00:00Ah, mga kapuso, eh, kumusta kayo?
00:03Kamusta po ang inyong BP?
00:05Ah, yan ah, nakaino na ba kayo ng inyong maintenance?
00:09Marami pa namang nakaka-high blood, no?
00:11Na mga pangyayari po sa bansa ngayon, mga pagtaasang presyo ng taliwak kanan.
00:15So, apektado ba BP nyo niyan?
00:17Oo, nako, kailangan po nating tutukan yan.
00:20Shout out sa mga literal na Losartan Warriors dyan.
00:24Ngayong umaga, usapang high blood pressure tayo dahil the doctor is in sa UH Clinic.
00:31At kasama po natin ngayong umaga ang President ng Philippine Society of Hypertension,
00:36si Dr. Alejandro Bimbo Diaz.
00:39Doc, good morning!
00:39Good morning, good morning, Igan and Susan.
00:42Good morning, Doc.
00:43Ay, mabuti, kache-check lang.
00:44Kache-check lang.
00:46Doc, ito para sa kaalaman po ng lahat,
00:48ano ba itong high blood pressure o sabi nga hypertension
00:53at ang tawag nga rito ay silent killer.
00:56Yes.
00:57Ang high blood pressure or hypertension,
01:00ang karamihan walang simptomas.
01:01I-emphasize ko.
01:03Ngay!
01:03Karamihan walang nararamdaman.
01:05Bakit?
01:05Dahan-dahan kasi siya nang de-develop over time
01:07na tumatas ang blood pressure.
01:10Bula pagkabata, dahan-dahan niya.
01:12Kadalasan kasi ang ginawa nating threshold and diagnosis ng hypertension
01:16is 140 over 90, repeatedly at different occasions.
01:20Kasi kung minsan, normal ang blood pressure mo,
01:23mag-gym ka, mag-excess ka, mag-BP ka,
01:24tatas yun.
01:25Tatas yan.
01:26Pero bababa rin.
01:27Kailangan at different times,
01:29talaga na confirm na mataas ang blood pressure.
01:31140 over 90.
01:33Sa Amerika nga, dahil sa very, ano na sila,
01:35unattended, very, you know, mas detalyado,
01:38ang kanilang threshold for diagnosis,
01:40iniba na nila 130 over 80.
01:42Kinaba pa.
01:42Yes.
01:43Pero sa European society,
01:45sa Philippine society of hypertension,
01:47sa international society of hypertension,
01:48ganun pa rin tayo,
01:49140 over 90.
01:51Pero ang target natin,
01:52dapat below 130.
01:54Kung magagamot ka,
01:55below 130,
01:57below 80.
01:58Okay?
01:59So below,
01:59less than 130,
02:00systolic belt pressure,
02:01less than 80.
02:02Yan ang tatargetin natin.
02:03Kalibanag muna natin,
02:04ano yung over-over?
02:05Ano ba yung nasa ibabo sa baba?
02:07Yung sa taas,
02:07wala daw na mamatay sa baba eh.
02:10Yung sa taas,
02:10systolic belt pressure,
02:11ito yung pagpump ng puso.
02:13Yung sa taas?
02:13Yung reflect ng blood pressure.
02:14Yung pag-relax ng puso,
02:16pagpump,
02:16may pressure pa rin yan,
02:17yan ang diastolic blood pressure.
02:19Ah, yung pagpump.
02:19Yes.
02:20Okay.
02:20Sa mga kabataan,
02:21sa kabataan,
02:22dati-dati,
02:23mas maraming diastolic hypertension.
02:25Sabihin,
02:26normal ang sa taas nila,
02:28mataas ang...
02:29Baba?
02:30Baba.
02:31As we grow older,
02:32sa efer tumitigas sa ugat,
02:33nang i-stifene,
02:34mas maraming systolic hypertension.
02:37Pero para sa definition natin,
02:39it's 140
02:42or over 90,
02:44diastolic blood pressure,
02:45or whichever is higher,
02:46o pareho,
02:47and higher.
02:48Yan ang hypertension.
02:49Wow.
02:50At dami nagsasabing na
02:51high blood sa mga nangyayari
02:52sa paligid natin, Dok.
02:53Talaga bang,
02:54may kinalaman yung
02:55kapag nagagalit ka
02:56sa mga nangyayari,
02:58tumataas yung blood pressure, Dok?
