koko koko, home hospital

Aia ʻo Jaylene Pruitt me Dotdash Meredith mai Mei 2019 a ʻo ia ka mea kākau ʻoihana no ka magazine Health, kahi āna i kākau ai e pili ana i nā huahana olakino a maikaʻi.
ʻO Anthony Pearson, MD, FACC, he mea lapaʻau cardiologist kūikawā i ka echocardiography, preventive cardiology, a me ka fibrillation atrial.
Loilo kūʻokoʻa mākou i nā waiwai a me nā lawelawe i manaʻo ʻia. Loaʻa paha iā mākou ka uku inā kaomi ʻoe i ka loulou a mākou e hāʻawi ai. E aʻo hou aku.
Inā ʻoe e hana pū ana me ke kauka e nānā a hoʻohaʻahaʻa i ke kahe koko, a i ʻole makemake wale e ʻike i kāu helu, hiki i kahi mea nānā ke koko (a i ʻole sphygmomanometer) ke hāʻawi i kahi ala kūpono e mālama i kāu mau heluhelu ma ka home. Hāʻawi kekahi mau hōʻike i nā manaʻo no ka heluhelu ʻana a i ʻole nā ​​ʻōlelo aʻoaʻo e pili ana i ka loaʻa ʻana o nā heluhelu pololei ma ka pale. No ka loaʻa ʻana o nā mākaʻikaʻi koko maikaʻi loa no ka nānā ʻana i nā kūlana pili i ka puʻuwai e like me ke koko kiʻekiʻe, ua hoʻāʻo mākou i nā hiʻohiʻona 10 no ka hana maʻamau, kūpono, pololei, maʻalahi o ka hoʻohana ʻana, hōʻike ʻikepili, a me ka portability mālama ʻia e ke kauka.
Ua ʻōlelo ʻo Marie Polemey, kahi kahu hānai mua i mālama ʻia no ke koko kiʻekiʻe i nā makahiki i hala iho nei, mai ka manaʻo o ka mea maʻi, ʻo kekahi o nā mea maikaʻi loa e hāʻawi ʻia e ka mea nānā ke koko he ala maʻalahi ia e loaʻa ai nā heluhelu maʻamau. Pōʻakolu. "Ke hele ʻoe i ke kauka, hopohopo ʻoe ... i hiki iā ia ke hāpai i kāu heluhelu ʻana," wahi āna. Ua ʻae ʻo Lawrence Gerlis, GMC, MA, MB, MRCP, nāna e mālama i ka poʻe maʻi me ke kiʻekiʻe kiʻekiʻe, hiki ke kiʻekiʻe ka heluhelu ʻana o ke keʻena. "Ua ʻike au e hāʻawi mau ana nā ana o ke koko koko i nā heluhelu kiʻekiʻe iki," wahi āna.
ʻO nā mākaʻikaʻi āpau a mākou e manaʻo nei he poʻohiwi poʻohiwi, ʻoi loa e like me ke ʻano o nā kauka. ʻOiai aia nā lima lima a me nā manamana lima, he mea nui e hoʻomaopopo ʻaʻole ʻōlelo ka American Heart Association i kēia mau ʻano o nā mea nānā, koe wale nō nā kauka a mākou i kamaʻilio pū ai. Manaʻo ʻia nā mākaʻi poʻohiwi he kūpono no ka hoʻohana ʻana i ka home, a he nui nā kauka a me nā mea maʻi e ʻae i ka hoʻohana ʻana i ka home e hiki ai i nā heluhelu maʻamau.
No ke aha mākou e makemake ai: He wikiwiki a maʻalahi ka monitor e hoʻonohonoho a hāʻawi i nā hopena koʻikoʻi me nā hōʻailona haʻahaʻa, maʻamau, a kiʻekiʻe.
Ma hope o kā mākou hoʻokolohua lab, ua koho mākou i ka Omron Gold Upper Arm ma ke ʻano he mākaʻikaʻi GP maikaʻi loa ma muli o kāna hoʻonohonoho waho o ka pahu a me ka heluhelu ʻana. Ua loaʻa iā ia he 5 i loko o kā mākou mau māhele kiʻekiʻe: Hoʻopilikino, kūpono, maʻalahi o ka hoʻohana ʻana, a me ka hōʻike ʻikepili.
