Automated vs. Manual Blood Pressure Readings: Alakaʻi i ka nānā ʻana i ke kaomi koko ma ka home
Anter
- He aha ke koko koko?
- Pehea e hoʻohana ai i kahi mīkini kaomi koko automated
- Pehea e nānā ai i kou kaomi koko me ka lima
- Nā polokalamu e nānā i ke kahe o ke koko
- He aha ke ʻano o ka heluhelu ʻana i kou kahe koko?
- Pakuhi kaomi koko
- He aha ke kuanaʻike?
- Nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana i kou kūpe koko
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
He aha ke koko koko?
Hāʻawi ke kaomi koko i nā kuhi e pili ana i ka nui o ka hana a kou puʻuwai e hana nei e pīpī i ke koko ma o kou mau aʻa. ʻO ia kekahi o nā hōʻailona nui ʻehā o kou kino. ʻO nā hōʻailona koʻikoʻi ʻē aʻe:
- wela o ke kino
- helu naʻau
- pae hanu
Kōkua nā hōʻailona nui i ka maikaʻi o ka hana ʻana o kou kino. Inā kiʻekiʻe a haʻahaʻa paha kahi hōʻailona koʻikoʻi, he hōʻailona ia e hewa paha kekahi mea i kou olakino.
Ana ʻia ke kaomi koko me ka hoʻohana ʻana i nā heluhelu ʻelua. Kāhea ʻia ka heluhelu mua ʻana me kāu kaomi systolic. ʻO ia ka helu mua a kiʻekiʻe paha i ka heluhelu ʻana. ʻO ka heluhelu ʻelua kāu helu diastolic. ʻO kēlā ka helu ʻelua a i ʻole lalo.
ʻO kahi laʻana, ʻike paha ʻoe i ke kahe o ke koko i kākau ʻia ma ke ʻano he 117/80 mm Hg (millimeter o mercury). I kēlā hihia, ʻo ka systolic pressure ʻo 117 a ʻo ka diastolic pressure 80.
Ana ke kaomi Systolic i ke kaomi i loko o ke aʻa ke kuʻikahi ka puʻuwai e pīpī i ke koko. ʻO ke kaomi diastolic ke kaomi o loko o ke aʻa ke hoʻomaha ka puʻuwai ma waena o nā paʻi.
Hiki i nā helu kiʻekiʻe ke hoʻopaʻa i ke hoʻopaʻa ʻana ke hōʻike i ka hana ʻana o ka puʻuwai me ka paʻakikī e pauma i ke koko ma o nā aʻa o kou. ʻO kēia paha ka hopena o ka ikaika o waho, e like me ke koʻikoʻi a makaʻu paha ʻoe, ʻo ia ka mea e liʻiliʻi ai kāu mau kīʻaha koko. Hiki iā ia ke kumu ʻia e ka ikaika o loko, e like me ke kūkulu ʻana i loko o kāu mau aʻa i hiki ke hoʻoluhi i kou kīʻaha koko.
Inā makemake ʻoe e nānā i kāu kaomi koko ponoʻī ma ka home, ʻoi aku ka maikaʻi e nānā mua me kāu kauka e pili ana pehea lākou e makemake ai iā ʻoe e nānā a hoʻopaʻa. ʻO kahi laʻana, makemake paha kāu kauka iā ʻoe e nānā i kou kaomi koko:
- ma mua a ma hope paha o kekahi lāʻau
- i kekahi mau manawa o ka lā
- ke kaumaha a ʻeha paha ʻoe
Pehea e hoʻohana ai i kahi mīkini kaomi koko automated
ʻO ke ala maʻalahi e lawe i kāu kaomi koko ponoʻī e kūʻai i kahi cuff automated. ʻO nā mīkini kahe koko ka maʻalahi ka maʻalahi e hoʻohana, a he mea kōkua inā loaʻa iā ʻoe nā maʻi hoʻolohe.
Loaʻa i kēia ʻano ʻūpā kūpikipiki ke kamepiula kamepiula e hōʻike i kāu heluhelu kaomi koko ma ka pakuhi. Hiki iā ʻoe ke kūʻai i kēia mau pūnaewele, ma ka hapa nui o nā hale kūʻai, a i ʻole ma kahi hale kūʻai meaʻai olakino.
