I kēia mau lā, he nui ka poʻe ma Sri Lanka he mīkini liʻiliʻi i loko o ko lākou mau home e hiki ke ana i ke koko. Inā ʻoe e hele i ke kauka a i ʻole kahi hale kūʻai lāʻau lapaʻau, hiki iā ʻoe ke nānā maʻalahi i kou koko. Akā ua ʻike anei ʻoe hiki i nā hewa liʻiliʻi a mākou e hana ai i ke ana ʻana i ke koko ke hoʻololi loa i ka heluhelu ʻana? I mea e pololei ai, aia kekahi ʻano hana e ana pono ai i kēia. I kēia lā, e kamaʻilio mākou e pili ana i ke ana ʻana i kou koko me ka ʻole o ka hoʻoluhi, he aha ke ʻano o nā waiwai i loaʻa, a me nā wahi e pono e mālama ʻia.
I ka ʻōlelo maʻalahi, he aha kēia ana o ke koko?
He hoʻāʻo maʻalahi loa ke ana ʻana i ke koko, ʻaʻohe ʻeha, ʻaʻole i hala i hoʻokahi minuke. Nānā ia inā maʻamau, kiʻekiʻe, a haʻahaʻa paha kou koko. Hiki iā ʻoe ke hana i kēia ma ka home, a i ʻole hiki iā ʻoe ke ana ʻia e ke kauka.
E noʻonoʻo i kahi paipu wai. Ke hoʻā ʻoe i ka motika, hoʻokau ka wai i kahi kaomi ma nā paia o kēlā paipu, ʻeā? Ma ke ʻano like, ʻo ke kaomi i hoʻokau ʻia ma nā paia o nā kīʻaha koko (nā aʻa) i ka wā e pamu ai ko kākou puʻuwai ʻo ia ka mea a kākou e kapa nei he koko koko . Lawe kēia mau kīʻaha i ka oxygen a me nā meaʻai i kēlā me kēia ʻōkana a me nā ʻiʻo i loko o ko kākou kino.
He mea nui kēia hoʻāʻo no ka mea ʻo ia wale nō ke ala e ʻike ai i kahi maʻi i kapa ʻia ʻo ke koko kiʻekiʻe. Ua kapa pinepine ʻia ke koko kiʻekiʻe he "pepehi kanaka leo ʻole." ʻO ia hoʻi, hiki ke noho i loko o ke kino no nā makahiki me ka ʻole o nā hōʻailona. Akā i loko o kēia manawa, hōʻino leo ʻole ia i ko mākou puʻuwai, nā kīʻaha koko, a me nā puʻupaʻa. No laila, he mea nui loa ke ana pinepine ʻana i ke koko, ʻoiai inā ʻaʻohe hōʻailona.
He aha ka manawa kūpono loa e ana ai i ke koko?
Hiki iā ʻoe ke ana i kou koko i kēlā me kēia lā. Akā ʻo ka mea nui loa, ʻo ia ka hana ʻana i ka manawa like i kēlā me kēia lā . Eia kekahi laʻana, hiki iā ʻoe ke ana iā ia i ka manawa like i kēlā me kēia kakahiaka a/a i ʻole i ka manawa like i kēlā me kēia ahiahi.
He mea nui loa ke ana ʻana i ke koko i nā kūlana e like me kēia:
- Inā ua hoʻomaka wale ʻoe e lawe i ka lāʻau lapaʻau koko: Ma kahi o ʻelua pule ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke ʻike iā ʻoe iho inā e hana ana ka lāʻau lapaʻau a i ʻole ma ke ana ʻana i kou koko no kekahi mau lā ma ka lālani.
- Ma mua o kou hele ʻana i ke kauka: He manaʻo maikaʻi e lawe i kāu mau heluhelu koko ma ka home ma kahi o hoʻokahi pule ma mua o kou lā keʻena lapaʻau a kākau iā lākou i lalo. Hiki i kekahi poʻe ke hopohopo iki a makaʻu i ka wā e hele ai lākou i ke kauka ma muli o ke kaiapuni o ke keʻena lapaʻau. Kāhea mākou i kēia "White Coat Syndrome."Ua kapa ʻia hoʻi kēia. Ma muli o kēia, ʻike ʻia paha ke kaomi i ana ʻia ma ke keʻena lapaʻau he kiʻekiʻe iki aʻe. Eia kekahi, he kiʻekiʻe ke kaomi o kekahi poʻe ma ka home a maʻamau ma ke keʻena lapaʻau. No laila, ʻo ka lawe ʻia ʻana o nā heluhelu ʻelua ma ka home a ma ke keʻena lapaʻau e kōkua i ke kauka e loaʻa ka ʻike maikaʻi loa o kou kūlana.
