Makemake mākou a pau e olakino. No laila, he ʻōnaehana koʻikoʻi loa i loko o ko mākou kino ʻO ke ʻōnaehana hoʻopololei koko ke ʻano o ia mea. I ka ʻōlelo maʻalahi, penei ke ʻano o ka hana pū ʻana o ko kākou puʻuwai a me nā kīʻaha koko e pamu i ke koko ma o ko kākou kino. Hana maikaʻi kēia ʻōnaehana i ka hāʻawi ʻana i ke ola i ko kākou kino. No laila, inā he pilikia me kēia ʻōnaehana, hiki iā ia ke hoʻopilikia i ko kākou kino holoʻokoʻa.
He aha nā maʻi o ka ʻōnaehana hoʻopuni koko?
ʻO ka maʻi ʻōnaehana kaapuni e pili ana i kekahi kūlana e hoʻopilikia ai i kou puʻuwai a i ʻole nā kīʻaha koko. E noʻonoʻo iā ia e like me kahi hui maikaʻi. Hana pū ka puʻuwai a me nā kīʻaha koko e lawe i ke koko maʻemaʻe a waiwai i ka oxygen i nā ʻāpana āpau o ko mākou kino. Eia nō naʻe, inā maʻi kekahi kanaka i loko o kahi hui, ʻike ka hui holoʻokoʻa, a inā he pilikia ma kekahi ʻāpana o kēia ʻōnaehana, hiki iā ia ke hoʻopilikia i ka ʻōnaehana holoʻokoʻa, a i ke kino holoʻokoʻa.
ʻO ia ke kumu he mea nui e makaʻala i kēia mau maʻi. No ka mea, i kekahi manawa hiki ke ʻike koke ʻia kēia mau maʻi, a i ʻole hiki iā lākou ke ulu mālie i loko o nā makahiki.
He aha nā pilikia e hiki ai i kēia mau maʻi ke hana?
ʻO ka maʻamau i loko o ka ʻōnaehana hoʻopuni koko Hiki i nā maʻi ke hana i nā mea e like me:
- Nā pilikia me ka puʻuwai e puʻe ana i ke koko.
- Nā loli i ke ʻano a me ke kūkulu ʻana o ka puʻuwai.
- Ke kahe koko kūpono ʻole.
- Ka pale ʻana a i ʻole ka hoʻohaiki ʻana o nā kīʻaha koko.
- Ka hoʻonāwaliwali ʻana o nā kīʻaha koko.
No laila, inā manaʻo ʻoe he maʻi kou, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka .
He aha nā maʻi e hoʻopilikia ai i ka ʻōnaehana hoʻopuni koko?
Ua hoʻokaʻawale nā kānaka ʻepekema i kēia mau maʻi i ʻelua mau ʻāpana nui:
1. Nā maʻi cardiovascular: ʻO kēia nā maʻi e hoʻopilikia ai i ka puʻuwai a me/a i ʻole nā kīʻaha koko.
2. Nā maʻi vascular: ʻO kēia nā maʻi e hoʻopilikia pololei ana i nā kīʻaha koko.
Nui nā ʻano maʻi like ʻole ma kēia mau ʻano ʻelua. E nānā kākou i kekahi o lākou, malia paha ua pilikia ʻoe a i ʻole kekahi mea kokoke iā ʻoe e lākou.
Aneurysms - nā ʻōhū e like me ka pōpō i loko o ke kīʻaha koko
ʻO nā aneurysms kahi kūlana kahi e nāwaliwali ai nā paia o ko kākou mau aʻa koko, nā aʻa koko e lawe ana i ke koko, a puʻupuʻu e like me ka pōpō. Loaʻa iā lākou ka pilikia nui o ka nui ʻana, ka haki ʻana, a i ʻole ke kūkulu ʻana i nā ʻōpū koko. Hiki iā lākou ke hana i loko o kekahi aʻa koko.