Ua ʻike pū kā mākou mea hōʻike ua maikaʻi ka hōʻike, akā ʻaʻole paha no kēlā me kēia. "He ʻoluʻolu a maʻalahi hoʻi ka hoʻokomo ʻana iā ia iho, ʻoiai ʻo kekahi mau mea hoʻohana me ka liʻiliʻi o ka neʻe ʻana hiki ke paʻakikī i ka hoʻonohonoho ʻana," wahi a lākou.
He maʻalahi ka heluhelu ʻana i ka ʻikepili i hōʻike ʻia, me nā hōʻailona no ke koko haʻahaʻa, maʻamau, a me ke koko kiʻekiʻe, no laila inā ʻaʻole kamaʻāina nā maʻi i nā hōʻailona o ke koko kiʻekiʻe, hiki iā lākou ke ʻike i kahi i hāʻule ai kā lākou helu. He koho maikaʻi nō hoʻi ia no ka nānā ʻana i ke ʻano o ke kahe koko i ka manawa, e mālama ana i nā heluhelu 100 no nā mea hoʻohana ʻelua.
ʻO ka brand Omron kahi punahele a ke kauka. Hoʻokaʻawale ʻo Gerlis lāua ʻo Mysore i nā mea hana pono a maʻalahi hoʻi e hoʻohana.
No ke aha mākou e aloha ai: Hāʻawi ka Omron 3 i nā heluhelu wikiwiki a pololei (a me ka puʻuwai puʻuwai) me ka ʻole o ka paʻakikī.
ʻAʻole pono ke kumukūʻai ka nānā ʻana i ke olakino naʻau ma ka home. Loaʻa i ka Omron 3 Series Upper Arm Blood Pressure Monitor nā hiʻohiʻona like me kāna mau hiʻohiʻona ʻoi aku ka pipiʻi, me ka waiho ʻana o ka heluhelu heluhelu a me kahi hōʻike maʻalahi e heluhelu.
Ua kapa ʻia kā mākou mea hōʻike ʻo Omron 3 Series he koho "maʻemaʻe" no ka mea e hōʻike wale ana ʻo ia i ʻekolu mau helu ʻikepili ma ka pale: kou systolic a me diastolic pressure a me ka puʻuwai puʻuwai. Loaʻa iā ia he 5 i ke kūpono, hoʻoponopono, a me ka maʻalahi o ka hoʻohana ʻana, e lilo ia i koho maikaʻi loa no ka hoʻohana ʻana i ka home inā ʻoe e ʻimi nei i nā lumi me ka ʻole o nā bele a me nā kī.
ʻOiai ua ʻike kā mākou mau mea hoʻāʻo he kūpono kēia koho no ka mea āu e pono ai ka nānā ʻana i ke koko, "ʻaʻole kūpono ia no ka poʻe pono e nānā i ka heluhelu ʻana i ka manawa a i ʻole e hoʻolālā e nānā a mālama i nā heluhelu lehulehu" ma muli o kāna helu helu helu. palena 14.
No ke aha mākou e makemake ai: Aia kēia mākaʻikaʻi i kahi cuff kūpono a me kahi app kūpono no ka hoʻokele maʻalahi a me ka waiho ʻana i ka heluhelu.
Pono e hoʻomaopopo: ʻAʻole i loko o ka pahu kahi pahu lawe, i ʻike ʻia e kā mākou mea hōʻike e maʻalahi ka mālama ʻana.
ʻO kekahi o kā mākou mea punahele e pili ana i ka Welch Allyn Home 1700 Series monitor ʻo ia ka cuff. He maʻalahi ke hoʻokomo me ke kōkua ʻole a loaʻa iā ia ka 4.5 mai ka 5 no ke kūpono. Ua makemake nō hoʻi kā mākou mau mea hoʻāʻo i ka hemo koke ʻana o ka cuff ma hope o ke ana ʻana ma mua o ka hoʻoneʻe ʻana.
