He aha ke kumu o ke kahe ʻana o ke koko kiʻekiʻe ma hope o ke kaha ʻana?

Anter

• Ka hoʻomaopopo ʻana i ke kaomi koko
• Mōʻaukala o ke koko kiʻekiʻe
• Haʻalele lāʻau
• Pae ʻeha
• Anesthesia
• Nā pae oxygen
• Nā lāʻau ʻeha
• He aha ke kuanaʻike?

Hōʻike Overview

Loaʻa i nā ʻoki āpau ka hiki i kekahi mau pilikia, ʻoiai inā he hana maʻamau. ʻO kekahi o kēia mau pilikia ka hoʻololi i ke kahe o ke koko.

Hiki i nā kānaka ke ʻike i ke kahe koko kiʻekiʻe ma hope o ke kī ʻana no nā kumu he nui. Ke hoʻomohala nei ʻoe i kēia pilikia ma muli o ke ʻano o ke ʻoki ʻana āu e loaʻa nei, ke ʻano anesthesia a me nā lāʻau i lawelawe ʻia, a inā ʻaʻole paha he pilikia me ke kaomi koko ma mua.

Ka hoʻomaopopo ʻana i ke kaomi koko

Ana ʻia ke kaomi koko ma o ka hoʻopaʻa ʻana i ʻelua helu. ʻO ka helu kiʻekiʻe ke kaomi systolic. Hōʻike ia i ke kaomi ke kuʻi kou puʻuwai a pauma i ke koko. ʻO ka helu lalo ke kaomi diastolic. Hōʻike kēia helu i ke kaomi ke hoʻomaha kou puʻuwai ma waena o nā paʻi. E ʻike ʻoe i nā helu i hōʻike ʻia ma ke ʻano 120/80 mmHg (millimeter o ka mercury), no ka laʻana.

Wahi a ka American College of Cardiology (ACC) a me ka American Heart Association (AHA), eia nā pae no nā maʻamau, ke kiʻekiʻe, a me ke koko kiʻekiʻe.

• Maʻamau: ma lalo o 120 systolic a ma lalo o 80 diastolic
• Hoʻokiʻekiʻe: 120 i 129 systolic a ma lalo o 80 diastolic
• Kiʻekiʻe: 130 a ʻoi paha systolic a i ʻole diastolic 80 a ʻoi paha

Mōʻaukala o ke koko kiʻekiʻe

ʻO nā ʻoki puʻuwai a me nā ʻoki lāʻau ʻē aʻe e pili ana i nā kīʻaha koko nui e pili pinepine ʻia me kahi pilikia no ka piʻi ʻana o ke koko. He mea maʻamau nō ia no nā poʻe he nui e hele ana i kēia ʻano o nā kaʻina hana e loaʻa i ke koko kiʻekiʻe. Inā mālama maikaʻi ʻole ʻia kou kaomi koko ma mua o ka hele ʻana i kahi ʻoki, loaʻa kahi manawa kūpono e ʻike ʻoe i nā pilikia i ka wā a ma hope paha o ka ʻoki ʻana.

ʻO ka loaʻa ʻole ʻana o ke kahe koko kiʻekiʻe me ka maikaʻi ʻole ka manaʻo o kāu mau helu i ke kiʻekiʻe kiʻekiʻe a ʻaʻole mālama maikaʻi ʻia kou kahe koko. ʻO kēia paha no ka mea ʻaʻole i hōʻike nā kauka iā ʻoe ma mua o ke kaha ʻana, ʻaʻole holo kāu papa hana o kēia manawa, a malia paha ʻaʻole ʻoe e inu pinepine i ka lāʻau.

Haʻalele lāʻau

Inā hoʻohana ʻia kou kino i ke kaomi hoʻohaʻahaʻa koko, hiki paha iā ʻoe ke ʻike i ka haʻalele ʻana mai iā lākou e hele koke aku ana. Me kekahi mau lāʻau, ʻo ia hoʻi hiki iā ʻoe ke piʻi i ke kahe o ke koko.

