Ua ālai ʻia nā kīʻaha koko e hoʻolako ana i ke koko i kou puʻuwai? E aʻo e pili ana i ka maʻi coronary artery

He ʻōkana kupaianaha ko kākou puʻuwai e hana ana i nā hola 24 o ka lā, me ka ʻole o ka hoʻomaha. Ua like ia me ka mīkini e holo mau ana. No laila, no kēia puʻuwai hana nui a me kona mau ʻiʻo e hana pono ai, pono lākou i ka lako mau o ke koko maʻemaʻe a waiwai i ka oxygen. Akā e noʻonoʻo, he aha ka mea e hana ai inā hoʻomaka nā kahawai palupalu e lawe ana i ke koko i kēia puʻuwai e pani ʻia? ʻO ia ka mea a mākou e kapa nei he Maʻi Arteri Coronary ( CAD ) .

I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻa coronary (CAD)?

I ka ʻōlelo maʻalahi, ʻo ia ka manawa e hoʻohaiki ʻia ai a ālai ʻia paha nā aʻa coronary, ka mea e hoʻolako ana i ke koko oxygenated i ko kākou puʻuwai. I ka hala ʻana o ka manawa, kūkulu ʻia nā mea e like me ka cholesterol ma nā paia o kēia mau aʻa, e hana ana i kahi papa a mākou e kapa nei he 'plaque' .

Ua like kēia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai kahiko. Hoʻemi kēia palaki i ka hakahaka i loko o nā kīʻaha koko, kahi e kaupalena ai i ka nui o ke koko e hiki ke kahe i ka puʻuwai.

I ka manawa pinepine, hiki i kēia ʻano ke ulu i loko o ke kino no nā makahiki me ka ʻole o nā hōʻailona. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe he "pepehi kanaka leo ʻole." I kekahi manawa, hiki i kekahi o kēia mau waihona ke pohā koke, e hana ana i kahi ʻūpā koko e ālai loa i ke aʻa. ʻO ia ka manawa e loaʻa ai iā mākou ka pilikia a mākou e kapa nei he hōʻeha puʻuwai .

ʻElua ʻano nui o kēia maʻi.

Ke kamaʻilio nei mākou e pili ana i kēia maʻi ma nā ʻāpana nui ʻelua.

1. Maʻi Puʻuwai Ischemic Paʻa: ʻO kēia ke ʻano e ulu mālie ana i ka hala ʻana o ka manawa. Hoʻohaiki mālie kou mau aʻa coronary i nā makahiki he nui. Hiki iā ʻoe ke ʻike i kekahi mau hōʻailona (e like me ka ʻeha o ka umauma ), ʻoiai ke kaumaha ʻoe. Akā hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā.

2. Ka maʻi ʻeha o ka puʻuwai:He kūlana weliweli kēia e hiki koke mai ana a pono e mālama koke ʻia e ke kauka. ʻO ka mea e hana ʻia ana, ʻo ia ka haki koke ʻana o kahi palaki i loko o ke aʻa, e hana ana i kahi ʻūpā koko ma luna, e ālai loa ana i ke kahe ʻana o ke koko. ʻO kēia ke kumu o ka hōʻeha puʻuwai. He pilikia olakino kēia.

He aha nā hōʻailona o kēia maʻi?

ʻAʻohe hōʻailona o ka nui o ka poʻe no ka manawa lōʻihi. ʻO kēia no ka mea he mau makahiki, a he mau ʻumi paha, e hōʻiliʻili ai kēia mau waihona. Akā i ka hoʻomaka ʻana o nā aʻa e haiki, e hoʻomaka paha ʻoe e ʻike i nā hōʻailona malū. He mau hōʻailona kēia e hana ikaika ana kou puʻuwai ma mua o ka maʻamau e loaʻa ai ka oxygen e pono ai.

ʻO nā hōʻailona nui:

• ʻAngina Paʻa: ʻO kēia ka hōʻailona maʻamau. Hōʻike ʻia ia e ka ʻū ʻana o ka umauma, ke kaumaha, ka ʻeha, a i ʻole ka ʻoluʻolu ʻole. Loaʻa pinepine ia i ka wā e hoʻoikaika kino ai ʻoe, hele wikiwiki, a huhū paha. Nalo pinepine ka ʻeha ma hope o ka hoʻomaha pōkole.
• Dyspnea: Loaʻa i kekahi poʻe ka pōkole o ka hanu, pinepine me ka paʻakikī o ka hanu ʻana, ʻoiai ke hana nei i nā hana maʻalahi, e like me ke piʻi ʻana i nā alapiʻi.

No ke aha mākou e loaʻa ai i kēia maʻi? He aha nā kumu pilikia?

ʻO ke kumu nui o ka maʻi ʻaʻa coronary ʻo ia ka atherosclerosis . ʻO ia hoʻi, e like me kā mākou i kūkākūkā ai ma mua, ʻo ka hōʻiliʻili ʻana o ka cholesterol a me nā mea ʻē aʻe i loko o nā paia o ke aʻa, e hana ana i ka plaque. Ke hoʻopilikia kēia ʻano i nā aʻa o ka puʻuwai, kapa mākou iā ia he CAD.

Nui nā kumu pilikia e hiki ke hoʻopilikia i ka ulu ʻana o kēia maʻi. ʻAʻole hiki iā mākou ke kāohi i kekahi o lākou, akā hiki iā mākou ke kāohi i ka nui o lākou me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau. E nānā kākou i kēia mau mea.