03:00Yes.
03:01Oo.
03:01Ang tawag nga,
03:02ang tawag namin,
03:03Palma lang.
03:04Blood pressure variability.
03:06Blood pressure.
03:07Pag na-excite ka,
03:08anxious ka,
03:08ang very common niya
03:09sa clinic,
03:10sa hospital.
03:10Pagka hindi ka sila
03:11sa mga doktor mo
03:12sa clinic,
03:13sa nurse,
03:13pag pag-BP mo,
03:14mas matas kaysa
03:15yung ano yung dapat.
03:16Mas matas yan.
03:17Ang tawag namin,
03:18white coat hypertension.
03:19Kung minsan,
03:21high blood ka talaga,
03:22may maintenance ka ng gamot,
03:23sa bahay,
03:24pag measure mo,
03:24tama naman.
03:25Pero pag nag-tip mo sa doktor,
03:26matas ulit,
03:27ang tawag namin yung
03:28white coat effect.
03:30White coat.
03:31Anxiety,
03:31kahit na nakagamot ka na,
03:33na pag sa bahay,
03:34kontrolado naman.
03:35Pakit pagdating sa doktor,
03:37white coat effect.
03:37Pero ito yung mas importante
03:39na hindi alam ng karamihan.
03:40May mga tao,
03:41mga 10 to 15 percent,
03:43na normal ang blood pressure
03:45sa doktor,
03:45sa clinic,
03:46pero sa totoo lang,
03:47pag-tinek mo ang blood pressure
03:48sa bahay,
03:50o kaya pagtulog na sila,
03:51mataas ang blood pressure.
03:52Pagtulog.
03:52Ang tawag naman,
03:53mask,
03:54nakamaskara,
03:55mask hypertension.
03:56Hindi nalalaman ng tao.
03:57Mas delikado yun.
03:57Kasi nga,
03:58hindi mo lamang sisira.
03:59Wala kang nararamdaman, daw?
04:00Wala kang nararamdaman.
04:01Paano?
04:02Namamana ba yan?
04:04Ang hypertension,
04:05may certain portions
04:06na manamana.
04:07Pero malit lang,
04:08ang kadalasan yung
04:09environmental pa rin.
04:10At saan na kukuha po?
04:12Sa diet,
04:13lack of exercise,
04:14lack of sleep.
04:15Stress?
04:15Okay, stress.
04:16Alakad talaga.
04:17Alakad talaga.
04:18Ito na,
04:18paano ba?
04:19Oo,
04:19pakita mo nga sa amin
04:20yung tamang pagkuhan
04:21ng blood pressure, daw.
04:22Okay.
04:23Ano ba ito mga ito?
04:24So,
04:24ngayon,
04:24ang rin-recommend namin,
04:26kasi nga,
04:26maski sa ibang countries nga,
04:28mga anod,
04:29hindi ka kasi,
04:30marami hindi naman trained
04:31how to really listen
04:32ng may stethoscope.
04:34So, ngayon,
04:35ang rin-recommend namin,
04:37use a validated,
04:39calibrated,
04:40automated
04:42blood pressure device.
04:43Okay.
04:44At arm,
04:45hindi wrist.
04:46Okay.
04:47Arm.
04:47Ito po.
04:47Yes.
04:47And then,
04:48pagkuhan ng blood pressure,
04:50kung pwede,
04:50pinakit the best
04:51sa umaga,
04:51bagong magkape.
04:52Bago pagkagising ba, Doc?
04:54Dumingil ko muna.
04:55Kasi kung puno ang bladder mo,
04:58tatas ang blood pressure mo.
04:59Okay.
04:59So, pag...
04:59Pag nag-blood pressure ka
05:00ng tumayo,
05:01naglakad ka,
05:02eh,
05:03hindi ka nakapag-rest,
05:04eh, mahirap.
05:04So, example natin,
05:05kailangan tatanggalin mo yung...
05:06Okay.
05:07Natanggalin mo yung kong higang.
05:08Okay lang ako.
05:09Ito, importante kasi ito,
05:10Igan,
05:11kasi,
05:11where now,
05:11kailangan empower natin ang tao
05:13to know
05:14how to measure your blood pressure.
05:16How to use.
05:17Okay.
