Ua waiho ʻia ka momona i loko o kou mau kīʻaha koko? (Atherosclerosis) E kamaʻilio kākou e pili ana i kēia!

I kekahi manawa, loaʻa paha iā ʻoe kahi pilikia nui e ulu ana i loko o kou kino me ka ʻike ʻole. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hoʻopilikia mālie i ke kino, akā hiki ke lilo i mea weliweli loa. ʻO kēia ka mea a mākou e kapa nei he "atherosclerosis". E noʻonoʻo, ua like kou mau kīʻaha koko me nā paipu wai, he aha ka mea e hana ai inā paʻa kēia mau paipu i ka lepo, ʻo ia hoʻi, ka momona? ʻO ia ka mea e hana ai i kēia hihia. ʻOiai he moʻolelo koʻikoʻi kēia, inā maopopo pono iā mākou, hiki iā mākou ke hana i nā mea he nui e pale aku ai.

He aha ka atherosclerosis? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka atherosclerosis ka hōʻiliʻili mālie ʻana o ka momona, ka cholesterol, ka calcium, a me nā mea ʻē aʻe i loko o nā paia o kou mau aʻa, e hana ana i kahi "plaque" (atheroma). ʻO nā aʻa nā kīʻaha koko e lawe ana i ke koko momona i ka oxygen mai ko mākou puʻuwai a i ke koena o ko mākou kino. I ka hōʻiliʻili ʻana o kēia plaque, e mānoanoa a paʻakikī mālie nā paia o nā aʻa. Ua kapa ʻia hoʻi kēia ʻo "hardening of the arteries" a i ʻole "atherosclerosis."

I ka hoʻomaka ʻana, hana mālie loa kēia. ʻAʻole paha ʻoe e ʻike i kekahi mau hōʻailona no kekahi manawa. Akā i ka ulu mālie ʻana o kēia palaki, ua emi ka hakahaka no ke koko e kahe i loko o ke aʻa, ʻo ia hoʻi, ka puka (lumen) i loko o ke kahawai. E like me ka wā e paʻa ai ka lepo i loko o kahi paipu wai, ua emi ka ala wai. He aha ka mea e hana ai? Ua emi ka nui o ke koko e hiki aku i ko kākou mau kino a me nā ʻiʻo. ʻAʻole wale ia, akā i ka hoʻomau ʻana o ke koko e kahe wikiwiki, hiki i kēia palaki ke haki, a i ʻole e kahakaha ʻia kona ʻili. Inā hana ʻia kēlā, hiki ke hana ʻia kahi ʻūpā koko ma laila.

E noʻonoʻo penei: ua like ke aʻa koko haiki me ke alanui ʻehā alahele i hoʻemi ʻia i hoʻokahi alahele. Akā, ua like ke koko ʻūpā me kahi keʻakeʻa ma waenakonu o kēlā alanui. Hiki iā ia ke hoʻōki loa i ke kahe ʻana o ke koko.

ʻO ka hopena ma ke kino e pili ana i kahi e hana ʻia ai ke koko. No ka laʻana, inā hana ʻia kēia ʻano paʻa i loko o nā aʻa coronary e hoʻolako ana i ke koko i ka puʻuwai, hiki ke hoʻonele ʻia ka puʻuwai i ka oxygen a hiki ke loaʻa kahi hōʻeha puʻuwai .

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo atherosclerosis?

He kūlana maʻamau loa kēia. ʻO nā pilikia i hoʻokumu ʻia e kēia hōʻiliʻili ʻana o ka plaque, ʻoiai nā hōʻeha puʻuwai a me nā hahau, ʻo ia nā kumu nui o ka make ma ka honua holoʻokoʻa.

Wahi a ka US National Institutes of Health, ma kahi o ka hapalua o ka poʻe ma waena o 45 a me 84 mau makahiki he atherosclerosis, akā ʻaʻole lākou i ʻike. Pono mākou e hopohopo e pili ana i kēia kūlana ma ko mākou ʻāina.

He aha nā hōʻailona o kēia?

