Ke hana nei ma hope o ka hōʻeha o kou 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. He mea nui ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino i kou ola hou ma hope o ka puʻuwai puʻuwai.

Ua loaʻa ʻoe i ka puʻuwai puʻuwai a ma ka haukapila. Ua loaʻa paha iā ʻoe kahi angioplasty a me kahi stent i kau ʻia i loko o ke aʻa e wehe i kahi aʻa i ālai ʻia i kou puʻuwai.

ʻOiai ʻoe ma ka haukapila, pono ʻoe e aʻo:

• Pehea e lawe ai i kāu pulse
• Pehea e ʻike ai i kāu angina hōʻailona a me ka mea e hana ai ke kū lākou.
• Pehea e mālama ai iā ʻoe iho ma ka home ma hope o ka puʻuwai puʻuwai.

Hiki i kāu kauka olakino ke koi aku iā ʻoe i kahi papahana hoʻoponopono naʻau iā ʻoe. E kōkua kēia papahana iā ʻoe e aʻo i nā meaʻai e ʻai ai a me nā hoʻoikaika kino e hana ai e olakino. ʻO ka ʻai pono ʻana a me ka hoʻoikaika kino e kōkua iā ʻoe e hoʻomaka i ke olakino hou.

Ma mua o kou hoʻomaka ʻana i ka hoʻoikaika kino, e hoʻokau paha kāu mea hāʻawi iā ʻoe e hana i kahi hōʻike hoʻoikaika kino. Pono ʻoe e loaʻa i nā ʻōlelo hoʻoikaika kino a me 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 hilinaʻi ka nui a me ka ikaika o kāu hana i kou ʻano ma mua o ka puʻuwai a me ka nui o ka puʻuwai.

E hoʻomāmā i ka mua:

• ʻO ka hele wāwae ka hana ʻoi loa ke hoʻomaka ʻoe i ka hoʻoikaika kino.
• Hele wāwae ma kahi pālahalaha no kekahi mau pule i ka mua.
• Hiki iā ʻoe ke hoʻāʻo i ka holo kaʻa ma hope o kekahi mau pule.
• E kamaʻilio i kāu poʻe lawelawe e pili ana i kahi pae palekana o ka hana.

Hoʻonui mālie i ka lōʻihi o kāu hoʻoikaika kino i kēlā me kēia manawa. Inā pili ʻoe iā ia, hana hou i ka hana 2 a i ʻole 3 mau manawa i ka lā. E makemake paha ʻoe e hoʻāʻo i kēia hoʻolālā hoʻoikaika maʻalahi (akā e nīnau mua i kāu kauka):

• Pule 1: ma kahi o 5 mau minuke i ka manawa
• Pule 2: ma kahi o 10 mau minuke i ka manawa
• Pule 3: ma kahi o 15 mau minuke i ka manawa
• Week 4: ma kahi o 20 mau minuke i ka manawa
• Week 5: ma kahi o 25 mau minuke i ka manawa
• Week 6: ma kahi o 30 mau minuke i ka manawa

Ma hope o 6 mau pule, hiki paha iā ʻoe ke hoʻomaka e ʻauʻau, akā e noho i waho o ka wai anuanu a wela loa. Hiki iā ʻoe ke hoʻomaka i ka pāʻani kolepa. E hoʻomaka maʻalahi me ka paʻi ʻana i nā pōpō. E hoʻohui mālie i kāu kolepa kolepa ʻana, e pāʻani ana i kekahi mau puka i ka manawa hoʻokahi. Hōʻalo i ke kolepa ʻana i ke aniau anuanu a me ke anuanu.

Hiki iā ʻoe ke hana i kekahi mau mea a puni ka hale e hoʻomau i ka hana, akā e nīnau mau i kāu mea hāʻawi. Hōʻalo i kahi hana nui i nā lā wela a anuanu hoʻi. E hiki i kekahi poʻe ke hana hou aʻe ma hope o ka puʻuwai puʻuwai. E hoʻomaka lohi paha kā kekahi. E hoʻonui i kāu pae hana me ka mālie ma o ka hāhai ʻana i kēia mau ʻanuʻu.

Hiki paha iā ʻoe ke kuke i nā meaʻai māmā i ka hopena o kāu pule mua. Hiki iā ʻoe ke holoi i nā pā a hoʻonohonoho paha i ka pākaukau inā manaʻo ʻoe iā ia.

I ka hopena o ka pule ʻelua hiki iā ʻoe ke hoʻomaka e hana i nā hana māmā a ka hale, e like me ka hoʻomoe ʻana i kou wahi moe. Hele lohi.

Ma hope o 4 mau pule, hiki paha iā ʻoe ke:

• ʻO ka hao - hoʻomaka me 5 a 10 mau minuke wale nō i ka manawa
• Kūʻai, akā mai lawe i nā ʻeke kaumaha a hele wāwae paha
• Hana i nā wā pōkole o ka hana mālamalama

Ma o 6 mau pule, hiki i kāu mea hāʻawi ke ʻae iā ʻoe e hana i nā hana hou aku, e like me ka hana kaumaha o ka hale a me ka hoʻoikaika kino, akā e akahele.

• E hoʻāʻo ʻaʻole e hāpai a hāpai i kekahi mea kaumaha, e like me ka holoi holoi a i ʻole ka paila wai.
• Inā loaʻa kekahi mau hana i ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole kekahi o nā hōʻailona i loaʻa iā ʻoe ma mua a i ʻole i ka puʻuwai puʻuwai, e hoʻopau koke iā lākou. E haʻi i kāu mea hāʻawi.

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

E kāhea aku hoʻi inā loaʻa iā angina a me ia:

• Lilo i ikaika
• Kū pinepine pinepine ʻia
• Lōʻihi lōʻihi
• Hana ʻia ke hana ʻole
• ʻAʻole maikaʻi aʻe ke lawe ʻoe i kāu lāʻau

Hiki paha i kēia mau hoʻololi ke hōʻeha i kou maʻi puʻuwai.

Puʻuwai puʻuwai - hana; MI - hana; Infarction Myocardial - hana; Hoʻomaha hou i ka naʻau - hana; ACS - hana; NSTEMI - hana; ʻO ka hana a ka maʻi coronary syndrome

• Ke hana nei ma hope o ka puʻuwai puʻuwai

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, 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. Kaapuni. 2014; 130: 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

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.

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/.

Thompson PD, Ades PA. Ma muli o ka hoʻoikaika kino, hoʻopōmaikaʻi hou i ka naʻau. 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 54.

• Angina
• ʻEha ʻeha
• ʻO ka maʻi pulmonary obstructive maʻi (COPD)
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• Nā pae kolesterol kiʻekiʻe

• Angina - hoʻokuʻu
• Angioplasty a me stent - puʻuwai - hoʻokuʻu
• ʻO ka aspirin a me ka maʻi puʻuwai
• Catheterization Cardiac - hoʻokuʻu
• 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 hohola