Ua ʻike paha ʻoe i kēia mau mīkini liʻiliʻi ma nā hale kūʻai lāʻau lapaʻau a i ʻole nā hale kūʻai pūnaewele hiki iā ʻoe ke kau maʻalahi ma kou pulima e nānā i kou koko. Ua like lākou me kahi uaki a he mea maʻalahi loa ke hoʻohana. Akā ke ʻike ʻoe iā lākou, ke noʻonoʻo nei paha ʻoe, "Pololei maoli anei ka heluhelu?", "ʻOi aku ka maikaʻi o kēia ma mua o ka mīkini nui āu e kau ai ma kou lima luna?", "Ua maikaʻi anei kēia iaʻu?" No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau e pono ai ʻoe e ʻike e pili ana i kēia mau mea nānā koko pulima.
He aha kēia mea nānā i ke kaomi koko o ka pulima?
I ka ʻōlelo maʻalahi, he mea hana kēia e hiki ai iā ʻoe ke ana i kou koko (BP) ma ka home. ʻO ka hapa nui o kēia mau mea he cuff āu e ʻōwili ai a puni kou pulima. Hoʻopili ʻia kēia cuff i kahi pale hōʻike kikohoʻe e hōʻike ana i kāu heluhelu kaomi.
Aia kekahi mau monitor i loaʻa i kēia manawa hiki ke hoʻohana ʻia e like me ka uaki akamai. Hiki i kēia mau mea hiki ke hoʻohana ʻia ke nānā ʻaʻole wale i kou koko, akā, i nā ʻike ʻē aʻe, e like me ka nui o kāu hoʻoikaika kino a me kou hiamoe ʻana.
ʻO ka pōmaikaʻi nui o kahi hāmeʻa e like me kēia, ʻo ia ka hiki iā ʻoe ke loaʻa kahi manaʻo o ke ʻano o ka loli ʻana o kou koko i kāu mau hana maʻamau o kēlā me kēia lā. ʻO ke ʻano kēia, ma kahi o ka nānā wale ʻana iā ia ke hele ʻoe i ke kauka, kōkua ia iā ʻoe a me kāu kauka e hoʻomaopopo maikaʻi i ke ʻano o kou koko ma ka home a ma ka hana.
Eia nō naʻe, aia kekahi mea nui e hoʻomanaʻo ai ma ʻaneʻi. ʻO nā monitor lima lima i manaʻo ʻia he ʻoi aku ka pololei ma mua o nā monitor lima luna. No laila, paipai wale nā kauka iā lākou i kekahi mau hihia kūikawā.
He aha ka ʻokoʻa ma waena o ka nānā ʻana i ka lima luna a me ka nānā ʻana i ka pulima?
Ke ana nei nā ʻano mea nānā ʻelua i ke kaomi o ke koko e kahe ana ma o nā aʻa koko ma ko mākou kino luna. Eia nō naʻe, ua lawe ʻia kēia ana mai ʻelua mau wahi like ʻole. Hiki i kēia ʻokoʻa ke hana i kekahi mau ʻokoʻa i nā hopena. E hoʻomaopopo pono kākou i kēia ʻokoʻa.
| Ke kumu o ka hoʻololi | Ka Nānā Lima Luna | Mea nānā lima |
|---|---|---|
| Kahi e lawe ʻia ai ke ana | Lawe ʻia ke ana mai ke aʻa brachial, aia ma ka lima luna, ma luna pono o ke kuʻekuʻe lima. ʻO kēia kahi e nānā ai ke kauka ma ke keʻena lapaʻau. | Lawe ʻia ke ana mai ke aʻa radial, aia ma ka pulima. Aia kēia aʻa ma kahi ʻoi aku ma mua o ka ʻili. |
| Pololei | Ua manaʻo ʻia kēia ʻo ke ʻano pololei loa a ʻōlelo ʻia hoʻi i ka ʻepekema lapaʻau. Ua kapa ʻia ʻo ia ʻo "ke kūlana gula." | Inā ʻoe e hoʻohana ia mea ma ke kūlana kūpono, hiki iā ʻoe ke loaʻa nā hopena kūpono. Akā inā hewa iki ke kūlana, hiki i nā hopena ke hewa loa. |
| Ka loli hiki ke loaʻa i ka waiwai o ke kaomi | ʻOi aku ka hilinaʻi o kēia no ka mea ua like ka waiwai i loaʻa me ke kaomi ma loko o kahi aʻa nui kokoke i ka puʻuwai. | Ma muli o ke ana ʻia ʻana i loko o kahi aʻa liʻiliʻi, mamao loa mai ka puʻuwai, hiki ke ʻokoʻa iki ke kaomi ma ʻaneʻi ma mua o ka lima o luna. Ua hōʻike kekahi mau noiʻi e ʻoi aku ka kiʻekiʻe o ke kaomi kiʻekiʻe (systolic) ma ka pulima lima. |
No kēia mau kumu, he mea nui e hoʻohana i kahi hāmeʻa home ma lalo o ke alakaʻi a kāu kauka , ʻoiai inā he hāmeʻa home ia. E ʻae kēia i kāu kauka e hoʻomaopopo i ka ʻokoʻa ma waena o nā heluhelu āu e lawe ai ma ka home a me nā heluhelu āu e lawe ai ma ke keʻena lapaʻau a hana e like me ia.
