Ua ʻike anei kākou i ka pōʻino o ka puʻuwai i hoʻokumu ʻia e ke koko kiʻekiʻe (Maʻi Puʻuwai Hypertensive)?

No ka hapa nui o kākou, ua lilo ke 'kaomi' a i ʻole ke koko kiʻekiʻe i mea maʻamau. Akā ua ʻike anei ʻoe inā ʻaʻole i kāohi pono ʻia kēia kaomi, hiki iā ia ke hōʻeha mālie i ko kākou puʻuwai i nā makahiki? Ma kēia ʻano, kapa mākou i ka lāʻau lapaʻau ʻo 'Hypertensive Heart Disease' he hōʻiliʻili o nā maʻi puʻuwai i hoʻokumu ʻia e ke koko kiʻekiʻe i kāohi ʻole ʻia.

I ka ʻōlelo maʻalahi, he aha ka 'maʻi puʻuwai hypertensive'?

E noʻonoʻo ʻoe ua kiʻekiʻe loa ke kaomi i loko o nā paipu pamu wai i kou home. He aha ka mea e hana ai? Pono ka pamu e hana ikaika e pamu i ka wai. I ka hala ʻana o ka manawa, nāwaliwali ka pamu a hiki ke hōʻino ʻia nā paipu. Pēlā nō ko kākou mau puʻuwai.

Ke kiʻekiʻe ke koko (ʻoi aku ma mua o 120/80 mmHg) no ka manawa lōʻihi, pono ko kākou puʻuwai e hana ikaika e pamu i ke koko a puni ke kino. Hiki i kēia kaumaha keu ke hoʻomānoanoa a hoʻonāwaliwali i ka ʻiʻo o ka puʻuwai i ka hala ʻana o ka manawa. I ka hopena, hiki i kēia ke alakaʻi i kahi maʻi koʻikoʻi e like me ka hāʻule ʻana o ka puʻuwai.

Pēlā nō, hoʻomānoanoa ke koko kiʻekiʻe i nā paia o ko kākou mau kīʻaha koko. Ke hoʻomaka ka cholesterol e hōʻiliʻili i loko o kēia mau kīʻaha koko mānoanoa, e ʻoi aku ka ʻino o ke kūlana. A laila piʻi nui ka pilikia o ka hōʻeha puʻuwai a me ka hahau.

He aha nā ʻano nui o kēia maʻi?

ʻElua ala nui e hoʻopilikia ai ke koko kiʻekiʻe i ka puʻuwai.

1. Maʻi ʻAʻa Coronary: Hana ʻia kēia i ka wā e hōʻiliʻili ai ka cholesterol a me nā mea ʻē aʻe i loko o nā kīʻaha koko nui e hoʻolako ana i ke koko i ka puʻuwai (nā ʻaʻa coronary) (kapa mākou i kēia he "Atherosclerosis"), e hoʻohaiki ana i nā ʻaʻa. Hoʻemi kēia i ka nui o ka oxygen a me nā meaʻai e pono ai ka puʻuwai.

2. Hypertrophy Ventricular Hema: ʻO ka ventricle hema ka ʻāpana nui o ka puʻuwai e hoʻokahe koko ana. I kona hakakā ʻana e hoʻokahe koko i ke kaomi kiʻekiʻe no ka manawa lōʻihi, mānoanoa nā ʻiʻo ma kēia ʻāpana. E like me nā ʻiʻo o ka mea hāpai kaumaha e nui aʻe ana. Akā, ʻaʻole maikaʻi kēia no ka puʻuwai. Hiki i kēia ke alakaʻi i ka hana pono ʻole o ka puʻuwai.

He aha nā pilikia ʻē aʻe e hiki ai i kēia ke hana?

Inā ʻaʻole mālama ʻia, hiki i ka maʻi puʻuwai hypertension ke alakaʻi i kekahi mau pilikia olakino koʻikoʻi ʻē aʻe. E nānā kākou i ka papa ma lalo.

ʻO wai ka mea i pilikia nui?

E nānā i kēia mau mea e ʻike ai inā ʻoe i ka pilikia.