Paipai ka American Heart Association (AHA) i kahi mīkini lima kaomi kaomi lima kiʻekiʻe a luna no ka home. E hoʻohana ai i kāu mākaʻi kaomi koko koko, e hāhai i nā ʻōkuhi e hiki mai ana. Hiki iā ʻoe ke lawe i ka mea nānā i ke keʻena o kāu kauka, a i ʻole ʻo kāu hale kūʻai lāʻau kūloko, no kahi hōʻike.
Pono ʻoe e kūʻai i kahi puke liʻiliʻi e hoʻomaka i kahi loiloi kaomi koko. Hiki ke kōkua i kēia no kāu kauka. Hiki iā ʻoe ke hoʻoiho i kahi loiloi kaomi koko manuahi mai ka AHA.
Hiki i nā mīkini ke hāʻawi iā ʻoe i kahi heluhelu ʻokoʻa ma mua o ka heluhelu ʻana i ke kaomi koko. Lawe i kāu cuff i kāu kau kauka aʻe e hiki ai iā ʻoe ke hoʻohālikelike i ka heluhelu ʻana mai kāu cuff a i ka heluhelu ʻana a kāu kauka. Hiki i kēia ke kōkua iā ʻoe e calibrate i kāu mīkini a ʻike i nā pae e nānā ai ʻoe ma kāu hāmeʻa ponoʻī.
He mea nui nō hoʻi ke kūʻai i kahi mīkini kiʻekiʻe kiʻekiʻe a me ka nānā no nā hewa. ʻOiai inā ʻoe e nānā i kou kaomi koko ma ka home, makemake mau kāu kauka e nānā lima iā ia i nā wā koho.
Kūʻai i kahi cuff kaomi koko automated ma ka pūnaewele.
Pehea e nānā ai i kou kaomi koko me ka lima
No ka lawe lima ʻana i kou kahe koko, pono ʻoe i kahi cuff kaomi koko me kahi balloon hikiwawe a me kahi aneroid monitor, i ʻike ʻia he sphygmomanometer, a me kahi stethoscope. ʻO kahi monitor aneroid kahi helu helu. Inā hiki, noi i ke kōkua o kahi hoaaloha a ʻohana paha, no ka mea he mea paʻakikī paha e hoʻohana i kēia hana iā ʻoe iho.
Eia nā ala e lawe ai i kou kaʻe koko ma ka home:
- Ma mua o ka lawe ʻana i kou kaomi koko, e nānā pono ua hoʻomaha ʻoe. E hoʻonohonoho pololei i kou lima, ka lima i luna i kahi pae, e like me ka papa ʻaina. E kau ʻoe i ka cuff ma luna o kāu bicep a ʻuwī i ka pāluna e hoʻonui i ka cuff. Ke hoʻohana nei i nā helu ma ka monitor aneroid, e hoʻoulu i ka cuff ma kahi o 20-30 mm Hg ma luna o kou kaomi koko maʻamau. Inā ʻaʻole ʻoe e ʻike i kou kaomi koko maʻamau, e noi i kāu kauka i ka nui o kāu e hoʻonui ai i ka cuff.
- Ke hoʻonui ʻia ka cuff, kau i ka stethoscope me ka ʻaoʻao palahalaha ma lalo o loko o kou kuʻe lima, i ka ʻaoʻao i loko o kou lima kahi i loaʻa ai ka aʻa nui o kou lima. E hōʻoia e hoʻāʻo i ka stethoscope ma mua o ka hoʻohana ʻana iā ia e ʻike pono hiki iā ʻoe ke hoʻolohe pono. Hiki iā ʻoe ke hana i kēlā ma ke kāomi ʻana i ka stethoscope. He mea kōkua nō hoʻi ke loaʻa i kahi stethoscope kiʻekiʻe kiʻekiʻe a e hōʻoia i ke kuhikuhi ʻana o nā pepeiao o ka stethoscope i kāu mau pepeiao.
