He lā ua ia. E inu ana au i kahi kīʻaha kofe wela a e nānā ana i nā manaʻo ma kā mākou mau wikiō ma kaʻu kelepona. I ka manawa koke, ua ʻike au i kahi leka ma Messenger i hoʻoluliluli i koʻu puʻuwai.
He palapala hoʻolaha ia. "Ua haʻalele mai kekahi hoaaloha o mākou, ka mea nāna i ʻōlelo pinepine ma nā pou a ke kauka, iā mākou. He 30 ona makahiki. Ua make ʻo ia i ka hāʻule puʻuwai."
ʻOiai wau e noʻonoʻo ana i kēia, ua hele mai ʻo Tharindu, he kanaka ʻōpio 28 makahiki, i koʻu keʻena lapaʻau. Ua hopohopo nui ʻo ia a haʻalulu. "E ke kauka, ua loaʻa i kahi hoaaloha oʻu i ka hāʻule puʻuwai a ua hala aku nei. Manaʻo pū wau e ʻeha ana koʻu umauma. E loaʻa anei iaʻu ka hāʻule puʻuwai pū kekahi, e ke kauka?" i nīnau mai ai ʻo ia. Ua minoʻaka au a hoʻomālielie iā ia ma ka ʻōlelo ʻana, "Mai hopohopo e Tharindu, he ʻōpiopio nō ʻoe. E nānā mua kāua i kou puʻuwai, ʻaʻohe pilikia."
ʻO ka ʻoiaʻiʻo, ua piʻi nui ke ʻano o nā hōʻeha puʻuwai i waena o ka poʻe ʻōpio i kēia mau lā. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu e loaʻa koke ai i ka poʻe ʻōpio i ko lākou mau makahiki 20 a me 30 nā hōʻeha puʻuwai a pehea e pili ai kā mākou kelepona iā ia.
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He aha kēia mau aʻa koko collateral?
ʻO ka maʻamau, hoʻolako ʻia ko mākou puʻuwai me ke koko e nā kīʻaha koko nui i kapa ʻia ʻo nā aʻa coronary. Ke ālai ʻia kēia mau kīʻaha koko i ka poʻe ʻelemakule, hana maoli ke kūlohelohe i kahi ʻōnaehana o nā kīʻaha koko liʻiliʻi e pale i ka puʻuwai. Ua kapa ʻia kēia mau mea he collateral arteries .
E noʻonoʻo i kēia ʻano. Ke ālai ʻia kou alanui nui, ua like kēia me nā alanui ʻaoʻao liʻiliʻi hiki iā ʻoe ke hele. Inā paha ua ālai ʻia kahi aʻa nui, kahe ke koko i ka puʻuwai ma o kēia mau alanui ʻaoʻao, no laila ʻaʻole hiki koke mai ka make.
Akā, ma ke ʻano lapaʻau, ʻaʻole i ulu nā mea palekana o ka hanauna ʻōpio o kēia wā. No laila, i ka wā e ālai ʻia ai kahi aʻa nui i loko o kahi kanaka ʻōpio, ʻaʻohe mea palekana, no laila ʻoi aku ka kiʻekiʻe o ka make ʻana mai ka hāʻule mua o ka puʻuwai.
Pehea e hana ʻia ai nā kīʻaha koko kōkua?
Hoʻokumu wale ʻia nā bypasses ke paʻakikī ke hoʻokele i ke aʻa nui. ʻO ia hoʻi, ke hoʻoikaika kino mākou a pono ka puʻuwai i ke koko hou aku. I kēlā manawa, i ka wā e nele ai ke koko i nā aʻa nui, wehe ka puʻuwai i nā bypasses liʻiliʻi (collaterals).
Hoʻomohala maikaʻi kēia mau kīʻaha koko collateral i loko o kahi kanaka e hoʻoikaika kino no ka manawa lōʻihi. Akā inā ʻaʻole mākou e hoʻoikaika kino, e uhi ʻia kēia mau kīʻaha koko collateral me ka ulu ʻana e like me ka ululāʻau.
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Check Availability →Pehea ka hopena o ke kelepona i nā hōʻeha puʻuwai?
ʻO ka pilikia nui e kū nei i nā ʻōpio o kēia wā, ʻo ia ka "hana ʻole kino" (Sedentary Lifestyle) . ʻO ia hoʻi, he nohona palaualelo e hoʻoneʻe ʻole ai i ke kino. ʻO ke kumu nui o kēia, ʻo ia ka maʻa mau i nā kelepona akamai.