Hiki i ke kauka ke ana i kou koko no kēia mau kumu:
- E nānā pono i kou kūlana i kou wā e mālama ʻia ana ma ka haukapila.
- E nānā inā he koko kiʻekiʻe kou a i ʻole ke koko haʻahaʻa.
- E ʻike i ka maikaʻi o ka lāʻau i kuhikuhi ʻia iā ʻoe.
- E loiloi i kou pilikia o ka loaʻa ʻana o ka maʻi puʻuwai a i ʻole nā maʻi koko.
- E hoʻoholo i ka pilikia o nā kaʻina hana lapaʻau, e like me kekahi mau ʻoki kino, iā ʻoe.
- E nānā inā kūpono ʻoe no kekahi mau hana a i ʻole nā haʻuki.
No ka loaʻa ʻana o ka heluhelu pololei loa, e hoʻomākaukau penei!
No ka loaʻa ʻana o kahi heluhelu pololei, pono ʻoe e hana i kahi hoʻomākaukau iki ma mua o ke ana ʻana i kou koko. Inā ʻoe e hahai i kēia mau ʻanuʻu, e loaʻa iā ʻoe ka heluhelu pololei loa.
- E ho'ōki i ka hana ʻana i kēia mau mea 30 mau minuke ma mua: E hōʻalo i nā huahana paka (e like me nā sikaleka), nā meaʻai, nā mea inu (ʻoi aku ka poʻe i loaʻa ka caffeine e like me ke kofe), a e hoʻoikaika kino no ka liʻiliʻi he 30 mau minuke ma mua o ke ana ʻana i kou koko.
- E hele i ka lua: Hiki ke kiʻekiʻe iki aʻe kāu heluhelu koko ʻoiai ua piha kou ʻōpū mimi. No laila e hele i ka lua ma mua o ke ana ʻana.
- E hoʻomaha no 5 mau minuke: Mai lawe i kou heluhelu koko ma hope koke o ka hele wāwae ʻana a i ʻole ka hana ʻana i kekahi mea. E noho ma kahi noho kahi e hiki ai iā ʻoe ke noho pololei, ʻaʻole ma ke kūlana moe e like me ka sofa, a hoʻomaha no 5 mau minuke ma ka liʻiliʻi .
- Kūlana noho kūpono: E noho ma luna o ka noho me kou kua pololei , kou mau wāwae i keʻa ʻole ʻia, a me kou mau wāwae e pālahalaha ana ma ka papahele .
- Pehea e kau ai i kou lima: E kau i ka lima āu e makemake ai e ana i kou kaomi koko ma luna o kahi papaʻaina. ʻO ka mea nui loa, ʻo ia ka pae o kou lima ma ka pae o ka puʻuwai . Mai kau i kekahi kaumaha ma kou lima, e hoʻomaha wale.
- E koho i ke kūpeʻe lima kūpono: Inā ʻoe e kau i kahi kūpeʻe lima liʻiliʻi loa no kou lima, e kiʻekiʻe wahaheʻe ka heluhelu ʻana o ke kaomi. Eia kekahi, inā ʻoe e kau i kahi kūpeʻe lima nui loa, e haʻahaʻa wahaheʻe ka heluhelu ʻana. No ka hapa nui o ka poʻe, e maikaʻi kahi kūpeʻe lima makua nui.
- Pehea e kāʻei ai i ke kuʻe lima a puni kou lima: Pono e kāʻei ʻia ke kuʻe lima a puni kou lima luna, ma luna pono o ke kuʻekuʻe lima . Hiki iā ʻoe ke hoʻohana i kou lima hema a ʻākau paha. Akā, mai kāʻei i ke kuʻe lima ma luna o kou lima i kou wā e ʻaʻahu ana i kou mau lole. Pono e kāʻei ʻia ke kuʻe lima me kou ʻili . ʻOi aku ka maʻalahi o ke komo ʻana i kahi pālule lima pōkole.
ʻO ka mea nui loa, ʻo ia ke noho mālie a me ka noho mālie i ke ana ʻana i kou koko. Mai hana i kekahi mea e like me ke kamaʻilio ʻana a i ʻole ka nānā ʻana i nā wikiō ma kāu kelepona.
ʻAe, i kēia manawa e nānā kākou pehea e ana pololei ai i ke koko.
Pehea e ana ai me kahi mīkini hana aunoa
Hoʻohana pinepine mākou i kēia ʻano mīkini ma ka home. He mea maʻalahi loa ia.
