10 mau ala e hoʻonui ai i ke kaomi haʻahaʻa

Anter

• Nā ʻōuli o ke kaomi haʻahaʻa
• He aha ke kahe o ke koko?
• Pehea e hāpai ai i ke koko haʻahaʻa
• 1. Inu nui i ka wai
• 2. ʻAi i ka papaʻai kaulike
• 3. ʻAi i nā meaʻai liʻiliʻi
• 4. Palena a pale aku paha i ka ʻalekohola
• 5. E ʻai hou i ka paʻakai
• 6. E hōʻoia i kāu kō kō
• 7. E nānā i kāu thyroid
• 8. E hoʻopaʻa i nā stockings kaohi
• 9. Lawe i nā lāʻau
• 10. E mālama i nā maʻi
• He aha ke kumu o ke kaomi haʻahaʻa?
• Ke kahe haʻahaʻa mai nā lāʻau, haʻalulu, a i ʻole hahau
• Nā Lapaʻau
• Pāhaʻi
• Hahau
• Ka mālama ʻana a me ke kamaʻilio ʻana i ke koko haʻahaʻa

ʻO ke kaomi haʻahaʻa a me ka oxygen i kou koko

ʻO ke kahe o ke koko haʻahaʻa, a i ʻole ke kuhiakau, ke haʻahaʻa ke kaomi o kou koko ma mua o ka maʻamau. ʻO ka ʻaoʻao ke kiʻekiʻe o ke koko a me ke kiʻekiʻe.

Hoʻololi maoli ke kaomi o kou koko i ka lā holoʻokoʻa. Hoʻoponopono a kaulike kou kino i kou kaomi koko. Kōkua kēia i ka hōʻoia ʻana i kēlā me kēia ʻāpana o kou kino - me ka lolo, ka puʻuwai, a me nā māmā - ke loaʻa nei ke koko a me ka oxygen.

Hiki i ke kahe haʻahaʻa ke maʻamau. ʻAʻole paha ia he kumu no nā hopohopo.

E loli paha ke kaomi koko me kou kūlana o ke kino. ʻO kahi laʻana, inā kū koke ʻoe i luna, hāʻule paha ia no kahi manawa koke. Hoʻoiho hoʻi kou kaomi koko ke hoʻomaha ʻoe a hiamoe paha.

Hiki i kekahi ʻano olakino ke hoʻohaʻahaʻa i ke koko. Hiki i kēia ke alakaʻi i ka liʻiliʻi o ke koko a me ka oxygen i kekahi mau ʻāpana o kou kino. ʻO ka mālama ʻana i ke ʻano e kōkua ai e hāpai i ke koko.

Nā ʻōuli o ke kaomi haʻahaʻa

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

• ʻike hihi ʻole
• huikau
• kaumaha
• ʻūpā
• maule ana
• luhi
• ʻano anuanu
• make wai lā
• hiki ʻole ke noʻonoʻo
• nausea
• ʻeleu, hanu pāpaʻu
• ka houʻu ʻana

He aha ke kahe o ke koko?

ʻO ke koko, a ʻo BP paha, ka ikaika o ke koko e kūʻē i nā paia o ke kīʻaha koko. Hoʻomaʻu ʻia ke koko i loko o ke kino holoʻokoʻa e ka puʻuwai.

Ana ʻia ke kaomi koko me nā helu ʻelua. ʻO ka helu mua a luna paha i kapa ʻia ʻo systolic pressure. ʻO kēia kaomi ʻoiai e pā ana ka puʻuwai.

Kapa ʻia ka helu ʻelua a i ʻole lalo paha i ke kaomi diastolic. ʻO ia ke kaomi ʻoiai e kau ka puʻuwai ma waena o nā paʻi. ʻO ke kaomi Diastolic ma lalo o ke kaomi systolic. Ana ʻia nā mea ʻelua i ka millimeter o mercury (mm Hg).

