ʻO ka helu kiʻekiʻe wale nō o kou koko kiʻekiʻe? ʻO ia ka Isolated Systolic Hypertension?

Ua nānā ʻia kou koko koko a ʻo ka helu kiʻekiʻe wale nō ke kiʻekiʻe, akā ʻo ka helu lalo ka mea maʻamau? Malia paha ua haʻi aku kekahi kauka iā ʻoe i kēlā. ʻO kēia ka mea a mākou e kapa nei he Isolated Systolic Hypertension. ʻAʻole ʻike nui ka poʻe he nui e pili ana i kēia. No laila, e kamaʻilio kākou e pili ana i kēia lā me nā kikoʻī hou aku.

He aha ka Isolated Systolic Hypertension?

I ka ʻōlelo maʻalahi, ʻo ia ka manawa e ʻoi aku ai ka helu kiʻekiʻe o kou koko, ʻo ia ka helu systolic , ma mua o ka pae i ʻōlelo ʻia. ʻO ka helu lalo, ʻo ia ka helu diastolic, hiki ke maʻamau a haʻahaʻa paha. I ka pololei, ʻo ia ka manawa e ʻoi aku ai ka helu systolic ma mua o 130 millimeters o ka mercury (mmHg) a ʻoi aku ka haʻahaʻa o ka helu diastolic ma mua o 90 millimeters o ka mercury. ʻO ka maʻamau, ʻoi aku ka haʻahaʻa o ke koko o ke kanaka olakino ma mua o 120/80 mmHg. Maopopo iā ʻoe ke ʻano o ke kaomi systolic? Ke kuʻi ko mākou puʻuwai a pamu i ke koko ma ke kino holoʻokoʻa, hoʻokau kēlā koko i ke kaomi ma nā paia o ko mākou mau kīʻaha koko. ʻO ke kaomi diastolic e pili ana i ke kū'ē ʻana i loko o nā kīʻaha koko i ka wā e hoʻomaha iki ai ka puʻuwai, ʻo ia hoʻi, i ka wā ʻaʻole ia e pamu i ke koko.

Pehea ka maʻamau o kēia? Ke piʻi nei paha me ka makahiki?

He mea maʻamau kēia ʻano, ʻoiai hoʻi i ko kākou ʻelemakule ʻana. Wahi a nā helu helu, ma kahi o 15% o ka poʻe ma luna o 60 mau makahiki he Isolated Systolic Hypertension. ʻOiaʻiʻo, ʻo kēia ke ʻano maʻamau o ka hypertension i waena o ka poʻe ma luna o 70 mau makahiki. No laila ua maopopo e piʻi ana kēia pilikia me ka ʻelemakule, ʻeā?

He mea weliweli anei ka Isolated Systolic Hypertension?

ʻAe, hiki ke lilo i mea weliweli inā ʻaʻole mālama pono ʻia. Inā waiho ʻole ʻia, e like me nā ʻano koko kiʻekiʻe ʻē aʻe, hiki iā ia ke hōʻino i nā ʻano kino like ʻole i loko o kou kino. E noʻonoʻo wale, he mea pilikia ia no nā maʻi cardiovascular (ʻo ia hoʻi nā maʻi o ka puʻuwai, nā kīʻaha koko i loko o ka lolo a me nā kīʻaha koko nui ma ke kino), ka make, a me nā maʻi koʻikoʻi e like me ka hāʻule ʻana o ka puʻupaʻa. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

He pilikia anei kēia?

ʻAʻole maʻamau ka pilikia o ka Isolated Systolic Hypertension. Eia nō naʻe, inā piʻi koke kāu heluhelu systolic ma luna o 180 mmHg, he pilikia ia. Kāhea mākou i kēia he 'Hypertensive crisis'. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

He aha nā hōʻailona o kēia?

E like me nā ʻano koko kiʻekiʻe ʻē aʻe, ʻaʻole hōʻike kēia i nā hōʻailona nui i nā pae mua.ʻAʻole ʻike ka nui o ka poʻe ua loaʻa iā lākou kēia maʻi. ʻO ia ke kumu he mea nui e nānā mau i kou koko. Akā i ka wā e mālama ʻole ʻia ai no ka manawa lōʻihi a hoʻomaka e hōʻino i nā ʻōpū o kou kino, ʻike ʻia kekahi mau hōʻailona. ʻO lākou:

• ʻEha ka umauma.
• Pōkole o ka hanu .
• ʻO ke poʻo pinepine .
• ʻIke maopopo ʻole.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pono ʻoe e ʻike i ke kauka.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO ke kumu nui o kēia, ʻo ia ka loli o ko kākou mau kīʻaha koko (nā aʻa) i ko kākou ʻelemakule ʻana.

