Mea Kākau: Judy Howell
Lā O Ka Hana: 5 Iulai 2021
HōʻAno Hou I Ka Lā: 14 Nowemapa 2024
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Adrenal Causes of High Blood Pressure | Masha Livhits, MD | UCLAMDChat
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Hōʻike Overview

Hoʻololi maʻalahi ʻo Labile. ʻO ka hypertension kahi manawa hou aʻe no ke kahe kiʻekiʻe. Hana ʻia ke kiʻekiʻe kiʻekiʻe o Labile ke hoʻololi pinepine ke kahe o ke koko o ke kanaka a i ʻole hoʻololi koke paha mai ka maʻamau a i nā pae kiʻekiʻe kiʻekiʻe. Hana pinepine ka labile hypertension i nā manawa pilikia.

He mea maʻamau no kou kaomi koko e loli iki i ka lā holoʻokoʻa. ʻO ka hana kino, ka paʻakai paʻakai, caffeine, ʻalekohola, hiamoe, a me nā manaʻo kaumaha āpau e hiki ke hoʻopili i kou kaomi koko. I ka labile hypertension, ʻoi kēia mau ʻūlū i ke kahe o ke koko ma mua o ka maʻamau.

Hoʻomaopopo ʻia ka hypertension, a i ʻole ke kiʻekiʻe o ke koko, me ke kaomi o ke koko o 130/80 mm Hg a ʻoi aku. Hoʻopili kēia i kēlā me kēia kanaka me nā heluhelu kiʻekiʻe (systolic) 130 a ʻoi. a i ʻole kahi heluhelu lalo (diastolic) 80 a ʻoi. ʻO ka poʻe me ke kiʻekiʻe kiʻekiʻe o ka labile e loaʻa ke ana o ke koko i 130/80 mm Hg a ʻoi aku no kahi manawa pōkole. E hoʻi kā lākou kaomi koko i kahi pae maʻamau ma hope.


He aha ke kumu o ke kiʻekiʻe o ka labile?

Hoʻokumu pinepine ʻia ʻo Labile hypertension e nā hanana e hoʻonāukiuki ai ʻoe. ʻO kahi laʻana, ʻike ka poʻe hopohopo ma mua o kahi ʻoki. ʻO ka ʻai ʻana i nā meaʻai i kiʻekiʻe i ka sodium a ʻai ʻole paha i ka nui o ka caffeine hiki ke hoʻoulu i kahi piʻi kū i ke kahe o ke koko ma mua o nā pae maʻamau.

Loaʻa i kekahi poʻe ka lūlū i ke kahe koko ke kipa lākou i ke kauka no ka mea hopohopo lākou i kā lākou kipa. ʻO kēia ʻano hypertension labile e kapa ʻia he "hypertension coat keʻokeʻo" a i ʻole "syndrome coat white."

He aha nā hōʻailona o ka labile hypertension?

ʻAʻole loaʻa i nā kānaka āpau nā ʻōuli o ke kiʻekiʻe o ka labile.

Inā loaʻa iā ʻoe nā hōʻailona kino, pili pū paha lākou:

  • ʻeha poʻo
  • palpitations puʻuwai
  • ʻōpala
  • kani i nā pepeiao (tinnitus)

Labile hypertension vs. paroxysmal hypertension

ʻO ka hypertension Labile a me ka hypertension paroxysmal nā kūlana ʻelua kahi e loli nui ai ke kaomi koko ma waena o nā pae maʻamau a kiʻekiʻe.


ʻO ka hypertension paroxysmal kekahi manawa i manaʻo ʻia he ʻano o ke kiʻekiʻe o ke koko, akā aia kekahi mau ʻano ʻokoʻa ma waena o nā ʻano ʻelua.

