Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha iki ma kou umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka wikiwiki o ka puʻuwai? He mea maʻamau ke manaʻo iki i ka makaʻu ke manaʻo ʻoe i nā mea e like me kēia. Akā, ʻaʻole maikaʻi ka hoʻowahāwahā ʻana i kēlā mau hōʻailona. No ka mea, hiki i kēia mau mea ke lilo i mau hōʻailona o kahi pilikia me ka puʻuwai , kekahi o nā ʻāpana koʻikoʻi loa i loko o ko kākou kino. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ke kauka loea i nā pilikia puʻuwai, ʻo ia hoʻi, he cardiologist , a ma nā kūlana hea ʻoe e ʻike ai i kekahi.
I ka ʻōlelo maʻalahi, ʻo wai ka Cardiologist?
ʻO ke kauka puʻuwai, a i ʻole loea puʻuwai , he kauka ia i loaʻa ka hoʻomaʻamaʻa kūikawā a me ka ʻike e pili ana i kā mākou ʻōnaehana cardiovascular , ʻo ia hoʻi, ka puʻuwai a me nā kīʻaha koko e pili ana iā ia .
ʻAʻole wale kēia mau kauka e ʻike a mālama i nā maʻi puʻuwai, akā e aʻo pū mai iā mākou e pili ana i nā ʻano maikaʻi e kōkua ai i ka mālama ʻana i ka puʻuwai olakino. Hana lākou ma nā haukapila a me nā kikowaena lapaʻau pilikino.
ʻO kekahi o nā kūlana nui a lākou e mālama ai:
- Maʻi hohola
- Ka hāʻule ʻana o ka puʻuwai - ʻO ke ʻano kēia, ʻaʻole hiki i ka puʻuwai ke pamu i ke koko me ka lawa pono.
- Maʻi valve puʻuwai
- Arrhythmia - ʻO ke ʻano kēia he wikiwiki loa ka puʻuwai , lohi , a i ʻole kūpono ʻole.
- Ke koko kiʻekiʻe
E hoʻomanaʻo, he kanaka nāna i aʻo hohonu i ke olakino o ka puʻuwai a ua hala i nā makahiki o ke aʻo kūikawā ma ia kahua. No laila, he mea nui loa ke ʻimi i kā lākou ʻōlelo aʻo no kekahi pilikia e pili ana i ka puʻuwai.
He aha nā hōʻailona e hōʻike ana he pono ke kipa aku i kahi cardiologist?
ʻO kekahi o nā hōʻailona āu e ʻike ai he hōʻailona paha ia he hewa kekahi mea me kou puʻuwai. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana iā lākou. Eia kekahi o nā hōʻailona e makaʻala ai.
Pōkole o ka hanu
He mea maʻamau ka manaʻo ʻana i ka hanu pōkole ke luhi iki ʻoe, e like me kou piʻi ʻana i kahi alapiʻi. Akā inā manaʻo ʻoe i ka hanu pōkole no ke kumu ʻole, ʻoiai ke kū mālie nei ʻoe, he hōʻailona paha ia o ka hāʻule ʻana o ka puʻuwai. Ke hiki ʻole i ka puʻuwai ke pamu pono i ke koko, hiki iā ia ke hoʻopilikia i nā māmā a hoʻoulu i kēia ʻano. Inā ʻike ʻoe i ka hanu pōkole loa, e hele koke i ka ʻoihana pilikia o ka haukapila (ETU).
Pōʻino a me ka Maʻule
Hiki i ka poniuniu ke lilo i hōʻailona o nā ʻano maʻi like ʻole. ʻO kekahi o nā kumu ka emi ʻana o ke kahe koko i ka lolo ma muli o ke koko paʻa ʻole a i ʻole ka puʻuwai paʻakikī.
ʻO ka nawaliwali ka nalowale koke ʻana o ka ʻike ma muli o ka emi ʻana o ke kahe koko i ka lolo. Inā hana pinepine ʻia kēia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea.
ʻEha o ka umauma
ʻO kēia ka hōʻailona nui a ka poʻe he nui e makaʻu nei. Ua kapa ʻia ka ʻeha umauma ma ke ʻano lapaʻau (Angina) . Hana pinepine kēia i ka wā ʻaʻole i loaʻa i ka puʻuwai ka nui o ka oxygen e pono ai mai ke koko. Hiki i kēia ʻeha ke laha i kekahi manawa i ka poʻohiwi, ka lima hema, a i ʻole ka ʻauwae .
