Ke noʻonoʻo mākou i ka "maʻi puʻuwai," manaʻo pinepine mākou i kahi kāne waena. Akā ua ʻike anei ʻoe ʻo ke kumu nui o ka make ʻana o nā wahine ma ka honua holoʻokoʻa ʻo ia ka maʻi puʻuwai a me nā kūlana pili, i ʻike ʻia hoʻi ʻo ka maʻi cardiovascular (CVD)? He mea pepehi leo ʻole ia. ʻAʻole ʻike ka nui o nā wahine ua pilikia lākou. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke kumu e makaʻala nui ai nā wahine i ka maʻi puʻuwai, he aha nā hōʻailona, a me nā mea hiki iā mākou ke hana e pale aku i ko mākou mau puʻuwai.
No ke aha he ʻokoʻa ka ʻōnaehana cardiovascular o nā wahine mai nā kāne?
Ke noʻonoʻo nei paha ʻoe, "He puʻuwai ka puʻuwai, no laila aia kekahi ʻokoʻa ma waena o nā kāne a me nā wahine?" Mai kahaha, ʻae, aia nā ʻokoʻa maopopo. Ua ʻike nā kānaka ʻepekema ua hoʻopilikia kēia mau ʻokoʻa i nā wahine ma ke ʻano o ka maʻi puʻuwai.
I ka ʻōlelo maʻalahi, he kī kēia mau hoʻololi.
- ʻAnatomy: Ke hoʻohālikelike ʻia me nā kāne, ʻoi aku ka liʻiliʻi o nā puʻuwai a me nā kīʻaha koko o nā wahine. ʻOi aku ka lahilahi o nā paia o nā keʻena nui (ventricles) o ka puʻuwai e pamu ana i ke koko.
- Helu Koko: ʻOi aku ka liʻiliʻi o nā hunaola koko ʻulaʻula o nā wāhine i loko o ko lākou koko, ʻo ia hoʻi hiki iā lākou ke lawe i ka oxygen liʻiliʻi i ka manawa hoʻokahi.
- Nā Hoʻololi ʻana o ka Pūnaʻau: Ke kū koke mākou mai kahi kūlana moe, a i ʻole ke piʻi mākou i luna o kahi puʻu, pono i ko mākou kino ke hoʻololi. ʻOi aku ka nui o ka manawa o nā wahine e loaʻa i ka hāʻule koke ʻana o ke koko i ka wā o kēia mau loli.
- Nā Hormones: ʻO kēia ka ʻokoʻa nui loa. ʻOi aku ka kiʻekiʻe o nā pae o nā hormones estrogen a me progesterone i nā wahine. ʻOi aku ka kiʻekiʻe o nā pae testosterone i nā kāne. He hopena nui kēia mau hormones i ke olakino o ko mākou puʻuwai.
Pehea e ʻike ai ka wahine inā he maʻi puʻuwai kona?
Hoʻomaka pinepine nā wāhine e ʻike i nā hōʻailona o ka maʻi puʻuwai ma kahi o 10 mau makahiki ma hope o nā kāne. ʻOiai he nui nā hōʻailona i maʻamau i nā kāne ʻelua, aia nā ʻokoʻa e pili ana i nā wāhine, ʻoiai i ka wā e pili ana i ka hōʻeha puʻuwai a me ka hāʻule ʻana o ka puʻuwai.
Nā hōʻailona o ka hōʻeha puʻuwai i nā wahine
Ke noʻonoʻo ka poʻe i ka hōʻeha puʻuwai, manaʻo pinepine lākou i ka ʻeha umauma paʻa a ʻūlū. ʻO ia ka hōʻailona maʻamau. Eia nō naʻe, ʻoi aku ka nui o ka ʻike ʻana o nā wahine i nā hōʻailona ʻē aʻe me, a i ʻole ma kahi o, ka ʻeha umauma.
