Ke piʻi nei kou koko ke ʻike ʻoe i ke kauka? Ua kapa ʻia kēia ʻo "White Coat Syndrome"!

Ua hele anei ʻoe i ke kauka a ua nānā ʻia kou koko a ʻike ʻoe ua ʻoi aku ke kiʻekiʻe ma mua o ka home? I kekahi manawa e noʻonoʻo paha ʻoe, 'Auē, he koko kiʻekiʻe koʻu?' Akā i kou hoʻi ʻana i ka home a nānā hou, ua maʻamau kou koko. ʻO ia ka mea a mākou e kamaʻilio ai, ʻo ia hoʻi ʻo "White Coat Syndrome." I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano maoli, no ke aha e hana ai, he mea weliweli paha, a me nā mea hiki iā mākou ke hana e pili ana i ia mea.

He aha ka "White Coat Syndrome"?

I ka ʻōlelo maʻalahi, ʻo ka "white coat syndrome" ʻo ia ka wā e hele ai ʻoe e ʻike i ke kauka, a i ʻole ma ka haukapila, ʻoi aku ke kiʻekiʻe o kou koko, a i ʻole ke koko, ma mua o ka maʻamau. Akā, ʻo ka mea kupanaha, inā ʻoe e ana i kou kaomi ma ka home, aia ia i loko o nā palena maʻamau. ʻO ke koko maʻamau he systolic pressure ma lalo o 120 millimeters o ka mercury (mmHg) a me ke koko diastolic ma lalo o 80 millimeters o ka mercury . E noʻonoʻo, piʻi wale kou kaomi i mua o ke kauka, akā ma ka home he mea maʻamau!

He mea kēia e noʻonoʻo ai, no ka mea, ua ʻike ʻia nā noiʻi he 5% o ka poʻe me ka "white coat syndrome" e loaʻa maoli ana i ke koko kiʻekiʻe, a i ʻole hypertension, i kēlā me kēia makahiki .

He mea nui e nānā pono i kou koko. ʻO kēia no ka mea hiki iā ia ke hoʻoholo inā pono ʻoe i ka lāʻau lapaʻau a i ʻole ka nui o ka lāʻau lapaʻau e lawe ai. E noʻonoʻo inā piʻi wale kou koko i ke keʻena o ke kauka, no laila ua hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau āu i pono ʻole ai, a i ʻole kahi nui kiʻekiʻe ma mua o ka mea e pono ai. Eia kekahi, inā ʻoe e lawe nei i ka lāʻau lapaʻau no kou koko, manaʻo paha kāu kauka ʻaʻole hana kāu lāʻau lapaʻau, a ʻo ka pilikia maoli ka "white coat syndrome."

He ʻoiaʻiʻo anei kēia "white coat syndrome"? He wahaheʻe anei?

ʻAe, he kūlana maoli kēia. ʻAʻole kēia he moʻolelo wahaheʻe a he moʻolelo hoʻokalakupua wale nō. Ua hana nā kānaka noiʻi i nā haʻawina he nui e pili ana i kēia a ua hoʻopaʻa i kā lākou mau ʻike. No laila, he mea kēia i ʻae ʻia e ka ʻepekema.

He mea weliweli anei ka "white coat syndrome"?

He mea kēia e noʻonoʻo ai. Hiki ke lilo i mea weliweli i kekahi manawa. ʻO ka poʻe me ka "white coat syndrome" he kiʻekiʻe iki paha ke koko ma mua o ka poʻe me ka ʻole o ke ʻano. Ma ke ʻano kūikawā, ua hōʻike nā haʻawina he ʻelua ka nui o ka poʻe ma luna o 60 mau makahiki a i loko o nā hui pilikia kiʻekiʻe (ʻo ia hoʻi ka poʻe i loaʻa i ka hōʻeha puʻuwai ma mua, loaʻa ka maʻi diabetes, a i ʻole nā ​​​​mea pilikia maʻi puʻuwai ʻē aʻe) e loaʻa i ka maʻi puʻuwai me kēia syndrome ma mua o ka poʻe i loko o nā hui haʻahaʻa.

Eia nō naʻe, hiki paha i kēia piʻi ʻana o ka pilikia ʻaʻole ma muli wale nō o ka "white coat hypertension", akā, ma muli o nā kumu pilikia i ʻōlelo ʻia ma mua. ʻO ia ke kumu he mea nui e kamaʻilio me ke kauka e pili ana i kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka "white coat syndrome"?

ʻOiai hiki ke ulu kēia ʻano maʻi i loko o kekahi kanaka, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. Eia nā mea:

• Nā kānaka ma luna o 50 mau makahiki.
• Nā wāhine (nā wahine).
• ʻO ka poʻe i ʻike koke ʻia me ke koko kiʻekiʻe.
• Nā kānaka me ka momona.
• ʻO ka poʻe i hoʻohana ʻole i nā huahana paka (he mea kupanaha paha kēia, akā ua hōʻike nā haʻawina i kēlā).

