He aha kou manaʻo inā, i ka wā o ka nānā kino makahiki o kāu keiki, ʻōlelo koke ke kauka, "Me he mea lā ua kiʻekiʻe iki ke koko o kāu pēpē, e nānā hou kākou?" E like me nā mākua he nui, e makaʻu iki paha ʻoe a hopohopo. " Auē , ke koko kiʻekiʻe i ka wā ʻōpiopio? Pehea lā ia?" Manaʻo paha ʻoe. Akā, ʻaʻohe mea e makaʻu ai kēia. Eia naʻe, ʻaʻole ia he mea e hoʻowahāwahā ʻia. I kēia lā, e kamaʻilio mākou e pili ana i ke koko kiʻekiʻe, a i ʻole ke koko kiʻekiʻe, hiki ke hoʻopilikia ʻaʻole i nā pākeke wale nō akā i nā keiki ʻōpio.
Blood pressure check
Understand your blood pressure level and its potential risks
I ka ʻōlelo maʻalahi, he aha kēia kaomi?
Ke kahe nei ke koko ma ko kākou kino a pau. E noʻonoʻo e like me ka wai e kahe ana ma o kahi paipu wai. Ke kahe ke koko ma o nā aa koko, hoʻokau iki ia i ke kaomi ma nā paia o nā aa koko. ʻO kēlā kaomi ka mea a mākou e kapa ai he "kaomi koko." Inā ʻoi aku ke kiʻekiʻe o kēia kaomi ma mua o ka maʻamau, kapa mākou ia he hypertension . Ke loaʻa kēia ʻano ma nā keiki ʻōpio a me nā ʻōpio, kapa mākou ia he hypertension pediatric .
Wahi a ka ʻikepili o kēia manawa, ma kahi o hoʻokahi i loko o 25 mau keiki ma waena o 12-19 mau makahiki he koko kiʻekiʻe. A ma kahi o hoʻokahi i loko o 10 mau keiki he koko kiʻekiʻe.
ʻO ka mea nui loa, hiki i ke koko kiʻekiʻe i kahi manawa lōʻihi ke hōʻino i nā ʻōpū koʻikoʻi e like me ka puʻuwai o ke keiki, nā puʻupaʻa, a me nā maka. No laila, he mea nui loa ka ʻike mua ʻana i kēia maʻi a ʻimi i ka lāʻau lapaʻau e pono ai.
He aha nā hōʻailona e hōʻike ana he kiʻekiʻe ke koko o ke keiki?
ʻO kēia ka mea e kahaha ai nā mākua he nui. ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā keiki me ke koko kiʻekiʻe i kekahi mau hōʻailona. Pāʻani lākou, holo, a hana i kā lākou hana kula ma ke ʻano maʻamau. ʻO ia ke kumu e ʻike pinepine ʻia ai ke koko kiʻekiʻe ke hele lākou i ke kauka a ana ʻia ko lākou koko i ka wā o ka nānā maʻamau.
I nā hihia koʻikoʻi, hiki ke ʻike ʻia nā hōʻailona e like me ke poʻo ʻeha, ka ʻeha o ka umauma, a me ka paʻakikī o ka hanu ʻana, akā he mea kakaikahi loa kēia.
Ma muli o kēia ʻano mālie, he mea nui e lawe i kāu keiki no nā nānā maʻamau, ʻoiai inā ʻaʻohe maʻi. He mea nui loa kēia inā he mau kumu pilikia ko kāu keiki no ke koko kiʻekiʻe.
Medical test equipment that can be used at home
Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →No ke aha i loaʻa ai i nā keiki ʻōpio ke koko kiʻekiʻe? He aha nā kumu nui?
ʻElua ʻano kumu nui e hoʻopilikia ai i ke koko kiʻekiʻe i nā keiki. E ho'āʻo kākou e hoʻomaopopo i kēia mau mea ma ke ala maʻalahi.
| ʻAno o ke koko kiʻekiʻe | He wehewehe maʻalahi |
|---|---|
| Ke koko kiʻekiʻe mua | ʻO kēia ke ʻano maʻamau i ʻike ʻia i nā keiki. ʻAʻohe kumu hoʻokahi no ka piʻi ʻana o ke koko koko e hiki ke hoʻopili pololei ʻia i kēia maʻi. Hiki ke hui pū ʻia o kekahi mau kumu. |
| Ke koko kiʻekiʻe lua | Maanei, piʻi ke kaomi ma muli o kekahi maʻi ʻē aʻe. ʻO ia hoʻi, piʻi ke kaomi ma ke ʻano he hopena ʻaoʻao o kahi maʻi ʻē aʻe. |
E heluhelu hou aʻe e pili ana i ke koko kiʻekiʻe mua ...
