Ke Kaomi Koko Kaʻaha Diastolic Low: He aha ke kumu o ia a me ka mea hiki iā ʻoe ke hana

Anter

• Hōʻike Overview
• Nā ʻōuli o ke kaomi koko diastolic haʻahaʻa
• Nā kumu o ke kaomi haʻahaʻa diastolic haʻahaʻa
• Hoʻomaʻo i ke kahe o ke koko haʻahaʻa
• Kāohi a me ka mālama ʻana i ke kaomi haʻahaʻa diastolic haʻahaʻa
• Outlook

Hōʻike Overview

ʻO kou kaomi koko ka ikaika i loko o kou mau kīʻaha koko ke kani ka puʻuwai a hoʻomaha. Ana ʻia kēia ikaika i ka millimeter o mercury (mm Hg).

ʻO ka helu kiʻekiʻe - kāhea ʻia kou systolic pressure - ke ana ʻia ke kani ka puʻuwai. ʻO ka helu haʻahaʻa - i kapa ʻia ʻo kāu kaomi diastolic - ke ana ʻia ke hoʻomaha kou puʻuwai ma waena o nā paʻi.

Hopohopo ka hapa nui o nā kānaka e pili ana i ke koko kiʻekiʻe, hiki ke hoʻonui i kou makaʻi no ka maʻi puʻuwai a i ʻole ka hahau ʻana, akā ʻo ka haʻahaʻa ke kahe o ke koko haʻahaʻa he pilikia kekahi.

ʻO ka huaʻōlelo olakino no ke kahe o ke koko haʻahaʻa he hypetension. Inā he kuhiakau kāu, ʻo kāu ana ʻana systolic kaomi ma lalo o 90 mm Hg a aia kāu helu diastolic ma lalo o 60 mm Hg.

I nā makahiki he 10 i ka 15 i hala, ua hoʻomaka ka poʻe kauka e hopohopo nui e pili ana i ke kahe koko diastolic ma lalo o 60.

Hiki i kekahi poʻe ke loaʻa i ke kaomi diastolic haʻahaʻa ʻoiai ke maʻamau ko lākou systolic pressure. Kāhea ʻia kēia ʻano he hypotension diastolic kaʻawale. Hiki ke weliweli loa ke kahe haʻahaʻa diastolic no kou puʻuwai.

ʻAʻole like me ke koena o kou kino, ka mea i loaʻa i ke koko ke pume ka puʻuwai, loaʻa nā mākala o kou puʻuwai i ke koko ke hoʻomaha ka puʻuwai. Inā haʻahaʻa loa kou kahe diastolic, ʻaʻole e loaʻa i kou mau puʻuwai nā puʻuwai oxygenated lawa. Hiki i kēia ke alakaʻi i ka nāwaliwali o kou puʻuwai, kahi ʻano i kapa ʻia he puʻuwai diastolic.

Hiki paha iā ʻoe ke makaʻu kiʻekiʻe loa no kēia ʻano puʻuwai puʻuwai inā loaʻa ʻoe i ka maʻi puʻuwai coronary, ka mea e hoʻopili ana i nā aʻa o kou puʻuwai.

Nā ʻōuli o ke kaomi koko diastolic haʻahaʻa

Nā ʻōuli o hoʻokaʻawale diastolic hypotension komo pū me ka māluhiluhi, luʻuluʻu, a hāʻule.

Ma muli o ka hoʻohaʻahaʻa o ke kaomi diastolic haʻahaʻa i ke kahe o ke koko i kou puʻuwai, loaʻa paha iā ʻoe ka ʻeha o ka umauma (angina) a i ʻole nā ​​hōʻailona o ka puʻuwai puʻuwai. Hiki i nā ʻōuli puʻuwai puʻupuʻu ke komo me ka pōkole o ka hanu, ka pehu ʻana o kou mau wāwae a i ʻole nā ​​kuʻekuʻe wāwae, huikau, a me nā palpitations puʻuwai.

