Ua ālai ʻia ka bifurcation o kou puʻuwai? (Bifurcation Blockage) E kamaʻilio kākou e pili ana i kēia!

I kēia lā, e kamaʻilio ana mākou e pili ana i kahi mea nui i nā poʻe he nui, akā malia paha ʻaʻole lākou i ʻike nui i ia mea. Ke manaʻo nei ʻoe i kekahi manawa i ka paʻa o ka umauma, ka paʻakikī o ka hanu ʻana? A i ʻole ua lohe paha ʻoe i kahi hoaaloha o kāu e kamaʻilio ana e pili ana i ka maʻi puʻuwai? I kēlā mau manawa, ʻo kekahi o nā pilikia a mākou e lohe ai, ʻo ia ka pilikia e pili ana i nā kīʻaha koko o ka puʻuwai i kapa ʻia ʻo 'Bifurcation Blockage'. I ka ʻōlelo maʻalahi, he mea paʻa kēia e hana ʻia ma kahi e hoʻokahe ai kahi lālā o kahi aa koko e hoʻolako ana i ke koko i ka puʻuwai. E nānā kākou i kēia me nā kikoʻī hou aku, ʻeā?

He aha kēia 'Bifurcation Blockage'?

ʻAe, e nānā kākou i kēia ʻano maʻalahi o kēia 'Bifurcation Blockage'. E noʻonoʻo, ua like ko kākou puʻuwai me ka pamu wai. I mea e hoʻomau ai kēia pamu i ka hana, pono ia i kahi lako koko mau. Lawe ʻia kēlā koko i nā ʻiʻo puʻuwai e kahi ʻōnaehana kūikawā o nā kīʻaha koko i kapa ʻia ʻo Coronary Arteries . Māhele kēia mau kīʻaha koko nui i nā lālā liʻiliʻi ma kekahi mau wahi, e like me nā lālā o kahi lāʻau nui e lālā ana. A i ʻole, hiki iā ʻoe ke noʻonoʻo iā ia e like me ke alahele kahi e māhele ai ke alanui i ʻelua.

ʻO kahi e māhele ai ke aʻa nui i kahi lālā liʻiliʻi ua kapa ʻia ʻo 'bifurcation' . No laila, inā pololei kēia mahele ʻana ma kahi kiko e like me ka hui ʻana o ke ʻano 'Y', a loaʻa kahi paʻa i loko o ke aʻa ma muli o ka hōʻiliʻili ʻana o ka momona (kapa mākou i kēia 'plaque' ), a laila ua kapa ʻia kēlā he 'bifurcation blockage' . ʻO kēia 'plaque' he waihona i hana ʻia me ka cholesterol, ka momona, a me ka calcium. Kāhea pū nā kauka i kēia mau aʻa lālā liʻiliʻi he 'nā kīʻaha lālā ʻaoʻao' . ʻO nā waihona momona e hoʻokumu ai i kēia paʻa ua kapa ʻia hoʻi ʻo 'bifurcation lesions' . Maopopo iā ʻoe? Ua like ia me ka paʻa kaʻa ma kahi hui ʻana ma ke alanui.

Aia kekahi mau ʻano o kēia mau mea ālai?

ʻAe, hiki i kēia ālai ʻana ke ʻano like ʻole. ʻO ia hoʻi, hoʻoholo nā kauka i ke koʻikoʻi o kēia ma muli o ka nui o ke ālai ʻia ʻana o ke aʻa. Ke haiki kahi aʻa, kapa mākou iā ia ʻo 'Stenosis' ma nā ʻōlelo lapaʻau. ʻElua mau ʻano nui o 'Bifurcation Blockage':

