Puʻuwai puʻuwai - hoʻokuʻu

Hana ʻia kahi puʻuwai puʻuwai ke kahe ke koko i kahi ʻāpana o kou puʻuwai i ka lōʻihi o ka paʻa ʻana o kēlā ʻāpana o ka puʻuwai puʻuwai a make paha. Kūkākūkā kēia ʻatikala i nā mea e pono ai ʻoe e hana e mālama iā ʻoe iho ma hope o kou haʻalele ʻana i ka haukapila.

Aia ʻoe i ka haukapila no ka mea ua loaʻa ʻoe i ka puʻuwai puʻuwai. Hana ʻia kahi puʻuwai puʻuwai ke kahe ke koko i kahi ʻāpana o kou puʻuwai i ka lōʻihi o ka paʻa ʻana o kēlā ʻāpana o ka puʻuwai puʻuwai a make paha.

Minamina paha ʻoe. Hiki paha iā ʻoe ke hopohopo a me he mea lā e makaʻala loa ʻoe i kāu hana. Kūleʻa kēia mau manaʻo āpau. Hele lākou no ka hapanui o ka poʻe ma hope o 2 a 3 mau pule. Luhi paha ʻoe i ka luhi ke haʻalele ʻoe i ka haukapila e hoʻi i kou home.

E ʻike ʻoe i nā ʻōuli 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. E ʻike paha ʻoe i kēia mau hōʻailona ma kou mau lima, poʻohiwi, ʻāʻī, ʻāʻī, ʻāʻī, a i ʻole hoʻi.
• ʻIke kekahi poʻe i ka hōʻoluʻolu ʻole ma ko lākou kua, nā 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.
• Hiki paha iā ʻoe ke angina i ka wā o ke kino, e like me ka piʻi ʻana i ke alapiʻi a i ʻole ke hele wāwae i luna, hāpai ʻana, hana moekolohe, a i ʻole ke hele ʻoe i ke anuanu. Hiki iā ia ke hana i kou wā e hoʻomaha ai a i ʻole hiki iā ia ke hoʻāla iā ʻoe ke hiamoe ʻoe.

ʻIke i ka mālama ʻana i ka ʻeha o kou umauma ke hiki. E kamaʻilio me kāu mea mālama ola e pili ana i ka mea e hana ai.

E maʻalahi no nā pule 4 mua a 6 paha.

• Hōʻalo i ka hāpai hāpai kaumaha. E kiʻi i kōkua ma nā hana o ka hale inā hiki.
• E lawe i 30 a 60 mau minuke e hoʻomaha ai i ke awakea no 4 a 6 mau pule mua. E hoʻāʻo e hiamoe i ka wanaʻao a hiamoe nui.
• Ma mua o ka hoʻomaka ʻana o ka hoʻoikaika kino, e hoʻokau paha kāu mea hāʻawi iā ʻoe e hana i kahi hōʻike hoʻoikaika kino a koi i kahi hoʻolālā hoʻoikaika kino. Hiki paha kēia ma mua o kou haʻalele ʻana i ka haukapila a ma hope koke paha. Mai hoʻololi i kāu hoʻolālā hoʻoikaika kino ma mua o ke kamaʻilio ʻana me kāu mea hāʻawi.
• E kuhikuhi paha kāu mea hāʻawi iā ʻoe i ka papahana hoʻoponopono naʻau. Ma laila ʻoe e aʻo ai pehea e hoʻonui lohi ai i kāu hoʻoikaika kino a pehea e mālama ai i kāu maʻi puʻuwai.

Hiki iā ʻoe ke kamaʻilio hōʻoluʻolu ke hana ʻoe i kekahi hana, e like me ka hele wāwae, hoʻonohonoho ʻana i ka papa ʻaina, a me ka holoi lole ʻana. Inā ʻaʻole hiki iā ʻoe, e hōʻoki i ka hana.

E noi i kāu mea hoʻolako e pili ana i ka wā e hiki ai iā ʻoe ke hoʻi i ka hana. Manaʻo e haʻalele i ka hana no hoʻokahi pule.

E kamaʻilio i kāu mea hāʻawi ma mua o ka hana moekolohe. E noi i kāu mea hāʻawi ke maikaʻi inā e hoʻomaka hou. Mai lawe iā Viagra, Levitra, Cialis a i ʻole kahi lāʻau lapaʻau no nā pilikia kūkulu kūkulu me ka nānā ʻole ʻana me kāu mea hāʻawi.

Pehea ka lōʻihi e kali ai ʻoe e hoʻi i kāu hana maʻamau e hilinaʻi ʻia:

• ʻO kou kūlana kino ma mua o ka hōʻeha o kou puʻuwai
• Ka nui o kou puʻuwai hōʻeha
• Inā loaʻa iā ʻoe nā pilikia
• ʻO ka wikiwiki holoʻokoʻa o kou hoʻōla

Mai inu i ka waiʻona no 2 mau pule. E noi i kāu mea hāʻawi ke hoʻomaka ʻoe. Palena i kou inu ʻana. Hoʻokahi wale nō inu o nā wahine i ka lā, a ʻo nā kāne ʻaʻole ma mua o 2 i ka lā. E hoʻāʻo e inu i ka ʻalekohola ke ʻai wale ʻoe.

