Ana ana i ke koko

ʻO ke kaomi koko ke ana o ka ikaika ma nā paia o kou mau aʻa i kou puʻuwai e pīpī i ke koko ma o kou kino.

Hiki iā ʻoe ke ana i kou kaomi koko ma ka home. Hiki iā ʻoe ke nānā iā ia ma ke keʻena o kāu lawelawe mālama ola a i ʻole kahi kahua ahi.

Noho i kahi noho me kou kua i kākoʻo ʻia. Pono e hele wāwae ʻole ʻia kou mau wāwae, a kau kou mau wāwae i ka papahele.

Kākoʻo ʻia kou lima i mea e pae ai kou lima luna i ka pae o ka puʻuwai. ʻOlokaʻa i kou lima i kapa ʻole kou lima. E nānā pono ʻaʻole i pūlū ʻia ka lima a ʻuwī i kou lima. Ināʻo ia, e lawe i kou lima mai ka lima lima, a wehe loa i ka pālule.

E hoʻopaʻa ʻoe a i ʻole kāu mea lawelawe i ke kūpikipiki koko i kou lima o luna. ʻO ka lihi lalo o ka cuff pono he 1 iniha (2.5 cm) ma luna o ke pelu o kou kuʻe lima.

• E hoʻonui koke ʻia ka cuff. Hana ʻia kēia ma ka paila ʻana i ka ʻumeke kaomi a i ʻole kaomi ʻana i ka pihi ma ka hāmeʻa. E hoʻopili ʻoe i kou lima.
• A laila, wehe hāmama ka pahu o ka cuff, e ʻae e hāʻule haʻahaʻa i ke kaomi.
• Ke hāʻule nei ke kaomi, ua hoʻopaʻa ʻia ka heluhelu ʻana ke lohe ʻia ke kani o ke kuʻi ʻana o ke koko. ʻO kēia ka systolic pressure.
• Ke hoʻomau nei ka hoʻokuʻu ʻana i ka ea, e nalowale nā ​​kani. Hoʻopaʻa ʻia ke kiko a kū ke kani. ʻO kēia ke kaomi diastolic.

Hoʻomoʻu mālie paha i ka cuff a i ʻole ka hoʻowalewale ʻana iā ia i kahi kaomi kiʻekiʻe i kumu e heluhelu hewa ai. Inā loosen ʻoe i ka kiwikā, ʻaʻole hiki iā ʻoe ke ana i kou kaomi koko.

Hana ʻia ke kaʻina hana i ʻelua a ʻoi mau manawa.

Ma mua o ke ana ʻana i kou kaomi koko:

• Hoʻomaha no ka liʻiliʻi he 5 mau minuke, ʻoi aku ka maikaʻi o 10 mau minuke, ma mua o ka lawe ʻia ʻana o ke koko.
• Mai lawe i kou kahe koko ke loaʻa ʻoe i ke koʻikoʻi, ua loaʻa ka caffeine a i ʻole hoʻohana paka i nā minuke 30 i hala iho nei, a i ʻole ua hoʻohana i kēia manawa.

Lawe i nā heluhelu ʻelua a 3 paha ma kahi noho. E lawe i nā heluhelu he 1 mau minuke ke kaʻawale. Noho mau. Ke nānā nei i kou kaomi koko ma kāu iho, e hoʻomaopopo i ka manawa o nā heluhelu. E ʻōlelo paha kāu mea lawelawe e hana i kāu heluhelu ʻana i kekahi mau manawa o ka lā.

• E makemake paha ʻoe e lawe i kou kaomi koko i ke kakahiaka a i ka pō no hoʻokahi pule.
• E hāʻawi kēia iā ʻoe ma ka liʻiliʻi he 14 mau heluhelu a e kōkua i kāu mea hāʻawi i nā hoʻoholo e pili ana i kāu mālama koko.

E hōʻoluʻolu iki ʻoe i ka wā e hoʻonui ʻia ai ke kuʻi koko i kona kiʻekiʻe kiʻekiʻe.

ʻAʻohe hōʻailona o ke koko kiʻekiʻe, no laila ʻaʻole ʻoe e ʻike inā loaʻa kēia pilikia iā ʻoe. ʻIke pinepine ʻia ke kahe kiʻekiʻe i ke kipa ʻana i ka mea hāʻawi no kahi kumu ʻē aʻe, e like me ka hoʻokolohua kino maʻamau.

ʻO ka loaʻa ʻana o ke koko kiʻekiʻe a me ka mālama ʻana iā ia i kakahiaka nui hiki ke kōkua i ka pale ʻana i ka maʻi puʻuwai, ka hahau ʻana, nā pilikia o ka maka, a i ʻole nā ​​maʻi puʻupuʻu mau. Pono nā mākua āpau 18 mau makahiki a ʻoi paha i ko lākou kahe koko e nānā pinepine ʻia.

