Pono anei ʻoe e makaʻu i kēlā me kēia ʻeha umauma? E aʻo kākou e pili ana i ka ʻeha umauma atypical

Ke lohe kākou i ka huaʻōlelo ʻeha umauma, makaʻu kākou a pau, ʻeā? ʻO ka mea mua e hiki mai ana i ka noʻonoʻo, "He hōʻeha puʻuwai anei kēia?" He makaʻu kūpono ia. Akā, ua ʻike anei ʻoe ʻaʻole i hoʻokumu ʻia nā ʻeha umauma a pau e ka pilikia puʻuwai? I kēia lā, e kamaʻilio kākou e pili ana i kēia mau ʻeha umauma ʻē a ʻano ʻē i loaʻa i kekahi manawa. Kāhea mākou i kēia mau mea he 'ʻEha Puʻuwai ʻAtypical'.

He aha ka ʻeha umauma atypical?

I ka ʻōlelo maʻalahi, ʻo kēia ka ʻeha e hōʻike ʻole ana i nā hōʻailona ʻeha umauma maʻamau a mākou e pili pinepine ai me ka maʻi puʻuwai.

I kēia manawa ke noʻonoʻo nei paha ʻoe, he aha ka ʻeha umauma "maʻamau" ? Manaʻo pinepine nā kauka i ka maʻi puʻuwai inā loaʻa iā ʻoe kēia mau hōʻailona ʻekolu:

1. He ʻeha ma waenakonu o ka umauma, ma lalo o ka iwi umauma, e like me ke kaumaha e kau ʻia ana ma luna .

2. Hoʻonui ʻia kēia ʻeha ke hana ʻoe i kahi hana ikaika (e.g., piʻi i nā alapiʻi) .

3. ʻO kēia ʻeha ke mau nei no ʻelua mau minuke a emi iho ke hoʻomaha ʻoe a lawe paha i kahi lāʻau lapaʻau e like me ka nitroglycerin i kauoha ʻia e ke kauka.

Eia nō naʻe, ʻokoʻa ka ʻeha umauma atypical . Hiki ke loaʻa iā ia hoʻokahi a ʻelua paha o nā hōʻailona i luna, a i ʻole he ʻokoʻa loa nā hōʻailona. Eia kekahi laʻana:

• E hele mai ana no kekahi mau kekona a laila nalo koke.
• Hoʻonui ka ʻeha ke hoʻololi ʻoe i kou kūlana (e.g., ke kīlou ʻoe, kūlou).
• Ke ʻeha nui nei, me he mea lā e hou ʻia ana e ka pahi.

E noʻonoʻo, e noho wale ana ʻoe a laila ʻike koke ʻoe i kahi ʻeha ʻoi i loko o kou umauma ... Nalo koke ia i loko o kekahi mau kekona. I kēia manawa ua makaʻu ʻoe, ʻeā? He hōʻeha puʻuwai anei kēia? ʻO ia ka mea a mākou e kapa nei he ʻeha umauma maʻamau ʻole. ʻO ka mea kupanaha, he nui ka poʻe e hele mai ana i ka Emergency Department (ETU) e hele mai me kēia ʻano ʻeha umauma. Akā, ʻaʻole 66% o lākou ma muli o ka pilikia puʻuwai.

E ʻike pono kākou i ka ʻokoʻa ma waena o ka ʻeha umauma maʻamau a me ka ʻeha ʻē aʻe.

He mea nui loa ia e hoʻomaopopo i kēia ʻokoʻa. Hiki iā ʻoe ke loaʻa kahi manaʻo maopopo e pili ana i kēia mai ka papa ma lalo nei.

He aha nā kumu pilikia no kēia ʻano ʻeha umauma ʻē?

ʻOi aku ka nui o ka ʻike ʻana o kekahi poʻe i kēia ʻano ʻeha. Inā loaʻa iā ʻoe kekahi o kēia mau mea, aia paha ʻoe i kahi pilikia kiʻekiʻe iki aʻe:

• ʻOiai ʻoe he wahine .
• Loaʻa ke koko kiʻekiʻe .
• Loaʻa i ka maʻi puʻupaʻa .
• Loaʻa i ka maʻi diabetes .
• Ma hope o ka loaʻa ʻana o ka hāʻule puʻuwai ma mua.