Hiki i nā hōʻeha puʻuwai i nā wahine ke lilo i 'hōʻeha puʻuwai leo ʻole'. ʻO ke ʻano kēia, ʻike ʻia nā hōʻailona ma ke ʻano i maʻalahi ʻole ke ʻike ʻia he hōʻeha puʻuwai. Hiki i kēia ke hoʻopaneʻe i ka mālama ʻana a hiki ke hoʻoweliweli i ke ola.
Hiki i nā wāhine ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona i ka wā o ka hāʻule puʻuwai.
| ʻAno o ka hōʻailona | Ka wehewehe a me nā wahi i manaʻo ʻia |
|---|---|
| Nā wahi āu e manaʻo ai i ka ʻeha a i ʻole ka pilikia ʻole |
|
| Nā hōʻailona maʻamau ʻē aʻe |
ʻO ka mea nui loa: Inā ʻike ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona no ke kumu ʻole, mai hoʻonele i ka manawa. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU). ʻO kēlā me kēia minuke e hala ana i ka wā o ka hōʻeha puʻuwai e hōʻino i kou ʻiʻo puʻuwai. No laila, he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Nā Hōʻailona Hoʻolaha Mua o ka Hōʻeha Puʻuwai
Ua ʻike ka nui o nā wāhine i kekahi mau hōʻailona hōʻailona (nā hōʻailona prodromal) i nā hola, nā pule, a i ʻole nā mahina ma mua o ka hōʻeha puʻuwai. Hele mai kēia mau mea a hele aku, no laila ʻaʻole nui ka poʻe e hoʻolohe.
ʻO ka hōʻailona mua maʻamau a koʻikoʻi hoʻi, ʻo ia ka luhi maʻamau ʻole me ke kumu ʻike ʻole ʻia. Inā ʻoi aku kou luhi ma mua o ka maʻamau, ʻoiai me ka hana ʻole ʻana i kekahi mea, mai hoʻowahāwahā iā ia.
Nā hōʻailona mua ʻē aʻe:
- Manaʻo hopohopo
- ʻAʻai pinepine ʻole
- Nā palpitations o ka puʻuwai
- Me he mea lā ua uhi ʻia koʻu manaʻo i ka noe, ʻaʻole hiki iaʻu ke noʻonoʻo pono.
- Makemake nui
- Ka paʻakikī o ka hanu ʻana a me ka hiamoe ʻole i ka pō
- ʻO ka mae a i ʻole ke kani ʻana i nā lima
- ʻEha poʻo pinepine a koʻikoʻi paha
- ʻO ka ʻeha o ka umauma
- ʻEha a ʻeha niho paha
- Ke kaumaha a nāwaliwali paha ma nā lima
ʻAʻole nui ka poʻe e lawe koʻikoʻi i kēia mau hōʻailona no ka mea hele mai a hele aku lākou. Akā inā loaʻa iā ʻoe kekahi mea ʻē e like me kēia, he mea naʻauao ke ʻike koke i kāu kauka no ka ʻōlelo aʻo.
Nā Wahine a me ka Pōʻino o ka Puʻuwai
He maʻi mau ka hāʻule ʻana o ka puʻuwai kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko me ka lawa pono. Hiki i kēia ke alakaʻi i ka paʻa ʻana o ka wai, ka pehu ʻana o nā wāwae, a me ka piʻi ʻana o ke kaumaha. He ʻokoʻa ke ʻano o ka hopena o kēia maʻi i nā wahine.
- ʻO ka Diastolic Heart Failure, kahi ʻano hāʻule puʻuwai e hana ʻia i ka wā e maʻamau ai ka mana pumping o ka puʻuwai (ejection fraction), ʻike pinepine ʻia i waena o nā wahine.
- ʻO nā kumu nui o ka hāʻule ʻana o ka puʻuwai i nā wahine, ʻo ia ke koko kiʻekiʻe , ka maʻi valve o ka puʻuwai, ka maʻi diabetes, a me ka maʻi coronary artery.
- ʻO ka Stress Cardiomyopathy (Broken Heart Syndrome), kahi kūlana i hiki ke hoʻoulu ʻia e ka trauma noʻonoʻo koʻikoʻi, he mea maʻamau nō hoʻi i waena o nā wahine.