ʻO ke kaomi olakino olakino maʻamau e pili ana iā 120/80 mm Hg. Hiki iā ia ke hoʻololi iki i nā kānaka olakino. Wahi a ka Mayo Clinic, ʻo ke kuhiakau ke haʻahaʻa ke kaomi o kou koko ma mua o 90/60 mm Hg.

Pehea e hāpai ai i ke koko haʻahaʻa

1. Inu nui i ka wai

Hiki i ka make wai ke alakaʻi i ke kahe haʻahaʻa. Loaʻa paha i kekahi poʻe i ka hypetension me ke dehydration māmā.

Hiki iā ʻoe ke hoʻomaloʻo i ka wai ma ka lilo ʻana o ka wai me ka wikiwiki.Hiki i kēia ke hana ma o ka luaʻi ʻana, ka maʻi pākī nui, ke kuni, ka hoʻoikaika ikaika, a me ka nui o ka sweating. ʻO nā lāʻau e like me diuretics ke kumu i ka make wai.

2. ʻAi i ka papaʻai kaulike

Hiki ke kū i ke kahe o ke koko haʻahaʻa a me nā hopena ʻē aʻe inā ʻaʻole lawa kāu momona.

ʻO nā pae haʻahaʻa o ka wikamina B-12, folic acid, a me ka hao ke kumu i ka anemia. Hana kēia ʻano ke hiki ʻole i kou kino ke hana i ke koko. Hiki i ka Anemia ke hoʻohaʻahaʻa i ke kahe o ke koko. Hiki i kēia ke hoʻololi i ke koko haʻahaʻa.

Hiki i kāu kauka ke koi aku i nā loli i kāu papaʻai i kēlā me kēia lā a me ka lawe ʻana i nā mea hoʻohui.

3. ʻAi i nā meaʻai liʻiliʻi

Hiki iā ʻoe ke loaʻa i ke koko haʻahaʻa ma hope o ka ʻai ʻana i kahi pāʻina nui, ʻoiai ʻoi aku ka maʻamau o kēia i nā mākua makua. Hana kēia ma muli o ke kahe o ke koko i kāu digestive tract ma hope o kāu ʻai ʻana. ʻO ka maʻamau, hoʻonui ka helu o kou puʻuwai e kōkua i ke kaulike i ke kahe o ke koko.

Hiki iā ʻoe ke pale i ke kaomi haʻahaʻa ma o ka ʻai ʻana i nā meaʻai liʻiliʻi. Eia kekahi, ʻo ka kaupalena ʻana i kāu carbs hiki ke kōkua i ke kūpaʻa o ke koko ma hope o ka ʻai ʻana Eia nā manaʻo hou aʻe no nā meaʻai hiki iā ʻoe ke ʻai a me nā ʻano ʻai hiki iā ʻoe ke hoʻomaʻamaʻa.

4. Palena a pale aku paha i ka ʻalekohola

Hiki ke inu i ka waiʻona i ka make wai. Hiki iā ia ke launa pū me nā lāʻau lapaʻau a hoʻohaʻahaʻa i ke koko.

5. E ʻai hou i ka paʻakai

Kōkua ka Sodium i ka hāpai i ke koko. Eia nō naʻe, hiki ke hāpai i ke kaomi koko i ka nui loa. Hiki iā ia ke alakaʻi i ka maʻi puʻuwai. E noi i kāu kauka i ka mea kūpono iā ʻoe.

Hoʻohui i ka paʻakai pākaukau i nā meaʻai holoʻokoʻa i mālama ʻole ʻia. Kōkua kēia i ka mālama ʻana i ka nui o ka paʻakai āu e ʻai nei. Hōʻalo i nā meaʻai paʻakai a hoʻomaʻemaʻe ʻia.

6. E hōʻoia i kāu kō kō

ʻO ka maʻi diabetes a me nā kiʻekiʻe o ke kō i ke koko e alakaʻi i ka haʻahaʻa o ke koko.

