Pehea kou koko? E ʻike kākou i ke ʻano o ia mea.

Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana he mea nui i nā poʻe he nui, akā i kekahi manawa ʻaʻole maopopo loa. ʻO ia ke 'Blood Pressure' a i ʻole 'pressure' e like me kā mākou e kapa nei. Ua like ia me ke kaomi a mākou e manaʻo ai i ka wā e kahe ai ke koko ma o ko mākou mau aʻa, ʻo ia hoʻi nā aʻa koko nui i loko o ko mākou kino. I kēlā me kēia kekona e paʻi ai kou puʻuwai, e pamu ia i ke koko i loko o nā aʻa e lawe ana i ke koko ma ke kino holoʻokoʻa. Hana ʻia kēia ma waena o 60 a me 100 mau manawa i kēlā me kēia minuke, 24 mau hola o ka lā. ʻO kēia mau aʻa ka mea e lawe ai i ka oxygen a me nā meaʻai i kou kino holoʻokoʻa a kōkua i kou kino e hana pono.

He ʻelua mau mea ʻokoʻa anei ke 'Blood Pressure' a me ke 'Heart Rate'?

I kēia manawa, manaʻo kekahi poʻe he like ke 'Blood Pressure' a me ke 'Heart Rate' a i ʻole ka wikiwiki o ka puʻuwai. Akā, ʻaʻole pēlā. ʻOiai pili lāua ʻelua i ka puʻuwai, he ʻelua mau mea like ʻole kēia. E noʻonoʻo, ʻo ke 'Blood Pressure' ka wikiwiki a me ka ikaika o kou koko e neʻe ana ma o kou mau kīʻaha koko. ʻO ka 'Heart Rate' ka nui o nā manawa e kuʻi ai kou puʻuwai i kēlā me kēia minuke.

ʻAʻole manaʻo mau ka piʻi ʻana o ka puʻuwai ua kiʻekiʻe ke koko. No ka ʻike pololei ʻana i ke kaomi, pono ʻoe e hoʻohana i kahi cuff a me kahi anakahi no ke ana ʻana i ke koko.

No ke aha i like ʻole ai ke koko i nā manawa a pau?

ʻAʻole like mau kou koko. Hoʻololi ia ma muli o kāu mea e hana nei. Ke hoʻoikaika kino ʻoe a i ʻole ke kaumaha, piʻi aʻe kou koko. Ke hiamoe ʻoe a hoʻomaha, iho kou koko.

ʻAʻole wale kēlā, akā hiki i kēia mau mea ke hoʻololi i kou koko koko:

• Makahiki: Hiki ke loli ke koko i kou wā ʻelemakule.
• Nā lāʻau lapaʻau āu e lawe ai: Hoʻopilikia kekahi mau lāʻau lapaʻau i ke koko.
• Nā Hoʻololi Kūlana: Aia paha he loli iki i ke kūlana, e like me kou noho koke ʻana i lalo mai ke kū ʻana.

No ke aha lā e pono ai kākou e noʻonoʻo nui e pili ana i ke koko? He 'mea pepehi kanaka leo ʻole' anei ia?

ʻO ke koko kiʻekiʻe, i ʻike ʻia hoʻi he koko kiʻekiʻe, i kekahi manawa ua kapa ʻia ʻo ka "pepehi kanaka leo ʻole" no ka mea ʻaʻole ia e hōʻike pinepine i nā hōʻailona. ʻOiai inā ʻaʻole ʻoe e manaʻo i kekahi mea, hiki i ke koko kiʻekiʻe ke hōʻino i kou puʻuwai, nā puʻupaʻa, a me ka lolo.

ʻO ke koko kiʻekiʻe kahi kumu nui o ka pilikia no ka hoʻomohala ʻana i nā maʻi cardiovascular. Inā ʻaʻole mālama ʻia, hiki i ke koko kiʻekiʻe ke alakaʻi i nā kūlana e like me:

• Hoʻouka ischemic kuikilana (TIA)
• Hahau
• Maʻi hohola
• Puʻuwai i hoʻonui ʻia
• Ka hāʻule ʻana o ka puʻuwai
• ʻO ka maʻi aʻa peripheral - ʻO ke ʻano kēia ua emi ke kahe o ke koko i nā wāwae a loaʻa ka ʻeha.
• Ka nāwaliwali a me ka pehu ʻana o nā paia o ke aʻa ('Aneurysms')
• Maʻi puʻupaʻa
• Ua pohā nā aʻa koko liʻiliʻi o nā maka.