• ʻO ka pani maʻalahi: Hana ʻia kēia ke ālai ʻia ka liʻiliʻi ma mua o 70% o ke anawaena o loko o ke aʻa. ʻO ke ʻano kēia ua kaupalena iki ʻia ke kahe koko, akā aia paha kekahi mea keakea.
• ʻO ka paʻa paʻakikī: ʻO kēia kahi e lilo ai ka pilikia i mea koʻikoʻi iki. ʻOi aku ma mua o 70% o ke aʻa koko, a ʻoi aku paha ma mua o ʻekolu hapahā o loko o ke aʻa koko, hiki ke ālai ʻia. I kekahi manawa hiki ke loaʻa ma mua o hoʻokahi paʻa ma nā wahi he nui. A i ʻole e paʻa paha kahi ʻūpā koko, a i ʻole ua hana ʻia nā waihona calcium (kapa mākou i kēia 'calcification').(e ʻōlelo) He paʻakikī paha ka paia o ke aʻa a ʻaʻole palupalu. ʻO kekahi mea ʻē aʻe, i kekahi manawa hiki ke paʻa kēia mea ma kahi i huki ʻia ai ke aʻa lālā liʻiliʻi ma kahi kihi ʻoi loa (ʻoi aku ma mua o 70 degere). Ke hana ʻia kēlā, ʻoi aku ka paʻakikī o ka mālama ʻana, no ka mea, he paʻakikī ke mālama ʻia me nā lako lapaʻau.

Pehea ka maʻamau o kēia 'bifurcation blockade'?

Ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia. ʻO ka ʻoiaʻiʻo, ua manaʻo ʻia ma waena o 15% a me 20% o nā hihia āpau o ka maʻi ʻaʻa coronary (CAD) e pono ai ke kōkua lapaʻau, a i ʻole hoʻokahi i loko o ʻelima, ua hana ʻia e kēia 'bifurcation blockade.' No laila, ʻoiai ʻaʻole paha ia he mea maʻamau, he ʻano ia e hiki ke hoʻopilikia i ka nui o nā kānaka.

He aha ke kumu o kēia?

ʻĀ, he aha ke kumu nui o kēia ālai ʻana? E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia, ʻo ia ka hōʻiliʻili ʻana o nā aila a me nā momona, ʻo ia hoʻi, kēlā 'plaque' , i loko o nā paia o ko kākou mau kīʻaha koko. Ua like ia me kahi paipu wai kahiko e popo ana a hōʻiliʻili i ka lepo a paʻa i loko o ka paipu. I ka hala ʻana o ka manawa, kūkulu ʻia kēia 'plaque' a hoʻohaiki i ke ala i loko o ke aʻa. A laila, ʻaʻole e kahe pono ka nui o ke koko e pono ai ka puʻuwai, ʻo ia hoʻi, ka oxygen a me nā meaʻai. No loko nō hoʻi kēia 'Bifurcation Blockage' i ka māhele like o ka maʻi artery coronary (CAD) .

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi, a i ʻole he aha nā mea pilikia. He mea nui loa ka makaʻala i kēia mau mea, no ka mea, hiki iā kākou ke kaohi i kekahi mau mea.

ʻO ka maʻamau, ʻoi aku ka nui o nā wahine e loaʻa i ka CAD a me ka Bifurcation Blockage ma hope o ka menopause , ʻo ia hoʻi ke pau nei ko lākou wā mahina, a ʻoi aku ka nui o nā kāne e loaʻa i ka CAD ma hope o 45 mau makahiki.

Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:

