Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma

ʻO Angina kahi ʻano o ka hōʻoluʻolu o ka umauma ma muli o ke kahe o ke koko ma o nā kīʻaha koko o ka puʻuwai puʻuwai. Kūkākūkā kēia ʻatikala pehea e mālama ai iā ʻoe iho ke loaʻa iā angina.

ʻIke paha ʻoe i ke kaomi, kaomi ʻana, ka puhi ʻana, a i ʻole ka ʻūikiʻi i kou umauma. Hiki paha iā ʻoe ke kaomi, kaomi ʻana, ka puhi ʻana, a i ʻole ka paʻa i kou mau lima, nā poʻohiwi, ka ʻāʻī, ka ʻāʻī, ka ʻāʻī, a i ʻole ke kua.

Loaʻa paha i kekahi poʻe nā ʻōuli like ʻole, e like me ka hanu ʻana, ka luhi, nāwaliwali, a me ke kua, ka lima, a me ka ʻāʻī ʻāʻī. Pili kēia i nā wahine, nā poʻe kahiko, a me nā poʻe me ka maʻi kō.

Loaʻa paha ʻoe i ka huhū a maʻi paha i kou ʻōpū. Luhi paha ʻoe. Pōkole paha ʻoe o ka hanu, hou ka hou, huluhulu, a nāwaliwali paha.

Loaʻa ka angina i kekahi poʻe ke kū lākou i ke anuanu. Manaʻo kekahi poʻe i ka wā o ka hoʻoikaika kino. ʻO nā laʻana e piʻi i ke alapiʻi, e hele wāwae i luna, hāpai i kahi mea kaumaha, a i ʻole moekolohe.

Noho, noho mālie, a hoʻomaha. E hala pinepine kāu mau ʻōuli ma hope o kou hōʻoki ʻana i ka hana.

Inā ʻoe e moe ana i lalo, noho i luna o kahi moe. E hoʻāʻo i ka hanu hohonu ʻana e kōkua me ke koʻikoʻi a hopohopo paha.

Inā ʻaʻohe ou nitroglycerin a hele ʻole kāu mau ʻōuli ma hope o ka hoʻomaha ʻana, kāhea koke iā 9-1-1.

Ua kauoha paha kāu mea mālama ola i nā papa nitroglycerin a i ʻole ka ʻehu no nā hoʻouka koʻikoʻi. Noho a moe paha i ka wā e hoʻohana ai ʻoe i kāu papa a ʻehu paha.

Ke hoʻohana nei i kāu pākaukau, e kau i ka pila ma waena o kou pāpālina a me ka gum. Hiki iā ʻoe ke waiho ma lalo o kou alelo. ʻAe e hoʻoheheʻe. Mai ale ia.

Ke hoʻohana nei i kāu spray, mai hoʻoluliluli i ka ipu. E hoʻopaʻa i ka ipu kokoke i kou waha hāmama. E pīpī i ka lāʻau i lalo a i ʻole ma lalo o kou alelo. Mai ale a ale i ka lāʻau.

E kali no 5 mau minuke ma hope o ka mahele lāʻau mua o nitroglycerin. Inā ʻaʻole maikaʻi kāu mau ʻōuli, ʻoi aku ka maikaʻi, a hoʻi paha ma hope o ka hele ʻana, e kāhea koke iā 9-1-1. ʻO ka mea nāna e pane e hāʻawi iā ʻoe i ka ʻōlelo aʻo hou e pili ana i ka mea e hana ai.

(Kahakaha: ua hāʻawi paha kāu mea hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo ʻokoʻa e pili ana i ka lawe ʻana i nitroglycerin ke loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole kaomi. E haʻi ʻia kekahi poʻe e hoʻāʻo i nā mahele 5 nitroglycerin ma kahi o 5 mau minuke ma mua o ke kāhea ʻana iā 9-1-1.)

Mai puhi, ʻai, a inu ʻole no 5 a 10 mau minuke ma hope o ka lawe ʻana i nitroglycerin. Inā ʻoe e puhi, pono ʻoe e hoʻāʻo e haʻalele. Hiki i kāu mea hāʻawi ke kōkua.