Ka ʻelemakule a me nā loli i loko o nā aʻa

I ko kākou ʻelemakule ʻana, lilo ko kākou mau aʻa koko i ʻoi aku ka paʻakikī a me ka emi ʻana o ka palupalu. ʻAʻole lākou e kīkoʻo a ʻūlū maʻalahi e like me ko kākou wā ʻōpiopio. Ke hana ʻia kēia, piʻi aʻe ke kaomi i hana ʻia i ka wā e pamu ai ka puʻuwai i ke koko, i kapa ʻia ʻo ke kaomi systolic. I ka manawa like, nalowale nā ​​aʻa koko i ko lākou elasticity, no laila e emi ana ke kaomi diastolic. Ua like ia me kahi paipu laholio kahiko e lilo i ʻoi aku ka paʻakikī akā ʻaʻole e kīkoʻo maʻalahi.

Nā kūlana olakino ʻē aʻe

ʻO kekahi kumu ʻē aʻe he maʻi i kapa ʻia ʻo atherosclerosis. ʻO kēia ka wā e waiho ʻia ai nā mea e like me ka calcium a me ke collagen i loko o nā aʻa, e hoʻolilo ana iā lākou i mea paʻakikī a ʻoi aku ka haiki. ʻO kēia nalowale o ka elasticity i loko o nā aʻa hiki ke alakaʻi i ka systolic hypertension i hoʻokaʻawale ʻia.

He aha nā kumu pilikia?

Aia kekahi mau mea e hoʻohui i nā pilikia hou aʻe i kēia kūlana. ʻO lākou kēia:

• Nā pae kolesterol koko kiʻekiʻe.
• Loaʻa i ka maʻi diabetes .
• Ke ola nei i kahi ola noho wale, me ka ʻole o ka hoʻoikaika kino. E noʻonoʻo i kahi kanaka e hana ana ma kahi hoʻokahi i ka lā a pau.
• ʻOi aku ka nui o ke kino (BMI) ma mua o 30 ( momona ).
• Ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes, beedis).
• Ka ʻai pinepine ʻana i nā meaʻai i hana ʻia a me nā meaʻai kiʻekiʻe i ka paʻakai a me ka ʻaila, e like me ka laiki palai, nā sausage, a me nā meaʻai i hoʻopili ʻia.

Hiki i nā ʻōpio ke hoʻomohala i kēia pū kekahi?

ʻOiai he mea maʻamau kēia i waena o ka poʻe ʻelemakule, hiki nō hoʻi ke hana ʻia i waena o ka poʻe ʻōpio ma lalo o 40 mau makahiki.Ua ʻike ʻia i kēia manawa ua lilo kēia maʻi, ʻo Isolated Systolic Hypertension, i mea maʻamau. ʻAʻole anei he mea kupanaha? ʻO ka hapa nui o ka poʻe e ʻike nei i kēia maʻi i ka wā ʻōpiopio:

• ʻOi aku ka nui o ke kino (BMI) ma mua o 30 (ʻo ia hoʻi ka momona).
• ʻO ka hapa nui he kāne.
• Ka hoʻohana ʻana i nā huahana paka.
• Hiki iā ʻoe ke ʻike i nā poʻe me ka ʻole o ka ʻinikua olakino .

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

E like me kā mākou i ʻōlelo ai ma mua, inā ʻaʻole mālama pono ʻia kēia, ʻo ia hoʻi, inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia weliweli. Eia kēia mau mea:

• Ka hāʻule ʻana o ka puʻuwai
• Maʻi hohola
• Hahau
• Maʻi puʻupaʻa mau loa
• ʻO ka maʻi aʻa peripheral - ʻO kēia ka haiki ʻana o nā aʻa e hoʻolako ana i ke koko i nā lālā.
• Aneurysm - ʻO kēia ka wā e nāwaliwali ai ke kīʻaha koko a puʻupuʻu e like me ka pōpō.

