E aʻo kākou e pili ana i nā aʻa coronary e hānai ana i kou puʻuwai.

He ʻōkana kupaianaha kou puʻuwai, ʻeā? Hana ia i ke ao a me ka pō, e pamu ana i ke koko ma ke kino holoʻokoʻa. No laila, pono pū kēia puʻuwai i ka ikehu, ʻo ia hoʻi ke koko maʻemaʻe, e hana. Hana ʻia kēlā hana waiwai e kahi ʻōnaehana kūikawā o nā aʻa koko i kapa ʻia ʻo nā aʻa coronary. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha kēia mau aʻa coronary?

I ka ʻōlelo maʻalahi, ʻo nā aʻa coronary nā kīʻaha koko nui e hoʻolako i kou puʻuwai me ka oxygen a me nā meaʻai. Ua like lākou me nā 'laina lako' o ka puʻuwai. ʻO lākou ka mea e ʻae ai i ka puʻuwai e kuʻi mau a hoʻopuka i ke koko ma ke kino holoʻokoʻa. Loaʻa iā ʻoe ʻelua mau aʻa coronary nui: ʻo ka Right Coronary Artery (RCA) a me ka Left Main Coronary Artery (LMCA). Hoʻokaʻawale kēlā me kēia o kēia mau lālā i nā lālā liʻiliʻi e komo hohonu ana i loko o ka ʻiʻo puʻuwai.

Pehea e kōkua ai kēia i ka puʻuwai? (Hana)

ʻO ka hana nui o nā aʻa coronary a me ko lākou mau lālā, ʻo ia ke hoʻolako i ke koko i kou puʻuwai. E noʻonoʻo, pono pū nā ʻiʻo o kou puʻuwai i ka ikehu e hana ai. Loaʻa kēlā ikehu mai ka oxygen a me nā meaʻai i loko o ke koko. No laila, ma muli o ke koko e puka mai ana mai kēia mau aʻa i hiki ai i nā ʻiʻo o ka puʻuwai ke ʻaelike pono a hoʻopuehu i ke koko ma ke kino holoʻokoʻa. Hana lākou me he mea lā e hoʻolako ana i ka ʻaila i ka mīkini o ka puʻuwai. Maopopo iā ʻoe?

Aia ma hea kēia aʻa coronary? (Kahi)

Aia kou mau aʻa coronary a puni a i loko o ka ʻiʻo puʻuwai. Hoʻomaka lākou mai ke aʻa nui i loko o kou kino, ʻo ia hoʻi ka aorta. I ka pololei, lālā lākou mai ke aʻa aortic, ʻo ia ka ʻāpana mua o ka aorta e puka mai ana mai ka ventricle hema (ka ʻāpana o ka puʻuwai e hoʻomaka ana e pamu i ke koko oxygenated a puni ke kino). ʻO kēia nā lālā mua e lālā mai kou aorta.

He aha ke ʻano o nā aʻa coronary?

E like me kā mākou i ʻōlelo ai ma mua, aia ʻelua mau aʻa coronary nui. He nui nā lālā o kēlā me kēia. E nānā kākou pehea e hana ai:

• ʻO ke Arteri Coronary ʻĀkau (RCA): Hoʻolako kēia i ke koko i ka atrium ʻākau a me ka ventricle ʻākau o kou puʻuwai. ʻO kēia kahi e hōʻiliʻili ai ke koko deoxygenated ma mua o ka hoʻouna ʻia ʻana i nā māmā. Hoʻolako pū ia i ke koko i ka node sinoatrial (SA) a me ka node atrioventricular (AV), ʻelua mau kikowaena koʻikoʻi e kaohi ana i ke mele o ka puʻuwai. Hoʻouna kēia mau node ʻelua i nā hōʻailona uila ma o ka puʻuwai, e haʻi ana i ka ʻiʻo puʻuwai i ka wā e ʻūlū ai. Hoʻolako pū ka RCA i ke koko i ka paia e hoʻokaʻawale ana i nā keʻena haʻahaʻa ʻelua o ka puʻuwai, ʻo ka septum interventricular, mai kona mau lālā.

• ʻO ke aʻa coronary nui hema (LMCA):Hoʻolako kēia i ke koko i ka atrium hema a me ka ventricle hema o kou puʻuwai. ʻO kēia kahi e hōʻiliʻili ai ke koko i piha i ka oxygen mai nā māmā ma mua o ka pamu ʻia ʻana e ka puʻuwai i ke koena o ke kino. Hoʻolako kona mau lālā i ke koko i nā hapakolu ʻelua i koe o ka septum interventricular.

