ʻO ka hoʻohālikelike kumu o ka hypertension
120-139/80-89 he mau waiwai nui o ke koko ma'amau
140-159/90-99 no ka papa 1 hypertension.
160-179/100-109 no ka papa 2 hypertension.
ʻOi aku ma mua o 180/110, no ka papa 3 hypertension.
No laila pehea ʻoe e helu ai i ka ke koko i kēlā me kēia manawa e ana ʻokoʻa?No ka hoʻoholo ʻana i ka hoʻokaʻawale ʻana o ka hypertension, ʻaʻole i helu ʻia e like me ke ʻano o ke kahe koko i ana ʻia i kēlā me kēia manawa, ʻo ia ke ana ʻana o ke koko me ka ʻole o ka lawe ʻana i nā lāʻau antihypertensive, ʻo ia ka helu o kāu hypertension ponoʻī.
No ka laʻana, ke lawe ʻole ʻia ka lāʻau lapaʻau, ke kahe koko 180/110mmHg, no ka papa 3 hypertension, akā ma hope o ka lawe ʻana i ka lāʻau antihypertensive, ua hāʻule ke koko i 150/90mmHg, a laila ua helu ʻia kēia manawa e like me ke kiʻekiʻe kiʻekiʻe kiʻekiʻe 3. hoomalu iho.
Ma mua o ka lawe ʻole ʻana i ka lāʻau lapaʻau, loaʻa nō hoʻi nā loli i ke ana ʻana o ke koko pehea e helu ai
No ka laʻana, ʻo ke kaomi kiʻekiʻe he pae, ʻo ke kaomi haʻahaʻa he pae, a laila e like me ka mea e helu ai?Pono e helu ʻia e like me ka mea kiʻekiʻe.ʻO ke koko 160/120mmHg, no ka pae 2 ke kaomi kiʻekiʻe, no ka pae 3 ke kaomi haʻahaʻa, no laila ehia ia?No ka mea, pono e helu ʻia e like me ka mea kiʻekiʻe, no laila ʻo ka pae 3 hypertension.ʻOiaʻiʻo, ʻaʻohe pae 3 hypertension i kēia manawa, ua kapa ʻia ʻo ke kiʻekiʻe 2 hypertension.
He aha inā ʻokoʻa ke kahe koko i ʻelua manawa i ka lālani?I kēia hihia, ʻōlelo ʻia e lawe i ka awelika o nā manawa ʻelua, me kahi manawa o 5 mau minuke ma waena o nā manawa ʻelua;inā ʻoi aku ka ʻokoʻa ma waena o nā manawa ʻelua ma mua o 5mmHg, a laila e ana i 3 mau manawa a lawe i ka awelika.
Pehea inā ʻaʻole like ke ana ma ka haukapila me ke ana ma ka home?
ʻO ka mea maʻamau, ʻo ka maʻamau no ka hoʻoholo ʻana i ke kahe koko i ana ʻia ma ka haukapila he 140/90mmHg, akā ʻo ka maʻamau no ke ana ʻana ma ka home ʻo ≥ 135/85mmHg e hoʻokolokolo ai i ka hypertension, a ʻo ≥ 135/85mmHg e like me ≥ 140/90mmHg i ka haukapila.
ʻOiaʻiʻo, inā loli ke kahe o ke koko, ʻoi aku ka pololei o ka nānā ʻana i ke koko ambulatory, ʻo ia hoʻi, 24-hola ka nānā ʻana i ke kahe koko, e ʻike i ke kūlana o ke koko kikoʻī, ke kahe koko ambulatory awelika kiʻekiʻe / haʻahaʻa haʻahaʻa 24h ≥ 130 / 80mmHg;aiʻole ka lā ≥ 135 / 85mmHg;pō ≥ 120 / 70mmHg.hiki ke noʻonoʻo ʻia no ka ʻike ʻana i ka hypertension.
Pehea e emi ai ke koko
Ma hope o ka loaʻa ʻana o ka hypertension, pehea e hoʻohaʻahaʻa ai i ke koko, i kēia manawa ʻo nā ala maʻamau e hoʻohaʻahaʻa i ke koko ʻo ke ola olakino a me nā lāʻau antihypertensive maʻamau inā pono.
No ka mea hou i ʻike ʻia ma ka papa 1 hypertension, ʻo ia hoʻi, ka hypertension ʻaʻole i ʻoi aku ma mua o 160/100mmHg, hiki iā ʻoe ke hoʻohaʻahaʻa mua i ke kahe koko ma o ke ʻano ola olakino, ʻai haʻahaʻa paʻakai, ʻai kiʻekiʻe o ka potassium, hoʻomau i ka hoʻoikaika kino, ʻaʻole noho i ka pō, hoʻomalu. ke kaumaha, kaʻawale i ka puhi paka a me ka waiʻona, hoʻemi i ke kaumaha a me nā mea ʻē aʻe he mea maikaʻi ia i ke kahe koko.
Inā ma hope o 3 mau mahina, ʻaʻole i hāʻule ke koko ma lalo o 140/90, a laila pono mākou e noʻonoʻo e hoʻohaʻahaʻa i ke koko me nā lāʻau antihypertensive;a i ʻole ke ʻike ʻia ke koko kiʻekiʻe, ʻoi aku ia ma luna o 160/100mmHg, a i ʻole kiʻekiʻe ma mua o 140/90mmHg, i hui pū ʻia me ka maʻi diabetes a i ʻole ka puʻuwai, ka lolo a me ka maʻi puʻupaʻa, a laila pono ʻoe e lawe pū i nā lāʻau antihypertensive e hoʻohaʻahaʻa i ke koko i ka hikiwawe hiki. .
No ke koho kikoʻī o ka lāʻau antihypertensive, a i ʻole nā ʻano lāʻau antihypertensive, pono e lawe ʻia ma lalo o ke alakaʻi ʻana o ke kauka ʻoihana, ʻaʻole hiki iā ʻoe ke koho wale i nā lāʻau antihypertensive.
ʻO kā mākou pahuhopu ka emi ʻana o ke koko ma mua o 140/90.No ka poʻe o waena, ʻoi aku ka poʻe ʻōpio ma lalo o 45 mau makahiki, pono e hoʻohaʻahaʻa ʻia ke koko i lalo o 120/80 e like me ka hiki ke emi ka pilikia o nā maʻi cardiovascular a me ka cerebrovascular.
I ka hopena, ʻo ke ala wale nō e pale pono ai i nā hoʻopiʻi like ʻole o ka hypertension e nānā pono i ke koko a e ʻike a hoʻopaʻa koke iā ia.
