Ua lohe mākou a pau i ka "maʻi puʻuwai." I kekahi manawa lohe mākou, "ʻAuē, ua maikaʻi wau, a laila ua loaʻa koke iaʻu kahi hāʻule puʻuwai a make akula." Ke lohe mākou i nā moʻolelo e like me kēia, makaʻu iki mākou. Akā, ʻaʻole kēia "maʻi puʻuwai" he maʻi hoʻokahi wale nō. He hōʻiliʻili ia o nā maʻi e hoʻopilikia ana i ko mākou puʻuwai a me ka ʻōnaehana vascular e lawe ana i ke koko ma ke kino holoʻokoʻa. I ka lāʻau lapaʻau, kapa mākou i kēia mau maʻi a pau he maʻi cardiovascular . No laila i kēia lā e kamaʻilio mākou e pili ana i kēia, no ka mea, he mea nui loa ka ʻike ʻana i kēia.
I ka ʻōlelo maʻalahi, he aha ka maʻi cardiovascular?
E noʻonoʻo i kou kino e like me ke kūlanakauhale. ʻO ka puʻuwai ka pamu wai nui o ke kūlanakauhale. Ua like nā kīʻaha koko me nā paipu e lawe ana i ka wai mai ka pamu wai i kēlā me kēia hale o ke kūlanakauhale. No laila, inā hewa kekahi mea me kēia pamu a i ʻole nā paipu wai, e nalowale ke kūlanakauhale holoʻokoʻa i ka wai, ʻeā? Pēlā nō ia.
ʻO ka maʻi cardiovascular kekahi ʻano e hoʻopilikia ai i ko mākou puʻuwai (ka pamu) a i ʻole ko mākou mau kīʻaha koko (ka ʻōnaehana vascular). Aia kekahi mau mea nui e hiki ke hana:
- Ka hāiki ʻana o nā kīʻaha koko i loko o ka puʻuwai a i ʻole nā ʻāpana ʻē aʻe o ke kino: e like me ka lepo e pani ana i ka paipu wai.
- Nā pilikia o ka puʻuwai hānau a i ʻole nā pilikia o ke kīʻaha koko: I kekahi manawa aia kekahi mau nāwaliwali i loko o kēia ʻōnaehana i ka wā hānau.
- ʻAʻole Hana Pono nā Valves o ka Puʻuwai: Aia nā ʻāpana e like me ka puka i loko o ka puʻuwai e kōkua i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. Inā ʻaʻole lākou e pani pono a wehe paha, hiki ke loaʻa nā pilikia.
- Nā palpitations o ka puʻuwai: ʻO kēlā me kēia loli i ke mele o ka puʻuwai, e like me ka hahau wikiwiki loa, wikiwiki loa, a i ʻole me ka ʻole o ke mele.
Hōʻike kekahi poʻe i nā hōʻailona ke loaʻa iā lākou kēia mau maʻi. Akā hiki i kekahi poʻe ke loaʻa i kēia maʻi i loko me ka ʻole o nā hōʻailona. No laila he mea nui iā kākou āpau e makaʻala i kēia.
Pehea ka maʻamau o kēia mau maʻi?
I ka ʻoiaʻiʻo, ʻoi aku ka maʻamau o kēia ma mua o kou manaʻo. ʻO nā maʻi cardiovascular ke kumu nui o ka make ma Sri Lanka a me ke ao nei.
ʻO ka mea nui loa, he hewa ka manaʻo he maʻi kēia e hoʻopilikia wale ana i ka poʻe ʻelemakule. Hiki i kekahi o kēlā me kēia makahiki, me ka nānā ʻole i ke kāne, ke loaʻa i kēia mau maʻi. ʻOi aku ka nui o ka pilikia o nā wahine i ka make ʻana mai ka maʻi puʻuwai.
Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi? He aha nā hōʻailona?
He pilikia kēia i loaʻa i nā poʻe he nui. Hiki ke ʻokoʻa ke ʻano o ka ʻike ʻia ʻana o nā hōʻailona ma muli o ke ʻano o ka maʻi. I kekahi manawa hiki ke lilo iki nā hōʻailona e kū mai ana i ka poʻe ʻelemakule a me nā wahine. Akā, ʻaʻole maikaʻi ke hoʻowahāwahā i kēia mau hōʻailona.
