Ua lohe nui paha ʻoe e pili ana i ke Kaomi Koko, a i ʻole "kaomi" e like me kā mākou e kapa nei? Malia paha ua loaʻa i kekahi o kou ʻohana. Akā, ʻaʻole paha ʻoe i lohe nui e pili ana i ke 'Pulse Pressure' . He mea nui loa kēia e ʻōlelo nui ana e pili ana i ke olakino o ko kākou puʻuwai. No laila, i kēia lā e kamaʻilio wale mākou e pili ana i ke ʻano o kēia 'Pulse Pressure', pehea ia e pili ai i ko kākou olakino , he aha ka mea e hana inā piʻi a emi paha, a me nā mea e pono ai mākou e hana e mālama iā ia ma kahi pae maikaʻi.
He aha ke 'Pulse Pressure'?
I ka ʻōlelo maʻalahi, ke ana ʻoe i kou koko, loaʻa iā ʻoe ʻelua mau waiwai. ʻO kekahi ka helu kiʻekiʻe, i kapa ʻia ʻo 'Systolic Pressure' . ʻO kekahi ka helu lalo, i kapa ʻia ʻo 'Diastolic Pressure' .
E noʻonoʻo e pili ana i ia mea, ua like ko kākou puʻuwai me ka pamu wai. Hoʻopuka ia i ke koko ma loko o ko kākou kino i kēlā me kēia kekona.
- ʻO ke kaomi systolic, a i ʻole ka helu kiʻekiʻe loa , ʻo ia ke kaomi kiʻekiʻe loa i hoʻokau ʻia ma nā paia o kou mau aʻa i ka wā e ʻū ai kou puʻuwai (ʻo ia hoʻi ke kuʻi) a hoʻokuke i ke koko ma o nā aʻa i ke kino.
- ʻO ke 'Diastolic Pressure', a i ʻole ka helu lalo loa , ʻo ia ke kaomi haʻahaʻa loa i loko o nā aʻa i ka wā e ʻuʻuku ai ka puʻuwai a laila hoʻomaha hou, ʻo ia hoʻi, ma waena o ʻelua mau puʻuwai.
No laila, ʻo 'Pulse Pressure' ka ʻokoʻa ma waena o ka helu kiʻekiʻe (Systolic) a me ka helu lalo (Diastolic). Hāʻawi kēia iā mākou i kahi hōʻailona o ke olakino o ko mākou puʻuwai a me ka ʻōnaehana kīʻaha koko.
Pehea e loaʻa ai ka 'Pulse Pressure'? He maʻalahi loa ia!
ʻAʻohe pono e hana i kekahi makemakika akamai e hoʻomaopopo ai i kēia. ʻO ka waiwai āu e loaʻa ai ke unuhi ʻoe i ka helu kiʻekiʻe (Systolic) mai ka helu lalo (Diastolic) o kou koko koko ua kapa ʻia ʻo 'Pulse Pressure'.
Eia kekahi laʻana, e noʻonoʻo kākou:
ʻO kou kaomi koko he 120/80 mmHg (milimita o ka mercury).
A laila lilo ka 'Pulse Pressure' i:
120 (Systolic) - 80 (Diastolic) = 40 mmHg .
Ma keʻano laulā, manaʻo mākou ʻo ke kaomi pulse o kahi kanaka makua olakino ma kahi o 40 mmHg.
Akā e hoʻomanaʻo, i ko kākou ʻelemakule ʻana, ʻoʻoleʻa iki ko kākou mau aʻa, ʻo ia hoʻi, nalowale ko lākou palupalu. He mea maoli kēia. ʻIke nui ʻia kēia ʻoʻoleʻa o ke aʻa i nā poʻe me ka maʻi diabetes mellitus a me nā maʻi puʻupaʻa mau .
I ka nalowale ʻana o kēia mau aʻa koko i ko lākou palupalu a lilo i mea paʻakikī, ma hope o 50 mau makahiki, penei ka mea e hana ʻia:
- Hoʻomaka kou Kaomi Koko Systolic (ka helu kiʻekiʻe) e piʻi mālie.
- E hoʻomaka ana kou kaomi koko diastolic (ka helu lalo) e emi mālie.
ʻO kēia ke kumu e piʻi ai ke kaomi pulse i ko kākou wā ʻelemakule.
No ke aha e loli ai ka 'Pulse Pressure' i kēlā me kēia mau minuke ke nānā au i koʻu koko?
