Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha iki a i ʻole ka paʻa ʻana i kou umauma? Manaʻo ka hapa nui o mākou, "He gastritis paha kēia." Akā, ʻaʻole nā ʻeha umauma a pau he gastritis. Hiki iā ia ke hoʻomaka i kahi hōʻeha puʻuwai koʻikoʻi a hoʻoweliweli i ke ola, a i ʻole ka mea a mākou e kapa nei he hōʻeha puʻuwai. Inā ʻike ʻia i ka manawa, hiki iā ia ke hoʻopakele i ke ola. No laila, e kamaʻilio kākou e pili ana i kēia me ka pololei a me ka maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka hōʻeha puʻuwai?
ʻO ka hōʻeha puʻuwai, i ʻike ʻia ma ke ʻano lapaʻau he "Myocardial Infarction", he ʻano weliweli loa ia e kū mai ana i ka wā ʻaʻole loaʻa i ka ʻiʻo puʻuwai ka nui o ke koko e pono ai. E noʻonoʻo ʻoe ua paʻa ka paipu e lawe mai ana i ka wai i ko mākou hale i ka lepo. A laila, ʻaʻole e puka mai ka wai mai ka piula wai, ʻeā? Pēlā nō ia, i ka wā e paʻa ai kekahi a ʻoi aku paha o nā kīʻaha koko (nā aʻa) e lawe ana i ke koko i ka puʻuwai, ʻaʻole e kahe ke koko i kahi ʻāpana o ka puʻuwai.
Ke nalowale ke kahe o ke koko, hoʻomaka ka make ʻana o ka ʻiʻo o ka puʻuwai i nele i ke koko. Inā ʻaʻole hoʻihoʻi koke ʻia ke kahe o ke koko, hiki i kēia ke hōʻeha mau loa i ka puʻuwai a i ʻole ka make.
He pilikia hoʻoweliweli ola ka hāʻule puʻuwai. Inā manaʻo ʻoe e loaʻa ana iā ʻoe a i ʻole kekahi āu e hele pū ana i ka hāʻule puʻuwai, e kāhea koke aku i ka 1990. I loko o ia kūlana, he mea nui ka manawa. ʻOiai he mau minuke o ka lohi hiki ke hōʻeha mau i ka puʻuwai.
He aha ka mea e hana maoli ai ke loaʻa kahi hōʻeha puʻuwai?
Ke loaʻa iā ʻoe kahi hōʻeha puʻuwai, e pau loa ke kahe ʻana o ke koko i kahi ʻāpana o kou puʻuwai a i ʻole e emi nui ana. ʻO kēia ke kumu o ka hōʻino ʻia a make paha o ka ʻiʻo puʻuwai. Ke make kahi ʻāpana o ka puʻuwai me ke koko ʻole, ʻaʻole hiki iā ia ke pamu i ke koko. Hiki i kēia ke hoʻopilikia i ka hana pamu o ka puʻuwai holoʻokoʻa. Hiki i kēia ke hōʻemi a hoʻōki paha i ke kahe ʻana o ke koko i ke kino holoʻokoʻa. Hiki i kēia ke make inā ʻaʻole e mālama koke ʻia.
He aha nā hōʻailona o kēia?
Nui nā hōʻailona o ka hāʻule puʻuwai. He mea maʻamau loa kekahi, ʻaʻole nui ka maʻamau o kekahi. Akā, he mea nui loa ia e ʻike pono i kēia mau hōʻailona.