E noʻonoʻo wale, inā hiki ke hana i nā mea he nui i loko o ke kino me ka ʻole o nā hōʻailona, ​​​​​​he mea nui ka mālama ʻana i kou koko!

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i ke kaomi?

Aia ʻoe i ka pilikia kiʻekiʻe o ka hoʻomohala ʻana i ke koko kiʻekiʻe inā loaʻa iā ʻoe kekahi o kēia mau kumu:

• Inā he koko kiʻekiʻe ko kekahi o ka ʻohana, he maʻi puʻuwai, a he maʻi kō (ʻDiabetes Mellitus).
• Inā he ʻeleʻele ʻoe (he hopena hoʻoilina kēia).
• Inā he 60 ou mau makahiki a ʻoi paha.
• Inā kiʻekiʻe ka nui o ka cholesterol i loko o ke koko.
• Inā ʻoe e hoʻohana ana i nā pila hoʻomalu hānau ('nā lāʻau pale waha').
• Inā he momona ʻoe.
• Inā loaʻa iā ʻoe ka maʻi diabetes ('Diabetes Mellitus').
• Inā ʻoe e hoʻohana i nā huahana paka (e like me nā cigarettes, beedis).
• Inā ʻaʻole ʻoe e hoʻoikaika kino pono.
• Inā ʻoe e ʻai pinepine i nā meaʻai kiʻekiʻe i ka paʻakai.

Pehea a i ka manawa hea ʻoe e nānā ai i kou koko?

Inā maʻamau kou koko, pono i kāu kauka ke nānā iā ia i kāu nānā makahiki. Eia nō naʻe, inā kiʻekiʻe kou mau heluhelu koko ke kipa aku ʻoe i kāu kauka, hiki iā ia ke ʻōlelo iā ʻoe e nānā i kou koko ma ka home. Hiki ke hana ʻia kēia i kekahi mau manawa i ka lā, a i ʻole hoʻokahi manawa i ka pule.

ʻO ka mea nui loa, ʻo ia ke nānā i kou koko i ka manawa like i kēlā me kēia lā . Hiki iā ʻoe ke nānā iā ia i ʻelua a ʻekolu paha manawa i ka lālani, akā e kali ma kahi o hoʻokahi minuke ma waena o kēlā me kēia heluhelu. A pau ʻoe, e lawe i ka awelika o nā heluhelu ʻelua a ʻekolu paha āu i lawe ai.

I kekahi manawa e noi aku paha kāu kauka iā ʻoe e komo i kahi mea nānā koko 24-hola, nāna e ana aunoa i kou koko i kēlā me kēia 15 a 30 mau minuke ʻoiai ʻoe e hana ana i kāu mau hana maʻamau.

He aha nā lāʻau lapaʻau no ke koko kiʻekiʻe?

ʻO ke koko kiʻekiʻe kahi kumu nui o ka pilikia no nā maʻi cardiovascular. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi e like me ka TIA, Stroke, a me ka hōʻeha puʻuwai a mākou i kamaʻilio ai ma mua. No laila, ʻo ka lāʻau lapaʻau ke hana i nā hoʻololi e like me ka ʻōlelo a kāu kauka.

Nā loli i ka ʻai a me ke ʻano o ka nohona

• E piʻi i kahi kaumaha e kūpono i kou kino a mālama iā ia.
• E hoʻoikaika kino i nā manawa a pau.
• E ʻai i kahi meaʻai kaulike a olakino no ka puʻuwai, haʻahaʻa i ka paʻakai, ka momona, a me ka cholesterol, a kiʻekiʻe i nā huaʻai a me nā mea kanu hou. ʻO ka ʻai maikaʻi ʻana he ʻāpana koʻikoʻi ia o ka mālama ʻana i kou koko. ʻO ka papa ʻai DASH (Dietary Approaches to Stop Hypertension) a me ka palena ʻana i ka sodium (paʻakai) hiki ke kōkua i ka mālama ʻana i ke koko. E noi i kāu kauka e kuhikuhi iā ʻoe i kahi meaʻai meaʻai e kōkua iā ʻoe e hana i kahi papa ʻai kūpono iā ʻoe.
• E kaupalena i kāu inu ʻona. Ua ʻōlelo ʻia ka hapa nui o nā kāne ʻaʻole e inu ma mua o ʻelua mau mea inu ʻona i ka lā, a ua ʻōlelo ʻia nā wahine a me nā kāne liʻiliʻi ʻaʻole e inu ma mua o hoʻokahi mea inu ʻona i ka lā. (ʻO hoʻokahi mea inu he 12 auneke o ka pia, 12 auneke o ka mea hoʻoluʻu waina, 5 auneke o ka waina, a i ʻole 1.5 auneke o ka waiʻona paʻakikī.)
• E kāohi i ke kaumaha a me ka huhū.
• E hōʻole loa i nā huahana a pau i loaʻa ka paka a me ka nikotine.
• He mea nui hoʻi e kaohi i nā pae lipid koko (LDL, Cholesterol, Triglycerides) a me nā kūlana olakino ʻē aʻe e like me ka maʻi diabetes.