ʻO ka hapa pinepine, ulu kēia mau mea i loko o ka aorta, ke aʻa nui loa i loko o ko mākou kino. Ua kapa ʻia kēia mau mea he aneurysms aortic . ʻElua ʻano nui:
- Nā aneurysms aortic thoracic: ʻO kēia nā aneurysms i hana ʻia ma ka ʻāpana thoracic o ka aorta.
- ʻO nā Aneurysms Aortic ʻōpū (AAA): He mau aneurysms kēia e hana ʻia ana ma ka ʻōpū o ka aorta . ʻOi aku ka maʻamau o lākou ma mua o nā mea i hana ʻia ma ka umauma.
Aia kekahi mau ʻano ʻē aʻe o nā aneurysms:
- Nā aneurysms cerebral: Hoʻokumu ʻia lākou i loko o nā aʻa o ka lolo.
- Nā aneurysms Carotid: Hoʻokumu lākou i loko o nā aʻa carotid ma ka ʻāʻī.
- Hiki iā lākou ke hana i loko o nā aʻa e hoʻolako ana i ke koko i nā ʻōpū, nā aʻa i nā wāwae, a me nā aʻa i loko o ka spleen.
Arrhythmias - ka puʻuwai naʻau kūpono ʻole
ʻO nā arrhythmias he mau puʻuwai puʻuwai kūpono ʻole. Hoʻomaka kekahi o lākou ma nā keʻena o luna o ka puʻuwai (atria). Ua kapa ʻia kēia he supraventricular arrhythmias . ʻO ka atrial fibrillation ke ʻano maʻamau o kēia.
Hoʻomaka kekahi ma nā keʻena haʻahaʻa o ka puʻuwai (ventricles). Ua kapa ʻia kēia he ventricular arrhythmias . He pilikia olakino hoʻoweliweli ka ventricular fibrillation no ka mea hiki ke make koke.
ʻO ka Arrhythmias e pale aku i ka puʻuwai mai ka ʻaelike a me ka hoʻomaha pono ʻana, ʻo ia hoʻi, ʻaʻole hiki i ka puʻuwai ke pamu pono i ke koko.
Atherosclerosis - nā waihona momona i loko o nā kīʻaha koko
ʻO kēia ka hōʻiliʻili ʻana o nā waihona momona, a i ʻole ka plaque, i loko o ko kākou mau kīʻaha koko, e pani ana iā lākou. I ka hala ʻana o ka manawa, hoʻohaiki kēia plaque i nā aʻa a kāohi i ke kahe koko. Eia kekahi, hiki i kēia plaque ke haki a hana i kahi clot koko, he mea weliweli ia.
Hoʻonui ka Atherosclerosis i ka pilikia o ka hoʻomohala ʻana i nā maʻi ʻē aʻe e like me:
- ʻO ka stenosis o ke aʻa Carotid: ʻO ke kūkulu ʻia ʻana o ka plaque i loko o nā aʻa i ka ʻāʻī e hoʻolako i ke koko i ka lolo.
- ʻO ka maʻi ʻaʻa coronary (CAD): He hōʻiliʻili ʻana o ka plaque i loko o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai. ʻO CAD kekahi kumu nui o nā hōʻeha puʻuwai.
- ʻO ka maʻi o ke aʻa peripheral: Hōʻiliʻili ʻana o ka plaque i loko o nā aʻa i nā lima a me nā wāwae.
Nā kūlana koko
ʻO kou koko ke ana o ka wikiwiki o ke kahe ʻana o kou koko ma o kou mau kīʻaha koko. Hoʻololi pinepine ke koko i ka lā a pau, ma muli o kāu hana. Eia nō naʻe, he mea weliweli ke koko Kelinma wadi wenawa hari adu wenawa hari eka. (He mea weliweli ke koko kiʻekiʻe loa a haʻahaʻa loa paha).
