ʻOiai he ʻeha iki ma ka umauma e hoʻoikaika ai i ko kākou puʻuwai, ʻeā? He mea maʻamau loa ka loaʻa ʻana o ka makaʻu e hiki mai ana i ka noʻonoʻo, "Auē, he hōʻailona anei kēia o ka hōʻeha puʻuwai?" Akā, ua ʻike anei ʻoe ʻaʻole pili nā ʻeha umauma a pau i ka puʻuwai? I kekahi manawa, ʻaʻole kēia ʻeha mai ka puʻuwai a i ʻole nā māmā i loko o ko kākou lua umauma, akā, mai nā ʻiʻo, nā iwi, a i ʻole ke cartilage e hana ana i kēlā lua. I ka lāʻau lapaʻau, kapa mākou i kēia "Musculoskeletal Chest Pain". I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia.
Pehea ʻoe e hoʻokaʻawale ai i kēia ʻeha mai ka puʻuwai ʻeha?
ʻO kēia ka pilikia nui loa i loaʻa i nā poʻe he nui. Aia kekahi mau ʻokoʻa maopopo ma waena o ka ʻeha e pili ana i ka puʻuwai a me ka ʻeha e pili ana i nā ʻiʻo. Akā e hoʻomanaʻo, ʻaʻole kūpono ke nānā ponoʻī ma muli o kēia mau hōʻailona . Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ʻoi aku ka palekana o ka ʻike koke ʻana i ke kauka e ʻike i ke kumu pololei. I kekahi manawa hiki ke hui pū ʻia kēia mau kūlana ʻelua.
Akā, no ka ʻike, e nānā kākou i ka ʻokoʻa ma waena o kēia mau ʻano ʻeha ʻelua.
| Nā hōʻailona o ka ʻeha o ka umauma i hiki ke kumu ʻia e ka maʻi puʻuwai (ʻeha umauma maʻamau/cardiac) | Nā Hōʻailona o ka ʻeha umauma Musculoskeletal |
|---|---|
| Ua paʻa a ʻūmiʻi koʻu umauma. | He ʻeha mau ma kahi hoʻokahi. Hiki iā ʻoe ke kuhikuhi iā ia me kou manamana lima a ʻōlelo, "Eia kahi e ʻeha ai." |
| Hiki ke pālahalaha ka ʻeha i ka ʻāʻī, ka ʻauwae, nā poʻohiwi, a i ʻole nā lima. | ʻAʻole maʻamau ka laha ʻana o ka ʻeha i nā wahi ʻē aʻe. |
| Hiki ke hele pū me nā hōʻailona ʻē aʻe e like me ka hou ʻana, ka nausea, a me ka paʻakikī o ka hanu ʻana. | Hiki paha ke pehu, ʻūlū, a i ʻole ka nui o ka ʻeha i ke kaomi ʻana ma ka wahi ʻeha. |
| Hoʻonui ka ʻeha ke hoʻoikaika kino ʻoe a luhi paha. E emi ana ia ke hoʻomaha ʻoe. | Hoʻonui ka ʻeha i ka wā e hoʻohuli ai i ka umauma, e hanu hohonu ana, e ʻū ana, a i ʻole e kihe ana. |
E hoʻomanaʻo, he mau hōʻailona maʻamau kēia. Inā ʻeha kou umauma, ʻaʻohe mea he aha ia, e ʻimi koke i ke kōkua lapaʻau. Mai kānalua e hele i ka Emergency Department (ETU) inā pono.
No ke aha e loaʻa ai kēia ʻano ʻeha o nā ʻiʻo a me nā iwi?
Nui paha nā kumu no kēia. He maʻalahi loa kekahi, aʻo kekahi e pono ai ka nānā hou aku. E nānā kākou i kekahi o nā kumu nui.
Nā kumu nui
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā ʻeha ʻiʻo | Hiki ke ʻeha nā ʻiʻo o ka umauma i ka wā e pāʻani ana i nā haʻuki, e hāpai ana i nā mea kaumaha, a i ʻole e hana hou ana i ka hana like. |
| Nā haki iwi ʻaoʻao | Hiki i ka iwi ʻaoʻao ke haki a māwae paha mai kahi mea e like me ka hāʻule ʻana a i ʻole kahi ulia. Hiki iā ia ke hōʻeha nui i ka wā e hanu hohonu ai. |
| ʻO ke kokokondritis | ʻO kēia ke kumu maʻamau. Hoʻokumu ʻia ia e ka pehu ʻana o ke cartilage e hoʻopili ana i nā iwi ʻaoʻao i ka iwi umauma (sternum) ma waenakonu o ka umauma. Loaʻa ka ʻeha ke kau ʻoe i kou lima ma luna. |
| ʻO ka ʻāʻī o ke kino | ʻO nā kūlana e like me ka rheumatoid arthritis a i ʻole ka ankylosing spondylitis hiki ke hoʻoulu i ka pehu a me ka ʻeha ma nā hono o ka umauma. |
| ʻO ka Fibromyalgia | He kūlana kēia e hoʻoulu ai i ka ʻeha o nā ʻiʻo a me ka luhi ma ke kino holoʻokoʻa. Hiki i ka ʻeha o ka umauma ke lilo i ʻāpana o kēia . |
Nā kumu kakaikahi ʻē aʻe
- Nā pilikia o ka iwi kuamoʻo: I kekahi manawa, hiki ke ʻike ʻia ka ʻeha i hoʻokumu ʻia e kahi pilikia ma ka iwi kuamoʻo (ka iwi kuamoʻo ma hope o ka umauma), e like me ka herniated disk, ma ka umauma.
- ʻO Tietze Syndrome: Ua like kēia me ka "Costochondritis", akā i kēia hihia, aia kahi pehu maopopo ma kahi o ka ʻeha.
- ʻO ka Precordial Catch Syndrome: He ʻeha koke a ʻoi kēia e mau ana no kekahi mau kekona a ʻaʻole ia he mea weliweli. Loaʻa ia i nā poʻe ʻōpio. Hiki ke hana ia i ka wā e kūlou ai ke kino.
- Nā maʻi: Hiki i kekahi mau maʻi viral ke hoʻoulu i ka ʻeha o ka umauma a me ka pehu. Inā hele pū kēia ʻeha me ke kuni, pono e noʻonoʻo ʻia kēlā.
- Nā ʻōpū: He kumu kakaikahi loa kēia. Ke pālahalaha ka maʻi ʻaʻai (metastasizes) i nā iwi o ka umauma, e like me nā māmā a i ʻole nā umauma, hiki iā ia ke hōʻeha. Akā ma mua o kou hopohopo e pili ana i kēia, pono ʻoe e noʻonoʻo i nā kumu maʻamau ʻē aʻe.
Pehea e mālama ʻia ai?
Aia ka lāʻau lapaʻau i ke kumu o ka ʻeha. ʻO kāu kauka ka mea nāna e hāʻawi iā ʻoe i ka hopena maikaʻi loa.
- Hoʻomaha: He mea nui loa ka noho mamao ʻana mai nā hana e hoʻonui ai i ka ʻeha no kekahi manawa.
- Nā ʻūmiʻi wela a anu paha: ʻO ka hoʻopili ʻana i kahi ʻōmole wai wela a i ʻole kahi ʻeke hau i ka wahi ʻeha hiki ke hāʻawi i ka hōʻoluʻolu.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke hoʻohana i ka paracetamol a i ʻole nā lāʻau hoʻopau ʻeha ʻē aʻe (e like me NSAID) i ʻōlelo ʻia e kāu kauka.
- Nā Kilima Topical: Aia kekahi ʻano ʻaila like ʻole i hoʻopili ʻia i ka wahi o ka ʻeha.
- Physiotherapy: I kekahi mau hihia, ua ʻōlelo ʻia nā hoʻomaʻamaʻa physiotherapy e hoʻoikaika i nā ʻiʻo a hoʻonui i ka maʻalahi.
- Ka mālama ʻana i ka maʻi kumu: Inā loaʻa ka ʻeha i kahi maʻi mau e like me ka arthritis, pono ʻoe e ʻimi i ka lāʻau lapaʻau mai kahi loea (e.g., he rheumatologist) nāna i loea i kēlā maʻi.
Leka Lawe-Home
- Pono e hōʻike koke ʻia i ke kauka kekahi ʻeha hou o ka umauma, ʻoiai inā he koʻikoʻi loa, e hōʻoia ʻaʻole ia he maʻi puʻuwai.
- ʻO ka maʻamau, ʻo ka ʻeha o ka umauma musculoskeletal kahi i kau ʻia ma kahi kūloko , ʻeha ke kaomi ʻia, a ʻoi aku ka ʻino me ka neʻe ʻana a i ʻole ke ʻū ʻana.
- Wahi a kāu mau hōʻailonaMai hoʻāʻo ponoʻī. Hiki ke lilo i mea weliweli.
- Hiki ke hoʻomalu pinepine ʻia kēia ʻeha me ka hoʻomaha, nā lāʻau hōʻeha ʻeha maʻalahi, a me nā hoʻopili wela/anu.
- Inā ʻaʻole e emi ka ʻeha ma hope o ka mālama ʻana a inā ʻike ʻia nā hōʻailona hou, e ʻike hou i kāu kauka .
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Puʻuwai Kūpono ʻole / Arrhythmia?
ʻO ka maʻamau, kuʻi ko mākou puʻuwai i kahi mele maʻamau loa, e like me ke kīkēkē ʻana ma luna o ka papaʻaina. Akā ʻo ka 'Irregular Heartbeat' he maʻi ia e hoʻopilikia loa ʻia ai kēlā mele, 'Skipped beats', a i ʻole 'Fluttering'! He kaapuni pōkole uila kēia i loko o ka ʻōnaehana uila o ka puʻuwai! Hiki i kēia ke alakaʻi i nā ʻōpū koko a me ka hahau ʻana, hiki ke make!
💬 He aha nā kumu nui e kuʻi nei kēia puʻuwai kūpono ʻole me he pupule lā?
ʻO ke kumu nui o kēia, ʻo ia ka hōʻino ʻana o ka puʻuwai! 1) Ka hōʻino ʻana o nā aʻalolo ma muli o kahi hōʻeha puʻuwai ma mua (Myocardial Infarction). 2) Atrial Fibrillation (AFib) - He puʻuwai paʻakikī ʻole i loaʻa i ka poʻe ʻelemakule, e hoʻoluliluli ana i nā keʻena o luna o ka puʻuwai e like me ka pupule. 3) Nā hemahema o ka electrolyte. 4) Ke kaumaha nui a me ka inu nui ʻana i ka caffeine.
💬 Ke loaʻa iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole, he aha nā 'kūlana make/pilikia' e pono ai ʻoe e hele koke i ka haukapila me ka noho ʻole ma ka home?
Inā ʻaʻole ʻoe e ʻike i kahi kuʻi akā ʻaʻole ʻoe e ʻeha, mai hopohopo. Akā ʻo ka pōʻino nui loa! Inā hele pū kēia hoʻololi mele me 1) ka ʻeha ʻūlū/ʻeha ʻana ma waenakonu o ka umauma (ʻeha umauma / hōʻeha puʻuwai), 2) pōkole o ka hanu, 3) ʻeleʻele, poniuniu, a me ka nalowale o ka ʻike (Syncope / Cardiac Arrest), a me 4) hahau, pono ʻoe e hele koke i ka haukapila (ECG / Defibrillator)!
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