E noʻonoʻo ʻoe e piʻi ana i kahi alapiʻi, a i ʻole e hele wikiwiki ana. I ka manawa koke, manaʻo ʻoe i kahi ʻūlū ma waenakonu o kou umauma, me he mea lā e piʻi ana kekahi ma luna o kou umauma, he kaomi, a me ka ʻeha. Akā ʻo ka mea kupaianaha, ke hoʻōki ʻoe i kāu hana a noho i lalo no kekahi manawa, nalowale loa ka ʻeha i loko o kekahi mau minuke. Ua loaʻa anei iā ʻoe kēia ʻike? A laila hiki ke lilo kēia i Stable Angina . Mai makaʻu i kou lohe ʻana i kēia. He hōʻailona liʻiliʻi kēia a kou puʻuwai e hāʻawi nei iā ʻoe. E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka Stable Angina?
ʻAʻole maʻi maoli ka Angina paʻa, he hōʻailona ia. I ka pololei, ʻo ia ka hōʻailona nui o kahi maʻi puʻuwai i kapa ʻia ʻo Coronary Artery Disease (CAD), i hana ʻia e ka pale ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai.
E noʻonoʻo i ko kākou puʻuwai e like me kahi motika e hana mau ana. Pono kēia motika i ka lako mau o ke koko maʻemaʻe a me ka oxygen e hana. Lawe ʻia kēia koko i ka puʻuwai ma o nā ʻōmole liʻiliʻi i kapa ʻia ʻo nā aʻa coronary. I ka hala ʻana o ka manawa, hoʻomaka nā mea e like me ka cholesterol mai ka meaʻai a kākou e ʻai ai e hōʻiliʻili i loko o kēia mau ʻōmole. Ua like ia me ka limu e ulu ana i loko o kahi paipu wai. Kāhea mākou i kēia 'plaque' . Hoʻohaiki mālie kēia papa o ka plaque i ke kahe o ke koko.
I kēia manawa, i kou wā maʻamau, i ka wā e hoʻomaha ai, ua lawa ke koko o kou puʻuwai e hele ai ma kēia ala haiki. Akā, i kou hoʻoikaika kino ʻana, hele wikiwiki, piʻi i nā alapiʻi, a i ʻole ke kaumaha, pono kou puʻuwai e hana ikaika ma mua o ka maʻamau. A laila noi ka puʻuwai i ka oxygen hou aku. Akā, ʻaʻole hiki i kēlā mau kīʻaha koko haiki ke hāʻawi i ka puʻuwai i ke koko keu e pono ai. I kēlā manawa, uē ka ʻiʻo o ka puʻuwai, "ʻAʻole lawa ka oxygen iā mākou." ʻO kēlā uē ka mea a mākou e manaʻo ai he ʻeha umauma.
Ua kapa ʻia kēia he "Paʻa" no ka mea, ʻo ke ʻano o kēia ʻeha e hana ʻia ma ke ʻano kikoʻī loa.
- ʻO ka maʻamau, hiki mai ia ke hana ʻoe i kahi mea luhi.
- Ua like ka ʻeha i kēlā me kēia manawa.
- Nalo ia ma hope o kahi hoʻomaha pōkole, e like me 5 mau minuke.
Pehea ka manaʻo o ka angina paʻa?
ʻOiai ke ʻano like ʻole kēia mai kēlā kanaka a kēia kanaka, aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| ʻEha a ʻeha paha ka umauma | Ua like kēia me ka ʻeha ʻoi, ka paʻa o ka umauma, e like me ke kaumaha ma ka umauma, a no kekahi poʻe, hiki ke manaʻo ʻia he mumū o ka ʻōpū (e like me ka gastritis). |
| Ka hoʻolaha ʻana i ka ʻeha | I ka manawa pinepine, hoʻomaka ka ʻeha ma waenakonu o ka umauma a hiki ke laha i ka poʻohiwi hema, i lalo o ka lima hema, i loko o ka ʻāʻī, ka ʻāwae, a i ʻole ke kua. |
| Paʻakikī ka hanu ʻana | Me ka ʻeha o ka umauma, hiki paha iā ʻoe ke paʻakikī i ka hanu ʻana a manaʻo e like me ʻoe e ʻū ana. |
| Nā hiʻohiʻona ʻē aʻe | Hiki i kekahi poʻe ke loaʻa i ka dizziness, nausea, a me ka luhi. |
No ke aha i hana ʻia ai kēia kūlana? (Nā kumu a me nā mea hoʻoulu)
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui o ka angina paʻa ʻo ia ka maʻi Coronary Artery (CAD) , ʻo ia hoʻi ka haiki ʻana o nā kīʻaha koko i loko o ka puʻuwai. Eia nō naʻe, hiki ke hana ʻia kēia ʻano e kekahi mau kumu ʻē aʻe.