1. E like me ka mea i ʻōlelo ʻia ma mua, e noho pono, e paʻa i kou lima, a e hoʻopili pono i ke kuʻe lima.
2. E kaomi i ke pihi ma ka mīkini e hoʻā. A laila e hoʻopiha ʻia ke kuʻi lima me ka ea a hoʻomaka e hoʻopaʻa.
3. A laila, e emi mālie ana ka ea i loko o ke kuʻi lima a e ana ʻia ke kaomi.
4. Ma kahi o hoʻokahi minuke, e hōʻike ka pale o ka mīkini i kāu mau waiwai kaomi ʻelua.
ʻO ka mea maikaʻi loa e hana ai , ʻo ia ke ana i hoʻokahi manawa, e kali i hoʻokahi minute, a laila e ana hou . Ma kēlā ala hiki iā ʻoe ke loaʻa kahi manaʻo pololei.
Ke ʻano hana i hoʻohana ʻia e nā kauka (Manual Method)
Ua ʻike paha ʻoe i kāu kauka e ana i kou koko me ka hoʻohana ʻana i kahi stethoscope a me kahi cuff kaomi lima. Eia ka mea e hana ʻia:
1. Hoʻopili lākou i ka ea i loko o ke kuʻe lima a hoʻopaʻa i kou lima.
2. A laila kau ʻia ka stethoscope ma luna o kahi aʻa koko ma kou kuʻekuʻe lima (brachial artery) a hoʻopiha koke ʻia ke cuff.
3. Ke hana ʻoe i kēia, hoʻopaʻa ʻoe i hoʻokahi waiwai me ke kani mua āu e lohe ai i ka wā e hoʻomaka ai ke koko e kahe ma o ke aʻa.
4. I kou hoʻomau ʻana i ka puhi ʻana, e hoʻomaopopo i ka waiwai ʻē aʻe ma kahi e nalowale ai ke kani.
No ka mea e pono ai kēia ʻano hana i kahi ʻike liʻiliʻi, paipai mākou e hoʻohana i kahi mīkini hana ma ka home.
He aha ke ʻano o kāu mau heluhelu koko? E hoʻomaopopo kākou!
Ma hope o ke ana ʻana i kou koko, loaʻa iā ʻoe ʻelua mau helu. Eia kekahi laʻana, 120/80 mmHg. E nānā kākou i ke ʻano o kēia mau helu ʻelua.
- Kaomi systolic: ʻO kēia ka helu kiʻekiʻe loa. ʻO ia ke kaomi kiʻekiʻe loa i loko o kou mau aʻa i ka wā e paʻi ai kou puʻuwai, ʻo ia hoʻi, i ka wā e ʻaelike ai e pamu i ke koko.
- Kaomi diastolic: ʻO kēia ka helu lalo. ʻO ia ke kaomi haʻahaʻa loa i loko o nā aʻa ma waena o nā puʻuwai, i ka wā e hoʻomaha ai ka puʻuwai e hoʻopiha hou me ke koko.
Ua ana ʻia kēia mau waiwai ma millimeters o ka mercury (mmHg).
| Pae koko | ʻO ke kaulike o ka mmHg | ʻO ke anawaena diastolic mmHg |
|---|---|---|
| Maʻamau | Ma lalo o 120 | a emi ma lalo o 80 |
| Kiʻekiʻe iki aʻe (Kiʻekiʻe) | Ma waena o 120 - 129 | a emi ma lalo o 80 |
| Ke Koko Kiʻekiʻe - Pae 1 (Ke Koko Kiʻekiʻe Pae 1) | Ma waena o 130 - 139 | a i ʻole ma waena o 80 - 89 |
| Ke Koko Kiʻekiʻe - Pae 2 (Pae 2 Ke Koko Kiʻekiʻe) | 140 a ʻoi aku paha | a i ʻole 90 a ʻoi aku paha |
| Ka pilikia Hypertensive - E ʻimi koke i ke aʻo lapaʻau! | ʻOi aku ma mua o 180 | a/a i ʻole ma mua o 120 |
E hoʻomanaʻo, ʻo kekahi poʻe (no ka laʻana, ka poʻe i loaʻa i ka hahau koke nei) he pahuhopu ʻokoʻa paha i hoʻonohonoho ʻia e kā lākou kauka. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kāu pahuhopu pilikino.
Inā kiʻekiʻe iki ke kaomi, mai hopohopo!
Mai hopohopo inā ʻike ʻoe i kahi heluhelu kiʻekiʻe iki i kekahi lā ke ana ʻoe i kou koko ma ka home. ʻAʻole manaʻo ka heluhelu kiʻekiʻe hoʻokahi he koko kiʻekiʻe kou.
E hoʻoholo wale ke kauka he kiʻekiʻe kou koko inā he kiʻekiʻe mau kekahi mau heluhelu ʻana i lawe ʻia i nā manawa like ʻole ma luna o kekahi mau lā.
