Ua ʻike anei ʻoe i nā maʻi cardiovascular i nā wahine? E kamaʻilio kākou e pili ana!

ʻIke ʻoe, manaʻo pinepine mākou i ka maʻi puʻuwai he maʻi e pili nui ana i nā kāne. Akā, ʻaʻole ia ka ʻoiaʻiʻo. ʻO ka maʻi cardiovascular (CVD) he mea pepehi leo ʻole i waena o nā wāhine. I kekahi manawa, ʻaʻole mākou e ʻike i nā hōʻailona, ​​a ʻaʻole mākou e nānā nui iā ia. ʻO ia ke kumu he mea nui e makaʻala i ia mea. ʻO ka maʻi puʻuwai ke kumu nui o ka make ma ka honua. E noʻonoʻo wale, i ka makahiki 2019 wale nō, ua make kokoke i 18 miliona mau kānaka mai ia mea. ʻAʻole ʻike ka nui o ka poʻe ʻo ka maʻi puʻuwai kekahi kumu nui o ka make ʻana i nā wāhine.

He aha nā ʻokoʻa ma waena o ka ʻōnaehana cardiovascular o nā kāne a me nā wahine?

E noʻonoʻo e pili ana i ia mea, aia nā ʻokoʻa liʻiliʻi i ke ʻano o ka hana ʻia ʻana o ko kākou mau kino. ʻO kēia nā mea e hoʻopilikia ai kekahi mau maʻi i nā wahine a me nā kāne. Pēlā nō hoʻi i ka wā e pili ana i ka maʻi cardiovascular. Ua ʻike nā kānaka noiʻi i kekahi mau ʻokoʻa i loko o ka ʻōnaehana cardiovascular ma muli o ke kāne. He mau ʻokoʻa paʻakikī loa kēia, i kekahi manawa he microscopic. Hiki i kēia mau ʻokoʻa ke hoʻolilo i nā wahine i ʻike i ka maʻi puʻuwai ma ke ʻano ʻokoʻa ma mua o nā kāne. E nānā kākou i kekahi mau laʻana:

• ʻAnatomy: ʻOi aku ka liʻiliʻi o nā kīʻaha koko a me nā keʻena puʻuwai o nā wahine ma mua o nā kāne. ʻOi aku ka lahilahi o nā paia o nā ventricles o ka puʻuwai (nā keʻena e pamu i ke koko).
• Helu koko: ʻOi aku ka liʻiliʻi o nā hunaola koko ʻulaʻula o nā wāhine, ʻo ia hoʻi hiki iā lākou ke omo a lawe i ka oxygen liʻiliʻi i ka manawa hoʻokahi.
• Nā hoʻololi ʻana o ka puʻuwai: ʻOi aku ka maʻalahi o nā kino o nā wahine i nā loli o ke kiʻekiʻe (e like me ke piʻi ʻana i kahi puʻu) a i ʻole ke ala koke ʻana mai kahi moe, hiki ke hoʻoulu i ka emi koke ʻana o ke koko.
• Nā Hormone: ʻOi aku ka kiʻekiʻe o nā pae o nā hormones estrogen a me progesterone i nā wahine, ʻoiai ʻoi aku ka kiʻekiʻe o ka testosterone i nā kāne. Hoʻopilikia kēia mau hormones i ke olakino o ka puʻuwai a me ke olakino holoʻokoʻa ma nā ʻano he nui.

Pehea ʻoe e ʻike ai inā he maʻi puʻuwai ko ka wahine?

ʻO ka maʻamau, loaʻa i nā wahine nā hōʻailona o ka maʻi puʻuwai ma kahi o 10 mau makahiki ma hope o nā kāne. ʻOiai he nui nā kumu a me nā hōʻailona he mea maʻamau, aia kekahi mau ʻokoʻa kikoʻī ma waena o nā wahine, ʻoiai i ka wā e pili ana i nā hōʻeha puʻuwai a me ka hāʻule ʻana o ka puʻuwai. He mea nui e makaʻala i kēia mau mea.