ʻO ka pinepine, ʻaʻole ʻike ʻia nā hōʻailona a hiki i ka wā e haiki loa ai kahi aʻa koko, ʻoi aku ma mua o 70% i ālai ʻia, a i ʻole i ālai loa ʻia. ʻIke wale ka hapa nui o ka poʻe he mau waihona (plaque) ko lākou ma hope o kahi pilikia olakino, e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.

Inā ʻoi aku ka paʻa ʻana o ke aʻa ma mua o 70%, e hoʻomaka paha ʻoe e ʻike i nā hōʻailona. Ma muli o kahi o ke aʻa i paʻa ʻia, hiki ke ʻike ʻia nā hōʻailona ma nā ʻāpana like ʻole o ke kino.

Pili i ka puʻuwai (Coronary Artery Disease - CAD)

Ke hana ʻia kēia kūlana i loko o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai, ua kapa ʻia ʻo ia he Maʻi Artery Coronary (CAD). Hiki i kēia ke alakaʻi i ka hōʻeha puʻuwai.

Hiki iā ʻoe ke manaʻo i nā mea e like me kēia:

• Paʻakikī ka hanu ʻana ʻoiai ke hana nei i nā hana māmā (Dyspnea).
• ʻEha a ʻeha paha ka umauma (angina). Hiki i kēia ke manaʻo e like me ka ʻūmiʻi a ʻūmiʻi paha i loko o ka umauma.
• ʻEha ma ke kua, nā poʻohiwi, ka ʻāʻī, nā lima, a i ʻole ka ʻōpū.
• Pōniuniu, manaʻo māmā ke poʻo.
• Nā palpitations o ka puʻuwai.
• Luhi loa, ʻānai loa.
• Ka luaʻi a me ka nausea, e like me ka ʻai ʻana o ka ʻōpū.

ʻŌnaehana hoʻoheheʻe (Mesenteric Ischemia)

Hiki ke hana ʻia kēia kūlana (mesenteric ischemia) inā e hoʻemi ʻia ke kahe o ke koko i nā ʻāpana o ka ʻōnaehana hoʻoheheʻe.

• ʻEha a ʻūmiʻi paha i loko o ka ʻōpū, ʻoi aku hoʻi ma ka ʻōpū, ma hope o ka ʻai ʻana.
• Pehu, nausea, luaʻi.
• Ka maʻi pākī.
• ʻO ka pohō kaumaha ma muli o ka makaʻu i ka meaʻai, ʻo ia hoʻi ka makaʻu i ka ʻeha i ka wā e ʻai ai.

Nā wāwae a me nā wāwae (Peripheral Artery Disease - PAD)

ʻO ka maʻi aʻa peripheral (PAD) kahi kūlana e emi ai ke kahe o ke koko i loko o nā aʻa e hoʻolako koko i nā lālā.

• ʻO ka intermittent claudication kahi ʻeha e like me ke ʻōwili ʻana o nā mākala o kou mau wāwae, ʻoiai ke hele ʻoe. E emi ana kēia ma hope o kou noho ʻana no kekahi manawa a hoʻomaha, akā e hoʻi hou mai ke hele ʻoe.
• ʻEha a ʻā nā wāwae a me nā manamana wāwae i ka wā e hoʻomaha ai, ʻoiai hoʻi i ka wā e moe ana.
• Nā loli o ke kala o ka ʻili (e.g., ʻulaʻula).
• Nā wāwae anu.
• Nā maʻi pinepine o ka ʻili a me nā ʻiʻo palupalu o nā wāwae, nā wāwae.
• Nā ʻeha ho'ōla ʻole ma nā wāwae a me nā manamana wāwae.

ʻO ka Stenosis o ke aʻa Renal

Hiki i ka stenosis aʻa Renal ke hana i nā hōʻailona e like me:

• Ke koko kiʻekiʻe hiki ʻole ke kāohi ʻia me ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau.
• Ka loli ʻana i ke alapine o ka mimi ʻana.
• Pehu (Edema).
• Hiamoe, luhi.
• ʻIli maloʻo, maneʻo, a ʻānai paha.
• ʻEha poʻo.
• Ka pohō kaumaha me ke kumu ʻole.
• Ka luaʻi, ka luaʻi ʻana, a i ʻole ka nalowale o ka makemake e ʻai.

