He mea maikaʻi anei ke nānā i kou koko mai kou pulima lima? (Mea Nānā i ke Koko o ka Pulima Lima) E kamaʻilio kākou e pili ana i kēia!

He nui ka poʻe i kēia manawa e nānā i ko lākou koko ma ka home. Ua ʻike paha ʻoe i kekahi poʻe e nānā ana i ko lākou koko ma ke kau ʻana i kahi kaula a puni ko lākou lima luna. Eia nō naʻe, aia kekahi mau mīkini liʻiliʻi e hiki ke hoʻopili ʻia i ka pulima e nānā i ko lākou koko. I kēia lā e kamaʻilio mākou e pili ana i ka Wrist Blood Pressure Monitor.

He aha ka mea nānā i ke kaomi koko o ka pulima?

I ka ʻōlelo maʻalahi, he mea hana kēia e hiki ai iā ʻoe ke hoʻohana e ana i kou koko, a i ʻole ke koko, ma ka home. ʻO ka hapa nui, aia ia i kahi cuff āu e ʻōwili ai a puni kou pulima a me kahi pale kikohoʻe i hoʻopili ʻia iā ia. Hōʻike ʻia nā heluhelu ma kēlā pale. I kēia mau lā, hele mai nā mea nānā pulima i nā ʻano hiki ke komo ʻia e hiki ai iā ʻoe ke komo ma kou pulima, e like me ka uaki. Hiki iā lākou ke hahai i kāu hana hoʻoikaika kino a me nā mea ʻē aʻe e like me ka nui o nā hola āu e hiamoe ai. Me kahi mea nānā pulima e like me kēia, hiki iā ʻoe ke hahai i kou koko i kou hele ʻana i kāu mau hana o kēlā me kēia lā. E hāʻawi kēia iā ʻoe a me kāu kauka i kahi manaʻo maikaʻi no ke ʻano o kou koko ma waho o ke keʻena o kāu kauka. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole paha e like ka pololei o nā mea nānā pulima me nā mea nānā i kau ʻia ma kou lima luna. No laila, paipai wale nā ​​​​kauka i kēia mau mea i nā hihia kūikawā.

No ka loaʻa ʻana o ka heluhelu pololei loa i ka wā e lawe ai i kou koko mai kou pulima lima , pono ʻoe e kau i kou lima ma luna o kou umauma, me kou pulima lima ma ka pae puʻuwai .

He aha ka ʻokoʻa ma waena o kahi monitor lima a me kahi monitor lima luna?

Loaʻa i nā mea nānā lima luna a me ka hapa nui o nā mea nānā lima lima nā cuffs i ʻōwili ʻia a puni kahi ʻāpana o kou lima. Ana nā ʻano ʻelua i ke kaomi o ke koko i kona kahe ʻana ma o nā aʻa i loko o kou kino luna. Eia naʻe, ʻokoʻa nā wahi ʻelua e ana ʻia ai kēia kaomi. Ana ka mea nānā lima lima i ke kaomi koko i loko o kahi kīʻaha koko i kapa ʻia ʻo Radial Artery, kokoke i ka pulima lima a me ka lima lima. Ana ka mea nānā lima luna i ke kaomi koko i luna, ma ke aʻa brachial i kou lima luna. Hiki ke ʻokoʻa iki kou kaomi koko ma waena o kēia mau wahi ʻelua, kou pulima lima a me kou lima luna. ʻO kēia no ka mea e loli ke kaomi i ke kahe ʻana o ke koko ma o kēlā me kēia kīʻaha koko i loko o kou kino. Ua hōʻike ʻia e ka noiʻi i loko o kekahi poʻe, ʻoi aku ke kiʻekiʻe o ke kaomi koko systolic (ka helu kiʻekiʻe) ma ke aʻa radial ma mua o ke aʻa brachial. ʻO ia ke kumu e hoʻohana ʻia ai nā mea hana home e like me kēia ma lalo o ke alakaʻi a ke kauka.A laila hiki i ke kauka ke wehewehe i nā helu iā ʻoe, a inā he ʻokoʻa ma waena o nā heluhelu i lawe ʻia ma ka home a me nā heluhelu i lawe ʻia ma ke keʻena o ke kauka, e wehewehe i ke kumu.

