SAY ni DOK | Hypertension o high blood pressure - video Dailymotion

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Transcript

00:00Ngayong maga, tatalakayin po natin ang isa sa mga pinakakaraniwang kondisyon na kinakaharap po ng maraming Pilipino.

00:06Ito po yung hypertension o altapresyon.

00:08Sa itong silent killer, dahil madalas, wala po itong sintomas,

00:12ngunit maaring humantong sa malubhang komplikasyon tulad po ng stroke,

00:16atake sa puso at iba pang seryosong komplikasyon.

00:18At para po mas mapalalim yung ating kalaman patungkol dito,

00:22makakapalayin po natin ngayon ang presidente ng Philippine Society of Hypertension,

00:26na si Dr. Alejandro Bimbo Diaz.

00:28Magandang umaga po, Doc, at welcome to Rising Shine, Pilipinas.

00:34Magandang umaga sa inyo lahat.

00:35Alright, Doc Tia, si Diane Quirier po ito with Audrey Guraseta.

00:38Doc, ano po bang hypertension at bakit ito tinatawag na silent killer?

00:42At ano-ano bang iba't ibang uri po nito?

00:46Maraming salamat sa pagkakataon, Diane.

00:49Gusto ko lang introduce na may bago na tayong kategory.

00:53Ito ay introduced ng European Society of Cardiology and Hypertension.

00:58Na tatlo na lang ang kategory, bagong kategory.

01:01Inintroduce nila yung non-elevated blood pressure,

01:05which should be less than 120 over 70.

01:09Bagong kategory,

01:11between 120 to 139,

01:15systolic blood pressure,

01:16over 70 to 89.

01:18Ito na yung elevated blood pressure na kategory.

01:21Tsaka yung classical na hypertension,

01:24140 over 90 and above.

01:26So tatlo na lang para mas practical.

01:28Kasi bakit ginawa din na ito?

01:30Kasi ang tagal-tagal na gumagawa ng mga guidelines,

01:33Amerika, lahat tayo,

01:34ang prevalence ng hypertension,

01:36tsaka yung komplikasyon,

01:37ito mataas pa rin.

01:39So kinakailangan na ngayon,

01:40dahil nasa unretired information aids,

01:42digital transformation,

01:44kailangan mas ma-praktikal,

01:46ma-pragmatic,

01:47na mas madaling maintindihan ng mga tao.

01:50So ulitin ko,

01:51yung dating kategory na hypertension,

01:54140 over 90,

01:56huwag natin papuntahin doon.

01:57Dapat alam ng tao,

01:58yung special category ng elevated blood pressure,

02:02which I say,

02:02it starts at 120 over 70.

02:05At in normal yun, di ba?

02:0630 over 80.

02:07Ngayon,

02:08120 to over 70,

02:11up to 139,

02:13di ba 140,

02:14over 89.

02:15Pagka nandito ka sa category ng yun,

02:17ay kailangan lifestyle change ka na muna.

02:20Kung sa loob ng tatlong buwan,

02:22at hindi mo pa napapatarget yung blood pressure mo

02:25to 120 to 129,

02:27or less than 130 systolic blood pressure,

02:30kailangan siguro,

02:31tingnan kung may risk factor ka,

02:33at mag-umpisa ka ng uminom na gamot,

02:35aside from lifestyle changes.

02:37Ano itong mga lifestyle changes?

02:39Siyempre,

02:40yung dietary,

02:41Pilipino,

02:42ang pagkain natin,

02:42maalat.

02:44So, kung wala kang kidney disease,

02:45eat more potassium-rich food

02:47or potassium supplement

02:49para matulungan ang pagpababa.

02:51Saka mga ibang lifestyle changes,

02:52like exercise,

02:53tamang pagpagtulog,

02:55less mental stress,

02:57namang ganun bagay,

02:58in addition to medication.