Ma hope o ka hala ʻana o kāu mau hōʻailona, ​​e kākau i kekahi mau kikoʻī e pili ana i ka hanana. Kākau iho:

• He aha ka hola o ka lā i hana ʻia ai ka hanana
• He aha kāu hana ma kēlā manawa
• Pehea ka lōʻihi o ka ʻeha
• Pehea ka ʻeha
• He aha kāu i hana ai e hōʻoluʻolu i kou ʻeha

E nīnau iā ʻoe iho i kekahi mau nīnau:

• Ua lawe anei ʻoe i kāu mau lāʻau maʻamau āpau i ke ala kūpono ma mua o kou loaʻa ʻana o nā ʻōuli?
• Ua ʻoi aku kāu hana ma mua o ka maʻamau?
• He ʻai nui wale paha kāu?

E kaʻana like i kēia ʻike me kāu mea hoʻolako i kāu mau kipa maʻamau.

E hoʻāʻo e hana ʻole i nā hana i keakea i kou puʻuwai. Kauoha paha kāu mea hāʻawi i ka lāʻau iā ʻoe e lawe ai ma mua o kahi hana. Hiki i kēia ke pale aku i nā ʻōuli.

Kāhea iā 9-1-1 inā ʻeha kou angina:

• ʻAʻole maikaʻi ʻo 5 mau minuke ma hope o ka lawe ʻana i nitroglycerin
• ʻAʻole ia e hele ma hope o 3 mau kaha o ka lāʻau (a i kuhikuhi ʻia e kāu mea hāʻawi)
• Ke hele nei a ʻino
• Hoʻi mai ma hope o ke kōkua ʻana o ka lāʻau

Kāhea pū i kāu mea hāʻawi inā:

• Ke loaʻa pinepine nei nā hōʻailona iā ʻoe.
• Loaʻa iā ʻoe ke angina ke noho mālie ʻoe a i ʻole ʻeleu. Kapa ʻia kēia he angina hoʻomaha.
• Luhi pinepine ʻoe.
• Ke maʻule a ʻālohilohi paha ʻoe.
• Ke kuʻi lohi nei kou puʻuwai (ma lalo o 60 mau kuʻi i hoʻokahi minuke) a i ʻole wikiwiki loa (ʻoi aku ma mua o 120 mau kuʻi i hoʻokahi minuke), a i ʻole ʻaʻole paʻa.
• Ke pilikia nei ʻoe i ka lawe ʻana i nā lāʻau o kou puʻuwai.
• Loaʻa iā ʻoe nā hōʻailona ʻokoʻa ʻē aʻe.

Huʻi coronary Syndrome - ʻeha o ka umauma; Maʻi Coronary artery - ʻeha o ka umauma; CAD - ʻeha o ka umauma; Maʻi maʻi coronary - ʻeha o ka umauma; ACS - ʻeha ka umauma; Puʻuwai puʻuwai - ʻeha ka umauma; Infarction Myocardial - ʻeha o ka umauma; MI - ʻeha ka umauma

Amsterdam EA, Wenger NK, Brindis RG, a me al. ʻO 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka ʻole ST-kiʻekiʻe kiʻekiʻe syndromes coronary: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. ʻO J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Boden WE. Angina pectoris a me ka maʻi puʻuwai ischemic paʻa. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 62.

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 Saunders; 2019: chap 56.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS nānā nui i ka papa kuhikuhi no ka ʻike a me ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai ischemic paʻa: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force ma nā Kūlana Kūpono, a me ka ʻAmelika Hui Pū ʻIa no ka ʻoki kino Thoracic, ʻAhahui kahu maʻi Cardiovascular Preventive, ʻAhahui no ka Angiography a me nā hana a Cardiovascular, a me ka Society of Thoracic Surgeons. ʻO J Thorac Cardiovasc Surg. 2015 Mar; 149 (3): e5-23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka infarction myocardial ST-kiʻekiʻe: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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