Ke ʻeha nei ʻoe i ka umauma a i ʻole ka ʻūmiʻi i ka wā e hoʻoikaika ai ʻoe, piʻi i nā alapiʻi, a hele wāwae paha i kahi mamao pōkole? Ua lawe paha ʻoe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, akā ʻaʻole e nalowale loa kēia ʻano. Inā makaʻu ʻoe i ka hana ʻoki puʻuwai, a inā ʻōlelo kāu mau kauka he paʻakikī ke hana ʻoki ma muli o kou kūlana olakino, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau kūikawā ʻaʻole ia he ʻoki, akā lawe mai i ka hōʻoluʻolu nui i ka puʻuwai.
No laila, he aha ka EECP?
I ka ʻōlelo maʻalahi, ʻo EECP (Enhanced External Counterpulsation) kahi lāʻau lapaʻau no ka angina paʻa mau loa , kahi kūlana i noho mau no ka manawa lōʻihi. He lāʻau lapaʻau palekana ia i ʻāpono ʻia e nā keʻena e like me ka US Food and Drug Administration (FDA).
ʻO ka maʻamau, ke ālai ʻia nā kīʻaha koko i loko o ka puʻuwai, ʻaʻole loaʻa i ka puʻuwai ke koko waiwai i ka oxygen e pono ai. Kāhea mākou i kēia maʻi puʻuwai coronary . ʻO kēia ke kumu o ka angina, ʻo ia hoʻi ka ʻeha o ka umauma. Inā loaʻa kēia ʻeha i ka wā e luhi ai ʻoe a kaumaha paha, a emi iho ma hope o kahi hoʻomaha iki, ua kapa ʻia kēlā ʻo ka angina paʻa mau.
He mea nui loa ka mālama ʻana iā EECP no ka poʻe i pane ʻole i nā lāʻau lapaʻau maʻamau a ʻaʻole hiki ke hana i ke ʻoki kino e like me ke ʻoki bypass a i ʻole ka angioplasty .
Pehea e hana ai ka lāʻau EECP?
He ʻano hana kupaianaha loa kēia. E noʻonoʻo, ke hana ikaika nei kou puʻuwai a ua luhi. Kōkua ka lāʻau EECP i ka puʻuwai mai waho.
I ka wā o ka mālama ʻana, ua kau ʻia nā kūpeʻe lima kūikawā ma kou mau wāwae a me kou mau puʻupuʻu. Ua like kēia me nā kūpeʻe lima koko. Wahi a ke kuʻina o kou puʻuwai (nānā ʻia e kahi EKG), ua piha nā kūpeʻe lima i ka ea a ua paʻa i ka wā e hoʻomaha ai kou puʻuwai. Hoʻokuke kēia i ke koko i loko o kou mau wāwae i hope i kou puʻuwai. Hoʻonui kēia i ka nui o ke koko oxygenated e hiki aku i kou puʻuwai.
A laila, i ka hoʻomaka ʻana o ka puʻuwai e ʻūlū hou (pump), e hoʻokuʻu koke ʻia ka ea i loko o ke kuʻe lima. A laila hiki i ka puʻuwai ke puʻunaue i ke koko me ka maʻalahi.
I ka hoʻomau ʻana o kēia kaʻina hana, hoʻomaka ka hana ʻana o nā bypass kūlohelohe hou , e ʻae ana i ke koko e kāpae i nā kīʻaha koko i ālai ʻia i loko o ka puʻuwai. ʻO kēia ka pōmaikaʻi nui o kēia lāʻau lapaʻau.
No wai kēia lāʻau lapaʻau kūpono?
ʻAʻole kūpono ka lāʻau EECP no nā kānaka a pau. Na kāu kauka e hoʻoholo inā kūpono ia iā ʻoe. He koho maikaʻi paha ia no kekahi me nā kūlana penei:
| Kūpono | Wehewehena |
|---|---|
| ʻEha umauma lōʻihi | ʻO Angina kahi maʻi e kū mai a hoʻopau ʻia i ka wā o ka hoʻoikaika kino a i ʻole ke kaumaha. |
| ʻAʻohe hōʻoluʻolu mai ka lāʻau lapaʻau | Inā ʻaʻole hiki ke kaohi ʻia nā hōʻailona ʻoiai ke lawe nei i ka lāʻau lapaʻau i kuhikuhi ʻia. |
| ʻAʻole kūpono no ke ʻoki kino | No ka poʻe i kūpono ʻole no ke ʻoki ʻana e like me ka bypass a i ʻole ka angioplasty ma muli o nā pilikia olakino ʻē aʻe. |
| Hoʻi hou nā hōʻailona ma hope o ke ʻoki ʻana | Inā hoʻi hou nā hōʻailona ma hope o ka bypass, angioplasty, a i ʻole stenting. |
No wai ka mea i ʻōlelo ʻole ʻia ai ka EECP?