Pili i ka lolo (Maʻi Carotid Artery)

Inā loaʻa kēia ʻano ma nā aʻa carotid ma ka ʻāʻī, kahi e hoʻolako ai i ke koko i ka lolo, ʻo nā hōʻailona mua paha he transient ischemic attack (TIA) a i ʻole ka hahau ʻana.

• Pōʻaiʻī.
• Ke kūlou nei kekahi ʻaoʻao o ka maka.
• Ka nalowale o ka ʻike ma kekahi ʻaoʻao o ke kino, nāwaliwali o nā ʻiʻo.
• ʻEha poʻo nui.
• He ʻōlelo ʻūlū o nā huaʻōlelo i ka wā e ʻōlelo ana, he paʻakikī ke kākau ʻana i nā huaʻōlelo.
• Ka nalowale ʻana o ka ʻike ma kekahi maka. Me he mea lā e hāʻule ana kahi pale ʻeleʻele i mua o ka maka.

No ke aha e ulu ai ka atherosclerosis? He aha nā kumu?

Manaʻo nā kānaka noiʻi he nui nā kumu nui no kēia:

• Hoʻonui ʻia ka nui o ka cholesterol LDL maikaʻi ʻole a me nā triglycerides i loko o ke koko.
• Ka hoʻohana ʻana i nā huahana paka (puhi paka, paka uahi ʻole).
• Ke koko kiʻekiʻe (Hypertension).
• ʻO ka maʻi diabetes (Diabetes Mellitus).

Hiki i kēia mau mea ke hōʻino i ka uhi o loko o kou mau aʻa (endothelium). ʻO ia ka manawa e hoʻomaka ai ka atherosclerosis e ulu. ʻO ka maʻamau, hiki mālie kēia hōʻino, i ka hala ʻana o ka manawa.

Pehea e hana ai kēia, he aha nā pae?

Hoʻomohala ʻo Atherosclerosis i nā makahiki he nui a he nui nā pae nui:

1. Ka hōʻino ʻana o ka endothelial a me ka pane ʻana o ka pale ʻana: Ke hōʻino ʻia ka endothelium o ke aʻa, hoʻomaka kahi hopena kemika. ʻO kēia ke kumu o ka hōʻiliʻili ʻana o nā hunaola koko keʻokeʻo ma kahi i hōʻino ʻia. Hōʻiliʻili kēia mau hunaola a hoʻoulu i ka mumū i loko o ke aʻa.

2. Nā kaha momona: ʻO kēia ka hōʻailona mua i ʻike ʻia o ka atherosclerosis. Ua like ka wahi i hōʻino ʻia me kahi kaha melemele a i ʻole kahi kiko, a ua hana ʻia me nā "pūnaewele huʻa" make. ʻO nā pūnaewele huʻa he mau pūnaewele koko keʻokeʻo i ʻai i ka cholesterol i ka hoʻāʻo ʻana e wehe iā ia. Ke hoʻomau nei kēia mau pūnaewele huʻa i ka hana, hōʻino hou lākou i ka endothelium.

3. Ka ulu ʻana o ka palaki: Ke hoʻomau nei ka hōʻiliʻili ʻana o nā hunaola huʻa make a me nā ʻōpala ʻē aʻe, lilo mālie ke kaha momona i palaki nui aʻe. Hoʻokumu ʻia kahi pāpale fibrous o nā hunaola ʻiʻo laumania ma luna o kēia palaki. Pale kēia i ka palaki mai ka haki ʻana a me ka hōʻiliʻili ʻana i loko o ke koko. I ka ulu ʻana o ka palaki, emi ka lumen (ka hakahaka e kahe ai ke koko) i loko o ke aʻa.

