00:11Transcription by CastingWords
00:30Bimbo Diaz, magandang umaga po Doc
00:34Magandang umaga sa inyo, Leslie and Diane
00:36Kamusta kayo? Maulaan mga taga-ARSP
00:39Oo nga po, maulan Doc
00:41But everything is good on our side
00:43And I hope you're staying safe and dry as well
00:44Pero Doc, ito, pag-usapan natin tungkol sa stroke
00:47Una po sa lahat, para sa kalaman po na ating mga car-ARSP
00:50Ano po ba itong brain attack o stroke?
00:52At bakit po ba ito nararanasan po ng isang individual?
00:56Okay, so yung brain attack saka yung stroke
00:59Pareho lang yan
01:00Kasi kadalasan kasi nung araw, pag sinabing stroke
01:02Hindi naintindihan masyado ng mga tao
01:05Na ang stroke ay hindi sa puso, kung hindi sa utak
01:07So para mas maliwanag, tinawag na brain attack
01:11So dalawang klase ang brain attack o stroke
01:14One, yung isa, ang pinaka-common yung nagbabara
01:17Nababarahan yung clock, yung ugat natin
01:20Sa utak, papunta sa utak
01:22At nawawala ng blood supply yung certain regions of the brain
01:25Yung isa naman, dahil kadalasan dahil sa mataas na blood pressure
01:28Humihina yung mga ugat
01:30At saka yung maliling gitna ugat na pumapasok
01:32Nanunod dun sa gitna ng utak natin
01:35Eventually, nasisira, pumuputok
01:37Yung tinatawag na hemorrhagic stroke
01:40Dok, ano-ano po ba yung mga unang sanyalas ng stroke
01:44Na dapat pong bantayan at hindi po dapat maliwalain
01:48Yes, very important na ka-question niya
01:50In many cases, merong warning sign ng stroke
01:55Yung tinatawag naming transient ischemic attack
01:58Ang problema, kadalasan, ay ini-ignore ng mga pasyente
02:03Nawala rin, so okay na ito
02:05So, alam mo yan, may gano'ng klaseng na ayaw din na pumunta sa hospital
02:10Lalo na sa emergency room
02:11Ang payo ko, pagka nakaramdam ng sinyalis ng transient ischemic attack
02:16Ano-ano ba ito?
02:17Ang pinaka-common, yung tinatawag na fast
02:20Yung nag-face droop, nangiwi ang mukha
02:23Okay, o kaya pag tinas ang kamay, bumabag sa isang kamay
02:26Or arm drift
02:27Yung speech na apektoan, nag-slur
02:31Okay, may isa pang mnemonic, yung tinatawag na be fast naman
02:34In-expand kasi nila yun eh
02:36Yung be doon, ang ibig sabihin doon, balance
02:38Parang bigla kang nawala sa balase, pag naglalakad ka
02:41Okay, biglang sobrang nahihiro, nakakaiba
02:44Okay
02:45Tapos yung e naman is eyes
02:47Yung eyes naman, ibig sabihin, biglang bulag
02:51Okay, lumawa bigla ang isang mata mo, biglaan
02:53O kaya nagdoble ang paningin ng paningin mo
02:56Okay, tapos yung fast, sinabi ko kanina
02:58Pero sa iba kasi na hindi masalang nakakaya ng English
03:01Ang tinuturo ko po ay yung tinatag na HMB
03:05So H, kasi parang mabilis i-associate with one of our favorite alcohol drink, SMB
03:11So yung HMB, H meaning biglang hina ng kalahati ng katawan
03:15Okay
03:16M, biglang manhig ng kalahati ng katawan
03:18B, biglang bulol ng kalahati ng salita
03:21Till proven otherwise, sinyalis niya ng stroke
03:24Kahit na nag-recover ka, pumunta ka sa isang hospital
03:27Ang ina-advise namin yung tinatagang stroke-ready hospital
03:31Anong stroke-ready hospital?
03:32Yung merong neurologist, may CT scan
03:35At meron kami mga stroke centers na all over the Philippines na accredited na tinatawag
03:43Para alam na alam, meron kasi kaming pathway na sinusunod
03:46Mabilis kasi every second counts
03:49Marami na mamatay na brain cells
03:50Pagka pinapabayaan mo yan
03:53Sino-sino po ba yung at risk sa stroke?