05:17Para lang madali,
05:17kasi we don't have much time.
05:19Meron kaming podcast
05:20on Philippe's Society of Perteson.
05:22Hanapin nyo na lang
05:23yung usapang presyon
05:24Philippe's Society of Perteson.
05:25Nagtuturo kami doon.
05:26Opo, opo.
05:27Ayan.
05:27So, pakikita sa atin nito.
05:29At saka, bawal lang may...
05:30Sorry.
05:31Bawal.
05:32Kailangan talaga nakataasang ano.
05:33Beer, beer.
05:35Beer, yes.
05:35Beer.
05:36Doc,
05:36bulong mo na lang, ha?
05:38Okay.
05:39And then...
05:40So, itong gagamitin ni Doc
05:41ay, ano po ito, Doc?
05:43Digital.
05:43Digital, o.
05:44Ano mang mas maganda, Doc?
05:45Digital or yung,
05:46ano tawag, manual?
05:47Digital.
05:48Digital.
05:49Pero kailangan validated by
05:51Philippe's Society of Perteson.
05:53Yung...
05:53Pagka tumingin kayo dyan
05:54sa bibilan ninyo,
05:56tanongin nyo,
05:57ito ba yung na-validate
05:58ng Philippe's Society of Perteson?
06:00May tatak kasi kami eh.
06:01Philippe's Society of Perteson.
06:01O, kasi yung iba...
06:02Hindi pa namin validated.
06:05Dapat pala,
06:05gano'n yung bibili natin.
06:06Baka mahirap,
06:07bibili ka online,
06:08hindi pala, ano,
06:09ng Philippe's...
06:10Totoo,
06:10Totoo.
06:12Mali yung ibibigay
06:13sa'yo yung mga reading.
06:14Ano po, Doc?
06:15So, ito,
06:15as much as possible,
06:18itong modelong ito,
06:19itong tubing neto,
06:20mas maganda na dyan.
06:21Sa ibabaw.
06:21Hindi na sa likod.
06:23Doc, dapat ba
06:23pag gabi ni Bipi,
06:24hindi nagsasalita?
06:25Tama.
06:26Huwag kang magsalita,
06:26Igan.
06:27Kain na pa, Igan.
06:28So, okay, okay.
06:29Tinan ko, ah.
06:30Ang mga hindi tama,
06:31kain nila.
06:31Hindi nakasandal.
06:33Ah, dapat nakasandal?
06:34Nakasandal.
06:35Okay.
06:35Tapos,
06:35kung may cellphone ka,
06:37five minutes.
06:39Wala.
06:40Talagang five minutes,
06:41rest ka muna.
06:42Ah.
06:42Bago mo pindutin.
06:44Okay, okay, okay.
06:45Ito na.
06:45So,
06:46ilang minutes pa ko.
06:47Actually,
06:47mas maganda,
06:48kaya ka empowering the people,
06:50kayo na,
06:50unattended.
06:51Walang doktor.
06:52Ikaw na mismo
06:53mag-press kanya.
06:54Kunyari lang,
06:55tapos,
06:56huwag pigil na paghinga mo.
06:57Hinga,
06:57inhale muna.
06:59Sabi,
06:59huwag daw tingnan dahil.
07:00Oh, relax.
07:01Relax.
07:02Oh.
07:02Yung paghinga mo dito,
07:04ang paghinga na tama sa tiyan.
07:06Dapat lalaki dyan.
07:07Ah, lalaki po.
07:08Expand.
07:09Oh, tingnan po.
07:09Kasi pag hindi tama,
07:11mas na-actual na ano yung sympathetic system natin.
07:14Sympathetic na.
07:15Ang pag-relax talaga,
07:16abdominal breathing.
07:18Okay.
07:19So, kunyari lang,
07:19kunyari lang.
07:20Okay.
07:21Kunyari lang.
07:22Start na.
07:23Start na.
07:24Ito na.
07:24Pakita natin kung ilan yung baby na.
07:26Tapos,
07:27ang paa,
07:27naka-flat,
07:28naka-sandal,
07:28bawal ang cross legs,
07:30bawal magsalita,
07:31bawal magtingin ng cellphone.
07:33Kung pwede,
07:33walang malakas na radyo.
07:35Relax lang.
07:36Ang dami pa lang, ano?
07:37Ang dami pa lang.