E ʻimi koke i ka lāʻau inā loaʻa iā ʻoe ka ʻeha o ka umauma a paʻakikī i ka hanu ʻana.

Nā ʻōuli o ke kahe haʻahaʻa diastolic me ke kahe haʻahaʻa systolic (kuhiakau) pili pū:

• ʻūpā
• maʻule (syncope)
• hāʻule pinepine
• luhi
• nausea
• ʻike hihi ʻole

E ʻimi i ka lāʻau inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.

Nā kumu o ke kaomi haʻahaʻa diastolic haʻahaʻa

ʻEkolu kumu i ʻike ʻia o hoʻokaʻawale diastolic hypotension:

• ʻO nā lāʻau lapaʻau Alpha-blocker. Hana kēia mau lāʻau kahe koko ma o ka wehe ʻana i kāu mau kīʻaha koko (dilate). Ma muli o ko lākou hoʻohaʻahaʻa ʻana i ke kaomi diastolic ma mua o ke kaomi systolic, hiki iā lākou ke kumu i kahi hanana diastolic hoʻokaʻawale. ʻO Minipress a me Cardura nā inoa inoa maʻamau.
• Ke kaʻina ʻelemakule. I ko mākou mau makahiki, nalowale mākou i ka elastis o nā aʻa o mākou. No kekahi poʻe mākua makua, ʻāʻī paha nā aʻa e kū i hope ma waena o nā puʻuwai, e hoʻohaʻahaʻa ai ke kaomi diastolic.
• Nui ka paʻakai i kāu papaʻai. Hiki i ka paʻakaiʻai ke hoʻoliʻiliʻi i ka elasticity o kāu mau moku koko. Inā ʻoe e lawe i ka paʻakai he nui loa, hiki iā ʻoe ke hoʻonui i kou makaʻi no ke kaomi haʻahaʻa diastolic haʻahaʻa.

Aia kekahi mau kumu maʻamau o manaʻo holoʻokoʻa, kahi e hoʻopili ai i kahi helu diastolic haʻahaʻa.

• Overtreatment o ke koko kiʻekiʻe. No kekahi poʻe, ʻoi aku paha i ka poʻe ma luna o ka makahiki 60, ke hoʻohaʻahaʻa ʻana i ke kahe o ka systolic ma lalo o 120 i kumu e hāʻule ai ke kaomi diastolic ma lalo o 60.
• Nā lāʻau ʻē aʻe. ʻO nā lāʻau lapaʻau he ʻokoʻa nā mea no ke kaomi koko e hiki ai ke hoʻoweliweli. Hoʻopili pū lākou i nā pila wai (diuretics), nā lāʻau maʻi o Parkinson, nā lāʻau antidepressants, a me nā lāʻau i hoʻohana ʻia e mālama ai i ka hana erectile.
• Nā pilikia puʻuwai. ʻO nā pilikia o ka puʻuwai puʻuwai, ka maikaʻi ʻole o ka puʻuwai, a me ka nui o ka puʻuwai puʻuwai (bradycardia) hiki ke alakaʻi i ke kuhiakau.
• Make wai. Inā ʻaʻole ʻoe e lawe i nā wai i lawa, hiki i kou kaʻe koko ke hāʻule haʻahaʻa weliweli. Hiki ke hana kēia inā lawe ʻoe i ka diuretic a nalowale ʻoe i nā wai hou aʻe ma mua o kou lawe ʻana i loko.

Hoʻomaʻo i ke kahe o ke koko haʻahaʻa

Lapaʻau ʻana hoʻokaʻawale diastolic hypotension ʻoi aku ka paʻakikī ma mua o ka mālama ʻana i ka manaʻo nui. Inā lawe ʻoe i kahi alfa-blocker, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau kiʻekiʻe kiʻekiʻe o ke koko.

