Ke ʻūmiʻi koke nei kou mau kīʻaha koko? Ua kapa ʻia kēia ʻo (Vasospasm) !

Ua manaʻo paha ʻoe i kahi manaʻo koke, paʻa, a ʻeha paha ma kekahi ʻāpana o kou kino? Hiki paha no ka mea ua ʻūmiʻi koke kekahi o kou mau kīʻaha koko. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he vasospasm , a i ʻole ka ʻūmiʻi ʻana o nā kīʻaha koko . I ka ʻōlelo maʻalahi, ua like ia me kahi paipu wai e ālai koke ʻia ana, e ʻoki ana i ke kahe o ka wai. He mea nui e hoʻomaopopo i kēia no ka mea hiki iā ia ke hoʻopilikia i nā ʻāpana like ʻole o kou kino.

He aha maoli kēia (Vasospasm)?

I ka ʻōlelo maʻalahi, ʻo ka vasospasm kahi ʻūlū koke a lōʻihi a me ka hoʻohaiki ʻana o nā aʻa koko, a i ʻole nā ​​​​kīʻaha koko, i loko o kou kino. E noʻonoʻo i ka mea e hana inā ʻoe e ʻūlū i kou mau lima a wehe i kou mau manamana lima no kekahi manawa? Hoʻomaka ia e ʻeha ma hope o kekahi manawa, ʻeā? ʻO ia ka mea e hana inā e ʻūlū mau ʻia kou mau aʻa koko.

Hana ʻia ko mākou mau paia aʻa i nā ʻiʻo . Hoʻopaʻa mau kēia mau ʻiʻo a hoʻomaha e kāohi i ke koko. He mea maʻamau kēia. Eia nō naʻe, i loko o kahi vasospasm, hoʻopaʻa kēia mau ʻiʻo i kahi ʻano ʻē a no ka lōʻihi loa . Hoʻemi kēia i ka nui o ke koko e kahe ana ma o kēlā aʻa. Hoʻemi kēia i ka nui o ka oxygen e hiki aku i nā ʻiʻo a puni. Inā hoʻomau kēia, hiki ke hōʻino ʻia nā paia aʻa.

ʻO ke ʻano kūikawā, kahi i loaʻa ai nā ʻano ʻē i loko o nā kīʻaha koko, kapa mākou iā lākou (endothelial dysfunction) , aia kahi manawa nui aʻe o ka (vasospasm) e hana ʻia.

He aha ka mea e hana ai inā loaʻa kahi vasospasm?

Ke hana ʻia kahi vasospasm, pane nui nā ʻiʻo laumania i loko o nā paia o nā aʻa i nā hōʻailona e ʻuʻuku. ʻO ka maʻamau, ʻuʻuku kēia mau ʻiʻo no kekahi manawa. Akā i loko o kahi vasospasm, ʻuʻuku lākou no kahi manawa lōʻihi ma mua o ka mea e pono ai.

Pehea ka hopena o (Vasospasm) i koʻu kino?

Hiki ke loaʻa ka vasospasm ma nā ʻaʻa like ʻole o ko mākou kino, akā ʻoi aku ka maʻamau ma kekahi mau wahi. Eia kekahi laʻana:

• ʻO nā ʻaʻa Coronary: Ke loaʻa ka vasospasm i loko o nā ʻaʻa e hoʻolako ana i ke koko i ka puʻuwai, ua kapa ʻia ʻo ia he Prinzmetal angina . Hiki i kēia ke kaupalena i ke kahe koko i ka puʻuwai a hoʻoulu i ka hōʻeha puʻuwai . E noʻonoʻo koke i kahi ʻeha nui ma ka umauma, i kekahi manawa e paʻakikī ai ka hanu ʻana.
• Nā ʻAʻa Loea: Inā loaʻa nā ʻaʻa e hoʻolako ana i ke koko i ka lolo (vasospasm), hiki ke hoʻemi ʻia ke kahe o ke koko i ka lolo, e hōʻino ana i nā ʻiʻo o ka lolo (cerebral infarct) , kahi kūlana e like me ka "hōʻeha puʻuwai" i ka lolo. Hiki i kēia ke pilikia i ka ʻōlelo a me ka nalowale o ka hana o nā lālā.
• Nā aʻa koko ma nā manamana lima a me nā manamana wāwae: Inā loaʻa ka vasospasm ma nā manamana lima, hiki i nā manamana lima ke anu, mae, a hoʻololi i ke kala. He kūlana ʻoluʻolu ʻole loa kēia.
• Nipple Vasospasm: Inā loaʻa kēia ʻano i nā makuahine hānai, hiki i ka hānai ʻana ke ʻeha loa.

Pehea ka maʻamau o ka vasospasm?

