Ke koko kiʻekiʻe ma o nā maka o ke kauka

ʻūpā: koko kiʻekiʻe

Ua hele mai ʻo Nimal, 45 makahiki, i ke keʻena lapaʻau e hoʻopiʻi ana i ka ʻāʻī ʻoʻoleʻa a me ke poʻo. Ua makaʻu loa ʻo ia. "E ke kauka, e pilikia nui anei au? E pohā anei kekahi aʻa koko i loko o koʻu poʻo?" i nīnau ai ʻo ia me ka leo haʻalulu. Ua minoʻaka au a hōʻoluʻolu iā ia ma ka ʻōlelo ʻana, "Mai hopohopo, e Nimal, e nānā mua kāua i koʻu koko." He mea maʻamau ka makaʻu no kou olakino. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia mea pepehi leo ʻole i loko o ko kākou kino: ke koko kiʻekiʻe.

ʻAʻole loa e poina ʻia ka hanana o ia pō.

E haʻi aku wau iā ʻoe i kahi moʻolelo e hōʻike ana i ka nui o ka pōʻino o ke koko kiʻekiʻe, a i ʻole ka mea a mākou e kapa pinepine ai he kaomi, hiki ke hana i ke kino. I ka wā o kaʻu internship, ua hana au ma kahi haukapila paʻahana loa. I kekahi pō, ua hoʻokomo koke ʻia ʻo Mrs. Silva, he kumu kula ma kona mau makahiki 40, i ka ward. Ua nalowale kona ʻike ma kekahi ʻaoʻao o kona kino a ua moe ʻo ia i loko o kona hale. ʻO kāna mau keiki ʻelua, he keikikāne 7 makahiki a he kaikamahine 15 makahiki, e noho ana ma ka ʻaoʻao o ko lāua makuahine, me ka makaʻu a ʻaʻole hiki ke hana i kekahi mea.

Ma hope o ka nānā ʻana o ke poʻo o Mrs. Silva ma ke ʻano he CT scan, ua ʻike mākou i kahi mea kaumaha loa. Ua loaʻa iā ia kahi hahau koko ma muli o ke koko kiʻekiʻe, kahi mea āna i ʻike ʻole ai i kāohi no nā makahiki he nui. ʻOiai kā mākou hoʻoikaika maikaʻi loa, ʻo ka mea pōʻino, ʻaʻole hiki iā mākou ke hoʻopakele i kona ola. Ua nalowale nā ​​​​keiki ʻelua i ko lākou makuahine. Pono nā mea a pau e hoʻomaopopo ʻaʻole he helu wale ke koko.

He aha ke koko kiʻekiʻe?

Hoʻopuka ko mākou puʻuwai i ke koko ma ke kino holoʻokoʻa ma o nā kīʻaha koko i kapa ʻia ʻo nā aʻa. ʻO ke kaomi koko ke kaomi a ke koko e kau ai ma luna o nā paia o nā aʻa i kona hele ʻana ma o kēia mau kīʻaha koko. Inā no kekahi kumu e kiʻekiʻe mau ana kēia kaomi ma mua o ka maʻamau, kapa mākou ia he hypertension.

E noʻonoʻo e pili ana i kahi hose āu e hoʻohana ai e hoʻoinu i kāu māla. Inā kiʻekiʻe loa ke kaomi o ka wai, hiki i ka hose ke pehu a liki i nā wahi a pohā paha, ʻeā? Pēlā nō ka mea e hana ʻia i nā kīʻaha koko i loko o ko kākou kino.

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Pehea e ana ʻia ai nā waiwai kaomi?

I ke ana ʻana i ke koko, loaʻa nā waiwai ʻelua.

• Kaomi Systolic (helu kiʻekiʻe): Ke kaomi i hoʻokau ʻia ma nā paia o ke aʻa i ka wā e kuʻi ai ka puʻuwai.
• Kaomi Diastolic (helu lalo): Ke kaomi i ka wā e hoʻomaha ai ka puʻuwai ma waena o nā kuʻi.

Hiki ke ʻike ʻia ka hoʻokaʻawale ʻana o nā waiwai koko ma ka papa ma lalo nei:

| Pae koko | Systolic (helu kiʻekiʻe) mm Hg | Diastolic (helu lalo) mm Hg |
| :--- | :--- | :--- |
| Maʻamau | ʻAʻole i emi iho ma mua o 120 | a ʻaʻole i emi iho ma mua o 80 |
| Kiʻekiʻe iki | 120 - 129 | a emi iho ma mua o 80 |
| Pae 1 | 130 - 139 | a i ʻole 80 - 89 |
| Pae 2 | 140 a ʻoi aku paha | a i ʻole 90 a ʻoi aku paha |

> 🚨Ka pilikia koko kiʻekiʻe:
> Inā ʻoi aku ke kiʻekiʻe o ke kaomi ma mua o 180/120 a he ʻeha ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā ​​​​loli o ka ʻike, pono ʻoe e kāhea koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa.