Pehea ka maʻamau o ka "white coat hypertension"?

ʻO kēia kūlana, i kapa ʻia ʻo "white coat hypertension," e pili ana ma waena o 15% a me 30% o ka poʻe me ke koko kiʻekiʻe. ʻO ia hoʻi, ma kahi o hoʻokahi i loko o ʻekolu poʻe me ke koko kiʻekiʻe e loaʻa paha iā ia. ʻAʻole wale ia, akā hiki nō hoʻi ke ulu i loko o ka poʻe ʻaʻohe koko kiʻekiʻe.

He aha nā hōʻailona o ka "white coat syndrome"?

Inā loaʻa iā ʻoe ka "white coat hypertension," hiki iā ʻoe ke hopohopo a me ka hopohopo ke hele ʻoe e ʻike i ke kauka. Ua like ia me ka haʻalulu iki. Hiki ke hoʻonui ʻia kēia hopohopo ke hele ʻoe i loko o ka lumi hoʻokolohua, ʻoiai ke ana ʻia kou koko. Hiki i kekahi poʻe ke hou a loaʻa ka puʻuwai e kuʻi ana.

Pehea ka hopena o ka "white coat syndrome" i kou kino?

ʻAʻole kēia he makaʻu wale nō i ke kauka. Inā hoʻomau ka "white coat syndrome" no ka manawa lōʻihi, hiki ke pili pū me:

• Hiki ke paʻakikī kou mau aʻa.
• Hiki ke hoʻopilikia ʻia ka hana o nā kīʻaha koko.
• Hiki ke piʻi aʻe ka pilikia o ka make e pili ana i ka maʻi puʻuwai (ka make ʻana o ka maʻi cardiovascular).
• Hiki ke hoʻonui ʻia ka pilikia o ka hypertrophy ventricular hema.
• Hiki ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.

ʻOiai kēlā, ʻaʻole kēia he mea e lawe māmā ʻia. He mea nui e hoʻomanaʻo ʻoiai inā piʻi kou koko i mua o ke kauka, hiki iā ia ke loaʻa nā hopena lōʻihi i kou kino.

No ke aha e kū mai ai kēia "white coat syndrome"? He aha ke kumu?

E noʻonoʻo, e hele ana ʻoe e ʻike i ke kauka, a hopohopo iki ʻoe, hoihoi iki, e like me, 'Pehea lā koʻu koko? Pehea inā kiʻekiʻe?' I kēlā manawa, hiki i kou kino, ma muli o ka hopohopo e pili ana i ka hopena, ke pane koke . Ua like ia me ka wā e ʻike ai mākou i ka pōʻino, hoʻomākaukau ko mākou kino iā ia iho e "hakakā a holo paha." ʻO ka hele ʻana i ke keʻena o ke kauka, ke komo ʻana i ka lumi hoʻokolokolo, a me ka nānā ʻana i kou koko hiki ke hoʻoulu i kēia pane.

Eia kekahi, ʻaʻole like ko mākou koko i ka lā a pau. He mea maʻamau ke loli me nā mea e like me:

• Ka manawa o ke ao (hiki ke loli ma waena o ke kakahiaka, ke awakea, a me ka pō).
• Inā paha ua hoʻomaha ʻoe a ʻaʻole paha ma mua o ke ana ʻana i kou koko.
• Ka nui o ka haumia walaʻau i kou wahi noho.
• Kou kūlana noʻonoʻo (inā paha ʻoe e hauʻoli ana, kaumaha, a makaʻu paha).

Pehea e ʻike ai i ka "white coat syndrome"?

E hiki i kāu kauka ke ʻike i kēia inā ʻoi aku ke kiʻekiʻe o kou koko ma mua o ka maʻamau (140 mmHg a ʻoi aku paha ma ka systolic a/a i ʻole 90 mmHg a ʻoi aku paha ma ka diastolic) ma ka liʻiliʻi ʻekolu mau manawa i kou kipa ʻana. Eia nō naʻe, pono ʻoe e nānā i kou koko me ka nānā ʻana i ke koko ambulatory 24-hola a i ʻole ka nānā ʻana i ke koko ma ka home.

ʻO ka mea maʻamau, inā emi kou koko ma mua o 135/85 mmHg i ka wā o ka nānā ʻana i 24 mau hola (ma ka home), akā ʻoi aku ke kiʻekiʻe ma mua o 140/90 mmHg i ka wā e nānā ai ke kauka, a laila ke kānalua ʻia nei ka "white coat syndrome".