Aloha nō hoʻi mākou i ka polokalamu maʻalahi e hoʻohana i ka heluhelu koke ʻana a hiki i nā mea hoʻohana ke lawe i ka ʻikepili me lākou i ke keʻena o ke kauka a i ʻole i nā wahi a lākou e pono ai. Hoʻopaʻa pū ka hāmeʻa i 99 mau heluhelu inā ʻaʻole ʻoe makemake e hoʻohana i ka app.
Inā ʻaʻole ʻoe makemake e hoʻohana i ka app a makemake ʻoe e lawe i ka monitor me ʻoe, e ʻoluʻolu e hoʻomaopopo ʻaʻole ia e komo i kahi pahu lawe, ʻaʻole like me kekahi o kā mākou mau koho ʻē aʻe.
Hāʻawi ka A&D Premier Talking Blood Pressure Monitor i kahi hiʻohiʻona kūʻokoʻa ma waena o nā koho a mākou i hoʻāʻo ai: heluhelu ia i nā hopena no ʻoe. ʻOiai he mea nui kēia koho no ka poʻe maʻi ʻino, ua hoʻohālikelike ʻo Marie Polemay i ka hāmeʻa me ka manaʻo o ke keʻena o ke kauka ma muli o kona leo nui a maopopo.
ʻOiai ua ʻike ʻo Paulemey ma ke ʻano he kahu hānai a me ka ʻike e pono ai e hoʻomaopopo i kāna mau hopena, manaʻoʻiʻo ʻo ia ʻoi aku ka maʻalahi o ka heluhelu waha ʻana i nā waiwai o ke koko no ka poʻe ʻike ʻole i ka lāʻau lapaʻau. Ua ʻike ʻo ia ʻo ka heluhelu waha o ke kamaʻilio ʻana i ke koko koko A&D Premier ua aneane "like me ka mea a lākou i lohe ai ma ke keʻena o ke kauka."
He kūpono kēia koho no ka poʻe hoʻomaka, me ka hoʻonohonoho liʻiliʻi, nā ʻōlelo aʻoaʻo a me kahi cuff maʻalahi. Ua makemake pū kā mākou mau mea hoʻāʻo i ka wehewehe ʻana o ke alakaʻi i ka wehewehe ʻana i nā helu koko.
Pono e hoʻomaopopo: Hiki i ka hāmeʻa ke hāʻawi i nā hōʻailona pono ʻole o nā heluhelu kiʻekiʻe, hiki ke hoʻoulu i ke kaumaha a me ka hopohopo.
E like me nā mea hana ʻē aʻe o Omron a mākou e paipai nei, ua ʻike nā mea hoʻāʻo i kēia ʻāpana he maʻalahi ke hoʻonohonoho a hoʻohana. Me kahi hoʻonohonoho ʻanuʻu hoʻokahi - e hoʻokomo i ka cuff i loko o ka monitor - hiki iā ʻoe ke hoʻomaka e ana i ke koko kokoke koke.
Mahalo i kāna app, ua ʻike maʻalahi kā mākou mea hoʻāʻo a hiki i kēlā me kēia mea hoʻohana ke loaʻa i kā lākou ʻaoʻao ponoʻī me nā heluhelu palena ʻole ma ko lākou manamana lima.
ʻOiai e hōʻike ana ka hāmeʻa i nā heluhelu kiʻekiʻe e like me ke kiʻekiʻe, inā ʻaʻole e like me ke kiʻekiʻe o ke koko kiʻekiʻe, ua manaʻo kā mākou mea hoʻāʻo e waiho ʻia kēia mau wehewehe i ka manaʻo o ke kauka. Ua loaʻa i kā mākou mau mea hōʻike nā heluhelu kiʻekiʻe i manaʻo ʻole ʻia a kūkākūkā me Huma Sheikh, MD, nāna i alakaʻi i ka hoʻāʻo ʻana, a ʻike ʻia ʻaʻole pololei kā lākou heluhelu ʻana i ke koko kiʻekiʻe, hiki ke hoʻoluhi. "ʻAʻole pololei loa kēia a hiki i ka poʻe maʻi ke hopohopo i ka heluhelu ʻana i manaʻo ʻia he maikaʻi ʻole," wahi a kā mākou mea hōʻike.