Inā ua hoʻokaʻawale ʻoe i ke kaomi diastolic haʻahaʻa a ʻaʻole ʻoe i ka lāʻau kahena koko, ʻo ka koho wale nō e ʻike pinepine aku i kāu kauka no ka nānā ʻana a kiaʻi no nā ʻōuli o ka puʻuwai ʻole. I kēia manawa, ʻaʻohe mea i loaʻa i ka lāʻau e mālama ai i ka hānai diastolic i hoʻokaʻawale ʻia.

Lapaʻau o manaʻo holoʻokoʻa pili i ke kumu.

Hiki ke mālama ʻia ka hoʻokahuli ʻana i ke koko kiʻekiʻe e ka hoʻololi ʻana a i ʻole ka hoʻololi ʻana i nā lāʻau. ʻO ka pahuhopu ka mālama ʻana i ke kaomi koko diastolic ma waena o 60 a me 90 mm Hg. Hiki paha i kāu kauka ke hoʻololi i nā lāʻau ʻē aʻe i kumu i ke kūpale.

Hiki ke mālama ʻia ka make wai me ka pāhehe wai. I kekahi mau hihia, pono ʻoe i nā lāʻau e hoʻonui ai i ke kahe o ke koko.

Kāohi a me ka mālama ʻana i ke kaomi haʻahaʻa diastolic haʻahaʻa

Aia kekahi mau mea hiki iā ʻoe ke hana e pale a mālama i ke kaomi haʻahaʻa diastolic.

• E hoʻāʻo e mālama i kāu paʻakai paʻakai ma waena o 1.5 a me 4 gram i kēlā me kēia lā. ʻO kahi helu kūpono ma kahi o 3.5 gram. Hiki iā ʻoe ke hana i kēia ma ka heluhelu ʻana i nā lepili ʻai a me ka hōʻalo ʻana i ka paʻakai i kāu papaʻai.
• ʻAi i ka papaʻai olakino puʻuwai. ʻAi i nā huaʻai a me nā lau a nui, a hoʻokomo i nā hua. No ka protein, pili i ka ʻiʻo a me ka iʻa. Hōʻalo i nā meaʻai momona.
• E inu pono i nā wai a pale i ka waiʻona, hiki ke hoʻonui i kou makaʻu no ka make wai.
• Noho kino a hoʻomaka i kahi papahana hoʻoikaika kino. E nīnau i kāu kauka he aha ke ʻano a me ka nui o ka hoʻoikaika kino iā ʻoe.
• Mālama i kahi kaupaona olakino. Inā nui kou kaumaha, e noi i kāu kauka e kōkua iā ʻoe me kahi hoʻolālā pohō palekana.
• Mai puhi.

Outlook

Hiki ke weliweli i ka hypotension no ka mea he kumu pinepine ia o ka hāʻule. Hiki ke weliweli loa ke kuhi diastolic hoʻokaʻawale no ka mea hiki ke hoʻoliʻiliʻi i ke kahe o ke koko i kou puʻuwai.

Hiki paha iā ʻoe ke makaʻu kiʻekiʻe loa inā loaʻa ʻoe i ka maʻi kōpoʻi coronary. I ka hala ʻana o ka manawa, hiki i ka hoʻokaʻawale diastolic hoʻokaʻawale ke hoʻonā i ka naʻau. ʻO ka ʻoiaʻiʻo, ʻo ia paha kekahi o nā kumu maʻamau o ka holo pono ʻole o ka puʻuwai.

E hoʻolohe i kāu helu diastolic ke nānā ʻia kou kaomi koko. Inā kāu helu haʻahaʻa he 60 a ma lalo paha, e nīnau i kāu kauka e pili ana.

E hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona o ke kuhiakau a i ʻole ʻole ka puʻuwai. I nā kumu he nui, ke kōkua ʻana i ka hoʻololi ʻana i nā lāʻau a me ka hoʻololi ʻana i ka nohona. Makemake paha kāu kauka e ukali kokoke iā ʻoe e hōʻoia i kou kaomi diastolic ma luna o 60.