I kekahi manawa, hiki paha iā ʻoe ke manaʻo i kahi mea ʻē, e like me ka ʻūlū ʻana i kou umauma, e hele mai a hele aku, ʻeā? ʻAʻole paha ʻoe e nānā nui iā ia. Akā, hiki paha kēia ma muli o ka hāiki ʻana o nā kīʻaha koko i loko o ka puʻuwai, kahi kūlana a mākou e kapa nei ma ke ʻano lapaʻau he 'Coronary Artery Spasm' . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, ʻaʻole kēia he mea e hoʻowahāwahā ʻia.
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He aha kēia spasm o ke aʻa coronary? ('Coronary Artery Spasm')
ʻAe, e nānā mua kākou i ke ʻano o kēia mau aʻa coronary. He ʻōkana kupaianaha kou puʻuwai e hana mau ana i ka lā a pau, ʻoiai ke hiamoe nei ʻoe. No laila, ʻo nā aʻa koko e hoʻolako ana i ka ʻiʻo puʻuwai me ka oxygen a me nā meaʻai e pono ai e hana pono, ʻo ia ka mea a mākou e kapa nei he mau aʻa coronary . Ua like kēia me ka ʻōnaehana plumbing e lawe mai ana i ka wai i loko o kahi hale.
I kēia manawa, ʻo ka (Coronary Artery Spasm) he ʻūmiʻi koke ʻana o nā aʻa coronary e lawe ana i ke koko i ka puʻuwai, e like me kahi ʻāpana ʻiʻo i loko o ko mākou wāwae e wili ʻia ana. Kāhea mākou i kēia ʻūmiʻi ʻana he Contraction . ʻAʻole lōʻihi kēia, a ʻaʻole paha ʻoe e ʻike i loko o kekahi mau minuke. Eia nō naʻe, hiki i kēia kūlana ke hoʻonui i ka pilikia o ka hōʻeha puʻuwai a me nā pilikia maʻi puʻuwai ʻē aʻe. No laila he mea nui e makaʻala i kēia.
He aha ka ʻokoʻa ma waena o ka angina a me ka maʻi puʻuwai?
Ua lohe paha ʻoe i ka huaʻōlelo 'Angina', ʻeā? I ka ʻōlelo maʻalahi, ʻo ia hoʻi ka ʻeha o ka umauma. Hiki ke loaʻa ka ʻeha o ka umauma ke loaʻa ka spasm o nā aʻa coronary. Kāhea mākou i kēia vasospastic angina .
ʻO ka maʻamau, ʻo ke kumu nui o ka angina ka paʻa ʻana o nā aʻa e nā mea e like me ka cholesterol ('Plaque'). Akā ʻo ka mea kūikawā o kēia '(Vasospastic Angina)' ʻo ia ka hiki ke loaʻa kēia ʻeha ʻoiai ʻoe e hoʻomaha ana . ʻO nā ʻano angina ʻē aʻe e hele mai i ka wā e luhi ai mākou, e like me ka wā e hoʻoikaika kino ai mākou. ʻO kēia ka ʻokoʻa nui.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka "Coronary Artery Spasm"?
I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi. Inā he mau kumu pilikia kou no ka maʻi puʻuwai, aia nō hoʻi ʻoe i ka pilikia no kēia (Coronary Artery Spasm). ʻO nā kumu nui e hoʻopilikia nei i kēia:
- Ke koko kiʻekiʻe (Hypertension).
- Ke kiʻekiʻe o ka cholesterol i loko o ke koko (hyperlipidemia).
- ʻO ka hoʻohana ʻana i ka paka, ʻo ia hoʻi ka hoʻohana ʻana i nā cigarettes a me nā beedis , he pilikia ia e hoʻopilikia ana i nā kānaka he nui.
- Kekahi hoʻohana ʻana i nā lāʻau lapaʻau kū ʻole i ke kānāwai .
Akā, ʻo ka mea kupanaha, ʻo ia ka "Coronary Artery Spasm" e loaʻa pū ana i nā poʻe ʻaʻohe koko kiʻekiʻe a i ʻole ka cholesterol kiʻekiʻe. He mea maopopo loa ia he poʻe puhi paka mau ka hapa nui o kēia poʻe. No laila, hiki ke manaʻo ʻia he hopena nui ka puhi paka i kēia.
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Check Availability →He aha ke kumu o kēia ālai ʻana?
