Angina - hoʻokuʻu

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 haʻalele ʻoe i ka haukapila.

Loaʻa iā ʻoe angina. ʻO Angina ka ʻeha o ka umauma, kaomi umauma, pili pinepine ʻia me ka hanu ʻole. Ua loaʻa kēia pilikia iā ʻoe inā ʻaʻole lawa kou koko a me ka oxygen. Ua loʻohia paha ʻoe i ka puʻuwai.

Minamina paha ʻoe. E hopohopo paha ʻoe a pono ʻoe e akahele loa i kāu hana. Kūleʻa kēia mau manaʻo āpau. Hele lākou no ka hapanui o ka poʻe ma hope o 2 a 3 mau pule.

Hiki paha iā ʻoe ke luhi ke haʻalele ʻoe i ka haukapila. Pono ʻoe e ʻoi aku ka maikaʻi a ʻoi aku ka ikaika i 5 mau pule ma hope o kou hoʻokuʻu ʻia ʻana mai ka haukapila.

ʻIke i nā hōʻailona a me nā ʻōuli o 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.
• Hiki paha i kekahi poʻe ke hōʻoluʻolu i ko lākou kua, poʻohiwi, a me ka ʻōpū.
• Loaʻa paha ʻoe i ka huhū a maʻi paha i kou ʻōpū. Ua luhi paha ʻoe a pōkole ʻoe i ka hanu, sweaty, māmā, a nāwaliwali paha. Loaʻa paha iā ʻoe kēia mau ʻōuli i ka wā o ke kino, e like me ka piʻi piʻi ʻana i ke alapiʻi, ka hele wāwae i uka, hāpai hāpai ʻana, a me ka hana i ka moekolohe.
• Hiki paha iā ʻoe ke loaʻa nā hōʻailona ma ka manawa anuanu. Hiki iā ʻoe ke loaʻa nā hōʻailona ke hoʻomaha ʻoe, a i ʻole ke ala ʻana iā ʻoe mai kou hiamoe ʻana.

E noi i kāu mea mālama ola pehea e mālama ai i ka ʻeha o kou umauma ke hiki mai ia.

Māmā i ka mua. Hiki iā ʻoe ke kamaʻilio maʻalahi ke hana nei ʻoe i kekahi hana. Inā ʻaʻole hiki iā ʻoe, e hōʻoki i ka hana.

E nīnau i kāu mea hāʻawi e pili ana i ka hoʻi ʻana i ka hana a me ke ʻano o ka hana e hiki ai iā ʻoe ke hana.

E kuhikuhi paha kāu mea hāʻawi iā ʻoe i kahi papahana hoʻoponopono naʻau. E kōkua kēia iā ʻoe e aʻo pehea e hoʻonui mālie ai i kāu hoʻoikaika kino. E aʻo nō ʻoe pehea e mālama ai i kāu maʻi puʻuwai.

E hoʻāʻo e kaupalena i ka nui o ka waiʻona āu e inu ai. E noi i kāu mea hāʻawi ke maikaʻi inā inu ʻoe, a pehea ka nui o ka palekana.

Mai puhi paka. Inā puhi ʻoe i ka uahi, e noi i kāu mea hāʻawi e kōkua i ka haʻalele ʻana. Mai hoʻokuʻu i kekahi e puhi i kou home.

E aʻo hou aʻe e pili ana i ka mea āu e ʻai ai no ka puʻuwai olakino a me nā kīʻaha koko. Hōʻalo i nā meaʻai paʻakai a momona. E haʻalele i nā hale ʻaina ʻai wikiwiki. Hiki i kāu mea hāʻawi ke kuhikuhi iā ʻoe i kahi dietitian, hiki iā ia ke kōkua iā ʻoe e hoʻolālā i kahi papaʻai olakino.

E hoʻāʻo e hōʻalo i nā pilikia pilikia. Inā kaumaha a kaumaha paha ʻoe, e haʻi i kāu mea hāʻawi. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi kākāʻōlelo.

E nīnau i kāu mea hāʻawi e pili ana i ka moekolohe. ʻAʻole pono nā kāne e lawe i nā lāʻau a i ʻole nā ​​mea hoʻopili lāʻau no nā pilikia kūkulu kūkulu me ka nānā ʻole ʻana me kā lākou mea lawelawe. ʻAʻole palekana kēia mau lāʻau i ka hoʻohana ʻia me nitroglycerin.

E hoʻopiha i kāu mau kauka holoʻokoʻa ma mua o kou hoʻi ʻana i ka home. Pono ʻoe e lawe i kāu lāʻau i ke ala i haʻi ʻia iā ʻoe. E noi i kāu mea hāʻawi inā hiki iā ʻoe ke lawe i nā lāʻau ʻē aʻe, nā mea kanu, a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei.

