Kōkua kōkua hōʻeha puʻuwai

ʻO ka hōʻeha puʻuwai kahi maʻi olakino. Kāhea iā 911 a i ʻole ka helu kūloko kūloko inā manaʻo ʻoe he maʻi puʻuwai kou a i ʻole kekahi.

Ke kali nei ke kanaka maʻamau i 3 mau hola ma mua o ka ʻimi ʻana i ke kōkua no nā ʻōuli o ka puʻuwai puʻuwai. He nui nā mea maʻi puʻuwai e make ma mua o ka hiki ʻana i kahi haukapila. Ke hele koke ke kanaka i ka lumi pilikia, ʻo ka ʻoi aku ka maikaʻi o ke ola. ʻO ka mālama olakino wikiwiki e hōʻemi i ka nui o ka hōʻino o ka puʻuwai.

Kūkākūkā kēia ʻatikala i ka mea e hana ai inā manaʻo ʻoe e loʻohia paha ka puʻuwai i kekahi.

Hana ʻia kahi puʻuwai puʻuwai ke kahe ke kahe o ke koko e halihali ana i ka oxygen i ka puʻuwai. Pōloli ka puʻuwai puʻuwai no ka oxygen a hoʻomaka e make.

Hiki ke loli nā ʻōuli o ka puʻuwai puʻuwai mai kekahi kanaka a i kekahi kanaka. Māmā a paʻakikī paha lākou. ʻO nā wahine, nā mākua ʻelemakule, a me ka poʻe me ka maʻi diabetes e loaʻa pinepine i nā ʻōuli maʻalea a ʻano ʻē paha.

Pākuʻi ʻia paha nā ʻōuli i nā mākua:

• Nā loli i ke kūlana noʻonoʻo, keu hoʻi i nā mākua makua.
• ʻO ka ʻeha o ka umauma e like me ke kaomi, kaomi ʻana, a i ʻole ka piha. ʻO ka ʻeha ke pinepine i waenakonu o ka umauma. ʻIke ʻia paha i ka iwi ā, ka poʻohiwi, nā lima, kua, a me ka ʻōpū. Hiki ke hala ma mua o kekahi mau minuke, a i ʻole hele mai a hele paha.
• ʻO ka hou anu.
• ʻĀlohilohi.
• Nusea (ʻoi aku ka maʻamau i nā wahine).
• ʻO ka luaʻi
• Numbness, ʻeha, a ʻūlū paha i ka lima (ʻo ka maʻamau ka lima hema, akā e hoʻopili wale ʻia ka lima ʻākau, a i ʻole me ka hema).
• Pokole o ka hanu.
• Ka nāwaliwali a luhi paha, ʻoi aku i nā mākua a me nā wahine.

Inā manaʻo ʻoe ua loʻohia puʻuwai kekahi.

• Noho ke kanaka i lalo, hoʻomaha, a hoʻāʻo e mālie.
• E hoʻokuʻu i nā lole paʻa.
• E nīnau inā lawe ke kanaka i nā lāʻau ʻeha o ka umauma, e like me nitroglycerin, no kahi ʻano puʻuwai i ʻike ʻia, a kōkua iā lākou e lawe.
• Inā ʻaʻole e hele koke ka ʻeha me ka hoʻomaha a i ʻole ma loko o 3 mau minuke o ka lawe ʻana i nitroglycerin, e kāhea no ke kōkua olakino pilikia.
• Inā ʻike ʻole ke kanaka a pane ʻole, e kāhea iā 911 a i ʻole ka helu pilikia kūloko, a laila hoʻomaka CPR.
• Inā ʻike ʻole a hānai ʻole kahi pēpē a keiki paha, e hana i 1 mau minuke o ka CPR, a laila kāhea aku iā 911 a i ʻole ka helu kūloko kūloko.

