Makemake pū ʻoe e ʻike e pili ana i ka hāʻule puʻuwai? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana he mea nui i nā poʻe he nui, a he mea weliweli iki hoʻi. ʻO ia ka hōʻeha puʻuwai, a i ʻole ma nā huaʻōlelo lapaʻau, he kūlana i kapa ʻia ʻo `(Myocardial Infarction)`. Malia paha ua loaʻa i kekahi o kou ʻohana a i ʻole he hoaaloha kēia maʻi. A i ʻole ua lohe paha ʻoe e pili ana i ia mea ma kahi nūpepa a ma ke TV paha. Eia nō naʻe, he mea nui loa ka loaʻa ʻana o ka ʻike pololei e pili ana i kēia.

He aha ka hōʻeha puʻuwai?

I ka ʻōlelo maʻalahi, he ʻano weliweli loa ka hōʻeha puʻuwai e kū mai ana i ka wā e loaʻa ʻole ai ke kahe koko i kahi ʻāpana o kou ʻiʻo puʻuwai. E like me ka make ʻana o kahi lāʻau me ka wai ʻole, hoʻomaka mālie kēlā ʻāpana o ka puʻuwai e make me ke koko ʻole. Hiki ke nui nā kumu no kēia emi ʻana o ke kahe koko, akā ʻo ka hapa nui pinepine ia e hana ʻia e kahi ālai ʻana i nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai, i kapa ʻia ʻo "Coronary Arteries".

E noʻonoʻo e like me kahi ʻauwai paʻa i loko o kāu māla. Inā ʻoki ʻia ke kahe koko ma kēia ʻano, e hoʻomaka ka make ʻana o ka ʻiʻo puʻuwai i nīnau ʻia. Inā ʻaʻole hoʻihoʻi koke ʻia ke kahe koko, hiki i ka hōʻeha puʻuwai ke hōʻeha mau loa i ka puʻuwai, a hiki paha i ka make.

He pilikia weliweli 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 kelepona koke i ka 1990 (lawelawe lapaʻau ulia pōpilikia) . He mea nui ka manawa i ka wā e mālama ai i ka hāʻule puʻuwai. ʻOiai kekahi mau minuke i ka lohi hiki ke hōʻeha mau loa i ka puʻuwai a i ʻole ka make.

He aha ka mea e hana maoli ana i ka wā o ka 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 loa ma mua o ka maʻamau. ʻO kēia ke kumu o ka hōʻino ʻia a make paha o kēlā ʻāpana o ka ʻiʻo puʻuwai. Ke hoʻomaka ka make ʻana o kahi ʻāpana o ka puʻuwai ma muli o ka nele o ke koko, e hoʻopilikia ia i ka hana pamu o ka puʻuwai. Hiki i kēia ke kumu o ka emi ʻana o ke kahe ʻana o ke koko i nā ʻāpana ʻē aʻe o ke kino. Inā ʻaʻole e mālama koke ʻia kēia, hiki ke make.

Pehea ka maʻamau o kēia?

ʻO ka ʻoiaʻiʻo, he maʻi maʻamau ka hōʻeha puʻuwai ma ka honua holoʻokoʻa a ma ko kākou ʻāina hoʻi. ʻO ka hapa nui o nā hōʻeha puʻuwai i hana ʻia e ka `(Coronary Artery Disease)`. Ua manaʻo ʻia hoʻi kēia ke kumu nui o ka make ma ka honua. No laila, he mea nui loa ka makaʻala i kēia.

Pehea kou manaʻo i ka wā e loaʻa ana iā ʻoe kahi hāʻule puʻuwai?

He nui ka poʻe e ʻeha ana i ka umauma i ka wā e loaʻa ai iā lākou ka hāʻule puʻuwai. Hiki i kēia ke manaʻo e like me ka ʻūmiʻi ʻana, ka ʻūmiʻi ʻana, a i ʻole ke kaumaha ma ka umauma. I kekahi manawa, hiki i ka ʻeha ke koʻikoʻi loa a manaʻo ʻia e like me ka pahu ʻana o ka umauma. Hiki i kēia ʻeha ke hoʻomaka ma ka umauma a laha i ka lima hema (i kekahi manawa nā lima ʻelua), poʻohiwi, ʻāʻī, ʻauwae, kua, a i ʻole ka ʻōpū.

ʻO ka mea kupanaha, ua kuhihewa ka poʻe he nui i kēia no ka gastritis a i ʻole ka heartburn .

ʻAʻole paha e loaʻa i kekahi poʻe ka ʻeha o ka umauma, akā e ʻike wale paha i nā hōʻailona e like me ka pōkole o ka hanu, ka nausea, a me ka hou .

He aha nā hōʻailona o ka hōʻeha puʻuwai?