ʻO ka Ambulatory Blood Pressure Monitoring (ABPM) kahi mea liʻiliʻi āu e ʻaʻahu ai ma kou lima a i ʻole ka pulima lima no 24 mau hola o ka lā. Ana a hoʻopaʻa pono ia i kou koko i ka lā a pau, ʻoiai ʻoe e hana ana a hiamoe ana. Penei ʻoe e ʻike pono ai i ke ʻano o kou koko ma ka home.

Ke nalo aku nei anei kēia "white coat syndrome"?

ʻO ka maʻamau, hiki i kēia ʻano ke hoʻomau no nā makahiki . ʻOiai inā ʻike ʻoe i ke kauka hoʻokahi i kēlā me kēia makahiki, ʻaʻohe mea pehea kou ʻoluʻolu a me kou ʻoluʻolu me kēlā kauka, e hoʻomau paha kēia. ʻO ke ʻano kēia, ʻaʻole wale kēia he makaʻu i ke kauka , akā he mea paʻakikī aʻe.

Pehea e mālama ʻia ai ka "white coat syndrome"?

E haʻi aku paha kāu kauka iā ʻoe e nānā mau i kou koko ma ka home. E kōkua kēia iā ʻoe e hoʻoholo inā he koko kiʻekiʻe maoli kou. Hiki iā ʻoe ke kūʻai i kahi mea nānā koko no ka hoʻohana ʻana ma ka home. A i ʻole, aia kekahi mau hale kūʻai lāʻau lapaʻau i nā mīkini e ana i kou koko, ʻeā? Hiki iā ʻoe ke hoʻohana i kēlā mau mea.

Eia kekahi, hiki i kāu kauka ke noi iā ʻoe e hana i kekahi mau hoʻololi i kou nohona, e like me:

• E hoʻoikaika kino pinepine. E like me ka hele wāwae no 30 mau minuke ma ka liʻiliʻi i ka lā.
• Ka hoʻemi ʻana i ke kaumaha . He mea nui e mālama i kahi kaumaha kūpono no kou kiʻekiʻe.
• E hōʻemi i ka nui o ka paʻakai āu e ʻai ai. E kaupalena i nā mea e like me nā pickles, iʻa maloʻo, a me nā sausage.
• Ke pale ʻana i ka hoʻohana ʻana i nā huahana paka .

Eia nō naʻe, inā he mau mea pilikia ʻē aʻe kou no ka maʻi cardiovascular, e like me ka momona a me ka puhipaka, hiki i kāu kauka ke haʻi aku iā ʻoe e hoʻomaka e lawe i nā lāʻau hoʻohaʻahaʻa koko, i kapa ʻia ʻo "antihypertensives."

He aha ka mea e hiki ke hana ʻia e hoʻopau, a e hōʻemi paha, i ka "white coat syndrome"?

Inā hiki iā ʻoe, e hoʻāʻo e noho mālie a hoʻomaha i kou hele ʻana i ke kauka. E kōkua kēia iā ʻoe e hoʻokokoke i kou koko i ka pae āu i loaʻa ai ma ka home. E nānā inā kōkua kēia mau ʻōlelo aʻoaʻo:

• E kūkulu i kahi pilina maikaʻi me kāu kauka. E kōkua kēia iā ʻoe e ʻoluʻolu e kamaʻilio me ia. Inā ʻaʻole ʻoe ʻoluʻolu me kāu kauka o kēia manawa, e hoʻāʻo e ʻimi i kahi kauka ʻē aʻe.
• E kākau i lalo i kekahi mau nīnau āu e makemake ai e nīnau a lawe pū me ʻoe. A laila, ʻaʻole ʻoe e hopohopo e pili ana i ka noʻonoʻo ʻana, "Auē, ua poina iaʻu ke nīnau i kēlā."
• E hoʻokaʻawale i kahi manawa hou ma mua o ka hele ʻana i kāu manawa i hoʻonohonoho ʻia. E hoʻokū i kāu kaʻa, e hele me ka hopohopo ʻole, a e ʻoluʻolu ʻoe.
• E pale i ka puhipaka, ka inu kofe, a i ʻole ka hoʻoikaika kino no ka hapalua hola ma mua o kou manawa i hoʻonohonoho ʻia ai. Hiki i kēia ke hoʻonui i kou koko koko no kekahi manawa.

Nā lāʻau lapaʻau no ka "White Coat Syndrome" a me ko lākou mau hopena ʻaoʻao

ʻO ka maʻamau, kuhikuhi wale nā ​​​​kauka i nā lāʻau lapaʻau no ka "white coat syndrome" inā he mau kumu pilikia ʻē aʻe kou no ka maʻi puʻuwai. I ka hapanui o nā hihia, pili ka lāʻau i nā hoʻololi o ke ʻano o ka nohona , e like me ka hōʻemi ʻana i ke kaumaha a me ka hōʻemi ʻana i ka paʻakai i kāu meaʻai. Eia nō naʻe, pono paha i ka poʻe i loaʻa i ka pilikia nui no ka maʻi puʻuwai ke lawe i nā lāʻau hoʻohaʻahaʻa koko ("anticherapies").