• ʻO ka maʻi diabetes: ʻOi aku ka nui o ka poʻe me ka maʻi diabetes i ka loaʻa ʻana o nā pilikia kīʻaha koko no ka mea hiki i ka maʻi diabetes ke hōʻino i nā paia o nā kīʻaha koko.
• Ke Kaumaha Loa a Momona paha: Ke piʻi aʻe ke kaumaha o ke kino, lilo ia i mea paʻakikī i ka puʻuwai ke lawelawe iā ia a pono ia e hana ikaika loa.
• Moʻolelo ʻohana o ka maʻi cardiovascular: I kekahi manawa hiki ke kumu kēia o nā mana genetic.
• Ke koko kiʻekiʻe (Hypertension): ʻO ke koko kiʻekiʻe ke ʻano o ke kaomi mau ʻole ma luna o nā aʻa koko. Hiki i kēia ke hōʻino i nā aʻa koko.
• ʻO ke kolesterol kiʻekiʻe: ʻO ke kolesterol ke kumu nui o ka hoʻokumu ʻia ʻana o ka plaque , ʻoi aku hoʻi nā pae kiʻekiʻe o ka cholesterol "maikaʻi ʻole" (LDL).
• Ka nele o ka hoʻoikaika kino:Ke nele ke kino i ka hoʻoikaika kino, ʻoi aku ka nui o ka hōʻiliʻili ʻana i ka momona a nāwaliwali hoʻi ke olakino o ka puʻuwai.
• ʻAi maikaʻi ʻole: Inā ʻoe e ʻai mau i nā meaʻai kiʻekiʻe i ka ʻaila, ke kō, a me ka paʻakai, kiʻekiʻe ka pilikia. E noʻonoʻo e pili ana i ka meaʻai ʻino a mākou e ʻai ai, ka meaʻai wikiwiki, nā mea inu kō, a me nā meaʻai palai... Inā ʻoe e hoʻomau i ka ʻai ʻana i kēia mau mea, hiki ke kū mai nā pilikia.
• Ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka: ʻO ka puhipaka kekahi o nā ʻenemi nui loa o ka puʻuwai. Hoʻopōʻino pololei nā kemika i loko o ka paka i nā kīʻaha koko.

He aha nā hōʻailona o kēia?

ʻOiai ʻo ka Bifurcation Blockage kekahi ʻano maʻi coronary artery (CAD) , ua like nā hōʻailona. Eia nō naʻe, i kekahi manawa hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona. Eia naʻe, ʻo nā hōʻailona maʻamau:

• ʻAngina: He manaʻo ʻeha kēia a i ʻole ka paʻa ʻana o ka umauma, he manaʻo o ka ʻūmiʻi. Wehewehe kekahi poʻe iā ia me he kaumaha ma luna o ka umauma, a i ʻole me he mea lā e ʻomi ʻia ana ka umauma. ʻOi aku ka ʻino o kēia ʻeha i ka wā e hoʻoikaika kino ai, e piʻi ana i nā alapiʻi, a i ʻole ke kaomi ʻia ka puʻuwai.
• Hou anu: Hiki iā ʻoe ke manaʻo koke i ke anu a me ka hou, ʻoiai me ka ʻeha o ka umauma.
• Pōʻino a manaʻo paha e māmā ke poʻo: Manaʻo ʻoe ʻaʻole hiki iā ʻoe ke kū i luna, ke uliuli nei kou mau maka.
• Luhi a me ka nāwaliwali: Manaʻo paha ʻoe ua luhi a ʻaʻole hiki ke hana i kekahi mea. Hiki paha iā ʻoe ke paʻakikī i ka hana ʻana i nā hana i maʻalahi ma mua.
• Nā palpitations o ka puʻuwai: Manaʻo e like me ʻoe e lohe ana i kou puʻuwai e kuʻi ana, a i ʻole kou puʻuwai e kuʻi wikiwiki ana, me he mea lā e kuʻi ana kou umauma.
• Nausea: He manaʻo e maʻi ana, malia paha e luaʻi ana.
• Pōkole o ka hanu: Manaʻo ʻoe ua pōkole kou hanu ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi. I kekahi manawa, pilikia paha ʻoe i ka hanu ʻana ʻoiai ʻoe e hiamoe ana.
• ʻEha poʻohiwi a lima paha: I kekahi manawa hiki ke hoʻomaka kēia ʻeha ma ka umauma a hele i lalo i ka ʻāʻī, ka ʻāʻī, ka poʻohiwi, a i ʻole ka lima hema.

Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​mai manaʻo wale he maʻi kino ia. E ʻike koke i ke kauka.