Hiki i ka hāʻule puʻuwai ke hana i nā ʻano hōʻailona like ʻole, ʻoi aku ka maʻamau o kekahi ma mua o nā mea ʻē aʻe.

ʻO nā hōʻailona maʻamau i hōʻike ʻia e nā poʻe he nui:

• ʻEha umauma (`(Angina)`)
• Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• ʻO ka hiamoe ʻole (hiki ke kū ma mua o ka hāʻule ʻana o ka puʻuwai)
• Ka luaʻi a i ʻole ka ʻeha o ka ʻōpū
• Ke manaʻo nei i ka puʻuwai e kuʻi wikiwiki ana (`(Heart Palpitations)`)
• Hopohopo a i ʻole ka manaʻo "e hiki mai ana kekahi mea ʻino"
• ʻO ka poʻo hina (vertigo), ka nāwaliwali, a i ʻole ka nalowale o ka ʻike

Hiki ke ʻokoʻa nā hōʻailona ma waena o nā kāne a me nā wahine?

ʻAe, he mea nui loa kēia. Hiki i nā wāhine ke ʻike i nā hōʻailona like ʻole o ka hōʻeha puʻuwai ma mua o nā kāne. ʻAʻole nui ka ʻike ʻana o nā wāhine i ka ʻeha umauma maʻamau. Akā,

• Paʻakikī ka hanu ʻana
• Manaʻo luhi loa
• ʻO ka hiamoe ʻole ma mua o ka hāʻule ʻana o ka puʻuwai
• Ka luaʻi a me ka luaʻi
• ʻO nā hōʻailona maʻamau ka ʻeha ma ke kua, nā poʻohiwi, ka ʻāʻī, nā lima, a i ʻole ka ʻōpū .

No laila, pono e makaʻala nui nā wāhine i kēia.

He aha ke kumu o ka hōʻeha puʻuwai?

ʻO ka hapa nui o nā hōʻeha puʻuwai i hana ʻia e kahi ālai ʻana i loko o kahi kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai. ʻO ke kumu nui o kēia, ʻo ia ka hōʻiliʻili ʻana o kahi mea pipili i kapa ʻia ʻo `(Plaque)` i loko o nā aʻa. Ua like ia me ka ninini ʻana i ka ʻaila i lalo o ka poho holoi kīhini a me ka pani ʻana i nā paipu. Ua kapa ʻia kēia hōʻiliʻili ʻana he `(Atherosclerosis). Ke hōʻiliʻili nui ʻia ka `(Plaque)` i loko o nā kīʻaha koko o ka puʻuwai, ua kapa ʻia ke ʻano he `(Coronary Artery Disease)`.

I kekahi manawa, hiki i kēia mau waihona plaque i loko o nā aʻa coronary ke haki. A laila hiki ke hana ʻia kahi clot koko ma kahi o ka haki ʻana. Inā ua ālai loa ʻia ke aʻa e kēlā clot koko, ua nele ke koko i ka ʻiʻo puʻuwai a loaʻa kahi hōʻeha puʻuwai.

Aia kekahi mau kumu kakaikahi?

ʻAe, aia kekahi mau hihia kahi e loaʻa ai ka hōʻeha puʻuwai me ka ʻole o ka pahū ʻana o kahi `(Plaque)`, akā he mea kakaikahi loa ia, e helu ana ma kahi o 5% o nā hōʻeha puʻuwai āpau. ʻO kekahi o nā kumu no kēia:

• ʻO ka ʻūmiʻi koke ʻana o nā aʻa coronary o ka puʻuwai (`(Coronary Artery Spasm)`)
• Nā kūlana laha ʻole e hoʻoulu ai i ka hoʻohaiki kūpono ʻole o nā kīʻaha koko
• Ka haki ʻana o nā aʻa coronary ma muli o nā ulia
• ʻO kahi ālai ʻia mai kahi ʻē aʻe o ke kino, no ka laʻana he ʻūpā koko a i ʻole ka pehu ea (`(Embolism)`) i loko o kahi aʻa coronary
• Hiki i nā maʻi ʻai ke hōʻino i ka puʻuwai i ka hala ʻana o ka manawa a hiki i ka hopena ke alakaʻi i ka hōʻeha puʻuwai.
• Nā kūlana ʻano ʻē o nā aʻa coronary (`(Anomalous Coronary Arteries)`)
• ʻO nā kūlana ʻē aʻe i loaʻa ʻole ai ke koko i ka puʻuwai (e like me ke koko haʻahaʻa loa, nā pae oxygen haʻahaʻa, ka nui o ka puʻuwai kiʻekiʻe lōʻihi)

Nā Kumu Pōpilikia e Hoʻonui ai i ka Pōpilikia o ka Loaʻa ʻana o ka Hōʻeha Puʻuwai

Aia kekahi mau kumu nui e hoʻopilikia ai i ka pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai. ʻO ka mea pōʻino, ʻo kekahi o kēia mau mea he mau mea hiki ʻole iā mākou ke hoʻololi.

