ʻO ke ʻōnaehana e lawe ana i ke koko ma o ko kākou kino ua like ia me nā alanui ma kahi ʻāina. ʻO ka puʻuwai ke kikowaena nui. ʻO nā kīʻaha koko kēia mau alanui. Inā hana pono kēia ʻōnaehana, loaʻa i kēlā me kēia ʻōkana o ko kākou kino ka oxygen a me ka meaʻai e pono ai. Akā e noʻonoʻo, inā he mea keakea a mea paʻa paha ma kekahi wahi ma kēia alanui, e hoʻopilikia ʻia nā kaʻa a pau e hele ana ma ʻō aku o kēlā wahi, ʻeā? Pēlā nā maʻi o kā kākou ʻōnaehana kahe koko. ʻOiai kahi pilikia liʻiliʻi ma kahi hoʻokahi hiki ke hoʻopilikia i ke kino holoʻokoʻa.
He aha kēia mau maʻi o ka ʻōnaehana kahe koko?
I ka ʻōlelo maʻalahi, ʻo kēlā me kēia kūlana e hoʻopilikia ai i kou puʻuwai a i ʻole nā kīʻaha koko e hāʻule i loko o kēia māhele. Kāhea pū mākou i kēia ʻōnaehana ʻo ka ʻōnaehana cardiovascular. Ua like ia me kahi haʻuki hui. Hana pū ka puʻuwai a me nā kīʻaha koko. Inā loaʻa i kekahi lālā o kēia hui kahi pilikia, ʻike ka hui holoʻokoʻa.
Hiki i kēia mau maʻi ke hana i nā pilikia like ʻole. Eia kekahi laʻana:
- Ka hoʻopilikia ʻana i ke kaʻina hana pamu koko o ka puʻuwai.
- Nā loli i ke ʻano (ʻano) 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 paia o ke koko.
Hiki ke ʻike koke ʻia kekahi mau maʻi. Hiki i kekahi ke ulu mālie i nā makahiki. No laila, he mea nui loa ka loaʻa ʻana o kahi ʻike kumu o kēia mau maʻi. A laila hiki iā mākou ke mālama iā lākou i ka wā e ʻike ai mākou i kahi hōʻailona.
He aha nā ʻano nui o kēia mau maʻi?
Hiki ke hoʻokaʻawale ʻia nā maʻi o ka ʻōnaehana circulatory i ʻelua mau ʻāpana nui:
1. Nā maʻi cardiovascular: Hoʻopilikia kēia i ka puʻuwai a me/a i ʻole nā kīʻaha koko.
2. Nā maʻi vascular: Hoʻopilikia wale kēia i nā kīʻaha koko.
Nui nā maʻi e hāʻule ana ma lalo o kēia mau ʻano ʻelua. E nānā kākou i kekahi o nā kūlana maʻamau i loko o ko kākou kaiāulu i hoʻopilikia paha iā ʻoe a i ʻole kahi mea aloha.
Nā Aneurysms
ʻO kēia ka wā e puʻupuʻu ai kahi nāwaliwali ma ka paia o kekahi o ko mākou mau kīʻaha koko (nā aʻa koko) e like me ka pōpō. I ka hoʻomau ʻana o kēia puʻupuʻu i ka ulu ʻana, piʻi aʻe ka pilikia o ka pahū ʻana (ka haki ʻana) a i ʻole ke kūkulu ʻana i kahi ʻaʻa koko (blood clot) . Hiki ke hana kēia mau mea i loko o kekahi aʻa koko.
ʻO nā aneurysms maʻamau ka mea i loko o ka aorta, ke aʻa nui loa i loko o ko mākou kino. Ua kapa ʻia lākou he aneurysms aortic. Eia kekahi, hiki iā lākou ke kū ma nā wahi e like me ka lolo (cerebral aneurysm), ka ʻāʻī (carotid aneurysm), a me ka wāwae (popliteal aneurysm).
Nā ʻano ʻino o ka puʻuwai (Arrhythmias)
He puʻuwai kū ʻole kēia. I kekahi manawa, paʻi mālie ka puʻuwai, i kekahi manawa, paʻi wikiwiki loa. Hoʻopaʻakikī kēia i ka puʻuwai ke pamu pono i ke koko. ʻO ka fibrillation atrial kahi ʻano maʻamau o ka puʻuwai kū ʻole. ʻO ka fibrillation ventricular kahi ʻano puʻuwai kū ʻole.He pilikia hoʻoweliweli i ke ola e hiki ai ke alakaʻi koke i ka make.