Ua koho mākou i ka Microlife Watch BP Home no ka hōʻike maikaʻi loa o ka ʻikepili, mahalo i nā hōʻailona ma ka ʻaoʻao e hiki ke hana i nā mea āpau mai ka hōʻike ʻana i ka wā e mālama ʻia ai ka ʻike i loko o kona hoʻomanaʻo e kōkua iā ʻoe e loaʻa i ka heluhelu pololei loa, a me ka hōʻailona hoʻomaha a me ka nānā. . hōʻike inā ʻoi aku ʻoe i ka manawa maʻamau i ana ʻia.
Hāʻawi ke pihi "M" o ka mea hana i ke komo ʻana i nā ana i mālama ʻia ma mua, a e hoʻohuli maʻalahi ka pihi mana iā ia.
Makemake nō hoʻi mākou he ʻano diagnostic ka mea e hoʻopaʻa ai i kou kahe koko a hiki i nā lā ʻehiku inā ʻōlelo ʻia e kāu kauka, a i ʻole ke ʻano "maʻamau" no ka nānā maʻamau. Hiki i ka mea nānā ke nānā i ka fibrillation atrial ma nā ʻano diagnostic a me nā ʻano maʻamau, inā ʻike ʻia nā hōʻailona o ka fibrillation i nā heluhelu ʻana i kēlā me kēia lā, e hōʻike ʻia ka hōʻailona "Frib" ma ka pale.
ʻOiai hiki iā ʻoe ke loaʻa i ka ʻike he nui mai ka hōʻike o kāu kelepona, ʻaʻole intuitive mau nā kiʻi i ka nānā mua ʻana a hoʻomaʻamaʻa.
Ua hoʻāʻo ka hui lapaʻau i 10 mau mea nānā i ke koko mai ka papa inoa o nā mea i hoʻāʻo ʻia i kā mākou hale hana. I ka hoʻomaka ʻana o ka hoʻāʻo, ua ana ʻo Huma Sheikh, MD, i ke kahe koko o nā kumuhana me ka nānā ʻana i ke koko o ka haukapila, me ka hoʻohālikelike ʻana me ka nānā ʻana i ke koko no ka pololei a me ka kūlike.
I ka wā o ka hoʻāʻo ʻana, ʻike kā mākou mau mea hoʻāʻo i ka ʻoluʻolu a me ka maʻalahi o ka cuff i kūpono i ko mākou mau lima. Ua helu pū mākou i kēlā me kēia hāmeʻa e pili ana i ke ʻano akaka o ka hōʻike ʻana i nā hopena, pehea ka maʻalahi o ke komo ʻana i nā hopena i mālama ʻia (a inā hiki iā ia ke mālama i nā ana no nā mea hoʻohana lehulehu), a me ke ʻano o ka lawe ʻana o ka monitor.
ʻEwalu hola ka hoʻāʻo ʻana a ua hahai nā mea hoʻāʻo i nā protocol i ʻōlelo ʻia e hōʻoia i ka heluhelu pololei ʻana, me ka wikiwiki o 30 mau minuke a me 10 mau minuke hoʻomaha ma mua o ke ana ʻana. Lawe nā mea hōʻike i ʻelua heluhelu ma kēlā me kēia lima.
No ke ana pololei loa, e pale aku i na mea ai e hoonui ai i ke koko, e like me ka caffeine, ka puhi paka, a me ka hooikaika kino, no 30 mau minuke ma mua o ke ana o ke koko. Manaʻo ka ʻAhahui Lapaʻau ʻAmelika e hele mua i ka lumi ʻauʻau, ʻo ia ka mea e hiki ke hoʻonui ʻia kāu heluhelu ʻana ma ka 15 mmHg.
Pono ʻoe e noho me kou kua i kākoʻo ʻia a ʻaʻohe palena o ke kahe koko e like me nā wāwae keʻa. Pono e hāpai ʻia kou mau lima i ke kiʻekiʻe o kou puʻuwai no ke ana kūpono. Hiki iā ʻoe ke lawe i ʻelua a ʻekolu mau ana i ka lālani e hōʻoia ai ua like lākou a pau.