• Makahiki a me ke kāne: Piʻi ka pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai i kou wā ʻelemakule. No nā kāne, piʻi ka pilikia ma hope o 45 mau makahiki, a no nā wahine, piʻi ka pilikia ma hope o 50 mau makahiki a i ʻole ma hope o ka menopause.
• Moʻolelo ʻohana o ka maʻi puʻuwai: Inā ua loaʻa i kekahi o kou mau mākua a i ʻole nā ​​​​kaikuaʻana ka maʻi puʻuwai a i ʻole ka hōʻeha puʻuwai, ʻoiai i ka wā ʻōpiopio, ʻoi aku kou pilikia no ka mea ua like kāu mau genes me kā lākou.
• ʻAno nohona: ʻO nā ʻano nohona e hōʻino ai i ka puʻuwai e hoʻonui pū i ka pilikia o ka hōʻeha puʻuwai. Nā laʻana: ka puhipaka, ka ʻai ʻana i ka meaʻai momona kiʻekiʻe, ka hoʻoikaika kino ʻole, ka inu nui ʻana i ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau.
• Kekahi mau kūlana olakino: Hoʻokau kekahi mau maʻi i ke kaumaha ma ka puʻuwai a hoʻonui i ka pilikia o ka hōʻeha puʻuwai. ʻO kēia mau mea:
• ʻO ka maʻi diabetes (`(Diabetes Mellitus)`)
• Momona
• Ke koko kiʻekiʻe (`(Hypertension)`)
• ʻO ke kolesterol kiʻekiʻe (`(Hypercholesterolemia)`)
• Nā maʻi ʻai
• Loaʻa ka moʻolelo o ke koko kiʻekiʻe i ka wā hāpai (`(Preeclampsia)`).

Nā pilikia e hiki ke kū mai ma hope o ka hāʻule ʻana o ka puʻuwai

Hiki ke loaʻa nā pilikia like ʻole ma hope o ka hāʻule ʻana o ka puʻuwai. ʻO kēia mau mea:

• Nā ʻano puʻuwai ʻē aʻe (`(Arrhythmias)`)
• Ka hāʻule ʻana o ka puʻuwai
• Nā pilikia o ka valve puʻuwai
• Hahau
• Paʻa koke ʻana o ka puʻuwai (`(Paʻa koke ʻana o ka puʻuwai)`)
• Kaumaha a me ka hopohopo
• Ka haʻalulu Cardiogenic
• Nā pilikia mīkini e hiki ke hana inā hoʻopaneʻe ʻia ka mālama ʻana no ka hōʻeha puʻuwai (e.g., Ventricular Septal Defect - he lua ma waena o nā keʻena, kahi paia puʻuwai i haki).

Pehea e ʻike pono ai inā loaʻa iaʻu kahi hōʻeha puʻuwai? (Diagnosis)

ʻIke pinepine ʻia ka hōʻeha puʻuwai ma kahi lumi pilikia o ka haukapila. Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai, e hana ke kauka i kahi hoʻokolokolo kino . E nānā lākou i kou helu pulse, nā pae oxygen koko, a me ke koko, e hoʻolohe i kou puʻuwai a me kou mau māmā, a nīnau e pili ana i nā hōʻailona āu i loaʻa ai.

He aha nā hoʻokolohua i hana ʻia no kēia?

Hoʻohana ke kauka i kēia mau hoʻokolohua e ʻike ai i kahi hōʻeha puʻuwai:

• Nā hoʻāʻo koko: ʻO ke ala hilinaʻi loa e ʻike ai i ka hōʻeha puʻuwai, ʻo ia ke nānā ʻana i ke koko no kahi kemika i kapa ʻia ʻo "Cardiac Troponin." Hōʻiliʻili kēia kemika i loko o ke koko i ka wā e hōʻino ʻia ai nā ʻiʻo puʻuwai i ka wā o ka hōʻeha puʻuwai.
• Electrocardiogram (EKG a i ʻole ECG): ʻO kēia ka hoʻāʻo mua i hana ʻia ke hōʻea ʻoe i ka lumi pilikia. Hiki iā ia ke ʻike i ka hōʻino ʻia o nā hōʻailona uila o ka puʻuwai a me nā puʻuwai puʻuwai kūpono ʻole.
• Echocardiogram: Hoʻohana kēia i nā nalu ultrasound e kiʻi i nā kiʻi o loko a ma waho o ka puʻuwai. Hiki iā ia ke nānā i ka maikaʻi o ka puʻuwai e pamu ana a inā paha e hana pono ana nā valves.
• ʻO ka Angiogram Coronary: Hoʻohana kēia i nā kukuna X a me kahi kala kūikawā e nānā i nā kīʻaha koko i loko o ka puʻuwai a ʻike i nā mea āpau e ālai ʻia ana.
• ʻO ke kiʻi ʻana o ka Heart Computed Tomography (CT): Lawe kēia i nā kiʻi kikoʻī o ka puʻuwai a me nā kīʻaha koko e nānā ai no ka haiki ʻana a i ʻole ka paʻakikī ʻana o nā aʻa coronary nui.
• MRI o ka Puʻuwai (Magnetic Resonance Imaging): Hoʻohana kēia i kahi kahua magnetic ikaika a me ka ʻenehana kamepiula e hana i kiʻi o ka puʻuwai. Hōʻike ia inā he mau pilikia me ke kahe koko i loko o nā aʻa e hoʻolako koko i ka puʻuwai.
• Hoʻāʻo Koʻikoʻi Hoʻoikaika Kino: ʻOiai ʻoe e hoʻoikaika kino ana, e hāʻawi ʻia ʻoe i kahi ECG, echocardiogram, a i ʻole kahi scan nuklea e nānā inā ua lawa ke koko i kou puʻuwai.
• Nā Nānā Puʻuwai Nuklea: Pili kēia i ka hoʻokomo ʻana i kahi mea radioactive i loko o ke koko a me ka hoʻohana ʻana i ka ʻenehana kamepiula (e like me ka CT scan) e ʻike i nā wahi i emi ai ke kahe koko a i ʻole ka hōʻino ʻia o ka puʻuwai. Hiki i kēia ke lilo i nā scan SPECT a i ʻole nā ​​​​scan PET.

Pehea ʻoe e mālama ai i ka hōʻeha puʻuwai?

ʻO ka mālama ʻana i ka hōʻeha puʻuwai, ʻo ia hoʻi ka hoʻihoʻi ʻana i ke kahe koko i ka ʻiʻo puʻuwai i hoʻopilikia ʻia i ka wikiwiki loa . Hiki ke hana ʻia kēia ma nā ʻano like ʻole, mai ka hāʻawi ʻana i nā lāʻau lapaʻau a hiki i ka hana ʻana i ke ʻoki kino. I ka manawa pinepine, hoʻohana pū ʻia kekahi o kēia mau ʻano hana.

Ke hāʻawi nei i ka oxygen

Hāʻawi ʻia ka oxygen hou i nā poʻe pilikia i ka hanu ʻana a me nā pae oxygen koko haʻahaʻa me nā lāʻau lapaʻau ʻē aʻe. Hiki ke hāʻawi ʻia kēia ma o kahi ʻōmole ma lalo o ka ihu a i ʻole ma o kahi pale maka e uhi ana i ka ihu a me ka waha. Hoʻonui kēia i ka nui o ka oxygen i loko o ke koko a hōʻemi i ke kaumaha ma ka puʻuwai.

Nā lāʻau lapaʻau

Hiki ke komo pū me kēia:

• Nā Anticoagulants: ʻAspirin a me nā lāʻau hoʻokahe koko ʻē aʻe.
• Nitroglycerin: Hoʻemi kēia lāʻau lapaʻau i ka ʻeha o ka umauma a hoʻonui i nā kīʻaha koko, e ʻae ana i ke koko e kahe maʻalahi.
• Nā lāʻau lapaʻau Thrombolytic: Hāʻawi ʻia kēia mau mea i loko o nā hola 12 mua o ka hōʻeha puʻuwai.
• Nā Lāʻau Antiarrhythmia: Hiki i ka hōʻeha puʻuwai ke hana i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias), hiki ke hoʻoweliweli i ke ola. Hiki i kēia mau lāʻau ke hoʻōki a pale paha i kēia mau mea kūpono ʻole.
• Nā lāʻau hoʻopau ʻeha: ʻO ka lāʻau hoʻopau ʻeha maʻamau i hāʻawi ʻia i ka wā o ka hōʻeha puʻuwai ʻo ia ka `(Morphine).` Hiki i kēia ke hōʻemi i ka ʻeha o ka umauma.
• `(Nā mea pale Beta)`:Hoʻolohi kēia mau lāʻau lapaʻau i ka helu o ka puʻuwai a kōkua i ka puʻuwai e hoʻōla mai ka pōʻino i hana ʻia e ka hōʻeha puʻuwai.
• Nā lāʻau antihypertensives: Hoʻohaʻahaʻa kēia mau lāʻau i ke koko a kōkua i ka puʻuwai e hoʻōla mai ka pōʻino i hana ʻia e ka hōʻeha puʻuwai.
• Statins: Hoʻopaʻa kēia mau lāʻau lapaʻau i ka plaque i loko o nā kīʻaha koko o ka puʻuwai, e hōʻemi ana i ka pilikia o ka pahū ʻana. Kōkua pū lākou i ka hoʻohaʻahaʻa ʻana i ka cholesterol a me ka hoʻemi ʻana i ka pilikia o kahi hōʻeha puʻuwai ʻē aʻe.