Atherosclerosis
Ua lohe ka poʻe he nui i kēia. ʻO ka mea e hana ʻia ana, ʻo ia ka hōʻiliʻili ʻana o ka cholesterol a me nā waihona momona ʻē aʻe (kapa mākou i kēia 'plaque') ma nā paia o nā kīʻaha koko, e hoʻohaiki ana i ke kahe ʻana o ke koko. I ka hala ʻana o ka manawa, ke ālai nei kēia mau waihona i ke kahe ʻana o ke koko. ʻO ka mea weliweli loa, hiki i kekahi o kēia mau waihona ke pohā koke a hana i kahi ʻūpā koko, e ālai loa ana i ke kīʻaha koko.
ʻO kēia kūlana (atherosclerosis) e hoʻonui i ka pilikia o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau.
Nā kūlana koko
ʻO ke kaomi koko ke kaomi a ke koko e kau ai ma luna o nā paia o nā kīʻaha koko i ko lākou kahe ʻana ma o lākou. Hoʻololi kēia i ka lā a pau me nā hana a mākou e hana ai. Eia nō naʻe, he mea weliweli ke kiʻekiʻe a haʻahaʻa mau paha ke koko.
- Ke koko kiʻekiʻe (Hypertension): Ua ʻike ka poʻe he nui i kēia ma ke ʻano he "pressure." Ua kapa ʻia ʻo ia he "silent killer" no ka mea pinepine ia e hōʻino i nā ʻōpū o loko i ka hala ʻana o ka manawa me ka ʻole o ka hōʻike ʻana i nā hōʻailona maopopo.
- Hypotension: ʻO kēia ka manawa e hāʻule ai ke koko i lalo loa.
Nā maʻi ʻiʻo puʻuwai (Cardiomyopathy)
Hana ʻia kēia i ka wā e nāwaliwali ai ka ʻiʻo o ka puʻuwai, mānoanoa, a i ʻole hōʻino ʻia, e hōʻemi ana i ka hiki o ka puʻuwai ke pamu i ke koko.
Maʻi puʻuwai hānau
ʻO kēia nā maʻi puʻuwai i loaʻa i ka wā hānau. Eia kekahi laʻana, ua lohe paha ʻoe i kahi "atrial a ventricular septal defect." Nui nā ʻano like ʻole o kēia mau maʻi. Hiki ke hoʻoilina ʻia kekahi o lākou.
Maʻi hohola
He mea kēia a kākou a pau e makaʻu nei. ʻO ka mea e hana ʻia ana ma kēia, ʻo ia ka paʻa koke ʻana o kekahi o nā aʻa koko e hoʻolako ana i ke koko i ka puʻuwai. ʻO kēia ke kumu o ka loaʻa ʻole o ka oxygen i ka ʻiʻo o ka puʻuwai a hoʻomaka e make. He kūlana koʻikoʻi loa kēia e pono ai ka mālama olakino koke.
Ka hāʻule ʻana o ka puʻuwai
ʻAʻole kēia manaʻo e pau ka hana a ka puʻuwai. ʻO ka mea e hana ʻia, ʻaʻole hiki i ka puʻuwai ke pamu i ka nui o ke koko e pono ai ke kino. ʻO ia hoʻi, e emi ana ka pono o ka puʻuwai. He maʻi kēia e piʻi mālie ana i ka hala ʻana o ka manawa. I ka holomua ʻana o ka maʻi, hoʻomaka nā ʻāpana like ʻole o ke kino, ʻoiai nā wāwae, e pehu me ka wai (congestive heart failure).
Hahau
He pilikia hoʻoweliweli ola ka hahau ʻana e pono ai ke kōkua koke ʻia e ke kauka. Hana ʻia ia ke hoʻopau koke ʻia ke kahe koko i ka lolo. Hiki ke hana ʻia kēia e kahi ʻūpā koko e ālai ana i kahi kīʻaha koko i loko o ka lolo (ischemic stroke) a i ʻole e ka pahū ʻana o kahi kīʻaha koko a me ke kahe ʻana o ke koko i loko o ka lolo (hemorrhagic stroke). I kekahi manawa, he ʻūpā koko liʻiliʻi e ālai ana i ke kahe koko no kekahi manawa, e hana ana i nā hōʻailona e hele mai a hele aku. Ua kapa ʻia kēia he transient ischemic attack (TIA) a i ʻole "mini stroke."He hōʻailona paha kēia o kahi hahau nui i ka wā e hiki mai ana.
He aha nā hōʻailona maʻamau o kēia mau maʻi?
