fɔ ɔndastand dis fayn fayn wan.

• "Dɔkta, aw ɔltɛm a fɔ chɛk mi blɔd prɛshɔn na os?"
• "Aw a go de mekɔp mi blɔd prɛshɔn kɔrɛkt wan na os? Di rayt we de fɔ du am?"
• "If a bring mi blɔd prɛshɔn monita na os, di dɔktɔ kin chɛk if i kɔrɛkt?"

We yu aks kwɛstyɔn dɛn lɛk dis, dat go mek yu gɛt bɔku pawa, ɛn i go ɛp di dɔktɔ fɔ ɔndastand yu sik fayn fayn wan.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya? (Mɛsej we dɛn kin tek go na os)

We di dɔktɔ mɛzhɔ yu blɔd prɛshɔn ɛn se i ay, yu nɔ kin fil fayn ɛn ivin fred smɔl. Dat na nɔmal tin. Bɔt i nɔ kin min ɔltɛm se yu blɔd prɛshɔn rili ay. Sɔntɛm yu jɔs de fred smɔl ɔ yu de fred bikɔs yu de na di dɔktɔ in ɔfis. Dɛn kɔl dat "White Coat Syndrome."

Di tin we impɔtant pas ɔl na fɔ chɛk yu blɔd prɛshɔn ɔltɛm na os. Chek am na famasi ɔ wit monita na os. If di valyu dɛn na os nɔmal, tɛl yu dɔktɔ . Dɔn i kin ɔpdet yu rɛkɔd dɛn. Dɔn bak, if di prɛshɔn stil bɔku we yu de chɛk am na os, yu fɔ rili tɛl yu dɔktɔ . Bikɔs da tɛm de i min se yu kin rili gɛt ay blɔd prɛshɔn. Di wangren we fɔ no gud gud wan wetin na di sik na fɔ de wach yu blɔd prɛshɔn ɔltɛm ɛn tɔk to yu dɔktɔ bɔt am. Nɔ wɔri, if yu no bɔt dis ɛn manej am fayn, yu kin gɛt wɛlbɔdi!

` Wait kot sindrom, ay blɔd prɛshɔn, blɔd prɛshɔn, dɔktɔ, wɔri, at sik, blɔd prɛshɔn