07:38Parang ano yung cockpit ng aeroplano.
07:40Bago mo palipanin ang aeroplano,
07:41checklist muna.
07:42Hmm.
07:43Okay.
07:44And then,
07:46recommend namin,
07:47yung unang kuha mo mataas,
07:49kumuha ka pa ulit ng dalawa,
07:51one minute apart.
07:52So, taslong beses.
07:53I-average mo yung last two.
07:55I-average yung last two.
07:57Tingnan natin.
07:58Eko na.
07:58Eto na.
08:00Siyempre,
08:01sa ganitong situation,
08:02nakita natin kung ilan.
08:03May white coat effect yan.
08:05Ayan.
08:07Ayan.
08:08Ayan.
08:08Okay.
08:09Okay.
08:09O, gamuntan, ano?
08:10Yan ay may white coat effect yan.
08:12Okay, white coat.
08:12Okay.
08:13Kasi nga,
08:14may radyo,
08:14may gano'n.
08:15Maraming ano.
08:16Okay.
08:16So,
08:17ang dapat dito,
08:18after one minute,
08:19uulitin.
08:20Pero we don't have much time kasi.
08:21Opo, opo, opo.
08:22After another one minute,
08:24uulitin muli.
08:25Sa tatlong beses.
08:25Tatlong beses.
08:26Yung unang mataas,
08:27scratch.
08:28Yung second and third,
08:30i-average mo.
08:31Okay.
08:31Sabi ba,
08:32minus?
08:32Okay.
08:33I-a-minus.
08:34I-add mo,
08:35i-divided by two,
08:36yun yun.
08:37Ah, ganun pala.
08:38Average.
08:39O, ngayon, Doc,
08:39nausun yung term na
08:40Losartan Warriors
08:41o mga lagi raw high blood,
08:43lalo na sa pagkocomment online.
08:45Ano ba itong Losartan?
08:47Ngayon ko nga nalaman yung
08:48Soxar Median term.
08:50Losartan.
08:51Para na-popromote natin.
08:52High blood Losartan.
08:53Kasi nga,
08:54yung Losartan yata
08:54pinaka-available na nakikita
08:56sa LGU,
08:57local government,
08:58at saka mga yakap.
08:58Pinamini yan.
08:59Ang Losartan kasi,
09:01yung gamot yan,
09:02is a kind of
09:02anti-hypertensive na gamot.
09:04Ah, okay.
09:04Brand.
09:05Hindi nang brand,
09:06kasi generic name
09:07ng gamot yan o,
09:08na nakakababa ng blood pressure.
09:10Ah, okay.
09:11Kaya pala.
09:11Pero importante,
09:12gusto kong para doon
09:13sa mga
09:14naka Losartan,
09:14na kinukuha nila
09:16sa LGU,
09:17ngayon,
09:18sa barangay.
09:20Ah, pa.
09:20Pag 50 milligrams yan,
09:21kulang yan.
09:22Kasi ang effect
09:23ng Losartan 50,
09:24kalahating araw lang.
09:25So, if you take it
09:26in the morning,
09:26pagdating ng gabi,
09:27hanggang doon na lang.
09:29Pagtulog ka na,
09:29kung tumatas ang blood pressure mo,
09:31kasi dapat ang blood pressure
09:32natin bumababa,
09:33nagdi-deep kasi.
09:34Pagkagabi,
09:35pagtulog na tayo.
09:35Okay.
09:36Ano ba ang definition
09:37ng high blood pagkagabi
09:37pagpagtulog ka?
09:39Okay.
09:41Mataas.
09:41Pagka ang blood pressure mo
09:42is 120 over 70
09:44and higher,
09:45mataas na yan.
09:46Mataas na.
09:46Dapat nagbababa talaga.
09:47Dok,
09:48buka sa mga gamot,
09:48may mga sinabi
09:49ng home remedy.
09:51Hilaw na bawang daw,
09:52makakatulog ba yan?
09:53Hindi.
09:54Hindi yan
09:56substitute
09:57sa pag-take
09:58ng tamang gamot.
09:59Eh,
09:59yung ano po,
10:00dok,
10:00yung pineapple juice,
10:01uminok ka daw
10:01ng pineapple juice,
10:02bababa daw yung BP mo?
10:04Hindi rin.
10:04Ay, hindi rin.