- E hoʻolohi mālie i ka pāluna ke hoʻolohe ʻoe ma o ka stethoscope e hoʻolohe ai i ka "whoosh" mua o ke koko e kahe ana, a hoʻomanaʻo i kēlā helu. ʻO kēia kou kahe systolic E lohe ʻoe i ke kuʻi ʻana o ke koko, no laila e hoʻomau i ka hoʻolohe ʻana a ʻae i ka pāluna e hoʻēmi mālie a hiki i ka manawa e kū ai kēlā mele. Ke kū ke mele, e hoʻopaʻa i kēlā ana. ʻO kou kahe koko diastolic kēia. E hoʻopaʻa ʻoe i kou kaomi koko ma ke ʻano he systolic ma luna o ka diastolic, e like me 115/75.
Nā polokalamu e nānā i ke kahe o ke koko
ʻOiai aia kekahi mau polokalamu e hoʻohiki e hōʻoia i kou kaomi koko me ka hoʻohana ʻole ʻana i nā lakohana, ʻaʻole kēia he ala pololei a hilinaʻi paha.
Eia nō naʻe, loaʻa nā polokalamu i hiki ke kōkua iā ʻoe e huki i kāu hopena hopena koko. Hiki ke kōkua i kēia i ka ʻike ʻana i nā lauana i kou kaomi koko. Hiki i kāu kauka ke hoʻohana i kēia ʻike e hoʻoholo ai inā ʻoe e koi i nā lāʻau kaomi koko.
ʻO kekahi mau laʻana o nā polokalamu nānā i ke kaomi koko koko manuahi ʻole:
- Nānā Kaomi Koko - Family Liteno ka iPhone. Hiki iā ʻoe ke komo i kou kaʻe koko, kaupaona, a me ke kiʻekiʻe, a me ke ala i nā lāʻau āu e lawe ai.
- Puʻe koko no ka mea, Android. Mālama kēia polokalamu i kou kaomi koko a me nā hiʻohiʻona i nā helu helu helu helu a me nā pono hana aniani.
- ʻO ke koko pili koko no ka iPhone. Hāʻawi kēia polokalamu iā ʻoe e nānā i ke kaomi o ke koko a me ka nānā ʻana i nā kiʻi a me nā ʻano ma kāu heluhelu kaomi koko i loko o kekahi mau lā a i ʻole mau pule.
Hiki i kēia mau polokalamu ke kōkua iā ʻoe me ka wikiwiki a me ka maʻalahi o ka heluhelu ʻana i ke kaomi koko. ʻO ke ana ʻana i kou kaomi koko ma ka lima like hiki ke kōkua iā ʻoe e nānā pololei i kāu heluhelu ʻana i ke kaomi koko.
He aha ke ʻano o ka heluhelu ʻana i kou kahe koko?
Inā ʻo kēia kou manawa mua e lawe i kou kaʻe koko, e kūkākūkā i nā hopena me kāu kauka. ʻO ke kaomi koko kahi mea nui e heluhelu ai i ka hōʻailona hōʻailona, ʻo ia hoʻi he mea ʻokoʻa loa ia no kēlā me kēia kanaka. Loaʻa i kekahi poʻe i ke kahe haʻahaʻa haʻahaʻa i nā manawa āpau, no ka laʻana, ʻoiai e holo paha kekahi ma ka ʻaoʻao kiʻekiʻe.
Ma ka laulā, manaʻo ʻia ke kaomi koko maʻamau i nā mea i emi ma mua o 120/80. ʻO kou kaomi pilikino ponoʻī e pili i kāu kāne, makahiki, kaupaona, a me nā ʻano olakino āu. Inā ʻoe e hoʻopaʻa inoa i ka heluhelu ʻana i ke kaomi koko o 120/80 a ʻoi paha, e kali i ʻelua a ʻelima mau minuke a nānā hou.
Inā kiʻekiʻe mau ia, e kamaʻilio me kāu kauka e kāpae i ka hanu kiʻekiʻe. Inā piʻi kou kaomi koko ma luna o 180 systolic a i ʻole 120 diastolic ma hope o ka heluhelu hou ʻana, e ʻimi koke i ka mālama olakino olakino.