Pehea e ʻike ai ke kauka i kēia maʻi?

E nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou nohona, a me nā kūlana olakino i loko o kou ʻohana. A laila e hana ʻo ia i kahi hoʻokolokolo kino a nānā i kou koko. Ma muli o kēia ʻike, inā kānalua ʻo ia he maʻi kou, hiki iā ia ke paipai i nā hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona.

ʻO kekahi o lākou:

• Nā hoʻāʻo koko: E nānā i nā mea e like me ka cholesterol a me nā pae kō.
• ECG (Electrocardiogram): E nānā i ka hana uila o ka puʻuwai.
• Hoʻāʻo Koʻikoʻi Hoʻoikaika Kino (Hoʻāʻo Treadmill): Nānā ʻia kou puʻuwai me ka hoʻohana ʻana i kahi ECG ʻoiai ʻoe e hele ana ma luna o ka treadmill.
• Echocardiogram: He scan o ka puʻuwai.
• CT Coronary Angiogram: He scan CT kūikawā e lawe i nā kiʻi ʻekolu-dimensional o nā kīʻaha koko o ka puʻuwai.
• ʻO ka Angiogram Coronary (Cardiac Catheterization): Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae i loko o ka puʻuwai, ua hoʻokomo ʻia kahi kala, a ua lawe ʻia kahi X-ray e ʻike pono i ke ʻano o ka paʻa ʻana o ke aʻa.

He aha nā koho lapaʻau?

ʻElua mau pahuhopu nui i ka mālama ʻana i ka maʻi ʻaʻa coronary. ʻO kekahi, ʻo ia ke kāohi i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola. ʻO kekahi, ʻo ia ka hoʻēmi ʻana i ka pilikia o nā pilikia koʻikoʻi, e like me ka hōʻeha puʻuwai.

Hiki ke hoʻokaʻawale ʻia nā ʻano lapaʻau i ʻekolu mau ʻāpana nui:

1. Nā loli o ke ʻano o ka nohona

ʻO kēia ka mea nui loa a me ke kumu.

• Ke hoʻōki loa nei i ka puhipaka.
• He ʻai olakino no ka puʻuwai: Haʻahaʻa i ka paʻakai, ka ʻaila, a me ke kō, a kiʻekiʻe i nā mea kanu, nā huaʻai, nā greens, a me ka fiber.
• Hoʻoikaika kino mau: E hoʻoikaika kino, e like me ka hele wikiwiki, no ka liʻiliʻi he 30 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule.
• Ke kāohi nei i ke kaumaha o ke kino.
• Hoʻemi i ke kaumaha.

2. Nā lāʻau lapaʻau (nā lāʻau lapaʻau)

E kuhikuhi ana kāu kauka i nā lāʻau lapaʻau like ʻole e kāohi i nā kumu pilikia a hōʻemi i nā hōʻailona.

• Nā lāʻau hoʻohaʻahaʻa kolesterol (Statins).
• Lāʻau hoʻomalu koko.
• Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Aspirin).
• Nā lāʻau lapaʻau e kāohi ai i ka ʻeha o ka umauma (Angina).

3. ʻO ke ʻoki kino a me nā ʻano hana ʻē aʻe

No kekahi poʻe, ʻoiai ka poʻe me nā ʻōpū paʻa loa, ʻaʻole lawa ka lāʻau lapaʻau wale nō. I ia mau hihia, pono e hoʻohana i kēia ʻano lāʻau.

• ʻO Angioplasty a me ka stenting (Percutaneous Coronary Intervention - PCI): Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi pōpō i loko o ke aʻa i paʻa, e hoʻopiha iā ia e wehe hou i ke aʻa, a laila e hoʻokomo i kahi ʻōmole mesh liʻiliʻi i kapa ʻia he stent e pale aku i ka ʻūmiʻi hou ʻana o ke aʻa.
• ʻO ke ʻoki ʻana i ka ʻōpū (Coronary Artery Bypass Grafting - CABG):Ua like kēia me ka hana ʻana i kahi ala hou a puni kahi aʻa koko i paʻa. Hoʻopili ʻia kahi kīʻaha koko olakino i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino (ʻo ka wāwae a i ʻole ka umauma) i ka ʻāpana i paʻa a me ke kua, e hana ana i kahi ala hou no ke kahe ʻana o ke koko.

Āhea wau e ʻike koke ai i ke kauka/hele i ka ETU?

Inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai , e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila a i ʻole e kāhea i kahi ambulance. He mea nui ka manawa ma ʻaneʻi.

ʻO nā hōʻailona nui o ka hāʻule puʻuwai:

• He ʻeha nui, ʻūmiʻi, a ʻānai hoʻi ma waenakonu o ka umauma.
• Hohola kēia ʻeha i ka lima hema, ʻāʻī, ʻāwae, kua, a poʻohiwi paha.
• Paʻakikī ka hanu ʻana.
• Hou nui, poniuniu, luaʻi.

Inā loaʻa iā ʻoe ka maʻi ʻaʻa coronary, he mea nui e noho mau i ka launa pū ʻana me kāu kauka. Inā loaʻa iā ʻoe nā hōʻailona hou, loaʻa nā hopena ʻaoʻao mai kāu mau lāʻau lapaʻau, a i ʻole he mau nīnau kāu e pili ana i kou kūlana, e kāhea koke i kāu kauka.