Ua lawe anei ʻoe i kou koko, a i ʻole "kaomi" e like me kā mākou e kapa nei, a nānā wale i nā helu luna a me lalo ma ka hōʻike? Hana ka nui o ka poʻe. Akā, ua ʻike anei ʻoe ʻo ka "ʻokoʻa" a i ʻole ka hakahaka ma waena o kēlā mau helu ʻelua e hāʻawi mai iā mākou i nā hōʻailona koʻikoʻi e pili ana i ke olakino o kou puʻuwai a me nā kīʻaha koko? ʻO kēlā hakahaka ka mea a mākou e kapa nei he "Pulse Pressure" i ka lāʻau lapaʻau. ʻAʻole paha ʻoe i lohe i kēia huaʻōlelo ma mua. Akā, mai hopohopo, he maʻalahi loa ia. I kēia lā e kamaʻilio maopopo mākou e pili ana i nā mea a pau, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha ke kaomi pulse?
ʻO ke kaomi pulse ka ʻokoʻa ma waena o nā heluhelu ʻelua ke ana ʻoe i kou kaomi koko. He mea maʻalahi loa ia.
Ke ana ʻoe i kou kaomi, loaʻa iā ʻoe ʻelua mau helu, ʻeā?
1. ʻO ka helu kiʻekiʻe: Ua kapa ʻia kēia ʻo ke kaomi systolic. Ana kēia i ke kaomi kiʻekiʻe loa i loko o kou mau kīʻaha koko i ka wā e paʻi ai kou puʻuwai a pamu i ke koko i kou kino.
2. Helu lalo: Ua kapa ʻia kēia ʻo ke kaomi diastolic. Ke ana kēia i ke kaomi haʻahaʻa loa i loko o nā kīʻaha koko ke pau ka puʻuwai i ke kuʻi ʻana a hoʻomaha no kekahi manawa e hoʻopiha hou me ke koko.
Loaʻa ke kaomi pulse penei: E unuhi i ka helu lalo (Diastolic) mai ka helu luna (Systolic).
E noʻonoʻo he 120/80 mmHg kou koko. (ʻo mmHg ke ana o ke koko).
A laila ʻo ke kaomi o kou pulse: 120 - 80 = 40 mmHg .
ʻO ke kaomi pulse awelika no kahi pākeke olakino ma kahi o 40 mmHg . He mea maʻamau ka piʻi iki ʻana o kēia waiwai i ko kākou ʻelemakule ʻana. Eia nō naʻe, i kekahi manawa, ʻo ke kiʻekiʻe loa a haʻahaʻa loa paha kahi waiwai hiki ke lilo i hōʻailona o kahi pilikia me kāu ʻōnaehana cardiovascular ma mua o ka puka ʻana o nā hōʻailona.
Akā e hoʻomanaʻo i hoʻokahi mea. ʻO kēia kaomi pulse hoʻokahi wale nō ana o kou olakino. E nānā kāu kauka i nā mea ʻē aʻe he nui e like me kēia i ka wā e hoʻoholo ai e pili ana i kou olakino. No laila, mai hopohopo pono ʻole ma ka noʻonoʻo ʻana i hoʻokahi wale nō waiwai.
No ke aha e loli ai koʻu kaomi pulse ke nānā au i koʻu koko i kēlā me kēia mau minuke?
He pilikia kēia i loaʻa i nā poʻe he nui. ʻAe, he mea maʻamau loa ia no kou koko a me ke kaomi o ka pulse e loli iki mai kēlā manawa a i kēia manawa. ʻAʻohe pono e hopohopo no ia mea.
E noʻonoʻo e pili ana i ia mea, i kou hanu ʻana, i kou hoʻololi ʻana i kou kūlana, a ma muli o ka manawa o ka lā, loli iki ka nui o ke koko a kou puʻuwai e pamu ai. Hoʻololi kēia i nā loli liʻiliʻi o ke kaomi, ma kahi o 5 mmHg a 10 mmHg. ʻO ia ke kumu e loli iki ai ke kaomi pulse. ʻAʻole ia he pilikia nui. Pono mākou e hopohopo inā e hoʻomau kēia waiwai i ka maʻamau ʻole.