E like me nā lāʻau lapaʻau āpau, hiki i nā lāʻau lapaʻau koko ke hana i nā hopena ʻaoʻao liʻiliʻi i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā hiki i kekahi poʻe ke ʻike i nā mea e like me:

• Manaʻo puni.
• ʻEha poʻo.
• Manaʻo e like me ka ʻōpū ʻeha.

Inā hana kēia, e haʻi i kāu kauka . Hiki paha iā ia ke hoʻololi i ka lāʻau lapaʻau a hoʻoponopono paha i ka nui.

Pehea e hōʻemi ai i ka pilikia o ka "white coat syndrome"?

Ma ke kamaʻilio ʻana me kāu kauka a me ka wehewehe ʻana i kou mau hopohopo , hiki iā ʻoe ke hōʻemi nui i kou makaʻu a me kou hopohopo. Hiki i kēia ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka "white coat hypertension."

Inā loaʻa iaʻu ka "white coat syndrome", he aha kaʻu e manaʻo ai?

Ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka pilikia o ka poʻe me ka "white coat hypertension" i ka loaʻa ʻana o nā pilikia cardiovascular ma mua o ka poʻe me ke koko koko maʻamau. ʻO ke ʻano kēia, ʻaʻole ia he mea hiki iā ʻoe ke hoʻowahāwahā wale ma ke keʻena o ke kauka. Eia nō naʻe, ʻo ka mea nui loa, ʻo ia ke nānā ʻana i kou koko koko ma ka home a hana i nā hoʻololi nohona a kāu kauka e ʻōlelo ai. Inā pono, he mea nui hoʻi e lawe i kāu lāʻau lapaʻau i kuhikuhi ʻia e like me ka mea i kuhikuhi ʻia.

Pehea wau e mālama ai iaʻu iho?

• E nānā pinepine i kou koko ma ka home. E kōkua kēia iā ʻoe e hoʻoholo inā aia kou koko i loko o nā palena maʻamau.
• Inā kiʻekiʻe mau kou koko koko ʻoiai ke nānā ʻoe iā ia ma ka home, e ʻike pono i kāu kauka. Ma kēlā ala, hiki iā ʻoe ke ʻike inā kiʻekiʻe maoli kou koko koko.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i nā nīnau e like me kēia. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo maikaʻi i kēia.

• "E ke kauka, ehia pinepine e pono ai iaʻu ke nānā i koʻu koko ma ka home?"
• "Pehea e ana pololei ai i koʻu koko ma ka home? Aia kekahi ala kūpono e hana ai?"
• "Inā lawe mai au i kaʻu mea nānā koko i ka home, hiki i ke kauka ke nānā i kona pololei?"

ʻO ka nīnau ʻana i nā nīnau e like me kēia e hāʻawi iā ʻoe i kahi manaʻo nui o ka hoʻoikaika ʻana, a e kōkua ia i ke kauka e hoʻomaopopo maikaʻi i kou kūlana.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau? (Leka Lawe-Home)

Ke ana ke kauka i kou koko a ʻōlelo ʻo ia he kiʻekiʻe, e hopohopo paha ʻoe a makaʻu iki paha. He mea maʻamau kēlā. Eia naʻe, ʻaʻole ia he manaʻo mau ua kiʻekiʻe maoli kou koko. Malia paha he hopohopo iki a makaʻu paha ʻoe no ka mea aia ʻoe i ke keʻena o ke kauka. Ua kapa ʻia kēlā ʻo "White Coat Syndrome."

ʻO ka mea nui loa, ʻo ia ke nānā mau i kou koko ma ka home. E nānā iā ia ma kahi hale kūʻai lāʻau lapaʻau a i ʻole me kahi mea nānā ma ka home. Inā maʻamau nā waiwai ma ka home, e haʻi i kāu kauka . A laila hiki iā ia ke hoʻohou i kāu mau moʻolelo. Eia kekahi, inā kiʻekiʻe mau ke kaomi ke nānā ʻoe ma ka home, pono ʻoe e haʻi i kāu kauka . No ka mea, a laila ʻo ia hoʻi he koko kiʻekiʻe paha kou. ʻO ke ala wale nō e ʻike pono ai i ke ʻano o ke kūlana, ʻo ia ke nānā mau i kou koko a kamaʻilio me kāu kauka e pili ana i ia mea. Mai hopohopo, inā ʻike ʻoe i kēia a mālama pono iā ia, hiki iā ʻoe ke noho olakino!

ʻO ka maʻi ʻaʻahu keʻokeʻo, ke koko kiʻekiʻe, ke koko, kauka, hopohopo, maʻi puʻuwai, ke koko kiʻekiʻe