• Inā he koko kiʻekiʻe kou.
• Inā ʻoe kekahi kanaka hoʻoikaika kino ʻole .
• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā kiʻekiʻe ka nui o ka cholesterol koko.
• Inā ʻoe ma luna o 45 mau makahiki .
• Inā ʻoe he momona nui (momona).
• Inā ʻoe e puhipaka a hoʻohana paha i nā huahana paka ʻē aʻe.
• Inā ʻoe e hoʻohui i ka paʻakai nui i kāu meaʻai.
• Inā ʻoe e inu i ka waiʻona .

Inā pili kekahi a ʻoi aku paha o kēia mau manaʻo iā ʻoe, pono ʻoe e mālama pono i kou olakino.

He aha nā hōʻailona o kēia?

ʻO ka pilikia nui ma ʻaneʻi, e like me ke koko kiʻekiʻe, ʻaʻole paha e loaʻa nā hōʻailona o ka maʻi puʻuwai hypertensive i nā pae mua. Hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia ma hope o ka hōʻino ʻia ʻana o ka puʻuwai i kekahi ʻano.

Eia nā hōʻailona e hiki ke ʻike ʻia:

• ʻEha umauma
• Pōkole o ka hanu
• Nā Palpitations (manaʻo e like me ka wikiwiki o kou puʻuwai)
• Pōʻino
• Ka mae ʻana
• Nā hōʻailona o ka hahau ʻana (e.g., ke kūlou ʻana o ka waha, ka nalowale ʻana o kahi lālā)
• Make koke o ka puʻuwai

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau .

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau.

• Kou mōʻaukala lapaʻau.
• Aia kekahi o kou ʻohana i loaʻa i ka maʻi puʻuwai?
• A laila e nānā kino ʻia ʻoe.

Eia kekahi, ua ʻōlelo ʻia kekahi mau hoʻokolohua e hōʻoia i ke kūlana a loiloi i ka hōʻino ʻia o ka puʻuwai.

• Nā hoʻāʻo koko: E nānā i nā mea e like me ka cholesterol a me nā pae kō.
• Nā hoʻāʻo mimi: E nānā i ka hana o nā puʻupaʻa.
• Hoʻāʻo ECG (Electrocardiogram): E nānā i ka hana uila o ka puʻuwai.
• Echocardiogram: E nānā i ke ʻano o ka puʻuwai, ka mānoanoa o nā ʻiʻo, a pehea e pamu ai i ke koko.

Pehea e mālama ʻia ai? A he aha kā mākou e hana ai?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kāohi i kou koko a hoʻōki i ka hōʻino ʻia ʻana o kou puʻuwai. ʻElua ala nui e hana ai i kēia.

1. Nā loli o ke ʻano o ka nohona

ʻO kēia ka ʻāpana koʻikoʻi loa. Me ka lawe ʻana i ka lāʻau lapaʻau, he mea nui e hoʻololi i kou nohona i mea olakino.

• Hoʻōki i ka puhipaka a me ka inu ʻona: Hoʻopōʻino pololei kēia mau mea ʻelua i ka puʻuwai a me nā kīʻaha koko.
• Hoʻoikaika Kino: E hana i nā hoʻoikaika kino, e like me ka hele wāwae a i ʻole ka holo ʻana, no ka liʻiliʻi he 30 mau minuke i ka lā.
• Kāohi i ka paʻakai: E hōʻemi i ka nui o ka paʻakai i hoʻohui ʻia i ka meaʻai. E noho mamao mai nā mea e like me nā pickles, nā hua maloʻo, nā mea ʻono, a me nā mea ʻono hana.
• ʻAi olakino: E ʻai i nā mea kanu, nā huaʻai, nā legume, a me nā meaʻai waiwai i ka fiber. E hōʻemi i nā meaʻai i kiʻekiʻe i ka ʻaila, ke kō, a me ka palaoa.
• E kāohi i kou kaumaha: E ho'āʻo e mālama i kahi kaumaha olakino no kou kiʻekiʻe.

2. Nā lāʻau lapaʻau (nā lāʻau lapaʻau)

Me nā hoʻololi ʻana i ke ʻano o ka nohona, e kuhikuhi ana kāu kauka i nā lāʻau lapaʻau e kāohi i kou koko. Aia nā ʻano lāʻau lapaʻau like ʻole, e like me nā diuretics, beta-blockers, a me nā ACE inhibitors.