Ke hele ʻoe e ʻike i ke kauka, ua ʻike paha ʻoe i kahi kahu maʻi a kauka paha e kau ana i kahi kāʻei a puni kou lima, e hoʻonui iā ia, a nānā i ka mika, ʻeā? ʻO ia kou 'kaomi', a i ʻole e like me kā mākou e kapa nei ma ke ʻano lapaʻau, kou koko. ʻAʻole ia he ʻelua helu wale nō, he mea nui loa ia e haʻi nui iā ʻoe e pili ana i ke olakino o kou kino holoʻokoʻa. No laila e kamaʻilio kākou e pili ana i kēia mai ka hoʻomaka ʻana.
He aha ke ʻano maʻalahi o ke kaomi koko?
E noʻonoʻo i nā kīʻaha koko i loko o kou kino e like me kahi ʻōnaehana o nā paipu e lawe ana i ka wai. ʻO ka puʻuwai ka motika e pamu i ka wai ma o ia mea. No laila, i kēlā me kēia manawa e paʻi ai ka puʻuwai, hoʻokuke ia i ke koko i loko o ke kīʻaha koko nui i loko o kou kino. Kāhea mākou iā ia ʻo ka aorta. Ma kēia ʻano, pamu ka puʻuwai i ke koko ma kahi o 60-100 mau manawa i ka minuke, 24 mau hola o ka lā.
ʻO ke kaomi koko ke kaomi a ke koko e pamu ʻia e kou puʻuwai e hoʻokau ai ma luna o nā paia o kou mau kīʻaha koko. Lawe kēia mau kīʻaha koko i ka oxygen a me nā meaʻai i kēlā me kēia ʻāpana o kou kino, kēlā me kēia ʻōkana.
Akā, ʻaʻole like mau kēia koko. Hoʻololi ia ma muli o kāu hana.
- Piʻi aʻe kou koko ke hoʻoikaika kino ʻoe, piʻi i nā alapiʻi, a holo paha ma hope o ke kaʻa ʻōhua.
- Hiki iā ia ke hoʻonui i ka wā e hauʻoli ai ʻoe a hopohopo paha.
- Ke hiamoe ʻoe, me ka mālie a me ka hoʻomaha, e emi ana kou koko.
- Eia kekahi, hiki i kekahi mau lāʻau lapaʻau āu e lawe ai, kou kūlana (kū, noho, moe i lalo), a me ka makahiki ke hoʻololi i kēia kaomi.
No ke aha he mea nui ke koko iā mākou?
Kamaʻilio nui mākou e pili ana i ke koko koko no ka mea hiki iā ia ke loaʻa ka hopena nui i kou olakino. I ka ʻōlelo maʻalahi, ua like ia me kahi kiwikā hanu. Inā ʻoe e mālama iā ia, e olakino ʻoe, akā inā nalowale ʻoe i ke kaohi ʻana iā ia, hiki iā ia ke hana i nā pilikia nui.
- Ke koko kiʻekiʻe (Hypertension): ʻO kēia ka mea a mākou e kapa nei he 'ke koko kiʻekiʻe'. He kumu nui kēia no ka hoʻomohala ʻana i nā maʻi cardiovascular. ʻO ke ʻano kēia he nui ka manawa e loaʻa ai nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau. I kekahi manawa hiki i ke koko ke lilo i kiʻekiʻe loa. Kāhea mākou ia he "pilikia Hypertensive". He pilikia kēia hiki ke hoʻoweliweli i ke ola.
- Hypotension: He ʻano kēia i kapa ʻia ʻo 'kaomi koko haʻahaʻa '. Hiki i kēia ke hoʻolilo iā ʻoe i poniuniu, hiki i kou mau maka ke polū, a hiki iā ʻoe ke nalowale ka ʻike a hāʻule . Inā hāʻule ʻoe, hiki iā ʻoe ke loaʻa i nā pōpilikia ʻē aʻe, e like me ke kuʻi ʻana i kou poʻo. Inā hāʻule haʻahaʻa loa kou koko, hiki i ka nui o ke koko e kahe ana i kou mau kino koʻikoʻi, e like me kou lolo a me nā puʻupaʻa, ke emi iho, a hiki paha iā ʻoe ke loaʻa i kahi ʻano hoʻoweliweli ola i kapa ʻia ʻo ''shock''.
ʻO ka hapa nui o ka manawa, ʻaʻole mākou e ʻike inā kiʻekiʻe a haʻahaʻa paha ko mākou koko. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe he 'ʻenemi leo ʻole.' ʻO ke ala wale nō e ʻike pono ai, ʻo ia ke ana pono ʻana.
Hana pinepine ʻia kēia ke kipa aku ʻoe i kāu kauka. Hiki iā ʻoe ke nānā i kēia ma ka home me kahi mea nānā koko (mīkini BP). Eia nō naʻe, he mea nui e hoʻomanaʻo ʻoiai inā ʻoe e nānā ma ka home, ʻaʻole ia he pani no ka ʻike ʻana i ke kauka .
