Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha, ka ʻūmiʻi, a i ʻole ka ʻeha i loko o kou umauma ke luhi iki ʻoe, ke piʻi ʻoe i kahi alapiʻi, a i ʻole ke hopohopo iki nei ʻoe? Hoʻopoina ka hapa nui o kākou i kēia, me ka manaʻo he mea maʻamau ia, malia paha he gastritis. Akā, ʻaʻole pono e mālama maʻalahi ʻia nā ʻeha umauma a pau. Malia paha he hōʻailona koʻikoʻi loa kēia a kou puʻuwai e hāʻawi nei iā ʻoe. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā, ʻaʻole lawa ke koko o ka puʻuwai.
I ka ʻōlelo maʻalahi, he aha ka Myocardial Ischemia?
He ʻano paʻakikī iki ke kani ʻana o ka inoa, akā he maʻalahi ka ʻoiaʻiʻo. ʻO ka Myocardial Ischemia ka wā ʻaʻole loaʻa i kou ʻiʻo puʻuwai ka nui o ke koko e pono ai e hana pono. Ua ʻike mākou ʻo ke koko ka mea e lawe ai i ka oxygen a me nā meaʻai ʻē aʻe ma ke kino holoʻokoʻa. No laila, ke emi ka nui o ke koko e kahe ana i ka puʻuwai, ʻaʻole lawa ka oxygen.
E like me ka pono o ka mīkini wai i ka wai e holo ai, pono pū ko kākou puʻuwai i ka lako koko mau. Inā pau kēia lako koko no kekahi manawa a emi nui paha, hoʻomaka nā ʻāpana o ka ʻiʻo puʻuwai e hōʻino ʻia. Inā lilo kēia ʻano i mea koʻikoʻi, hiki iā ia ke lilo i hōʻeha puʻuwai (Myocardial Infarction a i ʻole Heart Attack) .
He pilikia olakino ka hōʻeha puʻuwai e pono ai ke kōkua koke ʻia e ke kauka, no laila he mea nui e makaʻala i kēia mau hōʻailona.
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki ke loaʻa kēia maʻi i kekahi kanaka, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia.
| Kumu pilikia | He wehewehe maʻalahi |
|---|---|
| Ke koko kiʻekiʻe | Ke piʻi aʻe ke kaomi, hiki ke hōʻino ʻia nā kīʻaha koko, e lilo ai lākou i lahilahi a keʻakeʻa nei i ke kahe o ke koko. |
| Kolesterol kiʻekiʻe | Hoʻopili ʻia ka cholesterol maikaʻi ʻole i loko o ke koko ma nā paia o nā kīʻaha koko (e like me ka ʻaʻa koko), e hoʻohaiki ana iā lākou. |
| Maʻi diabetes | Hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko, hoʻemi i ko lākou palupalu, a keakea i ke kahe o ke koko. |
| Moʻolelo ʻohana | Inā loaʻa i kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) ka maʻi puʻuwai, ʻoi aku kou pilikia. |
| Ka hoʻohana ʻana i ka paka | Hoʻopōʻino pololei ka puhipaka i nā kīʻaha koko a hoʻonui i ka pilikia o ke kāpili ʻana o ke koko. |
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui a maʻamau o kēia ʻano, ʻo ia ka ʻeha o ka umauma i kapa ʻia ʻo angina . Hiki i kēia ke manaʻo e like me ka ʻeha puʻuwai a i ʻole ka ʻōpū ʻole, akā he ʻokoʻa iki ia.
He aha ke ʻano o ka ʻeha me ka angina?
- Manaʻo e like me ke kaumaha ma ka umauma
- Manaʻo o ka paʻa i loko o ka umauma
- Paʻa ka umauma
- Me he mea lā e ʻā ana i loko o ka umauma.
- I kekahi manawa ua like ia me ka mae ʻana o ka ʻōpū
Aia ʻelua ʻano o ka angina.
Hiki ke hoʻokaʻawale ʻia ka Angina i ʻelua ʻano nui. He mea nui loa ia e ʻike i ka ʻokoʻa ma waena o nā mea ʻelua.