ʻO kēia ke ʻano maʻamau i ʻike ʻia i nā keiki. He nui nā ʻano like o nā keiki me kēia maʻi:
- Ma luna o 6 mau makahiki.
- Loaʻa ke koko kiʻekiʻe i loko o ka ʻohana (makuahine, makuakāne, kupuna wahine, ʻanakē). He mana hoʻoilina kēia.
- ʻO ke kaumaha nui a momona paha. Inā kaumaha ke keiki no ko lākou kiʻekiʻe, hiki iā ia ke hoʻonui i ko lākou koko. Ana nā kauka i kēia me ka hoʻohana ʻana i kahi waiwai i kapa ʻia ʻo BMI (Body Mass Index) .
E heluhelu hou aʻe e pili ana i ke koko kiʻekiʻe lua ...
Maanei mākou e ʻōlelo nei ua piʻi ke kaomi ma muli o kekahi maʻi ʻē aʻe. ʻO ke kumu nui o ke koko kiʻekiʻe lua i nā keiki, ʻo ia nā maʻi puʻupaʻa. Hiki i nā mea e like me ka haiki ʻana o nā aʻa koko e hoʻolako koko i nā puʻupaʻa, nā maʻi puʻupaʻa (Glomerulonephritis, Pyelonephritis) ke hoʻopilikia i kēia.
Ma waho aʻe o nā maʻi puʻupaʻa, aia kekahi mau kumu ʻē aʻe:
- Maʻi puʻuwai hānau: No ka laʻana, he kūlana i kapa ʻia ʻo (Aortic Coarctation).
- Nā hemahema hormonal: Nā kūlana e like me ka hyperthyroidism.
- Nā pilikia hanu e pili ana i ka hāhā ʻana i ka wā hiamoe: Kāhea mākou i kēia '(Obstructive Sleep Apnea)'.
- Kekahi mau lāʻau lapaʻau: Kekahi mau pila hoʻomalu hānau, nā steroid (Corticosteroids).
- Nā maʻi hoʻoilina: Nā kūlana hoʻoilina kakaikahi e like me (Neurofibromatosis type 1).
- Nā kumu kaiapuni:Ka ʻike ʻia ʻana i nā metala kaumaha e like me ke kēpau.
He aha nā kumu pilikia no ke koko kiʻekiʻe?
Inā loaʻa i kāu keiki kēia mau mea, ʻoi aku ka kiʻekiʻe o ka pilikia o ke koko kiʻekiʻe.
- Ke kaumaha nui a momona paha: Ke piʻi ka momona o ke kino, hiki iā ia ke kau i ke kaomi ma luna o nā puʻupaʻa a hoʻonui i ke koko.
- Moʻolelo ʻohana: Inā ua loaʻa i kou makuahine, makuakāne, kupuna wahine, a kupuna kāne paha ke koko kiʻekiʻe ma mua o 60 mau makahiki, ua pāpālua ka manawa kūpono o kāu keiki e loaʻa ai.
- Nā meaʻai paʻakai nui: ʻO ka paʻakai (sodium) kahi mea e hoʻopaʻa ai ke kino i ka wai. Inā paʻakai loa ka meaʻai a mākou e ʻai ai, piʻi ka nui o ka wai i loko o ke koko a piʻi ke kaomi ma luna o nā kīʻaha koko. ʻO nā mea e like me nā biscuits, sausage, cheese, nā meaʻai i mālama ʻia, a me nā pickles he nui ka paʻakai.
- ʻAʻole hoʻoikaika kino: Inā noho kahi keiki ma kahi hoʻokahi i ka lā a pau (i mua o ke kelepona, papa, TV), lilo ka puʻuwai i nāwaliwali. Ke hoʻoikaika kino ka puʻuwai, lilo ia i ikaika a maʻa i ka pamu ʻana i ke koko me ka liʻiliʻi o ka hoʻoikaika.
- Maʻi diabetes: Hiki i ke kiʻekiʻe o ke kō koko i ka hala ʻana o ka manawa ke hōʻino i nā kīʻaha koko a me nā puʻupaʻa a hoʻonui i ke koko.
- Ka hānau mua ʻana a me ke kaumaha hānau haʻahaʻa: Ua ʻike ʻia e kahi noiʻi hou inā hānau mua ʻia kahi pēpē a i ʻole he kaumaha hānau haʻahaʻa, aia kahi pilikia o ka piʻi ʻana o ke koko i ka wā e hiki mai ana.
Pehea e hoʻoholo ai ke kauka inā kiʻekiʻe ke koko o ke keiki?