• Mai haʻalele i ke kanaka wale nō koe e kāhea no ke kōkua, inā pono.
• Mai ʻae i ke kanaka e hōʻole i nā ʻōuli a hōʻoia iā ʻoe ʻaʻole e kāhea i ke kōkua pilikia.
• Mai kali a ʻike inā hele aku nā ʻōuli.
• Mai hāʻawi i ke kanaka i kekahi mea e ka waha inā ʻaʻole i kuhikuhi ʻia kahi lāʻau puʻuwai (e like me nitroglycerin).

Kāhea koke iā 911 a i ʻole ka helu kūloko kūloko inā ke kanaka:

• ʻAʻole pane iā ʻoe
• ʻAʻole hanu
• Loaʻa i ka ʻeha o ka umauma a i ʻole nā ​​ʻōuli ʻē aʻe o kahi puʻuwai puʻuwai

Pono nā mākua e hana i nā hana e kaohi ai i nā pilikia o ka maʻi puʻuwai ke hiki.

• Inā puhi ʻoe, haʻalele. ʻO ka puhi ʻana ma mua o ka pālua ʻana i ka manawa kūpono e ulu i nā maʻi puʻuwai.
• Mālama i ke kahe o ke koko, kolesterol, a me ka maʻi kō i ka mālama maikaʻi a hāhai i nā kauoha a kāu kahu mālama ola.
• Lilo i ke kaupaona ke nui a momona paha.
• E kiʻi i ka hoʻoikaika kino maʻamau e hoʻomaikaʻi ai i ke olakino puʻuwai. (E kamaʻilio i kāu mea hāʻawi ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou.)
• ʻAi i kahi papaʻai olakino puʻuwai. Palena i nā momona momona, nā ʻiʻo ʻulaʻula, a me nā kō. E hoʻonui i kāu lawe ʻana i ka moa, ka iʻa, nā huaʻai hou a me nā mea kanu, a me nā hua āpau. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e hoʻonohonoho pono i kahi papaʻai i kikoʻī i kāu mau pono.
• E palena i ka nui o ka waiʻona āu e inu ai. Hoʻokahi mea inu i ka lā e pili pū me ka hoʻēmi ʻana i ka helu o ka puʻuwai puʻuwai, akā ʻelua a ʻoi paha inu i ka lā hiki ke hōʻino i ka puʻuwai a hana i nā pilikia olakino ʻē aʻe.

Kōkua mua - hōʻeha puʻuwai; Kōkua mua - hopu ʻia ka cardiopulmonary; Kōkua mua - hopu ka naʻau

• Nā hōʻailona hōʻeha puʻuwai
• Nā ʻōuli o ka hōʻeha puʻuwai

ʻO MP MPaca, Sabatine MS. Hele i ka mea maʻi me ka ʻeha o ka umauma.I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 56.

Jneid H, Anderson JL, Wright RS, et al. 2012 ACCF / AHA nānā hou i ka papa kuhikuhi no ka mālama ʻana i nā mea maʻi me ka infectable myocardial infarction angina / non-ST-elevation (e hōʻano hou ana i ke alakaʻi 2007 a me ka hoʻololi ʻana i ka loli hou 2011): kahi hōʻike o ka American College of Cardiology Foundation / American Heart ʻAha Hana Pūʻali ma nā kulekele hana. ʻO J Am Coll Cardiol. 2012; 60 (7): 645-681. PMID: 22809746 pubmed.ncbi.nlm.nih.gov/22809746/.

Levin GN, Bates ER, Blankenship JC, et al. Hoʻokumu ka 2015 ACC / AHA / SCAI i ka hoʻohou hou ma luna o ka conconical corutanary corutanary primaries no nā mea maʻi me ka infarction myocardial ST-kiʻekiʻe: He mea hou o ka 2011 ACCF / AHA / SCAI Alakaʻi no ka hoʻopili coronary percutaneus a me ka 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ST- hoʻokiʻekiʻe myocardial infarction. ʻO J Am Coll Cardiol. 2016; 67 (10): 1235-1250. PMID: 26498666 pubmed.ncbi.nlm.nih.gov/26498666/.

ʻO Thomas JJ, ʻo Brady WJ. ʻO ka maʻi maʻi maʻi maʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 68.