Ka hālāwai ʻana me ke kauka a me ke kanaka lapaʻau

• E lawe i nā lāʻau lapaʻau a pau a kāu kauka e kuhikuhi ai e like me ke kuhikuhi. Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka. ʻAʻole hoʻomau ka hana o nā lāʻau koko koko ma hope o kou hoʻōki ʻana i ka lawe ʻana iā lākou.
• Hiki i kekahi mau lāʻau lapaʻau ma luna o ke kauka, e like me nā decongestants, ke hoʻopilikia i ke ʻano o ka hana ʻana o kāu lāʻau lapaʻau koko.
• Mai poina e ʻike i kāu kauka i kāu mau lā i hoʻonohonoho ʻia. Hiki iā ia ke nānā i kou koko, hana i nā hoʻololi pono i kāu mau lāʻau lapaʻau, a kōkua iā ʻoe e hoʻokele i kou pilikia maʻi puʻuwai.

Hiki i kāu kauka ke haʻi aku iā ʻoe e nānā i kou koko ma ka home a kākau i lalo. Inā haʻi ʻo ia iā ʻoe, e hahai pololei i kāna mau kuhikuhi.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka nānā ʻana i kou koko?

No ke ana pololei ʻana i kou koko, e hoʻomanaʻo i kēia mau mea:

• Inā ua pau wale ʻoe i ka puhipaka, hoʻoikaika kino, a inu paha i ke kīʻaha kofe, e kali ma kahi o 30 mau minuke ma mua o ka nānā ʻana i kou koko.
• E hele i ka lua a hoʻokahe i kou ʻōpū mimi.
• ʻŌwili i ka lima o kou pālule. Mai kau i ke kāʻei ma luna o ka lima o kou pālule.
• E noho mālie me ka ʻole o ke kamaʻilio ʻana no ʻelima mau minuke.
• E noho pololei, me nā wāwae ʻelua ma ka papahele. Mai kau i kou mau wāwae ma luna.
• E kau i kou lima ma luna o ka papaʻaina ma ka pae o ka puʻuwai.

Pehea e ana ʻia ai ke kaomi koko?

Inā ana ʻia kou koko me ka lima, e hana ke kauka a kahu maʻi paha penei:

• Ua kāʻei ʻia kahi kāʻei kūikawā (`cuff`) - i hoʻopili ʻia i ka mika (`gauge` a i ʻole `Sphygmomanometer`) - a puni kou lima luna (ma luna o ke kuʻekuʻe).
• A laila e hoʻopiha ʻia ke kāʻei a paʻa loa a puni kou lima. Hoʻopili ʻia kahi mea liʻiliʻi e like me ka pōpō i hoʻopaʻa ʻia i ke kāʻei. Hoʻopili kēia i kou aʻa brachial, e hoʻōki ana i ke kahe o ke koko ma o ia mea no kekahi manawa. I kēia manawa, pono e heluhelu ka mika ma kahi o 200 mmHg.
• ʻO ka mea aʻe, ʻoiai e hoʻolohe ana i ke kani o ke koko e kahe ana ma o kou aʻa lima me kahi stethoscope, e hoʻohaʻahaʻa mālie ʻia ke cuff (ma o kahi valve i hoʻopili ʻia i ke cuff). A laila e hoʻomaka ka nila ma ka mika e iho i lalo.
• Ke hoʻomaka ʻoe e lohe i ke kani o ke koko e kahe ana (ke kani o ka pulse), nānā ʻoe i ka waiwai ma ka mika. ʻO ia ka waiwai systolic, ʻo ia ka waiwai kiʻekiʻe loa.
• A laila, ua wehe hou ʻia ka valve a ua wehe loa ʻia ke kāʻei. A laila, ua pau ke kaomi ma ke aʻa lima, a hoʻomaka hou ke koko e kahe maʻamau. Ke wehe ʻia ke kāʻei a ua pau ke kani o ke kahe ʻana o ke koko, ua heluhelu ʻia ka waiwai ma ka mika. ʻO ia ka waiwai diastolic, ʻo ia ka waiwai lalo.