1. Angina Paʻa: Hana pinepine kēia i ka wā e kaumaha ai ʻoe (e.g., hoʻoikaika kino, hele wikiwiki). Nalo ka ʻeha ke hoʻomaha ʻoe a lawe paha i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai (e.g., kahi papa e waiho ma lalo o kou alelo) .
2. Angina Paʻa ʻole: ʻO kēia ke kūlana weliweli loa . Hiki ke loaʻa kēia ʻeha ʻoiai ʻoe e hoʻomaha ana a hiamoe paha i ka pō. ʻAʻole hoʻi e emi iho ma hope o ka lawe ʻana i ka lāʻau lapaʻau. Hiki i kēia ke lilo i hōʻailona o ka hōʻeha puʻuwai, no laila e ʻimi koke ʻoe i ke aʻo lapaʻau .
Nā hōʻailona ʻē aʻe ma mua o ka angina
Ma waho aʻe o ka ʻeha o ka umauma, hiki ke ʻike ʻia nā hōʻailona penei:
- ʻEha a ʻoluʻolu ʻole paha e pālahalaha ana i ka lima hema, poʻohiwi, ʻāʻī, ʻāʻī, kua, a i ʻole ka ʻōpū .
- Pōkole o ka hanu .
- Ke anu nei a me ka hou ʻana .
- Ka manaʻo o ka piha, ka ʻōpū ʻole, a i ʻole kahi puʻu ma ka puʻu.
- Ka luaʻi a i ʻole ka luaʻi ʻana .
- Ka poniuniu , ka māmā o ke poʻo, ka nāwaliwali loa, a i ʻole ka manaʻo hopohopo.
- Ka puʻuwai wikiwiki a kūpono ʻole paha.
ʻO ka poʻe me ka maʻi diabetes, ma ke ʻano kūikawā, hiki i kekahi manawa ke loaʻa i ka ischemia leo ʻole a i ʻole ka hōʻeha puʻuwai me ka ʻole o ka ʻeha o ka umauma. No laila, pono lākou e makaʻala loa i kēia mau hōʻailona ʻē aʻe.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona no nā minuke he 5 a ʻoi, he pilikia ia. E kelepona koke i ka 1990 Ambulance Service.
No ke aha e emi ai ke kahe o ke koko i ka puʻuwai? He aha nā kumu?
ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka maʻi ʻaʻa coronary . I ka ʻōlelo maʻalahi, he hōʻiliʻili kēia o ka cholesterol a me ka momona (kapa mākou i kēia '(Plaque)') i loko o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai (nā aʻa coronary), e hoʻolilo ana i nā aʻa e haiki. E like me ka paipu wai e popo ana i ka hala ʻana o ka manawa a paʻa. Ke haiki ke aʻa, ʻaʻole hiki ke kahe ka nui o ke koko e pono ai ka puʻuwai.
Nā kumu ʻē aʻe:
- ʻAʻa Koko: Inā haki kahi papa momona (plaque) i kūkulu ʻia i loko o kahi aʻa i haiki ʻia, hiki i kahi ʻaʻa koko ke hana ma ia wahi a ālai loa i ke aʻa.
- ʻO ka Spasm o ke Artery Coronary: I kekahi manawa e ʻūmi koke nā kīʻaha koko i loko o ka puʻuwai, e hoʻōki ana i ke kahe koko no kekahi manawa.
- Ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka cocaine.
- ʻO ka Hoʻokaʻawale ʻana o ke Ala Koronari: He kūlana kakaikahi loa kēia kahi e haehae ai ka paia o ke kīʻaha koko.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, hana i kahi hoʻokolokolo kino, a hiki paha ke paipai i kekahi mau hoʻokolohua.
- ECG (Electrocardiogram): Hoʻāʻo i ka hana uila o ka puʻuwai.
- Echocardiogram: He scan o ka puʻuwai. Hiki iā ia ke nānā i ka hana a me ke ʻano o ka puʻuwai.
- Hoʻāʻo Koʻikoʻi Hoʻoikaika Kino: Lawe ʻia kahi ECG i kou hele ʻana ma luna o ka treadmill, e nānā ana i nā loli i loko o kou puʻuwai i kou hoʻoikaika kino ʻana.
- ʻO ka Angiogram Coronary: Hoʻokomo ʻia kahi wai kūikawā i loko o nā kīʻaha koko o ka puʻuwai a lawe ʻia kahi X-ray e ʻike pono i ke ʻano o ka paʻa ʻana o nā kīʻaha koko.
- Nā hoʻāʻo koko: No ka nānā ʻana i ka hōʻino ʻia o ka ʻiʻo puʻuwai a nānā i nā mea e like me ka pae kolesterol.
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
Aia ka lāʻau lapaʻau i ke koʻikoʻi a me ke kumu o kou kūlana. ʻO ka pahuhopu nui ka hoʻihoʻi ʻana i ke kahe koko i ka ʻiʻo puʻuwai a pale i nā hōʻeha puʻuwai i ka wā e hiki mai ana.
Nā ʻano lāʻau lapaʻau:
- ʻNitroglycerin:He lāʻau lapaʻau e hōʻoluʻolu koke ai i ka angina.
- Nā mea pale Beta a me nā mea pale kahawai calcium: Kāohi i ka hana o ka puʻuwai a me ke koko, e hoʻemi ana i ka ukana hana ma ka puʻuwai.
- Nā Anticoagulants (e.g. Aspirin, Clopidogrel): Hoʻōki lākou i ke kūkulu ʻana o nā ʻūpā koko i loko o nā kīʻaha koko.
- Nā lāʻau hoʻohaʻahaʻa kolesterol.
Nā ʻano lapaʻau a me nā ʻoki kino:
- ʻO Angioplasty a me ke kau ʻana o Stent: Hoʻopiha ʻia ke kīʻaha koko i paʻa ʻia me kahi mea like me ka baluna a hoʻokomo ʻia kahi mea like me ka mesh (stent) e pale aku ai i ka paʻa hou ʻana.
- ʻO ke kāpili ʻana o ke aʻa coronary artery: Hana ʻia kahi kīʻaha koko hou ma ke kāpae ʻana i ke aʻa i ālai ʻia me ka hoʻohana ʻana i kahi ʻāpana o ke aʻa i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino.
He aha kā mākou e hana ai e hōʻemi i ka pilikia?
ʻO ka hana ʻana i nā hoʻololi liʻiliʻi i kou nohona e hiki ke hōʻemi nui i kēia pilikia.
- Inā loaʻa iā ʻoe 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 hoʻoikaika kino no 30-60 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule. (ʻOiai he hele wāwae wikiwiki ua lawa ia.)
- E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō, a e ʻai i nā mea kanu, nā huaʻai, nā mea kanu, a me nā palaoa piha.
- Inā ʻoe e puhipaka, e hoʻōki loa.
- E hōʻemi i ke kaumaha.
- E mālama i ke kaumaha o ke kino olakino.
Leka Lawe-Home
- Mai hoʻowahāwahā i kēlā me kēia ʻeha o ka umauma, me ka manaʻo he gastritis ia. E hoʻolohe pono iā ia, ʻoiai inā he ʻeha ia e kū mai ana i ka wā o ka hoʻoikaika kino.
- Inā hele pū ka ʻeha o ka umauma me nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka hou ʻana, a me ka ʻeha e pālahalaha ana i nā lima, he hōʻailona paha ia o ka hāʻule puʻuwai.
- Inā ʻeha kou umauma no nā minuke he 5 a ʻoi, e kāhea koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU). ʻO ka manawa ke ola.
- E ʻike i kāu mau kumu pilikia (ke koko, ka cholesterol, ka maʻi diabetes) a kamaʻilio me kāu kauka e pili ana i ka kaohi ʻana iā lākou.
- ʻO ke ola kino olakino e hāʻawi iā ʻoe i ka ikaika nui e pale aku iā ʻoe iho mai kēia maʻi a kāohi i ia mau maʻi.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo