E aʻo wale kākou e pili ana i ka Ischemic Cardiomyopathy, kahi maʻi e nāwaliwali ai ka puʻuwai ma muli o ka lawa ʻole o ke koko.

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki iā ʻoe ke piʻi i nā alapiʻi a hele wāwae paha i nā wahi lōʻihi e like me kāu ma mua? Ke paʻakikī nei ʻoe i ka hanu ʻana i ka wā e hana ana i nā hana liʻiliʻi? A i ʻole ke pehu nei kou mau wāwae a ʻaʻole hiki iā ʻoe ke kau i kou mau kāmaʻa? ʻOiai he nui ka poʻe e manaʻo nei he luhi maʻamau kēia, i kekahi manawa aia paha kekahi kumu koʻikoʻi ma hope o kēia. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi ʻo 'Ischemic Cardiomyopathy', kahi maʻi e nāwaliwali ai ka ʻiʻo o ka puʻuwai ma muli o ka emi ʻana o ke kahe koko i ka puʻuwai.

I ka ʻōlelo maʻalahi, he aha ka Ischemic Cardiomyopathy?

E noʻonoʻo he kūlanakauhale nui ko kākou kino. A laila, ʻo ka puʻuwai ke kahua pamu nui e hoʻolako ana i ka wai i kēlā kūlanakauhale. I mea e hoʻomau ai kēia kahua pamu (ka puʻuwai) i ka hana, pono nō hoʻi i kahi kumu mana kaʻawale, ʻo ia hoʻi, kahi lako koko. Kāhea mākou i kēia mau kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai i nā aʻa coronary.

E noʻonoʻo, he aha ka mea e hana ai inā hoʻomaka kēia mau aʻa coronary e pani ʻia? E like me nā paipu wai e pani ʻia me ka lepo a emi iho ke kahe o ka wai, waiho ʻia nā mea e like me ka cholesterol a me ka momona i loko o kēia mau aʻa a lilo ke kahe koko i haiki. ʻO kēia ka mea a mākou e kapa nei he Maʻi Artery Coronary .

Ke emi kēia kahe koko, ʻaʻole loaʻa i ka ʻiʻo puʻuwai ka oxygen a me nā meaʻai e pono ai. E like me ka make mālie ʻana o ka lāʻau i ka wā e nele ai i ka wai, hoʻomaka pū ka ʻiʻo puʻuwai e nāwaliwali a hōʻino ʻia. I ka hala ʻana o ka manawa, ʻaʻole hiki i kēia puʻuwai nāwaliwali ke pamu i ka nui o ke koko e pono ai ke kino. ʻO ka ventricle hema, ke keʻena pamu nui o ka puʻuwai, e lilo i nāwaliwali a hoʻonui ʻia. ʻO kēia ke kūlana piha a mākou e kapa nei ʻo 'Ischemic Cardiomyopathy'.

I ka ʻōlelo maʻalahi, ʻo kēia maʻi kahi kūlana e nāwaliwali ai ka ʻiʻo o ka puʻuwai ma muli o ke ālai ʻia ʻana o nā kīʻaha koko e hoʻolako ana i ka puʻuwai, e hōʻemi ana i ka hiki o ka puʻuwai ke pamu . ʻO kēia ke kumu nui o ka hāʻule ʻana o ka puʻuwai ma ka honua.

He aha nā hōʻailona o kēia maʻi? Pehea mākou e ʻike ai?

ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ʻia kēia mau hōʻailona i ka manawa hoʻokahi. Hoʻomohala mālie lākou. Loaʻa paha i kekahi poʻe kēia maʻi me ka ʻole o nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau.

No ke aha e hana ʻia ai kēia? He aha nā kumu pilikia?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o ka maʻi ʻaʻai coronary.ʻO ia hoʻi, ua ālai ʻia nā kīʻaha koko e lawe ana i ke koko i ka puʻuwai. Eia kekahi, ʻo ka hōʻeha puʻuwai ma mua kekahi kumu nui. ʻO ka hōʻeha puʻuwai ka wā e ālai loa ʻia ai ke kahe koko i kahi ʻāpana o ka puʻuwai a make ke kino ma ia ʻāpana.

No laila, ʻo nā mea pilikia e kōkua i ka ulu ʻana o ka maʻi ʻaʻa coronary e kōkua pū i ka ulu ʻana o ka 'Ischemic Cardiomyopathy'.