Pehea e ʻike ai nā kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ke ʻike ʻoe i ke kauka, hiki iā ia ke holo i kekahi mau hoʻokolohua e hoʻoholo ai inā he 'bifurcation blockade' kēia a i ʻole kekahi maʻi puʻuwai ʻē aʻe. ʻO kekahi o kēia mau mea:

• Ka hoʻopili ʻana o ka catheter a me ka angiogram o ka puʻuwai:ʻO kēia ke komo ʻana i kahi ʻōmole liʻiliʻi (catheter) ma o kahi kīʻaha koko ma kou lima a wāwae paha i nā aʻa coronary o kou puʻuwai, e hoʻokomo ana i kahi dye kūikawā i loko, a me ka lawe ʻana i nā kiʻi X-ray. Hiki iā ʻoe ke ʻike maopopo inā he poloka i loko o nā aʻa a me ka nui.
• ʻO ka angiogram tomography computed coronary (CCTA): He scan CT kūikawā kēia e hoʻohana ana i nā kiʻi ʻekolu-dimensional (3D) e ʻike ai pehea e kahe ai ke koko i ka puʻuwai a inā paha he mau ālai ʻana i loko o nā aʻa.
• Intravascular optical coherence tomography (IVOCT): He ʻano hana holomua loa kēia. Ke hoʻokomo koke ʻia ke catheter, hoʻokomo ʻia kekahi mea lahilahi ʻē aʻe ma loko a hiki ke ʻike ʻia nā waiho ʻana o ka plaque i loko o kahi kīʻaha koko, nā papa o ka paia o ke kīʻaha koko, ma nā kiʻi maopopo loa a kiʻekiʻe.
• ʻO ka ultrasound intravascular (IVUS): He hoʻāʻo ultrasound kēia e nānā i loko o nā kīʻaha koko. E like me IVOCT, hiki iā ia ke hāʻawi i kahi nānā maikaʻi i ke kūlana o nā paia o nā aa koko a me ke ʻano o ka 'plaque'.
• ʻO ka mālama kahe hapa (FFR): Ke ana kēia i ka ʻokoʻa o ke kaomi i loko o kahi kīʻaha koko, ma kēlā ʻaoʻao kēia ʻaoʻao o ka mea i paʻa. Hiki iā ia ke loiloi pololei i ka nui o ka mea i paʻa a hoʻoholo inā pono ka lāʻau lapaʻau.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka mālama ʻana i kahi 'bifurcation blockade' i kekahi manawa he mea paʻakikī iki. No ka mea, ʻoi aku ka liʻiliʻi o nā kīʻaha lālā ʻaoʻao aʻu i ʻōlelo ai, a ua hoʻopilikia ʻia hoʻi ke kihi e lālā ai lākou mai ke aʻa nui. No laila hiki ke paʻakikī iki ke hiki a mālama ma mua o nā kīʻaha koko nui.

Hana pinepine nā kauka i kahi kaʻina hana i kapa ʻia ʻo angioplasty . Pili kēia i ka hoʻonui ʻana i ke aʻa i haiki ʻia. A laila, hoʻokomo ʻia kahi paipu uea liʻiliʻi i kapa ʻia ʻo stent i loko o ke aʻa e hoʻomau i ke kahe ʻana o ke koko me ka ʻole e hoʻopaʻa hou iā ia. Ua kapa ʻia ʻo angioplasty a me ka stenting he percutaneous coronary interventions (PCI) .

I ka ʻōlelo maʻalahi, eia ka mea e hana ʻia i ka wā o ka angioplasty a me ke kau ʻana o ka stent:

1. Hana ke kauka i kahi ʻoki liʻiliʻi ma kou ʻili, ma kou pulima a i ʻole ma kou ʻūhā, a hoʻokomo i kahi catheter (he ʻōmole lahilahi a palupalu) ma loko o ia mea i loko o kahi kīʻaha koko.

2. A laila alakaʻi pono ʻia kēia catheter ma o nā kīʻaha koko a hiki i kahi o ka paʻa ʻana o ka puʻuwai. Hana ʻia kēia ma lalo o ke alakaʻi ʻana o X-ray.

3. Aia kahi pōpō liʻiliʻi ma ka hopena o ke catheter. Ke hiki aku i kahi i paʻa, ke hoʻopiha ʻia ka pōpō, e paʻa ka plaque i paʻa i loko o kēlā aa koko i nā paia o ke aa koko, a e ākea ka aa koko.