E nānā kākou i nā hōʻailona nui ma ka papa ma lalo nei.
| Nā hōʻailona e pili ana i ka puʻuwai | Nā hōʻailona o ke ālai ʻana o nā kīʻaha koko ʻē aʻe i loko o ke kino |
|---|---|
| ʻEha a ʻoluʻolu ʻole paha i ka umauma (Angina): He manaʻo o ka paʻa, ke kaumaha, a i ʻole ka ʻūlū ʻana i loko o ka umauma. | ʻO nā ʻeha ma nā wāwae, ʻoi aku hoʻi i ka wā e hele ana. |
| Dyspnea: Pōkole o ka hanu , luhi, ʻoiai ke hele wāwae i kahi mamao pōkole a i ʻole ke piʻi ʻana i ke alapiʻi. | Nā ʻeha ho'ōla ʻole ma nā wāwae. |
| Pōniuniu a i ʻole ka nawaliwali: Ka nalowale koke ʻana o ka ʻike. | ʻIli anu a ʻulaʻula paha ma nā wāwae. |
| Luhi loa ke manaʻo: Luhi loa ke manaʻo ʻaʻole hana i kekahi mea. | Ka pehu ʻana o nā wāwae. |
| ʻO ka maneʻo ma ka maka a i ʻole ka lima/wāwae (pinepine ma kekahi ʻaoʻao o ke kino). | |
| Paʻakikī i ka ʻōlelo ʻana, ka ʻike ʻana, a i ʻole ka hele wāwae ʻana (hiki i kēia ke lilo i mau hōʻailona o ka hahau ʻana). |
He aha nā maʻi nui ʻē aʻe e pili ana i ka māhele maʻi cardiovascular?
E like me kā mākou i ʻōlelo ai ma mua, he hōʻiliʻili kēia o nā maʻi. Aia kekahi mau ʻano maʻi nui a mākou e kamaʻilio nei.
- Arrhythmia: He puʻuwai kūpono ʻole kēia a i ʻole rhythm i hoʻokumu ʻia e kahi kīnā i loko o ka ʻōnaehana uila o ka puʻuwai.
- Maʻi Valve: Nā valves puʻuwai i wehe pono ʻole a pani pono paha, e hoʻokahe ana i ke koko i hope.
- Maʻi ʻAʻa Coronary: Hōʻiliʻili ka cholesterol a me nā mea ʻē aʻe i loko o nā kīʻaha koko (nā ʻaʻa coronary) e hoʻolako ana i ke koko i ka puʻuwai, e ālai ana iā lākou. ʻO kēia ke kumu nui o nā hōʻeha puʻuwai, e like me kā mākou e ʻike nei.
- Ka Hāʻule ʻana o ka Puʻuwai: ʻAʻole kēia manaʻo ua pau ka hana a ka puʻuwai. He kūlana ia i hiki ʻole ai i ka puʻuwai ke pamu i ke koko i ke kino. Hiki i kēia ke hana i ka hōʻiliʻili ʻana o ka wai i loko o nā māmā a me nā wāwae.
- ʻO ka maʻi ʻaʻa Peripheral: Ka hāiki ʻana a i ʻole ka paʻa ʻana o nā ʻaʻa e hoʻolako koko ai i nā ʻōpū i loko o nā lima, nā wāwae, a i ʻole ka ʻōpū.
- Maʻi ʻAortic: Nā pilikia me ka aorta, ke kīʻaha koko nui e lawe ana i ke koko mai ka puʻuwai a i ka lolo a me nā ʻāpana ʻē aʻe o ke kino. Eia kekahi laʻana, he aneurysm.
- Maʻi Puʻuwai Hānau: Nā kīnā puʻuwai i loaʻa i ka wā hānau.
- Maʻi Pericardial: Nā pilikia me ka membrane lahilahi e hoʻopuni ana i ka puʻuwai. No ka laʻana, lilo ia i mumū (pericarditis).
- Maʻi Cerebrovascular: Nā ālai ʻana i nā kīʻaha koko e hoʻolako ana i ke koko i ka lolo. He kumu nui o ka hahau ʻana.
- ʻO ka Deep Vein Thrombosis (DVT): He ʻūpā koko i loko o nā aa koko hohonu o ke kino (ʻoi aku hoʻi ma nā wāwae).
No ke aha mākou e loaʻa ai i kēia mau maʻi? He aha nā kumu pilikia?
ʻAʻohe kumu hoʻokahi no ka maʻi cardiovascular. ʻOkoʻa nā kumu ma muli o ke ʻano o ka maʻi. No ka laʻana, ʻo ke kumu nui o ka 'Coronary Artery Disease' a me ka 'Peripheral Artery Disease' ʻo ia ka waiho ʻana o nā momona e like me ka cholesterol i loko o nā paia o ke aʻa (Atherosclerosis).