ʻO ke komo ʻana o ka coronary Percutaneous (PCI) a i ʻole Angioplasty

Hoʻihoʻi nā kauka i ke kahe o ke koko i ka ʻiʻo puʻuwai i hoʻopilikia ʻia ma o ke kaʻina hana i kapa ʻia ʻo Percutaneous Coronary Intervention (PCI) a i ʻole Angioplasty.

He mea nui ka wehe ʻana i ke aʻa me kahi catheter no ka hoʻihoʻi ʻana i ke kahe koko. ʻO ka wikiwiki o ka hana ʻana, ʻoi aku ka maikaʻi o ka hopena. Hoʻohana nā kauka i kahi ana i kapa ʻia ʻo "door-to-balloon time" e ana i ko lākou hiki ke mālama i ka hōʻeha puʻuwai. ʻO kēia ka awelika o ka manawa e hana ai i kahi PCI ma hope o kou hōʻea ʻana i ka lumi pilikia. Inā he PCI kāu, hiki i kāu kauka ke kau i kahi stent, kahi ʻano liʻiliʻi e like me ka mesh, ma kahi i paʻa ai. Kōkua ka stent i ka wehe ʻana o ke aʻa i ʻole e paʻa hou.

ʻO ke kāpili ʻana o ke aʻa coronary (CABG)

Hana ʻia ke Coronary Artery Bypass Grafting (CABG) ma luna o ka poʻe me nā poloka koʻikoʻi i loko o nā aʻa coronary. Ua kapa pinepine ʻia kēia ʻo ke ʻoki puʻuwai hāmama a i ʻole ke ʻoki bypass.

ʻO kēia ka lawe ʻana i kahi kīʻaha koko mai kahi ʻāpana ʻē aʻe o ke kino (pinepine mai ka umauma, lima, a i ʻole ka wāwae) a me ka hana ʻana i kahi ala hou no ke koko e pale aku i ke aʻa i paʻa. Hoʻoili kēia i ke koko i ka ʻiʻo puʻuwai.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻOkoʻa nā hopena ʻaoʻao o ka lāʻau lapaʻau ma muli o ke ʻano o ka lāʻau lapaʻau. Hiki iā lākou ke komo pū me:

• Ka luaʻi a me ka luaʻi
• Nāwaliwali
• Pōʻino
• Ke kahe ʻana o ke koko
• Nā maʻi
• Ka hōʻino ʻana i kahi kīʻaha koko
• Puʻuwai puʻuwai kūpono ʻole (`(Arrhythmia)`)
• Nā pilikia puʻupaʻa
• Hahau

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

ʻO ka maʻamau, pono e hoʻomaikaʻi ʻia kou mau hōʻailona o ka hōʻeha puʻuwai i kou loaʻa ʻana o ka lāʻau lapaʻau. Hiki iā ʻoe ke manaʻo i kahi nāwaliwali iki a luhi i kou noho ʻana ma ka haukapila a no kekahi mau lā. E hāʻawi kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo no ka hoʻomaha ʻana, nā lāʻau lapaʻau e lawe ai, a me nā mea hou aku.

ʻOkoʻa ka manawa hoʻōla mai ka lāʻau lapaʻau ma muli o ke ʻano o ka lāʻau lapaʻau. ʻO ka awelika o ka noho haukapila no ka hōʻeha puʻuwai ma kahi o ʻehā a ʻelima mau lā.

• Inā ʻoe e lawe wale i ka lāʻau lapaʻau: Pono ʻoe e noho ma ka haukapila no kahi o ʻeono lā.
• Inā loaʻa iā ʻoe ka PCI: ʻOi aku ka maʻalahi o ka hoʻōla ʻana mai ka PCI ma mua o ke ʻoki ʻana no ka mea he hana invasive ʻole ia. Pono ʻoe e noho ma ka haukapila no kahi o ʻehā lā.
• Inā ʻoe e hana i ka `(CABG)`:He lōʻihi ka manawa e hoʻōla ai i ke ʻoki puʻuwai bypass, no ka mea, he ʻoki nui ia. ʻO ka maʻamau, pono ʻoe e noho ma ka haukapila no kahi o ʻewalu a ʻumikūmālua mau lā.

Hiki ke pale ʻia ka hāʻule puʻuwai? Pehea e hiki ai ke hoʻēmi ʻia ka pilikia?