Akā, ʻaʻole nā ʻeha umauma a pau he hōʻailona ia o ka hōʻeha puʻuwai. I kekahi manawa, hiki ke hana ʻia ka ʻeha umauma e ka gastritis a i ʻole ke kaumaha o nā ʻiʻo. Eia nō naʻe, pono i ke kauka ke hoʻoholo pololei i ke ʻano o ia mea. No laila, inā loaʻa iā ʻoe ka ʻeha umauma, mai hoʻowahāwahā iā ia.
| Inā loaʻa iā ʻoe kēia mau hōʻailona me ka ʻeha o ka umauma, e hele koke i ka haukapila! | |
|---|---|
| 1. | Ka manaʻo koke o ka ʻūmiʻi, ka ʻūmiʻi, a i ʻole ke kaomi i waenakonu o ka umauma. |
| 2. | Ka laha ʻana o ka ʻeha i ka ʻauwae, ka lima hema, a i ʻole ke kua . |
| 3. | ʻEha koke a ʻoi o ka umauma me ka paʻakikī o ka hanu ʻana (ʻoi aku hoʻi ma hope o ke kū ʻana mai kahi wā hana ʻole). |
| 4. | Luli, poniuniu, puʻuwai wikiwiki, hanu wikiwiki, hou nui. |
| 5. | Haʻahaʻa loa ke koko a i ʻole ka helu o ka puʻuwai. |
Ke ʻano o ka haʻalulu i loko o ka umauma
Manaʻo paha kekahi poʻe e lele ana kekahi mea i loko o ko lākou umauma, me he mea lā e lele ana ko lākou puʻuwai i kahi kuʻi, a i ʻole e kuʻi wikiwiki koke ana. Kāhea pū mākou i kēia he palpitations . ʻOiai ʻaʻole pilikia kēia mau mea, hiki iā lākou ke lilo i hōʻailona o ka puʻuwai puʻuwai kūpono ʻole (arrhythmia). No laila, inā ʻike pinepine ʻoe i kēia, he manaʻo maikaʻi e haʻi i kāu kauka.
He aha ka mea e hana ai ke ʻike ʻoe i kahi cardiologist?
Ke hele ʻoe e ʻike i kahi kauka puʻuwai, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, inā he maʻi puʻuwai kekahi o kou ʻohana, a me kou nohona (e like me ka ʻai ʻana, ka hoʻoikaika kino, ka puhipaka, a me nā mea ʻē aʻe) . A laila e nānā ʻo ia i kou kino.
Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e hoʻoholo ai i ke kūlana pololei o ka puʻuwai.
- ECG (Electrocardiogram): He hoʻāʻo maʻalahi kēia a ʻeha ʻole e hoʻopaʻa ana i ka hana uila o ka puʻuwai a nānā i ke ʻano a me ka wikiwiki o ka puʻuwai.
- ʻEchocardiogram (Ultrasound scan): Ua like kēia me ke scan o kahi pēpē. Lawe ia i ke kiʻi o ka puʻuwai a hiki ke nānā i nā mea he nui, e like me nā keʻena o ka puʻuwai, pehea e hana ai nā valves, a pehea ka maikaʻi o ka hoʻopuʻi ʻana i ke koko.
- Hoʻāʻo Koʻikoʻi (ECG Hoʻoikaika Kino): Pili kēia i ka lawe ʻana i kahi ECG i kou wā e hele ana ma luna o ka treadmill. Nānā ia i ke ʻano o ka pane ʻana o kou puʻuwai i kou wā e kaumaha ai a hoʻoikaika kino ana.
- ʻO ka Catheterization Cardiac (Angiogram): He hoʻāʻo paʻakikī iki kēia. Ma kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma o kahi aʻa koko ma kou lima a wāwae paha a lawe ʻia kahi X-ray e ʻike inā he mau mea e ālai ana i nā aʻa coronary e hoʻolako ana i ke koko i kou puʻuwai.
Ma muli o nā hopena o kēia mau hoʻokolohua, e ʻike kāu kauka i kou kūlana a hāʻawi iā ʻoe i kahi hoʻolālā lapaʻau kūpono iā ʻoe. Hiki i kēia ke komo pū me ka lāʻau lapaʻau, nā hoʻololi ʻana i ka meaʻai a me ke ʻano o ka nohona, a i ʻole ke ʻoki kino, e like me ke kau ʻana i kahi pacemaker .
Leka Lawe-Home
- Ua like kou puʻuwai me ka mīkini o kou kino. He mea nui loa ka mālama pono ʻana iā ia.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka pinepine o ka poniuniu, a i ʻole ka nāwaliwali.
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hopohopo, akā e ʻike mua i kāu kauka ʻohana. Inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi kauka puʻuwai.
- ʻO ka ʻike mua ʻia ʻana o ka maʻi puʻuwai, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka lāʻau lapaʻau a me ka hoʻōla ʻana. No laila, ʻo ka ʻimi ʻana i ke aʻo lapaʻau i ka manawa kūpono hiki ke lilo i mea e hoʻopakele ai i ke ola.
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