Nā kumu pilikia:

• Ke koko kiʻekiʻe: Ke piʻi aʻe ke koko, ua hōʻino ʻia nā kīʻaha koko a piʻi aʻe ka manawa e waiho ʻia ai ka cholesterol i loko o lākou.
• Maʻi diabetes: Hoʻopilikia pū ka maʻi diabetes i nā paia o nā kīʻaha koko.
• ʻO ke Kolesterol Kiʻekiʻe: Ke piʻi ka nui o ka cholesterol maikaʻi ʻole (LDL) i loko o ke koko, waiho ia i loko o nā kīʻaha koko a ālai i ke kahe ʻana o ke koko.
• Ka hoʻohana ʻana i ka paka (puhipaka): ʻO ka puhipaka ke kumu nui o ka hōʻino ʻana i nā kīʻaha koko.
• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) ka maʻi puʻuwai i kona wā ʻōpiopio, ʻoi aku kou pilikia.
• Kaumaha Loa a me ka Momona: Ke piʻi kou kaumaha, hana nui kou puʻuwai. Hoʻonui pū ia i kou pilikia o ka loaʻa ʻana o nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol.
• ʻAʻohe hoʻoikaika kino: ʻO ke ʻano noho maʻamau kekahi kumu nui no kēia.

Pehea e ʻike pono ai ke kauka i kēia maʻi?

Ke hele ʻoe i ke kauka, e hoʻolohe pono mua ʻo ia i kāu mau hōʻailona a me kou mōʻaukala olakino ʻohana. A laila e nānā ʻo ia i kou kino. Eia kekahi, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Nā Hoʻāʻo Koko: E nānā i nā mea e like me nā pae kolesterol, nā pae kō, a me ka hana o nā puʻupaʻa.
• Electrocardiogram (ECG): Hoʻopaʻa kēia hoʻāʻo i ka hana uila o ka puʻuwai a hiki ke kōkua i ka hoʻoholo ʻana inā ua loaʻa kahi hōʻeha puʻuwai ma mua a i ʻole inā he mau mea ʻē aʻe i ka ʻōʻō o ka puʻuwai.
• X-ray o ka umauma: E nānā no ka puʻuwai i hoʻonui ʻia a me ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
• Echocardiogram (Echo): Ua like kēia me ke scan o ka puʻuwai. Hoʻohana ia i nā nalu kani e ʻike maopopo i nā keʻena o ka puʻuwai, nā valves, a me ke ʻano o ka puʻuwai puʻuwai (Ejection Fraction). He hoʻāʻo koʻikoʻi loa kēia no ka ʻike ʻana i kēia maʻi.
• Hoʻāʻo Koʻikoʻi Hoʻoikaika Kino: Lawe ʻia kahi ECG i kou hele ʻana ma luna o ka treadmill e ʻike ai inā lawa ke koko o kou puʻuwai ke hoʻoikaika kino ʻoe.
• Catheterization Cardiac / Angiogram: ʻO kēia ke ala maikaʻi loa e ʻike pono ai inā ua ālai ʻia nā kīʻaha koko o kou puʻuwai. Hoʻokomo ʻia kahi ʻōmole lahilahi ma o kahi aʻa koko i loko o kou lima a i ʻole kou wāwae, hoʻokomo ʻia i loko o nā aʻa coronary o kou puʻuwai, hoʻokomo ʻia kahi dye kūikawā, a lawe ʻia kahi X-ray. Hōʻike pololei kēia i ke ʻano o ka ālai ʻia ʻana o nā kīʻaha koko.

He aha nā lāʻau lapaʻau no kēia?

ʻEkolu mau pahuhopu nui o ka mālama ʻana:

1. E mālama i ke kumu (e laʻa me ka maʻi ʻaʻa coronary).

2. Hoʻomaikaʻi i ka hana o ka puʻuwai.

3. E hōʻemi i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola.

No kēia, hoʻohana pū ʻia kekahi mau ʻano lapaʻau.

1. Nā lāʻau lapaʻau (nā ʻano lāʻau lapaʻau)

ʻO nā lāʻau lapaʻau i hāʻawi ʻia no kēia kumu e hōʻemi i ke kaumaha ma ka puʻuwai, hoʻomaikaʻi i ka hana o ka puʻuwai, a pale i nā pilikia hou aʻe.

Mea nui:He mea nui e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻia, i ka manawa kūpono, a ma ke ʻano kūpono. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui ma kāu iho.

2. Nā loli o ke ʻano o ka nohona

ʻO ka hana ʻana i kēia mau mea he mea nui ia e like me ka lawe ʻana i ka lāʻau lapaʻau.

• Kaohi ʻana i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e ʻai ai i kēlā me kēia lā. ʻAʻole wale ka paʻakai ka paʻakai āu e hoʻohui ai i kāu meaʻai. Aia pū kekahi paʻakai huna i nā mea e like me nā meaʻai i hoʻomākaukau ʻia, nā mea ʻono, ketchup, nā biscuits, a me ka berena.
• Hoʻoikaika Kino: E like me ka ʻōlelo a kāu kauka, e hoʻoikaika kino i ka pae hiki iā ʻoe. ʻOiai ka hele wāwae wale no 30 mau minuke i ka lā he mea maikaʻi ia.
• E pale i ka puhipaka: Inā ʻoe e puhipaka, e hoʻōki loa.
• ʻAi olakino: E ʻai i nā mea kanu, nā huaʻai, nā legume, a me nā palaoa piha. E hōʻemi i nā meaʻai i kiʻekiʻe i ka ʻaila, ke kō, a me ka palaoa.
• Kaohi kaumaha: E mālama i ke kaumaha olakino no kou kiʻekiʻe.

3. ʻO ke ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe

Inā ʻaʻole hiki ke kaohi ʻia ke kūlana me nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona wale nō, hiki i ke kauka ke kuhikuhi iā ʻoe i nā koho lapaʻau ʻē aʻe.

• ʻO Angioplasty a me nā Stents: I ka wā o ka angiogram, ua hoʻopiha ʻia ke kīʻaha koko i paʻa ʻia me kahi mea like me ka baluna, a ua kau ʻia kahi mea liʻiliʻi e like me ka mesh i kapa ʻia he stent i loko e pale aku ai i ka paʻa hou ʻana.
• ʻO ke ʻoki ʻana i ke aʻa koko: Inā ua ālai ʻia kahi kīʻaha koko ma nā wahi he nui, hana ʻia kahi ala hou ma ka hoʻohana ʻana i kahi kīʻaha koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino (wāwae a umauma paha) e kāpae i ka wahi i ālai ʻia. Ua kapa ʻia kēia he ʻoki ʻana 'bypass'.
• Nā Mea Hana Hoʻokomo: Inā ʻano ʻē loa ka helu o ka puʻuwai a nāwaliwali loa paha ka hiki ke pamu o ka puʻuwai, hiki ke hoʻokomo ʻia kahi mea uila liʻiliʻi e like me ka `ICD (Implantable Cardioverter Defibrillator)` a i ʻole `CRT (Cardiac Resynchronization Therapy)` ma lalo o ka ʻili o ka umauma. Hoʻomalu kēia i ke kani o ka puʻuwai.
• Hoʻoili Puʻuwai: Ua manaʻo ʻia kahi hoʻoili puʻuwai olakino maikaʻi loa ma ke ʻano he ala hope loa no nā poʻe maʻi i nā pae koʻikoʻi loa o ka maʻi i pane ʻole i kekahi lāʻau ʻē aʻe.

Hiki ke pale ʻia ka maʻi?

ʻAe, ʻoiaʻiʻo nō. ʻO ke ala maikaʻi loa e pale aku ai i ka 'Ischemic Cardiomyopathy' ʻo ia ke pale ʻana i ka maʻi ʻaʻa coronary e hoʻoulu ai i ka ulu ʻana. ʻO ia hoʻi ke kāohi ʻana i nā mea pilikia a mākou i kūkākūkā ai ma mua.

• E ʻai i ka meaʻai olakino.
• E hoʻoikaika kino i nā manawa a pau.
• E pale loa i ka puhipaka.
• E kāohi i ke kaumaha o kou kino.
• Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e kaohi pono iā lākou e like me nā kuhikuhi a kāu kauka.
• E kāohi i ke kaumaha.

Āhea ʻoe e hele koke ai i ka haukapila (ETU)?

Inā loaʻa iā ʻoe kēia maʻi a i ʻole aia ʻoe i ka pilikia o ka maʻi puʻuwai, e hele koke i ka Emergency Department (ETU) inā loaʻa iā ʻoe nā hōʻailona penei:

• Inā he ʻeha nui kou i ka umauma a i ʻole he manaʻo paʻa i loko o kou umauma.
• Inā ʻoe e manaʻo nei he paʻakikī loa ka hanu ʻana.
• Inā ʻike ʻoe i ka hiamoe a i ʻole ka poniuniu.

ʻOiai he mau hōʻailona kēia o ka hāʻule puʻuwai, ʻo ka ʻimi ʻana i ka lāʻau lapaʻau me ka hoʻonele ʻole i ka manawa hiki ke hoʻōla i nā ola.