- ʻOi aku ka nui o ka pilikia o nā wāhine i ka hoʻomohala ʻana i ka hāʻule ʻana o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai.
ʻO nā hōʻailona e like me ka pōkole o ka hanu (ʻoi aku hoʻi i ka wā hoʻoikaika kino), ka paʻakikī o ka hoʻoikaika kino, a me ka pehu ʻana o ke kino (edema) e ʻike pinepine ʻia i nā wahine.
He aha nā kumu pilikia kūikawā no ka maʻi puʻuwai i nā wahine?
Hoʻopilikia nā mea pilikia maʻamau e like me ke kolamu kiʻekiʻe a me ke koko kiʻekiʻe i nā kānaka āpau. Akā, ʻoi aku ka hoʻopilikia ʻana o kekahi mau mea i nā wāhine, a he kū hoʻokahi kekahi i nā wāhine. E nānā kākou iā lākou.
| Kumu pilikia | Pehea e pili ai i nā wāhine |
|---|---|
| Kolesterol kiʻekiʻe | ʻOi aku ka weliweli o nā pae haʻahaʻa o ka cholesterol maikaʻi (HDL cholesterol) no nā wahine ma luna o 65 mau makahiki ma mua o nā kāne. |
| Maʻi diabetes (Diabetes Mellitus) | ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi diabetes i ka wahine me ka maʻi diabetes ma mua o ke kāne me ka maʻi diabetes.ʻO ka pilikia o ka loaʻa ʻana o ka maʻi puʻuwai he ʻelua a ʻehā manawa ke kiʻekiʻe aʻe. |
| Ke koko kiʻekiʻe (Hypertension) | He mea maʻamau ke koko kiʻekiʻe i nā wahine ma luna o 60 mau makahiki, akā ʻaʻole i kaohi maikaʻi ʻia. ʻO kēia no ka mea he nui nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a lilo ke kino i mea ʻoi aku ka maʻalahi i ka paʻakai ma hope o ka menopause. |
| Ka hoʻopau ʻana o ka wahine | Hāʻawi ka hormone estrogen i kekahi pale e kūʻē i nā maʻi puʻuwai. I ka emi ʻana o nā pae estrogen ma hope o ka menopause, piʻi ka pilikia o nā ʻūpā koko, nā waihona momona i loko o nā paia o ke aʻa (atherosclerosis), a me ke kiʻekiʻe o ka cholesterol. |
| Momona | ʻOi aku ka weliweli o ka momona no nā wahine ma mua o nā kāne. ʻO ka hōʻiliʻili ʻana o ka momona, ʻoiai a puni ka ʻōpū, hoʻonui nui i ka pilikia o ka maʻi puʻuwai. Hiki i ka momona ke hoʻonui i ka pilikia o ka wahine i ka hōʻeha puʻuwai a hiki i ʻekolu manawa . |
| Puhipaka | ʻOi aku ka nui o ka pilikia o ka wahine puhi paka i ka loaʻa ʻana o ka maʻi puʻuwai ma mua o ke kāne puhi paka. |
| Nā maʻi Autoimmune | ʻOi aku ka maʻamau o nā maʻi e like me ka rheumatoid arthritis a me ka lupus i nā wahine. Hoʻonui nui kēia mau maʻi i ka pilikia o ka hōʻeha puʻuwai a me nā maʻi cardiovascular ʻē aʻe. |
| Nā kūlana e kū mai ana i ka wā hāpai | ʻO nā kūlana e like me ke koko kiʻekiʻe (preeclampsia), ka maʻi diabetes gestational, a me ka cardiomyopathy peripartum i ka wā hāpai e hoʻonui nui i ka pilikia o ka hoʻomohala ʻana i nā maʻi puʻuwai ma hope o ke ola. |
| ʻO ka maʻi ovary polycystic (PCOS) | Hiki i ka PCOS ke hana i nā kumu pilikia he nui no ka maʻi puʻuwai, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol. |
Nā mea hiki iā mākou ke hana e pale aku iā mākou iho mai nā maʻi puʻuwai
Mai makaʻu e kamaʻilio e pili ana i kēia mau pilikia āpau. ʻO ka nūhou maikaʻi, hiki ke pale ʻia he 4 o 5 mau hihia o ka maʻi puʻuwai. Eia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai.