Hypertension LabileParoxysmal hypertension
hana maʻamau i nā hanana kaumahame he mea lā ke kūleʻa a i ʻole ma waho o ka polū, akā manaʻo ʻia ʻo ia paha ka hopena o nā manaʻo hoʻopiʻi ʻia ma muli o kahi trauma i hala
ʻaʻole paha loaʻa nā ʻōulihana maʻamau i nā ʻōuli kaumaha, e like me ka ʻeha poʻo, nāwaliwali, a me ka makaʻu nui i ka make e hiki koke mai ana

ʻO kahi pākēneka liʻiliʻi, ma lalo o 2 o 100, o nā hihia hypertension paroxysmal i hoʻokumu ʻia e kahi tumo i nā adrenal glands. ʻIke ʻia kēia tumo ma ke ʻano he pheochromocytoma.

Nā koho lapaʻau

ʻAʻohe pae hoʻohālikelike no ka mālama ʻana i ka hypertension labile. E makemake kāu kauka e nānā i kou kaomi koko ma loko o ka holo o ka lā e ʻike i ka pinepine a me ke kiʻekiʻe e piʻipiʻi ai.


ʻO nā lāʻau e hoʻohana maʻamau e mālama i ke kahe o ke koko, e like me diuretics a i ʻole ACE mea kāohi, ʻaʻole maikaʻi paha i ka mālama ʻana i ka hypertension labile.

Ma kahi o, hiki i kāu kauka ke kauoha i kahi lāʻau anti-hopohopo e pono ai e kōkua i ka mālama ʻana i kāu hopohopo e pili ana i ka hanana a me ke koʻikoʻi. ʻO nā laʻana o nā lāʻau anti-hopohopo i hoʻohana wale ʻia no ka wā pōkole a me ke kūlana situational o ka hopohopo e like me:

  • alprazolam (Xanax)
  • clonazepam (Klonopin)
  • diazepam (Valium)
  • lorazepam (Ativan)

ʻO ka mālama wā lōʻihi o ka hopohopo e koi ai i nā lāʻau i kēlā me kēia lā e hoʻopili ʻia i nā lāʻau i ʻike ʻia ʻo SSRI, e like me paroxetine (Paxil), sertraline (Zoloft), escitalopram (Lexapro), a me citalopram (Celexa.)

ʻO nā beta-blockers kahi lāʻau i hoʻohana ʻia e mālama i nā ʻano hypertension. Pono paha kēia mau mea i ka labile a me ka hypertension paroxysmal ke hui pū lākou me ka ʻōnaehana hopohopo aloha.

I kēia mau hihia, ʻaʻole hoʻohana ʻia nā beta-blockers e hoʻohaʻahaʻa i ke kahe o ke koko, akā e hoʻoliʻiliʻi i nā ʻōuli e pili ana i kēia mau ʻano e like me ka flushing, palpitations, a me nā poʻo hina. Hoʻohana pinepine lākou i ka hui pū me nā anti-hopohopo lapaʻau. ʻO nā laʻana o nā beta-blockers i hoʻohana mau ʻia no kēia mau ʻano nā:

  • atenolol (Tenormin)
  • bisoprolol (Zebeta)
  • nadolol (Corgard)
  • betaxolol (Kerlone)

Inā ʻike ʻoe i ke kiʻekiʻe o ka labile ma mua o ke kaukō ʻana a i ʻole kahi hana olakino, hiki ke hāʻawi ʻia i kēia mau lāʻau iā ʻoe ma mua koke o ke kaʻina hana.

Pono paha ʻoe e kūʻai i kahi nānā kaomi koko pololei e nānā i kou kaomi koko i kēlā me kēia manawa ma ka home. Hiki iā ʻoe ke loaʻa kekahi ma kahi hale kūʻai lako lāʻau a i ʻole kahi hale kūʻai lāʻau kūloko. E noi i kahi mea kūʻai aku a mea lāʻau lapaʻau paha no ke kōkua ʻana i ka ʻike i ka mīkini pololei e hōʻoia i ke ana pono ʻana. Eia kahi alakaʻi no ka nānā ʻana i kou kaomi koko ma ka home.