Manaʻo ʻo Kauka Gerlis ma hope o ke kūʻai ʻana i kahi mea nānā i ke kahe koko, e kūkākūkā me kāu mea mālama ola e hōʻoia i ka hoʻonohonoho pono ʻana o ka cuff a hāʻawi i nā heluhelu pololei. ʻO Navia Mysore, MD, ke kauka mālama mua a me ka luna lapaʻau o One Medical ma New York, ʻōlelo pū ʻo ia e lawe i ke kiaʻi me kāu kauka i hoʻokahi a ʻelua paha o ka makahiki e ʻike pono ai ke ana pololei ʻana i kou koko koko. a paipai ʻia e hoʻololi. i kēlā me kēia ʻelima makahiki.
He mea koʻikoʻi ka nui cuff kūpono no ka loaʻa ʻana o nā ana pololei; ʻO ka puʻupuʻu i wehe a paʻa paha ma ka lima e hopena i ka heluhelu pololei ʻole. No ke ana ʻana i ka nui o ka cuff, pono ʻoe e ana i ke anapuni o ka ʻaoʻao waena o ka lima luna, ma kahi o ka hapalua ma waena o ka kuʻekuʻe a me ka lima luna. Wahi a Target:BP, ʻo ka lōʻihi o ka puʻupuʻu i hoʻopaʻa ʻia a puni ka lima ma kahi o 80 pakeneka o ke ana waena poʻohiwi. No ka laʻana, inā he 40 knm ka pōʻai o kou lima, he 32 knm ka nui o ka cuff. Loaʻa pinepine nā cuffs i nā nui like ʻole.
Hōʻike pinepine nā mea nānā i ke kahe koko i ʻekolu mau helu: systolic, diastolic, a me ka puʻuwai o kēia manawa. Hōʻike ʻia ka heluhelu ʻana o ke koko ma ke ʻano he ʻelua helu: systolic a me diastolic. ʻO ke koko systolic (ka helu nui, ka mea maʻamau ma luna o ka mea nānā) e haʻi iā ʻoe i ka nui o ke kaomi ʻana o kou koko ma nā paia o kou aʻa me kēlā me kēia puʻuwai. ʻO ke koko diastolic - ka helu ma lalo - e haʻi iā ʻoe i ka nui o ke kaomi ʻana o kou koko ma nā paia o kou aʻaʻa ke hoʻomaha ʻoe ma waena o nā kuʻi.
ʻOiai hiki i kāu kauka ke hāʻawi i ka ʻike hou aku e pili ana i ka mea e manaʻo ai, loaʻa i ka American Heart Association nā kumu waiwai ma ke ʻano maʻamau, kiʻekiʻe, a me ka hypertension. Hoʻohana pinepine ʻia ke kahe koko olakino ma lalo o 120/90 mmHg. a ma luna o 90/60 mm Hg.
ʻEkolu ʻano nui o ka nānā ʻana i ke koko: ma ka poʻohiwi, ma ka manamana lima a ma ka pulima. Manaʻo ka ʻAhahui Puʻuwai ʻAmelika i ka nānā ʻana i ke koko o ka lima luna wale nō no ka mea ʻaʻole manaʻo ʻia nā mākaʻi lima a me nā lima lima ponoʻī a pololei. Ua ʻae ʻo Dr Gerlis, me ka ʻōlelo ʻana he "pono ​​ʻole ka nānā ʻana i ka lima i koʻu ʻike."
Ua ʻike ʻia kahi haʻawina 2020 o nā mea nānā lima lima he 93 pakeneka o ka poʻe i hala i ka protocol validation monitor pressure monitor a he 0.5 mmHg wale nō ma ka awelika. systolic a me 0.2 mm Hg. ke koko diastolic i hoʻohālikelike ʻia me nā mea nānā ke koko maʻamau. ʻOiai ʻoi aku ka pololei o nā mea nānā lima lima, ʻo ka pilikia me lākou ʻo ka hoʻonohonoho pono ʻana a me ka hoʻonohonoho ʻoi aku ka mea nui ma mua o nā mākaʻi i kau ʻia i ka poʻohiwi no ka heluhelu pololei. Hoʻonui kēia i ka hoʻohana hewa ʻana a i ʻole ka hoʻohana ʻana a me nā ana kūpono ʻole.