ʻO nā hōʻailona nui i ʻike ʻia e ka hapa nui o nā kānaka:
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| ʻEha umauma (Angina) | Hiki ke paʻa, ʻūmiʻi, a kaumaha paha ka umauma. Hiki i kekahi poʻe ke ʻeha nui a hiki ʻole ke hoʻomanawanui. Hiki ke hoʻomaka kēia ʻeha ma ka umauma a laha i ka lima hema (i kekahi manawa nā lima ʻelua), poʻohiwi, ʻāʻī, ʻauwae, kua, a ʻōpū paha. |
| Paʻakikī ka hanu ʻana | Lilo i mea paʻakikī ke hanu, a e manaʻo paha ʻoe e like me ʻoe e hanu ana. |
| Nā hiʻohiʻona ʻē aʻe | Luli, ʻeha ka ʻōpū, hou ka hou, ka wikiwiki o ka puʻuwai (palpitations), ka manaʻo hopohopo a i ʻole "e hana ʻia kekahi mea ʻino", poniuniu a nalowale paha ka ʻike. |
ʻO ka mea nui loa, ua kuhihewa ka poʻe he nui i kēia ʻeha umauma no "gastritis" a i ʻole "he hōʻeha puʻuwai." Akā ʻo ka ʻoiaʻiʻo, hiki iā lākou ke loaʻa i ka hōʻeha puʻuwai i kēlā manawa.
Aia kekahi ʻokoʻa ma nā hōʻailona ma waena o nā kāne a me nā wahine?
ʻAe, he mea nui loa kēia. Hiki ke ʻokoʻa nā hōʻailona a nā wāhine e ʻike ai i ka wā e loaʻa ai iā lākou ka hāʻule puʻuwai ma mua o nā kāne.
- ʻAʻole nui ka ʻeha o ka umauma o nā wāhine ma mua o nā kāne. Akā, hiki iā lākou ke ʻike i nā hōʻailona e like me ka pōkole o ka hanu, ka luhi nui, ka hiamoe ʻole, ka nausea, a me ka luaʻi . Hiki iā lākou ke ʻike i ka ʻeha ma ke kua, nā poʻohiwi, ka ʻāʻī, nā lima, a i ʻole ka ʻōpū.
- ʻOi aku ka nui o nā kāne e ʻike i ka ʻeha umauma "maʻamau" a mākou i ʻike ai.
No laila, he mea nui loa i nā wāhine ke ʻike i nā ʻano like ʻole o kēia mau hōʻailona.
He aha nā kumu o ka hōʻeha puʻuwai?
ʻO ka hapa nui o nā hōʻeha puʻuwai i hana ʻia e kahi poloka i loko o kahi kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai. ʻO ke kumu nui o kēia, ʻo ia nā waihona cholesterol (Plaque) . E like me ka ninini ʻana i ka ʻaila i lalo o ka poho holoi kīhini, paʻa ka ʻaila i loko o nā paipu, paʻa ka cholesterol a me nā mea ʻē aʻe i loko o ko mākou mau kīʻaha koko a hana i kahi papa. Kāhea mākou i kēia '(Atherosclerosis).' Ke piʻi aʻe kēia mau waihona cholesterol a haiki nā kīʻaha koko, kapa mākou i kēlā ʻano '(Coronary Artery Disease)'.
I kekahi manawa, haki ka ʻili o kēia mau waihona cholesterol. Hiki ke hana ʻia kahi ʻūpā koko ma kahi o ka haki ʻana a paʻa. Inā ālai loa kēia ʻūpā i ke kīʻaha koko, hiki iā ia ke ʻoki i ke kahe koko i ka ʻiʻo puʻuwai, e hana ana i ka hāʻule puʻuwai.
Ma waho aʻe o kēia kumu nui, hiki ke loaʻa nā hōʻeha puʻuwai no nā kumu ʻē aʻe he kākaʻikahi loa (ma kahi o 5% o nā hōʻeha puʻuwai āpau).
- ʻO ke kuʻi ʻana o ke aʻa coronary.
- Nā kūlana olakino laha ʻole e hoʻoulu ai i ka hoʻohaiki ʻana o nā kīʻaha koko i ka ʻano kūpono ʻole.
- Ka hōʻino ʻia ʻana o nā aʻa koko o ka puʻuwai ma muli o kahi ulia.
- ʻO ka embolism ka wā e hele ai kahi mea e like me ke koko i hana ʻia ma kahi ʻē aʻe o ke kino a paʻa i loko o kahi kīʻaha koko i loko o ka puʻuwai.
- Hiki i nā maʻi ʻai ke hōʻeha i ka puʻuwai i ka wā lōʻihi.