4. A laila aia ka stent.Hoʻokomo ʻia kekahi (ma luna o ka baluna a i ʻole ma kahi kaʻawale) i loko o ke aʻa, hoʻopiha ʻia ka baluna, a kaomi ʻia ka stent i ka paia o ke aʻa. A laila wehe ʻia ka baluna, e waiho ana i ka stent ma kahi i loko o ke aʻa, e pale ana i ka ʻūlū hou ʻana o ke aʻa.

Ma hope o kēia lāʻau lapaʻau, e kuhikuhi kāu kauka iā ʻoe i kahi ʻano lāʻau hoʻokahe koko i kapa ʻia ʻo 'dual antiplatelet therapy' (e like me ka aspirin a me clopidogrel) no kekahi manawa e pale ai i nā ʻūpā koko mai ka hana ʻana i loko o ka stent. He mea nui loa ia e lawe i kēia lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, no ka manawa holoʻokoʻa.

Nā ʻano hana stent kūikawā no ka 'bifurcation blockade'

ʻElua ʻano stent i hoʻohana ʻia no ka mālama ʻana i ka maʻi artery coronary (CAD) . ʻO kekahi he stent metala ʻole . ʻO kekahi he stent drug- eluting. Hana kēia stent drug-eluting e hōʻemi i ka pilikia o ka hoʻohaiki hou ʻana o ke aʻa (restenosis).

Aia kekahi mau ʻano hana nui e hoʻohana ʻia no ka mālama ʻana i nā poloka stenting bifurcation:

• ʻO ka stenting kūikawā: Ma kēia, kau ke kauka i kahi stent ma ke aʻa nui wale nō. ʻAʻole i hoʻopaʻa ʻia ke kīʻaha lālā ʻaoʻao . Eia nō naʻe, inā paʻa ke kīʻaha nui, a inā hoʻomau ʻoe i nā hōʻailona, ​​​​hiki ke kau ʻia kahi stent ma kēlā aʻa ma hope.
• Nā kaʻina hana ʻelua-stent: I nā poloka paʻakikī loa, a inā he koʻikoʻi hoʻi ka poloka i loko o ke aʻa lālā, e kau ke kauka i nā stents i loko o ke kīʻaha koko nui a me ke kīʻaha lālā liʻiliʻi. Aia nā ʻano hana like ʻole no kēia (e.g., Culotte, T-stenting, Crush).

Ke hana ʻia nei nā hoʻokolohua lapaʻau ma nā stents lālā ʻaoʻao i hoʻolaʻa ʻia e kūpono i loko o kēlā mau aa lālā liʻiliʻi.

Hiki i nā lāʻau lapaʻau ke hoʻoulu i nā pilikia?

Hiki i nā pilikia ke loaʻa i kekahi manawa i kekahi poʻe, akā ʻaʻole nā ​​​​mea āpau, i loaʻa i ka angioplasty a me ka stenting no ka 'Bifurcation Blockage' . ʻElua mau mea nui:

• ʻO ka restenosis i loko o ka stent: ʻO kēia ka wā e hana ʻia ai ka ʻiʻo ʻeha ma kahi o ka stent, ma lalo a i loko paha o ka stent, e hoʻoemi hou ana i ke aʻa. Hana pinepine ʻia kēia i loko o ʻeono a ʻumikūmālua mahina o ke kau ʻana o ka stent. Inā hana ʻia kēia, pono e hoʻonui hou ʻia ke aʻa me ka angioplasty a i ʻole kekahi lāʻau lapaʻau ʻē aʻe. Ua hōʻemi nui nā stent e hoʻokuʻu ana i ka lāʻau i kēia pilikia.
• ʻO ka thrombosis stent: ʻO kēia ka wā e hana ʻia ai nā ʻūpā koko ma kahi o ka stent a ma loko o ke kīʻaha koko. Ua kapa ʻia kēia ʻo 'Thrombosis'.He kūlana weliweli iki kēia, no ka mea, hiki i kēia ʻūpā koko ke ālai koke i ke aʻa a hoʻoulu i ka hāʻule puʻuwai. ʻO ka lawe ʻana i ka 'dual antiplatelet therapy' me ke kūpono hiki ke hōʻemi nui i kēia pilikia.

