Kaomi haʻahaʻa

Kū ke koko haʻahaʻa ke haʻahaʻa ke kaomi o ke koko ma mua o ka maʻamau. ʻO ke kumu o kēia ʻaʻole lawa ka nui o ke koko i ka puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o ke kino. ʻO ke kaomi koko maʻamau ka hapa nui ma waena o 90/60 mmHg a me 120/80 mmHg.

ʻO ka inoa olakino no ke kahe o ke koko haʻahaʻa he hypetension.

Hoʻololi ke kahe o ke koko mai kekahi kanaka a i kekahi. ʻO kahi kulu e like me 20 mmHg, hiki ke hana i nā pilikia no kekahi poʻe. Aia nā ʻano like ʻole a me nā kumu o ke kaomi haʻahaʻa.

Hiki ke hoʻokumu ʻia ke kuhiakau nui e ka nalowale ʻana o ke koko (haʻalulu), maʻi nui, ka puʻuwai puʻuwai, a i ʻole ka hopena maʻi ʻino (anaphylaxis).

Hoʻokumu ʻia ke kuhiakau Orthostatic e ka hoʻololi koke o ke kūlana o ke kino. Hana pinepine ʻia kēia ke hoʻololi ʻoe mai ka moe ʻana i ke kū ʻana. ʻO kēia ʻano ke kaomi haʻahaʻa haʻahaʻa he mau kekona wale nō a mau minuke paha. Inā kū kēia ʻano kaomi haʻahaʻa ma hope o ka ʻai ʻana, ua kapa ʻia ia ʻo postprandial orthostatic hypotension. Hoʻopili pinepine kēia ʻano i nā mākua makua, nā mea me ke koko kiʻekiʻe, a me nā kānaka me ka maʻi Parkinson.

Hoʻopilikia pinepine ʻia ke kuhiakau (NMH) pinepine i nā ʻōpio a me nā keiki. Hiki iā ia ke kū i ke kū ʻana o kahi kanaka no ka manawa lōʻihi. ʻOi aku nā keiki ma mua o ka nui o kēia ʻano hypological.

Hiki i kekahi mau lāʻau a me nā mea i alakaʻi i ke kahe haʻahaʻa, me:

• ʻAlekohola
• Nā lāhui anti-hopohopo
• Nā antidepressants kekahi
• ʻO Diuretics
• Nā lāʻau puʻuwai, me nā mea i hoʻohana ʻia e mālama i ke koko kiʻekiʻe a me nā maʻi puʻuwau coronary
• Hoʻohana ʻia nā lāʻau no ke kaha ʻana
• Nā lāʻau ʻehaʻeha

ʻO nā kumu ʻē aʻe o ke kaomi haʻahaʻa e pili pū ana:

• Poino ke aʻa mai ka maʻi kō
• Nā loli i ka puʻuwai puʻuwai (arrhythmia)
• ʻAʻole inu lawa i nā wai (make wai)
• Hewa puʻuwai

Hiki i nā ʻōuli o ke kaomi haʻahaʻa ke komo pū i:

• Hihi maka
• Huikau
• Puʻupuʻu
• Pahu (sinkope)
• ʻĀlohilohi
• Nausea a i ʻole ka luaʻi
• Hiamoe
• Nawaliwali

E nānā ka mea mālama ola iā ʻoe e hoʻoholo i ke kumu o kou kaomi haʻahaʻa. ʻO kāu mau hōʻailona koʻikoʻi (ka mahana, ka lāʻau, ka nui o ka hanu ʻana, a me ke kahe o ke koko) e nānā pinepine ʻia. Pono paha ʻoe e noho i ka haukapila no kekahi manawa.

E nīnau nā mea hāʻawi i nā nīnau, e like me:

• He aha kou kahe koko maʻamau?
• He aha nā lāʻau e lawe ai?
• Ua ʻai a inu paha ʻoe ma maʻamau?
• Ua loaʻa paha ʻoe i kekahi maʻi, ulia, a ʻeha paha i kēia manawa?
• He aha nā hōʻailona ʻē aʻe āu?
• Maule paha ʻoe a lilo i mea makaʻala ʻole?
• Pīhoihoi paha ʻoe a ʻālohilohi paha ke kū ʻana a noho paha ma hope o ka moe ʻana i lalo?

E hana ʻia paha kēia mau hoʻāʻo:

• Panela metaboliko maʻamau
• ʻO nā moʻomeheu koko e nānā i ka maʻi
• Helu piha o ke koko (CBC), me ke ʻano like ʻole o ke koko
• Electrocardiogram (ECG)
• Urinalysis
• X-ray o ka ʻōpū
• X-ray o ka umauma

ʻOi aku ka haʻahaʻa ma mua o ke kahe o ke koko i ke kanaka olakino ʻole i kumu pinepine ʻia kekahi hōʻailona. Inā ʻole, pili ka mālama ʻana i ke kumu o kou kaomi haʻahaʻa a me kāu mau ʻōuli.