Wahi a kekahi mau noiʻi, a hiki i ka 20% o nā makuahine hānai waiū e ʻike paha i ka vasospasm i loko o kā lākou mau ala waiū . Eia kekahi, ma waena o 50% a me 90% o ka poʻe i ʻike i kahi kūlana e like me ka haki ʻana o ke kīʻaha koko i loko o ka lolo (aneurysm) e pilikia ana i ka loaʻa ʻana o ka vasospasm.

He aha nā hōʻailona o ka vasospasm?

ʻOkoʻa nā hōʻailona ma muli o kahi e loaʻa ai ka vasospasm. E nānā kākou pehea e hana ai.

Nā hōʻailona o nā Vasospasms Coronary

Hoʻomaʻamaʻa pinepine ʻia kēia i ka wā hoʻomaha, i ka pō, i ke kakahiaka nui, a ma hope o ka ʻike ʻia ʻana i ke anu nui . Ua hōʻike kekahi mau noiʻi ua pili pū lākou me nā kūlana noʻonoʻo e like me ka hopohopo a me ke kaumaha .

ʻO nā hōʻailona nui:

• Ka hopu ʻana o ka puʻuwai a i ʻole ka make koke ʻana o ka puʻuwai i hoʻopau ʻia.
• Ka mae ʻana.
• ʻO ka angina paʻa: ʻO ke ʻano kēia o ka ʻeha o ka umauma, ʻoiai me ka hoʻoikaika kino.
• ʻO ka maʻi coronary koʻikoʻi: Hiki i kēia ke lilo i hōʻeha puʻuwai a i ʻole angina paʻa ʻole.

Nā hōʻailona o nā vasospasms cerebral

Hiki i ka Vasospasm i loko o ka lolo ke hana i nā hōʻailona e like me:

• He ʻeha poʻo koʻikoʻi a koke koke e hoʻonui ana i loko o kekona.
• Ka hiamoe nui.
• Ka nalowale ʻana o ka manaʻo a i ʻole ka hiki ʻole ke hoʻoneʻe i kahi lima, wāwae, a i ʻole kekahi ʻaoʻao o ke kino.

Nā Hōʻailona o Vasospasms ma nā Lima a i ʻole nā ​​Wāwae

Inā he vasospasm kou ma kou lima, wāwae, a manamana lima paha, hiki iā ʻoe ke ʻike i nā hōʻailona penei:

• Manamana lima anu a mae paha.
• Nā loli o ke kala o ka ʻili (e keʻokeʻo, polū, ʻulaʻula).
• Ke kuʻi a ʻūlū paha i nā manamana lima.

Nā Hōʻailona o nā Vasospasms Nipple i nā makuahine hānai

Inā loaʻa i kahi makuahine hānai kēia maʻi, hiki iā ia ke ʻike i nā hōʻailona e like me:

• ʻEha nui ma ka umauma .
• Nā loli i ke kala o ke ala waiū umauma (hiki ke keʻokeʻo, a laila ʻulaʻula, polū, a poni paha).

He aha nā kumu o ka vasospasm?

Aia nā kumu like ʻole o ka vasospasm ma nā ʻāpana like ʻole o ke kino.

Nā kumu o ka Vasospasm i loko o ka puʻuwai

ʻOiai ʻaʻole ʻike ʻia nā kumu kūpono o kēia ʻano, aia kekahi mau mea e pili ana i kēia ʻano:

• ʻO ka kemika i kapa ʻia ʻo Serotonin .
• Lāʻau lapaʻau anti-cancer (Chemotherapy).
• Ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka cocaine, amphetamines, a i ʻole cannabis .
• Nā hoʻololi hoʻoilina.
• Ka mumū.
• Nā migraines.

Nā kumu o ka Vasospasm i loko o ka lolo

Hiki ke hana ʻia ka Vasospasm i loko o ka lolo e:

• He aneurysm o ka lolo i haki.
• Nā kumu ʻē aʻe o ke kahe ʻana o ke koko a puni ka lolo.
• Ka ʻike ʻana i nā mea vasoactive a i ʻole nā ​​​​lāʻau lapaʻau.
• He ʻūpā koko a puni ka lolo (ʻūpā koko Subarachnoid).

Nā kumu o ka Vasospasm ma nā lima a i ʻole nā ​​​​wāwae

ʻO nā kumu nui no kēia:

• ʻO ka hanana ʻo Raynaud: Ma kēia, ua pilikia ke kahe o ke koko i nā manamana lima ke hōʻike ʻia i ke anu a i ʻole ke kaumaha.
• Scleroderma: He maʻi kēia e hoʻomānoanoa a paʻakikī ai ka ʻili.
• Atherosclerosis: Ka hāiki ʻana o nā aʻa koko ma muli o nā waihona momona i loko o nā paia o ke aʻa.
• Nā ʻūpā koko.