03:00Kasi,

03:01ang blood pressure,

03:02huwag natin papuntahin doon sa threshold,

03:05progressive yan eh.

03:06So, may mga nakikita ko nung araw,

03:08nataka,

03:08bakit nag-i-stroke ito

03:09even if the blood pressure

03:11is 130 over 80 lang?

03:12Kumbaga sa old category,

03:15eh, hindi pa sa hypertensive.

03:16So, ngayon,

03:17especially,

03:19ngayon,

03:19ini-emphasize namin

03:20ng Philippine society hypertension,

03:22yung home blood pressure measurements,

03:24or self-blood pressure measurements,

03:27pagka sa bahay,

03:28ang blood pressure mo,

03:30at consistently,

03:31135,

03:32hindi 140 ha,

03:33135 over 85 and above,

03:36paulit-ulit,

03:37halos ganyan,

03:38eh,

03:38considered ka ng hypertension.

03:40Kasi,

03:41ang 140 over 90,

03:42ay doon yun sa clinic,

03:44sa doktor,

03:44sa clinic.

03:45Pero pagka sa bahay,

03:47135 over 85,

03:49paulit-ulit,

03:50halos ganyan,

03:50o mas mataas pa dyan,

03:51ay hypertensive ka na.

03:53So,

03:53kailangan ka na makonsulta sa doktor,

03:55at mas maganda,

03:57kung nandun doon ka sa,

03:57sabihin natin,

03:59130 over 80,

04:01at nakita ka,

04:03kunyari,

04:03sa ECG mo,

04:04may problema,

04:05sa mata mo,

04:06pin-examine,

04:06may problema,

04:07sa ihi mo,

04:08may konting blood cells,

04:10eh,

04:10mas malamang kailangan ka na magpagamot.

04:12Saka,

04:13ang re-recommend namin ngayon,

04:14para mas maganda ang control ng blood pressure,

04:16kasi,

04:17ang dami naka-maintenance,

04:18naki-stroke pa rin.

04:19Ang bagong recommendation ngayon,

04:21is,

04:22pag hindi ka naman yung matanda,

04:2385 and above,

04:24is single-peel combination.

04:27Kombinasyon ng dalawa sa isa,

04:28na mababang dose lang,

04:30para less side effect,

04:31para ma-tolerate at maka-adhere ang pasyente,

04:34and therefore,

04:34we will lessen the complication of stroke.

04:37Hmm,

04:38yung pa yung mga bagong pamaraan,

04:39ano?

04:40Pero,

04:40ito,

04:40tandaan natin,

04:41kahit paulit-ulit yung sinabi nito,

04:42135 over 85,

04:45hypertensive ka na.

04:46Yan yung pag-check-up mo,

04:47sa sarili mo,

04:48no?

04:49Hindi pa yun sa clinical.

04:50Pero ito,

04:50ito,

04:51para po makaiwas tayo,

04:52dapat alam natin yung sanhi,

04:53ano po ba yung mga pangunahing sanhi

04:55ng hypertension?

04:57At alin dito yung madalas natin

04:59hindi napapansin?

05:02Yes.

05:02Pagka ang hypertension sa bata,

05:04less than 40 years old,

05:07katalasan may dahilan yan.

05:08Ang tawag namin doon,

05:09secondary hypertension.

05:10Kailangan magpatingin isa sa doktor,

05:12pahanapin,

05:13usually hypertension specialist,

05:15para hahanapin kung ano yung mga

05:17secondary causes ng hypertension.

05:19But sa pangkaramihan,

05:22in most of the hypertension,

05:24ang question ay essential hypertension.

05:26So yung essential hypertension

05:28is a combination of genetics

05:30or genetika,

05:32at saka mga lifestyle.

05:33Mga,

05:34kunyari,

05:35hindi nag-exercise,

05:36kulang sa tulog,

05:37yung mga ganun ba,

05:38diabetes,

05:39mga ibang risk factors

05:41that promote,

05:42or obesity,

05:43promotes them to develop hypertension.