Pehea ʻoe e ʻike ai i kēia?

Ma mua o ka nānā ʻana i kēia maʻi, e nīnau kāu kauka iā ʻoe e pili ana i kou mōʻaukala ʻohana, kāu ʻai, kou pae hana, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai. E like me nā maʻi āpau, ʻo ka ʻike mua ʻana ke ala maikaʻi loa e mālama ai.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Ma mua o ka hiki ʻana i ke kauka ke ʻike maopopo i ka Isolated Systolic Hypertension, e nānā lākou i kou koko i ʻelua a ʻekolu paha manawa. ʻAʻole lākou e nānā wale i hoʻokahi manawa a ʻōlelo. Eia kekahi, hiki iā lākou ke hana i kekahi mau hoʻokolohua ʻē aʻe e ʻike i ka nui o ka pilikia i loaʻa iā ʻoe no ka hoʻomohala ʻana i nā maʻi cardiovascular. Eia kekahi laʻana:

• He hoʻāʻo ECG (electrocardiogram - EKG). Ke ana kēia i ka hana uila o ka puʻuwai.
• Nā hoʻāʻo koko. ʻO ke kikoʻī, he panel lipid e nānā i nā pae cholesterol.

He aha kaʻu e hana ai inā wau i loko o kēia kūlana?

Inā haʻi aku kāu kauka iā ʻoe he Isolated Systolic Hypertension kou, ʻo ka mea nui loa, ʻo ia ka hahai pololei i kā lākou mau kuhikuhi. Mai hopohopo. E haʻi aku paha lākou iā ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau i kēlā me kēia lā, a malia paha e hoʻomaka i ka lāʻau lapaʻau.

Pehea e mālama ʻia ai?

I ka mālama ʻana i kēia, hiki i kāu kauka ke haʻi iā ʻoe e hana i nā loli o ke ʻano o ka nohona a, inā pono, e hoʻomaka iā ʻoe i nā lāʻau antihypertensive.

Nā loli o ke ʻano o ka nohona

Eia kekahi o nā mea nui loa hiki iā ʻoe ke hana:

• Ka hōʻemi ʻana i ka nui o ka paʻakai i hoʻohui ʻia i ka meaʻai. Manaʻo ʻia ʻaʻole ʻoe e ʻai ma mua o 1.5 grams o ka paʻakai i kēlā me kēia lā.
• Ma hope o ka ʻai DASH.He papaʻai kūikawā kēia e kōkua ai i ka kaohi ʻana i ke koko kiʻekiʻe.
• Ka ʻai ʻana i nā huaʻai a me nā mea kanu hou.
• Ka hōʻemi ʻana i nā meaʻai waiū momona nui (e.g. tīhi, pata).
• Ka hōʻemi ʻana i nā meaʻai i loaʻa nā momona paʻa (e.g. ʻiʻo ʻulaʻula, nā meaʻai momona).
• Ka lilo ʻana o ke kaumaha (inā momona).
• E hoʻoikaika kino hou aku. E like me ka hele wāwae no 30 mau minuke ma ka liʻiliʻi i ka lā.
• Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia.
• Ka mālama ʻana i ke kaumaha. I kekahi manawa hiki i ka noʻonoʻo ʻana a i ʻole ka yoga ke kōkua.
• Ke ho'āʻo nei e loaʻa ka nui o ka potassium mai ka meaʻai (e like me ka maiʻa, nā ʻalani, ka spinach)
• Ke hoʻōki loa nei i nā huahana paka.

E noʻonoʻo i ka hopena nui o kēia mau hoʻololi liʻiliʻi i kou ola a pau!

Nā lāʻau lapaʻau

Ma waho aʻe o nā loli o ke ʻano o ka nohona, kuhikuhi nā kauka i nā lāʻau i kapa ʻia he antihypertensives e mālama i ka Isolated Systolic Hypertension. ʻO kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Diuretics: Hoʻokuʻu kēia i ke kino i ka wai nui a me ka paʻakai ma o ka mimi, kahi e hoʻohaʻahaʻa ai i ke koko.
• Nā mea pale o ke kahawai calcium: Hoʻomaha kēia i nā paia o nā kīʻaha koko, e maʻalahi ai ke kahe ʻana o ke koko.
• Nā mea hoʻopaʻa i ka enzyme hoʻololi-angiotensin (ACE inhibitors): Hoʻomalu pū kēia i ke kaomi koko ma ka hoʻēmi ʻana i ka ʻūlū ʻana o nā kīʻaha koko.
• Nā Palekana Receptor Angiotensin II (ARB): Hana like kēia mau lāʻau lapaʻau me nā mea hoʻopaʻa ACE.