Nā pilikia e pili ana i ke koko:
- Ke koko kiʻekiʻe: Ke koko kiʻekiʻe i loko o nā aʻa ma ke kino holoʻokoʻa. Kāhea pinepine mākou i kēia "ke koko kiʻekiʻe." Ua kapa ʻia ke koko kiʻekiʻe ʻo ia ka "mea pepehi leo ʻole."No ka mea, ʻoiai ʻaʻole ia e hōʻike pinepine i nā hōʻailona, hiki iā ia ke hana i nā pilikia olakino he nui i ka hala ʻana o ka manawa.
- Hypotension: Ke koko haʻahaʻa ma ke kino holoʻokoʻa.
- ʻO ke koko kiʻekiʻe o ka puka: Ke koko kiʻekiʻe i loko o ke aʻa e lawe ai i ke koko mai nā ʻōpū i ke akepaʻa.
- Ke koko kiʻekiʻe o ka puʻuwai: Ke koko kiʻekiʻe i loko o nā aʻa e lawe i ke koko mai ka puʻuwai i nā māmā.
Cardiomyopathy - ka maʻi o ka ʻiʻo puʻuwai
ʻO ka Cardiomyopathy kahi hui o nā maʻi e hoʻopilikia ai i ka ʻiʻo o ka puʻuwai, e hoʻonāwaliwali ana i ka hiki o ka puʻuwai ke pamu i ke koko.
Nā ʻano kikoʻī:
- Dilated cardiomyopathy: Hoʻonui ʻia nā keʻena puʻuwai.
- Hypertrophic cardiomyopathy: Mānoanoa ka ʻiʻo o ka puʻuwai.
- ʻO ka cardiomyopathy Peripartum: Hiki mai ka nāwaliwali o ka puʻuwai i ka wā hāpai hope a ma hope paha o ka hānau ʻana.
ʻO ka maʻi puʻuwai hānau - ka maʻi puʻuwai i loaʻa i ka wā hānau
Pili kēia i nā maʻi puʻuwai i loaʻa i ka wā hānau. I kekahi manawa he mau maʻi hoʻoilina kēia. I kekahi manawa, hiki iā lākou ke ulu me ka ʻole o kekahi o ka ʻohana e loaʻa i nā hōʻailona. Ma kahi o hoʻokahi i loko o 100 mau keiki i loaʻa kekahi ʻano maʻi puʻuwai hānau.
ʻO kekahi mau laʻana:
- ʻO ke kīnā septal atrial a me ke kīnā septal ventricular: Ua kapa ʻia kēia he "lua i loko o ka puʻuwai." He mau lua kēia ma waena o nā ʻaoʻao hema a me ʻākau o ka puʻuwai o ke pēpē.
- ʻO ka valve aortic bicuspid: He valve aortic nona nā cusps ʻelua ma kahi o ʻekolu.
- Coarctation o ka aorta: Ka emi ʻana o kekahi wahi ma ka aorta o ke pēpē.
- Nui nā kūlana paʻakikī ʻē aʻe, a nā kauka e kapa aku nei ma nā inoa: Dextro-Transposition of the great arteries (d-TGA), Hypoplastic left heart syndrome (HLHS), Patent ductus arteriosus (PDA), Pulmonary atresia, Tetralogy of Fallot, Tricuspid atresia, Truncus arteriosus.
Ka nāwaliwali o ka puʻuwai - ka nāwaliwali o ka puʻuwai
ʻAʻole kēia he hōʻeha puʻuwai. ʻO ka hāʻule ʻana o ka puʻuwai kahi kūlana i hiki ʻole ai i ka puʻuwai ke pamu pono i ke koko. A laila, ʻaʻole loaʻa i ko mākou mau kino ka nui o ka oxygen a lākou e pono ai. Nui nā kumu no kēia. He maʻi holomua kēia. I ka hopena, hiki ia i kahi kūlana i kapa ʻia ʻo ka hāʻule ʻana o ka puʻuwai congestive , i ka wā e hōʻiliʻili ai ka wai ma nā ʻāpana like ʻole o ke kino (congestion).