ʻAe, he mea maʻamau loa ia no ka loli iki ʻana o ke kaomi o kou pulse. Kāhea mākou i kēia ʻo 'Pulse Pressure Variation'. E noʻonoʻo wale, ʻoiai ke hanu ʻoe, ʻokoʻa iki ka nui o ke koko a kou puʻuwai e pamu ai. ʻO ka maʻamau, he liʻiliʻi kēia mau ʻokoʻa e like me 5 mmHg a 10 mmHg. Eia kekahi, ma muli o ka manawa o ka lā a me kou kūlana (kū, noho, a moe paha), hiki ke loli iki kou koko a me ke kaomi pulse mai kēlā manawa a i kēia manawa. No laila, mai hopohopo nui inā ʻike ʻoe iā ia i hoʻokahi manawa.
He aha ke 'Wide Pulse Pressure'? He mea weliweli anei ia?
ʻO ke kaomi pulse ākea, a i ʻole ke kaomi pulse kiʻekiʻe, ʻo ia hoʻi he ʻokoʻa nui ma waena o nā heluhelu luna a me lalo o kou koko. ʻO ke kaomi pulse kiʻekiʻe, maʻamau i loko o kahi kanaka ʻaʻole ikaika loa ke kino , hiki ke lilo i hōʻailona o kahi pilikia olakino o kēia manawa a i ʻole ka pilikia olakino.
Manaʻo nā kauka he 'ākea' (kiʻekiʻe loa) ke kaomi pulse ma mua o 100 mmHg . Eia nō naʻe, inā hoʻomaka ke piʻi ʻana o ke kaomi pulse ma luna o ka waiwai maʻamau o 40 mmHg, hiki i kahi piʻi liʻiliʻi ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā pilikia me kou puʻuwai a me nā kīʻaha koko.
E noʻonoʻo i kēia: Ua ʻike ʻia e ka noiʻi no kēlā me kēia piʻi ʻana o 10 mmHg i kāu 'Pulse Pressure', piʻi ka pilikia o ka loaʻa ʻana o ka 'Coronary Artery Disease' ma kahi o 23%.
Inā he 50 mmHg a ʻoi aku paha ke kaomi o kou pulse, hiki iā ʻoe ke piʻi aʻe ka pilikia o:
- Maʻi puʻuwai
- Nā maʻi ʻāʻī o ka puʻuwai ('Arrhythmia')
- Hahau
Eia kekahi, hiki i nā waiwai pulse kiʻekiʻe ke hoʻonui i ka hōʻino ʻia o nā maka a me nā puʻupaʻa i hoʻokumu ʻia e nā maʻi e like me ka maʻi diabetes.
Eia nō naʻe, ʻo ka poʻe e hana kino nui ana, e like me ka poʻe holo mamao, hiki ke loaʻa i ka 'Pulse Pressure' i hoʻonui ʻia. Akā, ʻaʻole manaʻo nā kauka he pilikia nui ia. ʻO kēia no ka mea, ʻoi aku ka nui o ke koko o ko lākou puʻuwai ma mua o ke kanaka maʻamau. Eia kekahi, no ka mea, hoʻoikaika kino mau lākou, ua palupalu a olakino ko lākou mau aʻa.
He aha nā kumu o ke 'Wide Pulse Pressure'?
- Ke liki nei a ʻūmiʻi paha ka valve aortic (kahi valve nui i loko o ka puʻuwai).
- 'Atherosclerosis' - ʻO ke ʻano kēia, ua emi a paʻakikī nā aʻa koko ma muli o ka waiho ʻana o ka momona i loko o nā paia o nā aʻa koko.
- I kekahi manawa, hiki ke ʻike ʻia kahi 'Wide Pulse Pressure' i nā poʻe i loko o ka haukapila ke loaʻa iā lākou kahi maʻi a mumū paha .
He aha ke 'Narrow Pulse Pressure'?
ʻO ke ʻano o ka waiwai 'Narrow Pulse Pressure' a i ʻole ka waiwai 'Pulse Pressure' haʻahaʻa, ʻo ia hoʻi, ʻoi aku ka liʻiliʻi o kāu 'Pulse Pressure' ma mua o ka hapahā (1/4) o kou Systolic Pressure (ka helu kiʻekiʻe loa).