ʻAʻole e like me ka nānā ʻana i ke kaomi koko o kahi pākeke, ʻoi aku ka paʻakikī o ka nānā ʻana i ke kaomi koko o kahi keiki no ka mea ʻokoʻa nā waiwai koko maʻamau ma muli o ka makahiki, ke kāne, a me ke kiʻekiʻe o ke keiki.
ʻAʻole ʻike ke kauka i kahi maʻi ma ka nānā ʻana i ke kaomi i hoʻokahi manawa. Ana ʻo ia i ke kaomi i kekahi mau lā, i kekahi mau manawa. Aia ke kumu no kēlā. Makaʻu iki kekahi mau keiki (a me nā mākua) a hopohopo i ka wā e ʻike ai lākou i ke kauka a hele mai paha i ka haukapila. I kēlā manawa, hiki ke piʻi aʻe ke kaomi no kekahi manawa. Kāhea mākou i kēia ʻo White Coat Syndrome . ʻO ia ke kumu e ana ai lākou iā ia i nā manawa he nui.
Inā ua hōʻoia ʻia ua kiʻekiʻe ke kaomi, e hoʻāʻo hou ke kauka e ʻimi i ke kumu. No ka hana ʻana i kēia:
- E nīnau i ke keiki a me nā mākua e pili ana i kā lākou ʻai, hoʻoikaika kino, a me nā maʻi o ka ʻohana .
- Hana ʻia nā hoʻāʻo koko e nānā i nā mea e like me ka hana o nā puʻupaʻa a me nā pae hormone.
- Hana ʻia kahi hoʻokolohua EKG (Electrocardiogram) e nānā i ka hana o ka puʻuwai.
- Inā pono, e kuhikuhi ʻia ʻoe no nā hoʻokolohua kiʻi o ka puʻuwai a i ʻole nā puʻupaʻa.
He aha nā pae koko maʻamau a me nā pae koko ʻē aʻe i nā keiki?
No nā keiki he 13 mau makahiki a ʻoi aku, ua hoʻoholo ʻia nā waiwai ma ke ʻano like me nā pākeke.
| Pae kaomi | Nā Waiwai (no nā makahiki 13+) |
|---|---|
| Maʻamau | ʻOi aku ka Systolic ma mua o 120 a ʻo ka Diastolic ma lalo o 80. (ʻOi aku ka liʻiliʻi ma mua o 120/80 mm Hg) |
| Kiʻekiʻe iki aʻe (Kiʻekiʻe) | ʻO 120-129 ka palena kiʻekiʻe a ʻoi aku ka liʻiliʻi o ka palena haʻahaʻa ma mua o 80. |
| Ke koko kiʻekiʻe - Ke koko kiʻekiʻe o ka pae 1 | ʻO ke kumukūʻai kiʻekiʻe 130-139 a i ʻole ke kumukūʻai haʻahaʻa 80-89. |
| Ke koko kiʻekiʻe - Ke koko kiʻekiʻe o ka pae 2 | He waiwai kiʻekiʻe o 140 a ʻoi aku paha a i ʻole he waiwai haʻahaʻa o 90 a ʻoi aku paha. |
No nā keiki he 12 makahiki a ʻoi aku, ua hoʻoholo ʻia ka pae maʻamau e nā pakuhi percentile e hoʻohālikelike ana i ko lākou mau makahiki a me ke kiʻekiʻe. E wehewehe kāu kauka i kēia iā ʻoe.
He aha nā mea e hiki ke hana ʻia e kāohi ai i ke koko o ke keiki?
ʻO ka nūhou maikaʻi, hiki ke hoʻomalu maikaʻi ʻia ke koko kiʻekiʻe i nā keiki. Hiki ke ʻokoʻa nā koho lapaʻau mai kēlā keiki a kēia keiki.
1. Nā Hoʻololi o ke ʻAno Nohona
ʻO kēia nā mea mua a nā kauka e ʻōlelo ai. Inā hui pū ka ʻohana holoʻokoʻa i kēia mau mea, e holomua loa nā hopena.
- ʻAi olakino: Aia kekahi ʻai kūikawā i kapa ʻia ʻo ka DASH Diet . I ka ʻōlelo maʻalahi, pili ia i ka ʻai ʻana i nā mea kanu, nā huaʻai, nā legumes, nā nati, a me nā palaoa piha. A me ka hōʻemi ʻana i nā meaʻai kiʻekiʻe i ka paʻakai, ke kō, a me ka momona (ʻoi aku ka momona saturated).
