Il-Pressjoni Għolja
Hypertension
 =Pressjoni għolja fl-arterji
 Il-Qattiela siekta
 =High blood pressure
 The silent killer
Il-Pressjoni/Hypertension ©MKT_MCC
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Il-Pressjoni Għolja
 Tista
tikkaġuna puplesiji,
mard tal-qalb u tal-kliewi
jekk mhiex ikkontrollata
Hypertension
 1 f’kull 5 persuni
jkollha
pressjoni
għolja……………
mingħajr
ma taf
għax
m’hemmx sinjali!
Il-Pressjoni/Hypertension ©MKT_MCC
 Can result in stroke, heart
disease and kidney failure
if untreated
 1
in 5 adults has
hypertension………and
doesn ’ t know it because
there are no warning signs!
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What
is
blood
X’inhi l-Pressjoni?
 The heart pumps blood
around the circulation
 The
maximum number
(systolic blood pressure) is
the maximum pumping
pressure (130)
 The lower number (diastolic
blood pressure)
is the
resting pressure in the
arteries between
 Both numbers are important
 Normal blood pressure is
130/80
Il-Pressjoni/Hypertension ©MKT_MCC
pressure?
 Il-qalb tippompja id-demm
madwar iċ-ċirkulazzjoni
 L-ogħla
numru tal-pressjoni
ngħidulha ‘systole’ u tirrifletti
meta l-qalb tippompja (130)
 L-inqas numru huwa l-inqas
pressjoni
fis-sistema
taċċirkolazzjoni
meta l-qalb
tistrieħ (diastole) (80)
 Iż-żewġ numri huma importanti
 130/80 hija pressjoni normali
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X’jaffetwa l-pressjoni?
What affects blood pressure?
 Ħafna affarijiet jistgħu
jaffetwaw l-pressjoni
inkluż l-istress, l-anzjeta’,
l-ikel, l-eżerċizzju u l-irqad
 Huwa normali li l-pressjoni
titla w tinżel
 Meta tibqa għolja għal tul
ta’ żmien, tista’ tistieden
il-problemi
Il-Pressjoni/Hypertension ©MKT_MCC
 Many things can affect
blood pressure including
stress, anxiety, diet,
exercise, and sleep
 It is normal for blood
pressure to vary
 If blood pressure remains
high for prolonged
periods this can result in
problems
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Ghaliex titla il-Pressjoni?
Why does blood pressure rise?
 Ħafna drabi ma nafux
għaliex
 Tista’ tintiret fil-familja
 Tista’ tkun ikkaġunata
mill-mard tal-kliewi jew
tal-glandoli
 Titla bl-eta..imma xorta
waħda rridu
nikkontrollawha biex
nevitaw l-konsegwenzi
tagħha
Il-Pressjoni/Hypertension ©MKT_MCC
 Most times we don’t
know why
 It can run in families
 It can be due to kidney or
glandular diseases
 It rises with
age…………but we still
need to treat it to avoid
complications
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Għaliex
għandek
tikkontrolla
l-pressjoni?
Why should you control your blood pressure?
 Meta l-pressjoni titla’, ilqalb trid taħdem iktar.
 High blood pressure
means the heart has to
work harder for normal
 Jekk il-pressjoni ma tkunx
function
kkontrollata jiżdied ir
If
uncontrolled
there
is
riskju ta’:
an increased risk of
 Mard kardjovaskulari li
 Cardiovascular disease
jinkludi
including
 mard tal-qalb u
 heart disease and
 puplesiji
 stroke.
Il-Pressjoni/Hypertension ©MKT_MCC
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X’ tista’ tagħmel?
What can you do?
 Ħu l-pressjoni tiegħek
ta’ spiss
 Żomm
nota tal-valuri
tagħha
 Check
your blood
pressure regularly
 Keep a record
 Learn
how to take
own
blood
bil-’monitor’ inti stess
your
pressure
 Importanti
 Your machine should be
 Tgħallem kif taqraha
li l-magna
tkun
ikkalibrata
regolarment (biex tkun
ċert li qed taqraha
sewwa).
Il-Pressjoni/Hypertension ©MKT_MCC
regularly calibrated
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Jekk dejjem issibha għolja:
IF confirmed:
 Tgħallem
tikkontrollaha
kif
 Tkellem mat-tabib biex
taf kemm suppost tkun
tista
 Understand how it can be
tkun
 Identify
 Imxi fuq il-passi meħtieġa
 Ħu l-pilloli kif suppost
tinqala ’
xi problema
tkellem mat-tabib
 Jekk
lowered
the right blood
pressure for you after
discussion with your doctor
 Focus on lowering it
 Take
regularly
your
medication
 If any difficulties arise, do not
hesitate to raise them
Il-Pressjoni/Hypertension ©MKT_MCC
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Tkellem mat-tabib fuq:
Discuss with your doctor about:
 Id-dieta: il-melħ, ix-xaħam,
 Diet: salt, fat and alcohol
u x-xorb
 Reduce
 Naqqas
l-melħ (l-iktar li
tista’ tieħu hu 6 gm kuljum)
 Kul ħafna frott u ħaxix frisk
 Kul 5 porzjonijiet kuljum!