Hana ʻia kahi kūlana e like me kēia:
- Ke ʻole e hoʻokahe pono ana kou puʻuwai i ke koko. Eia kekahi laʻana, i nā hihia e like me ke 'Heart Failure' (nāwaliwali o ka hana a ka puʻuwai) a me ka 'Cardiac Tamponade' (kahi kūlana kahi e hōʻiliʻili ai ka wai a puni ka puʻuwai) .
- Eia kekahi, hiki ke hana ʻia kēia inā he kahe koko kūloko mai kahi ulia a inā paha ua nalowale ka nui o ke koko mai ke kino.
No ke aha he mea nui e mālama pono i ka 'Pulse Pressure'?
He mea nui loa ia e mālama i ke kaomi o kou pulse. ʻO ke kaomi pulse kiʻekiʻe hiki ke hōʻike i ka hana ikaika ʻana o kou puʻuwai ma mua o ka maʻamau, a i ʻole ʻaʻole palupalu kou mau aʻa e like me ka mea e pono ai, a i ʻole nā mea ʻelua.
Hoʻonui nui kēia mau pilikia ʻelua i kou pilikia o ka puʻuwai koʻikoʻi a me nā pilikia kahe koko, e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. He kiʻekiʻe loa kēia pilikia no ka poʻe ma luna o 55 mau makahiki , no ka mea, i kēlā makahiki, ʻoi aku ka nui o ka hiki ʻana mai o nā pilikia ʻelua.
He aha kaʻu e hana ai e mālama i koʻu kaomi pulse i kahi pae maikaʻi?
ʻO ka hoʻokele ʻana i kāu 'Pulse Pressure' a me ka mālama ʻana i kou koko holoʻokoʻa i ke kaohi ʻana ʻaʻole ia he mau mea ʻelua, he hoʻokahi lāua. No laila, he nui nā mea hiki iā ʻoe ke hana e mālama i kou koko i ke kaohi ʻana:
- E kiʻi i kahi nānā lapaʻau ma ka liʻiliʻi hoʻokahi manawa i ka makahiki: ʻAʻole hōʻike pinepine ke koko kiʻekiʻe a me nā pilikia e pili ana i nā hōʻailona a hiki i ka lilo ʻana o ka maʻi i mea koʻikoʻi loa. E like me ko mākou ʻanakala ʻo Sunil, ua manaʻo wau ʻaʻohe ona maʻi. Akā i ka wā o ka nānā makahiki i ʻike ai au ua kiʻekiʻe iki ke kaomi. A laila hiki iaʻu ke kāohi koke. No laila, he mea nui loa e ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki a loaʻa kahi nānā, i hiki iā ʻoe ke ʻike koke iā lākou inā he mau pilikia.
- E ʻai i nā meaʻai momona: ʻO ka ʻai haʻahaʻa i ka paʻakai (sodium) hiki ke kōkua i ka kaohi ʻana i kou koko. E ʻōlelo paha kāu kauka iā ʻoe e kaupalena i kāu ʻai paʻakai i 2,300 milligrams i ka lā. He emi kēlā ma mua o hoʻokahi teaspoon.
- E noho hana: He maikaʻi ka hoʻoikaika kino no kou puʻuwai a me ke kahe koko. He mea maikaʻi loa ka hoʻoikaika kino aerobic (e like me ka hele wāwae, ka holo ʻana, a me ke kaʻa paikikala). E ho'āʻo e hoʻoikaika kino no 30 mau minuke i ka lā.
- E kaupalena i kāu inu ʻona: ʻAʻole pono nā wahine e inu ʻoi aku ma mua o hoʻokahi mea inu ʻona i ka lā (ʻaʻole ʻoi aku ma mua o 7 i ka pule) a ʻaʻole pono nā kāne e inu ʻoi aku ma mua o ʻelua mau mea inu ʻona i ka lā (ʻaʻole ʻoi aku ma mua o 14 i ka pule). ʻO ka inu ʻana ma mua o kēlā hiki ke hoʻonui i kou koko.
- E ʻike i kou mau pilikia: Inā loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai, ke koko kiʻekiʻe, ka maʻi diabetes mellitus, a i ʻole ke kolamu kiʻekiʻe, e haʻi i kāu kauka ʻohana. Inā loaʻa i kekahi o kou ʻohana kekahi o kēia mau mea, hiki iā ʻoe ke piʻi aʻe ka pilikia o ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o lākou.