Nā kumu o ka vasospasm i loko o nā ʻāpana waiū umauma i nā makuahine hānai

Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia:

• ʻO ka hanana ʻo Raynaud.
• Kekahi mau lāʻau lapaʻau.
• Ma hope o ke ʻoki ʻana i ka umauma.
• Nā maʻi autoimmune.
• Ka hōʻike ʻia ʻana i ke anu.
• Ke wehe koke nei i ka pēpē ma hope o ka pau ʻana o ka inu ʻana o ke pēpē.
• ʻO nā antifungals topical a me kekahi mau kirīmi e like me ka APNO cream.
• Ka hōʻino ʻia ʻana o nā ala waiū umauma ma muli o ka inu pono ʻole ʻana o ka pēpē a i ʻole ka hoʻohana ʻana i ka pamu umauma.
• Ka hoʻohana ʻana i ka paka.
• Nā kumu i ʻike ʻole ʻia.

Pehea e ʻike ai i ka vasospasm (vasospasm)?

He mea nui loa ka hoʻokolokolo kino e ke kauka no ka ʻike ʻana i ka maʻi. Eia nō naʻe, hiki ke hana ʻia nā hoʻokolohua aʻe:

• ECG (Electrocardiogram - EKG): E nānā i ka hana uila o ka puʻuwai.
• ʻAngiogram: He hoʻāʻo e pili ana i ka hoʻokomo ʻana i kahi lāʻau i loko o nā aʻa o ka puʻuwai e hana ai i ka vasospasm.
• Ke nānā ʻana o ka Positron Emission Tomography (PET).
• CT scan (Computed Tomography - CT).
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging - MRI).
• Echocardiogram: He hoʻokolokolo ultrasound o ka puʻuwai.

He aha nā lāʻau lapaʻau no (Vasospasm)?

ʻOkoʻa ka lāʻau lapaʻau ma muli o kahi e kū ai ka vasospasm.

Lapaʻau no ka Vasospasm o nā ʻAʻa Puʻuwai

• ʻO ka lawe ʻana i nā lāʻau lapaʻau i loko o ka hui nā mea pale o ke kahawai calcium .
• ʻO ka lawe ʻana i nā lāʻau lapaʻau i loko o ka hui nitrate .
• Ke emi nei ke kaumaha.
• Ke hoʻōki nei i ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka paka.
• Inā he mau hewa o ka mele o ka puʻuwai e like me ka ventricular tachycardia, e hoʻokomo i kahi mea i kapa ʻia ʻo Implantable Cardioverter Defibrillator (ICD) .

Lapaʻau no ka Vasospasm i loko o ka lolo

• Ke inu nei i nā wai hou aku.
• Hoʻonui ʻia ke koko (ma ke aʻo ʻana a ke kauka).
• Ke wehe nei i ke kumu o ka vasospasm.
• Ke hāʻawi ʻana i nā lāʻau lapaʻau e like me verapamil a nimodipine paha ma o kahi aʻa (intravenous - IV). He mau vasodilators kēia.
• He mea kākaʻikahi loa, inā pono, hiki ke hāʻawi ʻia ka lāʻau lapaʻau intra-arterial dilator.

Lapaʻau no ka Vasospasm ma nā lima a i ʻole nā ​​​​wāwae

• Ke komo nei i nā kāmaʻa wāwae, nā mittens, a me nā lole mahana ʻē aʻe.
• Ke pale ʻana i ka hoʻohana ʻana i ka paka.
• ʻO ka lawe ʻana i nā lāʻau lapaʻau mai ka hui calcium channel blockers , no ka laʻana felodipine a i ʻole amlodipine (Norvasc® a i ʻole Katerzia®).
• Ke hana ʻoki kino ʻana a i ʻole ka loaʻa ʻana o kahi inikini botulinum toxin.

Ka lāʻau no ka vasospasm i loko o nā kelepa mammary

• Ke hoʻomehana ʻana a me ka uhi ʻana i nā lua wai waiū umauma .
• Nā mea e hiki ai ke hoʻopili i nā kīʻaha koko, e like me ka puhipaka.
• Inā ʻaʻole hiki i nā ʻano hana i luna ke kaohi iā ia, i kekahi manawa pono paha kahi mea pale kahawai calcium i kapa ʻia ʻo nifedipine (Nifedical®XL a i ʻole Procardia®XL) a i ʻole kahi Selective Serotonin Reuptake Inhibitor (SSRI) .

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻO kekahi mau lāʻau i hoʻohana ʻia no ka vasospasm hiki ke hana i nā hopena ʻaoʻao e like me:

• ʻEha poʻo.
• ʻO ka ʻeha o ka ʻōpū.
• Pōʻaiʻī.
• Māmā ke poʻo .
• Nā hopu ʻana - He mea kākaʻikahi loa kēia.