ʻAʻole ia e koi ʻia e nānā i kou kaomi koko i kēlā me kēia lā mai ka hana ʻana pēlā e hiki ai ke hoʻonui i ka hopohopo e pili ana i kou kaomi koko a hoʻonui i ka pilikia.

Kāohi

I mea e pale aku ai i nā ʻāpana e hiki mai ana o ka hypertension labile, hiki iā ʻoe ke hoʻāʻo i kēia mau mea:

  • pau ka puhipaka
  • palena i kāu lawe paʻakai
  • kaupalena caffeine
  • pale i ka ʻalekohola
  • mālama i kāu mau pae koʻikoʻi; ʻo ka hoʻoikaika kino, ka noʻonoʻo ʻana, ka hanu hohonu ʻana, ka yoga, a i ʻole ka lomilomi nā ʻano hana hoʻohaʻahaʻa stress
  • lawe i nā lāʻau anti-hopohopo a i ʻole nā ​​lāʻau a me nā lāʻau e like me ka mea i kauoha ʻia e kāu kauka

Ma ke keʻena o ke kauka, makemake paha ʻoe e noʻonoʻo i ka hoʻomaha a me ka hanu nui ʻana i kahi manawa ma mua o ke ana ʻia o kou kaʻe koko.

Nā pilikia

Hiki ke hoʻonui iki i ke kaomi koko ke hoʻokau i kou puʻuwai a me nā mea ʻē aʻe. Inā kū pinepine kēia mau kuikawa i ke kaomi koko, hiki iā ia ke hōʻino i nā puʻupaʻa, nā kīʻaha koko, nā maka, a me ka puʻuwai.

Hiki ke hoʻoweliweli i nā fluctuations i ke kahe koko no ka poʻe me ka puʻuwai preexisting a i ʻole ke ʻano o ke kīʻaha koko, e like me angina, aneurysm cerebral, a aneorysm aortic.

I ka wā ma mua, ua manaʻo ka poʻe loea i ka hypertension labile ʻaʻole i lawe i ka nui o ka hopohopo e like me ke kākoʻo ʻana a hypertension "paʻa" paha. Ua hōʻike hou ʻia i kēia manawa ʻo ka hypertension labile i hana ʻole ʻia e hāʻawi iā ʻoe i kahi kiʻekiʻe o ka maʻi puʻuwai a me ka make ma muli o nā kumu āpau, ke hoʻohālikelike ʻia me kēlā.

Me nā maʻi puʻuwai, ua ʻike kekahi mau noiʻi ʻē aʻe i ka poʻe me ka hanu kiʻekiʻe o ka labile hypertension i ka nui o ka makaʻu o:

  • hōʻino kīhāpai
  • TIA (hoʻouka ischemic kuewa)
  • hahau

Outlook

ʻO ka hypertension Labile ka mea maʻa mau ʻole i nā pilikia koʻikoʻi i kēia manawa. Hoʻi maʻamau ke kahe o ke koko i nā pae maʻamau i loko o kahi manawa pōkole ma hope o ka hanana kaumaha.

Manaʻo nā kānaka noiʻi i kēia manawa hiki i ka hypertension labile i hana ʻole ʻia ke kumu o nā pilikia ma hope. Ke hoʻonui nei nā hōʻike e hiki ai ke hoʻonui i ka makaʻu o ke kanaka i ka hahau, ka puʻuwai puʻuwai, nā pilikia puʻuwai ʻē aʻe, a me nā mea ʻino ʻino ʻē aʻe i ka manawa ke mālama ʻole ʻia.

Ma muli o ka hoʻonāukiuki pinepine ʻia o ka labile hypertension e ka hopohopo, he mea nui ka mālama ʻana i kou hopohopo me nā lāʻau a i ʻole nā ​​hana hoʻomaha i mea e pale aku ai i nā ʻāpana e hiki mai ana a i ʻole ke hoʻomau nei.

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