Āhea ʻoe e nānā ai i kou koko?
He mea nui e nānā kāu kauka ʻohana i kou koko ma ka liʻiliʻi hoʻokahi manawa i ka makahiki . Inā he hopohopo kāu kauka e pili ana i kou pae koko, a inā ʻoe e mālama nei i kekahi kanaka ʻē aʻe, e noi paha lākou iā ʻoe e nānā pinepine e ʻike i ka maikaʻi o kāu lāʻau.
I kekahi manawa e noi paha kāu kauka iā ʻoe e nānā i kou koko ma ka home, i kēlā me kēia lā a i ʻole hoʻokahi manawa i ka pule. Loaʻa i kekahi poʻe kahi hoʻāʻo nānā koko 24-hola. Hiki i kēia ke hahai i kou koko i ka lā a pau, ʻoiai ʻoe e hiamoe ana.
E noʻonoʻo wale, hiki i kekahi poʻe ke ʻike i kahi piʻi iki o ke koko ma muli o ka makaʻu a me ka hopohopo i loaʻa iā lākou i ka wā e ʻike ai i ke kauka a i ʻole e hele ana i ka haukapila. Kāhea mākou iā ia he "White coat syndrome". Kōkua pū ka hoʻāʻo 24-hola e ʻike pololei i ia mau kūlana.
Pehea e hana ai kēia hoʻāʻo koko?
Ke ana ʻoe i kou koko, loaʻa iā ʻoe ʻelua mau helu. Eia kekahi laʻana, 120/80. He aha ke ʻano o kēia mau helu ʻelua?
- ʻO ka helu kiʻekiʻe (Systolic blood pressure): ʻO kēia ke kaomi i loko o kou mau kīʻaha koko i ka wā e paʻi ai kou puʻuwai a pamu i ke koko i loko o kou mau aa koko. ʻO kēia ka helu kiʻekiʻe o nā helu ʻelua.
- ʻO ka helu lalo (kaomi koko diastolic): ʻO kēia ke kaomi i loko o nā kīʻaha koko i ka wā e hoʻomaha ai ka puʻuwai ma waena o nā kuʻi. ʻO kēia ka helu haʻahaʻa.
ʻElua ala nui no ke kauka e ana i kēia:
1. Ma ka lima: Hoʻohana kēia ʻano hana i kahi cuff a me kahi ana e hōʻike ana i ke kaomi. Hoʻopuni ke kauka i ka cuff a puni kou lima, pamu i luna, a hoʻopiha iā ia. A laila, me ka hoʻohana ʻana i ka stethoscope, hoʻokuʻu mālie ke kauka i ka ea me ka hoʻolohe ʻana i ke kani o ke koko e kahe ana ma kou lima.
2. Ke ʻano hana ʻakomi: Hoʻohana kēia ʻano hana i kahi mea uila (mīkini BP). Hoʻopiha a hoʻohaʻahaʻa kēia i ka cuff. Hōʻike maopopo ʻia kāu mau heluhelu koko ma kahi pale kikohoʻe. ʻAʻole pono kēia ʻano hana i kahi stethoscope.
Pehea e hoʻomākaukau ai ma mua o ke ana ʻana i ke koko?
No ka loaʻa ʻana o ka waiwai pololei loa, e hana i kēia mau mea.
- Mai puhi paka, hoʻoikaika kino, a inu i nā mea inu i loaʻa ka caffeine e like me ke kofe/kī 30 mau minuke ma mua o ke ana ʻana i kou koko.
- E hele i ka lua ma mua o kēlā. ʻOiai inā piha ka ʻōpū mimi, aia paha kahi loli iki o ke kaomi.
- E noho mālie a mai kamaʻilio no 5 mau minuke ma mua o ke ana ʻana.
- Inā ʻoe e ʻaʻahu i kahi pālule lima pōkole, hiki i ke kauka ke kau maʻalahi i ke kāʻei ma kou lima.
Nā Pae Kaomi Koko a me ko lākou Manaʻo
Ke loaʻa iā ʻoe ka heluhelu ʻana o ke koko, he mea nui e ʻike i kona pae. Penei ke ʻano o ka hoʻokaʻawale ʻana i nā pae koko no nā pākeke.
| Pae Kaomi (Māhele) | ʻO ke anawaena systolic mm Hg | A ME/A I ʻOLE | Ka waiwai haʻahaʻa (Diastolic mm Hg) |
|---|---|---|---|
| Pae olakino (Maʻamau) | Ma lalo o 120 | a me | Ma lalo o 80 |
| Kiʻekiʻe iki ʻia | Ma waena o 120 - 129 | a me | Ma lalo o 80 |
| Ke koko kiʻekiʻe - Pae 1 | Ma waena o 130 - 139 | A i ʻole | Ma waena o 80 - 89 |
| Ke koko kiʻekiʻe - Pae 2 | 140 a ʻoi aku paha | A i ʻole | 90 a ʻoi aku paha |
| Ka pilikia koko kiʻekiʻe - E ʻimi koke i ke kōkua lapaʻau! | ʻOi aku ma mua o 180 | a me/a i ʻole | ʻOi aku ma mua o 120 |
He mea nui: Inā hāʻule kāu mau waiwai kiʻekiʻe a me haʻahaʻa i ʻelua mau māhele, e noʻonoʻo kāu kauka i ka māhele kiʻekiʻe loa. No ka laʻana, inā he 132/78 kou koko, hāʻule ia i loko o ka māhele 'Kikokikona Koko Kiʻekiʻe - Pae 1'.