- Hoʻonui i ka hana kino:He mea nui loa i nā keiki ke holo a pāʻani a hiki i ka hou ʻana a hiamoe. Inā lākou e komo i kēia ʻano hoʻoikaika kino no ka liʻiliʻi he 40-60 mau minuke i ka lā, 3-5 mau lā o ka pule, he kōkua nui ia i ka hoʻēmi ʻana i ke kaomi.
- Ka Hoʻokele ʻana i ke Koʻikoʻi: ʻAe, ʻike nā keiki ʻōpio i ke koʻikoʻi ma muli o nā mea e like me nā hoʻokolohua a me nā hana kula. Hiki i kēia koʻikoʻi ke hoʻonui i ke koko. Hiki ke hoʻomalu ʻia kēia kūlana me nā mea e like me nā hoʻomaʻamaʻa hanu a me ka noʻonoʻo ʻana.
2. Lāʻau lapaʻau
Inā ʻaʻole hiki i nā loli o ke ʻano o ka nohona ke kāohi i kou koko, a inā kiʻekiʻe loa kou koko, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.
Hoʻomaka pinepine ka lāʻau lapaʻau me ka mahele haʻahaʻa loa.
- Nā mea hoʻopaʻa ACE
- Nā mea pale i ka mea loaʻa Angiotensin II (ARBs)
- Nā mea pale i ke kahawai kalipuna
- Nā mea pale beta
- Nā lāʻau diuretic (nā lāʻau wai)
Nā lāʻau lapaʻau e like me: Hiki i kēia mau lāʻau lapaʻau āpau ke loaʻa nā hopena ʻaoʻao. No laila, e kamaʻilio me kāu kauka e pili ana iā lākou ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau.
Hiki iā kākou ke pale aku i kā kākou keiki mai ka loaʻa ʻana o ke koko kiʻekiʻe?
ʻAe, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
- E mālama i ke kaumaha olakino no ke kiʻekiʻe o kāu keiki.
- Ma ke ʻano he ʻohana, e hōʻemi i nā meaʻai kiʻekiʻe i ka paʻakai, ke kō, a me ka momona. E kaupalena i nā meaʻai e like me nā meaʻai i kūʻai ʻia ma ka hale kūʻai, nā mea inu ʻono, a me nā meaʻai māmā.
- E paipai i kāu keiki e hana no hoʻokahi hola ma ka liʻiliʻi i ka lā.
- E hiamoe maikaʻi. E hoʻomaʻamaʻa i ka hiamoe ʻana i ka manawa i hoʻonohonoho ʻia a ala aʻe i ka manawa i hoʻonohonoho ʻia.
- E mālama pono i kāu keiki mai ka puhipaka loa. Inā puhipaka kekahi i loko o ka hale, e hoʻopilikia pū ia i ke keiki (uahi lua).
E hoʻomanaʻo, ʻaʻole hiki iā mākou ke hoʻololi i nā kumu genetic e like me ka mōʻaukala ʻohana, akā hiki iā mākou ke kaohi i kēlā pilikia ma o ka hahai ʻana i kahi nohona olakino.
He mea maʻamau ke kaumaha a me ka makaʻu ke ʻike ʻoe he koko kiʻekiʻe ko kāu keiki. Akā ʻo ka mea nui, he kūlana hiki ke hoʻokele ʻia kēia. Eia kāu kauka a me ka hui mālama ola e kōkua a alakaʻi iā ʻoe, kāu keiki, a me kou ʻohana ma o kēia huakaʻi.
Leka Lawe-Home
- ʻO ke koko kiʻekiʻe i nā keiki kahi maʻi maʻamau ʻaʻole ia e hōʻike pinepine i nā hōʻailona.
- No laila, he mea nui loa e kuhikuhi i ke keiki no nā hoʻokolohua lapaʻau kūpono , ʻoiai inā ʻaʻohe hōʻailona.
- ʻO ke kaumaha nui, ka mōʻaukala ʻohana, ka ʻai nui i ka paʻakai, a me ka nele i ka hoʻoikaika kino nā kumu nui o ka pilikia.
- I ka wā mua, ʻo ka lāʻau lapaʻau i ʻōlelo ʻia he nohona olakino a me nā hoʻololi ʻana i ka meaʻai. ʻOi aku ka maikaʻi ke hui pū ka ʻohana holoʻokoʻa i kēia.
- Inā ʻaʻole i kāohi pono ʻia, hiki i ke koko kiʻekiʻe ke hōʻino i nā ʻōpū e like me ka puʻuwai a me nā puʻupaʻa i ka wā e hiki mai ana.
- Inā he mau hopohopo a kānalua paha kāu e pili ana i kēia, e kamaʻilio koke me kāu kauka.
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