Pehea e heluhelu ai i kahi pakuhi kaomi koko e hoʻoholo ai i kāu pilikia o ke kiʻekiʻe

Anter

• ʻIke i kāu helu kaomi koko
• Nā pae kaomi koko no nā keiki
• Pehea e lawe ai i kahi heluhelu
• Lapaʻau
• No ke koko kiʻekiʻe
• No ke koko haʻahaʻa
• Nā pilikia
• Kāohi
• E kamaʻilio me kāu kauka

He aha ke koko koko?

Ana ke kaomi koko i ka nui o ka ikaika o ke koko ma luna o nā paia o kou kīʻaha koko i ka pauma ʻana o kou puʻuwai. Ua ana ʻia i ka millimeter o ka mercury (mm Hg).

ʻO ke kahe koko Systolic ka helu kiʻekiʻe i ka heluhelu ʻana. Ana ʻia ke kaomi o nā kīʻaha koko ke kaomi kou puʻuwai i ke koko i kou kino.

ʻO ke kaomi koko Diastolic ka helu lalo i kahi heluhelu. Ana ʻia ke kaomi o nā kīʻaha koko ma waena o nā puʻuwai, ʻoiai e hoʻopiha ana kou puʻuwai me ke koko e hoʻi mai ana mai kou kino.

He mea nui ka mālama ʻana i kou kaomi koko:

• Hypertension, a i ʻole ke kahe o ke koko kiʻekiʻe loa, hiki iā ʻoe ke makaʻu i ka maʻi puʻuwai, ka nalo ʻana o ka ʻike, ka maikaʻi ʻole o ka puʻuwai, a me ka hahau.
• Hypotension, a i ʻole ke kahe o ke koko e haʻahaʻa loa ana, hiki ke hōʻeha i nā hopena ʻino, e like me ka poni a maule paha. Hiki i ke kaomi haʻahaʻa haʻahaʻa ke hōʻino i nā lālā ma ka hoʻonele ʻana iā lākou i ke kahe o ke koko a me ka oxygen.

ʻIke i kāu helu kaomi koko

No ka mālama ʻana i kou kaomi koko, pono ʻoe e ʻike i nā helu kaomi koko e kūpono a ʻo wai ke kumu e hopohopo ai. ʻO ka mea aʻe nā pae kaomi koko e hoʻohana ai i ke kuhiakau ʻana i ka manaʻo kiʻekiʻe a me ka hanu kiʻekiʻe i nā mākua.

Ma ka laulaha, pili nui ke kuhiakau i nā ʻōuli a me nā kūlana kikoʻī ma mua o nā helu kikoʻī. ʻO nā helu no ke kuhiakau he alakaʻi, ʻoiai ʻoi aku ka pololei o nā helu no ke kiʻekiʻe.

Ke nānā nei i kēia mau helu, e hoʻomaopopo he hoʻokahi wale nō o lākou e pono ai e kiʻekiʻe loa e hoʻokau iā ʻoe i kahi mahele hypertensive. ʻO kahi laʻana, inā ʻo kou kaomi koko he 119/81, manaʻo ʻia ʻoe e loaʻa i ka pae 1 hypertension.

Nā pae kaomi koko no nā keiki

ʻOkoʻa nā pae o ke koko no nā keiki ma mua o nā mākua. Hoʻoholo ʻia nā pahuhopu kaomi koko no nā keiki e nā kumu he nui, e like me:

• makahiki
• kāne kāne
• kiʻekiʻe

E kamaʻilio me kāu pediatrician o kāu keiki inā ʻoe e hopohopo e pili ana i ko lākou kahe koko. Hiki i ke kauka keiki ke hele iā ʻoe ma waena o nā pakuhi a kōkua iā ʻoe e hoʻomaopopo i ke kaomi koko o kāu keiki.

Pehea e lawe ai i kahi heluhelu

Aia kekahi mau ala e nānā ai i kou kaʻe koko. ʻO kahi laʻana, hiki i kāu kauka ke nānā i kou kaomi koko i kā lākou keʻena. Hāʻawi pū kekahi mau hale kūʻai i nā keʻena nānā i ke kaomi koko manuahi.