He aha ka manaʻo o ke "kaomi pulse ākea"?
ʻO ke kaomi pulse ākea ka wā e "ākea" loa ai ka hakahaka ma waena o ka helu kiʻekiʻe a me ka helu lalo o kou kaomi koko. I ka ʻōlelo maʻalahi, ʻo ia ka wā e kiʻekiʻe mau ai kou kaomi pulse ma mua o kahi waiwai e like me 50 mmHg a i ʻole 60 mmHg.
E noʻonoʻo i ke kaomi koko o kekahi he 140/80 mmHg.
A laila ʻo ke kaomi Pulse = 140 - 80 = 60 mmHg. ʻOi aku kēia ma mua o ka waiwai maʻamau.
No ke aha lā kēia e hana nei?
I ko kākou ʻelemakule ʻana, e emi mālie ana ka palupalu o ko kākou mau kīʻaha koko, a lilo lākou i "ʻoʻoleʻa" iki. Ua like ia me kahi paipu laholio hou e lilo i ʻoʻoleʻa i ka hala ʻana o ka manawa a ʻaʻole e kūlou hou. Kāhea mākou i kēia maʻi he atherosclerosis . Hiki i ka poʻe me ka maʻi diabetes a me nā maʻi puʻupaʻa ke ʻoʻoleʻa koke ko lākou mau kīʻaha koko.
Ke paʻakikī nā kīʻaha koko, ʻaʻole e ʻae nā kīʻaha koko i ke kaomi e hoʻokuʻu ʻia ke kuʻi ka puʻuwai a hoʻopuehu i ke koko (Systolic). No laila, piʻi nui ka helu kiʻekiʻe. Pēlā nō, ke hoʻomaha ka puʻuwai (Diastolic), hāʻule koke ke kaomi ma muli o nā kīʻaha koko paʻakikī. No laila, emi ka helu lalo. A laila e nui aʻe ka hakahaka ma waena o ka helu kiʻekiʻe a me ka helu lalo.
He aha nā pilikia o ke kaomi pulse kiʻekiʻe?
ʻO ke kaomi pulse kiʻekiʻe mau i loko o kahi kanaka i hana ʻole i ke kino he hōʻailona paha ia o nā pilikia olakino i ka wā e hiki mai ana.
- Piʻi ka pilikia o ka maʻi puʻuwai .
- Piʻi ka pilikia o ka hahau ʻana .
- Hiki ke loaʻa nā ʻano hewa o ka manawa o ka puʻuwai (arrhythmia) .
- ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes he nui ka pilikia o ka hōʻino ʻana i nā maka a me nā puʻupaʻa.
Ua hōʻike ʻia nā haʻawina e hoʻonui ana kēlā me kēia piʻi ʻana o 10 mmHg i ke kaomi pulse i ka pilikia o ka hoʻomohala ʻana i ka maʻi artery coronary ma kahi o 23%.
Eia nō naʻe, ʻoi aku paha ke kiʻekiʻe o ke kaomi pulse o nā mea pāʻani akamai, ʻoiai hoʻi nā mea holo mamao. ʻAʻole ia he pilikia. No ka mea, ua olakino a ulu maikaʻi ko lākou puʻuwai, ʻoi aku ka nui o ke koko e hoʻopuka ai lākou i kēlā me kēia kuʻi ma mua o ke kanaka maʻamau. He ʻano olakino kēlā.
He aha ka manaʻo o ke "kaomi pulse haiki"?
ʻO ke kaomi pulse haiki ke "haiki" loa ka hakahaka ma waena o ka helu kiʻekiʻe a me ka helu lalo. Ma keʻano laulā, inā emi ke kaomi pulse ma mua o ka hapahā o kāu helu kiʻekiʻe (systolic), manaʻo mākou he kaomi pulse haiki ia.
Eia kekahi laʻana, e ʻōlelo kākou he 100/85 mmHg ke koko o kekahi.
A laila ke kaomi o ka Pulse = 100 - 85 = 15 mmHg.
ʻO kēia waiwai o 15 he hapahā (25) ka emi ma mua o ka helu ma luna, ʻo 100. No laila, he Narrow Pulse Pressure kēia.