E hoʻohana i kahi mea nānā home e nānā i kāu mau kō i ke kō i nā manawa he nui i ka lā. E ʻike i kāu kauka e ʻike i ka papaʻai maikaʻi loa, hoʻoikaika kino, a me ka hoʻolālā lāʻau e kōkua i ke kaulike i nā pae kō kō.

7. E nānā i kāu thyroid

Kūlana maʻamau nā kūlana thyroid. Kū ka Hypothyroidism ke hana ʻole ʻoe i nā hormona thyroid. Hiki i kēia ke alakaʻi i ke koko haʻahaʻa.

Hiki i kahi hōʻoia koko maʻalahi ke haʻi i kāu kauka inā loaʻa kēia ʻano iā ʻoe. Pono ʻoe i ka lāʻau a me nā loliʻai e kōkua i ka hoʻonui ʻana i kāu hana thyroid.

8. E hoʻopaʻa i nā stockings kaohi

Hiki i nā sta elastic a i ʻole nā ​​kākini ke pale aku i ke kahe ʻana o ke koko i kou mau wāwae. Kōkua kēia i ka hoʻomaha i ka orthostatic a i ʻole ka postension hypotension kahi haʻahaʻa o ke koko ma muli o ke kū ʻana, ka waiho ʻana i lalo, a i ʻole ka noho nui ʻana.

Pono ka poʻe e moe ana i kahi moe e pono i nā pale lomi e kōkua ai i ka pauma koko mai nā wāwae. ʻOi aku ka maʻamau o ka hypotension Orthostatic i nā mākua makua. Loaʻa ia a hiki i ka 11 pākēneka o ka poʻe waena a me 30 pākēneka o nā mākua ʻelemakule.

9. Lawe i nā lāʻau

Kau kauka paha i kau kauka e kōkua i ke kaomi haʻahaʻa. Kōkua kēia mau lāʻau i ka mālama ʻana i ka manaʻo nui orthostatic:

• fludrocortisone, kahi e kōkua ai e hāpai i ka nui o ke koko
• midodrine (Orvaten), ka mea e kōkua ai e hōʻemi i nā kīʻaha koko e hāpai i ke kaomi koko

Inā haʻahaʻa haʻahaʻa ka BP o kekahi mai sepsis, hiki ke hoʻohana ʻia i nā lāʻau ʻē aʻe e hāpai i ke kahe o ke koko. Pākuʻi ʻia kēia mau mea:

• Nā agonists alpha-adrenoceptor
• dopamine
• epinephrine
• norepinephrine
• phenylephrine
• nā analogs vasopressin

10. E mālama i nā maʻi

Hiki i kekahi maʻi koʻohune koʻikoʻi, viral, a me fungal ke kumu o ke kahe o ke koko. Hiki i kāu kauka ke ʻike inā loaʻa ʻoe i kahi maʻi me kahi hōʻike koko. Hoʻomaʻamaʻa pū kekahi i nā antibiotic IV a me nā lāʻau antiviral.

No nā ala hou aʻe e hāpai i ke kaomi haʻahaʻa, e heluhelu ma o nā kumu ma lalo.

He aha ke kumu o ke kaomi haʻahaʻa?

Aia kekahi mau kumu o ke kaomi haʻahaʻa. Kūleʻa kekahi a hiki ke hoʻopaʻa maʻalahi.

ʻO ke kahe haʻahaʻa o ke koko ke hōʻailona paha i kahi pilikia olakino a i ʻole ke kūlana pilikia. Pono paha ka lapaʻau ʻana.