- Ka hāʻule ʻana o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai
- Nā pilikia o ka valve puʻuwai
- Nā pilikia o ka puʻuwai
- Hyperthyroidism
- Hoʻemi ʻia ka hemoglobin i loko o ke koko (Anemia)
Nā mea hoʻonāukiuki no ka Angina
ʻOiai ke kumu o kēia kūlana he mea kūloko, aia kekahi mau mea e hiki ke hoʻoulu i ka ʻeha. Kāhea mākou i kēia mau mea 'nā mea hoʻoulu'.
- Hoʻoikaika kino: Nā mea e like me ka hele wikiwiki ʻana, piʻi ʻana i nā alapiʻi, a me ka hāpai ʻana i nā mea kaumaha.
- Kaumaha: Nā manaʻo ikaika e like me ka huhū nui, ke kaumaha, a me ka hopohopo.
- Nā loli koke o ka mahana: Ke neʻe nei mai kahi wela loa i kahi lumi anu loa (AC).
- ʻAi ʻana i kahi meaʻai kaumaha: Hiki i kekahi poʻe ke ʻike i kēia ʻoluʻolu ʻole ma hope o ka ʻai ʻana i kahi meaʻai piha.
He aha kāu e hana ai inā loaʻa iā ʻoe ka angina? He aha nā lāʻau lapaʻau?
Inā hoʻomaka ʻoe e ʻeha i ka angina, mai hopohopo a hana mua i kēia mau mea.
1. E hoʻōki i kāu mea e hana nei: Inā ʻoe e hele wāwae ana a e hana ana paha i kekahi mea, e hoʻōki koke.
2. E noho a moe i lalo: E hoʻomaha ma ka noho ʻana ma kahi noho a moe paha ma luna o kahi moe.
3. E hoʻohana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai: Inā ua hāʻawi kāu kauka iā ʻoe i kahi papa nitroglycerin a i ʻole ka pīpī, e kau iā ia ma lalo o kou alelo. Hoʻonui kēia i nā kīʻaha koko i loko o kou puʻuwai no kekahi manawa, e maʻalahi ai ke kahe ʻana o ke koko i kou puʻuwai.
ʻO ka maʻamau, pono e nalowale loa ka ʻeha i loko o 5 mau minuke o ka hoʻomaha ʻana a me ka lawe ʻana i ka Nitroglycerin. Inā ʻaʻole holo pono kēlā, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka mea e hana ai. He mea nui e hahai pololei i kēlā mau kuhikuhi.
He hopena manawa pōkole wale nō kēia. No ka hoʻomalu ʻana i ka angina i ka wā lōʻihi, e kuhikuhi kāu kauka i nā lāʻau lapaʻau ʻē aʻe e lawe i kēlā me kēia lā. No ka laʻana, nā beta-blockers , ka nitroglycerin hoʻokuʻu lōʻihi , a i ʻole ranolazine .
Eia kekahi, pono ka lāʻau lapaʻau e mālama i ke kumu kumu o ka angina (CAD). Hiki paha i kēia ke komo i kahi mea liʻiliʻi e like me ka mesh (stent) i loko o ke kīʻaha koko e hoʻonui i ka mea paʻa, a i ʻole ke ʻoki ʻana i ka bypass . Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe a wehewehe iā ʻoe.
He aha kā kākou e hana ai e pale aku iā kākou iho mai kēia kūlana?
ʻO ke ala maikaʻi loa e pale aku ai i ka angina paʻa, ʻo ia ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai coronary (CAD), ke kumu nui. ʻO ia hoʻi ka hoʻololi ʻana i ke ʻano o ka nohona.
ʻOi aku ka ikaika o ka lāʻau lapaʻau he nohona olakino no ka puʻuwai ma mua o ka lāʻau lapaʻau.
- ʻAi olakino no ka puʻuwai: E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō i ka hiki. Akā, e hoʻokomo i nā mea kanu, nā huaʻai, nā legume, nā iʻa liʻiliʻi, a me nā meaʻai waiwai i ka fiber (laiki ʻeleʻele, ʻoka) i kāu papaʻai.
- Hoʻoikaika kino mau: E hana i nā hoʻoikaika kino maʻalahi, e like me ka hele wāwae no 30 mau minuke i ka lā. Eia nō naʻe, inā loaʻa iā ʻoe ka angina, he mea nui e nīnau i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe.
- Ka mālama ʻana i nā maʻi ʻē aʻe: Inā he koko kiʻekiʻe kou, maʻi diabetes, a i ʻole cholesterol kiʻekiʻe, e lawe i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai a mālama pono i kēlā mau kūlana.
- E hoʻōki loa i ka puhipaka: Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO ia ka lawelawe nui loa hiki iā ʻoe ke hana no kou puʻuwai.