I ka manawa hea e pono ai iaʻu kahi mea nānā koko koko?

Inā ua haʻi aku kāu kauka iā ʻoe e nānā i kou koko ma ka home, pono paha ʻoe i kahi mea nānā e like me kēia. Hiki ke kōkua ka nānā ʻana i kou koko ma ka home i nā kūlana aʻe:

• Inā ua ʻike ʻia ʻoe he koko kiʻekiʻe (Hypertension) a i ʻole ke koko haʻahaʻa (Hypotension) .
• Inā he mau kumu pilikia kou no ke koko kiʻekiʻe.
• Inā ua hoʻomaka wale ʻoe e lawe i ka lāʻau lapaʻau no kou koko koko, makemake paha kāu kauka e ʻike i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau.
• Inā hāpai ʻoe.
• Manaʻo paha kāu kauka he keʻokeʻo kou koko kiʻekiʻe (ʻo ia hoʻi, kiʻekiʻe kou koko ma ke keʻena o ke kauka akā maʻamau ma ka home) a i ʻole ka masked hypertension (ʻo ia hoʻi, kiʻekiʻe kou koko ma ka home akā maʻamau ma ke keʻena o ke kauka).

Inā makemake ʻoe e nānā i kou koko ma ka home, ʻōlelo pinepine nā kauka i kahi mea nānā lima luna. Ua like loa ia me ka mea a kāu kauka e hoʻohana ai e nānā i kou koko. Eia nō naʻe, no kekahi poʻe, ʻoi aku ka maikaʻi o kahi mea nānā koko pulima.

He kūpono anei kahi mea nānā koko o ka pulima iaʻu?

ʻOiai ke ʻano o ke ana koko āu e kūʻai ai, he mea nui e kamaʻilio me kāu kauka e pili ana i ka mea maikaʻi loa iā ʻoe. Paipai ka American Heart Association (AHA) i nā ana lima luna ma mua o nā ana lima. ʻO ia no ka mea ʻoi aku ka hilinaʻi o nā ana lima luna. Eia nō naʻe, kūpono paha kahi ana koko lima lima iā ʻoe inā ʻoe:

• Inā ʻaʻole kūpono kahi monitor ʻano cuff i kou lima.
• Inā he maʻi kou e hoʻolilo ai i ka hoʻohana ʻana i kahi hāmeʻa lima luna i mea weliweli a ʻeha paha.

ʻO kāu kauka ke kanaka kūpono loa e hoʻoholo inā kūpono kahi mea nānā koko o ka pulima lima iā ʻoe. E ʻike ʻo ia inā he mau kumu e pono ʻole ai kahi mea nānā koko o ka lima luna iā ʻoe. E hiki nō hoʻi iā ia ke aʻo iā ʻoe pehea e hoʻohana ai i kāu mea nānā koko o ka pulima lima e loaʻa ai nā hopena pololei loa.

He pololei maoli anei nā mea nānā koko o ka pulima?

ʻO ka maʻamau, ua helu nā kauka i nā mea nānā koko o ka lima luna ʻo ia ka mea pololei loa. ʻO ia ke "kūlana gula."ʻEkahi. Eia nō naʻe, hiki i nā mea nānā koko pulima ke hāʻawi i nā heluhelu pololei inā ʻoe e hana pololei i kēia mau mea:

• Inā ʻoe e hahai pono i nā kuhikuhi no ka hoʻohana ʻana i kēlā monitor (e komo pū ana kēia me ka paʻa ʻana i kou lima ma ke kūlana kūpono - e kamaʻilio mākou e pili ana i kēlā ma lalo).
• Ke hoʻohana nei ʻoe i kahi hāmeʻa ma ka papa inoa o nā mea nānā koko i hōʻoia ʻia, ʻo ia hoʻi, i hōʻoia ʻia, e ka American Medical Association (AMA).

Mai hoʻohana i nā mea nānā manamana lima, ʻoi aku ka pololei o nā mea nānā pulima. Hiki iā ʻoe ke lawe mai i kāu mea nānā pulima me ʻoe i kāu manawa kauka aʻe. Hiki i ke kauka ke hoʻohālikelike iā ia me kahi mea nānā ma ke keʻena e ʻike i ka pololei o kāu mea nānā.