Nā hōʻailona o ka hōʻeha puʻuwai i nā wahine

ʻO ka ʻeha o ka umauma a i ʻole ka ʻoluʻolu ʻole ka hōʻailona nui no nā mea āpau. Akā , ʻoi aku ka nui o nā wāhine e loaʻa i nā hōʻailona ʻē aʻe ma waho aʻe o (a i ʻole ma kahi o) ka ʻeha o ka umauma. Loaʻa iā lākou ka pilikia kiʻekiʻe o ka loaʻa ʻana o ka "hōʻeha puʻuwai leo ʻole" . ʻO kēia ka manawa e ʻike ʻole ʻia ai ka hōʻeha puʻuwai. ʻOi aku ka nui o ka make ʻana o nā wāhine ma luna o 65 mau makahiki mai ka hōʻeha puʻuwai leo ʻole ma mua o nā kāne o ka makahiki like.

Ua hōʻike nā wāhine i nā ʻano hōʻailona like ʻole i ka wā o ka hōʻeha puʻuwai. Hiki ke ʻike ʻia kēia mau ʻeha a me nā ʻoluʻolu ʻole ma nā wahi aʻe:

• Umauma (pinepine)
• ʻUma hema
• Ma waena o ka iwi kuamoʻo a i ʻole nā ​​​​​​ʻūhā poʻohiwi
• ʻĀʻī a puʻu paha
• ʻAuwae a niho paha
• Nā lima (hoʻokahi a ʻelua paha)
• Nā poʻohiwi
• Nā wāwae (hoʻokahi a ʻelua paha)

Ma waho aʻe o kēia, hiki i nā wāhine ke loaʻa nā hōʻailona ʻē aʻe e like me:

• Luhi maʻamau ʻole (ʻo ka mea maʻamau)
• Paʻakikī ka hanu ʻana
• Pōʻino a i ʻole ka nawaliwali
• Manaʻo wela a ʻulaʻula paha ka maka
• ʻAʻai ʻole
• Nā palpitations o ka puʻuwai
• ʻO ka ʻeha ma nā lima a i ʻole nā ​​​​manamana lima
• Ka luaʻi a i ʻole ka luaʻi
• Makemake nui
• Nā loli hou i ka ʻike
• ʻEha poʻo
• Kuke
• Manaʻo o ka paʻa i loko o ka puʻu

ʻO ka mea nui loa: Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​ʻoi aku ma mua o hoʻokahi, me ke kumu ʻole, e kelepona koke i ka 911 a i ʻole e hele i ka ʻoihana pilikia o ka haukapila kokoke loa iā ʻoe. Hoʻopōʻino ka hōʻeha puʻuwai i ka ʻiʻo puʻuwai. Hoʻonui ka pōʻino me kēlā me kēia minuke e hala ana. No laila, mai hoʻokaʻulua i ke kelepona ʻana.

Nā hōʻailona mua o ka hōʻeha puʻuwai i nā wahine

He nui nā wāhine e ʻike i nā hōʻailona prodromal ma mua o ka hāʻule ʻana o ka puʻuwai. Hiki ke loaʻa kēia mau mea i nā hola, nā pule, a i ʻole nā ​​mahina ma mua. ʻO ka hōʻailona mua maʻamau ka luhi maʻamau. Inā ʻoe e luhi ana a ʻaʻole hiki ke loaʻa kekahi kumu ʻē aʻe no kou luhi, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

Ma waho aʻe o ka luhi, hiki i kēia mau hōʻailona ke hele i mua o ka hōʻeha puʻuwai:

• Hopohopo
• ʻAʻai pinepine ʻole
• Nā palpitations o ka puʻuwai
• Nā loli i ka noʻonoʻo ʻana a i ʻole ka hoʻomanaʻo ʻana (ʻaʻole e like me ka mea maʻamau, ke manaʻo nei he noe)
• Makemake nui
• Paʻakikī ka hanu ʻana i ka pō
• ʻAʻole hiki ke hiamoe
• ʻO ka ʻeha ma nā lima a i ʻole nā ​​​​kau
• ʻO ka maneʻo a i ʻole ke kani ʻana ma nā lima a i ʻole nā ​​​​manamana lima
• Kuke
• ʻEha poʻo pinepine a koʻikoʻi paha
• ʻEha a ʻeha paha ka umauma
• ʻO ka ʻeha o ka ʻauwae a i ʻole ka niho
• Ka nāwaliwali a i ʻole ke kaumaha ma nā lima

Hiki ke ʻike ʻia kēia mau hōʻailona mua a nalo wale aku. Nui ka poʻe e kali a hiki i ka hoʻomau ʻana o nā hōʻailona a i ʻole a ʻike kekahi iā lākou. Akā, mai kali. E ʻimi i ke kōkua i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona ʻē.

Ka hāʻule ʻana o ka puʻuwai i nā wahine

ʻO ka hāʻule ʻana o ka puʻuwai he maʻi mau loa ia kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko me ka maikaʻi. Hoʻoulu kēia i ka hōʻiliʻili ʻana o ka wai i loko o ke kino (i kekahi manawa e hoʻoulu ai i nā hōʻailona e like me ka pehu ʻana a me ka piʻi ʻana o ke kaumaha) a ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Hoʻopilikia like ia i nā kāne a me nā wahine. Eia nō naʻe, ʻokoʻa paha nā kumu a me nā hōʻailona ma muli o ke kāne. Eia kekahi o nā mea i loaʻa mai ka noiʻi:

• ʻO ka Diastolic Heart Failure (ka hāʻule ʻana o ka puʻuwai kahi e maʻamau ai ke kaʻina hana ʻūlū o ka puʻuwai, akā paʻakikī ke hoʻopiha me ke koko - me ka mālama ʻia o ka ejection fraction) ʻoi aku ka maʻamau i waena o nā wahine.
• ʻO nā kumu o ka hāʻule ʻana o ka puʻuwai i nā wahine, ʻo ia ke koko kiʻekiʻe ('Hypertension'), ka maʻi valve puʻuwai ('heart valve disease'), ka maʻi diabetes ('Diabetes'), a me ka maʻi coronary artery ('Coronary Artery Disease'). ʻO ke koko kiʻekiʻe a me ka maʻi valve ka mea e hoʻoulu ai i ka hāʻule ʻana o ka puʻuwai i nā wahine. ʻO ke kumu maʻamau i nā kāne, ʻo ia ka maʻi coronary artery.
• ʻOi aku ka maʻamau o ka hāʻule ʻana o ka puʻuwai i nā wahine ma muli o ka nāwaliwali o nā ʻiʻo puʻuwai i hoʻoulu ʻia e ke kaumaha ('Stress Cardiomyopathy' a i ʻole 'Broken Heart Syndrome').
• 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.
• Ke hoʻohālikelike ʻia me nā kāne, ʻoi aku ka nui o nā wahine me ka puʻuwai puʻuwai e hōʻike i kahi haʻahaʻa o ke ola a me nā hōʻailona kaumaha.

Nā hōʻailona o ka hāʻule ʻana o ka naʻau i nā wahine

ʻO nā hōʻailona o ka hāʻule ʻana o ka puʻuwai ma ke ʻano laulā like like no kēlā me kēia kanaka, akā ua hōʻike ʻia nā noiʻi e ʻoi aku ka nui o ka ʻike ʻana o nā wahine i kēia mau mea:

• Ka paʻakikī o ka hanu ʻana me ka hana kino
• Paʻakikī i ka hoʻoikaika kino
• Pehu (`Edema`)

ʻO ka maʻamau, hoʻomohala nā wāhine i nā hōʻailona i ka wā ʻelemakule a ʻoi aku ka nui o ka loaʻa ʻana o kahi maʻi puʻuwai i kapa ʻia ʻo 'Left Bundle Branch Block' (hiki ke lilo i hopena o ka hāʻule ʻana o ka puʻuwai).