Pakuhi kaomi koko
ʻOiai he ʻokoʻa nā kānaka āpau, ua paipai ka AHA i kēia mau pae no nā mākua olakino.
| Māhele | Systolic | Diastolic |
|---|---|---|
| maʻamau | ma lalo o 120 | a ma lalo o 80 |
| hoʻokiʻekiʻe | 120-129 | a ma lalo o 80 |
| pae kiʻekiʻe koko pae 1 (hypertension) | 130-139 | a i ʻole 80-89 |
| ke kiʻekiʻe kiʻekiʻe koko pae 2 (hypertension) | 140 a ʻoi aku paha | aiʻole 90 a ʻoi paha |
| pilikia hypertensive (kāhea i kāu lawelawe kūloko kūloko) | kiʻekiʻe ma mua o 180 | kiʻekiʻe ma mua o 120 |
Ke hoʻoholo nei i ka mahele āu e hāʻule ai, he mea nui e hoʻomanaʻo i ka helu o kāu helu systolic a me diastolic e pono ai i ka pae maʻamau no ka manaʻo o kou kaomi koko he mea maʻamau. Inā hāʻule kekahi helu i kekahi o nā ʻāpana ʻē aʻe, manaʻo ʻia ke kaomi koko i loko o kēlā mahele. ʻO kahi laʻana, inā ʻo 115/92 kou kaomi koko, e manaʻo ʻia ʻoe ke kaomi koko kiʻekiʻe pae 2.
He aha ke kuanaʻike?
Hiki i ke kiaʻi ʻana i kou kaomi koko ke kōkua iā ʻoe a me kāu kauka e hoʻomaopopo i nā pilikia ma mua. Inā pono ka lāʻau, ʻoi aku ka maikaʻi o ka hoʻomaka mua ʻana ma mua o ka hōʻino ʻia o kāu mau aʻa.
Pili paha ka mālama ʻana i nā loli nohona, e like me ka papaʻai kaulike i hoʻohaʻahaʻa ʻia i ka paʻakai a i ʻole nā meaʻai i hana ʻia, a i ʻole ka hoʻohui ʻana i ka hoʻoikaika kino i kāu hana maʻamau. I kekahi manawa pono ʻoe e lawe i ka lāʻau lapaʻau koko, e like me:
- diuretics
- paukū ʻaʻa calcium
- hoʻohuli i ka angiotensin hoʻololi i ka enzyme (ACE)
- angiotensin II receptor blockers (ARBs)
Me nā hoʻoponopono kūpono a me nā loli nohona, pono ʻoe e kaohi i kou kaʻe koko.
Nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana i kou kūpe koko
No ka loaʻa ʻana o ka heluhelu kaomi koko pololei loa loa, e hoʻomanaʻo i nā ʻōlelo aʻoaʻo aʻe:
- E hōʻoia i ke kūpikipiki o ke koko i ka nui kūpono iā ʻoe. Hele mai nā cuffs i nā nui like ʻole, e like me ka nui o nā pēpē inā he liʻiliʻi kou mau lima. Hiki iā ʻoe ke hōʻoluʻolu e heʻe i hoʻokahi manamana lima ma waena o kou lima a me ka cuff ke deflated ia.
- Hōʻalo i ka puhi ʻana, inu ʻana, a i ʻole ka hoʻoikaika kino ʻana he 30 mau minuke ma mua o ka lawe ʻana i kou kaomi koko.
- Noho pono me kou kua pololei a kau kou wāwae i ka papahele. ʻAʻole pono e hele i kou mau wāwae.
- E lawe i kou kaomi koko i nā manawa like ʻole o ka lā a hoʻopaʻa pololei i ka manawa o kēlā me kēia kaomi koko e lawe ai.
- Hoʻomaha ʻekolu a ʻelima mau minuke ma mua o ka lawe ʻana i kou kaomi koko a me kekahi mau minuke keu inā ʻeleu loa ʻoe, e like me ka holo ʻana a puni.
- Lawe i kāu nānā ponoʻī ma ka home i ke keʻena o kāu kauka ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki e calibrate iā ia a e hana pono.
- E lawe i ʻelua mau heluhelu i kēlā me kēia manawa e hōʻoia i ka pololei. Aia nā heluhelu ma loko o kekahi mau helu o kēlā me kēia.
- E lawe i kou kaomi koko i nā manawa like ʻole a puni ka lā ma kahi o kahi manawa e loaʻa ai nā heluhelu a me nā pae ʻoi loa.
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