ʻOiai ke ʻokoʻa nei nā hōʻailona ma muli o ka maʻi, he nui nā hiʻohiʻona maʻamau o kēia mau kūlana. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he mea nui e kamaʻilio me kāu kauka e pili ana iā lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻAneʻane | ʻEha a ʻeha paha ka umauma i ka wā e hoʻoikaika kino ai. |
| Pōʻino | Manaʻo puni. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Manaʻo pōkole ka hanu, luhi. |
| Pehu (Edema) | I ka manawa pinepine, he pehu nā wāwae a me nā ʻūhā. |
| Ka mae ʻana | Ka nalowale o ka ʻike a me ka hāʻule ʻana. |
| Luhi nui (Fatigue) | Luhi loa ka manaʻo a hiki ʻole ke hana i nā hana maʻamau. |
| Nā Palpitations | He manaʻo ikaika e kuʻi wikiwiki ana ka puʻuwai a i ʻole ke kuʻi ʻano ʻē. |
| Nā hōʻailona o kahi pilikia - e hele koke i ka ETU (Emergency Treatment Unit) o ka haukapila! | |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEhaʻeha o ka umauma paʻa (e like me kekahi mea e kaomi ana ma waenakonu o ka umauma), ʻeha e pālahalaha ana i ka lima hema, ʻāʻī, ʻauwae, hou nui, paʻakikī ke hanu. |
| Nā hōʻailona o ka hahau ʻana | Pehu ma kekahi ʻaoʻao o ka maka, mae wale kekahi lima a wāwae paha, paʻakikī i ka ʻōlelo ʻana, ʻōlelo palaualelo, ʻeha poʻo nui koke. |
He aha nā lāʻau lapaʻau?
ʻO ka mea pōmaikaʻi, aia i kēia manawa nā lāʻau lapaʻau kūpono loa no kēia mau maʻi he nui. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa nāu ma muli o kou kūlana.
| ʻAno lapaʻau | Nā laʻana a me nā wehewehena |
|---|---|
| Nā lāʻau lapaʻau |
|
| Nā Kaʻina Hana a me ke ʻoki kino |
|
Pehea ʻoe e pale ai iā ʻoe iho mai kēia mau maʻi?
ʻO ka mea nui loa e hiki ai iā kākou ke hana e pale aku iā kākou iho mai kēia mau maʻi, ʻo ia ke aʻo ʻana i kahi nohona olakino. He mea nui loa hoʻi e ʻike i nā mea pilikia i ka wā mua.
- E kiʻi i nā hoʻokolohua lapaʻau: ʻOiai inā ʻaʻohe ou hōʻailona, e ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā i kou koko, nā pae cholesterol, a me nā pae kō. Ma kēlā ala, inā he pilikia, hiki ke ʻike ʻia i ka wā mua.
- E hahai i kahi papaʻai olakino no ka puʻuwai: E hōʻemi i nā meaʻai kiʻekiʻe i ka momona, ka paʻakai, a me ke kō i ka hiki. E ʻai i nā huaʻai, nā mea kanu, nā palaoa piha, a me nā meaʻai waiwai i ka fiber.
- Hoʻoikaika Kino: E hoʻomaʻamaʻa i ka hoʻoikaika kino ma ka liʻiliʻi he 30 mau minuke i kēlā me kēia lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala. E kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papa hana hoʻoikaika kino.
- E pale loa i ka puhipaka: ʻO ka puhipaka kekahi o nā ʻenemi nui loa o ka puʻuwai a me nā kīʻaha koko.
- E hoʻokele i ke kaumaha: Hiki i nā hana e like me ka yoga a me ka noʻonoʻo ʻana ke kōkua i ka hoʻemi ʻana i ke kaumaha.
Hiki i kēia mau maʻi ke hoʻopilikia nui i ko kākou ola. Akā inā ʻike kākou iā lākou a hana i nā hana e pono ai i ka wā mua, hiki iā kākou ke noho olakino. E makaʻala i kou kino. Mai hoʻowahāwahā i nā loli liʻiliʻi. E kūkulu i kahi pilina maikaʻi me kāu kauka. E kaʻana like i kēia ʻike me nā poʻe ʻē aʻe. I kekahi manawa, hiki i nā mea liʻiliʻi āu e ʻōlelo ai ke hoʻopakele i ke ola o kekahi.
Leka Lawe-Home
- ʻO nā maʻi kahe koko he mau maʻi e hoʻopilikia ai i ka puʻuwai a me nā kīʻaha koko. He mea maʻamau loa lākou.
- ʻO ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a me ka maʻi diabetes nā kumu nui o ka pilikia.
- E makaʻala i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a me ka pehu ʻana o nā wāwae. Inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana, e hele koke i ka haukapila.
- Hiki ke pale ʻia ka nui o kēia mau maʻi ma ka ʻai ʻana i ka meaʻai olakino, ka hoʻoikaika kino mau, a me ka pale ʻana i ka puhipaka.
- Inā he mau hopohopo olakino kou, e kamaʻilio ākea me kāu kauka. He mea nui e hana i nā hoʻokolohua maʻamau.
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