Eia nō naʻe, ua ʻike maopopo ʻia nā kumu pilikia e hoʻonui ai i ka likelika o ka loaʻa ʻana o kēia mau maʻi. ʻO kekahi o kēia mau mea hiki iā mākou ke kāohi. ʻO kekahi hiki ʻole iā mākou ke kāohi.
| Kumu Hoʻopilikia | ʻO ke ʻano kēia... |
|---|---|
| Ke koko kiʻekiʻe (Hypertension) | Kamaʻilio mākou a pau e pili ana i ka piʻi ʻana o ke 'kaomi'. Inā ʻaʻole i kāohi ʻia kēia, e hōʻino ia i ka puʻuwai a me nā kīʻaha koko. |
| ʻO ke kolamu kiʻekiʻe (Hyperlipidemia) | Hoʻonui ʻia ka nui o ka cholesterol 'maikaʻi ʻole' i loko o ke koko. ʻO kēia nā mea e hōʻiliʻili ai i loko o nā aʻa. |
| Ka hoʻohana ʻana i ka paka | Hoʻokomo pū kēia i ka puhipaka, ka vaping, a me ka nau ʻana i ka paka. Hoʻopōʻino pololei kēia i nā aʻa. |
| Maʻi diabetes (ʻAno 2 Diabetes) | ʻO ke kiʻekiʻe o ke kō koko e hōʻino ai i nā kīʻaha koko i ka hala ʻana o ka manawa. |
| Moʻolelo ʻohana | Inā ua loaʻa i kekahi o kou ʻohana pili (nā mākua, nā kaikaina) ka maʻi puʻuwai i kona wā ʻōpiopio, ua ʻoi aku kou pilikia. |
| Ka nele o ka hana kino | Noho ma kahi hoʻokahi me ka hoʻoikaika kino ʻole. |
| Kaumaha loa a momona paha | Ke kaumaha o ke kino no ke kiʻekiʻe. |
| ʻAi maikaʻi ʻole | ʻAi ʻana i nā meaʻai kiʻekiʻe i ka paʻakai, ke kō, a me ka ʻaila (ʻoi aku ka momona momona). |
| Ka hoʻohana nui ʻana i ka waiʻona | Ka inu ʻana i ka waiʻona nui loa. |
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Inā loaʻa iā ʻoe kekahi mau hōʻailona a i ʻole nā kumu pilikia, e nīnau mua kāu kauka iā ʻoe i kahi nīnau. E nīnau ʻo ia e pili ana i kāu mau hōʻailona, kou mōʻaukala ʻohana, a me kou nohona. A laila e hana lākou i kahi hoʻokolokolo kino.
Eia kekahi, hiki ke hana ʻia nā hoʻokolohua like ʻole e hōʻoia pololei i ka maʻi.
- Nā hoʻāʻo koko: Hiki i ka hana koko ke ana i ka cholesterol, nā pae kō, a me nā protein kūikawā e hōʻike ana i ke olakino puʻuwai.
- ʻO ka Ankle Brachial Index (ABI): He hoʻāʻo maʻalahi e hoʻohālikelike ana i ke koko ma nā wāwae a me nā lima e nānā ai no nā ālai ʻana i nā aa koko ma nā wāwae.
- Electrocardiogram (EKG/ECG): Hoʻopaʻa i ka hana uila o ka puʻuwai, e ʻae ana iā ʻoe e ʻike i nā mea e like me ke ʻano o kou puʻuwai a me nā hōʻailona o ka hōʻeha puʻuwai.
- ʻEchocardiogram (Echo): Hoʻohana kēia i nā nalu kani e hana i kahi kiʻi wikiō o ka puʻuwai. Hiki iā ʻoe ke ʻike maopopo i nā keʻena o ka puʻuwai, nā valves, a pehea e pamu ai i ke koko.
- ʻO ke scan Ultrasound: Hiki ke hoʻohana ʻia nā nalu kani e ʻike i ke kahe o ke koko i loko o nā aa koko ma nā wāwae a me ka ʻāʻī.
- ʻO ke kiʻi CT a me MRI o ka puʻuwai: Hiki i kēia ke hana i nā kiʻi ʻekolu-dimensional (3D) maopopo loa o ka puʻuwai a me nā kīʻaha koko.
- Hoʻāʻo Koʻikoʻi (EKG Hoʻoikaika Kino): Lawe ʻia kahi EKG i kou wā e hele ana a holo paha ma luna o ka treadmill. Hiki i kēia ke ʻike inā emi ka lako koko o kou puʻuwai i ka wā e hoʻoikaika kino ana.