Inā puhi ʻoe, kū. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele inā pono ʻoe. Mai ʻae i kekahi e puhi i kou home, ʻoiai hiki i ka uahi lua ke hōʻeha iā ʻoe. E hoʻāʻo e noho kaʻawale i nā mea hoʻonāukiuki iā ʻoe. Inā kūpilikiʻi ʻoe i nā manawa āpau, a i ʻole inā kaumaha nui ʻoe, e kamaʻilio pū me kāu mea hāʻawi. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi kākāʻōlelo.

E aʻo hou aʻe e pili ana i ka mea āu e ʻai ai i mea e olakino ai kou puʻuwai a me nā kīʻaha koko.

• Hōʻalo i nā meaʻai paʻakai.
• E noho mamao mai nā hale ʻaina wikiwiki.

E hoʻopiha i kāu mau kauka lāʻau i mua o kou hoʻi ʻana i ka home. He mea nui ia e lawe i kāu lāʻau i ke ala a kāu mea hāʻawi. Mai lawe i nā lāʻau ʻē aʻe a i ʻole nā ​​mea hoʻowalewale lāʻau me ka noi ʻole ʻana i kāu mea hāʻawi inā palekana lākou iā ʻoe.

E lawe i kāu mau lāʻau me ka wai. Mai lawe iā lākou me ka wai momona, no ka mea e loli paha ia i ka hopena o kou kino i kekahi mau lāʻau. E noi i kāu mea lawelawe a kauka paha no ka ʻike hou aku e pili ana i kēia.

Hāʻawi ʻia nā lāʻau i lalo i ka hapa nui o ka poʻe ma hope o ka loaʻa ʻana o ka maʻi puʻuwai. I kekahi manawa aia kekahi kumu ʻaʻole palekana lākou e lawe, ʻoiai. Kōkua kēia mau lāʻau i ka pale ʻana i ka puʻuwai hou. E kamaʻilio me kāu mea hāʻawi inā ʻaʻole ʻoe ma kekahi o kēia mau lāʻau.

• ʻO nā lāʻau Antiplatelets (nā mea lahilahi o ke koko), e like me aspirin, clopidogrel (Plavix), warfarin (Coumadin), prasugrel (Efient), a i ʻole ticagrelor (Brilinta) e kōkua i ka mālama ʻana i kou koko mai ka hoʻopili ʻana.
• ʻO nā beta-blockers a me nā lāʻau lapaʻau hoʻōla 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 koke i ka lawe ʻana i kēia mau lāʻau no kou puʻuwai. Mai hōʻoki i ka lawe ʻana i nā lāʻau no kou maʻi kō, ke koko kiʻekiʻe, a i ʻole nā ​​ʻano olakino ʻē aʻe āu e loaʻa ʻole me ke kamaʻilio mua ʻana me kāu mea hāʻawi.

Inā ʻoe e lawe i ka mea lahilahi o ke koko e like me warfarin (Coumadin), pono paha ʻoe e loaʻa i nā hoʻokolohua koko keu i kēlā me kēia manawa e hōʻoia i ka pololei o kāu mahele.

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe:

• ʻEha, kaomi, paʻa, a i ʻole ke kaumaha i kou umauma, lima, ʻāʻī, a i ʻole
• 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
• ʻAʻole kōkua nā lāʻau i ka hōʻoluʻolu i kāu mau hōʻailona e like me ka maʻa ma mua

Infarction Myocardial - hoʻokuʻu; MI - hoʻokuʻu; Hanana Coronary - hoʻokuʻu; Infarct - hoʻokuʻu; Huʻi coronary syndrome - hoʻokuʻu; ACS - hoʻokuʻu

• Acute MI

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/.

Bohula EA, ʻApōpō DA. Infarction myocardial ST-kiʻekiʻe: hoʻokele. 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 59.

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/.

Giugliano RP, Braunwald E. Non-ST kiʻekiʻe a me nā syndrome coronary. 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 60.

Mauri L, Bhatt DL. Hoʻopili coronary pākēnē. 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 62.

ʻApōpō DA, de Lemos JA. Maʻi maʻi ischemic paʻa. 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 61.

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/.

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

• Nā mea kāohi ACE
• Angina - hoʻokuʻu
• 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
• Trombosis o ka aa hohonu - hoʻokuʻu
• 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
• Hoʻomaʻamaʻa i ka puʻuwai - hoʻokuʻu
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka
• Pehea e heluhelu ai i nā lepili ʻai
• Imibrable cardioverter defibrillator - hoʻokuʻu
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean
• Lawe iā warfarin (Coumadin, Jantoven) - he aha e nīnau aku ai i kāu kauka
• Lawe iā warfarin (Coumadin)

• Maʻi hohola