05:45Alam mo naman ngayon,

05:46with our western type of diet,

05:49and, you know,

05:50karamihan,

05:51digital na,

05:52namawala na yung mga activity.

05:54So even as young,

05:55as,

05:56earlier,

05:57in their 20s,

05:58nag-uumpisa na yung dahan-dahan

06:00na mag-develop ng hypertension.

06:02Unfortunately,

06:03unfortunately,

06:05ang high blood pressure,

06:06dahil dahan-dahan siya

06:07nag-de-develop

06:08at nasisira yung lining

06:09ng ugat natin,

06:10walang nararamdaman.

06:12So again,

06:12kaya tinawag siyang

06:13silent killer,

06:14because it's the

06:16number one risk factor,

06:19number one killer

06:20in the world.

06:22Pwede ma-apekto ng puso,

06:23heart attack,

06:24heart failure,

06:25pwede ma-apekto ng utak,

06:27stroke,

06:28o pagmatanda,

06:29dementia,

06:30at pwede tamaan ng kidney,

06:32chronic kidney disease,

06:33madadialysis,

06:34at pwede tamaan ng mata,

06:36mabubulag later on.

06:37So,

06:38ulitin ko,

06:39ang high blood pressure,

06:40unless biglang

06:41tumaas sa blood pressure

06:42na mabilis,

06:43wala kang nararamdaman

06:44kadalasan.

06:46Unless you check

06:48your blood pressure.

06:49Kaya,

06:49pagdating ito sa ano,

06:50may pindadala kong QR code

06:52dyan,

06:52sana ma-i-post natin,

06:54yung May Measurement Month

06:55this month,

06:57may QR code dyan,

06:58I invite everyone,

07:00binigay ko sa kanina,

07:01pag-i-post po dyan,

07:03yung QR code.

07:04I invite all Filipinos

07:0718 years and above

07:08na alamin ang blood pressure

07:10para malaman mo

07:11kung ikaw ba

07:13ay napupunta sa kategory

07:14ng elevated blood pressure,

07:17hindi pa yung hypertension,

07:18or hypertensive ka na.

07:20Okay?

07:21So,

07:21hopefully,

07:22ipapalagay din namin yan

07:25sa mga dyaryo,

07:26sa mga ibang ano,

07:26sa aming website,

07:28Philippines Society of Hypertension,

07:29punta nyo lang,

07:30o sa FB page,

07:31o sa TikTok,

07:32sa YouTube,

07:33ilalagay namin itong QR code

07:34because nain namin

07:35ang buong Pilipinas,

07:38Mindanao to Batanes,

07:40ay sumali dito

07:41kasi digital na tayo ngayon.

07:42Gamitin natin

07:43ang digital capability natin

07:45para sumali tayo

07:46sa worldwide

07:47hypertension awareness.

07:50Alright,

07:51well,

07:51Doc,

07:51ano naman po yung mga

07:53karaniwang gamot

07:54na inirekomenda

07:55para sa mga meron pong

07:56hypertension?

07:57At paano po ito

07:58nakakatulong sa pagpapababa

07:59ng presyo ng dugo?

08:01Yes,

08:02sa Pilipino,

08:03tayo mga Pilipino,

08:04mas maganda

08:04kung monotherapy muna,

08:07kung isa pa lang,

08:08pwede yung tinatawag na

08:10ARB,

08:11ang utensil receptor blocker,

08:13o pwede naman yung

08:14calcium channel blocker.

08:16Okay,

08:16so yun,

08:17pero as I said,

08:17karamihan,

08:18pagka hypertensive na,

08:20kasi hindi nakukuha

08:21ng isa kadalasan eh.

08:22Lalo na nakikita ko ngayon,

08:24di ba,

08:24yung mga iba,

08:25kumukuha ng gamot

08:25sa barangay,

08:26ang binibigay,

08:27rosartan,

08:2850 mg,

08:29ay maikli lang ang aksyon nun.