No ke aha e kū mai ai ke koko kiʻekiʻe?

Hiki ke hoʻokaʻawale ʻia ke koko kiʻekiʻe i ʻelua mau ʻano nui:

1. Ke koko kiʻekiʻe mua

ʻO kēia ke ʻano i loaʻa i ka hapa nui o ka poʻe. ʻAʻohe kumu hoʻokahi a ulu mālie ia i nā makahiki he nui. Eia kekahi mau kumu e hiki ke kōkua:

• Nā Genes: Inā loaʻa i kou ʻohana ke koko kiʻekiʻe, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana.
• Makahiki: Ma hope o 65 mau makahiki, e emi ana ke kūlou o nā kīʻaha koko.
• Ka Nohona: Ka nele i ka hoʻoikaika kino, ka ʻai nui ʻana i ka paʻakai, ka momona, a me ke kaumaha.

2. Ke koko kiʻekiʻe lua

He kaomi kēia i hoʻokumu ʻia e kekahi maʻi ʻē aʻe. Hiki ke hana koke ʻia kēia. Eia nā kumu:

• Nā maʻi puʻupaʻa.
• Nā pilikia thyroid.
• ʻAneʻane hiamoe.
• Nā hopena ʻaoʻao o kekahi mau lāʻau hoʻomalu hānau a i ʻole nā ​​​​​​mea hoʻomaha ʻeha.

He aha nā hōʻailona e ʻike ʻia ke piʻi aʻe ke kaomi?

Ua kapa ʻia ke koko kiʻekiʻe ʻo ka "Silent Killer" i ka ʻepekema lapaʻau no ka mea ʻaʻole ia e hōʻike i kekahi mau hōʻailona i nā pae mua o ka maʻi. ʻIke wale ka poʻe he nui i ia mea ke ana ʻia ko lākou koko no kekahi maʻi ʻē aʻe.

Akā inā piʻi aʻe kou koko koko, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:

• ʻEha nui ke poʻo (ʻoi aku hoʻi ma ke kua o ke poʻo).
• Pōʻino a me ka nausea.
• ʻIke pōwehiwehi.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.

He aha ka mea e hana ʻia i ko kākou kino inā ʻaʻole kākou e kaohi iā lākou?

Inā waiho ʻia ke koko koko me ka kaohi ʻole ʻia, hiki iā ia ke hōʻino i kekahi mau ʻōkana nui o ke kino:

• I ka lolo: Hiki ke loaʻa kahi hahau ke pahū kahi kīʻaha koko.
• Puʻuwai: Piʻi ka pilikia o ka hāʻule puʻuwai.
• Nā puʻupaʻa: Ua pilikia ka lako koko i nā puʻupaʻa, e alakaʻi ana i ka hāʻule ʻana o ka puʻupaʻa.
• Nā Maka: ʻO ka hōʻino ʻana i nā kīʻaha koko i loko o ka maka ke kumu o ka nalowale ʻana o ka ʻike.

He aha ka White Coat Hypertension?

Makaʻu kekahi poʻe maʻi e hele i ka haukapila a i ʻole e ʻike i ke kauka. ʻO ia ke kumu i ʻoi aku ai ke kiʻekiʻe o kā lākou heluhelu koko ma ka haukapila ma mua o ka maʻamau. Akā i ko lākou noho ʻana ma ka home, ua maʻamau loa ko lākou koko. Ua kapa ʻia kēia ʻano he "White Coat Hypertension". Ua ʻōlelo ʻia nā kānaka e like me kēia e ana i ko lākou koko ma ka home no kekahi mau lā i ke kakahiaka a me ke ahiahi e loaʻa ai ka heluhelu pololei loa.

Pehea e kāohi ai i ke kaomi?

ʻElua mau ala e hiki ai ke kāohi pono i ke koko kiʻekiʻe:

1. Ke lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka

Aia nā ʻano lāʻau lapaʻau like ʻole e kāohi i ke koko (Beta-blockers, Diuretics, ACE inhibitors, Calcium channel blockers). E koho kāu kauka i ka lāʻau lapaʻau kūpono nou ma muli o kou kūlana. E hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau koko me ka ʻole o ke aʻo ʻana a ke kauka.