Ua like anei nā aʻa coronary o kēlā me kēia kanaka? (Nā ʻokoʻa)

He mea nui loa nō hoʻi kēia. I kekahi manawa, hiki ke ʻokoʻa iki ke ʻano o nā lālā o ka ʻōnaehana aʻa coronary o kēlā me kēia kanaka. Mai hopohopo, he mea maʻamau kēia. Eia kekahi mau laʻana:

• ʻOiai he papa momona ko ka mea maʻamau a puni nā aʻa coronary, i kekahi poʻe aia kēia mau aʻa i loko o ka ʻiʻo puʻuwai.
• Ma kahi o 10% o ka heluna kanaka e hoʻolako ʻia ana ko lākou SA node a me AV node e ke aʻa coronary nui hema (LMCA) ma mua o ke aʻa coronary nui ʻākau (RCA).
• I kekahi manawa, hoʻokahi wale nō aʻa coronary e hoʻomaka ana mai ka aorta, a laila hiki ke māhele ʻia i nā lālā ʻākau a me hema.

ʻAʻole weliweli ka hapa nui o kēia mau loli a ʻaʻole hoʻi e hōʻike i nā hōʻailona. Eia nō naʻe, i nā hihia kakaikahi loa (ʻaʻole i emi iho ma mua o 1% o ka heluna kanaka o ka honua), hiki i kēia mau ʻano ʻino o ke aʻa coronary ke hoʻoulu i nā pilikia koʻikoʻi, i kekahi manawa a hiki i ka make. No laila he mea nui e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona o ka puʻuwai.

ʻEhia ka nui o kēia aa koko? (Nui)

ʻO ke anawaena o nā aʻa coronary nui ma waena o 3 a me 4 millimeters. He ʻuʻuku iki kēlā ma mua o ka laulā o kahi ʻōmole inu. Akā, hiki ke ʻokoʻa iki ka nui o kēia mau aʻa ma muli o kou kāne, ke kaumaha o ke kino, a i kekahi manawa ʻo ka lāhui.

He aha ka mea i hana ʻia ai kēia aʻa? (Haʻilula)

ʻO nā paia o nā aʻa koko a pau, me nā aʻa coronary, ua hana ʻia me ʻekolu papa nui. Ua hoʻomoe ʻia kēia mau papa ma luna o kekahi e like me nā ʻili o ka ʻakaʻakai.

• ʻO Tunica intima: ʻO kēia ka papa o loko loa. Hoʻopili ia me kou koko a kōkua iā ia e kahe mālie ma o nā aʻa me ke keakea ʻole.
• Media: ʻO kēia ka papa waena. He palupalu loa ia, ʻo ia hoʻi, e kīkoʻo ana e like me ke kaula laholio. No laila, hiki i kēia papa ke ʻaelike a kīkoʻo e mālama i ke kaomi koko kūpono i loko o ke aʻa.
• ʻO Adventitia: ʻO kēia ka papa waho loa. Loaʻa iā ia nā kīʻaha koko liʻiliʻi. Lawe lākou i ka oxygen a me nā meaʻai mai kou koko a hāʻawi iā lākou i nā pūnaewele o ka puʻuwai, me nā pūnaewele i loko o nā paia o ke aʻa.

He aha nā maʻi e hoʻopilikia ai i nā aʻa coronary? (Nā kūlana)

ʻO ka mea kaumaha, hiki i kēia mau aʻa coronary makamae ke lilo i maʻi. ʻO ke kūlana maʻamau a maʻamau loa ʻo ia ka maʻi coronary artery (CAD) .

Hoʻokumu pinepine ʻia kēia e kahi maʻi i kapa ʻia ʻo `(atherosclerosis)`. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ua waiho ʻia nā mea e like me ka momona a me ka cholesterol i loko o nā paia o nā aʻa (ua kapa nā kauka i kēia `(plaque)`), e like me ka lepo e paʻa ana i loko o ka paipu, e ālai ana i ke ala no ke kahe ʻana o ke koko. Ke ālai ʻia nā aʻa penei, ʻaʻole lawa ke koko i ka puʻuwai. Hiki iā ia ke alakaʻi i ka `(heart attack)`.

E noʻonoʻo e pili ana i ia mea, ua like ia me nā paipu wai i loko o kou hale e paʻa ana i ka lepo a me ka ʻōpala i ka hala ʻana o ka manawa, e hōʻemi ana i ke kahe ʻana o ka wai. ʻOiai inā paʻa iki lākou i ka wā mua, ʻaʻole ia he mea nui, akā i ka hala ʻana o ka manawa, hiki iā lākou ke paʻa loa.

ʻO ka Acute Coronary Syndrome (ACS) kahi kūlana kahi e hoʻopau koke ʻia ai ke kahe o ke koko i ka puʻuwai ma o nā aʻa coronary . ʻO ka hōʻeha puʻuwai kahi ʻano ACS. E like me CAD, hoʻokumu pinepine ʻia kēia kūlana e ka atherosclerosis.