Hiki i kekahi mau kūlana olakino ke kumu i ke kahe o ke koko. Pākuʻi ʻia kēia mau mea:

• ʻO ka maʻi ʻo Addison (nā homone adrenal haʻahaʻa)
• anaphylaxis (kahi hopena maʻi ʻino koʻikoʻi)
• anemia
• lilo ke koko
• bradycardia (haʻahaʻa haʻahaʻa o ka puʻuwai)
• hoʻomake wai
• diabetes a i ʻole ke kō kō
• puʻuwai puʻuwai a i ʻole hake puʻuwai
• he pilikia kiwikā puʻuwai
• hypothyroidism (haʻahaʻa thyroid hōmona)
• hoka ʻole o ke ake
• maʻi parathyroid
• hāpai keiki
• haʻalulu septic (ka hopena o kahi maʻi nui)
• orthostatic hypotension a postural haʻahaʻa koko kiʻekiʻe
• kū koke ʻana
• hōʻeha a poʻo poʻo poʻo paha

ʻIke a mālama ʻana i kēia mau ʻano hiki ke kōkua i ke kaulike i ke kahe o ke koko. E ʻōlelo paha kāu kauka i nā hoʻokolohua maʻalahi e like me:

• hoʻāʻo koko e nānā i nā pae hormonone, nā kō kō, a me nā maʻi
• an electrocardiogram (ECG) a i ʻole Holter monitor e nānā i ka puʻuwai puʻuwai a me ka hana
• an echocardiogram e nānā i kou olakino puʻuwai
• an hoʻāʻo hoʻoikaika kino e nānā i kou olakino puʻuwai
• a hoʻāʻo papa ʻaina huliluli e nānā i ke kaomi haʻahaʻa ma muli o nā loli i ke kūlana o ke kino
• ka maneuver Valsalva, kahi hanu hoʻāʻo e nānā ai no nā ʻōnaehana hopohopo nā kumu o ke kaomi haʻahaʻa

Ke kahe haʻahaʻa mai nā lāʻau, haʻalulu, a i ʻole hahau

Nā Lapaʻau

Hiki i kekahi mau lāʻau ke hōʻemi i ke koko. Hoʻopili kēia i nā lāʻau e mālama i ke koko kiʻekiʻe a me nā kūlana ʻē aʻe, e like me:

• alpha-blockers
• āpana receptor angiotensin II
• nā mea hoʻohiwahiwa angiotensin-hoʻololi i ka enzyme (ACE)
• beta-blockers (Tenormin, Inderal, Innopran XL)
• paukū ʻaʻa calcium
• diuretics a i ʻole nā ​​pila wai (Lasix, Maxzide, Microzide)
• nā lāʻau lapaʻau erectile (Revatio, Viagra, Adcirca, Cialis)
• nitrates
• ʻO nā lāʻau maʻi maʻi Parkinson e like me Mirapex a me levodopa
• antidepressants tricyclic (Silenor, Tofranil)

ʻO ka inu ʻana i ka wai ʻona a hoʻohana paha i nā lāʻau leʻaleʻa ʻoiai ke lawe nei i nā lāʻau, a i ʻole ka hoʻohui ʻana i kekahi mau lāʻau i hiki ke alakaʻi i ka haʻahaʻa haʻahaʻa o ke koko. Pono ʻoe e haʻi mau i kāu kauka i ka mea āu e lawe nei e hōʻoia inā ʻike lākou i nā pilikia.

Pāhaʻi

ʻO Shock kahi kūlana hoʻoweliweli i ke ola. Hiki iā ia ke hana i ka pane ʻana i nā ʻano pilikia. Pākuʻi ʻia kēia mau mea:

• ʻeha puʻuwai a i ʻole hahau
• hōʻeha koʻikoʻi a puhi paha
• maʻi maʻi ʻino
• hopena maʻi ʻaʻano
• ʻōpū koko

Hiki i ka haʻalulu i ke kahe haʻahaʻa, akā hiki i ke kahe o ke koko haʻahaʻa ke hoʻohuli i kou kino. Hoʻopili paha ka hoʻomaʻamaʻa i ka hoʻokiʻekiʻe ʻana i ke kahe o ke koko e nā wai IV a i ʻole ke kahe o ke koko.

ʻO ka mālama ʻana i ke kumu o ka haʻalulu e kōkua i ka hāpai ʻana i ke koko.