ʻO ka maʻi valve puʻuwai - nā pilikia me nā valves puʻuwai
Hiki i kēia mau maʻi ke hoʻopilikia i kekahi o nā kiwikā ʻehā o ko kākou puʻuwai. Ua like kēia mau kiwikā me nā ʻīpuka, e hoʻokaʻawale ana i nā ʻāpana like ʻole o ka puʻuwai a e kaohi ana i ke kahe o ke koko. Inā maʻi kahi kiwikā, hoʻokau ia i ke kaumaha hou aʻe ma luna o ka puʻuwai. I ka hala ʻana o ka manawa, hiki ke loaʻa nā pilikia e like me ka hāʻule ʻana o ka puʻuwai a i ʻole ka make koke ʻana o ka puʻuwai.
ʻO nā maʻi valve maʻamau:
- Ka hoʻihoʻi ʻana o ka valve mitral: Ke kahe nei ke koko i hope ke pani pono ʻole ʻia ka valve mitral.
- ʻO ka stenosis valve aortic: ʻO ka hoʻohaiki ʻana o ka valve aortic, e kaupalena ana i ka nui o ke koko e hele ana ma waena.
- Ka luaʻi ʻana o ka valve aortic: Ke kahe nei ke koko i hope ke pani pono ʻole ʻia ka valve aortic.
Kolesterol kiʻekiʻe
Pono kākou e loaʻa kahi nui o ka momona (lipids) i loko o ko kākou koko. Hana lākou i nā hana koʻikoʻi he nui no ko kākou kino. Eia nō naʻe, he mea weliweli ka nui o ka momona i loko o ke koko. Ua kapa ʻia kēia ʻano he cholesterol kiʻekiʻe (hyperlipidemia) . Hoʻonui kēia i ka pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe he nui.
ʻO ka hypercholesterolemia familial kahi kūlana i hoʻoilina ʻia ai ka cholesterol kiʻekiʻe. Loaʻa i ka poʻe me kēia kūlana nā pae LDL (cholesterol maikaʻi ʻole) kiʻekiʻe loa. Hoʻokomo kēia iā lākou i kahi pilikia kiʻekiʻe o ka hoʻomohala ʻana i ka CAD a me nā maʻi puʻuwai, a hiki iā lākou ke ʻike i kēia mau mea i ka wā ʻōpiopio.
Hahau
He pilikia olakino hoʻoweliweli ka hahau ʻana e pono ai ka mālama koke ʻana. Hana ʻia ia ke hoʻopau ʻia ke kahe koko i ka lolo. Aia kekahi mau ʻano hahau:
- Hahau Ischemic: Ke ālai nei kahi ʻaʻa koko i kahi aʻa i ka lolo.
- Hahau koko: Loaʻa ke kahe koko i loko o ka lolo (malia paha ma muli o ka pahū ʻana o ke kīʻaha koko a i ʻole ka ʻeha poʻo), no laila ʻaʻole loaʻa ke koko i nā hunaola o ka lolo.
- Hoʻouka ischemic kuʻuna (TIA): Ke ālai nei kahi ʻūpā koko i ke kahe o ke koko i ka lolo no kekahi manawa, i kapa ʻia hoʻi he "mini stroke ." ʻO ka TIA he hōʻailona maʻamau ma mua o ka hahau ischemic.
ʻO ka maʻi ʻaʻai
He ʻōnaehana pale kino hana nui kēia e hoʻoulu ai i ka mumū i loko o nā kīʻaha koko. Hiki i kēia ke hoʻopilikia i nā aʻa koko, nā aʻa, a i ʻole nā capillaries. Hiki i kēia mumū ke hoʻoemi a paʻa i nā kīʻaha koko. Hiki iā ia ke hoʻonāwaliwali i nā kīʻaha koko a hana i kahi aneurysm.