Hiki iā ʻoe ke nānā iā ia ma ka home me ka nānā ʻana i nā kaomi koko koko home. Loaʻa kēia mau mea no ke kūʻai mai nā hale kūʻai lāʻau lapaʻau a me nā hale kūʻai lako lāʻau.

Paipai ka American Heart Association i ka hoʻohana ʻana i kahi nānā kaomi koko home maʻalahi e ana i ke kaomi o ke koko i kou lima luna. Loaʻa pū nā mākaʻi lima lima a me nā kaomi lima akā ʻaʻole pololei paha.

Ke lawe nei i kou kaomi koko, e ʻike iā ʻoe:

• noho mālie, me kou kua pololei, kākoʻo i nā wāwae, a me nā wāwae ʻole
• mālama i kou lima luna ma ka pae o ka puʻuwai
• e kau pono i ka waena o ka cuff ma luna pono o ka kuʻe lima
• e hōʻalo i ka hoʻoikaika kino, caffeine, a puhi paha no 30 mau minuke ma mua o kou lawe ʻana i kou kaʻe koko

Lapaʻau

Hōʻike paha kāu heluhelu ʻana i kahi pilikia o ke kaomi koko inā hoʻokahi wale nō helu kiʻekiʻe. He mea ʻole ke ʻano o ke kaomi koko āu, he mea nui e nānā pinepine iā ia. E kamaʻilio me kāu kauka e pili ana i ka manawa pinepine e nānā ai i kou kaʻe koko ma ka home.

Kākau i nā hopena ma kahi puke pai kaomi koko a kaʻana like ia i kāu kauka. He mea maikaʻi ke lawe i kou kaomi koko ma mua o hoʻokahi manawa i ka noho hoʻokahi, ma kahi o ʻekolu a ʻelima mau minuke ke kaʻawale.

No ke koko kiʻekiʻe

Inā loaʻa ʻoe i ke koko kiʻekiʻe, hiki i kāu kauka ke nānā pono iā ia. ʻO kēia no ka mea he mea pilikia ia no ka maʻi puʻuwai.

ʻO ke koko kiʻekiʻe kiʻekiʻe kahi kūlana e hoʻokau iā ʻoe i ka makaʻu no ka hypertension. Inā loaʻa iā ʻoe, hiki i kāu kauka ke ʻōlelo i nā loli nohona e like me ka ʻai ʻana i ka papaʻai olakino puʻuwai, ʻoki ʻana i ka wai ʻona, a me ka hoʻoikaika mau. Hiki i kēia ke kōkua i ka lawe ʻana i kāu helu kaomi koko i lalo. ʻAʻole paha ʻoe e pono i nā lāʻau lapaʻau.

Inā loaʻa iā ʻoe ka pae 1 hypertension, hiki i kāu kauka ke ʻōlelo i nā loli nohona a me nā lāʻau. Hiki paha iā lākou ke kuhikuhi i kahi lāʻau e like me ka pila o ka wai a diuretic paha, kahi mea i hoʻohuli i ka enzyme (ACE) angiotensin, kahi blocker receptor angiotensin II (ARB), a i ʻole kahi poloka ʻauwaha calcium

ʻO ka pae hypertension e koi ʻia i ka mālama ʻana me nā loli nohona a me ka hui ʻana o nā lāʻau.

No ke koko haʻahaʻa

Pono ke kaomi haʻahaʻa i kahi ʻano lapaʻau ʻokoʻa. ʻAʻole mālama paha kāu kauka iā ia inā ʻaʻohe ou ʻōuli.

Hoʻokumu pinepine ʻia ke koko haʻahaʻa e kekahi ʻano olakino ʻē aʻe, e like me ka pilikia o ka thyroid, nā hopena ʻaoʻao lāʻau, dehydration, diabetes, a i ʻole ke kahe ʻana o ke kahe. E mālama mua paha kāu kauka i kēlā ʻano.