He aha nā kumu pilikia no ka maʻi puʻuwai i nā wahine?

ʻO nā mea pilikia maʻamau no ka maʻi puʻuwai, e like me ke kolamu kiʻekiʻe a me ke koko kiʻekiʻe (BP), e hoʻopilikia i nā kānaka a pau, me ka nānā ʻole i ke kāne a me ka wahine. Eia nō naʻe, ua ʻike ʻia e ka noiʻi he ʻokoʻa kēia mau mea pilikia ma muli o ke kāne a me ka wahine. Eia kekahi, aia nā mea pilikia a me nā kūlana e pili pono ana i nā wāhine.

• Kolesterol Kiʻekiʻe: ʻO ke kolesterol kiʻekiʻe (hyperlipidemia) kahi mea pilikia no nā mea āpau, akā ʻo nā pae haʻahaʻa o ka cholesterol 'maikaʻi' (HDL cholesterol) hiki ke ʻoi aku ka weliweli no nā wahine he 65 mau makahiki a ʻoi aku ma mua o nā kāne.
• ʻO ka maʻi diabetes: ʻO nā wāhine me ka maʻi diabetes he ʻelua a ʻehā manawa ka nui o ka loaʻa ʻana o nā maʻi cardiovascular ma mua o nā kāne me ka maʻi diabetes.
• Ke koko kiʻekiʻe (Hypertension): ʻOi aku ka nui o ka loaʻa ʻana o ke koko kiʻekiʻe (Hypertension) i nā wahine ma luna o 60 mau makahiki ma mua o nā kāne, akā ʻaʻole lākou e kaohi iā ia. Aia kekahi mau kumu no kēia:
• Pane i ka lāʻau lapaʻau: ʻOi aku ka nui o nā wahine e loaʻa i nā hopena lāʻau ʻino (ADRs), no laila hiki ke paʻakikī ke loaʻa a pili i kahi hoʻolālā lapaʻau e kūpono iā ʻoe.
• ʻIkepili sodium:Ma hope o ka menopause, lilo kou kino i mea ʻoi aku ka maʻalahi i ka sodium. ʻO ke ʻano kēia, pono ʻoe e hōʻemi i ka nui o ka sodium (paʻakai) i kāu meaʻai e pale aku ai i ke koko kiʻekiʻe (BP).
• Menopause: Kōkua ka hormone estrogen i ka hōʻemi ʻana i ka pilikia o nā maʻi cardiovascular. Eia nō naʻe, hiki i ka menopause kūlohelohe a i ʻole ka wehe ʻana i nā ovaries ke hoʻohaʻahaʻa i kāu mau pae estrogen , e hoʻonui ana i ka pilikia o nā clots koko, atherosclerosis, a me ke cholesterol kiʻekiʻe.
• Momona: I kou hele ʻana i ka menopause, ʻoi aku kou pilikia no ka momona - kahi helu helu kino (BMI) ma luna o 30. Hiki iā ʻoe ke loaʻa ka momona o ka ʻōpū (momona ʻōpū). Hōʻike ka noiʻi e hoʻonui kēia i kou pilikia o ka maʻi puʻuwai. ʻOi aku ka weliweli o ka momona no nā wahine ma mua o nā kāne (ʻoi aku ka pilikia o ka maʻi ʻaʻa coronary ma 64% no nā wahine a ma 46% no nā kāne). ʻOi aku ka nui o ka maʻi puʻuwai o nā wahine ma kahi o ʻekolu manawa ma muli o ka momona.
• ʻAʻole lawa ka hoʻoikaika kino: Me he mea lā ua hōʻemi ka hoʻoikaika kino i ka pilikia o nā wahine i ka maʻi puʻuwai ma mua o nā kāne. Akā, ʻaʻole lawa ka hoʻoikaika kino o nā wāhine he nui.
• Puhipaka: ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi cardiovascular (CVD) i nā wahine e puhipaka ana ma mua o nā kāne e puhipaka ana, a ʻekolu manawa ka nui o ka loaʻa ʻana o ka hāʻule puʻuwai.
• Nā maʻi autoimmune: ʻO nā wahine ka 80% o ka poʻe me nā maʻi autoimmune e like me ka rheumatoid arthritis a me ka lupus. Hoʻonui nui kēia mau maʻi i ka pilikia o ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, a me nā pilikia cardiovascular ʻē aʻe.
• ʻO ka Preeclampsia a me ke koko kiʻekiʻe e pili ana i ka hāpai ʻana: Hoʻonui nui ka Preeclampsia i ka pilikia o ka loaʻa ʻana o ke koko kiʻekiʻe a me/a i ʻole ka maʻi diabetes ma hope o ke ola. Hoʻonui pū ia i ka pilikia o ka hahau ʻana. ʻO ka mea i ʻike ʻia me ka preeclampsia he 75% ʻoi aku ka nui o ka make ʻana mai ka maʻi cardiovascular i ka wā e hiki mai ana.
• ʻO ka maʻi diabetes gestational: ʻO ka ʻike ʻia ʻana o ka maʻi diabetes gestational e hoʻonui i ka pilikia holoʻokoʻa o ka loaʻa ʻana o ka maʻi diabetes i ke ola holoʻokoʻa. Hoʻonui pū ia i ka pilikia o ka maʻi cardiovascular i ke ola holoʻokoʻa.
• ʻO Peripartum Cardiomyopathy (ʻike ʻia hoʻi ʻo Postpartum a i ʻole Pregnancy-associated Cardiomyopathy): He ʻano kēia e nāwaliwali ai ka puʻuwai a hiki ke holomua i ka hāʻule ʻana o ka puʻuwai. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi a me ka make.
• ʻO ka Polycystic Ovary Syndrome (PCOS): Hoʻonui ka PCOS i ka pilikia o ka maʻi cardiovascular. Hiki i ka poʻe me PCOS ke loaʻa nā kumu pilikia pilikino e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a me ka apnea hiamoe.
• ʻO ka lāʻau pale ʻana i ka waha (a i ʻole 'ka pila'): ʻO ka lawe ʻana i ka 'pila' e hoʻonui i kou pilikia o ka maʻi cardiovascular inā he mau mea pilikia ʻē aʻe kāu, e like me ka momona a i ʻole ka puhipaka.