ʻO wai ka mea i pilikia nui?
Aia kekahi mau kumu pilikia e hiki ke hoʻopilikia i ka pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai. ʻAʻole hiki iā mākou ke hoʻololi i kekahi o lākou, akā hiki iā mākou ke kaohi i kekahi.
| ʻAno kumu pilikia | Wehewehena |
|---|---|
| Nā mea hiki ʻole iā mākou ke hoʻololi |
|
| Nā mea hiki iā mākou ke hoʻololi |
|
Pehea e ʻike ai nā kauka inā loaʻa iā ʻoe kahi hāʻule puʻuwai?
ʻIke pinepine ʻia ka hōʻeha puʻuwai ma ka lumi pilikia o ka haukapila (ETU). Ke hele ʻoe i ka ETU me kāu mau hōʻailona, e nānā ke kauka iā ʻoe. E nānā lākou i kou helu pulse, ke koko, e hoʻolohe i kou puʻuwai a me kou mau māmā, a e nīnau e pili ana i nā hōʻailona āu i ʻike ai.
A laila, hana ʻia kekahi mau hoʻokolohua e hōʻoia i kēia kūlana.
- Nā Hoʻāʻo Koko: ʻO kēia ke ala hilinaʻi loa e ʻike ai i ka hōʻeha puʻuwai. Ke hōʻino ʻia ka ʻiʻo puʻuwai, hoʻokuʻu ʻia kahi kemika i kapa ʻia ʻo "Cardiac Troponin" i loko o ke koko mai kēlā mau ʻāpana. Ana ʻia kēia me kahi hoʻāʻo koko.
- ECG (Electrocardiogram): ʻO kēia ka hoʻāʻo mua e hāʻawi ʻia iā ʻoe ke hele ʻoe i ka ETU. Nānā ia i nā hōʻailona uila o kou puʻuwai e hoʻoholo ai inā he pōʻino i kou puʻuwai a i ʻole he puʻuwai puʻuwai kūpono ʻole.
- Echocardiogram: Ua like kēia me kahi scan ultrasound. Lawe ia i nā kiʻi o loko a me waho o kou puʻuwai e ʻike i ke ʻano o ka pamu ʻana a inā paha e hana pono ana nā valves.
- ʻO ka Angiogram Coronary: Hoʻohana kēia hoʻāʻo i kahi kala kūikawā a me nā kukuna X e kiʻi i nā kiʻi o nā kīʻaha koko i loko o ka puʻuwai. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua ālai ʻia kekahi mau kīʻaha koko.
Pehea e mālama ʻia ai?
ʻO ka pahuhopu nui o ka mālama ʻana i ka hāʻule puʻuwai, ʻo ia ka hoʻihoʻi ʻana i ke kahe koko i ka ʻiʻo puʻuwai i hōʻino ʻia i ka hikiwawe loa. Hiki ke hoʻokō ʻia kēia me ka hoʻohana ʻana i nā ʻano hana like ʻole, mai nā lāʻau lapaʻau a hiki i ke ʻoki kino.
Lapaʻau koke
- Oxygen: Hāʻawi ʻia ka oxygen i ka poʻe e pilikia ana i ka hanu ʻana ma o ka ʻōmole ihu a i ʻole ka pale waha.
- Nā ʻano lāʻau lapaʻau:
- Nā Anticoagulants: Nā lāʻau hoʻokahe koko e like me ka aspirin.
- Nitroglycerin: Hoʻemi kēia i ka ʻeha o ka umauma a hoʻonui i nā kīʻaha koko, e maʻalahi ai ke kahe ʻana o ke koko.
- Nā lāʻau hoʻopau ʻeha: Hāʻawi ʻia nā lāʻau lapaʻau e like me ka morphine e hōʻemi i ka ʻeha o ka umauma.
- ʻO Thrombolytics: Hāʻawi ʻia kēia mau mea i loko o nā hola 12 mua o ka hōʻeha puʻuwai.
- Nā mea pale Beta: Hoʻomalu kēia i ka helu o ka puʻuwai, e hoʻomaha ana i ka puʻuwai a kōkua iā ia e ho'ōla.