He aha nā kumu nui o kēia ʻano ʻeha o ka umauma?

Eia ka mea nui. Hiki i ka ʻeha umauma maʻamau ke loaʻa i nā kumu like ʻole. Hiki ke loaʻa mai ka puʻuwai, nā māmā, ke ala ʻai, nā iwi, a me kou olakino noʻonoʻo.

Nā kumu o ka puʻuwai

• ʻO ka maʻi coronary acute - He ālai ʻia ke kahe koko i ka puʻuwai.
• Pericarditis - ka mumū o ka membrane e hoʻopuni ana i ka puʻuwai.
• Myocarditis - ka mumū o nā ʻiʻo puʻuwai.
• ʻO ka Broken Heart Syndrome - He hopena i ka puʻuwai i hoʻokumu ʻia e ke kaumaha nui.
• ʻO ka ʻoki ʻana o ke aortic - ka haehae ʻana o ke kīʻaha koko nui e alakaʻi ana mai ka puʻuwai aku.
• Aneurysm Aortic - He puʻupuʻu i loko o ke kīʻaha koko nui.

Nā kumu e pili ana i ka māmā

• ʻO ka Pulmonary Embolism (PE) - He ʻūpē koko i loko o nā māmā.
• Ka maʻi ʻaʻai māmā
• Pneumonia
• Pneumothorax - He hiolo ʻana o ka māmā.

Nā kumu o ka ʻōnaehana hoʻoheheʻe

• ʻO ka Gastritis a i ʻole ka Acid Reflux (Chronic Acid Reflux) - Ke ʻōlelo nei mākou 'gas', ʻo ia hoʻi ke piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu.
• ʻO ka Spasm Esophageal
• Ka haki ʻana o ka esophagus

Nā Kumu ʻē aʻe

• Ke kaumaha a me ka hopohopo - He kumu maʻamau kēia.
• Costochondritis - ʻO ka mumū o ke cartilage e hoʻopili ana i nā iwi ʻaoʻao o ka umauma.
• Iwi ʻaoʻao haʻihaʻi .

Pehea e mālama ʻia ai kēia? He aha nā hoʻokolohua e hana ʻia ai?

Aia wale nō ka lāʻau lapaʻau ma ke kumu o kou ʻeha. No laila, ʻo ka mea mua e hana ai, ʻo ia ke ʻike pono i ke kumu . Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua no kēia.

• Electrocardiogram (EKG) - He hoʻāʻo e ana i ka hana uila o ka puʻuwai.
• Echocardiogram (Echocardiogram - Echo) - He scan o ka puʻuwai.
• X-ray umauma
• CT scan (Computed Tomography - CT scan)
• Nānā MRI puʻuwai
• Hoʻāʻo Koʻikoʻi - Ke hoʻāʻo ʻana i ka puʻuwai i ka wā e hoʻoikaika kino ana.
• Ka hoʻokomo ʻana o ka catheter cardiac

Ma hope o kēia mau hoʻokolohua, hoʻoholo ʻia nā ʻano lapaʻau, mai nā lāʻau lapaʻau a i nā kaʻina hana like ʻole a i ʻole ke ʻoki ʻana, e like me ke kumu.

Hiki iā kākou ke pale aku i kēia kūlana?

ʻOiai ʻaʻole hiki iā mākou ke kāohi i kekahi o nā kumu o ka ʻeha umauma maʻamau, hiki iā mākou ke hōʻemi nui i ka pilikia ma o ka lawe ʻana i kahi nohona olakino.

• E pale i ka hoʻohana ʻana i nā huahana paka. He mea nui loa kēia.
• E ʻai i nā meaʻai olakino no ka puʻuwai. E ʻai i ka ʻai momona i nā mea kanu, nā huaʻai, a haʻahaʻa ka momona.
• E hoʻoikaika kino i nā manawa a pau.
• E kiʻi i nā lāʻau pale i ʻōlelo ʻia e kāu kauka.
• E kiʻi i ka lāʻau kūpono no nā maʻi āu i loaʻa mua ai, e like me ke koko kiʻekiʻe a me ka maʻi diabetes.