Ke kaohi nei i kou kiʻekiʻe o ke koko

ʻO ka hypertension kahi huaʻōlelo i hoʻohana ʻia e wehewehe i ke koko kiʻekiʻe. Hiki i ke koko kiʻekiʻe ke alakaʻi iā:

• Hahau
• Maʻi hohola
• Hewa puʻuwai
• ʻO ka maʻi kīwī
• Ka make mua

Loaʻa paha iā ʻoe ke koko kiʻekiʻe ke ʻelemakule ʻoe. ʻO kēia no ka lilo o nā kīʻaha koko i ke koʻikoʻi i kou mau makahiki. Ke hiki mai kēlā, piʻi aʻe kou kaomi koko.

Inā kiʻekiʻe ke koko, pono ʻoe e hoʻohaʻahaʻa iā ia a mālama iā ia ma lalo o ka kaohi. ʻO kāu heluhelu kaomi koko ʻana he 2 mau helu. Hiki ke kiʻekiʻe a hoʻokahi a ʻelua paha o kēia mau helu.

• Kapa ʻia ka helu kiʻekiʻe ʻo kahe koko systolic. No ka hapanui o ka poʻe, kiʻekiʻe loa kēia heluhelu inā ʻo 140 a ʻoi paha.
• Kapa ʻia ka helu lalo ka kaomi koko diastolic. No ka hapanui o ka poʻe, kiʻekiʻe loa kēia heluhelu inā 90 a ʻoi paha.

ʻO nā helu kaomi koko ma luna nā pahuhopu a ka hapa nui o ka poʻe loea i ʻaelike ai no ka hapa nui o ka poʻe. No ka poʻe he 60 mau makahiki a ʻoi paha, ʻ recommendlelo kekahi mau mea lawelawe mālama ola i kahi pahuhopu kahe o ke koko o 150/90. E noʻonoʻo kāu mea hāʻawi i ka pili o kēia mau pahuhopu iā ʻoe.

Hiki i nā lāʻau he nui ke kōkua iā ʻoe e kaohi i kou kaomi koko. E hāʻawi kāu mea hoʻolako:

• Kauoha i ka lāʻau maikaʻi loa na ʻoe
• Nānā i kāu mau lāʻau
• Hana i nā hoʻololi inā pono

Mālama nā mākua makua i nā lāʻau hou aʻe a waiho kēia iā lākou i ka makaʻu ʻoi aku no nā hopena ʻino. ʻO ka hopena o ka lāʻau kahe koko ka hoʻonui i ka makaʻu no ka hāʻule. Ke mālama ʻana i nā mākua, pono e kaulike nā pahuhopu kahe koko e kūʻē i nā hopena lāʻau.

Ma waho aʻe o ka lawe ʻana i ka lāʻau, hiki iā ʻoe ke hana i nā mea he nui e kōkua i ke kaohi i kou kaomi koko. ʻO kekahi o kēia mau mea:

• Palena i ka nui o ka sodium (paʻakai) āu e ʻai ai. Kūpono no ka mea ma lalo o 1,500 mg i kēlā me kēia lā.
• Palena i ka nui o ka waiʻona āu e inu ai, ʻaʻole ʻoi aku ma mua o 1 inu i ka lā no nā wahine a me 2 i kēlā me kēia lā no nā kāne.
• ʻAi i kahi papaʻai olakino puʻuwai e hoʻopili i nā nui o ka potassium a me nā fiber i koi ʻia.
• Inu nui i ka wai.
• Noho ma ke kaupaona kino olakino. E ʻike i kahi papahana hoʻēmi kino, inā pono ʻoe.
• Hoʻomaʻamaʻa pinepine. E kiʻi ma kahi o 40 mau minuke o ka hoʻomeamea a hoʻoikaika kino aerobic ma ka liʻiliʻi he 3 a 4 mau lā o ka pule.
• E hōʻemi i ke koʻikoʻi. E hoʻāʻo e hōʻalo i nā mea e hoʻonāukiuki ai iā ʻoe, a hoʻāʻo i ka noʻonoʻo a yoga paha i ka hoʻopau kaumaha ʻana.
• Inā puhi ʻoe, haʻalele. E ʻike i kahi papahana e kōkua iā ʻoe e kū.

Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e ʻike i nā papahana no ka lilo ʻana o ka paona, ka hoʻōki ʻana i ka puhipaka, a me ka hoʻoikaika kino. Hiki iā ʻoe ke kiʻi i kahi mea kuhikuhi i kahi dietitian mai kāu mea hāʻawi. Hiki i ke kaukaʻai ke kōkua iā ʻoe e hoʻolālā i kahi papaʻai olakino nāu.

Hiki ke ana ʻia kou kaomi koko ma nā wahi he nui, e like me:

• Ka home
• Ke keʻena o kāu mea hāʻawi
• ʻO kāu wahi ahi ahi kūloko
• Kekahi hale kūʻai lāʻau

E noi paha kāu mea hāʻawi iā ʻoe e mālama i kāu kaomi koko ma ka home. E ʻike pono i ka loaʻa ʻana o kahi pono home kūpono maikaʻi. ʻOi aku ka maikaʻi e loaʻa i hoʻokahi me ka cuff no kou lima a me kahi heluhelu heluhelu. E hoʻomaʻamaʻa me kāu mea lawelawe e ʻike pono i ka lawe pololei ʻana i kou kaomi koko.