No ke aha lā kēia e hana nei?
Hiki mai kēia kūlana ke hiki ʻole i ka puʻuwai ke pamu i ke koko kūpono. Aia kekahi mau kumu no kēia:
- Ka hāʻule ʻana o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai.
- Ka nui o ke koko i nalowale mai ke kino ma muli o kahi ulia.
- ʻO ka cardiac tamponade kahi kūlana e hōʻiliʻili ai ka wai a puni ka puʻuwai, e pale ana i ka puʻuwai mai ka hana pono ʻana.
I kēia hihia, hāʻule ka helu kiʻekiʻe (Systolic) no ka mea ʻaʻole hiki i ka puʻuwai ke pamu i ke koko me ka ikaika. Akā hoʻāʻo ke kino e mālama i ke kaomi ma o ka hoʻopaʻa ʻana i nā kīʻaha koko e hoʻolako i ke koko i nā ʻōpū koʻikoʻi. No laila, ʻaʻole hāʻule nui ka helu lalo (Diastolic). A laila lilo ka hakahaka ma waena o ka helu kiʻekiʻe a me ka helu lalo i mea liʻiliʻi loa.
Hiki iā ʻoe ke loaʻa kahi ʻike maopopo o kēia mai ka papa ma lalo nei.
| ʻAno Kaomi Pulse | Manaʻo | Nā kumu kūpono |
|---|---|---|
| Ola kino (Maʻamau) | ʻO ka waiwai ma kahi o 40 mmHg. Aia kahi ʻokoʻa maikaʻi ma waena o nā waiwai o ke kaomi o luna a me lalo. | ʻO ke olakino puʻuwai maikaʻi a me nā kīʻaha koko palupalu. |
| Laulā | Noho ka waiwai ma luna o 60 mmHg. Nui ka hakahaka. | Ka ʻelemakule, ka atherosclerosis, ke koko kiʻekiʻe, kekahi mau maʻi valve puʻuwai. |
| Haʻahaʻa / Haiki | ʻOi aku ka liʻiliʻi o ka waiwai ma mua o 1/4 o ka helu ma luna. He liʻiliʻi loa ka hakahaka. | Ka hāʻule ʻana o ka puʻuwai, ke kahe nui ʻana o ke koko, ka hāʻule ʻana o ka puʻuwai. |
No ke aha he mea nui e kāohi i ke kaomi pulse?
He mea nui loa ia e hoʻokele pono i ke kaomi o kou pulse, no ka mea, ʻo ke kaomi pulse kiʻekiʻe ʻo ia hoʻi ke hana ikaika nei kou puʻuwai ma mua o ka maʻamau, a i ʻole ua haiki kou mau kīʻaha koko, a i ʻole nā mea ʻelua.
No kēia mau kumu ʻelua, ʻo ʻoeUa piʻi nui ka pilikia o ka loaʻa ʻana o kahi maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a i ʻole ka hahau . He kiʻekiʻe loa kēia pilikia no ka poʻe ma luna o 55 mau makahiki. No laila, he mea naʻauao ke makaʻala i kēia a hana i nā hana e pono ai.
He aha kaʻu e hana ai e mālama i koʻu kaomi pulse i kahi pae maikaʻi?
ʻO ke kāohi ʻana i ke kaomi o kou pulse e pili ana i ke kāohi ʻana i kou kaomi koko holoʻokoʻa. Aia kekahi mau mea maʻalahi akā maikaʻi loa hiki iā ʻoe ke hana e kōkua.
- E kiʻi i kahi nānā lapaʻau ma ka liʻiliʻi hoʻokahi manawa i ka makahiki: ʻO ke koko kiʻekiʻe he "mea pepehi leo ʻole" ʻaʻole ia e hōʻike pinepine i nā hōʻailona. No laila inā makemake ʻoe e loaʻa kahi pilikia ma mua o ka ʻoi aku ka ʻino, e ʻike i kāu kauka a e kiʻi i nā nānā maʻamau .