08:31Palos 12 hours lang.

08:32Pagdating lang gabi,

08:33pag tulog sila,

08:34tumakas ang blood pressure

08:35karamihan,

08:36kung hypertensive talaga sila.

08:37So nais natin yung gamot,

08:38tatanong din lang sa doktor,

08:40o kaya sa healthcare worker,

08:41na ano ba yung gamot na

08:43insured ako ng blood pressure ko

08:45ay smooth.

08:46Hindi lang yun.

08:47Despite excellent blood pressure control,

08:50may mga blood pressure na pasaway.

08:52Kung baga sa aeroplano,

08:53turbulence.

08:54Paiba-iba.

08:55Okay,

08:55ma-stress ka lang,

08:56ano?

08:56Eh,

08:57may kakaroon ng blood pressure variability.

09:00Pagka masyado mataas

09:01ang blood pressure variability,

09:03kahit na nakagamot ka,

09:03you are still at risk

09:05of developing complications.

09:06Like me,

09:07a stroke neurologist,

09:08ang dami kong nakikitang stroke.

09:10Despite the fact na,

09:11sabi ng mga pasyente,

09:12control naman ang blood pressure?

09:14Nakagamot naman.

09:16O titinan ko in between,

09:17papamonitor ko.

09:18O pag nag-check up na sila sa akin,

09:19titinan ko nga

09:20ang blood pressure diary nyo.

09:21Okay,

09:22sa umaga,

09:23relax lang,

09:23okay.

09:24Pagbandang gitna na ng hapon,

09:26o stress,

09:26trabaho,

09:27everything,

09:28may mga taong

09:29nagpa-fluctuate ang BP.

09:31Kasi they don't know

09:32na meron silang

09:33blood pressure variability.

09:35Kaya nga,

09:35re-recommend namin,

09:36yung self-measured blood pressure.

09:40SMBP,

09:41matuto tayo.

09:42Ituturo namin yan.

09:43Meron kami sa YouTube

09:44of Philippine Society of Hypertension.

09:46Paano nga ba

09:47ang iwas ang depresyon?

09:48Hanapin nyo na lang yun.

09:49Meron kami matagal

09:50ng pinost yan,

09:51hypertension.

09:53Para lahat tayo,

09:54I-empowered.

09:56Dapat,

09:56hindi na tayo

09:57disease treatment.

09:58Kailangan prevention na talaga tayo.

10:00Ayaw natin,

10:01ayaw natin na pagka,

10:04nadun tayo sa elevated blood pressure,

10:06yung gitna,

10:07yung focus natin,

10:08na mag-graduate into hypertension.

10:10Okay?

10:11Ako,

10:11ganyan din ako nung una.

10:13Ako,

10:13okay lang ako.

10:13Ngayon,

10:14sinikap ko,

10:14through lifestyle change,

10:16binabantayan kong calorie ko,

10:17kinakain,

10:18ang body weight ko,

10:18so na may maintain kong blood pressure

10:20ng less than 120 over 70,

10:22even at my age.

10:24Ang dami natin natutunan ngayon,

10:26mga update,

10:27patungkol sa mga bagong pagsasikik

10:29at pag-aaral,

10:30patungkol sa hypertension.

10:31Ngayon pa man,

10:32sana itong link sa social media

10:34ng ating interview

10:35with Dr. Alejandro,

10:37may pakalat natin

10:38dahil ang dami pong matutulungan ito

10:41upang makaiwas sa stroke.

10:43Maraming salamat po,

10:44Dr. Alejandro Bimbo Diaz,

10:46sa inyong oras

10:47at sagpapagbahagi sa amin

10:49ng inyong kaalaman

10:49patungkol sa hypertension.

10:51Thanks, Doc.

10:53Maraming salamat po.

SAY ni DOK | Hypertension o high blood pressure

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