E noʻonoʻo ʻoe e hoʻokele ana i kahi kaʻa. Inā ʻoe e hele ma luna o hoʻokahi kui, malia paha e emi iki ka huila, akā hiki iā ʻoe ke hiki i ka hale kaʻa. Akā inā ʻoe e hele ma luna o ʻekolu a ʻehā mau kui? Pono ʻoe e kū ma laila, ʻeā? Ua like nā kumu pilikia. Ke nui nā kui, ʻoi aku ka kiʻekiʻe o ka pilikia ma mua o ka wā he hoʻokahi. No laila, ʻo ka mea e pono ai mākou e hana, ʻo ia ke pale aku i kēia mau "kui" i ka hiki.
- E ʻike i kou mau pilikia: E kiʻi i kahi nānā olakino i kēlā me kēia makahiki. E makaʻala i kou koko, cholesterol, a me nā pae kō koko. Inā pono ʻoe e kaohi iā lākou, e hoʻohana i nā lāʻau lapaʻau a kāu kauka i kuhikuhi pololei ai.
- Hoʻoikaika Kino: E hana i kahi hoʻolālā hoʻoikaika kino e kūpono iā ʻoe. Hiki ke maʻalahi e like me ka hele wikiwiki ʻana no 30 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule.
- E hoʻōki i ka puhipaka a me ka waiʻona: E hoʻōki loa i ka puhipaka. E hōʻemi i ka inu ʻana i ka waiʻona.
- He ʻai olakino no ka puʻuwai: ʻO kēia ka mea nui loa.
- Hoʻolālā: E kamaʻilio me kāu kauka e pili ana i nā hoʻololi e pono ai ʻoe e hana i kāu papaʻai. E hana i kahi papa inoa o nā mea āu e makemake ai e ʻai a me nā mea āu e makemake ai e ʻoki.
- Koho: E hoʻolālā i kāu mau meaʻai no ka pule. Ke hele ʻoe e kūʻai, kūʻai e like me kēlā papa inoa. Inā ʻoe e ʻai ana i waho, e noʻonoʻo mua e pili ana i nā koho olakino i loaʻa.
- E makaʻala i ka nui o ka ʻāpana: ʻOiai pehea ka maikaʻi o kahi kīʻaha, ʻaʻole maikaʻi ka ʻai nui ʻana. E makaʻala i ka nui o ka ʻāpana ma kāu pā.
- Nanea!: He moʻolelo wahaheʻe ia ʻaʻole ʻono ka meaʻai olakino. E ʻimi i nā meaʻai ʻono a olakino āu e makemake ai.
ʻO kou puʻuwai ka mea makamae loa i kou ola. ʻO kou kuleana ke pale aku iā ia. E kamaʻilio ākea me kāu kauka e pili ana i kāu mau mea pilikia a me nā hōʻailona āu e ʻike nei. Ma kēlā ala, hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli.
Leka Lawe-Home
- ʻO ka maʻi puʻuwai ke kumu nui o ka make ʻana o nā wāhine. Mai manaʻo he "maʻi kāne" ia.
- Hiki i nā wāhine ke ʻike i nā hōʻailona like ʻole o ka hāʻule puʻuwai ma mua o nā kāne. Hiki iā lākou ke ʻike i nā hōʻailona e like me ka luhi maʻamau, ka pōkole o ka hanu, a me ka nausea, ma kahi o ka ʻeha o ka umauma.
- ʻO nā kūlana e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka menopause, nā pilikia hāpai, a me ka PCOS e hoʻonui nui i ka pilikia o ka wahine i ka maʻi puʻuwai.
- Hiki ke pale ʻia he 80% o nā maʻi puʻuwai. He mea nui e hahai i kahi nohona olakino a loaʻa nā hoʻokolohua lapaʻau maʻamau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, mai hoʻowahāwahā iā lākou a e ʻike koke i kāu kauka.
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