Inā ua ʻike ʻia ʻoe he koko kiʻekiʻe, e kuhikuhi kāu kauka i ka lāʻau kūpono nou. E aʻo pū ʻo ia iā ʻoe e hana i kekahi mau hoʻololi i ke ʻano o kou nohona, e like me kēia, ma waho aʻe a ma mua paha o ka lawe ʻana i kāu lāʻau:
- Ka mālama ʻana i ke kaumaha olakino: E ho'āʻo e mālama i ke kaumaha olakino no kou kiʻekiʻe.
- Hoʻoikaika Kino: Ma ka liʻiliʻi he 150 mau minuke o ka pule (30 mau minuke i ka lā, 5 mau lā o ka pule) o ka hoʻoikaika kino, e like me ka hele wāwae a i ʻole ke kaʻa paikikala.
- Kaohi ʻana i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. ʻOi aku ka maikaʻi o ka ʻai ʻana ma lalo o 1,500 milligrams o ka paʻakai i kēlā me kēia lā.
- ʻAi olakino: E hoʻokomo i nā huaʻai, nā mea kanu, a me nā palaoa piha i kāu papaʻai, a e hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona (ʻoi aku ka momona paʻa).
- E pale i ka puhipaka: Inā ʻoe e puhipaka, he mea nui e hoʻōki loa.
- E kaupalena i ka waiʻona: Inā inu ʻoe i ka waiʻona, e hana pēlā me ka liʻiliʻi.
I kēia hihia, e ʻike koke i ke kauka!
Inā ʻoe e ana i kou koko ma ka home a kiʻekiʻe loa ka heluhelu ʻana, mai hopohopo, e kali ma kahi o 5 mau minuke a e ana hou. Inā hoʻomau ke kiʻekiʻe o nā heluhelu ʻana, e kamaʻilio me kāu kauka. ʻOi loa aku inā aia kāu mau heluhelu ma ka pae "Hypertensive Crisis" (ma luna o 180/120 mmHg), e ʻimi koke i ke kōkua lapaʻau.
| E hele koke i ka haukapila (ETU)! (Inā loaʻa iā ʻoe kēia mau hōʻailona me ka Hypertensive Crisis) | |
|---|---|
| - Paʻakikī ka hanu ʻana | - ʻEha umauma |
| - ʻEha hope | - Nā loli o ka ʻike (blurring) |
| - Paʻakikī i ka ʻōlelo ʻana | - Ka ʻeha o ke kino |
| - ʻEha poʻo nui | |
E like me ka pilikia o ke koko kiʻekiʻe, he pilikia nō hoʻi ke koko haʻahaʻa.Hiki paha. Inā loaʻa iā ʻoe kēia mau hōʻailona, e makaʻala hoʻi i kēlā.
- Hana paʻakikī
- Pōʻino
- Pōʻino
- Ka mae ʻana
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
He mea waiwai nui ke ana ʻana i kou koko koko no ka hoʻomaopopo ʻana i kou olakino ponoʻī. ʻO ke aʻo ʻana pehea e ana pololei ai i kou koko koko ma ka home e hāʻawi iā ʻoe i ke kūʻokoʻa e hana ia i kēlā me kēia manawa, ma nā wahi āpau, a me ka maʻalahi. Inā aia kāu mau waiwai ma ka pae kūpono, hiki iā ia ke hāʻawi iā ʻoe i ka maluhia o ka noʻonoʻo. Hiki iā ia ke kōkua iā ʻoe e ʻike a mālama i ke koko kiʻekiʻe me ka ʻole o nā hōʻailona.
Leka Lawe-Home
- E hōʻalo i ke kofe, ka puhipaka, a me ka hoʻoikaika kino no 30 mau minuke ma mua o ke ana ʻana i kou koko, a e hoʻomaha no 5 mau minuke ma ka liʻiliʻi.
- I ke ana ʻana, e hoʻopololei i kou kua, e kau ʻia nā wāwae ma ka papahele, e pālahalaha nā wāwae ma ka papahele, a me kou lima ma ka pae o ka puʻuwai.
- E komo mau i ke kuʻe lima kokoke i ka ʻili, ʻaʻole ma luna o ke kapa.
- Mai hopohopo inā kiʻekiʻe kou koko i hoʻokahi wale nō manawa. Ua kapa ʻia ia he koko kiʻekiʻe ma hope o ka nānā ʻana i kou koko i kekahi mau lā a i kekahi mau manawa.
- Inā ʻoi aku ke kiʻekiʻe o kou koko ma mua o 180/120 mmHg a loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- I kēlā me kēia manawa, inā he kānalua a hopohopo paha kāu e pili ana i kou mau helu koko, e kamaʻilio me kāu kauka.
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