ʻO nā lāʻau lapaʻau kiʻekiʻe

ʻO ka mālama ʻana i ke koko kiʻekiʻe e kōkua i ka pale ʻana i nā pilikia e like me ka maʻi puʻuwai, ka hahau ʻana, ka nalo ʻana o ka maka, nā maʻi hakuʻala mau, a me nā maʻi maʻi koko ʻē aʻe.

Pono paha ʻoe e lawe i nā lāʻau e hoʻohaʻahaʻa i kou kahe koko inā ʻaʻole lawa nā loli o ka nohona e lawe i kou kaʻe koko i ka pae pae.

I KA WA E LOA AI NA LAAU NO KA PAI KII KIEKIE

ʻO ka hapa nui o ka manawa, e hoʻāʻo kāu mea mālama ola i nā loli nohona ma mua a nānā i kāu BP i ʻelua a ʻoi mau manawa.

Inā 120/80 a 129/80 mm Hg kou kaomi ʻana i ke koko, ua hoʻokiʻekiʻe ʻoe i ke koko.

• E paipai kāu mea hāʻawi i nā loli nohona e hoʻoliʻiliʻi i kou kaomi koko i kahi pae maʻamau.
• ʻAʻole hoʻohana pinepine ʻia nā lāʻau i kēia manawa.

Inā kūlike kou kaomi koko ma mua o 130/80 akā ʻoi aku ka haʻahaʻa ma mua o 140/90 mm Hg, loaʻa iā ʻoe ka pae 1 kiʻekiʻe ke koko. Ke noʻonoʻo nei e pili ana i ka lāʻau maikaʻi loa, pono ʻoe a me kāu mea lawelawe e noʻonoʻo.

• Inā ʻaʻohe ou maʻi ʻē aʻe a i ʻole nā ​​kumu weliweli, hiki i kāu mea hāʻawi ke paipai i nā loli nohona a hana hou i nā ana ma hope o kekahi mau mahina.
• Inā kūlike kou kaomi koko ma mua o 130/80 akā ʻoi aku ka haʻahaʻa ma mua o 140/90 mm Hg, hiki i kāu mea hāʻawi ke paipai i nā lāʻau e mālama i ke koko kiʻekiʻe.
• Inā loaʻa ʻoe i nā maʻi ʻē aʻe a i ʻole nā ​​kumu weliweli, manaʻo paha ka mea hāʻawi i nā lāʻau i ka manawa like e like me ka loli o ka nohona.

Inā like a ʻoi paha ke kiʻekiʻe o kou kaomi koko ma mua o 140/90 mm Hg, loaʻa iā ʻoe ka pae 2 kiʻekiʻe o ke koko. E paipai paha kāu mea hāʻawi iā ʻoe e lawe i nā lāʻau a koi i nā loli nohona.

Ma mua o ka hoʻoholo hope loa ʻana i ke kahe kiʻekiʻe a i ʻole ke koko kiʻekiʻe, pono i kāu mea lawelawe e noi iā ʻoe e ana ʻia kou kaomi koko ma ka home, ma kāu kauka lāʻau, a ma kahi ʻē aʻe ma kahi o kā lākou keʻena a i ʻole kahi haukapila.

Inā he ʻoi aku kou makaʻu no ka maʻi puʻuwai, ka maʻi diabetes, nā pilikia puʻuwai, a i ʻole ka mōʻaukala o ka hahau ʻana, e hoʻomaka paha nā lāʻau i ka heluhelu ʻana i ke kaomi haʻahaʻa. ʻO nā pahuhopu kahe koko e hoʻohana pinepine ʻia no ka poʻe me kēia mau pilikia olakino ma lalo o 130/80.

NA LAAU LAPAI NO KA PAI KII KIEKIE

ʻO ka hapanui o ka manawa, hoʻokahi wale nō lāʻau e hoʻohana ai i ka mua. Hiki ke hoʻomaka ʻia nā lāʻau ʻelua inā loaʻa iā ʻoe ke kiʻekiʻe o ke koko kiʻekiʻe ʻelua.

Hoʻohana ʻia kekahi mau ʻano lāʻau e mālama i ke koko kiʻekiʻe. E hoʻoholo kāu mea hāʻawi i ke ʻano o ka lāʻau e kūpono iā ʻoe. Pono ʻoe e lawe ma mua o hoʻokahi ʻano.

ʻO kēlā me kēia ʻano lāʻau lapaʻau kō koko i helu ʻia ma lalo nei i nā inoa like ʻole a me nā inoa generic.

Hoʻohana pinepine ʻia hoʻokahi a ʻoi aku paha o kēia mau lāʻau kaomi koko e mālama i ke koko kiʻekiʻe.