Ke loaʻa ʻoe i nā ʻōuli mai ke kulu ʻana o ke koko, noho a moe i lalo koke. A laila e hāpai i kou mau wāwae ma luna o ka pae o ka naʻau.

ʻO ke kuhiakau nui i hoʻokumu ʻia e ka haʻalulu he lāʻau olakino olakino ia. Hāʻawi ʻia ʻoe:

• ʻO ke koko ma o kahi nila (IV)
• ʻO nā lāʻau e hoʻonui i ke kahe o ke koko a hoʻomaikaʻi i ka ikaika o ka puʻuwai
• ʻO nā lāʻau ʻē aʻe, e like me nā antibiotic

Nā hana no ke kahe haʻahaʻa ma hope o ke kū wikiwiki ʻana e hoʻopili pū:

• Inā ʻo nā lāʻau ke kumu, hiki i kāu mea hāʻawi ke hoʻololi i nā ana a hoʻololi iā ʻoe i kahi lāʻau ʻokoʻa. Mai hōʻoki i ka lawe ʻana i nā lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.
• Hōʻike paha kāu mea hāʻawi i ka inu ʻana i nā wai hou aʻe e mālama ai i ka make wai.
• Hiki i ke kau ʻana o nā lāʻau kaomi ke kōkua i ka mālama ʻana i ke koko mai ka ʻohi ʻana i nā wāwae. Mālama kēia i ke koko i ke kino o luna.

Pono nā poʻe me NMH e hōʻalo i nā mea hoʻouluulu, e like me ke kū ʻana no kahi wā lōʻihi. ʻO nā ʻano lapaʻau ʻē aʻe e pili ana i ka inu ʻana i nā wai a hoʻonui i ka paʻakai i kāu papaʻai. E kamaʻilio i kāu mea hāʻawi ma mua o ka hoʻāʻo ʻana i kēia mau ana. I nā hihia koʻikoʻi, hiki ke kuhikuhi ʻia nā lāʻau.

Hiki ke mālama maʻamau i ke koko haʻahaʻa me ka kūleʻa.

Falls ma muli o ke kahe o ke koko i nā mākua hiki ke alakaʻi i ka haki haʻihaʻi a me ka haki. Hiki i kēia mau hōʻeha ke hōʻemi i ke olakino o ke kanaka a me ka hiki ke neʻe.

ʻO ka hāʻule ʻana o nā kulu koʻikoʻi i kou kaomi koko e pōloli ana kou kino i ka oxygen. Hiki i kēia ke alakaʻi i ka hōʻino o ka puʻuwai, lolo, a me nā mea ʻē aʻe. Hiki i kēia ʻano kaomi haʻahaʻa ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia.

Inā hoʻohaʻahaʻa ke koko haʻahaʻa i kahi kanaka e hele i waho (lilo i makaʻu ʻole), e ʻimi koke i ka lāʻau. A i ʻole, kāhea i ka helu pilikia kūloko e like me 911. Inā ʻaʻole hanu ke kanaka a ʻaʻohe ona pulse, e hoʻomaka iā CPR.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli:

• Nā noho ʻeleʻele a maroon paha
• ʻEha ʻeha
• Puʻupuʻu, ʻālohilohi
• Mauleʻa
• ʻOi aku ka wela ma mua o 101 ° F (38.3 ° C)
• Paʻi kuʻi ʻole
• Pokole o ka hanu

E ʻōlelo paha kāu mea hāʻawi i kekahi mau kaʻina e pale a hōʻemi paha i kāu mau hōʻailona me:

• Ke inu nei i nā wai hou aʻe
• Ke ala mālie ʻana ma hope o ka noho ʻana a moe paha i lalo
• ʻAʻole inu lama
• Kū ʻole no ka manawa lōʻihi (inā he NMH kou)
• Ke hoʻohana nei i nā stocking compression no laila ʻaʻole hōʻiliʻili ke koko i nā wāwae

Hypotension; Kaomi koko - haʻahaʻa; Kuhiakau hope loa; Kuhiakau Orthostatic; Hoʻoponopono kūwaena pono; NMH

ʻO Calkins HG, ʻo Zipe DP. Hypotension a me ka synopeope. 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 43.

ʻO Cheshire WP. Nā maʻi Autonomic a me kā lākou hoʻokele. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 418.