Pehea ka ʻokoʻa o nā hoʻokolohua a me nā lāʻau no ka maʻi puʻuwai i nā wahine?

Aia kekahi mau ʻokoʻa i ka hoʻāʻo ʻana a me ka mālama ʻana ma muli o ke kāne. Eia kekahi laʻana:

• I kekahi manawa, ma kahi o ka loaʻa ʻana o kahi papa momona nui (plaque) i loko o kahi aʻa (obstructive coronary artery disease), aia paha kahi papa momona lahilahi i loko o ke aʻa. ʻOi aku ka maʻamau o kēia i nā wahine. ʻAʻole ʻike mau kahi angiogram coronary i kēia ʻano papa momona. No laila, inā loaʻa iā ʻoe nā hōʻailona a maikaʻi nā hopena o ka hoʻāʻo, pono paha ʻoe e loaʻa nā hoʻokolohua hou aʻe e ʻike ai i ke kumu o kāu mau hōʻailona.
• ʻOi aku ka nui o ka hiki i nā wahine ke hoʻomanawanui ʻole i kahi ʻano lāʻau i kapa ʻia ʻo ACE inhibitor.
• Hoʻohaʻahaʻa nā Statins i nā pae cholesterol o kēlā me kēia kanaka, akā ʻoi aku ka nui o nā wahine e ʻike i nā hopena ʻaoʻao. Eia nō naʻe, he mea kakaikahi loa nā hopena ʻaoʻao maoli mai nā statins, ʻoiai i waena o nā wahine.

Mea nui: He mea nui e kamaʻilio me kāu kauka e pili ana i kou mau pilikia, nā hōʻailona, ​​nā hopena hoʻāʻo, a me nā pane i nā lāʻau lapaʻau. ʻO nā ʻokoʻa pilikino, e like me ko mākou mōʻaukala lapaʻau pilikino a me ke kaiapuni pili kanaka, hiki ke ʻoi aku ka nui ma mua o nā ʻokoʻa ma muli o ke kāne.