Aia kekahi mau mea nānā koko koko ʻakomi hiki iā ʻoe ke hoʻohana ma ka home.

He aha ka mea e hana ʻia ma hope o ka nānā ʻana i ke koko?

Inā hopohopo a hopohopo ʻoe i kou hele ʻana e ʻike i kāu kauka, ʻoi aku paha ke kiʻekiʻe o kāu heluhelu koko ma mua o ka mea maoli. Ua kapa ʻia kēia ʻo "White Coat Syndrome." Ua like ia me kou koko e piʻi ana ke ʻike ʻoe i ke kapa keʻokeʻo o ke kauka. Inā hana ʻia kēlā, e haʻi aku paha kāu kauka iā ʻoe e nānā i kou koko ma ka home i ka lā holoʻokoʻa. A laila hiki iā ʻoe ke kākau i kāu mau heluhelu koko a hōʻike iā lākou i kāu kauka.

Aia kekahi mau hopena ʻaoʻao o ke ana ʻana i ke koko?

Ke ana ʻoe i kou koko, ʻike ʻoe i kahi ʻūmiʻi iki ke hoʻopūʻiwa ʻoe i ke kuʻi lima a puni kou lima. Akā, he manawa pōkole wale nō ia. A laila hoʻi ia i ka maʻamau. ʻAʻohe hopena ʻaoʻao nui.

He aha nā waiwai o ke koko a mākou e loaʻa ai?

Aia ʻelua mau ana i kāu heluhelu ʻana i ke koko:

• Kaomi koko systolic (helu kiʻekiʻe/helu mua): ʻO kēia ke kaomi i loko o kou mau aʻa i ka wā e paʻi ai kou puʻuwai a pamu i ke koko i loko o kou mau aʻa.
• Kaomi koko diastolic (helu lalo/kekona): ʻO kēia ke kaomi i loko o nā aʻa i ka wā e hoʻomaha ai ka puʻuwai, ma waena o ʻelua mau puʻuwai.

Hāʻawi nā kauka i kēia mau ana ma nā millimeters o ka mercury (mm Hg). Ua kapa ʻia pēlā no ka mea i ka wā ma mua, ua loaʻa ka mercury i nā mea ana kaomi.

He aha ke ʻano o ke koko maʻamau?

ʻOi aku ka emi o ke koko maʻamau ma mua o 120/80 mm Hg.

Inā ʻo ke 'kaomi koko' he 120-129 (ka helu kiʻekiʻe) a ʻo ka helu haʻahaʻa ma lalo o 80 `mm Hg` , ua manaʻo ʻia he 'kaomi koko kiʻekiʻe' (kiʻekiʻe iki). ʻO ka poʻe ma kēia māhele, inā ʻaʻole lākou e hana i kahi mea e hōʻemi ai i ko lākou kaomi, e piʻi hou aku paha ko lākou kaomi.

ʻEhia ka nui o ke koko e kiʻekiʻe loa ana?

Inā ʻoi aku ka nui o kāu helu kiʻekiʻe ma mua o 180, a/a i ʻole ʻoi aku ka nui o kāu helu lalo ma mua o 120, e ʻimi koke i ke kōkua lapaʻau, a i ʻole e lawe koke kekahi iā ʻoe i ka haukapila. He kūlana weliweli kēia i kapa ʻia ʻo "Hypertensive Crisis" .

I ka wā o ka 'Hypertensive Crisis', hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Paʻakikī ka hanu ʻana.
• ʻEha ka umauma.
• Ka nalowale ʻana o ka ʻike maka maopopo a i ʻole ka paʻakikī i ka ʻōlelo ʻana.
• ʻEha hope.
• Ka nalowale ʻana o ka ʻike a i ʻole ka mae ʻana o ka hanu.

ʻO ke haʻahaʻa o ke kaomi akā kiʻekiʻe aʻe, ʻo ia hoʻi, loaʻa paha iā ʻoe ke koko kiʻekiʻe 'Stage 1' a i ʻole 'Stage 2'.

• Ke koko kiʻekiʻe o ke kahua 1: Heluhelu kiʻekiʻe 130-139 a i ʻole ka heluhelu haʻahaʻa 80-89.
• Ke koko kiʻekiʻe pae 2: ʻO ka helu kiʻekiʻe he 140 a ʻoi aku paha, a ʻo ka helu haʻahaʻa he 90 a ʻoi aku paha.