ʻO ka maʻamau, ua wehewehe ʻia ke koko haʻahaʻa (Hypotension) ʻo ia ka heluhelu ʻana ma lalo o 90/60. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa iki ke koko haʻahaʻa me ka ʻole o nā pilikia. Eia nō naʻe, i ka wā e loaʻa ai nā hōʻailona e like me ka poniuniu e pono ai ʻoe e hopohopo.
Āhea ʻoe e ʻike ai i ke kauka?
Aia kekahi mau manawa e pono ai ʻoe e hopohopo e pili ana i kou koko. I kekahi manawa hiki iā ʻoe ke kamaʻilio wale me kāu kauka, akā i kekahi manawa pono ʻoe e ʻimi koke i ka lāʻau lapaʻau.
| Manawa kūpono | He aha e hana ai |
|---|---|
| I kēlā hihia, e kamaʻilio me kāu kauka. | |
| Inā kiʻekiʻe a haʻahaʻa paha kāu mau heluhelu koko ma ka home. | E kamaʻilio me kāu kauka e pili ana i kēia mau waiwai. Pono paha ʻoe e hoʻololi i kāu nui o ka lāʻau lapaʻau a hoʻomaka paha i kahi lāʻau hou. |
| Inā manaʻo ʻoe ua poniuniu, ua uliuli kou mau maka, a ua luaʻi paha ʻoe (he mau hōʻailona paha kēia o ke koko haʻahaʻa). | E noho a moe koke paha. A laila e haʻi i ke kauka. |
| Inā he mau nīnau kāu e pili ana i kou koko a i ʻole ka lāʻau lapaʻau. | Mai kuhi wale. E nīnau pololei i kāu kauka e hoʻopau i kou kānalua. |
| I kēia hihia, e hele koke i ka ETU (Emergency Treatment Unit)! | |
| Inā he 180/120 a ʻoi aku paha kou koko, a ke ʻike nei ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka ʻeha poʻo nui, a me ka ʻike pohihihi. | He pilikia kēia i kapa ʻia ʻo "Hypertensive crisis." E hele koke i ka ETU (Emergency Treatment Unit) o ka haukapila kokoke loa. |
| Inā hāʻule ke kaomi a nalowale kou ʻike, e hāʻule a kuʻi i kou poʻo, a inā ʻoe e hōʻike i nā hōʻailona o ka haʻalulu, e like me ke anu ʻana o kou kino, ka hou ʻana, a me ka hanu wikiwiki ʻana. | He pilikia nō hoʻi kēia. Pono ʻoe e lawe koke iā ia i ka ETU . |
He helu koʻikoʻi loa kou koko koko a e nānā ai kāu kauka no nā makahiki. ʻOiai inā maikaʻi kou manaʻo a ʻaʻohe pilikia, kiʻekiʻe paha kou koko kūloko. No laila, ʻo ka nānā pinepine ʻana iā ia ke ala wale nō e ʻike ai inā aia ʻoe i kahi pae olakino.
Leka Lawe-Home
- He mea nui loa ke ana o ke koko i kou olakino holoʻokoʻa. ʻAʻole ia he mau helu ʻelua wale nō.
- ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona kikoʻī o ke koko kiʻekiʻe (Hypertension). No laila, ʻaʻole paha ʻoe e ʻike. ʻO ke ala wale nō e ʻike ai, ʻo ia ke nānā pinepine ʻia.
- E ʻike i kāu mau heluhelu koko a me ko lākou manaʻo. ʻO ka heluhelu olakino he emi ma lalo o 120/80.
- Inā haʻi aku kāu kauka iā ʻoe he koko kiʻekiʻe kou, he mea nui e lawe pololei i ka lāʻau lapaʻau āna i kuhikuhi ai a hoʻololi i ke ʻano o ka nohona (ʻai, hoʻoikaika kino).
- Mai hoʻowahāwahā i nā hōʻailona o ke koko kiʻekiʻe loa a haʻahaʻa loa paha. E ʻimi koke i ke kōkua lapaʻau inā pono.
- Inā hana pū ʻoe me kāu kauka ma ke ʻano he hui a kaohi i kou koko, hiki iā ʻoe ke pale iā ʻoe iho mai nā maʻi koʻikoʻi e like me ka maʻi puʻuwai.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo