Ua lohe anei ʻoe i kahi maʻi e hoʻopilikia ai i nā kīʻaha koko liʻiliʻi i loko o kou puʻuwai? E kamaʻilio kākou e pili ana i ka 'Microvascular Coronary Disease (Small Vessel Disease)'!

Ke manaʻo nei ʻoe i kekahi manawa i ka nausea ʻē a i ʻole ka ʻeha ma kou umauma? Akā ke hele ʻoe i ke kauka, ʻōlelo lākou ʻaʻohe hewa o nā aʻa koko nui? Pēlā paha ia. No ka mea, ma waho aʻe o nā kīʻaha koko nui i loko o ka puʻuwai, aia kekahi pūnaewele o nā kīʻaha koko liʻiliʻi loa , e like me ka palupalu o kahi lauoho. I kekahi manawa hiki ke loaʻa ka pilikia. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.

He aha kēia mea i kapa ʻia ʻo 'Microvascular Coronary Disease'?

I ka ʻōlelo maʻalahi, ʻo ka 'Microvascular Coronary Disease' (MCD) kahi maʻi e hoʻopilikia ai i nā kīʻaha koko liʻiliʻi a palupalu loa (i kapa ʻia hoʻi ʻo 'coronary microvasculature') e lālā ana mai nā kīʻaha koko nui i loko o kou puʻuwai. Ua like ia me ka loaʻa ʻana o kahi paipu wai e lawe mai ana i ka wai i kou home, akā inā paʻa ka paipu liʻiliʻi e alakaʻi ana i ka piula wai, ʻaʻole e puka mai ka wai.

Aia kekahi mau inoa ʻē aʻe no kēia, āu paha i lohe ai:

• ʻO ka maʻi ʻaʻa liʻiliʻi
• Maʻi kīʻaha koko liʻiliʻi
• ʻO ka maʻi puʻuwai X
• Maʻi microvessel
• ʻO ka maʻi puʻuwai coronary ʻaʻole keakea ʻia (kahi kūlana i ʻole ai ke keakea ʻia ma muli o nā waihona momona i loko o nā aʻa nui)

He aha ka hana a kēia ʻōnaehana aʻa koko liʻiliʻi (Coronary Microvasculature) i loko o ka puʻuwai?

E noʻonoʻo i kou puʻuwai e like me kahi motika liʻiliʻi e hana mau ana. I mea e hana pono ai kēia motika, pono ia i ka hānai mau a me ka oxygen. Hana ʻia kēlā hana koʻikoʻi e kēia pūnaewele o nā aʻa liʻiliʻi e like me ka lauoho i kapa ʻia ʻo 'coronary microvasculature.'

Hoʻomalu kēia mau aa liʻiliʻi i ke kahe o ke koko ma o ka puʻuwai. He mea nui nō hoʻi lākou i kahi kaʻina hana paʻakikī i kapa ʻia ʻo ka hoʻololi capillary. ʻO ke ʻano o ka hoʻololi capillary, ʻo ia hoʻi, ʻo kēia mau aa liʻiliʻi e lawe i ke koko oxygenated i nā ʻiʻo o ka puʻuwai a hoʻihoʻi i ke koko deoxygenated i ka puʻuwai. Ua like ia me kahi lawelawe ʻelele, e lawe ana i nā mea maikaʻi a lawe aku i nā mea maikaʻi ʻole. Ma kēia hoʻololi ʻana, ua hoʻololi ʻia nā mea he nui, me nā kinoea, nā meaʻai, a me nā huahana ʻōpala.

He aha ka ʻokoʻa ma waena o kēia 'Microvascular Coronary Disease' a me ka 'Coronary Artery Disease' a mākou e lohe pinepine ai?

Hoʻonui kēia mau kūlana ʻelua i kou pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai . Eia nō naʻe, aia kekahi mau ʻokoʻa iki i ke ʻano o ko lākou hopena i ka puʻuwai.

• ʻO ka maʻi ʻaʻa coronary: Hoʻopilikia kēia i nā kīʻaha koko nui e holo ana i kou puʻuwai (nā kīʻaha coronary). ʻO ka hapa nui o kēia ma muli o nā waihona momona (nā plaques - e like me ka lepo i loko o ka paipu wai) e hōʻiliʻili ana i loko o nā kīʻaha, e hoʻohaiki ana a ālai loa paha i ke kahe ʻana o ke koko.
• ʻO ka maʻi coronary Microvascular: Hoʻopilikia kēia i nā kīʻaha koko liʻiliʻi a palupalu (ka 'microvasculature') e lālā ana mai nā kīʻaha koko nui. Hoʻonele kēia i nā ʻiʻo puʻuwai i nā meaʻai e pono ai. ʻAʻole kēia i hana ʻia e nā waihona momona ('plaques')., ma muli paha o ka hōʻino ʻia ʻana o kēia mau aa koko liʻiliʻi a i ʻole ma muli o kekahi kīnā i kā lākou hana.

I ka ʻōlelo maʻalahi, ua like kekahi me ke kaʻa ma ke alaloa nui (Coronary Artery Disease), a ʻo kekahi ua like me ke alanui liʻiliʻi me ke alahaka haʻihaʻi (Microvascular Coronary Disease). Hoʻopilikia nā mea ʻelua i ka huakaʻi.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka 'Microvascular Coronary Disease'?

ʻO kēia kūlana, i kapa ʻia ʻo 'Small Vessel Disease', ʻoi aku ka nui o ka ulu ʻana i nā wahine ma mua o nā kāne. He kiʻekiʻe loa kēia pilikia i nā wahine me nā pae haʻahaʻa o ka hormone 'estrogen' (no ka laʻana, i ka wā menopause).

Ma waho aʻe o kēlā, aia kekahi mau kumu pilikia ʻē aʻe:

• Maʻi Autoimmune: No ka laʻana, nā kūlana e like me ka vasculitis (ka mumū ʻana o nā kīʻaha koko). ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau cell ponoʻī.
• Momona: ʻO ke kaumaha o ke kino ke kumu o nā maʻi he nui.
• Maʻi diabetes: ʻO ka maʻi diabetes kahi kūlana i kāohi ʻole ʻia ai nā pae kō koko. Hiki i kēia ke hōʻino i nā kīʻaha koko.
• ʻAi pono ʻole: ʻAi nui ʻana i ka paʻakai, ka momona paʻa, a me nā meaʻai i hana ʻia.
• Ke koko kiʻekiʻe: ʻAʻole maikaʻi ke koko kiʻekiʻe no nā aa koko.
• Kolesterol kiʻekiʻe: Hoʻonui ʻia ka nui o ka momona i loko o ke koko.
• Nā maʻi Rheumatologic: No ka laʻana, nā maʻi e like me ka lupus a i ʻole ka rheumatoid arthritis.
• He nohona noho wale: ʻO ka nele i ka hoʻoikaika kino ke kumu o nā maʻi he nui.
• Puhipaka: ʻAʻole wale ka puhipaka he mea ʻino no ka puʻuwai, akā no ke kino holoʻokoʻa.

No ke aha e kū mai ai kēia 'Maʻi Coronary Microvascular'? He aha nā kumu?

Hoʻopilikia kēia kūlana i nā ʻiʻo laumania i loko o nā paia o nā aʻa liʻiliʻi i loko o kou puʻuwai. I loko o kahi puʻuwai olakino, pono e ʻūlū a hoʻonui kēia mau ʻiʻo e like me ka mea e pono ai. E like me ka hiki i ka lens o kahi kāmela ke hoʻonui a ʻūlū e hoʻokō i nā pono e loli nei o ka puʻuwai, penei ke kaohi ʻia ʻana o ke kahe koko.

Akā i loko o ke kanaka me ka `Microvascular Coronary Disease`, ua hōʻino ʻia nā paia o loko o kēia mau aʻa liʻiliʻi. Ma muli o kēia hōʻino, i kekahi manawa hiki i kēia mau aʻa ke paʻa koke (`spasms`). A laila ua hoʻopilikia ʻia ke kahe o ke koko i ka puʻuwai. E noʻonoʻo iā ia e like me kahi paipu wai e wāwahi koke ʻia ana, e emi ana ke kahe o ka wai.

He aha nā hōʻailona o ka 'Small Vessel Disease'? Pehea ʻoe e ʻike ai?

ʻO ka hōʻailona nui ka ʻeha o ka umauma a i ʻole ka ʻoluʻolu ʻole i kapa ʻia ʻo 'angina' . Hiki i kēia ke mau no 10 mau minuke a ʻoi aku paha., ʻoiai ke hoʻomaha ʻoe. Hiki ke hoʻonui ʻia kēia ʻeha me ke kaumaha o ka noʻonoʻo, akā ʻaʻole ia e hoʻonui nui ʻia me ka hoʻoikaika kino. Hiki i kēia mau hōʻailona 'Microvascular Coronary Disease' ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.

ʻO nā hōʻailona ʻē aʻe paha:

• Luhi: He manaʻo o ka luhi loa.
• Pōkole o ka hanu: Paʻakikī ka hanu ʻana ʻoiai me ka hoʻoikaika iki.
• Nā pilikia hiamoe: Nā mea e like me ka insomnia.

He mea nui: Hiki i ka ʻeha o ka umauma ke lilo i hōʻailona o ka hōʻeha puʻuwai. No laila e makaʻala i kēia mau mea:

* Inā ʻaʻole e nalowale ka ʻeha o kou umauma a i ʻole e ʻoi aku ka ʻino.

* Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe o ka hāʻule puʻuwai, e like me ka hanu pōkole, ka ʻeha ma kou kua, ʻāʻī, a i ʻole nā ​​​​lima, me ka ʻeha o ka umauma, e kāhea koke i ka 911 a i ʻole e hele i ka lumi pilikia haukapila kokoke loa.

Pehea ʻoe e ʻike pololei ai i ka maʻi ʻaʻai Microvascular Coronary? (Diagnosis)

ʻO kaʻoiaʻiʻo, hiki ke paʻakikī iki ka ʻike ʻana i ka maʻi puʻuwai microvascular. No ka mea he palupalu loa nā microvessels, he paʻakikī ke ʻike ʻia me nā hoʻokolohua puʻuwai maʻamau. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi cardiologist i loea i nā maʻi kīʻaha liʻiliʻi. A laila hiki iā ʻoe ke loaʻa i kahi hōʻailona pololei a me ka lāʻau lapaʻau koke.

ʻO ka hoʻāʻo maikaʻi loa (ke kūlana gula) e hōʻoia inā he "Maʻi Coronary Microvascular" kēia ʻo ia ka "Cardiac Catheterization" (catheterization puʻuwai) me ke ana ʻana o ka "Coronary Flow Reserve (CFR). He hoʻāʻo paʻakikī iki kēia. Nānā ia i ka wikiwiki o ka hoʻonui ʻana o kēlā mau aʻa liʻiliʻi a hoʻolako i ke koko hou aku i ka puʻuwai, ma muli o nā pono o kou kino.

Eia kekahi, aia kekahi mau hoʻokolohua ʻē aʻe e ana i ka nui o ke kahe o ke koko i ka puʻuwai:

• `Hoʻāʻo hoʻoluhi puʻuwai nukelea (PET scan)`
• ʻO ka MRI o ka puʻuwai me ka perfusion

He aha nā lāʻau lapaʻau no kēia maʻi? (ʻO nā lāʻau lapaʻau)

Hoʻohana pinepine ʻia nā lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau. Hana kēia mau lāʻau lapaʻau ma ka hoʻomaikaʻi ʻana i ka hana o nā kīʻaha koko a me ka hoʻēmi ʻana i ka pilikia o nā pilikia.

Hiki i kēia mau lāʻau lapaʻau ke komo pū me:

• Nā mea hoʻopaʻa i ka angiotensin-converting-enzyme (ACE): Hoʻonui kēia i nā kīʻaha koko a hoʻohaʻahaʻa i ke koko.
• Nā Anticoagulants: Mālama kēia i ke koko mai ka hoʻopili ʻana.
• ʻAspirin: Kōkua pū kēia i ka hōʻemi ʻana i ke kāpili ʻana o ke koko.
• Nā mea pale Beta: Hoʻolohi i ka helu o ka puʻuwai a hoʻohaʻahaʻa i ke koko.
• Nā mea pale i ke kahawai kalipuna: Hoʻonui i nā kīʻaha koko.
• Diuretics: Hoʻohaʻahaʻa i ke koko ma ka wehe ʻana i ka wai keu a me ka paʻakai mai ke kino.
• Statins: Hoʻohaʻahaʻa i nā pae cholesterol koko.

E loiloi kāu kauka i kou kūlana a hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia 'Maʻi ʻAila Liʻiliʻi'? ('Kaohi')

ʻO ka mālama pono ʻana i kou puʻuwai e hiki ke kōkua iā ʻoe e noho olakino a hōʻemi i nā pilikia o kēia mau maʻi. Hiki i kēia mau mea ke kōkua:

• E ʻoi aku ka hana kino: He mea nui e hoʻoikaika kino i kēlā me kēia lā. Inā he mea hou ʻoe i ka hoʻoikaika kino, hiki i kahi papahana hoʻoponopono puʻuwai ke kōkua.
• ʻAi ʻana i ka meaʻai olakino no ka puʻuwai: kahi ʻai haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō, a kiʻekiʻe i nā huaʻai a me nā mea kanu.
• Ka mālama ʻana i ke koko ma kahi pae olakino.
• Ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe.
• E hōʻole loa i ka puhipaka.
• Ke kaohi ʻana i nā pae kō koko, ʻoiai inā he maʻi diabetes kou.

ʻOiai paha he mea paʻakikī iki ka hana ʻana i kēia mau mea, hiki iā ʻoe ke ʻike i kahi ʻokoʻa nui ke maʻa iki ʻoe iā ia.

He aha nā manawa kūpono e ho'ōla ai no kekahi me ka 'Small Vessel Disease'? ('Outlook')

Me ka holomua o ka lāʻau lapaʻau, hoʻōla maikaʻi ka hapa nui o ka poʻe a hiki ke hoʻi hou i kā lākou hana o kēlā me kēia lā. Eia nō naʻe, he mea nui e hoʻomau i ka loaʻa ʻana o ka mālama ma hope e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau.

Pehea ke ʻano o ka noho ʻana me ka 'Maʻi Puʻuwai Microvascular'?

He manawa ka lōʻihi e hoʻomaʻamaʻa ai i ka lawe ʻana i nā lāʻau lapaʻau a me ka hoʻololi ʻana i ke ʻano o ka nohona. Hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao, e like me ka poniuniu. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia mau hopohopo. Hiki iā ia ke kōkua iā ʻoe, malia paha e hāʻawi iā ʻoe i kahi lāʻau lapaʻau ʻokoʻa, a aʻo paha iā ʻoe pehea e loaʻa ai ka hapa nui o kāu lāʻau lapaʻau.

E noi paha kāu kauka iā ʻoe e mālama i kahi puke moʻolelo o kāu mau hōʻailona a me nā mea e like me kou koko koko. Hiki i kēia ʻike ke kōkua iā lākou e hoʻopilikino i kāu lāʻau lapaʻau i kāu mau pono a me nā makemake.

ʻO ka mea hope loa, e hoʻomanaʻo he maʻi ʻo Microvascular Coronary Disease kahi maʻi e hoʻopilikia ai i ke kahe o ke koko ma o nā kīʻaha koko liʻiliʻi loa i loko o ka puʻuwai. ʻAʻole ia he mea e ālai ʻia ai e nā waihona momona e like me ka maʻi coronary artery, akā he hōʻino ia i nā kīʻaha koko. Hiki i kēia maʻi ke hoʻoulu i ka ʻeha mau o ka umauma a hoʻonui i ka pilikia o ka hōʻeha puʻuwai. Eia nō naʻe, me nā lāʻau lapaʻau kūpono a me nā loli o ke ʻano o ka nohona, hiki i nā poʻe he nui ke kāohi i ko lākou mau hōʻailona a pale i nā pilikia.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• ʻO ka maʻi coronary Microvascular kahi maʻi e hoʻopilikia ai i nā kīʻaha koko liʻiliʻi o ka puʻuwai, ʻokoʻa ia mai nā maʻi puʻuwai maʻamau i hoʻokumu ʻia e ke ālai ʻana i nā aʻa nui.
• He mea maʻamau kēia ʻano i nā wahine , ʻoiai a puni ka menopause.
• Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka umauma (angina), ka pōkole o ka hanu, a me ka luhi. Mai hoʻowahāwahā i kēia mau mea.
• Hiki i kekahi manawa ke paʻakikī ke ʻike ʻia, akā hiki ke hana ʻia me nā hoʻokolohua kikoʻī.
• He kūlana hiki ke mālama pono ʻia me nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau. Mai hopohopo, me ka mālama kūpono, loaʻa iā ʻoe kahi manawa kūpono e hoʻōla ai.

E mālama i kou puʻuwai!

ʻO ka maʻi puʻuwai, ka maʻi o nā kīʻaha koko liʻiliʻi, ka maʻi coronary microvascular, ʻeha umauma, olakino wahine, ka pilikia o ka hōʻeha puʻuwai, olakino puʻuwai