ʻAe, he aha ke kumu o ka "Coronary Artery Spasm"? Hiki i kekahi mau maʻi puʻuwai ke hana:
- Nā waihona momona i loko o nā aʻa, e hoʻohaiki ana iā lākou ('Atherosclerosis'). Ua like kēia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai kahiko, e pani ana i ka lua o ka paipu.
- Ke koko kiʻekiʻe .
- Kolesterol kiʻekiʻe .
Me kēia mau kumu kumu, hiki i kekahi mau mea ke hoʻoulu i kēia ālai ʻana. ʻO ia hoʻi, ke kumu ia e hiki koke mai ai. E noʻonoʻo e like me ke kanaka e hoʻāla ana i kahi liona hiamoe. ʻO kēia mau mea hoʻoulu:
- Ka hoʻohana ʻana i ka paka (nā sikaleka, nā beedis). ʻO kēia ka ʻenemi helu ʻekahi.
- Ke anu loa. E noʻonoʻo i kahi mea e like me ka ʻauʻau ʻana i ka wai anuanu loa i ka manawa hoʻokahi, a i ʻole ke komo ʻana i kahi kaiapuni anuanu loa.
- Ke kaumaha nui . He mea kēia e hoʻopilikia ai i nā poʻe he nui, me nā pilikia a mākou e loaʻa nei i ko mākou ola o kēlā me kēia lā. Nā pilikia ma ka hana, nā pilikia ʻohana, hiki i kēia mau mea āpau ke hoʻopilikia iā mākou.
- Ka hoʻohana ʻana i kekahi mau ʻano hoʻouluulu , no ka laʻana, nā lāʻau lapaʻau kū ʻole i ke kānāwai e like me '(Amphetamines)' a i ʻole '(Cocaine)'.
He aha nā hōʻailona o ka (Coronary Artery Spasm)?
I ka hapanui o ka manawa, hiki ke loaʻa kēia (Coronary Artery Spasm) me ka ʻole o nā hōʻailona . ʻO ia ka mea e hopohopo iki ai. Eia nō naʻe, inā ʻike ʻia nā hōʻailona, eia kekahi mau mea āu e ʻike ai:
- Paʻa a kaomi paha ka umauma. Hiki ke manaʻo ʻia e like me kekahi e ʻomi ana i kou umauma, a i ʻole me he mea lā he kaumaha ma luna o kou umauma.
- ʻEha umauma. ʻOi loa kēia ʻeha:
- Hiki ke hana ia i ka wā e hoʻomaha ai ʻoe. ʻIke pinepine ʻia ma hope o ke aumoe a i ʻole ke kakahiaka nui .
- ʻIke pinepine ʻia kēia ʻeha ma ka ʻaoʻao hema o ka umauma.
- I kekahi manawa hiki i kēia '(Coronary Artery Spasm)' ke hoʻāla iā ʻoe i ka pō .
- Hiki i kēia mau ālai ke hana pinepine ʻole ʻia e like me kekahi mau manawa i ka makahiki, a i kekahi mau manawa i ka lā. ʻOkoʻa ia mai kēlā kanaka a kēia kanaka.
Pehea ka lōʻihi o kēia ālai ʻana? Pehea kona manaʻo?
Hiki ke ʻokoʻa ka lōʻihi o ka "Coronary Artery Spasm" mai kēlā me kēia kanaka. Hiki ke mau ia mai ʻelima mau minuke a 30 mau minuke . No kekahi poʻe, hiki ke pōkole, a no kekahi poʻe, hiki ke lōʻihi iki.
No ke ʻano o kona manaʻo, e like me kaʻu i ʻōlelo ai ma mua, i kekahi manawa ʻaʻole paha ʻoe e manaʻo iki i kekahi mea. A i ʻole e manaʻo paha ʻoe i nā mea e like me kēia:
- Paʻa ka umauma.
- Hiki i ka ʻeha ke manaʻo e like me ke kahe ʻana mai kou umauma a i kou ʻāʻī, lima (ʻoi aku hoʻi kou lima hema), a i ʻole ka ʻāwae, e like me ka hāʻule puʻuwai.
Pehea e ʻike pono ai i ka "Coronary Artery Spasm"?
No ka ʻike pololei ʻana i kēia maʻi, e hana kāu kauka i kekahi mau hoʻokolohua e nānā i ke olakino o kou puʻuwai. ʻAʻole hiki ke wānana ʻia kēia ma o ke kuhi wale ʻana. ʻO nā mea nui:
- ʻEchocardiogram (Echocardiogram - Echo test): Hoʻohana kēia i nā nalu kani e kiʻi i nā kiʻi o kou puʻuwai. Ua like ia me ke scan i hana ʻia no nā makuahine hāpai. Hiki iā ia ke nānā i ke ʻano o ka hana ʻana o nā keʻena a me nā valve o ka puʻuwai.