He mea maʻamau kāu ʻoki ʻana i ke koko e ʻokoʻa i nā manawa like ʻole o ka lā.

ʻOi aku ke kiʻekiʻe ma mua ke hana ʻoe. E heleleʻi iki ia i kou wā ma ka home. ʻO ka mea haʻahaʻa loa ke hiamoe ʻoe.

He mea maʻamau ia e hoʻonui koke ai kou kaomi koko ke ala ʻoe. No nā kānaka me ke koko kiʻekiʻe loa, ʻo kēia ka manawa e makaʻu loa ai lākou no ka hōʻeha puʻuwai a me ka hahau.

E hāʻawi kāu mea hāʻawi iā ʻoe i kahi hoʻokolohua kino a nānā pinepine i kou kaomi koko. Me kāu mea e hoʻolako ai, e hoʻokumu i kahi pahuhopu no kāu kaomi koko.

Inā nānā ʻoe i kou kaomi koko ma ka home, e mālama i kahi moʻolelo i kākau ʻia. Lawe i nā hopena i kāu kipa olakino.

Kāhea i kāu mea hāʻawi inā piʻi maikaʻi kou kaomi koko ma mua o kāu pae maʻamau.

Kāhea pū kekahi inā loaʻa iā ʻoe kekahi o nā ʻōuli penei:

• ʻEha poʻo poʻo
• Pākuʻi naʻau ʻole a i ʻole pālū
• ʻEha ʻeha
• Hoʻoulu
• Nausea a i ʻole ka luaʻi
• Pokole o ka hanu
• ʻO ka puʻupuʻu a i ʻole ka uila
• ʻEha a ʻūlū paha i ka ʻāʻī, ʻāʻī, poʻohiwi, a i ʻole nā ​​lima
• Pōpō a nāwaliwali paha i kou kino
• Mauleʻa
• Pilikia ka ʻike ʻana
• Huikau
• Ka ʻōlelo paʻakikī
• Nā hopena ʻē aʻe āu e manaʻo ai no kāu lāʻau lapaʻau a i ʻole ke kaomi koko

Ka mālama ʻana i ka hanu kiʻekiʻe

• Lawe i kou kaomi koko ma ka home
• ʻIke kaomi koko
• ʻAiʻai sodium haʻahaʻa

ʻAhahui Diabetes ʻAmelika. 10. Ka maʻi Cardiovascular a me ka mālama ʻana i nā pilikia: nā kūlana o ka mālama olakino ma diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Ettehad D, Emdin CA, Kiran A, et al. Ke hoʻohaʻahaʻa nei i ke kaomi koko no ka pale ʻana i ka maʻi maʻi maʻi a me ka make: kahi loiloi ʻōnaehana a me nā meta-analysis. Lancet. 2016; 387 (10022): 957-967. PMID: 26724178 pubmed.ncbi.nlm.nih.gov/26724178/.

Rosendorff C, Lackland DT, Allison M, et al. Hoʻomaʻamaʻa i ka hanu kiʻekiʻe i nā mea maʻi me ka maʻi o ke aʻa coronary: kahi ʻōlelo ʻepekema mai ka American Heart Association, American College of Cardiology, a me American Society of Hypertension. Kaapuni. 2015; 131 (19): e435-e470. PMID: 25829340 pubmed.ncbi.nlm.nih.gov/25829340/.

ʻO Victor RG, Libby P. Pūnaehana hypertension: hoʻokele. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 47.

Whelton PK, Carey RM, Aronow WS, et al. ʻO ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA alakaʻi no ka pale ʻana, ʻike, loiloi, a me ka mālama ʻana i ke kiʻekiʻe o ke koko i nā mākua: kahi hōʻike o ka American College of Cardiology / American Heart ʻAha Hana Pūʻali ma nā kulekele hana hoʻokolohua. ʻO J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.

• Angina
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• Nā kaʻina hana hoʻopau Cardiac
• ʻOki kino o Carotid artery - hāmama
• Maʻi maʻi coronary
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• Hewa puʻuwai
• Puʻuwai puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe - nā mākua
• Imi i ka cardioverter-defibrillator
• Holo ke ākea peripheral - wāwae
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Hoʻoponopono aneurysm aorta ʻōpū - wehe - hoʻokuʻu
• Nā mea kāohi ACE
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• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery - hoʻokuʻu
• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - hoʻokuʻu
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• Aortic aneurysm hana hou - endovascular - hoʻokuʻu
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• ʻO ka pata, ka margarine, a me nā aila kuke
• ʻOki kino aʻa Carotid - hoʻokuʻu
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Diabetes - pale i ka hōʻeha puʻuwai a me ka hahau
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
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• ʻOki kino bypass Heart - minimally invasive - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - nā wai a me nā diuretics
• Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean
• Holo ke ākea peripheral - wāwae - hoʻokuʻu
• Hahau - hoʻokuʻu

• Piʻi Kī kiʻekiʻe
• Pehea e pale ai i ke kahe koko kiʻekiʻe