Pehea e hōʻemi ai i ka pilikia o ka vasospasm?

ʻO kekahi mau ala e hōʻemi ai i ka pilikia o ka vasospasm he mea maikaʻi ia no ke olakino holoʻokoʻa o kou puʻuwai a me nā kīʻaha koko (cardiovascular).

• Mai hoʻohana i nā huahana paka.
• E mālama i kāu pae cholesterol i loko o ka pae maʻamau.
• E kaupalena i ka inu ʻana i ka waiʻona.
• Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, e kaohi pono iā ia.
• Inā he koko kiʻekiʻe kou, e kaohi iā ia.
• E hōʻalo i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka cocaine.

Pehea e pale aku ai i ka vasospasm (ʻeha o ka ʻōpū)?

I mea e pale ai i ka vasospasm, ʻoiai ma ka lolo, hiki i ke kauka ke hana i nā mea e like me:

• E nānā i ka papa inoa o nā lāʻau lapaʻau āu e lawe nei a e hōʻoia ʻaʻohe lāʻau vasoactive e hoʻopaʻa ai i nā kīʻaha koko.
• Ke kāohi nei i ke kaomi intracranial kiʻekiʻe.
• Ke hāʻawi nei iā ʻoe i ka lāʻau pale kahawai calcium e like me nimodipine a i ʻole verapamil.

Mea nui: No ka ʻike laulā wale nō kēia ʻike. Inā loaʻa iā ʻoe kekahi mau hōʻailona a makemake paha e aʻo hou e pili ana i kēia, e ʻoluʻolu e ʻimi i ke kōkua lapaʻau.

He maʻi koʻikoʻi anei nā Vasospasms?

Hiki i nā vasospasms ma nā manamana lima, nā manamana wāwae, a i ʻole nā ​​​​nipples ke ʻeha a hoʻopilikia. Eia naʻe, ʻaʻole lākou e hoʻoweliweli i ke ola .

Eia nō naʻe, inā loaʻa kahi vasospasm i loko o kou puʻuwai a i ʻole ka lolo , hiki i ka emi ʻana o ke kahe koko i kēlā mau ʻōkana ke hōʻino i nā ʻiʻo. Hiki i kēia ke loaʻa ka hopena koʻikoʻi i ka hana o ka puʻuwai a me ka lolo.

ʻOi aku ma mua o 5% o nā hihia o nā vasospasms coronary e hopena i ka hāʻule ʻana o ka puʻuwai. Eia nō naʻe, hiki i nā lāʻau lapaʻau no ka hāʻule ʻana o ka puʻuwai ke hoʻomaikaʻi i ke ʻano o ke ola.

Pono paha nā kānaka me nā vasospasms lolo koʻikoʻi e noho i ka haukapila no nā pule.

Pehea wau e mālama ai iaʻu iho?

• E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.
• Inā ʻaʻole hoʻomaikaʻi kou mau hōʻailona, ​​e hoʻomaopopo i kāu kauka.
• ʻO ka pale ʻana i nā mea e hoʻoulu ai i ka vasospasm e hiki ke kōkua i ka pale ʻana i kēia ʻano.
• Inā loaʻa iā ʻoe nā hōʻailona o ka hāʻule puʻuwai (e laʻa me ka ʻeha nui o ka umauma, ka paʻakikī o ka hanu ʻana, ka luaʻi ʻana), e hele koke i ke keʻena pilikia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā ua ʻike ʻia ʻoe me (vasospasm) a manaʻo paha he loaʻa iā ʻoe, hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• Inā ʻaʻole kōkua ka lāʻau lapaʻau o kēia manawa, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki iaʻu ke lawe?
• Hiki iā ʻoe ke kuhikuhi iaʻu i kahi loea e hiki ke kōkua me nā pilikia lactation (inā loaʻa iaʻu ka vasospasm o nā ala waiū )?
• ʻEhia pinepine e pono ai iaʻu ke ʻike iā ʻoe (nā hālāwai hoʻomau)?
• He aha ka wānana no koʻu kūlana?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki i ka Vasospasm ke hoʻopilikia i ko mākou kino ma nā ʻano like ʻole. Aia kekahi mau ʻano vasospasm hiki iā mākou ke kaohi a pale aku. No laila, inā he mau nīnau a kānalua paha kāu e pili ana i kēia, mai hilahila a kamaʻilio me kāu kauka . E aʻo aku ʻo ia iā ʻoe i ka hoʻolālā lapaʻau kūpono loa a me nā ʻano pale nou. E noho olakino!

ʻO ka Vasospasm, ka ʻūlū ʻana o ke aʻa koko, ka ʻūlū ʻana o ke aʻa, ka maʻi puʻuwai, ka maʻi lolo, nā pilikia o ke kahe koko, ka mae ʻana o nā manamana lima