ʻO kahi laʻana, i ka haʻalulu anaphylactic, kōkua kahi injection o epinephrine (EpiPen) e hāpai koke i ke kahe o ke koko. Hiki i kēia ke mālama i ke ola no kekahi mea i loaʻa i kahi hopena maʻi ʻino i nā pī, nā ʻā pi, a i ʻole nā ​​mea ʻē aʻe ʻē aʻe.

I kahi kūlana kōkua mua, he mea nui e mālama i ka mea i loaʻa i ka haʻalulu mehana a kiaʻi iā lākou a hiki i ke kōkua olakino. Hōʻike ka Mayo Clinic iā lākou e moe i lalo me ko lākou mau wāwae i hoʻokiʻekiʻe ʻia ma ka liʻiliʻi he 12 ʻīniha mai ka honua, inā ʻaʻole ia he mea e ʻeha ai nā pilikia hou aʻe.

Hahau

ʻO ke ahuna ke kumu nui o ka make. ʻO ia kekahi kumu nui o ke kīnā koʻikoʻi a me ka wā lōʻihi.

ʻO ke koko kiʻekiʻe ke kumu nui o ka maʻi ahulau. He mea nui ka kaohi ʻana i ke kaomi koko e pale ai i nā hahau, a mālama i nā hahau mai ka hana hou ʻana. Eia nō naʻe, hōʻike kekahi noiʻi olakino i ka mālama ʻana i ke koko kiʻekiʻe kiʻekiʻe ma hope koke o ka hahau ʻana e kōkua maoli ai e pale i ka hōʻino ʻana o ka lolo. Kōkua kēia i ka hōʻemi i ka makaʻu o ka make a me ke kīnā ʻole.

Kūkā ka American Stroke Association i ka mālama ʻana i ke kahe o ke koko ma mua o ka maʻamau a hiki i 72 mau hola ma hope o ka hahau. Hiki i kēia ke kōkua e hoʻokomo i ka lolo me ke koko ʻoi aku ka maikaʻi a kōkua iā ia e hoʻihoʻi mai ka maʻi hahau.

Ka mālama ʻana a me ke kamaʻilio ʻana i ke koko haʻahaʻa

Loaʻa i ke kahe o ke koko haʻahaʻa i hoʻokahi manawa ʻaʻole kumu o ka hopohopo. Loaʻa i kekahi poʻe i ke kahe haʻahaʻa i nā manawa āpau.

E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau ʻōuli. E mālama i kahi puke pai no kāu mau hōʻailona a me kāu e hana nei i ka wā i hiki ai lākou. Hiki i kēia ke kōkua i kāu kauka e hōʻoia i ke kumu o kou kaomi haʻahaʻa.

Inā loaʻa iā ʻoe ke kuhiakau orthostatic, e hōʻalo i nā mea hōʻailona, ​​e like me ke kū nui. Hōʻalo pū i nā mea hoʻonāukiuki ʻē aʻe e like me nā hanana hoʻonāukiuki.

E aʻo e ʻike i nā mea hoʻomaka a me nā ʻōuli. E hoʻomoe i kou poʻo i lalo a i ʻole moe i lalo inā ʻoe e poniuniu a i ʻili ʻia paha. Holo wikiwiki kēia mau ʻōuli. ʻO nā keiki a me nā ʻōpio i loaʻa ke kahe o ke koko ma muli o ke kūlana o ke kino e ulu mau aʻe ia.

Pono ʻoe i nā hoʻololi maʻalahi i kāu papaʻai i kēlā me kēia lā e kaulike i ke kaomi haʻahaʻa. E inu i ka wai hou aʻe ma ka hoʻohana ʻana i kahi ʻōmole wai lawe lima. E hoʻohana i ka pū waikaua a me ka uaki e hoʻomanaʻo iā ʻoe e lawe i kahi sip.

Inā manaʻo ʻoe he kumu lāʻau paha kāu kumu haʻahaʻa haʻahaʻa, e noi i kāu kauka e paipai i kahi ʻokoʻa. Mai hōʻoki i ka lawe ʻana a hoʻololi paha i nā lāʻau me ka walaʻau ʻole ʻana me kāu kauka.