- Statins: Hoʻomalu kēia i ka cholesterol, hoʻopaʻa i nā waihona cholesterol i loko o nā kīʻaha koko, a pale i kahi hōʻeha puʻuwai ʻē aʻe.
Nā lāʻau lapaʻau kūikawā
- ʻO ke komo ʻana o ka coronary Percutaneous (PCI) / Angioplasty: ʻO kēia ka lāʻau lapaʻau maʻamau. I ka pōkole, hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o ka wāwae a i ʻole ka lima i loko o kahi kīʻaha koko i loko o ka puʻuwai, a hoʻopiha ʻia kahi mea e like me ka baluna e wehe i kahi i paʻa. A laila kau ʻia kahi stent , kahi mea e like me ka mesh, i loko o ia wahi e pale ai i ka kīʻaha mai ka pani hou ʻana.ʻO ka wikiwiki o ka hana ʻana o kēia he hopena nui ia i ke ola o ka mea maʻi.
- ʻO ke ʻoki ʻana i ke ala ʻaʻa coronary arterial (CABG): Ua kapa pinepine ʻia kēia he ʻoki ʻana i ke ala ʻaʻa bypass . Hana ʻia kēia ʻoki ʻana i ka wā e paʻa loa ai nā kīʻaha koko o ka puʻuwai ma nā wahi he nui. Pili kēia i ka lawe ʻana i kahi ʻāpana o ke kīʻaha koko mai kahi ʻāpana ʻē aʻe o ke kino (ʻo ka umauma, ka lima, a i ʻole ka wāwae) a hana i kahi ala hou no ke kahe ʻana o ke koko a puni ka wahi i paʻa.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?
ʻO ka manawa e pono ai ʻoe e ʻoluʻolu ma hope o ka mālama ʻana ma muli o ke koʻikoʻi o ka hōʻeha puʻuwai, ka manawa i hoʻomaka ai ka mālama ʻana, a me nā kūlana olakino ʻē aʻe āu i loaʻa ai.
ʻO ka awelika o ka noho ʻana ma ka haukapila penei:
- Inā mālama ʻia me ka lāʻau lapaʻau wale nō: Ma kahi o 6 mau lā.
- Inā ua hana ʻia ka mālama ʻana iā PCI/Stent: Ma kahi o 4 mau lā.
- Inā ua hana ʻia ʻoe i ke ʻoki bypass (CABG): He ʻoki nui kēia a e lōʻihi ka manawa e hoʻōla ai. Pono paha ʻoe e noho no 8 a 12 mau lā.
Hiki ke hala ma waena o ʻelua pule a ʻekolu mahina e hoʻōla piha ai mai ka haukapila a hoʻi i ka hana a me nā hana maʻamau. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia.
He aha kāu e hana ai e ola ai i ka hāʻule puʻuwai a pale iā ia mai ka hana hou ʻana?
Nui nā mea hiki iā kākou ke hana e pale aku ai i ka hāʻule puʻuwai. Inā ua loaʻa mua iā ʻoe kekahi, he mea nui e hana i kēia mau mea e pale aku ai i kekahi.
- E kiʻi i ka ʻōlelo aʻoaʻo lapaʻau kūpono: E kipa aku i kāu kauka ʻohana (PCP) no ka nānā ʻana ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. E nānā i nā mea e like me ke koko, nā pae kō, a me nā pae cholesterol.
- E hoʻōki loa i ka puhipaka: Pono e hoʻōki ʻia nā cigarettes, cigars, a me nā e-cigarettes (vaping).
- E hoʻoikaika kino mau: E hana ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino ikaika, ma ka liʻiliʻi he 5 mau lā o ka pule. He mea maikaʻi nō hoʻi ka hele wāwae wikiwiki.
- E hoʻohana i ka ʻai olakino: E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, ke kō, ka meaʻai wikiwiki, a me nā meaʻai i hoʻopaʻa ʻia i ka hiki. E hoʻokomo i nā mea kanu, nā huaʻai, nā mea kanu, a me nā ʻiʻo momona a me nā iʻa i kāu papaʻai.