- E hōʻemi i ke kaumaha: E mālama i ka maikaʻi o ka noʻonoʻo ma ka hana ʻana i nā mea e like me ka noʻonoʻo ʻana, yoga, hoʻolohe i ke mele, a me ke komo ʻana i kahi hana leʻaleʻa punahele.
Āhea mākou e ʻike ai i ke kauka?
Inā ʻike ʻoe i ka ʻeha o ka umauma a i ʻole ka ʻoluʻolu ʻole e like me kēia no ka manawa mua i kou ola, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka. E nānā ke kauka iā ʻoe a, inā pono, e kauoha i kekahi mau hoʻokolohua e like me kēia.
| Hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā hoʻāʻo koko | E nānā inā he pōʻino i ka puʻuwai, a pehea hoʻi kou cholesterol a me kou pae kō. |
| ECG (Electrocardiogram) | Hoʻopaʻa ʻia ka hana uila o ka puʻuwai e ʻike inā he pilikia. |
| Hoʻāʻo Koʻikoʻi (ECG Hoʻoikaika Kino) | Lawe ʻia kahi ECG i ka wā e hele ana ma luna o ka treadmill, e nānā ana i ke ʻano o ka pane ʻana o ka puʻuwai i ka hoʻoikaika kino. |
| ʻO ka Angiography Coronary | Hoʻohana ʻia kahi X-ray kūikawā e nānā i nā ālai ʻana i nā kīʻaha koko o ka puʻuwai. |
| CT Scan | Lawe kahi X-ray kamepiula i nā kiʻi kikoʻī o ka puʻuwai a me nā kīʻaha koko. |
Pilikia! Āhea ʻolua e hele pū ai i ka ETU (Emergency Treatment Unit)?
ʻOiai no kekahi me ka angina paʻa, hiki i ke kūlana ke lilo i mea koʻikoʻi i kekahi manawa. Hiki i kēia ke lilo i hōʻailona o ka angina paʻa ʻole a i ʻole ka hōʻeha puʻuwai . I nā hihia aʻe, e hele koke i ka lumi pilikia (ETU) o kahi haukapila a kāhea aku i ka lawelawe ambulance 1990.
| ʻAno pilikia | He aha e hana ai |
|---|---|
| Inā ʻaʻole e emi ka ʻeha ma hope o ka lawe ʻana i ka nitroglycerin (a inā ʻaʻole lawa ka helu o nā lāʻau i kuhikuhi ʻia e ke kauka). | E hele koke i ETU. |
| Inā ʻoi aku ka ʻino o ka ʻeha ma mua o ka maʻamau, a inā e emi ana a laila hoʻi hou mai . | E hele koke i ETU. |
| Inā loaʻa ka ʻeha i ka wā hoʻomaha (me ka ʻole o ka hoʻoikaika kino). | E hele koke i ETU. |
| Inā ʻokoʻa ka manaʻo o ka ʻeha ma mua o ka maʻamau (e.g., inā hele pū me ka hou ʻana, ka hou nui ʻana, a i ʻole ka luaʻi ʻana). | E hele koke i ETU. |
ʻAʻole he hōʻeha puʻuwai ka Angina Paʻa. Akā, he hōʻailona ia e hōʻike ana e hiki mai ana kahi hōʻeha puʻuwai. No laila, mai hoʻowahāwahā i kēia hōʻailona.
He mea maʻamau ka makaʻu a me ka hopohopo i kekahi manawa ke noho me kēia maʻi. E kamaʻilio ākea me kāu kauka e pili ana i ia mea. E hāʻawi ʻo ia iā ʻoe i ke kākoʻo a me nā ʻōlelo aʻoaʻo āu e pono ai. Nui nā mea hiki iā ʻoe ke hana e pale i kou puʻuwai.
Leka Lawe-Home
- ʻO ka angina paʻa ka ʻeha umauma e kū mai me ka hoʻoikaika kino a nalowale me ka hoʻomaha, a he ʻano kikoʻī kona.
- He hōʻailona kēia o ka maʻi ʻaʻa coronary (CAD), ʻaʻole he hōʻeha puʻuwai. Akā he hōʻailona hōʻike ikaika ia o ka hōʻeha puʻuwai.
- ʻO ka hoʻomaha a me ka lāʻau nitroglycerin i kauoha ʻia e ke kauka e hōʻoluʻolu pinepine i ka ʻeha.
- Inā ʻeha kou umauma no ka manawa mua, a inā ʻokoʻa ka ʻeha mai ka mea maʻamau, koʻikoʻi, a i ʻole hiki mai i ka wā hoʻomaha, e hele koke i ka Emergency Department (ETU).
- Hiki iā ʻoe ke ola i kahi ola olakino ma ka lawe ʻana i kahi nohona olakino no ka puʻuwai a me ka hahai ʻana i ka lāʻau i kauoha ʻia e kāu kauka.
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