Ma keʻano laulā, nui nā mea hiki iā ʻoe ke hana e pale aku i ka hōʻeha puʻuwai. Eia nō naʻe, aia kekahi mau mea hiki ʻole iā ʻoe ke hoʻololi (ʻoi aku hoʻi kou mōʻaukala ʻohana), no laila hiki ke loaʻa ka hōʻeha puʻuwai me ka nānā ʻole i ka nui o kou hoʻāʻo ʻana. Eia nō naʻe, ʻo ka hōʻemi ʻana i kou pilikia hiki ke hoʻopaneʻe i ka hoʻomaka ʻana o ka hōʻeha puʻuwai a hoʻemi i kona koʻikoʻi inā loaʻa.

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kou pilikia:

• E kiʻi i kahi nānā olakino: E ʻike i ke kauka ʻohana (Primary Care Provider - PCP) no ka nānā ʻana ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Hiki i kēia ke hopu i nā hōʻailona mua o ka maʻi puʻuwai (e like me ke koko, nā pae kō, a me nā pae cholesterol āu e ʻike ʻole ai).
• E haʻalele i nā huahana paka: Hoʻokomo pū kēia i ka puhipaka, ka paka uahi ʻole, a me nā huahana vaping āpau.
• E hoʻoikaika kino mau: E hoʻāʻo e hoʻoikaika kino ma ka ikaika kūpono no 30 mau minuke i ka lā, ʻelima mau lā o ka pule.
• E ʻai i ka meaʻai momona: No ka laʻana, ka meaʻai Mediterranean a i ʻole DASH. ʻOi aku ka maikaʻi o ka ʻai ʻana i nā meaʻai mea kanu ma kahi o nā ʻiʻo i hana ʻia a me nā meaʻai i kiʻekiʻe i ka momona momona.
• E mālama i ke kaumaha olakino nou iho: E nīnau i kāu kauka ʻohana e pili ana i ke kaumaha olakino a noi i ke kōkua i ka hoʻokō ʻana.
• E kāohi i kekahi mau kūlana olakino āu i loaʻa mua: nā mea e like me ke cholesterol kiʻekiʻe, ke koko kiʻekiʻe, a me ka maʻi diabetes.
• E hōʻemi i ke kaumaha: E hoʻāʻo i nā mea e like me ka yoga, nā hoʻomaʻamaʻa hanu hohonu, a me ka noʻonoʻo ʻana.
• E lawe i kāu lāʻau lapaʻau e like me ke kauoha: Mai lawe wale i kāu lāʻau lapaʻau ke hoʻomanaʻo ʻoe a i ʻole ke kokoke ʻoe e ʻike i kāu kauka.
• E hele i kēlā me kēia manawa o ke kauka: ʻO ke kipa mau ʻana i ke kauka hiki ke kōkua i ka ʻike ʻana i nā pilikia o ka puʻuwai a i ʻole nā ​​​​maʻi ʻē aʻe āu i ʻike ʻole ai.

ʻO ke kuleana no kou olakino, ʻaʻole ia he manaʻo e pono ʻoe e hana i kēia mau hoʻololi nohona wale nō. E noi i kāu kauka ʻohana a me nā hui mālama ola ʻē aʻe no ke kōkua. Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike a me nā kumuwaiwai āu e pono ai.

Inā ua loaʻa mua iā ʻoe kahi hōʻeha puʻuwai, hiki i kāu kauka ke ʻōlelo aku i kahi papahana hoʻōla puʻuwai . ʻO ka pahuhopu o kēia papahana, ʻo ia ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka lua o ka hōʻeha puʻuwai. ʻO kēia mau papahana, i mālama ʻia e ke kauka, hāʻawi i ka ʻōlelo aʻo a kālele ana i nā ʻano nohona olakino i ʻōlelo ʻia ma luna.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi hāʻule puʻuwai?

ʻAʻole e pau kāu mālama ʻana no ka hōʻeha puʻuwai ke haʻalele ʻoe i ka haukapila. No ka mea aia ʻoe i ka pilikia o ka loaʻa ʻana o ka lua o ka hōʻeha puʻuwai, he mea nui e hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau i kuhikuhi ʻia a me ka hana ʻana i nā hoʻololi i kāu hana maʻamau i kēlā me kēia lā.pono e.

Āhea e hiki ai ke hoʻomaka hou i nā hana maʻamau?

ʻO ka ho'ōla ʻana mai kahi hāʻule puʻuwai ma hope o ka hoʻokuʻu ʻia ʻana mai ka haukapila e pili ana i nā mea e like me ke koʻikoʻi o ka hāʻule puʻuwai, pehea ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ka lāʻau i loaʻa, a inā he mau maʻi kou ma mua o ka hāʻule puʻuwai.