Maʻi ʻaʻa koko
He hui kēia o nā maʻi e hoʻopilikia i ko kākou mau aa koko (nā aa koko e lawe ana i ke koko haumia, a i ʻole ke koko haʻahaʻa oxygen, i ka puʻuwai). Hiki i kēia mau maʻi ke hoʻolohi i ke kahe o ke koko, kahe i ke ala kūpono ʻole, a i ʻole e hoʻōki loa i nā hihia koʻikoʻi.
Nā maʻi venous maʻamau:
- ʻO ka lawa ʻole o ke koko maʻi mau (CVI): He paʻakikī i nā aʻa koko ma nā wāwae ke hoʻihoʻi i ke koko i luna i ka puʻuwai. ʻO kēia ke kumu o ka hōʻiliʻili ʻana o ke koko i loko o nā aʻa koko o nā wāwae.
- ʻO ka thrombosis aʻa hohonu (DVT): He ʻaʻa koko e hana ʻia i loko o kahi aʻa hohonu (kahi aʻa koko hohonu ma lalo o ka ʻili). Inā haki kēia ʻaʻa koko, hiki iā ia ke hele i nā māmā a hoʻoulu i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo pulmonary embolism .
He aha nā hōʻailona maʻamau o nā maʻi o ka ʻōnaehana kahe koko?
ʻOkoʻa loa nā hōʻailona mai kekahi maʻi a i kekahi. ʻO kekahi mau hōʻailona ka mea a nā kauka e kapa nei he "non-specific." ʻO ia hoʻi, hiki ke hana ʻia e nā maʻi ʻē aʻe he nui.
No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā hōʻailona āu e loaʻa nei. A laila hiki iā ia ke ʻike i ka pilikia a hana i nā hoʻokolohua inā pono.
ʻO kekahi mau hōʻailona i ʻike pinepine ʻia:
- ʻEha umauma (Angina) e hele mai me ka hoʻoikaika kino.
- Pōʻaiʻī.
- Ka paʻakikī o ka hanu ʻana (Dyspnea) .
- Pehu (Edema) (pinepine i nā wāwae).
- Ka mae ʻana.
- Ka luhi nui loa.
- Nā palpitations o ka puʻuwai (manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi ʻole ʻia).
Nā hōʻailona o kahi pilikia - pono ʻoe e ʻike i kēia mau mea!
Aia kekahi mau hōʻailona e hōʻike ana i kahi pilikia olakino. ʻO ka ʻike ʻana i kēia mau hōʻailona e hiki ke kōkua i ka hoʻopakele ʻana i kou ola a me ke ola o kāu poʻe aloha. E makaʻala i nā hōʻailona o kēia mau kūlana:
- Ka haki a i ʻole ka ʻoki ʻana o ka aneurysm.
- Maʻi hohola.
- ʻO ka embolism pulmonary.
- ʻO ka hahau ʻana a me ka hahau liʻiliʻi (TIA).
- ʻO ka fibrillation ventricular.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka haukapila a kāhea paha i kahi ambulance.
He aha nā lāʻau lapaʻau no kēia mau maʻi?
ʻO ka maʻamau, pili ka lāʻau lapaʻau i nā lāʻau lapaʻau, nā kaʻina hana, a me ke ʻoki kino.
Nā lāʻau lapaʻau
Aia nā ʻano lāʻau lapaʻau like ʻole i hoʻohana ʻia e mālama i nā maʻi o ka ʻōnaehana kahe koko. ʻO kekahi o nā mea i hoʻohana pinepine ʻia:
- Nā mea hoʻopaʻa ACE: No nā mea e like me ke koko kiʻekiʻe a me ka hāʻule ʻana o ka puʻuwai.
- Nā Anticoagulants (nā mea hoʻokahe koko): Kōkua i ka pale ʻana i ke kūkulu ʻia ʻana o nā ʻōpū koko. Hoʻemi i ka pilikia o ka hōʻeha puʻuwai, ka hahau ʻana, a me ka emboli pulmonary.