4. Ka haki ʻana a i ʻole ka ʻino ʻana o ka plaque: I kēia pae, haki ka pāpale fibrous ma luna o ka plaque, a i ʻole ua hōʻino ʻia nā cell endothelium e hoʻopuni ana i ka plaque. I kēlā me kēia ʻano, hana ʻia kahi clot koko. Ke ālai nei kēlā clot i ke kahe koko a hoʻoulu i ka hōʻeha puʻuwai a i ʻole ka hahau.

He aha nā kumu pilikia no kēia?

Nui nā kumu pilikia e hiki ke hoʻopilikia i ka ulu ʻana o ka atherosclerosis. Hiki iā ʻoe ke hoʻololi i kekahi o kēia mau mea, akā ʻo kekahi, e like me ka makahiki, ʻaʻole hiki iā ʻoe.

ʻO nā kumu pilikia:

• ʻOiai nā kāne ma luna o 45 mau makahiki.
• ʻOiai he wahine ma luna o 55 mau makahiki.
• Inā ua loaʻa i kekahi o ka ʻohana (he hoahānau kāne pili ma mua o 45 mau makahiki, a he hoahānau wahine pili paha ma mua o 55 mau makahiki) nā maʻi cardiovascular .
• ʻO ka maʻi diabetes (Diabetes Mellitus).
• Ke koko kiʻekiʻe (Hypertension).
• ʻO ka Hyperlipidemia, ʻoiai ke kiʻekiʻe o ka cholesterol LDL maikaʻi ʻole a i ʻole kahi lipoprotein kūikawā i kapa ʻia ʻo Lipoprotein (a).
• ʻO ka maʻi metabolic.
• Ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka ʻē aʻe.
• Ka nele i ka hana kino.
• ʻAi ʻana i kahi meaʻai kiʻekiʻe i ka momona saturated, trans fat, sodium (paʻakai), a me ke kō.

He aha nā pilikia e hiki ai i kēia ke hana?

Hoʻopilikia ka Atherosclerosis i ka hana maʻamau o kā mākou ʻōnaehana cardiovascular. Hiki i kēia ke kaupalena a ālai loa paha i ke kahe koko i nā ʻāpana like ʻole o ke kino, ʻoiai ka puʻuwai a me ka lolo. ʻO nā pilikia e hiki mai ana ma muli o kēia emi ʻana o ke kahe koko:

• ʻO ka maʻi o ke aʻa Carotid.
• Maʻi ʻaʻa coronary.
• Maʻi hohola.
• Nā ʻano like ʻole o ka puʻuwai (Arrhythmia).
• Ka hāʻule ʻana o ka puʻuwai.
• ʻO ka ischemia mesenteric.
• ʻO ka maʻi o ke aʻa peripheral.
• Maʻi puʻupaʻa mau loa (CKD).
• ʻO ka stenosis o ke aʻa renal.
• Hahau.
• Hoʻouka ischemic manawa pōkole (TIA).
• Ka nāwaliwali a me ka pehu ʻana o nā paia o ke aʻa (aneurysms) a me ko lākou haki ʻana.

ʻO ka ʻike mua ʻana a me ka mālama ʻana i kēia ʻano maʻi hiki ke pale a hoʻopaneʻe paha i ia mau pilikia koʻikoʻi.

Pehea e ʻike ʻia ai kēia? He aha nā hoʻokolohua a nā kauka e hana ai?

No ka ʻike ʻana inā he atherosclerosis kou, a i ʻole kou pilikia o ka hoʻomohala ʻana, e hana ke kauka i kēia mau mea:

• E hana ʻia kahi hoʻokolokolo kino piha. E komo pū ana kēia me ka hoʻolohe ʻana i kou puʻuwai a me ke kani o ke koko e kahe ana ma o kou mau aʻa me kahi stethoscope. No ka laʻana, e nānā lākou no kahi kani "bruit" i loko o nā aʻa carotid i kou ʻāʻī. Hiki i kēia kani ke hōʻike i ke alo o ka plaque.
• E nīnau ʻia kāu mōʻaukala olakino a me ka mōʻaukala ʻohana. Hiki i kēia ʻike ke hāʻawi iā ʻoe i kahi manaʻo o kou pilikia no ka atherosclerosis a me kona mau pilikia.
• E nīnau lākou e pili ana i kou nohona. E nīnau paha lākou e pili ana i nā ʻano maʻamau e like me ke hoʻohana ʻana i nā huahana paka a inā paha ua hana ʻoe pēlā ma mua.
• Ua kauoha ʻia nā hoʻāʻo koko.Hiki i kēia mau hoʻāʻo koko e pili ana i ka maʻi puʻuwai ke haʻi nui iā ʻoe e pili ana i kāu mau pae cholesterol a me ka hana o ka puʻuwai.