Hiki i kāu kauka ke wehewehe i nā ʻanuʻu aʻe i kou hoʻōla ʻana a me nā mea āu e manaʻo ai. Ma ke ʻano laulā, hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana a hoʻomaka hou i nā hana maʻamau i loko o ʻelua pule a ʻekolu mahina ma hope o ka hāʻule ʻana o ka puʻuwai. Kōkua ka hoʻōla ʻana o ka puʻuwai i ka poʻe e hoʻi mālie a palekana i ko lākou pae hana kino ma mua.

He aha ke kūlana olakino o kekahi i loaʻa i ka hāʻule puʻuwai? (Outlook)

He nui ka poʻe i kēia lā e ola ana i ka hāʻule puʻuwai. Eia nō naʻe, ʻoi aku ka ʻino o ke kūlana no kēia poʻe:

• Nā kānaka ma luna o 65 mau makahiki
• Nā kānaka me ka puʻuwai puʻuwai
• Nā kānaka me ka maʻi diabetes
• ʻO ka poʻe i loaʻa i ka hāʻule puʻuwai ma mua

Hiki i kēia poʻe ke piʻi aʻe ka pilikia o ka loaʻa hou ʻana o ka hōʻeha puʻuwai a i ʻole ka make ʻana i loko o nā mahina ʻeono e hiki mai ana. I kēlā mau hihia, hana ikaika nā kauka e kaohi i ko lākou mau kumu pilikia.

I nā wahine, ʻoi aku ka maikaʻi o nā hopena o nā wahine premenopausal ma lalo o 45 mau makahiki ma mua o nā kāne o ka makahiki like. Manaʻo nā kānaka ʻepekema ʻo kēia ma muli o nā waiwai pale puʻuwai o ka hormone estrogen. Eia naʻe, ma hope o ka menopause, i ka wā e nalowale ai ka pale i hāʻawi ʻia e ka estrogen, ʻoi aku ka ʻino o nā wahine ma mua o nā kāne. ʻOi aku ka kikoʻī:

• ʻO nā wāhine i loaʻa i ka hāʻule puʻuwai ma waena o 45 a me 65 mau makahiki, ʻoi aku ka nui o ka make ʻana i loko o hoʻokahi makahiki o ka hanana ma mua o nā kāne o ka makahiki like.
• ʻOi aku ka nui o ka make ʻana o nā wāhine ma luna o 65 mau makahiki ma mua o nā kāne o ka makahiki like i loko o kekahi mau pule ma hope o ka loaʻa ʻana o ka hānō puʻuwai, no laila pono nā wāhine e makaʻala loa i ke olakino o ko lākou puʻuwai.

Pehea e mālama ai iaʻu iho? (Mālama ponoʻī ma hope o ka hāʻule ʻana o ka puʻuwai)

Ma hope o ka hāʻule ʻana o ka puʻuwai, pono paha ʻoe e hoʻomau i ka lawe ʻana i kekahi o nā lāʻau lapaʻau āu i loaʻa ai ma ke ʻano he lāʻau lapaʻau ulia pōpilikia. ʻO kēia mau mea:

• `(Nā mea pale Beta)`
• `(Nā mea pale ACE)`
• ʻAspirin a me nā lāʻau hoʻokahe koko ʻē aʻe
• `(Nā Statins)`

Āhea wau e ʻike ai i ke kauka? (I ka manawa hea e ʻike ai i ke kauka - hahai ʻana)

Ma hope o kou loaʻa ʻana i kahi hāʻule puʻuwai, piʻi aʻe kou pilikia o ka loaʻa hou ʻana. E paipai kāu kauka i nā hoʻokolohua a me nā lāʻau lapaʻau e kōkua i ka pale ʻana i nā hāʻule puʻuwai i ka wā e hiki mai ana. ʻO kekahi o kēia mau mea:

• ʻO ke scan puʻuwai: E like me nā ʻano hana i hoʻohana ʻia e ʻike ai i ka hōʻeha puʻuwai, hiki i kēia ke loiloi i ka hopena o kāu hōʻeha puʻuwai a ʻike inā he pōʻino mau loa i kou puʻuwai. Hiki iā lākou ke nānā i nā pilikia me kou puʻuwai a me ka ʻōnaehana kahe koko e hiki ai ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai i ka wā e hiki mai ana.
• `(Hoʻāʻo Hoʻoluhi)`:Hiki i kēia mau hoʻāʻo puʻuwai a me nā scan, i hana ʻia i ka wā e hoʻoikaika kino ai ʻoe, ke ʻike i nā pilikia e kū mai ana ke kaumaha ka puʻuwai.
• Hoʻōla Puʻuwai: Kōkua kēia mau papahana i ka hoʻomaikaʻi ʻana i kou olakino holoʻokoʻa a me kou nohona, hiki ke kōkua i ka pale ʻana i kahi hāʻule puʻuwai ʻē aʻe.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona o ka hōʻeha puʻuwai i ʻōlelo ʻia ma kēia ʻatikala a manaʻo ʻoe e loaʻa ana iā ʻoe ka hōʻeha puʻuwai, e kelepona koke i kāu helu pilikia kūloko (1990 ma Sri Lanka). ʻOiai e kali ana i ke kōkua, e nīnau inā pono ʻoe e lawe i ka aspirin a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. Mai hoʻokaʻulua i ke kelepona ʻana. He mea nui kēlā me kēia minuke i ka wā o ka hōʻeha puʻuwai.