- Electrocardiogram (EKG a i ʻole ECG): Ke ana kēia i ka hana uila o kou puʻuwai. Hiki iā ia ke hāʻawi iā ʻoe i kahi manaʻo no ke ʻano o ka paʻi ʻana o kou puʻuwai a inā paha ua emi ke kahe o ke koko i ka puʻuwai.
- ʻO ka Angiography Coronary : ʻO kēia ka hoʻāʻo diagnostic maopopo loa. Ma kēia hoʻāʻo, hoʻokomo ʻia kahi kala kūikawā i loko o nā aʻa o ka puʻuwai ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae, a lawe ʻia nā kiʻi X-ray. Hiki i kēia ke hōʻike maopopo inā he ʻūlū a spasm paha i loko o nā aʻa.
Eia kekahi, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi mea liʻiliʻi (he Ambulatory Monitor a i ʻole Holter Monitor) e komo ai ma ka home. Hoʻopaʻa kēia i ka hana uila o kou puʻuwai no 24, 48, a ʻoi aku paha nā hola ʻoiai ʻoe e hana ana i kāu mau hana o kēlā me kēia lā. He mea nui loa kēia no ka mea ʻo (Coronary Artery Spasm) e hana pinepine ʻia i ka pō a i ʻole ke hoʻomaha ʻoe, no laila he mea nui loa ia e hoʻopaʻa i ka hana o kou puʻuwai i kēlā mau manawa.
Pehea e mālama ʻia ai kēia (Coronary Artery Spasm)?
ʻElua mau pahuhopu nui o ka mālama ʻana. ʻO kekahi e pale aku i kēia mau spasms mai ka hanana ʻana , a ʻo kekahi e hōʻemi i ka ʻeha o ka umauma .
Inā loaʻa koke iā ʻoe kahi spasm, hāʻawi ʻia kahi lāʻau lapaʻau i kapa ʻia ʻo nitroglycerin (e.g. Nitrostat®) i kēlā manawa. Hana ia ma ka hoʻonui ʻana i nā aʻa, hoʻomaikaʻi i ke kahe koko, a hoʻemi koke i ka ʻeha o ka umauma. Hāʻawi pinepine ʻia ia ma ke ʻano he papa liʻiliʻi i waiho ʻia ma lalo o ke alelo, no laila e komo koke ʻia i loko o ke kino.
I mea e pale ai i kēia mau ālai ʻana i ka wā lōʻihi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe nou e hoʻohana mau ai:
- Nā mea pale i ke kahawai calcium : No ka laʻana, nā lāʻau lapaʻau e like me Amlodipine (Norvasc®), Diltiazem (Cardizem®), a i ʻole Nifedipine (Procardia®). Hana kēia mau mea ma ka hoʻomaha ʻana i nā paia o kou mau aʻa, e hōʻemi ana i ko lākou hāiki ʻana.
- Nā Statins : No ka laʻana, nā lāʻau lapaʻau e like me Atorvastatin (Lipitor®) a i ʻole Simvastatin (Zocor®). ʻOiai ʻo kēia mau lāʻau lapaʻau hoʻohaʻahaʻa cholesterol nui, ua ʻike ʻia hoʻi e kōkua lākou i ka pale ʻana i kēia spasm ma ka hoʻomaikaʻi ʻana i ka hana o ka uhi o loko o nā aʻa.
I kekahi manawa, hiki i kēia (Coronary Artery Spasm) ke hana i kahi puʻuwai puʻuwai kūpono ʻole a weliweli hoʻi (Ventricular Arrhythmia) ma nā keʻena haʻahaʻa o ka puʻuwai. He kūlana koʻikoʻi kēia, no ka mea, hiki ke hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kēlā (Ventricular Arrhythmia), hiki i kāu kauka ke ʻōlelo aku i kahi implantable cardioverter defibrillator (ICD) e pale aku i nā pilikia koʻikoʻi. ʻIke ka (ICD) i kahi puʻuwai puʻuwai kūpono ʻole a hoʻohana i nā hōʻailona uila e kōkua i ka mālama ʻana i kou puʻuwai i kahi rhythm maʻamau.
Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka spasm arteri coronary?