- E lawe i kāu lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻia: Inā ʻike kāu kauka i kou koko a kuhikuhi i ka lāʻau lapaʻau, e lawe pololei e like me ke kuhikuhi ʻia, i nā manawa i kuhikuhi ʻia. Inā lawe wale ʻoe i kāu lāʻau lapaʻau ke hoʻomanaʻo ʻoe, a i ʻole i ka lā ma mua o kou manawa i koho ʻia ai, hiki iā ʻoe ke pilikia i nā pilikia e hiki mai ana.
- E nānā i kou koko ma ka home: Inā makemake ʻoe, hiki iā ʻoe ke nānā i kou koko ma ka home. Hiki iā ʻoe ke kūʻai i kahi 'Blood Pressure Cuff' mai kahi hale kūʻai lāʻau lapaʻau a i ʻole ma ka pūnaewele. Ma ka nānā pinepine ʻana i kou koko, hiki iā ʻoe ke ʻike inā ʻoi aku ke kiʻekiʻe o kou koko ma mua o ka maʻamau. A laila hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ia mea.
Āhea wau e ʻike ai i ke kauka e pili ana i koʻu kaomi pulse?
Inā ʻoe e ana mau i kou koko ma ka home, he mea maikaʻi ke ʻike i ke kauka a kamaʻilio e pili ana iā ia inā ʻike ʻoe i kahi mea e like me kēia:
- Inā ʻoi aku ka laulā o kou 'Pulse Pressure' (ʻo ia hoʻi he 60 mmHg a ʻoi aku paha).
- Inā he "haiki" mau kāu 'Pulse Pressure' (ʻo ia hoʻi, ʻoi aku ka liʻiliʻi o kāu 'Pulse Pressure' ma mua o ka hapahā (1/4) o kou palena kiʻekiʻe).
I kekahi manawa, ke ʻike ʻoe i kāu mau heluhelu koko e piʻi a iho ana, ʻaʻole hiki iā ʻoe ke ʻike i ka mea e hana nei. I ia mau hihia, e kamaʻilio me kāu kauka ʻohana. Hiki iā ia ke wehewehe iā ʻoe inā he ʻāpana maʻamau wale nō ia o ka ʻelemakule a inā paha ma muli o kekahi kūlana olakino ʻē aʻe.
Kōkua kou kaomi pulse i nā kauka e aʻo hou aʻe e pili ana i ke olakino o kou puʻuwai a me nā kīʻaha koko. Inā he mau nīnau kāu e pili ana i kou kaomi pulse a i ʻole ke koko, ʻo ke kanaka maikaʻi loa e nīnau aku ai ʻo ia kāu kauka. Hiki iā ia ke pane i kāu mau nīnau a kuhikuhi iā ʻoe i nā loea ʻē aʻe inā pono. Ma kēlā ala, hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi aʻe i ka mea e manaʻo ai ma hope.
He aha ka mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo? (Leka Lawe-i-ka-Home)
ʻAe, ua kamaʻilio nui kākou e pili ana i ka 'Pulse Pressure' i kēia lā, ʻeā? Eia nā mea nui e hoʻomanaʻo ai:
- He mea nui ke kaomi o ka pulse no ke olakino o kou puʻuwai a me nā kīʻaha koko. ʻAʻole ia he helu wale nō.
- Mai hopohopo inā ʻike ʻoe i ka piʻi ʻana a i ʻole ka emi ʻana o ke kaomi o kou pulse i hoʻokahi manawa ke nānā ʻoe i kou koko ma ka home. Eia nō naʻe, inā ʻoe e hoʻomau i ka ʻike ʻana i ia mau loli, e kamaʻilio me kāu kauka e pili ana i ia mea.
- ʻO ke ola kino olakino ke kī. ʻO nā mea e like me ka ʻai pono ʻana, ka hoʻoikaika kino, a me ka hoʻēmi ʻana i ka inu ʻona e kōkua i ka mālama ʻana ʻaʻole wale i ke kaomi o kou pulse, akā i kou olakino holoʻokoʻa i ke kūlana maikaʻi.
- ʻO kāu kauka kou kākāʻōlelo maikaʻi loa. E kamaʻilio me ia e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Mai hoʻoholo ponoʻī iā ʻoe iho.
No laila, e hoʻolohe pono i kāu 'Pulse Pressure'. He moʻolelo paha ia e haʻi aku nei kou puʻuwai iā ʻoe!
kaomi pulse , kaomi koko, systolic, diastolic, maʻi puʻuwai, olakino, Sri Lanka
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