Hiki i nā wāhine ke pale aku i nā maʻi puʻuwai? Pehea lā?

I ka ʻōlelo maʻalahi, ʻae! ʻO ka mea nui loa hiki iā ʻoe ke hana, ʻo ia ke ʻike i kāu mau kumu pilikia a hoʻāʻo e hoʻololi iā lākou. ʻO ka nui o nā kumu pilikia i loaʻa iā ʻoe, ʻo ka nui o ka hiki ke loaʻa iā ʻoe ka maʻi puʻuwai.

E noʻonoʻo i nā mea pilikia o ka maʻi puʻuwai e like me ka pilikia o ka paheʻe ʻana o ka huila ma ke kaʻa. Inā ʻoe e hele ma luna o hoʻokahi kui, e paheʻe paha ka huila ma hope o kahi mamao pōkole. Akā hiki iā ʻoe ke hiki i ka hale hana hoʻoponopono ma mua o ka pau ʻana o ka ea. Akā inā ʻoe e hele ma luna o ʻekolu a ʻehā paha kui, e paheʻe ka huila ma mua o kou hiki ʻana i ka hale hana, a pono ʻoe e kāhea no ke kōkua.

Pēlā nō, inā loaʻa iā ʻoe kekahi o nā kumu pilikia no ka maʻi puʻuwai, maikaʻi paha ʻoe no kekahi manawa. Akā i ko lākou hoʻonui ʻana, ʻoi aku ka nui o kou kū ʻana i nā pilikia koʻikoʻi ma mua o ka manawa.

I mea e pale aku ai i ka palahalaha o ka huila, hiki iā ʻoe ke pale aku i nā mea ʻoi ke ʻike ʻoe iā lākou. Ma ke kamaʻilio ʻana no ka maʻi puʻuwai, ua hōʻike ʻia e ka noiʻi he 4 o 5 mau hihia o ka maʻi puʻuwai hiki ke pale ʻia!No laila he mea nui e ʻike i nā pilikia āu e loaʻa ai a hana pū me kāu kauka e pale aku iā lākou i ka hiki.

Eia kekahi mau mea kikoʻī hiki iā ʻoe ke hana:

• E ʻike i kāu kauka no nā hoʻokolohua kino makahiki.
• E hana pū me kāu kauka e kaohi i kou koko, ka cholesterol, a me nā pae kō koko. Hiki i kēia ke komo pū me ka lawe ʻana i ka lāʻau lapaʻau.
• E hana i kahi hoʻolālā hoʻoikaika kino e kūpono iā ʻoe. E hoʻonui mālie a hiki i 150 mau minuke o ka hoʻoikaika kino ikaika (e like me ka hele wāwae) i kēlā me kēia pule.
• E hōʻalo i nā huahana paka a hoʻemi i ka waiʻona.
• E hahai i kahi papaʻai ʻai olakino no ka puʻuwai.

I ka noʻonoʻo ʻana i nā meaʻai olakino no ka puʻuwai, e hoʻomanaʻo i kēia mau hana maʻalahi:

• Hoʻolālā: E kākau i kāu mau pahuhopu meaʻai, e ʻimi i ka ʻōlelo aʻo mai ke kauka a i ʻole ka meaʻai meaʻai. E kākau i lalo i nā meaʻai āu e makemake ai e ʻai pinepine, a me nā meaʻai āu e makemake ai e hōʻemi a hoʻopau paha.
• Koho: E koho i kāu mau meaʻai punahele a hoʻolālā i kāu mau meaʻai no ka pule. E hana i kahi papa inoa meaʻai a kūʻai mai kēlā papa inoa. Inā makemake ʻoe e ʻai i waho, e hana i kāu papa kuhikuhi pilikino me nā koho olakino puʻuwai a koho wale mai ia mau mea.
• ʻĀpana: ʻOiai ka meaʻai maikaʻi, hiki ke lilo i mea olakino ʻole ke ʻai nui ʻia. E makaʻala i ka nui o ka ʻāpana āu e ʻai ai.
• Nanea!: Pono e leʻaleʻa ka ʻai ʻana i ka meaʻai olakino puʻuwai. Inā ʻaʻole ʻoe makemake i ka meaʻai āu e hana nei, e ʻimi i nā meaʻai hou. E nīnau i kou mau hoaaloha. E hoʻomanaʻo, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ke kaulike i ka wā lōʻihi ma mua o ka hana ʻana i nā lula paʻa. E kamaʻilio me kāu kauka e pili ana i nā ala e ʻai ai i kāu mau meaʻai punahele me ke kaulike, ʻoiai inā aia lākou ma ka papa inoa "ʻaʻole olakino puʻuwai".

Inā he mau kumu pilikia kou no ka maʻi puʻuwai, a i ʻole he mōʻaukala o ka maʻi puʻuwai, ʻaʻole ʻoe hoʻokahi. He miliona miliona ka poʻe e noho nei me kēia mau kūlana. I kēlā me kēia 40 kekona, loaʻa i kekahi ka hōʻeha puʻuwai. He mea weliweli paha kēia mau helu helu, akā ʻo ka ʻike ʻana i kēia hiki ke hāʻawi iā ʻoe i ka mana e hana i nā hoʻololi. Hōʻike ka noiʻi he 4 o 5 mau hihia o ka maʻi puʻuwai hiki ke pale ʻia.

ʻAʻole kēia he mea hiki iā ʻoe ke hana hoʻokahi. Noho nā kānaka a pau i kahi kaiāulu e hoʻohuli i nā mea e like me kā lākou meaʻai, ka nui o ka hoʻoikaika kino a lākou e hana ai, a me ka nui o ke kaumaha a lākou e ʻike ai. ʻAʻole nā ​​koho pilikino wale nō e haʻi i ka moʻolelo holoʻokoʻa. Akā, hiki i nā koho, ʻoiai ke kākoʻo ʻia e nā kumuwaiwai kūpono, ke hana i kahi ʻokoʻa nui. E kamaʻilio me kāu kauka e pili ana i kāu mea hiki ke hana e kōkua i ke olakino o kou puʻuwai.

Leka Hoʻihoʻi Hope Loa

ʻAe, no laila hiki iā ʻoe ke hoʻomanaʻo i kekahi o nā mea nui loa mai nā mea a mākou i kamaʻilio ai.

• ʻO ke ʻano o ka ulu ʻana o nā maʻi cardiovascular (ʻO ka maʻi Cardiovascular`) a me nā hōʻailona e ʻokoʻa paha ia mai nā kāne. No laila, mai noʻonoʻo maʻalahi, 'ʻAʻole hiki i kēia ke lilo i maʻi puʻuwai.'
• E makaʻala i ka luhi ʻē, ka pōkole o ka hanu, ka ʻeha o ka umauma, a me nā hōʻailona ʻē aʻe. E ʻimi koke i ke kōkua lapaʻau, ʻoiai inā he ʻoi aku ma mua o hoʻokahi o kēia mau mea iā ʻoe.
• E makaʻala i nā kumu pilikia (e like me ke koko kiʻekiʻe, ka cholesterol, ka maʻi diabetes, ka mōʻaukala ʻohana, ka menopause, PCOS) a kamaʻilio me kāu kauka e pili ana i ka hoʻokele ʻana iā lākou.
• ʻO kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) kekahi o nā mea kaua maikaʻi loa e pale aku ai i nā maʻi puʻuwai.
• ʻAʻole ʻoe hoʻokahi. E noi i ke kōkua, e nīnau i nā nīnau, a e lawe i ke kuleana no kou olakino.

ʻO ka maʻi puʻuwai, ke olakino o nā wāhine, ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, nā kumu pilikia, nā hōʻailona, ​​ka pale ʻana