Hiki i kāu kauka ke hoʻomaka iā ʻoe ma kekahi o nā lāʻau lapaʻau mua ʻelua ma kēia papa inoa. A laila, ma muli o ke ʻano o ka pane ʻana o kou kino, hiki iā lākou ke hoʻohui i kahi lāʻau lapaʻau ʻelua a ʻekolu paha inā pono. E lilo nā kīʻaha koko i ʻoi aku ka paʻakikī i kou wā ʻelemakule, e paʻakikī ai ke kāohi i ke koko kiʻekiʻe. Eia nō naʻe, hiki i kēia mau lāʻau antihypertensive ke kōkua i ka hōʻemi ʻana i ka paʻakikī o kou mau aʻa i kekahi ʻano.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi mai kēia mau lāʻau lapaʻau. ʻAʻole e loaʻa i nā kānaka a pau, akā he mea maikaʻi ke ʻike iā lākou.

• ʻEha poʻo
• Pōʻino
• Makemake nui
• ʻŪhū maloʻo (ʻoi aku hoʻi mai nā mea hoʻopaʻa ACE)
• Ka hāʻule ʻana o ka lauoho (kākaʻikahi)

Inā loaʻa iā ʻoe kekahi mea e like me kēia, mai makaʻu e haʻi i kāu kauka. Hiki paha iā ia ke hoʻololi i ka lāʻau lapaʻau a hōʻemi paha i ka nui.

He aha ka mea hiki ke hana ʻia e hōʻemi ai i kēia pilikia?

ʻOi aku ka ʻelemakule o kākou a pau. ʻO kekahi o nā mea e hele pū me ia he mau kumu e hiki ai ke alakaʻi i ka Isolated Systolic Hypertension. Eia nō naʻe, nui nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o kēia maʻi. ʻO kēia mau mea:

• Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi pono iā ia.
• Inā he kiʻekiʻe kou cholesterol, e kaohi i kēlā.
• E hoʻoikaika kino mau. Ma ka liʻiliʻi he 5 mau lā o ka pule, 30 mau minuke i ka lā.
• E mālama i kāu helu helu kaumaha o ke kino (BMI) ma lalo o 30.
• Mai hoʻohana i nā huahana paka.
• E hōʻemi i nā meaʻai i hana ʻia a me nā meaʻai kiʻekiʻe i ka momona a me ka paʻakai i ka hiki. ʻOi aku ka maikaʻi o nā meaʻai i kuke ʻia ma ka home.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?

ʻO ka lāʻau lapaʻau maikaʻi loa e hoʻomaka koke i ka wā e ʻike ʻia ai ʻoe me kēia maʻi, no ka mea, ʻo kēlā me kēia ʻano koko kiʻekiʻe e hoʻonui i ka pilikia o nā pilikia olakino ʻē aʻe, e like me ka hōʻeha puʻuwai a me ka hahau.

Hiki ke ho'ōla ʻia kēia?

ʻAʻole, ʻaʻole hiki ke ho'ōla loa ʻia. Akā, mai hopohopo! Hiki iā ʻoe ke hoʻokele iā ia a ola i kahi ola maʻamau ma ka hoʻololi ʻana i ke ʻano o ka nohona a/a i ʻole ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.

Pehea ka lōʻihi o kēia kūlana?

He maʻi lōʻihi a mau loa ka Isolated Systolic Hypertension. ʻO ia hoʻi, pono ʻoe e mālama iā ia a mālama iā ia no ke koena o kou ola. Ua hōʻike ʻia e ka noiʻi ʻana hiki i ka mālama pono ʻana i ka Isolated Systolic Hypertension ke hana i kahi ʻokoʻa nui. Hiki iā ia ke hōʻemi i ka pilikia o ka maʻi puʻuwai, ka hahau ʻana, a me ka make ma kahi o 30%! ʻAʻole anei he mea nui kēlā?