ʻAʻole kūpono ka lāʻau EECP no ka poʻe me kekahi mau maʻi. No ka laʻana, ʻaʻole ia e ʻōlelo ʻia no nā wahine hāpai. Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e noʻonoʻo paha kāu kauka i kahi koho lapaʻau ʻē aʻe:
- Maʻi koʻikoʻi o ka valve puʻuwai
- Ke koko kiʻekiʻe i kāohi ʻole ʻia (ke koko kiʻekiʻe i kāohi ʻole ʻia)
- Ka pilikia o nā ʻōpū koko
- Ka puʻuwai wikiwiki a kūpono ʻole, e.g. Atrial Fibrillation (Afib)
- ʻO ka maʻi vascular peripheral koʻikoʻi
- Ke koko kiʻekiʻe o ka puʻuwai
ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu cardiologist, ʻaʻole e hoʻoholo i kēia ma kāu iho.
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?
ʻOiai ʻaʻole kēia he hana ʻoki kino, ʻaʻohe mea e makaʻu ai. ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ka mālama ʻana i ka lāʻau.
Ma mua o ka mālama ʻana
Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e nānā ke kauka iā ʻoe a malia pahaHiki ke hana ʻia kahi hoʻāʻo hoʻoikaika kino. Ma mua koke o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hana kekahi kahu maʻi a loea paha:
1. E hāʻawi ʻia ʻoe i nā lole kūikawā e ʻaʻahu ai.
2. E hoʻopili ʻia nā kaula EKG 3 i kou umauma.
3. Hoʻopili lākou i kēlā mau kūpeʻe lima kūikawā a puni nā wāwae a me nā puʻupuʻu.
4. Hoʻokomo ʻia kahi sensor liʻiliʻi (sensor manamana lima) ma ka manamana lima e nānā i ka pae oxygen.
I ka wā o ka mālama ʻana
ʻO kāu wale nō e hana ai, ʻo ia ke moe i lalo i kahi moena ʻoluʻolu. Hiki iā ʻoe ke heluhelu i kahi puke, hoʻolohe i ke mele, a hiamoe paha. E paʻa a wehe ʻia ke kuʻi lima e like me ka EKG. He mea ʻē paha kēia i ka wā mua, akā e maʻa ʻoe iā ia i loko o kekahi mau minuke. ʻAʻole ʻoe e ʻike i kekahi ʻeha.
ʻO ka maʻamau, hana ʻia kēia lāʻau no 7 pule, 5 lā o ka pule, 1 hola i ka lā, no ka huina o 35 mau hola.
He aha nā pōmaikaʻi a me nā pilikia o ka mālama ʻana iā EECP?
E like me kekahi lāʻau lapaʻau, hiki i kēia ke loaʻa nā pōmaikaʻi a me nā hopena ʻaoʻao liʻiliʻi.
| Nā Pōmaikaʻi | Nā Pōʻino/Nā Hopena ʻAoʻao |
|---|---|
| Hoʻemi ʻia ka ʻeha o ka umauma a me nā hōʻailona. | ʻEha iki a luhi paha o nā ʻiʻo. |
| E hoʻonui i ka ikehu a me ka ikaika no ke kino. | ʻUlaʻula iki a ʻeha paha o ka ʻili ma muli o ke kuʻe lima. |
| Ka hiki ke hoʻoikaika kino a hana me ka ʻole o ka ʻeha. | He ʻano e like me ka mae ʻole o ka ʻili. |
| Hiki ke hōʻemi i ka nui o ka lāʻau i lawe ʻia no ka angina. | I kahi mea kākaʻikahi loa, hiki ke loaʻa ka pilikia o ka hanu ʻana a pono paha e lawe ʻia i ka haukapila. |
Pōpilikia!ʻAʻole kūpono kēia lāʻau lapaʻau no nā maʻi maʻi mau loa, akā no ka ʻeha umauma koke a koʻikoʻi (unstable angina). Inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi, he hōʻailona paha ia o ka hōʻeha puʻuwai. E kāhea koke aku i kekahi a hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU) .
Ua maikaʻi ka manaʻo o ka poʻe he nui no kekahi mau makahiki ma hope o ka pau ʻana o ka lāʻau lapaʻau, akā ʻo kekahi poʻe, ʻoiai ka poʻe i hoʻopau ʻole i nā hola 35 i koi ʻia, pono paha e hana hou ʻia ka lāʻau lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau ʻoki ʻole ka EECP no ka ʻeha umauma mau loa (angina).
- Hana kēia ma ke kaomi ʻana mai waho o ka puʻuwai, e hoʻonui ana i ke kahe o ke koko i ka puʻuwai. Hoʻomaikaʻi kēia i ka hana o ka puʻuwai.
- He koho maikaʻi loa kēia no ka poʻe hiki ʻole ke kāohi ʻia e ka lāʻau lapaʻau a ʻaʻole hiki ke hana ʻoki kino.
- ʻAʻole ʻeha ka lāʻau lapaʻau. Pono ʻoe e moe ʻoluʻolu ma luna o kahi moe.
- ʻO kāu kauka wale nō ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, no laila e kamaʻilio me ia e pili ana i ia mea.
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