• Hoʻokahi manawa i ka makahiki no nā mākua i piha nā makahiki 40 a ʻoi
• Hoʻokahi manawa i ka makahiki no ka poʻe i hoʻonui i ka makaʻu no ke kahe kiʻekiʻe, e like me ka poʻe i kaupaona a momona paha, ʻAmelika ʻAmelika, a me nā mea me ke kaomi koko kiʻekiʻe 130 a 139/85 a 89 mm Hg
• ʻO kēlā me kēia 3 a 5 mau makahiki no nā mākua mai 18 a 39 mau makahiki me ke kahe o ke koko ma lalo o 130/85 mm Hg i loaʻa ʻole nā ​​mea ʻē aʻe.

E ʻōlelo paha kāu mea hāʻawi i nā kānana pinepine pinepine e pili ana i nā pae kaomi koko a me nā kūlana olakino ʻē aʻe.

Hāʻawi pinepine ʻia nā heluhelu kaomi koko ma ke ʻano he ʻelua mau helu. ʻO kahi laʻana, e haʻi paha kāu mea hāʻawi iā ʻoe ʻo kāu kaomi koko he 120 ma mua o 80 (kākau ʻia ma 120/80 mm Hg). Hiki ke kiʻekiʻe a hoʻokahi a ʻelua paha o kēia mau helu.

ʻO ke kahe koko maʻamau ka manawa o ka helu kiʻekiʻe (systolic pressure pressure) ma lalo o 120 ka hapa nui o ka manawa, a ʻo ka helu lalo (diastolic pressure pressure) ma lalo o 80 ka hapanui o ka manawa (kākau ʻia ma 120/80 mm Hg).

Inā kū kou kahe koko ma waena o 120/80 a me 130/80 mm Hg, ua hoʻokiʻekiʻe ʻoe i ke kaomi 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 ʻoi aku ke kiʻekiʻe o kou kahe 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 kū mau ke kaomi koko ma luna o 130/80 akā ma lalo 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, e hoʻomaka paha kāu mea hoʻolako i nā lāʻau i ka manawa like e like me ka loli o ka nohona.

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

ʻO ka hapa nui o ka manawa, ʻaʻole ke kiʻekiʻe o ke koko kiʻekiʻe e hōʻailona i nā ʻōuli.

He mea maʻamau no kou kaomi koko e loli 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. I ka poʻe me ke koko kiʻekiʻe loa, ʻo kēia ka manawa a lākou e makaʻu nui ai no ka hōʻeha puʻuwai a me ka hahau.

ʻO nā heluhelu kaomi koko i lawe ʻia ma ka home he ana maikaʻi paha ia o kāu kaomi koko o kēia manawa ma mua o nā mea i lawe ʻia ma ke keʻena o kāu mea lawelawe.

• E nānā pono i ka nānā ʻana o ke kaomi koko i kou home.
• E noi i kāu mea hāʻawi e hoʻohālikelike i kāu heluhelu home me nā mea i lawe ʻia i ke keʻena.

Nui nā poʻe hopohopo i ke keʻena o ka mea hāʻawi a loaʻa nā heluhelu kiʻekiʻe ma mua o kā lākou ma ka home. Kapa ʻia kēia he hypertension o ke kapa keʻokeʻo. Hiki i nā heluhelu kaomi koko ka home ke kōkua e ʻike i kēia pilikia.

Ke kahe koko Diastolic; ʻO ke kahe o Systolic; Ka heluhelu ʻana i ke kaomi koko; Ana i ke kahe o ke koko; Hypertension - ke kaomiʻana i ke koko; Ke koko kiʻekiʻe - ke ana kiʻekiʻe o ke koko; ʻO Sphygmomanometry

ʻAhahui Diabetes ʻAmelika. 10. Ka maʻi maʻi 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. oi: 10.2337 / dc20-S010. PMID: 31862753. pubmed.ncbi.nlm.nih.gov/31862753/.

Arnett DK, Blumenthal RS, Albert MA, et al. ʻO 2019 ACC / AHA kulekele e pili ana i ka pale mua ʻana i ka maʻi maʻi ʻōpū: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Alakaʻi. Kaapuni. 2019; 140 (11); e596-e646. PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

ʻAhahui Puʻuwai ʻAmelika (AHA), ʻAmelika ʻAmelika Hui Pū ʻIa (AMA). Pahuhopu: BP. targetbp.org. Loaʻa iā Kēkēmapa 3, 2020. 9th ed.

ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. Nā loiloi loiloi a me nā pono hana. I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino.9th ed. St Louis, MO: Elsevier; 2019: chap 3.

ʻO Victor RG. ʻO ke kiʻekiʻe hypertension: nā hana a me ka hōʻailona. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 46.

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: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 47.

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 ncbi.nlm.nih.gov/pubmed/29146535/.