- E ʻai i ka meaʻai momona: E hōʻemi i nā meaʻai kiʻekiʻe i ka paʻakai a me ka momona i ka hiki. ʻOi aku ka maikaʻi o ka kaupalena ʻana i kāu ʻai paʻakai i hoʻokahi punetune (5-6 grams) i kēlā me kēia lā. E hoʻokomo i nā mea kanu, nā huaʻai, a me nā greens i kāu papaʻai.
- E hana ikaika: E hoʻoikaika kino ma ka liʻiliʻi he 30 mau minuke i ka lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala. He mea maikaʻi kēia no kou puʻuwai a me ke kahe ʻana o ke koko.
- E kaupalena i ka inu ʻona: ʻO ka inu ʻona kekahi o nā kumu nui o ke koko kiʻekiʻe, no laila he mea nui e kāohi iā ia.
- E ʻike i kou mau pilikia: Inā loaʻa i kekahi o kou ʻohana ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol, a i ʻole ka maʻi puʻuwai, e haʻi i kāu kauka i hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo kūikawā.
- E hoʻohana i ka lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻana: Inā ua kuhikuhi kāu kauka i ka lāʻau lapaʻau no kou koko koko, mai hōʻalo iā ia. Mai hōʻalo i ka lawe ʻana i kāu lāʻau lapaʻau me ka manaʻo, "E maikaʻi kēia lā nou." E lawe i ka nui i kuhikuhi ʻia i ka manawa kūpono.
- E ana i kou koko ma ka home: Inā hiki, e kūʻai i kahi mea nānā koko hiki iā ʻoe ke hoʻohana ma ka home. E ana i kou koko ma ka liʻiliʻi he ʻelua a ʻekolu paha manawa i ka pule a kākau i lalo. E hāʻawi kēia iā ʻoe i kahi ʻike maikaʻi aʻe i nā loli o kou koko.
Āhea wau e kamaʻilio ai me ke kauka e pili ana i kēia?
Inā nānā pinepine ʻoe i kou kaomi koko ma ka home, a ʻike ʻoe ua ʻoi aku ke kaomi o kou pulse ma mua o 60 mmHg , a inā ʻike ʻoe he haʻahaʻa loa ia (haiki) , pono ʻoe e ʻike i kāu kauka a kamaʻilio e pili ana i ia mea.
I kekahi manawa, hiki paha iā ʻoe ke huikau ke kiʻekiʻe ka helu kiʻekiʻe o kou koko a haʻahaʻa ka helu lalo. ʻO ke ala maikaʻi loa e ʻike pono ai inā he ʻelemakule maʻamau kēia a i ʻole he hōʻailona o kahi pilikia olakino ʻē aʻe, ʻo ia ke kamaʻilio me kāu kauka. E hoʻohana ʻo ia i kāu heluhelu kaomi pulse e ʻike hou aʻe e pili ana i ke olakino o kou puʻuwai a me nā kīʻaha koko.
ʻOiai he mea maikaʻi ke noiʻi ʻana i ka ʻike ma ka pūnaewele, mai hoʻāʻo e ʻike i kahi maʻi ma kāu iho. ʻO ke kanaka maikaʻi loa e kamaʻilio pū ai e pili ana i kāu hōʻike a me kāu mau pilikia, ʻo ia kāu kauka.
Leka Lawe-Home
- ʻO ke kaomi pulse ka ʻokoʻa ma waena o nā helu kiʻekiʻe a me lalo o kou koko.
- ʻO ka maʻamau, ʻo ke ana olakino ma kahi o 40 mmHg.
- Inā ʻoi aku ke kaomi o ka pulse ma luna o 60 mmHg (ākea), he hōʻailona paha ia o ka paʻakikī ʻana o nā aʻa a me ka piʻi ʻana o ka maʻi puʻuwai.
- Inā haʻahaʻa loa ke kaomi o ka pulse (hāiki), he hōʻailona paha ia ʻaʻole hiki i ka puʻuwai ke pamu i ke koko i kūpono.
- ʻO ke kaohi ʻana i kou kahe koko holoʻokoʻa ke ala maikaʻi loa e mālama ai i ke kaomi o kou pulse ma kahi pae olakino.
- Inā he kānalua a nīnau paha kāu e pili ana i kou mau helu koko, e kamaʻilio me kāu kauka e pili ana i ia mea.











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