Inā maopopo ʻole ke kumu o ka haʻahaʻa o kou kaʻe koko, hiki i nā koho lapaʻau ke hoʻopili ʻia:

• ka ʻai ʻana i ka paʻakai
• inu wai hou ana
• kau i nā stocking compression e kōkua i ke pale ʻana i ke koko mai ka hui ʻana i loko o kou mau wāwae
• ke lawe nei i ka corticosteroid e like me fludrocortisone e kōkua i ka hoʻonui ʻana i ka nui o ke koko

Nā pilikia

ʻO ke kiʻekiʻe kiʻekiʻe a haʻahaʻa paha i ke kahe o ke koko e kumu i nā pilikia koʻikoʻi.

ʻOi aku ka nui o ke kahe kiʻekiʻe ma mua o ke kahe o ke koko haʻahaʻa. He paʻakikī ke ʻike i ke kiʻekiʻe o kou kaomi koko ke ʻole ʻoe e kiaʻi iā ia. ʻAʻole hiki i ke koko kiʻekiʻe ke kumu i nā hōʻailona a hiki i ka wā o ka pilikia hypertensive. Pono kahi pilikia hypertensive i ka mālama ulia pōpilikia.

Ma ka waiho ʻole ʻia ʻana, hiki i ke kahe koko kiʻekiʻe ke kumu:

• hahau
• maʻi hohola
• dissection aorta
• aneurysm
• maʻi maʻi metabolic
• hōʻino a hōʻino ʻole ka hakuʻala
• nalowale hihiʻo
• pilikia pilikia hoʻomanaʻo
• wai i loko o nā akemāmā

Ma ka lima ʻē aʻe, hiki i ke kaomi haʻahaʻa ke kumu:

• ʻūpā
• maule ana
• ʻeha mai ka hāʻule ʻana
• poino puʻuwai
• poino lolo
• nā mea ʻino ʻino ʻē aʻe

Kāohi

Hiki i nā loli nohona ke pale aku i ke koko kiʻekiʻe. E hoʻāʻo i nā ʻōlelo aʻoaʻo aʻe.

• ʻAi i kahi papaʻai olakino puʻuwai e hoʻopili me nā huaʻai a me nā mea kanu, nā hua holoʻokoʻa, nā momona olakino, a me ka protein momona momona.
• E hoʻemi i kāu ʻai sodium. Paipai ka American Heart Association i ka mālama ʻana i kāu lawe sodium ma lalo o 2400 milligrams (mg) me ka maikaʻi ʻaʻole i ʻoi aku ma mua o 1500 mg i kēlā me kēia lā.
• E nānā i kāu mau ʻāpana e kōkua i ka mālama ʻana i kahi kaupaona olakino.
• Uoki ka puhipaka.
• Hoʻomaʻamaʻa pinepine. Inā ʻaʻole ʻoe e hana i kēia manawa, e hoʻomaka lohi a hana i kou ala a hiki i 30 mau minuke o ka hoʻoikaika kino i nā lā he nui.
• E hoʻomaʻamaʻa i nā hana hōʻoluʻolu koʻikoʻi, e like me ka noʻonoʻo ʻana, yoga, a me ka ʻike ʻana. Hiki i ke koʻikoʻi koʻikoʻi a i ʻole nā ​​hanana kaumaha loa ke hoʻouna i ke kahe o ke koko e piʻi aʻe, no laila ke kōkua i ka mālama ʻana i kou koʻikoʻi hiki ke mālama i kou kaʻe koko.

E kamaʻilio me kāu kauka

ʻO ka poʻe me ke kaomi koko kiʻekiʻe mau ʻole ʻole e kaohi ʻia e hoʻomohala i kahi ʻano hoʻoweliweli ola.

Inā loaʻa ʻoe i ke koko haʻahaʻa, pili kāu maka i kāna kumu. Inā hopena ʻia ia e ka hopena kumu i mālama ʻole ʻia, e piʻi paha kāu mau ʻōuli.

Hiki iā ʻoe ke hōʻemi i kou makaʻu i nā pilikia koʻikoʻi ma ka mālama ʻana i kou kiʻekiʻe kiʻekiʻe a haʻahaʻa paha. Hiki i kēia ke hoʻopili i nā loli nohona a me nā lāʻau, inā kuhikuhi ʻia. E kamaʻilio me kāu kauka e ʻike i ka lāʻau maikaʻi loa nāu.

E heluhelu i kēia ʻatikala ma ka Paniolo.