pololei i ka ʻike ʻana a me ka mālama ʻana i ka hypertension. ka nānā ʻana i ke koko He kuleana koʻikoʻi No ka hoʻonohonoho ʻana i waho o ke keʻena, ʻelua mau ʻano i ʻōlelo pinepine ʻia: Ambulatory Blood Pressure Monitoring (ABPM) a me Home Blood Pressure Monitoring (HBPM) . ʻOiai e manaʻo ʻelua e hāʻawi i kahi kiʻi maʻalahi o ke kahe koko ma waho o ke keʻena o ke kauka, ʻokoʻa lākou i ka ʻohi ʻia ʻana o ka ʻikepili, ka nui o ka heluhelu ʻana, a me ka wehewehe ʻana i nā hopena.
Ka nānā ʻana i ke kaomi koko ʻana (ABPM)
'O ka ABPM ke ana 'akomi i ke koko i nā manawa ma'amau-ma'amau i kēlā me kēia 15 a 30 mau minuke-ma kahi o 24-hola ke hele ka mea ma'i i nā hana o kēlā me kēia lā a me ka hiamoe. Hoʻohana pinepine ʻia ka hāmeʻa ma ka lima o luna a hoʻopili ʻia i kahi nānā liʻiliʻi i hoʻopili ʻia i ke kāʻei a i ʻole ke kaula poʻohiwi.
Ma muli o kāna hōʻiliʻili ʻikepili piha, ʻike pinepine ʻia ʻo ABPM i ke ala pololei loa no ka maʻi hypertension mua . ʻO kekahi o nā pōmaikaʻi nui o ABPM ʻo ia ka hopu ʻana i ke ʻano o ke kahe koko i ke ao a me ka pō, me nā heluhelu nocturnal ʻaʻole hiki ke loaʻa ma o ka nānā ʻana i ka home maʻamau. He mea pono kēia no ka ʻike ʻana:
ʻO ke kiʻekiʻe kiʻekiʻe o ka masked (ke keʻena maʻamau BP akā hoʻokiʻekiʻe ʻia ma waho)
ʻO ke kiʻekiʻe kiʻekiʻe o ka ʻaʻahu keʻokeʻo (he kiʻekiʻe ke keʻena BP akā maʻamau ma waho)
ʻO ke kiʻekiʻe o ka pō , kahi wānana i ʻike ʻia no ka pilikia cardiovascular
Piʻi ke koko kakahiaka
Eia nō naʻe, ʻoluʻolu ʻole nā mea hana ABPM no kekahi mau mea hoʻohana, ʻoi aku hoʻi i ka wā hiamoe, a ʻoi aku ka nui o ke kumukūʻai a emi ʻole ke loaʻa i kekahi mau ʻōnaehana olakino.
Ka nānā ʻana i ke koko home (HBPM)
Hāʻawi ka HBPM i nā poʻe maʻi e ana i ko lākou koko ma ka home i nā lā he nui me ka hoʻohana ʻana i ka lima lima lima a i ʻole ka lima lima. He ala kūpono a hoʻohana nui ʻia no ka hoʻomau ʻana i ka hoʻokele hypertension a makemake nui ʻia inā ʻaʻole hiki ke kipa maʻamau.
Ke hana maikaʻi ʻia, hiki i ka HBPM ke hāʻawi i nā heluhelu hilinaʻi e hōʻike ana i ke kahe koko maʻamau o ka mea maʻi ma lalo o nā kūlana hoʻomaha..
Hoʻohālikelike ʻia me ABPM, ʻoi aku ka maʻalahi o ka HBPM, ʻoi aku ka maʻalahi, a maʻalahi hoʻi e hoʻohui i ke ola o kēlā me kēia lā, akā hilinaʻi nui ia i ka ʻenehana hoʻomanawanui a me ke kūpaʻa. ʻO ka hoʻokomo ʻana i ka cuff kūpono ʻole a i ʻole nā mea ʻae ʻole e alakaʻi i nā heluhelu hilinaʻi ʻole.
Nā Manaʻo Kauka: I ka manawa e hoʻohana ai iā ABPM a i ʻole HBPM
Wahi a nā alakaʻi alakaʻi honua (e laʻa, ESC/ESH, ACC/AHA, Chinese Hypertension Guidelines ):
ʻOi ʻia ka ABPM no ka hōʻoia ʻana, ʻoi aku ka nui o nā hihia i manaʻo ʻia o ke kapa keʻokeʻo a i ʻole ke kiʻekiʻe kiʻekiʻe o ka masked, a i ʻole inā maopopo ʻole ka mana o ke koko ma muli o nā heluhelu keʻena.
Manaʻo ʻia ʻo HBPM no ka nānā mau ʻana, ka mālama ʻana i ka mālama ʻana, a me ka hoʻopili ʻana i nā mea maʻi i kā lākou mālama ʻana, ʻoi aku hoʻi no ka poʻe ma nā lāʻau antihypertensive a i ʻole me ka hypertension maʻi.
E koho iā Joytech: Nā mea hana hilinaʻi no ka nānā ʻana i ka home
ʻOiai e noho mau ana ʻo ABPM i ke kūlana gula no ka maʻi maʻi, ʻo HBPM ka hopena kūpono loa no ka hoʻokele ʻana i kēlā me kēia lā-ʻo ia kahi kahi e hāʻawi ai ʻo Joytech i nā mea hana pono.