No ke aha ʻoe e pono ai e kāhea iā 1990 ma kahi o ka hele wale ʻana i ka haukapila?

Inā loaʻa iā ʻoe nā hōʻailona o ka hāʻule puʻuwai, ʻoi aku ka maikaʻi o ke kāhea ʻana i ka 911 a i ʻole kahi lawelawe ulia pōpilikia. Aia kekahi mau kumu no kēia:

• Hiki i nā mea pane mua ke hana i kekahi o nā hoʻokolohua mua a me nā lāʻau lapaʻau no ka hōʻeha puʻuwai ma ke ala e hele ai i ka haukapila. Hoʻolalelale kēia i ke kaʻina hana hōʻoia a me ka mālama ʻana.
• Inā hōʻea ʻoe i ka haukapila ma ka ambulance, hiki iā ʻoe ke loaʻa koke ka lāʻau lapaʻau . He mea nui kēlā me kēia kekona i ka wā o ka hōʻeha puʻuwai.
• Hiki i ka hōʻeha puʻuwai ke hoʻoulu i kou puʻuwai e kuʻi maʻamau ʻole a i ʻole e kū loa. Hiki i kekahi o kēia mau mea ke hoʻonāwaliwali iā ʻoe. Inā hana ʻia kēlā i kou wā i loko o kahi kaʻa kaʻa, hiki i nā mea pane mua ke komo koke a hoʻopaʻa iā ʻoe. Eia kekahi, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hāʻule ʻana i ka wā e hoʻokele ana a me ke kumu ʻana i kahi ulia pōpilikia iā ʻoe iho a i ʻole kekahi poʻe ʻē aʻe.

Pono ka mālama koke ʻana i kahi aʻa paʻa e pale aku i ka hōʻino mau loa i ka puʻuwai. Inā ʻaʻole koʻikoʻi kāu mau hōʻailona, ​​manaʻo paha ʻoe ʻaʻole ʻoe e loaʻa ana i ka hōʻeha puʻuwai. Akā hiki ke maʻalahi nā hōʻailona, ​​no laila ʻoi aku ka maikaʻi o ka nānā ʻana e ke kauka. ʻO ke kāhea ʻana i ka 911 a i ʻole kahi lawelawe ulia pōpilikia ma kahi o ka hele ʻana i ka haukapila hoʻokahi a i ʻole me kekahi mea ʻē aʻe hiki ke hoʻopakele ola ma mua o kou manaʻo. ʻO ka mālama ʻana i ka manawa ʻo ia hoʻi ka mālama ʻana i nā ʻiʻo puʻuwai, ʻo ia hoʻi, ʻoi aku ka nui o kou loaʻa ʻana o kahi hopena maikaʻi.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

ʻO kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha nā hana palekana noʻu e hana ai ma hope o ka hāʻule ʻana o ka puʻuwai?
• He aha nā mea nui loa e hiki iaʻu ke hana e pale aku ai i kahi hāʻule puʻuwai ʻē aʻe?
• ʻEhia pinepine e pono ai iaʻu ke hele e ʻike iā ʻoe?
• Pono anei nā lālā ʻē aʻe o koʻu ʻohana e hana i nā hoʻokolohua puʻuwai?

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻOiai he hanana koʻikoʻi loa ka hāʻule puʻuwai, he mea nui loa ia e hoʻomaopopo pono ʻia e pili ana i ia mea, e hana i ka wā e ʻike ʻia ai nā hōʻailona, ​​a loaʻa ka lāʻau kūpono.Eia kekahi, ma ka ʻike ʻana i nā kumu pilikia a me ke ola ʻana i kahi nohona olakino, hiki iā ʻoe ke hōʻemi nui i ka pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai.

E hoʻomanaʻo, inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai nā hōʻailona o ka hāʻule puʻuwai, e kāhea koke i ka 1990. Hiki iā ia ke hoʻopakele i kahi ola!

E mālama pono i ke olakino o kou puʻuwai. No ka mea, ʻo ka puʻuwai olakino ke kī i ke ola olakino!

Hoʻouka puʻuwai , hoʻouka puʻuwai, Myocardial Infarction, ʻeha umauma, maʻi puʻuwai, olakino puʻuwai, lapaʻau ulia pōpilikia