Inā aia kāu mau heluhelu koko ma 'Stage 1' a i ʻole 'Stage 2', e haʻi aku kāu kauka iā ʻoe e hana i nā hoʻololi i ke ʻano o kou nohona a e kuhikuhi pū i nā lāʻau lapaʻau no kou koko.

ʻEhia ka nui o ke koko haʻahaʻa loa?

ʻO ka heluhelu ʻana o ke kaomi ma lalo o 90/60 mm Hg ua manaʻo ʻia he koko haʻahaʻa. Loaʻa paha i kekahi poʻe ke koko haʻahaʻa i nā manawa a pau, he mea maʻamau ia no lākou. Akā no kekahi poʻe, ʻo ke koko haʻahaʻa ke ʻano he mea hewa. ʻAʻole paha lākou e loaʻa ana i ke koko lawa i ko lākou mau kino koʻikoʻi.

ʻOi aku ka nui o ka waiwai kiʻekiʻe a i ʻole ka waiwai haʻahaʻa?

Hiki i kāu kauka ke hoʻohana i ka helu kiʻekiʻe a i ʻole ka helu lalo e hoʻoholo ai inā he koko kiʻekiʻe kou. Eia nō naʻe, inā ʻoi aku ʻoe ma mua o 50, nānā pinepine lākou i ka helu kiʻekiʻe (ka helu systolic) ma ke ʻano he kumu pilikia no ka maʻi puʻuwai.

I kou wā ʻelemakule, e lilo kou mau aʻa koko i mea paʻakikī i ka hala ʻana o ka manawa, a i ka wā e hōʻiliʻili ai ka momona a me ka cholesterol (plaque), piʻi aʻe kou koko.

ʻEhia ka lōʻihi e loaʻa ai nā hopena?

Hiki iā ʻoe ke loaʻa koke kāu heluhelu koko. Eia nō naʻe, pono kāu kauka i ʻelua a ʻoi aku paha mau heluhelu (lawe ʻia i nā lā like ʻole) e hoʻoholo ai inā he koko kiʻekiʻe kou. Hiki iā ia ke noi iā ʻoe e hoʻi mai no kekahi nānā hou i kekahi lā ʻē aʻe.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o kāu heluhelu koko ma ka home ma mua o ka maʻamau, e kāhea i kāu kauka. Inā ʻo 180/120 mm Hg kāu heluhelu ʻana, a i ʻole ʻoi aku ke kiʻekiʻe o kekahi o kēlā mau waiwai, e kāhea koke i ka 911 a i ʻole e hele i kahi lumi pilikia.

ʻOiai inā ʻaʻohe ou hōʻailona, ​​​​hiki ke kiʻekiʻe kou koko. No laila, he mea nui e nānā mau i kou koko e hōʻoia i loko o ka pae maʻamau. Inā he koko kiʻekiʻe kou, e lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka. Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka. ʻAʻole e pau ka hana ʻana o ka lāʻau koko ma hope o kou hoʻōki ʻana i ka lawe ʻana. E ʻike i kāu kauka i ka manawa kūpono i hiki iā ia ke nānā i kou koko, hana i nā hoʻololi e pono ai i kāu lāʻau lapaʻau, a kōkua iā ʻoe e hoʻokele i kou pilikia maʻi puʻuwai.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ke 'kaomi koko'. I ka hōʻuluʻulu manaʻo:

• He mea nui loa ke koko no ke olakino o kou kino.
• He mea nui loa ia e nānā pinepine i kou koko koko, ʻoiai inā he mau kumu pilikia kou.
• Hiki i ke koko kiʻekiʻe ke lilo i "mea pepehi kanaka leo ʻole," no laila, mai kali a ʻike ʻia nā hōʻailona.
• He kōkua nui ka nohona olakino (ʻai maikaʻi, hoʻoikaika kino, haʻalele i ka puhipaka, hoʻokele kaumaha) i ke kaohi ʻana i ke koko.
• Inā kuhikuhi ke kauka i ka lāʻau lapaʻau, e lawe pololei e like me ke kauoha. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
• E makaʻala i kāu mau heluhelu koko, ʻoiai nā pae weliweli e like me 180/120 mm Hg, a e ʻimi koke i ke kōkua lapaʻau inā loaʻa.

Aia kou olakino i kou mau lima! No laila, ʻoi aku ka maikaʻi o ka mālama ʻana i kēia.

ʻO ke koko, ke koko kiʻekiʻe, maʻi puʻuwai, olakino, ke ana ʻana o ke koko, kaomi, hypertension