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.
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.
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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