03:57Okay
03:58So unang-una, siyempre pag nagkaka-edad na
04:01Ayan mga unmodifiable
04:04Tinatawag na AIDS, genetics, mag-ano'n
04:07Pero malalaman natin kung meron kang risk for stroke by
04:12O yung mga Gen Z
04:16O yung risk commuter
04:27If you have your needs, mo yan
04:29Kailangan ang blood pressure mo
04:32Huwag mong papaabuti ng more than 130
04:36Alaman ko 130 blood pressure at my AIDS
04:38May maintain ko na below 120 pa nga
04:41Ang aking systolic blood pressure
04:43At ang diastolic blood pressure ko is even below 80
04:46I try to maintain that
04:47Pagkalawa, yung tila-tawag ng high sugar
04:50So kung mataas ang sugar mo, kailangan imalis mo yan
04:52Properly treated, lalo na kung may diabetes ka
04:54Pagkatlo, eh kung mataas ang iyong cholesterol
04:57So let's know our numbers
04:59May tinatawag na tayo nag-bad cholesterol
05:01Yun ang dapat nating tindan kung 130 and higher
05:06Kailangan siguro pababaan yan
05:08May mga gamot na pababa cholesterol
05:10Number 4, yung body weight
05:12Tira mo yung BMI mo, body mass index
05:15Kailangan ang body mass index natin
05:17Mga not more than 24 sa Pilipino
05:22Kasi pag 25 then overweight ka na
05:24So just by losing weight, malaking bagay yun
05:27Para ma-reduce mong risk or stroke
05:29Of course, yung dietary
05:30Yung pagkain natin dapat, I suggest
05:34More of high protein, fiber-rich food
05:36And low in refined sugar
05:38Lalo na yung mga ultra-class food
05:40Okay, and next would be
05:42Yung kumakain ng mga ma-adat
05:44Ang Pilipino kasi ang pagkain natin
05:46By default mostly ma-adat
05:48So I recommend na
05:49Kung pwede, ma-imagine yun
05:53Ang pagkain nyo ng content ng salt
05:55Less than one-half teaspoon lang
05:58In the whole day
05:59Kasi ang one teaspoon
06:00Contains 1,500 mg of sodium chloride
06:04So maximum na yun
06:05Pero ang problema
06:07Hindi yung dinadagdag nating salt
06:09Yung batis
06:10Yung toyo
06:12Kundi yung ultra-process food mismo
06:14Yung parang araw-araw na nakikita natin
06:16Sa grocery binibili
06:17Mataas ang sodium yan
06:19So hopefully sa Pilipinas
06:22Inaano namin yan sa policy makers
06:25Na sana magkaroon na tayo ng labeling
06:27Yung front ng package sa mga bilian sa grocery
06:30Magkaroon na ng high in salt
06:32Kung mataas ang salt yan
06:33High in sugar
06:34Or high in fats
06:37Ang tinatawag
06:38And of course
06:39Another one is lack of physical activity
06:42You know
06:42Hindi kailangan ano eh
06:44Na talaga naggyu-gym ka
06:46Kailangan lang
06:47Maski nasa bahay ka ganitong tag-ulan
06:49Mag-bristwalking ka na
06:50Kung may hagdang ka dyan
06:51Mag-bristwalking ka na
06:52Sandali ng move
06:54Importante
06:54Kung nanood ka ng TV
06:55Pwede ka mag-exercise
06:57Kahit na nakaupo ka
06:58May mga dinademonstrate na kami yan
07:01Doon sa aming podcast
07:02Sa Philippines Society of Repertension
07:03Pwede niyong puntahan
07:05Yung usapang presyon
07:06Podcast
07:06Tinuturo namin doon
07:08Paano mag-exercise
07:09Kahit na nakaupo ka
07:10Kahit na nasa koche ka
07:11Kaya mo mag-move
07:12At physical activity
07:14And of course
07:15I think
07:16Basta
07:17Pacheck niyo yung puso niyo
07:18Kung meron kayo irregularity
07:20Yung tinatawag na
07:21Irregular ng heart rhythm
07:22Kailangan malaman ko
07:23Meron kang atrial fibrillation
07:25Yung irregular