Pehea wau e mālama ai iaʻu iho?

No ka mālama ʻana i kēia kūlana, he mea nui e lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana a kāu kauka, i ka manawa kūpono. E hoʻolilo iā ia i mea maʻamau. Malia paha e kōkua ka hoʻonohonoho ʻana i kahi hoʻomanaʻo ma kāu kelepona. Eia kekahi, ʻo ka hoʻoikaika kino a me ka ʻai ʻana i ka meaʻai haʻahaʻa i ka paʻakai a me ka momona he mea maikaʻi loa ia no kou koko koko a me ke olakino o ka puʻuwai.

Āhea wau e ʻike ai i ke kauka?

Inā hoʻomaka kāu kauka iā ʻoe i ka lāʻau lapaʻau no kēia maʻi, e noi paha ʻo ia iā ʻoe e hoʻi mai i loko o hoʻokahi mahina. ʻO ia ka manawa e hiki ai iā ia ke ʻike inā e hana ana ka lāʻau lapaʻau a inā paha e hoʻoulu ana i nā hopena ʻaoʻao hoʻopilikia. I kēia manawa, e noi ʻia paha ʻoe e nānā i kou koko ma ka home i hoʻokahi manawa i ka pule, a ʻoi aku paha pinepine.Inā ʻoe e hōʻiliʻili i kēlā mau heluhelu no hoʻokahi mahina a hōʻike iā lākou i kāu kauka, e maʻalahi iā ia ke hoʻomaopopo inā e hana pono ana ka lāʻau. Eia kekahi, e nānā ke kauka inā e hāʻule ana kou waiwai systolic a me kou waiwai diastolic i lalo loa. No ka mea, inā hāʻule kou waiwai diastolic i lalo loa, ʻo ia hoʻi, ʻaʻole lawa ke koko o kou mau kino.

Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia?

Inā loaʻa iā ʻoe kahi 'pilikia hypertensive' , ʻo ia hoʻi, ʻo kou koko he 180/120 mmHg a ʻoi aku paha, pono ʻoe e ʻimi koke i ka mālama olakino ulia pōpilikia. Hiki iā ʻoe ke ʻike i kēia mau hōʻailona:

• ʻEha umauma
• Paʻakikī ka hanu ʻana
• Pōʻino
• ʻEha poʻo nui

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i nā nīnau e like me kēia:

• ʻEhia pinepine e pono ai iaʻu e hele mai e ʻike iā ʻoe?
• Pehea e hoʻomaka ai i kahi papahana hoʻoikaika kino? He aha nā hoʻoikaika kino kūpono iaʻu?
• Pono anei au e lawe i ka lāʻau lapaʻau, a i ʻole ua lawa anei nā hoʻololi ʻana i koʻu nohona no koʻu kūlana?
• He aha nā hopena ʻaoʻao e hiki iaʻu ke manaʻo mai kēia lāʻau lapaʻau?
• He aha nā waiwai e pono iaʻu e hopohopo i ka wā e nānā ai i koʻu koko koko ma ka home?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Inā loaʻa iā ʻoe ka Isolated Systolic Hypertension, ʻaʻole ʻoe hoʻokahi. He nui ka poʻe i loaʻa i kēia maʻi koko kiʻekiʻe. Mai hopohopo. Nui nā hoʻololi nohona e hiki ke kōkua iā ʻoe. Hiki iā ʻoe ke hana i kēlā mau hoʻololi iā ʻoe iho. Inā pono, aia kekahi mau lāʻau lapaʻau.

He mea hoʻopukapuka kālā nui ka mālama ʻana i kēia kūlana no kou olakino i ka wā e hiki mai ana. E mahalo aku ana kou ʻuhane i ka wā e hiki mai ana iā ʻoe no ia mea!

No laila, e mālama i kou koko, e nānā mau ʻia, a e hahai i nā ʻōlelo a kāu kauka. A laila hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli.

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ʻO ke koko kiʻekiʻe systolic i hoʻokaʻawale ʻia, ke kaomi koko, Systolic, Diastolic, ke koko kiʻekiʻe, ke olakino o ka puʻuwai, Sri Lanka