No laila, ʻo wai ka mea e pono ai kahi monitor i kau ʻia ma ka lima?
Inā haʻi aku kāu kauka iā ʻoe e nānā i kou koko ma ka home, aia paha kekahi mau kumu no ka hana ʻana pēlā. ʻO ka maʻamau, ʻo ka mea nānā lima luna ka mea mua a lākou e ʻōlelo ai. Eia nō naʻe, i kekahi mau hihia kūikawā, ʻoi aku ka kūpono o ka mea nānā lima.
No ke aha ʻoe e haʻi mai ai iaʻu e nānā i koʻu koko ma ka home?
- Inā ua ʻike ʻia ʻoe he koko kiʻekiʻe (Hypertension) a i ʻole ke koko haʻahaʻa (Hypotension) .
- Inā he mau kumu pilikia kou no ke koko kiʻekiʻe.
- Inā ua hoʻomaka ʻoe i kahi lāʻau lapaʻau hou no kou koko koko, e ʻike i kona hopena.
- Inā hāpai ʻoe.
- Loaʻa iā ʻoe ka "White Coat Hypertension"Inā kānalua ke kauka ua loaʻa iā ʻoe. ʻO ia hoʻi, e piʻi wale kou koko ke ʻike ʻoe i ke kauka a hele paha i ka haukapila, akā he mea maʻamau ia ma ka home.
- Inā kānalua ʻoe he "masked hypertension" kou, ʻo ia hoʻi, he maʻamau kou koko ma ke keʻena o ke kauka, akā kiʻekiʻe ia ma ka home.
Ma kekahi o nā hihia i luna, ʻo ke koho mua a nā kauka ka mea nānā lima luna.
No laila, no wai ka mea nānā lima e kūpono?
- Inā pilikia ʻoe i ka loaʻa ʻana o kahi cuff e kūpono i kou lima luna (no ka laʻana, inā he nui loa ʻoe a lahilahi paha).
- Inā he maʻi a maʻi paha kou e ʻeha ai ke ana ʻana i ke koko o kou lima luna.
I kēia hihia, ʻoi aku ka pono o ka hoʻohana ʻana i kahi mea nānā lima. Eia nō naʻe, ʻo ka hoʻoholo hope loa i ke ʻano kūpono iā ʻoe e hana ʻia ma hope o ke kūkākūkā ʻana me kāu kauka.
Pehea ʻoe e hoʻohana pono ai i kēia mīkini?
No ka loaʻa ʻana o nā hopena pololei mai kahi monitor pulima, he mea nui e hoʻohana pono ia e like me ka mea e pono ai . ʻOiai kahi hewa liʻiliʻi hiki ke hoʻololi loa i ka heluhelu ʻana.
Inā kūʻai ʻoe i kahi hāmeʻa hou, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke lawe pū me ʻoe i ka manawa aʻe e ʻike ai ʻoe i kāu kauka. Ma kēlā ala, hiki i kāu kauka ke hoʻohālikelike i nā heluhelu mai ka hāmeʻa o ke keʻena lapaʻau me nā heluhelu mai kāu hāmeʻa e loaʻa ai kahi manaʻo o kona pololei. Hiki iā ʻoe ke hoʻomaʻamaʻa i ke kūlana pololei āu e pono ai e hoʻohana ai ma kahi.
I ke ana ʻana i kou koko ma ka home, e hahai i kēia mau hana.
| ʻO ke kaʻina hana kūpono e hahai ai ma mua a i ka wā o ke ana ʻana i ke koko | |
|---|---|
| KaʻAnuʻu Hana 1: Hoʻomākaukau | |
| E mālie. | E hōʻalo i ke kofe, nā huahana paka, a hoʻoikaika kino i 30 mau minuke ma mua o ka helu ʻana i kou koko. E hele i ka lua a noho mālie no 5 mau minuke ma mua o ka helu ʻana i kou koko. |
| E noho pololei. | E noho ma luna o kahi noho, me kou kua i pololei a me kou mau wāwae e pālahalaha ana ma ka papahele. E kau i kahi ʻili pālahalaha, e like me ka papa ʻaina, i mua ou. |
| KaʻAnuʻu Hana 2: Ke Loaʻa ʻana o ke Ana | |
| E komo i ka hāmeʻa. | E hoʻokomo i ka cuff o ka mea hana i kou pulima, e hōʻoia ʻaʻole paʻa loa a ʻaʻole hoʻi e laha loa. |
| Ke kūlana o ka lima (he mea nui loa kēia) | E kau i kou kuʻekuʻe lima ma ka papa ʻaina. A laila, e kulou mālie i kou lima, e kau ana i ka poho lima me ka pulima ma kou umauma, ma ka pae like me kou puʻuwai . |
| E ana i ke ana. | E ana i ke ana ʻoiai e noho hoʻomaha ana ma kēia kūlana, me ka ʻole o ke kamaʻilio ʻana a me ka neʻe ʻana. |
Nā mea pono ʻole ʻoe e hana i ka wā e ana ana i kahi ana:
* E mālama i kou pulima ma luna a ma lalo paha o ka pae o ka puʻuwai.