- E mālama i ke kaumaha olakino: He mea nui loa ia e mālama i ke kaumaha olakino no kou kiʻekiʻe.
- E kāohi i nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e lawe i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka me ka pololei a me ka manawa kūpono.
- E hōʻemi i ke kaumaha: E hoʻomaha i kou manaʻo me nā mea e like me ka yoga a me ka noʻonoʻo ʻana.
Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi papahana hoʻoponopono puʻuwai . E hāʻawi kēia iā ʻoe i ka nānā ʻana i ke kauka a me ke alakaʻi ʻana i ka hoʻoikaika kino, ka ʻai, a me nā hoʻololi ʻana i ke ʻano o ka nohona.
No ke aha ʻoe e ʻōlelo ai i ka makahiki 1990 ma kahi o ka hele wale ʻana i ka haukapila?
Inā loaʻa iā ʻoe nā hōʻailona o ka hāʻule puʻuwai, hiki i ke kelepona ʻana iā 1990 a me ka loaʻa ʻana o kahi kaʻa kaʻa ke lilo i mea e hoʻōla ai i ke ola, ma mua o ka loaʻa ʻana o kahi kaʻa a me ka hoʻokele ʻana iā ʻoe iho i ka haukapila. Aia kekahi mau kumu no kēia:
1. Hiki ke hoʻomaka ka lāʻau lapaʻau ma ka ambulance: Hiki i nā limahana lapaʻau i aʻo ʻia ma ka ambulance ke hoʻomaka i nā hoʻokolohua maʻamau (e like me ka ECG) a me nā lāʻau lapaʻau (oxygen, aspirin) āu e pono ai ma ke ala e hele ai i ka haukapila. Mālama kēia i ka manawa waiwai nui.
2. E loaʻa koke iā ʻoe ka mālama ʻia ma ka haukapila: Ke hōʻea ʻoe ma ka ambulance, e hoʻomaopopo mua ʻia ʻoe he maʻi ulia pōpilikia ʻoe, no laila e loaʻa koke iā ʻoe ka mālama ʻia a me ka mālama ʻia ma ka ETU.
3. Inā nalowale kou ʻike ma ke ala: Hiki i ka hōʻeha puʻuwai ke hoʻoulu i kou puʻuwai e kuʻi hewa a kū paha, e lilo ai ʻoe i ka ʻike. Hiki i kēia ke lilo i ulia koʻikoʻi inā ʻoe e hoʻokele ana i kahi kaʻa. Inā hana ʻia kēia ma kahi kaʻa kaʻa, hiki iā lākou ke mālama koke iā ʻoe a hoʻopakele iā ʻoe.
E hoʻomanaʻo, "ʻO kēlā me kēia kekona āu e mālama ai he ʻāpana ʻiʻo ia i loko o kou puʻuwai." ʻO ia hoʻi, ke loaʻa nei iā ʻoe kahi manawa kūpono i ke ola.
Leka Lawe-Home
- He pilikia olakino ka hāʻule puʻuwai. Inā loaʻa iā ʻoe nā hōʻailona, mai hoʻokaʻulua no kekahi kekona.
- ʻAʻole mau nā hōʻailona he ʻeha nui o ka umauma. Hiki iā lākou ke komo pū me ka pōkole o ka hanu, ka nausea, ka ʻeha hope, a me ka luhi nui. Pono nā wāhine e makaʻala loa i kēia.
- Inā manaʻo ʻoe e loaʻa ana iā ʻoe a i ʻole kekahi mea ʻē aʻe i ka hāʻule puʻuwai, mai hoʻāʻo e hele wale i ka haukapila, akā e kelepona koke i ka 1990.
- Hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai ma ka haʻalele ʻana i ka puhipaka, ka ʻai ʻana i kahi meaʻai olakino, ka hoʻoikaika kino, a me ka mālama ʻana i ke kaumaha olakino.
- Inā he mau nīnau kāu e pili ana i ke olakino o kou puʻuwai, e kamaʻilio ākea me kāu kauka.
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