ʻAʻole hiki ke pale ʻia kēia ʻano jams?

Aia maoli anei nā mea hiki iā kākou ke hana e pale aku ai i kēia ʻano keʻakeʻa ʻana? ʻAe loa! ʻO ka hahai ʻana i kēia mau ʻanuʻu e pale aku i kou puʻuwai hiki ke hōʻemi i kou pilikia o ka maʻi ʻaʻai coronary (CAD) a me ka atherosclerosis - kahi kūlana e hōʻiliʻili ai nā waihona momona i loko o nā aʻa, e hoʻomānoanoa ai a nalowale ko lākou elasticity.

• Kaohi i ke koko kiʻekiʻe: He mea nui e hōʻemi i ka paʻakai i kāu meaʻai, e lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, a e nānā pinepine i kou koko.
• E kaupalena i ka inu ʻana i ka waiʻona: E hōʻemi i ka inu ʻana i ka waiʻona i ka hiki. E pale i ka inu ʻana i ka waiʻona i kēlā me kēia lā. Inā ʻoe he mea ʻona, e ʻimi i ke kōkua.
• ʻAi i ka meaʻai olakino no ka puʻuwai: He mea nui loa kēia no ka hoʻohaʻahaʻa ʻana i nā pae cholesterol. E noho mamao mai nā meaʻai momona kiʻekiʻe, kō kiʻekiʻe, a me nā meaʻai i hana ʻia, a e ʻai hou aku i nā huaʻai, nā mea kanu, nā legumes, nā meaʻai waiwai i ka fiber (e like me ka laiki ʻeleʻele, ka oats, a me nā lentils), a me nā iʻa (ʻoi aku ka iʻa waiwai i nā omega-3s e like me ka salmon a me ka mackerel) .
• E makaʻala i kou mau momona: E hōʻemi i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i nā momona saturated a me nā trans (e.g., ka ʻiʻo ʻulaʻula, nā ʻiʻo i hana ʻia, nā mea i hoʻomoʻa ʻia, nā meaʻai i palai hohonu ʻia). No ka laʻana, ʻaʻole maikaʻi ka ʻaila niu nou i ka nui. E hoʻohana i nā ʻaila olakino e like me ka ʻaila ʻoliva a me ka ʻaila canola ma ke kaulike.
• Kaohi i ka maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e kaohi pono iā ia. He mea nui ka ʻai ʻana, ka hoʻoikaika kino, a me ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia.
• E pale i ka puhipaka: Inā ʻoe e puhipaka, e ʻimi i ke kōkua e haʻalele. ʻO ka noho ʻana a puni ka poʻe puhipaka (pāʻālua puhipaka) hiki ke lilo i mea ʻino.
• E hana kino: ʻO ka hoʻoikaika kino no 30 mau minuke i ka lā, 5 mau lā o ka pule, hiki ke kōkua i ka mālama ʻana i ke kaumaha olakino a hoʻoikaika i kou puʻuwai. Hiki iā ʻoe ke hana i nā mea e like me ka hele wāwae, ka holo paikikala, a i ʻole ka ʻauʻau ʻana.
• E hōʻemi i ke kaumaha: E ho'āʻo e hoʻomaha i kou manaʻo ma o nā hana e like me ka yoga a me ka noʻonoʻo ʻana.

He aha ke kūlana olakino o kekahi me ka 'bifurcation blockade'?

Manaʻo kekahi mau haʻawina he 40% ka holomua o ka mālama ʻana i kahi poloka bifurcation me ka angioplasty a me ka stenting. Eia nō naʻe, hiki ke ʻokoʻa kēia mai ka mea maʻi a i ka mea maʻi, ma muli o ke ʻano o ka poloka. ʻO ke ʻano kēia e loaʻa mau ana i kekahi poʻe nā hōʻailona puʻuwai ma hope o ka mālama ʻana. No laila, he mea nui loa ia e hoʻomau i ka pale ʻana i kou puʻuwai ma ka ʻai ʻana i kahi meaʻai olakino no ka puʻuwai, ka hoʻemi ʻana i ke kaumaha inā pono, a me ka lawe ʻana i kāu mau lāʻau lapaʻau i kuhikuhi ʻia. He mea nui hoʻi e mālama i ka launa mau me kāu kauka a hana i nā hoʻokolohua e pono ai.