• ʻO Diuretics ua kapa ʻia ʻo nā pila wai. Kōkua lākou i kou mau puʻupaʻa e hemo i kahi paʻakai (sodium) mai kou kino. ʻO ka hopena, ʻaʻole pono i kāu mau kīʻaha koko e hoʻopaʻa i ka nui o ka wai a iho i lalo kou kahe koko.
• Nā poloka beta e hoʻokuʻi i ka puʻuwai ma kahi wikiwiki a me ka liʻiliʻi o ka ikaika.
• ʻO nā mea kūpale enzyme hoʻohuli Angiotensin (i kapa ʻia hoʻi Nā mea kāohi ACE) hoʻomaha i kou mau kīʻaha koko, kahi e hoʻohaʻahaʻa ai i kou kahe koko.
• ʻO receptor Angiotensin II blockers (i kapa ʻia hoʻi ARB) hana e pili ana i ke ala like e like me ka angiotensin-hoʻololi i nā mea kūpale enzyme.
• Nā poloka ʻauana kalipuna hoʻomaha i nā kīʻaha koko ma o ka hōʻemi ʻana i nā calcium e komo i nā hunaola.

ʻAʻole hoʻohana ʻia nā lāʻau kaomi koko e like me ka pinepine:

• Nā-ārai Alpha kōkua i ka hoʻomaha ʻana i kou mau kīʻaha koko, kahi e hoʻohaʻahaʻa ai i kou kahe koko.
• Nā lāʻau lapaʻau hana waena hōʻailona i kou lolo a me kou ʻōnaehana e hoʻomaha ai i kou kīʻaha koko.
• ʻO Vasodilators hōʻailona i nā mākala i nā paia o nā kīʻaha koko e hoʻomaha.
• Nā mea kāpae ʻo Renin, kahi ʻano hou o ka lāʻau no ka mālama ʻana i ke koko kiʻekiʻe, hana ma ka hōʻemi ʻana i ka nui o nā mea i mua o ka angiotensin e hoʻomaha ai i kou kīʻaha koko.

Nā ʻaoʻao ʻaoʻao o nā lāʻau lapaʻau kaomi koko

ʻO ka hapa nui o nā lāʻau kaomi koko e maʻalahi e lawe, akā ʻo nā lāʻau āpau he hopena nā hopena. ʻO ka hapa nui o kēia mau mea maʻalahi a hele aku paha i ka manawa.

ʻO kekahi mau hopena ʻaoʻao maʻamau o nā lāʻau kahe koko kiʻekiʻe:

• Cough
• Pohā a paʻa paʻa paha
• ʻO ka puʻupuʻu a i ʻole ka uila
• Nā pilikia kūkulu
• Manaʻo hopohopo
• Manaʻo luhi, nāwaliwali, hiamoe, a i ʻole nele i ka ikaika
• ʻEha poʻo
• Nausea a i ʻole ka luaʻi
• ʻ Skinhū ʻili
• ʻO ka pohō kaumaha a loaʻa ʻole paha me ka hoʻāʻo ʻole

E haʻi koke i kāu mea hāʻawi inā loaʻa nā hopena a i ʻole nā ​​ʻaoʻao ʻē aʻe e hoʻopilikia nei iā ʻoe. ʻO ka hapa nui o ka manawa, ke hoʻololi nei i ka lāʻau o ka lāʻau a i ʻole ke lawe ʻoe hiki ke kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao.

Mai hoʻololi i ka lāʻau a oki i ka lawe ʻana i ka lāʻau i kāu iho. E kamaʻilio mau i kāu mea hāʻawi.

ʻ TIlelo Aʻo HOU

Hiki ke hoʻololi i ka lawe ʻana i nā lāʻau i hoʻokahi a pehea e ʻānai a hoʻohana ai paha kou kino i kahi lāʻau. Hiki i nā wikamina a i ʻole nā ​​mea hoʻopihapiha, nā meaʻai like ʻole, a i ʻole ka waiʻona paha ke hoʻololi i ka hana ʻana o kahi lāʻau i kou kino.

E nīnau mau i kāu mea hoʻolako inā pono ʻoe e hōʻalo i nā meaʻai, nā mea inu, nā huaora a i ʻole nā ​​mea hoʻopili, a i ʻole nā ​​lāʻau ʻē aʻe ke lawe ʻoe i ka lāʻau kahe koko.

Hypertension - nā lāʻau

ʻO Victor RG. Hypertension arterial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 67.

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 Saunders; 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 www.ncbi.nlm.nih.gov/pubmed/29146535.

ʻO Williams B, ʻo Borkum M. ʻO ka lāʻau Pharmacologic o ka hypertension. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 36.