* Ke hoʻomaha nei i kou pulima ma luna o ka papaʻaina a i ʻole ma kou ʻūhā.
* E hoʻohaʻahaʻa ana i kou lima.
ʻO ka mālama ʻana i kēia kūlana pololei ke kumu o ka loaʻa ʻana o ka hopena kūpono.
ʻO ke koʻikoʻi o ka mālama ʻana i kahi puke moʻolelo kaomi
Loaʻa paha i kāu mīkini nā heluhelu kahiko i mālama ʻia i loko o ka hoʻomanaʻo. Eia nō naʻe, he mea nui loa e kākau i kēlā mau heluhelu āpau i loko o kahi puke. Ma kēlā ʻano, e maʻalahi ka hōʻike ʻana i ke kauka.
E hoʻopaʻa i kēia mau mea i loko o kāu puke moʻomanaʻo:
- ʻO ka lā a me ka manawa i lawe ʻia ai kēlā me kēia ana.
- ʻO ka maʻamau, e haʻi aku kāu kauka iā ʻoe e lawe i kāu mau heluhelu ʻelua i ka lā (ma mua o ka ʻaina kakahiaka a ma mua o ka hiamoe ʻana). I kēlā me kēia manawa, e lawe i ʻelua mau heluhelu ma kahi o hoʻokahi minuke ka mamao. ʻO ia hoʻi, e hoʻopaʻa ʻia ʻehā mau heluhelu i kēlā me kēia lā ma ka puke.
- Inā he mea kūikawā e pili ana i kēlā lā, e kākau pōkole i lalo. Eia kekahi laʻana, "Ke luhi loa nei au i kēia lā," "ʻAʻole au i hiamoe maikaʻi i ka pō nei," a i ʻole "Ke maʻi iki nei au." E noi paha kāu kauka iā ʻoe e kākau i lalo i nā manawa āu i lawe ai i kāu mau lāʻau lapaʻau.
Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?
ʻAʻole e hoʻoponopono wale ka nānā ʻana i kou koko koko ma ka home i nā mea āpau. He kōkua wale nō ia i ka mālama ʻana i ke olakino. No laila, e ʻimi koke i ke kōkua lapaʻau i nā kūlana e like me kēia.
| Pilikia! E kelepona koke i ka 1990 a i ʻole e hele i ka ETU (Emergency Treatment Unit) | |
|---|---|
| Ka pilikia koko kiʻekiʻe | Inā piʻi koke kou koko i 180/120 mmHg a ʻoi aku paha , me nā hōʻailona e like me ka ʻeha poʻo nui, ka poniuniu, ka ʻeha o ka umauma, a me ka paʻakikī o ka hanu ʻana, he pilikia olakino kēia. |
| E kamaʻilio me kāu kauka. | |
| Heluhelu ʻokoʻa | Inā hoʻomau ke kiʻekiʻe a i ʻole ka haʻahaʻa o kou koko ma mua o ka maʻamau no kekahi mau lā. |
| Nā nīnau e pili ana i ka hāmeʻa | Inā pilikia ʻoe i ka hoʻohana ʻana i kāu mea nānā home a kānalua paha e pili ana i kona pololei. |
| Inā ʻaʻole ʻoe e maopopo i nā waiwai | Inā he mau nīnau kāu e pili ana i nā waiwai maʻamau, he aha nā waiwai kiʻekiʻe a me nā waiwai haʻahaʻa. |
Leka Lawe-Home
- Ma mua o ke kūʻai ʻana i kahi mea nānā koko ma ka pulima lima , e ʻoluʻolu e nīnau i kāu kauka . ʻO ia ka mea nāna e hoʻoholo i ke ʻano kūpono loa iā ʻoe.
- Wahi a nā ʻōlelo aʻoaʻo lapaʻau, ʻoi aku ka pololei o kahi mea nānā lima o luna. Eia nō naʻe, i kekahi mau hihia kūikawā (e.g., no ka poʻe i kūpono ʻole ke kuʻe lima), kūpono paha kahi mea nānā lima.
- I mea e loaʻa ai ka heluhelu pololei loa, he mea nui e mālama mau i kou pulima ma ka pae o ka puʻuwai i ka wā e ana ai. ʻO kēia ka mea nui loa.
- E hoʻopaʻa i nā ana āu e lawe ai i loko o kahi puke moʻomanaʻo a lawe pū me ʻoe e kūkākūkā me kāu kauka i kēlā me kēia manawa āu e ʻike ai iā ia.
- ʻAʻole nā mea nānā koko home he pani no ka ʻōlelo aʻoaʻo lapaʻau a me nā hoʻāʻo lapaʻau. He kōkua wale nō lākou i ka mālama ʻana i kou olakino.
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