ʻOiai ke hoʻohaʻahaʻa nui ʻia ka hoʻohana ʻana i nā wristbands, ua hoʻolaha ka American Medical Association i ka makahiki i hala e ʻae koke ʻia nā mea lima lima ma validatebp.org no nā poʻe maʻi ʻaʻole hiki ke hoʻohana i ko lākou lima luna e nānā i ke kahe koko; Aia ka papa inoa i kēia manawa me ʻehā mau lima lima. a hōʻike i ka cuff i makemake ʻia ma ka poʻohiwi. ʻO ka manawa aʻe e hoʻāʻo ai mākou i nā mea nānā i ke kahe koko, e hoʻohui mākou i nā mea i ʻae ʻia i hoʻolālā ʻia e ana ma kou pulima.
Nui nā mea nānā ke koko e ʻae iā ʻoe e ʻike i kou puʻuwai i ka wā e lawe ai i ke koko. Ke hāʻawi pū nei kekahi mau mea nānā i ke kahe koko, e like me ka Microlife Watch BP Home, i nā mākaʻikaʻi puʻuwai maʻamau.
ʻO kekahi o nā hiʻohiʻona Omron a mākou i hoʻāʻo ai ua lako me nā mea nānā ke koko. E hāʻawi ana kēia mau hōʻailona i nā manaʻo no ka haʻahaʻa, maʻamau a me ke koko kiʻekiʻe. ʻOiai ua makemake kekahi mau mea hoʻāʻo i ka hiʻohiʻona, manaʻo kekahi e hiki ke hoʻoweliweli i nā mea maʻi a pono e unuhi ʻia e nā limahana mālama ola.
Hoʻopili pū ka nui o nā mea nānā i ke koko me nā polokalamu pili e hāʻawi i kahi ākea o ka ʻikepili. Me nā paʻi liʻiliʻi wale nō ma ka app, e hoʻouna ka mākaʻikaʻi koko akamai i nā hopena i kāu kauka. Hiki i nā mākaʻikaʻi akamai ke hāʻawi i nā ʻikepili hou aʻe e pili ana i kāu mau heluhelu, me nā ʻano kikoʻī hou aʻe, me nā awelika o ka manawa. Hāʻawi kekahi mau mākaʻikaʻi akamai i ka ECG a me ka manaʻo leo naʻau.
Hiki paha iā ʻoe ke loaʻa i nā polokalamu e ʻōlelo ana e ana i kou koko ma o lākou iho; wahi a Sudeep Singh, MD, Apprize Medical: "ʻAʻole pololei nā polokalamu kelepona e ʻōlelo nei e ana i ke koko a ʻaʻole pono e hoʻohana ʻia."
Ma waho aʻe o kā mākou mau koho kiʻekiʻe, ua hoʻāʻo mākou i nā mea nānā i ke kahe koko, akā ua hāʻule hope lākou i nā hiʻohiʻona e like me ka maʻalahi o ka hoʻohana ʻana, ka hōʻike ʻikepili, a me ka hana maʻamau.
Manaʻo ʻia nā mākaʻikaʻi koko he pololei a nui nā kauka e ʻōlelo iā lākou i kā lākou mau maʻi no ka nānā ʻana i ka home. Manaʻo ʻo Kauka Mysore i kēia lula o ka manamana lima: "Inā ʻo ka heluhelu systolic i loko o ʻumi mau helu o ka heluhelu ʻana o ke keʻena, ua manaʻo ʻia kāu mīkini he pololei."
Nui nā kauka a mākou i kamaʻilio pū me ka paipai ʻana i nā poʻe maʻi e hoʻohana i ka pūnaewele validatebp.org, e papa inoa ana i nā mea hana a pau e kū ana i nā koina o ka American Medical Association's Validated Device List (VDL); ʻO nā mea hana a pau a mākou e paipai nei e hoʻokō i nā koi.