Ma waho aʻe o kēia, aia kekahi mau kūlana ʻē aʻe i maʻamau ʻole e hoʻopilikia i nā aʻa coronary:

• Aneurysms: Ka nāwaliwali o ka paia o kahi kīʻaha koko e puʻupuʻu ana i waho e like me ka pōpō. Hiki i kēia ke pahū .
• Nā ʻano ʻino o ke aʻa koko hānau: Hiki ke hānau ʻia kekahi poʻe me kekahi mau loli i loko o ko lākou mau aʻa koko.
• ʻO nā spasms o ke aʻa coronary: Ka paʻa koke ʻana o nā ʻiʻo i loko o nā aʻa. Ke paʻa kēia ʻiʻo, a i ʻole spasms, e ālai ʻia nā aʻa no kekahi manawa. Hiki i kēia ke hana i ka ʻeha o ka umauma, i kapa ʻia ʻo Prinzmetal angina.

Pehea lā e mālama ai i ke olakino o kēia mau aa koko makamae? (Ka pale ʻana/Nā ʻano olakino)

ʻO ka mea maikaʻi loa, ʻo ia ke pale ʻana i kēia mau maʻi ma mua o ko lākou hiki ʻana mai. Hiki iā ʻoe ke hana i kēia mau mea e mālama ai i kou puʻuwai a me nā aʻa coronary olakino. ʻAʻole kēia he mau mea paʻakikī, a hiki ke hana ʻia me ka noʻonoʻo iki.

• E ʻai i kahi meaʻai olakino a kaulike hoʻi, haʻahaʻa i ka sodium (paʻakai), cholesterol, a me nā momona saturated (e like me nā momona holoholona). E ʻai hou aku i nā mea kanu, nā huaʻai, nā palaoa piha, a me nā meaʻai waiwai i ka fiber.
• E hoʻoikaika kino i nā manawa a pau . He mea maikaʻi ke hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke ma ka lā.
• E kāohi i kou koko. E kamaʻilio me kāu kauka a hana i ka mea e pono ai.
• E pale loa i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka (e like me ka gum nau). He mea nui loa kēia.
• E hōʻemi i kāu inu ʻona, a ʻoi aku paha ka maikaʻi, e hoʻōki loa.

Āhea ʻoe e ʻike ai i ke kauka? (I ka manawa hea e ʻimi ai i ke kōkua)

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​​​he hōʻailona paha ia o ka hāʻule puʻuwai. No laila e kelepona i ka 911 a i ʻole e hele koke i ka haukapila kokoke loa. He mea nui ka manawa i ka manawa e like me kēia.

• ʻEha a ʻeha paha ka umauma:Hiki ke manaʻo ʻia e like me ka ʻūmiʻi ʻana, ka ʻūmiʻi ʻana, a i ʻole ke kaumaha ma waenakonu o ka umauma. Hiki ke mau kēia ʻeha no nā minuke he nui a hele mai a hele aku.
• Nā hou anu.
• ʻEha a ʻeha paha ma ka ʻāʻī, ka ʻāʻī, ke kua, ka lima (ʻoi aku hoʻi ka lima hema), a i ʻole ka ʻāpana poʻohiwi.
• Paʻakikī ka hanu ʻana, me he mea lā e pau ana kou hanu.
• Manaʻo nāwaliwali, maule, a poniuniu paha.
• Ka luaʻi a i ʻole ka luaʻi ʻana.

ʻAʻole like kēia mau hōʻailona no nā kānaka a pau, a hiki i kekahi poʻe ke ʻike i hoʻokahi a ʻelua paha o kēia mau mea. Hiki ke ʻokoʻa kēia mau hōʻailona, ​​ʻoiai hoʻi i nā wahine a me nā maʻi diabetes. No laila, inā he kānalua kāu, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou i kēia lā. He mau kīʻaha koko koʻikoʻi kou mau aʻa coronary e lawe ana i ke koko i kou puʻuwai, kahi e hoʻolako ai i ka oxygen a me nā meaʻai i kou ʻiʻo puʻuwai a kōkua iā ia e pamu i ke koko ma kou kino. Inā paʻa kēia mau aʻa, ʻo ia hoʻi kahi maʻi i kapa ʻia ʻo ka maʻi artery coronary (CAD), ʻaʻole hiki i kou puʻuwai ke loaʻa ke koko lawa. Hiki i kēlā ke hana i ka hōʻeha puʻuwai, he mea hoʻoweliweli i ke ola.

Akā ʻo ka nūhou maikaʻi, ma ke ola ʻana i kahi nohona olakino, ʻo ia hoʻi, ka hoʻoikaika kino mau, ka ʻai ʻana i ka meaʻai olakino, a me ka pale ʻana i ka puhipaka, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka CAD a me ka hōʻeha puʻuwai. No laila e mālama i kou puʻuwai a hahai i kēia mau ʻōlelo aʻoaʻo. E kamaʻilio me kāu kauka a e makaʻala i ke olakino o kou puʻuwai. A laila hiki iā ʻoe ke ola i kahi ola lōʻihi a hauʻoli me ka puʻuwai olakino.

Puʻuwai , aʻa coronary, hōʻeha puʻuwai, nā kīʻaha koko, maʻi puʻuwai, olakino, atherosclerosis