He aha nā hoʻokolohua ʻē aʻe e hana ʻia?

Hiki i ke kauka ke kauoha i nā hoʻokolohua ʻē aʻe e hōʻoia i ke alo o ka atherosclerosis a hoʻolālā i ka mālama ʻana. ʻO kēia mau mea:

• Angiography: Hoʻohana kēia i nā kukuna X kūikawā a me ka dye hoʻohālikelike e ʻike a ana i nā ālai ʻana i loko o nā aʻa.
• Kuhikuhi kuʻekuʻe wāwae-brachial: Ke ana kēia i ke kahe o ke koko i loko o kou mau lālā ma ka hoʻohālikelike ʻana i ke kaomi koko ma kou kuʻekuʻe wāwae a me kou lima.
• X-ray o ka umauma: Lawe kēia i nā kiʻi o loko o ka umauma.
• ʻO ke scan CT (Computed Tomography scan): Lawe kēia scan i nā kiʻi o loko o ke kino a hiki ke ʻike inā ua ālai ʻia a ua haiki paha nā aʻa nui.
• MRI o ka puʻuwai (Magnetic Resonance Imaging): Hiki i kēia hoʻāʻo ke hōʻike i nā pilikia me ke kahe koko i loko o nā aʻa.
• Echocardiogram (Echo): Lawe kahi echo i nā kiʻi o nā valves a me nā keʻena o ka puʻuwai a ana i ka maikaʻi o ka puʻuwai e pamu ana i ke koko.
• ECG (Electrocardiogram a i ʻole EKG): Ana ke ECG i ka hana uila, ka wikiwiki, a me ke kuʻina o ka puʻuwai.
• Hoʻāʻo hoʻoikaika kino: He hoʻāʻo e ana i ka hana o ka puʻuwai ʻoiai ʻoe e hana kino ana.
• ʻO ke kani ultrasound Carotid: Lawe kēia i nā kiʻi ultrasound o nā aʻa carotid ma ka ʻāʻī. Hiki iā ia ke ʻike inā ua haiki a paʻa paha kēia mau aʻa i ko lākou lawe ʻana i ke koko i ka lolo.
• ʻŌmole ultrasound: Ke nānā nei kēia ultrasound i ka aorta, ke aʻa nui i loko o ka ʻōpū, e ʻike inā he puʻupuʻu (abdominal aortic aneurysm) a i ʻole plaque.

Pehea e mālama ʻia ai kēia?

Hoʻōla ʻia ʻo Atherosclerosis me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i kekahi manawa ke ʻoki kino a i ʻole nā ​​​​kaʻina hana lapaʻau ʻē aʻe . Ma muli o kahi i loaʻa ai iā ʻoe ka atherosclerosis, hiki iā ʻoe ke ʻike i kahi cardiologist, nephrologist, neurologist, a i ʻole ke kauka vascular.

E hana kāu mau kauka i kahi hoʻolālā lapaʻau e pili ana i kāu mau pono. ʻO nā pahuhopu o ka lapaʻau maʻamau:

• Hoʻemi i ka pilikia o nā ʻōpū koko.
• Ke pale nei i nā pilikia e like me ka hōʻeha puʻuwai a i ʻole ka hahau.
• Ka hōʻemi ʻana i nā hōʻailona.
• Kōkua iā ʻoe e hoʻokō i kahi papaʻai maikaʻi no kou puʻuwai a me nā kīʻaha koko.
• Ke kāohi ʻana a i ʻole ke kāohi ʻana i ke kūkulu ʻia ʻana o ka plaque i loko o nā aʻa.
• Ka hoʻomaikaʻi ʻana i ke kahe koko, ma ka hoʻonui ʻana i nā aʻa a i ʻole ke kāpae ʻana i nā mea ālai.