Pehea e hoʻohana ai i kahi mea nānā koko koko ma ka lima?

Ma mua o kou hoʻohana ʻana i kahi hāmeʻa hou, e lawe iā ia i kāu kauka e nānā i kona pololei. Hiki i kāu kauka ke hoʻohālikelike i kāu mau heluhelu koko mai kāu monitor pulima a me ka monitor lima luna ma ke keʻena. E kōkua kēia iā ʻoe e hōʻoia e loaʻa ana iā ʻoe nā heluhelu pololei ma ka home. No ka loaʻa ʻana o ka mea nui loa mai kāu monitor, pono ʻoe:

• E nānā i ke kaomi ʻoiai e mālama ana i ke kūlana kūpono .
• E mālama i kahi moʻolelo koko a kaʻana like me kāu kauka.
• E aʻo i ka mea maʻamau iā ʻoe.

Noho me ke kūlana kūpono

Inā ʻoe e hoʻohana i ka monitor ma ke kūlana kūpono ʻole, hiki ke hewa kāu heluhelu ʻana i ke koko. Ke lawe ʻoe i ka hāmeʻa i kāu kauka, e nīnau iā lākou i ke kūlana kūpono. He mea kōkua ke ʻike a hoʻomaʻamaʻa iā ia ma mua o ka hana ʻana iā ʻoe iho. E hahai i kēia mau ʻōlelo aʻoaʻo ma ka home:

• E pale i ke kofe, nā huahana paka , a hoʻoikaika kino i 30 mau minuke ma mua o ka lawe ʻana i kou koko. Eia kekahi, e hoʻomaka ma ka hele ʻana i ka lua a noho mālie no kahi o ʻelima mau minuke.
• E koho i ka lima āu e hoʻohana ai. Pono kēlā lima i ke kūlana kūpono. Hiki iā ʻoe ke paʻa i ka lima ʻē aʻe i kahi kūlana ʻoluʻolu.
• E noho ma luna o kahi noho me kou mau wāwae ma ka papahele. E kau i ka noho i kahi mea pālahalaha, e like me ka papa ʻaina, i mua ou.
• E kau i ke kuʻi lima a puni kou pulima a hoʻopaʻa iā ia.
• E hoʻopaʻa i kou kuʻekuʻe lima ma ka papa ʻaina. E hoʻohaʻahaʻa mālie i kou lima ma kou umauma, e mālama ana i kou pulima ma ka pae o ka puʻuwai.
• E hoʻomaha a noho ma kēia kūlana a hiki i kou hoʻomaka ʻana e ana i kou koko.
• E ana i ke kaomi me ka ʻole o ka kamaʻilio ʻana a me ka neʻe ʻana .

I ke ana ʻana i ke koko, he mea nui loa ia e pale aku i kēia mau mea:

• ʻO ka pulima lima ma luna a ma lalo paha o ka pae o ka puʻuwai.
• E kau ana i kou pulima lima ma ka papaʻaina a i ʻole ma kou ʻūhā.
• E hoʻopololei i kou lima i lalo (kūlana kū pololei).

E mālama i kahi puke moʻolelo kaomi.

E mālama paha kāu hāmeʻa i kāu mau heluhelu koko i loko o kona hoʻomanaʻo. Eia nō naʻe, he manaʻo maikaʻi ke kākau i kēlā me kēia heluhelu āu e lawe ai i loko o kahi puke liʻiliʻi. Hiki iā ʻoe ke hōʻike iā ia i kāu kauka . Hiki iā ʻoe ke hoʻoiho a paʻi i kahi moʻolelo koko e like me kēia ma ka pūnaewele. E nīnau i kāu kauka i ka mea e kākau ai i loko o kāu moʻolelo. Eia kekahi mau ʻōlelo aʻoaʻo e hoʻomaka ai ʻoe:

• E kākau i ka lā a me ka manawa o kēlā me kēia heluhelu ʻana.
• E nānā i kou koko i ʻelua manawa i ka lā - ma mua o ka ʻaina kakahiaka a ma mua o ka hiamoe ʻana. I kēlā me kēia manawa, e lawe i ʻelua heluhelu ʻana, ma kahi o hoʻokahi minuke ke kaʻawale. ʻO ia hoʻi, pono ʻoe e loaʻa i ʻehā mau heluhelu i kāu moʻolelo i kēlā me kēia lā. E haʻi aku kāu kauka iā ʻoe i ka nui o nā lā o ka pule e pono ai ʻoe e nānā i kou koko.
• E kākau i lalo i nā memo āu e manaʻo ai he pili i ka lā. Eia kekahi laʻana, inā ua kaumaha ʻoe ma ka hana, ʻaʻole hiamoe maikaʻi, a maʻi paha, e kākau iā lākou i lalo. Hiki i kāu kauka ke haʻi aku iā ʻoe e kākau i lalo i nā manawa āu i lawe ai i kekahi mau lāʻau lapaʻau.

E aʻo i ka mea maʻamau iā ʻoe.

Loaʻa i kekahi poʻe ke koko haʻahaʻa maoli, e like me 90/60 (i ana ʻia ma mmHg - millimeters o ka mercury). No kekahi poʻe, hiki i ke koko haʻahaʻa ke lilo i pilikia. Ma mua o kou hoʻomaka ʻana e hoʻohana i kahi mea nānā koko pulima a i ʻole kekahi mea hana home ʻē aʻe, he mea nui e nīnau i kāu kauka e pili ana i kēia mau mea:

• He aha ka pae koko maʻamau noʻu?
• ʻEhia ka nui o ke kaomi e pono ai iaʻu?
• Pehea ka haʻahaʻa o koʻu koko?
• Āhea ʻoe e makemake ai e kamaʻilio e pili ana i kaʻu heluhelu ʻana i ke koko?

Āhea wau e ʻimi ai i ke aʻo lapaʻau?

Inā he 180/120 mmHg a ʻoi aku paha kou koko, loaʻa iā ʻoe nā hōʻailona o ke koko kiʻekiʻe, a i ʻole ʻoe maʻi a hopohopo e pili ana i kou koko, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia he pilikia hypertensive . He pilikia olakino kēia. E kelepona koke i ka 911 a i ʻole kāu helu pilikia kūloko. E kelepona i kāu kauka inā:

• Inā ʻoi aku ke kiʻekiʻe a i ʻole haʻahaʻa kou koko ma mua o ka maʻamau nou.
• Inā pilikia ʻoe i ka hoʻohana ʻana i ka monitor ma ka home.
• Inā he mau nīnau kāu e pili ana i ke ʻano o ka helu ʻana o ke kaomi.

Ma mua o ke kūʻai ʻana i kahi mea nānā koko pulima, e kamaʻilio me ke kauka. Nui nā mea hana ma ka mākeke, hiki ke paʻakikī ke koho i ka mea kūpono iā ʻoe.

He aha ka leka a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?

ʻAe, i kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ke ʻano o ka nānā ʻana i kou koko mai kou pulima lima. ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole loa kēia mau mea hana home e pani i ka ʻōlelo aʻoaʻo lapaʻau mai ke kauka. Hoʻohana wale ʻia lākou ma ke ʻano he mea hoʻohui i nā ana a me nā ʻōlelo aʻoaʻo a ke kauka. He mea nui e ʻike pinepine i ke kauka e nānā i kou koko a me nā mea nui ʻē aʻe. Paipai pinepine nā kauka i kahi mea nānā lima luna. Eia nō naʻe, i kekahi mau hihia kūikawā, no ka laʻana, no ka poʻe i kūpono ʻole i ka lima luna, a i ʻole no ka poʻe i loaʻa kahi maʻi e paʻakikī ai ke nānā mai ka lima luna, hiki ke pono kahi mea nānā lima lima. No laila, inā makemake ʻoe i kahi mea nānā, e kamaʻilio mua me kāu kauka a nīnau i ka mea maikaʻi loa iā ʻoe a pehea e hoʻohana pono ai. A laila hiki iā ʻoe ke ʻike hou aku i kou koko a noho olakino.

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Ke koko, mea nānā kaomi, pulima lima, ʻōlelo aʻoaʻo olakino, koko kiʻekiʻe, olakino puʻuwai, nānā ʻana i ke koko ma ka home