Inā he mau mea pilikia kou e like me ke kolamu kiʻekiʻe a me ke koko kiʻekiʻe, ʻo ka mālama pono ʻana i kēlā mau kūlana hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia (Spasm). He mea nui loa hoʻi e pale i nā mea (Triggers) e hiki ai ke hana i kēia (Coronary Artery Spasm).
Eia kekahi laʻana, hiki iā ʻoe ke hana i nā mea e like me ka pale ʻana i ka ʻike koke ʻana i ke anu nui, hoʻōki loa i ka puhipaka (he mea kēia āu e hana ai), a loaʻa nā ala e hoʻokele ai i ke kaumaha nui (e like me ka noʻonoʻo ʻana a me ka yoga).
ʻO ia hoʻi ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona olakino. ʻO kēia ka ʻai ʻana i kahi meaʻai olakino (haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō, a kiʻekiʻe i nā huaʻai a me nā mea kanu) a me ka hoʻoikaika kino mau .
Inā loaʻa iaʻu ka (Coronary Artery Spasm), he aha kaʻu e manaʻo ai?
He maʻi mau ka Coronary Artery Spasm. ʻO ke ʻano kēia he paʻakikī ke ho'ōla piha ʻia, akā hiki ke mālama ʻia. Pono ʻoe i ka lāʻau lōʻihi a me ka nānā ʻana o ke kauka e mālama ai. Akā, mai hopohopo.
Me ka mālama kūpono, hiki i ka hapa nui o ka poʻe ke kāohi i ko lākou mau hōʻailona, hoʻēmi i ke alapine o kēia mau hoʻouka ʻana, a ola i kahi ola maikaʻi a maʻamau. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka, lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono, a hoʻomau i ka hana ʻana i nā hoʻololi nohona.
Āhea wau e hele ai i ka lumi pilikia (ER)?
He mea nui loa kēia, hiki ke lilo i mea e pili ana i ke ola a me ka make . Inā hoʻomau ka spasm o ke aʻa coronary no ka manawa lōʻihi, hiki iā ia ke lilo i hōʻeha puʻuwai. No laila, inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai, mai hoʻokaʻulua i hoʻokahi minute a kāhea koke i ka 1990 (Suvaseriya) a i ʻole e hele i ka lumi pilikia o ka haukapila kokoke loa.
He aha nā hōʻailona o ka hāʻule puʻuwai? E nānā i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona me ka ʻeha o ka umauma:
- Pōniuniu a poʻo māmā paha .
- Ka nalowale o ka ʻike (Syncope).
- Ke manaʻo nei e kuʻi wikiwiki ana kou puʻuwai, ke kuʻi nei kou umauma ('Palpitations').
- Ka luaʻi a i ʻole ka luaʻi ʻana, me he mea lā e like me ka ʻōpū ʻai (Nausea a i ʻole Dyspepsia).
- Paʻakikī ka hanu ʻana, me he mea lā e ʻūlū ana ʻoe (Dyspnea).
- Nā hou anu.
- Luhi koke, manaʻo o ka luhi loa.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona me ka ʻeha o ka umauma, mai noho wale ma ka home me ka manaʻo he gastritis ia. E ʻimi koke i ke kōkua lapaʻau. ʻO ka manawa ka mea nui loa i ka hoʻopakele ʻana i ke ola.
He aha ka leka a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?
ʻO ka Coronary Artery Spasm kahi ʻūlū koke, ʻūlū a ʻūlū paha o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai. Hiki i kēia mau mea ke hele mai a hele me ka ʻeha ʻole. Eia naʻe, hiki iā lākou ke hoʻonui i ka pilikia o ka hōʻeha puʻuwai. Hiki iā lākou ke hana ma ke kikowaena o ka pō a i ke kakahiaka nui a hiki ke hoʻāla iā ʻoe.
ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau no kēia. Hiki iā ʻoe ke hōʻemi i ka ʻeha o ka umauma a pale i kēia mau mea e ālai ʻia ai. Inā loaʻa iā ʻoe nā hōʻailona e like me nā mea i ʻōlelo ʻia ma kēia ʻatikala, he mea nui loa ia e ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka pale loa ʻana i ka puhipaka a me ke ola ʻana i kahi nohona olakino. E mālama i kou puʻuwai! ʻO ia kāu waiwai nui loa.
ʻO ka maʻi puʻuwai, ke aʻa coronary, ʻeha umauma, angina, hōʻeha puʻuwai, Coronary Artery Spasm, olakino puʻuwai
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