- Ka Catheterization Cardiac (Angiogram): Hoʻokomo ʻia kahi ʻōmole lahilahi loa ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae i nā aʻa koko o ka puʻuwai, hoʻokomo ʻia kahi wai kūikawā, a hiki ke hoʻohana ʻia nā kukuna X e ʻike pono i kahi i ālai ʻia ai nā aʻa koko.
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
Aia ke ʻano o ka mālama ʻana i kou kūlana a me kona koʻikoʻi. Eia nō naʻe, hiki ke hoʻokaʻawale ʻia ka mālama ʻana i kekahi mau ʻāpana nui.
1. Nā Hoʻololi o ke ʻAno Nohona
ʻO kēia ke kumu o ka lāʻau lapaʻau.
- ʻAi olakino: E ʻai iki i ka paʻakai, ke kō, a me ka ʻaila, a e ʻai i nā mea kanu, nā huaʻai, nā mea kanu lāʻau, a me nā meaʻai waiwai i ka fiber.
- Hoʻoikaika kino mau: E hoʻoikaika kino no 30 mau minuke i ka lā, ma ka hapa nui o nā lā o ka pule.
- Ka hōʻole piha ʻana i ka puhipaka: He mea nui e hōʻole i nā huahana paka āpau, me ka vaping.
2. Nā lāʻau lapaʻau
E kuhikuhi ana kāu kauka i nā lāʻau lapaʻau like ʻole e kāohi i kou koko, cholesterol, diabetes, pale i nā ʻūpā koko, a hoʻomaikaʻi i ka hana o kou puʻuwai. He mea nui loa ka lawe ʻana i kēia mau lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
3. Nā Kaʻina Hana a i ʻole nā ʻoki kino
He mea pono paha kēia i nā hihia kahi ʻaʻole hiki i ka lāʻau lapaʻau wale nō ke kaohi i ke kūlana.
- Stenting: Ke kau ʻana i kahi ʻōmole liʻiliʻi e like me ka ʻupena i loko o kahi aʻa i paʻa e wehe hou ai.
- ʻO ke ʻoki kino bypass:Ke kāpae ʻana i ke aʻa koko i ālai ʻia, e hana ana i kahi ala hou me ka hoʻohana ʻana i kahi ʻāpana aʻa koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino.
- ʻO ka Ablation: 'Hoʻoheheʻe' a me ka luku ʻana i nā wahi o ka puʻuwai e hoʻouna ana i nā hōʻailona uila hewa e hoʻoulu ai i nā puʻuwai puʻuwai kūpono ʻole.
4. Hoʻōla hou ʻana o ka puʻuwai
He papahana hoʻoikaika kino a me ke aʻo ʻana kēia i mālama ʻia e ke kauka e hiki ke kōkua i ka hoʻoikaika ʻana i ka puʻuwai.
Āhea ʻoe e pono ai e ʻike koke i ke kauka a i ʻole e hele i ka ETU?
Aia kekahi mau hōʻailona ʻaʻole pono ʻoe e hoʻowahāwahā . Hiki i kēia ke lilo i mau hōʻailona o ka hōʻeha puʻuwai a i ʻole ka hahau. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) .
- ʻEha koke ka umauma, ka paʻa, ke kaumaha, a i ʻole ka ʻoluʻolu ʻole (ʻoi aku hoʻi i ka wā e luhi ai ʻoe)
- Ka nalowale koke ʻana o ka ʻike a i ʻole ka nalowale ʻana o ka ʻike.
- Ka pōkole nui o ka hanu (ʻoi aku hoʻi inā he mea hou a i ʻole e ʻoi aku ka ʻino)
- ʻEha a mae paha i nā lima/wāwae.
- He ʻeha nui ma ke kua, me he mea lā e haehae ana.
Mai hoʻowahāwahā i kēia mau hōʻailona. Hiki i ka lāʻau lapaʻau kūpono ke hoʻopakele i ke ola.
Leka Lawe-Home
- ʻAʻole ka maʻi cardiovascular he maʻi hoʻokahi, akā he hōʻiliʻili o nā maʻi e hoʻopilikia ai i ka puʻuwai a me nā kīʻaha koko.
- E makaʻala mau i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a me ka nāwaliwali.
- He mea nui e mālama i kou koko, cholesterol, a me ka maʻi diabetes. No ka hana ʻana i kēia, e hana i nā hoʻokolohua lapaʻau maʻamau.
- E hoʻōki loa i ka puhipaka a me ka inu ʻona pono ʻole. He kōkua nui kēia no kou puʻuwai.
- E hoʻolilo i ka ʻai olakino a me ka hoʻoikaika kino i ʻāpana o kou ola.
- E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa āna i ʻōlelo ai.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi, mai kānalua e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
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