 Agħżel l-ikel bl-inqas xaħam
li jkun ta’ tip mhux saturat
Il-Pressjoni/Hypertension ©MKT_MCC
sodium intake
(max 6gm sodium chloride
daily)
 Eat plenty of fresh fruit
and vegetables
 eat 5 portions daily!
 Low fat dairy products
with reduced content of
saturated and total fats
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Il-Piż tiegħek
Your weight
 X’inhu l-Body Mass
Index?
 What is your Body
Mass Index?
 In-normal huwa bejn
18.5-24.9kg/m2
 62% ta’ adulti f’Malta
iġorru piż żejjed!
 X’inhi ċ-ċirkonferenza
ta’ qaddek?
Il-Pressjoni/Hypertension ©MKT_MCC
 Aim to keep a normal
BMI of 18.5-24.9kg/m2
 62% of adults are
overweight in Malta
 What is your waist
measurement?
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L-Eżerċizzju
Exercise
..........ix-xejra normali hi l-irġiel
jagħmlu iktar sports minn
nisa………iż-żgħar iktar mix-xjuħ u
dawk li għandhom edukazzjoni
għolja iktar min dawk li ghandhom
edukazzjoni baxxa……….
Il –ħin li jsir eżerċizzju moderat matul ilġimgha huwa ta’ 23.4 minuta
f’Malta ……..(Kontra l- 168 minuta
fil-ġimgħa fis-Slovakkja……)
miġbur min Eurobarometer 2005
Trid taghmel…minn ta’ l-inqas mixja
mgħaġġla ta’ nofs siegħa kważi
kuljum biex tieħu ħsieb qalbek
………..the main pattern is that men
do more sport than
women……..younger v. older
people and those with higher
education compared to those
with lower education…….
 Time spent on moderate physical
activity/week =23.4 mins in
Malta (vs 169mins in Slovakia)
source: Eurobarometer 2005
 You should do …….At least a
brisk walk of 30 mins daily on
most days of the week to protect
your heart
Il-Pressjoni/Hypertension ©MKT_MCC
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Ix-Xorb
Alcohol
 Moderate consumption
 Men: no more than three
units daily
 Women and lighter men:
maximum 2 units daily
 1 Unit =
 250ml of beer/lager/cider
 one small (125 ml) glass of
wine
 a 25ml pub measure of spirit
Il-Pressjoni/Hypertension ©MKT_MCC
 Tixrobx ħafna
 L-irġiel: mhux iktar minn
tlett ‘units’ kuljum
 Nisa w rġiel ta’ piż ħafif:
Mhux iktar min 2 ‘units’
kuljum
 Unit=
 250ml birra/lager/cider
 Tazza żgħira(125 ml) ta’ nbid
 25ml ta’ spirtu (grokk).
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L-istress
Stress and relaxation
 Stress and anxiety
raise blood pressure
 Relaxation lowers
blood pressure
 It is important to sleep
at least 7.5 hours sleep
daily
Il-Pressjoni/Hypertension ©MKT_MCC
 L-istress
u
l-anzjeta
itellgħu l-pressjoni
 Meta tkun qed tistrieħ, ilpressjoni tinżel
 Importanti
li torqod mill
inqas 7.5 sigħat kuljum
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It-Tipjip
Smoking
 Will double any risks of
cardiovascular disease
 Stopping smoking will
half your risk of
developing
cardiovascular disease
Il-Pressjoni/Hypertension ©MKT_MCC
 Jirdoppja riskju li hemm
għal mard
kardjovaskulari
 Meta taqta’ it-tipjip,
tnaqqas ir-riskju tal-
mard kardjovaskulari
bin-nofs
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Il-vista
Review
 Regular review with
your doctor is required
 Most people who need
treatment will need it
all their lives
Il-Pressjoni/Hypertension ©MKT_MCC
 Importanti li tagħmel
viżta regolari
 Il-biċċa l-kbira ta’
dawk li ikollhom bżonn
il-kura iridu ikompluha
tul ħajjithom kollha
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Il-Kura-x’għandek issaqsi?
Medication-Important questions to ask!
 What are your
medicines’ names?
(Record!)
 How/when should I
take them?
 Should I take them
with food?
Il-Pressjoni/Hypertension ©MKT_MCC
 X’ mediċini qed
tieħu?
 Żomm nota
 Kif u meta għandi
neħodhom?
 Nista neħodhom
ma’ l-ikel?
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What if I forget them?
U jekk ninsihom?
 Steps to take to avoid
forgetting them
 Always take them at the same
time
 Discuss with your doctor if
you could take them at one go
 How long should I take
them?
 Is there anything I should
avoid with my medication?
 What are the side effects?
Il-Pressjoni/Hypertension ©MKT_MCC
tista ’
tinsihomx?
 Kif
tiżgura li ma
 Dejjem ħudhom fl-istess ħin
 Staqsi lit-tabib jekk
tistax
teħodhom kollha flimkien
 Għal
kemm żmien għandi
neħodhom?
 Hemm xi affarijiet li għandi
nevita meta nieħu l-mediċini?
 X-inhuma
l-effetti mhux
mixtieqa tal-mediċini?
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