Lawe i kāu lāʻau i ka wai a i ʻole ka wai. Mai inu i ka wai kawa (ai ʻai i ka huaʻulu), ʻoiai hiki ke hoʻololi i kēia mau meaʻai i ka hopena o kou kino i kekahi mau lāʻau. E noi i kāu mea lawelawe a kauka paha e pili ana i kēia.

ʻO ka poʻe i loaʻa ka angina loaʻa pinepine nā lāʻau i lalo. Akā i kekahi manawa ʻaʻole palekana paha kēia mau lāʻau. E kamaʻilio me kāu mea hāʻawi inā ʻaʻole ʻoe e lawe i kekahi o kēia mau lāʻau:

• Nā lāʻau Antiplatelet (nā mea lahilahi o ke koko), e like me aspirin, clopidogrel (Plavix), prasugrel (Efient), a i ʻole ticagrelor (Brilinta)
• ʻO nā lāʻau ʻē aʻe, e like me warfarin (Coumadin), i mea e pale ai i kou koko mai ka hoʻopili ʻana
• ʻO nā beta-blockers a me nā lāʻau hoʻopōʻai ACE, e kōkua ai e pale aku i kou puʻuwai
• Statins a i ʻole nā ​​lāʻau ʻē aʻe e hoʻohaʻahaʻa i kāu kolesterol

Mai hōʻoki wale i ka lawe ʻana i kekahi o kēia mau lāʻau. Mai hōʻoki i ka lawe ʻana i nā lāʻau ʻē aʻe āu e lawe nei no ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole nā ​​pilikia olakino ʻē aʻe.

Inā ʻoe e lawe i ka mea lahilahi o ke koko, pono paha ʻoe e loaʻa i nā hōʻike koko hou aʻe e hōʻoia i ka pololei o kāu mahele lāʻau.

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe:

• ʻEha, kaomi, paʻa, a i ʻole ke kaumaha i ka umauma, ka lima, ka ʻāʻī, a me ka ʻāʻā
• Pokole o ka hanu
• ʻEha Gas a i ʻole indigestion
• Pōpō i kou mau lima
• Kuʻi, a inā ʻoe e nalo ke kala
• ʻĀlamalama

ʻO ka hoʻololi ʻana i kāu angina e hōʻino paha i ka maʻi o kou puʻuwai. Kāhea i kāu mea hāʻawi inā kāu angina:

• Lilo i ikaika
• Kū pinepine pinepine ʻia
• Lōʻihi lōʻihi
• Hana ʻia ke hana ʻole a i ka wā e hoʻomaha ana
• Inā ʻaʻole kōkua nā lāʻau i ka hōʻoluʻolu i kāu mau angina e like me ka maʻa

ʻEha o ka umauma - hoʻokuʻu; Angina paʻa - hoʻokuʻu; Angina maʻi - hoʻokuʻu; Variant angina - hoʻokuʻu; Angina pectoris - hoʻokuʻu; ʻO ka wikiwiki o ka angina - hoʻokuʻu; Angina hoʻomaka hou - hoʻokuʻu; Pālehu ʻole ʻo Angina - hoʻokuʻu; Angina holomua - hoʻokuʻu; Pākuʻi Angina - hoʻokuʻu; Angina-maʻi - hoʻokuʻu; Angina-variant - hoʻokuʻu; Prinzmetal angina - hoʻokuʻu

• Papaʻai olakino

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; 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; 149 (3): e5-e23. 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): e362-e425. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Angina
• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery
• Nā kaʻina hana hoʻopau Cardiac
• ʻEha ʻeha
• Spasm artery spasm
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• Puʻuwai puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Imi i ka cardioverter-defibrillator
• Angina paʻa
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka
• Angina paʻa ʻole
• Hāmeʻa kōkua Ventricular

• Nā mea kāohi ACE
• Angina - he aha e nīnau aku ai i kāu kauka
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Angioplasty a me stent - puʻuwai - hoʻokuʻu
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ke hana nei ma hope o ka hōʻeha o kou puʻuwai
• Ke hana nei inā loaʻa ka maʻi puʻuwai
• ʻO ka pata, ka margarine, a me nā aila kuke
• Catheterization Cardiac - hoʻokuʻu
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Puʻuwai puʻuwai - hoʻokuʻu
• Ka hōʻeha puʻuwai - he aha e nīnau aku ai i kāu kauka
• ʻOki kino bypass - hoʻokuʻu
• ʻOki kino bypass Heart - minimally invasive - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean

• Angina