He mea nui e haʻi aku i kāu pūʻulu ʻoki kino, inā ʻaʻole lākou i ʻike mua, he aha nā lāʻau lapaʻau koko e lawe nei ʻoe a me nā ʻōpala āu i hala. ʻO ka manawa pinepine kekahi mau lāʻau i hiki ke lawe ʻia i ke kakahiaka o ke kaha, no laila ʻaʻole pono ʻoe e nalo i kahi lāʻau. ʻOi aku ka maikaʻi e hōʻoia i kēia me kāu kaukukō a i ʻole anesthesiologist.

Pae ʻeha

ʻO ka maʻi ʻana a i ʻole ʻeha hiki ke hoʻonui i kou kaomi koko ma mua o ka maʻamau. He manawa pōkole kēia. E iho i lalo kou kaomi koko ma hope o ka mālama ʻia ʻana o ka ʻeha.

Anesthesia

Hiki i ka underest anesthesia ke hopena i kāu kaomi koko. Hoʻomaopopo ka poʻe loea i ke ala ākea o kekahi mau kānaka e makaʻala i ke kau ʻana o kahi pūkuhi hanu. Hiki i kēia ke hoʻoulu i ka helu o ka puʻuwai a hoʻonui i ke kaomi koko i kekahi manawa.

Hiki i ke ola ʻana mai ka anesthesia ke pā i ka poʻe me ke koko kiʻekiʻe he paʻakikī hoʻi kekahi. ʻO nā kumu e like me ka mahana o ke kino a me ka nui o nā wai i hoʻopili ʻia (IV) e pono ai i ka wā anesthesia a me ke kahakaha hiki ke hoʻokiʻekiʻe i ke kahe o ke koko.

Nā pae oxygen

ʻO kahi hopena hopena o ke kaha ʻana a ma lalo o ka anesthesia ʻaʻole i loaʻa i nā ʻāpana o kou kino ka nui o ka oxygen e pono ai. Loaʻa kēia i ka liʻiliʻi o ka oxygen i loko o kou koko, kahi ʻano i kapa ʻia hypoxemia. Hiki ke hoʻonui i kou kahe koko ma ke ʻano he hopena.

Nā lāʻau ʻeha

Hiki i kekahi mau lāʻau i kuhikuhi ʻia a i ʻole over-the-counter (OTC) hiki ke hoʻonui i kou kahe koko. ʻO kahi hopena i ʻike ʻia o nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) hiki ke hoʻonui iki i ke kahe o ke koko i ka poʻe i loaʻa i ke koko kiʻekiʻe. Inā loaʻa iā ʻoe ke kiʻekiʻe o ke koko kiʻekiʻe ma mua o ke kaha ʻana, e kamaʻilio me kāu kauka e pili ana i nā koho hoʻomalu ʻeha. Paipai paha lākou i nā lāʻau ʻokoʻa a i ʻole loaʻa iā ʻoe nā lāʻau ʻokoʻa, no laila ʻaʻole ʻoe e lawe i hoʻokahi i ka wā lōʻihi.

Eia kekahi mau laʻana o nā NSAID maʻamau, nā kuhikuhi a me ka OTC, hiki ke hoʻonui i ke kahe o ke koko.

• ibuprofen (Advil, Motrin)
• meloxicam (Mobic)
• naproxen (Aleve, Naprosyn)
• naproxen sodium (Anaprox)
• piroxicam (Feldene)

He aha ke kuanaʻike?

Inā ʻaʻohe ou moʻaukala o ke koko kiʻekiʻe, ʻo kekahi kui i kou kaomi koko ma hope o ke kahakaha ʻana he manawa pōkole wale nō ia. Kū mau ia ma nā wahi āpau mai 1 a 48 mau hola. E nānā nā kauka a me nā kahu hānai iā ʻoe a hoʻohana i nā lāʻau e hoʻihoʻi iā ia i lalo i nā pae maʻamau.

Loaʻa ke kiʻekiʻe o ke koko kiʻekiʻe ma lalo o ka kaohi i mua e kōkua. ʻO ke ala maikaʻi e mālama ai i kāu makaʻu no ka hoʻomohala ʻana i ke koko kiʻekiʻe ma hope o ke kahakaha ʻana e kūkā kamaʻilio me kāu kauka.