- Nā mea pale Beta: E mālama i nā ʻano maʻi puʻuwai like ʻole a me nā pilikia o ka ʻōnaehana kahe koko.
- Nā mea pale o ke kahawai calcium: No nā mea e like me ke koko kiʻekiʻe a me ka arrhythmia.
- Diuretics (nā pila wai): Wehe i ke kahe nui mai ke kino. Kuhi pinepine ʻia no ke koko kiʻekiʻe, cardiomyopathy, a me ka hāʻule ʻana o ka puʻuwai.
- Nā Statins: Hoʻohaʻahaʻa i ka cholesterol a hōʻemi i ka pilikia o ka hōʻeha puʻuwai a me ka hahau.
Nā kaʻina hana lapaʻau a me nā ʻoki kino
Pono kekahi mau kūlana i nā kaʻina hana lapaʻau a i ʻole ke ʻoki kino. Me ka holomua o ka ʻenehana, aia i kēia manawa he nui nā ʻano hana. Nā Laʻana:
- ʻO ke ʻoki puʻuwai .
- ʻO ke ʻoki puʻuwai minimally invasive .
- ʻO ke komo ʻana o ka coronary percutaneous (coronary angioplasty) - ʻO kēia ke kaʻina hana e hoʻonui ai i nā aʻa i loko o ka puʻuwai.
Pehea e pale ai iā ʻoe iho mai nā maʻi o ka ʻōnaehana circulatory?
ʻO kekahi o nā ala koʻikoʻi e pale aku ai iā ʻoe iho mai kēia mau maʻi, ʻo ia ke ʻike ʻana i ke kauka no nā nānā makahiki. ʻAʻole ʻike ka poʻe he nui he mau mea pilikia ko lākou. Hiki i ke kauka ke ʻike i nā pilikia i ka wā mua, ma mua o ko lākou lilo ʻana i mea koʻikoʻi.
Eia kekahi, ʻo ka hoʻololi ʻana i kāu meaʻai a me kou nohona e hiki ke kōkua i ka pale ʻana i kēia mau maʻi.
- E hahai i kahi papaʻai olakino no ka puʻuwai (haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō, kiʻekiʻe i nā huaʻai a me nā mea kanu).
- E hoʻomaʻamaʻa i ka hana ʻana i kekahi mau hoʻoikaika kino aerobic i kēlā me kēia lā (e like me ka hele wikiwiki, ka holo ʻana, a i ʻole ke kaʻa paikikala).
- E pale loa i ka puhipaka, nā ʻano paka ʻē aʻe, a me ka hoʻohana ʻana i nā lāʻau lapaʻau.
E kamaʻilio me kāu kauka e pili ana i nā ʻano hana olakino kūpono iā ʻoe. He mea nui hoʻi e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
Hiki i nā maʻi o ka ʻōnaehana kaa ke hoʻopilikia i kou kino a me kou ola ma nā ʻano he nui, ʻo ia ke kumu he mea nui e aʻo e pili ana i nā kūlana maʻamau a e komo ikaika i kāu mālama olakino.
E kūkulu i kahi pilina maikaʻi me kāu kauka. E makaʻala i nā hōʻailona maʻamau a me nā hōʻailona hōʻike i hiki iā ʻoe ke loaʻa koke ke kōkua i ka wā e pono ai. E kaʻana like i kēia ʻike me nā poʻe ʻē aʻe. ʻO kahi mea liʻiliʻi āu i ʻike ai hiki ke hoʻopakele i ke ola o kekahi i kekahi lā. E noho olakino!
ʻO ka maʻi puʻuwai, nā kīʻaha koko, ke kaʻapuni koko, Aneurysm, Arrhythmia, ke koko kiʻekiʻe, Cholesterol, Stroke, Hoʻouka puʻuwai, nā maʻi ʻōnaehana kaʻapuni, nā maʻi cardiovascular, olakino puʻuwai











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