Āhea ʻoe e ʻike ai i ke kauka?

Inā manaʻo ʻoe pēlā, ʻo ʻoeInā loaʻa iā ʻoe kahi hōʻeha puʻuwai (e.g. ʻeha nui o ka umauma, paʻakikī ka hanu ʻana, ka hou ʻana, ka luaʻi ʻana), e kāhea koke i ka 911 a i ʻole ka lawelawe ambulance ulia pōpilikia kokoke loa (e.g. 1990 Suwaseriya). Mai hoʻonele i ka manawa!

Eia kekahi, e ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona e hoʻomau a kū pinepine paha:

• ʻEha umauma (angina) , ʻeha lima a poʻohiwi paha.
• Nā hou anu.
• Paʻakikī ka hanu ʻana.
• Luhi nui a nāwaliwali paha me ke kumu ʻole.
• Ka poniuniu a i ʻole ka manaʻo o ka puʻuwai wikiwiki.

He aha kaʻu e nīnau aku ai i ke kauka?

He manaʻo maikaʻi ke nīnau i kēia mau nīnau ke kipa aku ʻoe i kāu kauka. E kōkua kēia iā ʻoe e hoʻomaopopo maikaʻi i kou kūlana:

• He aha paha ke kumu i hoʻomohala ai au i kēia 'Bifurcation Blockage' ?
• Aia anei iaʻu ka pilikia o ka loaʻa ʻana o nā ālai like i nā kīʻaha koko ʻē aʻe?
• He aha ka lāʻau lapaʻau i ʻōlelo ʻia noʻu? Pehea ka nui o ka hoʻomaikaʻi ʻana o ka angioplasty a me ka stenting i kēia ālai ʻana?
• He aha ke ʻano o ka stent āu e ʻōlelo nei? (e.g., drug-eluting stent?)
• ʻEhia mau stents e pono ai iaʻu?
• He aha nā pilikia a me nā pono o ka lāʻau lapaʻau?
• ʻEhia ka lōʻihi e pono ai iaʻu e lawe i ka lāʻau lapaʻau ma hope o ka mālama ʻana?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona e pale ai i koʻu puʻuwai?
• He aha nā pilikia e hiki mai ana ma hope o ka mālama ʻana, a pehea e mālama ai iā lākou?

ʻO ka mea nui loa e hiki iā kākou ke aʻo mai kēia (Leka Lawe-Home)

ʻO ka Bifurcation Blockage kahi poloka e hana ʻia ma ka hui ʻana o kahi aʻa coronary i loko o ka puʻuwai, e ālai ana i ke kahe koko i ka puʻuwai. ʻOiai hiki ke paʻakikī ke mālama ʻia i kekahi manawa, aia nā lāʻau lapaʻau holomua e like me ka angioplasty a me ka stenting.

Eia naʻe, ʻo ka mea nui loa, ʻo ia ka hoʻāʻo ʻana e pale i kēia ʻano mai ka hanana ʻana a, me ka mālama ʻana, e pale i kou puʻuwai ma ka hana ʻana i nā hoʻololi maikaʻi i ke ʻano o ka nohona (ʻai maikaʻi, hoʻoikaika kino, a me ka haʻalele ʻana i ka puhipaka). Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma a i ʻole ka pōkole o ka hanu, he mea nui e ʻimi i ke aʻo lapaʻau me ka nānā ʻole ʻana iā lākou. E hoʻomanaʻo, ʻo kou puʻuwai kāu waiwai nui loa! ʻO kou kuleana ke mālama iā ia.

ʻO ka maʻi puʻuwai, ka poloka bifurcation, CAD, angioplasty, stent, ʻeha umauma, puʻuwai