07:26Ang tibok ng puso
07:27Kasi
07:27Pagka nag-stroke ka galing doon
07:29Usually masamang klase yung stroke
07:32Makalaga talaga yung lifestyle
07:34Tsaka sabi ni Dok
07:35Galaw-galaw
07:36Kahit nga nakaupo
07:36Mag-stretching ka ng konti
07:39Pwede yan
07:41Maganda
07:42Gumagalaw-galaw tayo
07:43Kahit nasa naman tayo
07:44Pero ito Dok
07:45Paano ba
07:46Maiiwasan itong stroke
07:48Aside from lifestyle
07:49Of course
07:50And nutrition
07:50Ano pa yung mga
07:51Panguling yung mga
07:52Recommendasyon
07:53Para maiwasan po ito Dok
07:56Yes
07:57As I said
07:58Ngayon
07:59Era of information aids
08:02At meron tayong
08:03Ako ginagamit ko mga AI tools ko
08:05Turuan ko kayo ng ginagawa ko
08:07Pag-araw-araw
08:07Every morning
08:08I take a picture of what I eat
08:11Madalaman ko yung macronutrients
08:13Ilan ang cholesterol
08:14Ilan ang ganon
08:14So ilan ang calories
08:16Na nagtatake ko
08:17Araw-araw
08:17I take my blood pressure
08:19Meron akong wearable
08:20Na blood pressure device
08:22I can do ECG
08:23And of course
08:24Yung sleep ko
08:25Ang naman monitor ko
08:26Kagabi
08:26I slept
08:27Seven hours of sleep
08:28Thankfully
08:29Wala akong tawag
08:29Emergency
08:31Usually pagkagabi ko
08:32Kasi minsan
08:32May mga tawag ako
08:33Yung ganun ba
08:34Sleep well
08:35Kung meron kang
08:36Heavy snoring pala
08:38Nakalimutan ko kanina
08:38Have it check
08:39Kasi kuminsan
08:40Yung heavy snoring
08:41Not all of them
08:42Some of them
08:43Have sleep up nya
08:44Pag may sleep up nya
08:46Katumitigil ka
08:46Sa ang dalay
08:47Na paghinga
08:47Habang nag-stroke
08:48At tulog ka
08:48Di mo alam yun
08:49Risk factor yun
08:50For stroke
08:51Not always for stroke
08:52But even for heart attack
08:53So kailangan na
08:55Ma-monitor natin
08:55As I said
08:56Puntahan nyo
08:57Pwede nyong i-download
08:58Yung app
08:59Na stroke risk committer
09:02Tapos
09:03I-feed nyo doon
09:04Tapos
09:06Mamamanage mo
09:07Kung ano ang
09:08Dapat i-manage
09:09Ang risk factor
09:10Niya for stroke
09:11And then
09:11You can more or less
09:12Say okay
09:13When I
09:13You have your checklist
09:14Okay
09:15For example
09:16Ako pag in-analyze
09:17Ko ating stroke risk committer
09:19Kahapon
09:20Compared with
09:21Somebody na wala talagang
09:22Risk factor
09:23May risk factor
09:24For the next 10 years
09:25Is 1.2 times
09:28Sibig-sabihin
09:28Halos parehas lang
09:29Na walang risk factor
09:31Pero kung
09:31Ang risk mo
09:33Is umabot
09:34Nang 2 times
09:353 times
09:36Kailangan talaga
09:37Tingnan ka agad
09:38Diyan
09:38Nag-doktor
09:38Para mabigyan ka
09:39Nang tamang advice
09:40Nang doktor mo
09:41I would suggest
09:42That you go to
09:43A stroke neurologist
09:44Or a vascular neurologist
09:46Para mabigyan ka
09:48Nang tamang advice
09:49At ma-workout
09:50Kung kinakailangan
09:51Thank you so much
09:53Dok
09:53Kaya sa ating mga
09:54Ka-RSP
09:54Umpisahan na po
09:56Nating nalagaan
09:57Ng ating sarili
09:58Magkaroon ng healthy
09:59Lifestyle
09:59Para humawa pa
10:00Ang ating buhay
10:01At makasama pa natin
10:02Ang matagalang
10:03Ating mga mahal
10:04Sa buhay
10:05Well
10:05Maraming maraming salamat po
10:06Dr. Alejandro
10:09Thank you
10:10Maraming maraming salamat
10:11Leslie and Diane
10:13Thank you Dok
10:14Thank you
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