Nā loli o ke ʻano o ka nohona

Hiki i nā hoʻololi ʻana i ke ʻano o ka nohona ke hōʻemi i ka pilikia o nā pilikia. E hana kāu kauka i kahi hoʻolālā kūpono nou. Ma keʻano laulā, hiki iā ʻoe ke hana i kēia mau mea:

• E hōʻalo i nā huahana paka āpau (me ka puhipaka a me ka vaping). ʻO kēia ka mea nui loa hiki iā ʻoe ke hana.
• E hahai i kahi papaʻai olakino no ka puʻuwai, e like me ka papaʻai Mediterranean , ʻo ia hoʻi ka ʻai ʻana i nā mea kanu, nā huaʻai, nā legumes, nā palaoa piha, ka iʻa, a me ka ʻaila ʻoliva.
• E hoʻoikaika kino i kēlā me kēia lā. E hoʻomaka me kahi hele wāwae pōkole a hoʻoikaika kino no 30 mau minuke i ka lā, i kekahi mau lā o ka pule.

Nā lāʻau lapaʻau

Hiki i nā lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā kumu pilikia no ka hōʻiliʻili ʻana o ka plaque a hoʻolohi i ka holomua o ka atherosclerosis. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko, hoʻohaʻahaʻa i ka cholesterol, kaohi i nā pae kō koko, a pale i nā ʻūpā koko.

Nā Kaʻina Hana a i ʻole nā ​​ʻoki kino

Aia nā ʻano hana lapaʻau a me nā hana ʻoki kino like ʻole e kōkua i ka poʻe me nā aʻa koko i ālai nui ʻia a i ʻole ka poʻe i pilikia nui i nā pilikia. ʻO nā koho lapaʻau maʻamau:

• Angioplasty: Pili kēia i ke kau ʻana i kahi mea like me ka pōpō i loko o ke aʻa i hāiki ʻia a hoʻopiha iā ia e hoʻonui i ke aʻa.
• Atherectomy: Pili kēia i ka ʻoki ʻana a me ka wehe ʻana i ka palaki mai loko mai o ke aʻa.
• ʻO Carotid endarterectomy: He hana ʻoki e wehe ai i ka palaki mai nā aʻa carotid ma ka ʻāʻī.
• ʻO ke kāpili ʻana o ke aʻa coronary artery bypass (CABG): Hoʻokumu kēia kaʻina hana i nā ala hou no ke kahe ʻana o ke koko a puni nā aʻa i ālai ʻia i loko o ka puʻuwai.
• ʻO ke ʻoki ʻoki ʻana i ke aʻa peripheral: Hana i nā ala hou no ke koko e pale aku i nā aʻa i ālai ʻia i loko o nā lālā.
• Ke kau ʻana o ka stent: Ma hope o ka angioplasty, ua kau ʻia kahi stent liʻiliʻi e like me ka mesh e pale ai i ke aʻa mai ka hoʻohaiki hou ʻana.
• ʻO ke kāpae ʻana i nā maʻi vascular: He ʻoki kino nō hoʻi kēia e kāpae ai i nā mea ālai ʻia.

Hiki ke pale ʻia ka atherosclerosis?

ʻAʻole paha hiki ke pale loa ʻia. Akā hiki iā ʻoe ke hōʻemi i kou pilikia a hoʻemi i ka hopena o ka maʻi. Eia kekahi mau mea hiki iā ʻoe ke hana:

• E ʻai i nā meaʻai haʻahaʻa i ka momona saturated, trans fat, cholesterol, sodium (paʻakai), a me ke kō.
• E hana i ka hana kino maʻamau . E hoʻomaka me kahi hele wāwae pōkole a hana a hiki i 30 mau minuke i ka lā, i kekahi mau lā o ka pule.
• E mālama i ke kaumaha olakino nou. E nīnau i kāu kauka he aha ia mea.
• E mālama i nā kūlana olakino ʻē aʻe, ʻoiai hoʻi ka maʻi diabetes mellitus, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe.
• Mai hoʻohana i nā huahana paka.
• E hana i kahi hoʻokolohua lapaʻau i hoʻokahi manawa i ka makahiki.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi? Pehea ʻoe e mālama ai iā ʻoe iho?

Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki i ka poʻe he nui me ka atherosclerosis ke ola i ke ola a lākou e aloha ai. Akā hiki i ka maʻi ke hana i nā pilikia olakino, a hiki ke make. No laila he mea nui e makaʻala i kāu mau pilikia a hana pū me kāu kauka e hōʻemi iā lākou.

E hana pū me kāu kauka. E nānā pinepine lākou i kou kūlana a haʻi iā ʻoe i ka pinepine o kou ʻike ʻana iā lākou. E mālama i kāu mau manawa a pau a e hana mua e pili ana i kou olakino. E haʻi koke aku i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona hou a loli paha. Hiki i ka lāʻau lapaʻau mua ke hōʻemi i ka pilikia o nā pilikia e hoʻoweliweli ana i ke ola.

Eia kekahi, e noʻonoʻo e pili ana i kou olakino noʻonoʻo. He mea maʻamau ka hopohopo no nā mea e hiki mai ana. Hiki ke hoʻoluhi i ka hana ʻana i nā hoʻololi i ke ʻano o ka nohona. Akā, mai hoʻokuʻu i kēlā mau manaʻo e pale iā ʻoe mai ka hauʻoli ʻana i ke ola.

• E kaʻana like i kou mau manaʻo me ke kākā'ōlelo a i ʻole kahi hui kākoʻo.
• E hoʻopili me nā poʻe ʻē aʻe i loaʻa i ka maʻi cardiovascular. Hiki iā ʻoe ke kaʻana like i nā ʻike a aʻo mai kekahi i kekahi.
• E kamaʻilio me kou ʻohana a me kou mau hoaaloha e pili ana i nā hoʻololi nohona āu e hana nei. E wehewehe iā lākou i ke kumu he mea nui kēia mau hoʻololi iā ʻoe, a e noi i kā lākou kākoʻo i ka hoʻokō ʻana iā lākou.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana i nā hōʻailona o ka hōʻeha puʻuwai, ka hahau ʻana, a i ʻole TIA , e kelepona koke i ka 911 a i ʻole kāu helu ulia pōpilikia kūloko. He mau ulia pōpilikia lapaʻau kēia e pono ai ka mālama koke ʻia.

He aha nā nīnau āu e nīnau ai i kāu kauka?

ʻO kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• He aha ka nui o koʻu koko a me koʻu pae cholesterol?
• Āhea wau e hoʻomaka ai e nānā i ka cholesterol o kaʻu mau keiki?
• Hiki iā ʻoe ke kuhikuhi mai i kahi papahana e kōkua iaʻu e hoʻōki i ka puhipaka?

Leka Hoʻihoʻi Hope Loa

He maʻi maʻamau ka Atherosclerosis i kū i nā poʻe he nui. Akā, aia kāu kauka ma ʻaneʻi e kōkua iā ʻoe e hoʻokele iā ia a ola i kou ola maikaʻi loa. I kāu nānā makahiki ʻana, e loiloi lākou i kou pilikia o ka loaʻa ʻana o ka atherosclerosis a wehewehe i nā mea hiki iā ʻoe ke hana e hōʻemi iā ia. Mai makaʻu e noi i ke kōkua i ka hahai ʻana i ka ʻōlelo aʻo a kāu kauka. Hiki iā lākou ke kuhikuhi i nā kumuwaiwai āu e pono ai. E hoʻomanaʻo, ʻo kahi nohona olakino a me ka hahai ʻana i ka ʻōlelo aʻo a kāu kauka e kōkua nui i ka pale ʻana iā ʻoe mai kēia maʻi koʻikoʻi.

ʻAtherosclerosis , arteriosclerosis, cholesterol, hōʻeha puʻuwai, hahau, paʻa ʻana o ke kīʻaha koko, nohona olakino