Hypertension māinoʻino

ʻO ke kiʻekiʻe kiʻekiʻe kiʻekiʻe ke koko kiʻekiʻe e hiki koke mai a wikiwiki.

Hoʻopilikia ka maʻi i kahi helu liʻiliʻi o ka poʻe me ke koko kiʻekiʻe, me nā keiki a me nā mākua. ʻOi aku ka maʻamau i nā ʻōpio ʻōpio, ʻo nā kāne hoʻi o ʻAmelika ʻApelika.

Hana ʻia ia i ka poʻe me:

• Nā maʻi maʻi collagen (e like me systemic lupus erythematosus, sclerosis ʻōnaehana, a me periarteritis nodosa)
• Nā pilikia ʻiʻo
• Hoʻokomo i ke koko kiʻekiʻe (hāpai hānai)

Nui kou makaʻu no ka hypertension malignant inā puhipaka ʻoe a inā loaʻa iā ʻoe:

• Hewa ʻole nā ​​hakuʻala
• ʻO ke kiʻekiʻe o ke kīhāpai i hoʻokumu ʻia e ka stenosis artery renal

ʻO nā ʻōuli o ke kiʻekiʻe kiʻekiʻe kiʻekiʻe e like me:

• ʻIke makapō
• Hoʻololi i ke kūlana noʻonoʻo, e like me ka hopohopo, huikau, hoʻēmi i ka makaʻala, hoʻemi i ka hiki ke noʻonoʻo, luhi, hoʻomaha ʻole, hiamoe, a i ʻole stupor
• Paʻi umauma (manaʻo o ka haki ʻana a i ʻole kaomi)
• Cough
• ʻEha poʻo
• Nausea a i ʻole ka luaʻi
• Numbness o nā lima, nā wāwae, ke alo, a i ʻole nā ​​wahi ʻē aʻe
• Hoʻoemi i ka mimi
• Ka hopu ʻana
• Pokole o ka hanu
• Nāwaliwali o nā lima, nā wāwae, ke alo, a i ʻole nā ​​wahi ʻē aʻe

ʻO ka hypertension malignant kahi pilikia olakino.

Hōʻike pinepine kahi hōʻike kino:

• Ke koko kiʻekiʻe loa
• ʻO ka pehu ma nā wāwae a me nā wāwae o lalo
• Ke kani nei ka naʻau maʻamau a me ka wai i nā akemāmā
• Nā loli i ka noʻonoʻo, ka naʻau, a me nā reflexes

E hōʻike ana kahi hoʻokolohua maka i nā loli e hōʻike i ke koko kiʻekiʻe, e like me:

• Kahe ʻana o ka retina (ʻāpana o ka maka)
• Ka liʻiliʻi o nā kīʻaha koko i ka retina
• ʻO ka pehu o ke aʻalolo optic
• Nā pilikia ʻē aʻe me ka retina

Hiki i nā hoʻokolohua ke hoʻoholo i ka hōʻino ʻana i nā puʻupaʻa ke:

• ʻImi kinoea Arterial
• BUN (koko urea naikokene)
• ʻĀiwi
• Urinalysis
• Pākuʻi ultrasound

Hōʻike kahi x-ray umauma i ka pīhoihoi i loko o nā akemāmā a me ka puʻuwai hoʻonui.

Hiki paha i kēia maʻi ke hoʻopili i nā hopena o kēia mau hoʻāʻo.

• Pae o aldosterone (kahi hōmona mai ka adrenal gland)
• ʻO nā enzymes Cardiac (nā māka o ka hōʻino puʻuwai)
• CT scan o ka lolo
• Electrocardiogram (EKG)
• Papa Renin
• ʻUmi hamiment

Pono ʻoe e noho i ka haukapila a hiki i ka wā e kaohi ʻia ai kou kiʻekiʻe o ke koko. E loaʻa iā ʻoe nā lāʻau i loko o ke aa (IV) e hoʻēmi ai i kou kaomi koko.

Inā loaʻa ka wai i kou mau māmā, e hāʻawi ʻia ʻoe i nā lāʻau i kapa ʻia he diuretics, ka mea e kōkua ai i ke kino e hemo i ka wai. Hāʻawi paha kāu kauka iā ʻoe i nā lāʻau e pale ai i kou puʻuwai inā he hōʻailona kou no ka hōʻino o ka puʻuwai.

Ma hope o ke kaohi ʻana o kou kiʻekiʻe kiʻekiʻe o ke koko, hiki i nā lāʻau kaomi koko e lawe ʻia e ka waha ke mālama i ke kaʻe koko. Pono paha e hoʻololi i kāu lāʻau i kekahi manawa. Hiki ke paʻakikī ke kaomi kiʻekiʻe i ke kaohi.

Nui ka pilikia o nā ʻōnaehana o ke kino mai ka piʻi loa ʻana o ke koko. Hiki ke hōʻino ʻia nā mea like ʻole me ka lolo, nā maka, nā kīʻaha koko, ka puʻuwai, a me nā puʻupaʻa.

ʻO nā kīʻaha koko o ka puʻupaʻa e hōʻino loa ʻia e ke koko kiʻekiʻe. Hiki ke hoʻomohala i nā hakuʻala ʻole, a paʻa paha ia. Inā kū kēia, pono paha ʻoe i ka dialysis (mīkini e lawe i nā huahana neoneo mai ke koko).

Inā mālama koke ʻia, hiki ke kaohi pinepine ʻia ka hypertension malignant me ka ʻole o nā pilikia mau. Inā ʻaʻole mālama koke ʻia, hiki nō ke make.

Hiki ke hana i kēia mau pilikia:

• Poino lolo (hahau, hopu ʻia)
• ʻO ka hōʻino puʻuwai, e like me: puʻuwai puʻuwai, angina (ʻeha o ka umauma ma muli o ke kīkī ʻana o nā kīʻaha koko a i nāwaliwali ka puʻuwai puʻuwai)
• Hewa ʻole nā ​​hakuʻala
• Makapō paʻa paʻa
• Loli i loko o nā ake māmā

E hele i ka lumi pilikia a kāhea paha i kāu helu kūloko kūloko (e like me 911) inā loaʻa iā ʻoe nā ʻōuli o ke kiʻekiʻe kiʻekiʻe kiʻekiʻe. He kūlana pilikia kēia e hiki ke hoʻoweliweli i ke ola.

Kāhea i kāu mea mālama ola inā ʻike ʻoe ua maikaʻi ʻole ka mālama ʻia ʻana o ke koko kiʻekiʻe.

Inā loaʻa ʻoe i ke koko kiʻekiʻe, e nānā pono i kou kaʻe koko a lawe pono i kāu mau lāʻau e kōkua i ka hōʻemi ʻana i kou makaʻi. ʻAi i kahi papaʻai olakino haʻahaʻa i ka paʻakai a me ka momona.

ʻO ke kiʻekiʻe hypertension; Nephrosclerosis Arteriolar; Nefrosclerosis - arteriolar; Hypertension - hōʻino; ʻO ke koko kiʻekiʻe - malignant

• Hakuʻala hypertensive

ʻO Bansal S, Linas SL. Pilikia hypertensive: pilikia a me ka wikiwiki. I: ʻO Vincent J-L, ʻo Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 87.

ʻO Greco BA, Umanath K. ʻO ke kiʻekiʻe hypertension a me ka nephropathy ischemic. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 41.

Kaynar AM. ʻO ka wehewehe kahakaha ʻaʻ Arterial. I: ʻO Vincent J-L, ʻo Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 36.

ʻO Levy PD, ʻo Brody A. Hypertension. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 74.