Maʻi maʻi puʻuwai

ʻO ka maʻi puʻuwai hypertensive e pili ana i nā pilikia o ka puʻuwai e kū ana ma muli o ke kahe o ke koko kiʻekiʻe i loaʻa i kahi manawa lōʻihi.

ʻO ke kiʻekiʻe o ke koko kiʻekiʻe ke kiʻekiʻe loa ke kaomi o loko o nā kīʻaha koko (i kapa ʻia nā aʻa). E like me ka puʻuwai e kūʻē i kēia kaomi, pono e hana ʻoi aku ka ikaika. I ka hala ʻana o ka manawa, hoʻonāukiuki kēia i ka mānoanoa o ka naʻau.

Ma muli o ka loaʻa pinepine ʻole o nā hōʻailona me ke koko kiʻekiʻe, hiki i nā kānaka ke loaʻa ka pilikia me ka ʻike ʻole. ʻAʻole hiki pinepine nā ʻōuli a hiki i ka hala ʻana o nā makahiki he nui o ke kahe ʻana o ke kahe o ke koko, ke hiki mai ka hōʻino i ka puʻuwai.

ʻO ka hope, lilo ka mānoanoa i mānoanoa ʻaʻole lawa ka oxygen. Hiki i kēia ke kumu i ka angina (ʻeha o ka umauma). Me ka ʻole o ke kaomi kahe kūpono, hiki i ka puʻuwai ke hoʻonāwaliwali i ka manawa a ulu paha ka puʻuwai puʻuwai.

ʻO ke koko kiʻekiʻe hoʻi e alakaʻi i ka mānoanoa o nā paia o ke kīʻaha koko. Ke hoʻohui ʻia me nā waihona kolamu kolamu i loko o nā kīʻaha koko, piʻi ka makaʻu o ka puʻuwai a me ka hahau ʻana.

ʻO ka maʻi puʻuwai hypertensive ke kumu nui o ka maʻi a me ka make mai ke koko kiʻekiʻe.

Kāhea i kāu mea mālama ola inā loaʻa ke kiʻekiʻe o ke koko a hoʻomohala i nā hōʻailona.

ʻO ke kuhi ʻana i ke koko kiʻekiʻe ma mua e hiki ke kōkua i ka pale ʻana i ka maʻi puʻuwai, ka hahau ʻana, nā pilikia o ka maka, a me nā maʻi puʻupuʻu mau.

ʻO nā mākua āpau ma mua o 18 mau makahiki e nānā i ko lākou kahe koko i kēlā me kēia makahiki. Pono paha e ana hou pinepine ʻia no ka poʻe me ka mōʻaukala o ka heluhelu ʻana i ke koko kiʻekiʻe a i ʻole nā ​​mea me nā mea pilikia no ke kahe kiʻekiʻe.

Hiki ke loli i nā alakaʻi i ka loaʻa ʻana o ka ʻike hou, No laila, hiki i kāu kauka olakino ke koi aku i nā kānana pinepine pinepine ʻia e pili ana i nā pae kaomi koko a me nā kūlana olakino ʻē aʻe.

Inā kiʻekiʻe ke koko, pono ʻoe e hoʻohaʻahaʻa iā ia a mālama iā ia ma lalo o ka kaohi.

• Mai hōʻoki a hoʻololi paha i nā lāʻau lapaʻau kiʻekiʻe me ke kamaʻilio ʻole ʻana me kāu mea hāʻawi.
• Mālama pono i ka maʻi kō a me ka kiʻekiʻe o ke kō.

Hypertension - puʻuwai hypertensive; Ke koko kiʻekiʻe - puʻuwai hypertensive

• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka

• Hypertension
• Hoʻololi ka nohona

Rogers JG, O'Connor CM. Hōʻino puʻuwai: pathophysiology a me kahi hōʻailona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 52.

Siu AL, Pūʻali Hana lawelawe lawelawe US ​​Preventive. ʻO ka loiloi no ke kiʻekiʻe o ke koko i nā mākua: ʻO ka ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

ʻO Victor RG. Hypertension arterial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 70.

ʻO Victor RG. Nā ʻōnaehana hypertension ʻōnaehana a me ka hōʻailona. 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 46.

Whelton PK, Carey RM, Aronow WS, et al. 2017 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 Pūʻulu Hana ʻAhahui Puʻuwai e pili ana i nā ʻōkuhi hoʻomaʻamaʻa lapaʻau. ʻO J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.