Hoʻohana mākou i kā mākou kelepona no nā mea āpau i kēia manawa:
- Ma kahi o ka hele wāwae ʻana no kekahi manawa, hoʻoiho lākou i kahi polokalamu ma kā lākou kelepona, lawe mai i kahi kaʻa tricycle, a iho pololei ma ka puka.
- Kauoha au i ka meaʻai a me nā mea inu ma ke kelepona ma kahi o ka hele ʻana i ka hale kūʻai.
- Noho wale au ma kahi hoʻokahi no nā hola, e haka pono ana i kaʻu kelepona a e ʻōwili ana i nā pāpili kaiapili i kēlā me kēia manawa iaʻu.
Ua hele wāwae nā kūpuna a me nā hanauna o ko mākou mau makuakāne i nā mahina ʻai a i ke kahua kaʻa. Ua hana nui lākou. ʻO ia ke kumu i olakino ai ko lākou mau puʻuwai. Akā, hoʻohana nā ʻōpio o kēia wā i ka lā holoʻokoʻa e noho ana ma luna o ka noho a i ʻole ma kahi moe, e nānā ana i kā lākou kelepona, i ʻole e ulu nā kīʻaha koko o ko lākou puʻuwai.
Manaʻo kekahi poʻe ua hoʻokumu ʻia nā hōʻeha puʻuwai i ka poʻe ʻōpio e ka lāʻau pale Covid. Akā ʻo ke kumu maoli, ʻo ia kēia ʻano nohona kūpono ʻole a me ka maʻa mau ʻana i nā kelepona.
He aha kā mākou e hana ai e pale aku ai i ka hāʻule ʻana o ka puʻuwai?
Aia i ko kākou mau lima ka pale ʻana i nā maʻi puʻuwai. No ka hana ʻana pēlā, pono kākou e hoʻokō i kēia mau ʻano maʻamau e hoʻomaka ana i kēia lā:
1. E lulu i kou kino i kēlā me kēia lā.
ʻAʻole pono ʻoe e hele i ka hale hoʻoikaika kino e mālama i ke olakino o kou puʻuwai. E hana wale i 30 mau minuke o ka hele wāwae wikiwiki, ka holo paikikala, ka ʻauʻau ʻana, a i ʻole ka holo ʻana i ka lā. E kōkua kēia i nā kīʻaha koko kolateral o kou puʻuwai e ulu pono.
2. E kaupalena i ka hoʻohana ʻana i ke kelepona
E hōʻemi i ka manawa pale. E ala a hele wāwae ma ka liʻiliʻi hoʻokahi manawa i ka hola. E komo i nā hana leʻaleʻa kino e like me ka māla a me ka pāʻani haʻuki.
3. E ʻai i kahi meaʻai olakino
E hōʻemi i nā meaʻai kiʻekiʻe i ka momona a me ke kō (meaʻai wikiwiki) a me nā mea inu kō. E ʻai i ka papaʻai momona i nā mea kanu hou, nā huaʻai, nā palaoa, a me ka protein.
Nā mea e pono ai a me nā mea ʻaʻole e pono ai
| ✔️ Nā mea e hana ai (Hana) | ❌ Nā mea pono ʻole |
|---|---|
| E hana i ka hana kino no ka liʻiliʻi he 30 mau minuke i ka lā. | Mai hoʻohana i kāu kelepona i kou noho ʻana a i ʻole e moe ana ma kahi moe no nā hola he nui. |
| E hoʻohui i nā mea kanu, nā huaʻai, a me nā meaʻai fibrous i kāu meaʻai. | Mai ʻai pinepine i ka meaʻai wikiwiki a me nā ʻiʻo i hana ʻia. |
| E hoʻomaʻamaʻa i ka hoʻohana ʻana i nā alapiʻi a me ka hele wāwae. | Mai hoʻohana mau i nā kaʻa a i ʻole nā kaʻa huila ʻekolu, ʻoiai no nā mamao pōkole. |
| E ho'āʻo e komo i kahi haʻuki i ka hopena pule. | Inā ʻeha kou umauma, mai hoʻowahāwahā iā ia, me ka manaʻo he gastritis ia. |
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