10:05ang pineapple juice kasi
10:07medyo mataas ang potassium
10:08which is healthy.
10:10Pero mas rin na-recommend ko
10:11imbis na juice,
10:12sige,
10:13kung juice unsweetened.
10:14Pero kung
10:15pangpapainapple po,
10:16yung tunay ng pineapple
10:17na prutas
10:17kasi may fiber yun.
10:18Okay, oo.
10:19Dok,
10:20may init ulit yung panahon,
10:21inaasahan.
10:21May elnino tayo.
10:22Yung super elnino,
10:23pwede magtagal daw
10:24hanggang susunod na ton.
10:25Ano ba to?
10:25Delikado ba ho ito
10:26sa may mga hypertension?
10:28Pareho, no?
10:30So,
10:30yung sobrang extremes
10:31ng temperature,
10:31pag mainit-mainit,
10:33pwede rin tumas ang blood pressure mo.
10:34Pag masano malamig din,
10:35pwede rin tumas ang blood pressure mo.
10:36So, dapat katamtaman lamang.
10:38Okay.
10:38Ang importante,
10:39nagmamonitor tayo
10:40ng blood pressure natin.
10:42Mas madalas.
10:43Yes.
10:43Dok, kailan tayo
10:44dapat mabahala
10:46at kailan magpacheck up?
10:47Okay.
10:48Pag nakikita niyo
10:48yung blood pressure
10:49na lagi yatang mataas,
10:51eh kailangan talaga
10:52magpatingin ka.
10:53Kasi lalo na
10:54kung bata ka pa,
10:55hindi ka pa naman
10:55yung sinasabing
10:56nasa 50 and above,
10:58mga 40 plus
10:58or below ka,
11:00hahanapan ka namin
11:00ng dahilan.
11:01May tinatawag na
11:02secondary hypertension.
11:03Dalawang klaseng hypertension,
11:05yung primary,
11:05idiopathic,
11:06saka secondary.
11:07Pag secondary kasi,
11:08malaman natin
11:08kung saan nanggagaling niya
11:09at magamot yun,
11:10pwede gumaling yung hypertension.
11:12Okay.
11:12Dok, ano yung mapapayo nyo
11:13sa mga kapuso natin
11:14para maiwasang ma-high blood?
11:15Eh hindi pwedeng
11:16hindi mo
11:17iintindihin nyo sa paligid.
11:19Paano mo makakaiwas
11:19sa high blood, Dok?
11:21Unang-una,
11:22mag-exercise,
11:22matulog ng maaga
11:23at 7 to 8 hours
11:25kung pwede,
11:25avoid sa salty food,
11:27avoid ultra-processed,
11:28sa mga chips,
11:29sa mga gano'n.
11:29Ang pagkain natin
11:31sa grocery,
11:31karamihan mataas ang salt.
11:33So, huwag na tayo
11:33magdagdag ng mga,
11:34lalo kung high blood ka.
11:36Mas importante,
11:37kung meron kayong
11:38malalapitang
11:39may hypertension clinic,
11:40yan ang project
11:41ng Philippines
11:42sa hypertension.
11:43Tutulungan namin
11:44makontrol
11:44ang blood pressure
11:45ng mga karamihan sa tao.
11:47Hindi lang alam na
11:48high blood sila,
11:48kundi alam nila
11:49mag-monitor
11:50ng blood pressure.
11:50Okay, Dok,
11:51maraming salam po,
11:52Doktor Alejandro Bibo Diaz,
11:54President ng
11:54Philippine Society
11:55of Hypertension.
11:56Mga kapuso,
11:57relax, relax lang po tayo
11:58sa buhay ah.
11:59Ingatan po natin
12:00ang ating mga sarili.
12:01Pagkakain,
12:02lakad-lakad tayo.
12:03Galaw-galaw
12:03para hindi pumanaw.
12:05Oo nga.
12:05Wait!
12:06Wait, wait, wait!
12:08Wait lang!
12:09Huwag mo muna i-close.
12:11Mag-subscribe ka na muna
12:12sa GMA Public Affairs
12:13YouTube channel
12:14para lagi kang una
12:15sa mga latest kweto
12:16at balita.
12:17I-follow mo na rin
12:19ang official social media pages
12:20ng unang hirit.
12:22Thank you!
12:23O, sige na!
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