Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home

ʻO ke kū ʻole o ka puʻuwai kahi ʻano i hiki ʻole i ka puʻuwai ke pauma i ke koko waiwai nui i ke koena o ke kino me ka maikaʻi. ʻO kēia ke kumu o ka loaʻa ʻana o nā hōʻailona ma loko o ke kino. ʻO ke kiaʻi ʻana i nā hōʻailona hōʻailona e ulu hewa ana kou puʻuwai e kōkua iā ʻoe e hopu i nā pilikia ma mua o ke koʻikoʻi loa.

ʻO ka ʻike ʻana i kou kino a me nā ʻōuli e haʻi iā ʻoe e lilo ana kou naʻau maikaʻi ʻole e kōkua iā ʻoe e noho olakino a mai ka haukapila. Ma ka home, e nānā ʻoe no nā loli i kāu:

• Kaomi koko
• Umi puʻuwai
• Pulse
• Kaumaha

Ke nānā nei i nā hōʻailona hōʻailona, ​​hiki iā ʻoe ke hopu i nā pilikia ma mua o ko lākou koʻikoʻi nui ʻana. I kekahi manawa e hoʻomanaʻo kēia mau māka maʻalahi iā ʻoe ua poina ʻoe i ka lawe ʻana i kahi pila, a i ʻole inu nui paha ka wai a inu paha i ka paʻakai.

E kākau pono i nā hopena o nā loiloi ponoʻī o kou home i hiki iā ʻoe ke kaʻanalike aku me kāu mea mālama ola. Loaʻa paha i ke keʻena o kāu kauka he "telemonitor," kahi hāmeʻa hiki iā ʻoe ke hoʻohana e hoʻouna aunoa i kāu ʻike. E hele pū kahi kahu ma luna o kāu mau hopena ponoʻī me ʻoe i kahi kelepona maʻamau (i kekahi manawa i kēlā me kēia pule).

I loko o ka lā, e nīnau iā ʻoe iho:

• He pae maʻamau koʻu ikehu?
• Ke hele nei wau i ka liʻiliʻi o ka hanu ke hana wau i kaʻu mau hana i kēlā me kēia lā?
• Pākuʻi paha koʻu kapa a kāmaʻa paha?
• Pāhuʻu paha koʻu mau wāwae a wāwae paha?
• Hoʻohāhaʻi pinepine paha wau? Pulu paha kuʻu puʻupuʻu?
• Loaʻa wau i ka hanu pō i ka pō?

ʻO kēia nā hōʻailona he nui loa ka wai e kūkulu ana i loko o kou kino. Pono ʻoe e aʻo pehea e palena ai i kāu wai a me ka lawe ʻana i ka paʻakai i mea e pale ʻole ai i kēia mau mea.

E ʻike ʻoe i ke kau pono no ʻoe. ʻO ke kaupaona ʻana iā ʻoe iho e kōkua iā ʻoe e ʻike inā nui ka wai i kou kino. ʻIke paha ʻoe i ka lole o kou mau lole a me nā kāmaʻa ma mua o ka maʻamau ke nui ka wai i kou kino.

Kaupaona iā ʻoe iho i kēlā me kēia kakahiaka i ka pālākiō like ke ala ʻoe - ma mua o kou ʻai ʻana a ma hope o kou hoʻohana ʻana i ka lua. Hōʻoiaʻiʻo e ʻaʻahu ana ʻoe i nā lole like i kēlā me kēia manawa ke kaupaona ʻoe iā ʻoe iho. E kākau i kou kaupaona i kēlā me kēia lā ma ka pakuhi i hiki iā ʻoe ke mālama.

Kāhea i kāu mea hāʻawi inā piʻi kou kaumaha ma mua o 3 paona (ma kahi o 1.5 kilokilo) i ka lā a i ʻole 5 paona (2 kilokilo) i hoʻokahi pule. Kāhea pū kekahi i kāu mea nāna e hāʻawi inā he nui kāu kaupaona.

E ʻike i ke ʻano o kāu helu maʻamau maʻamau. E haʻi aku kāu mea hāʻawi iā ʻoe i kāu.

Hiki iā ʻoe ke lawe i kāu lāʻau i kou wahi paʻa ma lalo o ke kumu o kou manamana nui. E hoʻohana i kāu papa kuhikuhi a me nā manamana ʻekolu o kou lima ʻē aʻe e ʻike i kāu pulse. E hoʻohana i ka lima ʻelua a helu i ka helu o nā kaha no 30 kekona. A laila pāpālua i kēlā helu. ʻO ia kou pulse.

Hāʻawi paha kāu mea hāʻawi iā ʻoe i nā lakohana kūikawā e nānā i ka helu o kou puʻuwai.

E noi paha kāu mea hāʻawi iā ʻoe e mālama i kāu kaomi koko ma ka home. E ʻike pono i ka loaʻa ʻana o kahi pono home kūpono maikaʻi. Hōʻike ia i kāu kauka a kahu hānai paha. E loaʻa paha i kahi cuff me ka stethoscope a i ʻole kahi heluhelu heluhelu ʻana.

E hoʻomaʻamaʻa me kāu mea lawelawe e ʻike pono i ka lawe pololei ʻana i kou kaomi koko.

Kāhea i kāu mea hāʻawi inā:

• Luhi a palupalu paha ʻoe.
• Manaʻo ʻoe i ka liʻiliʻi o ka hanu ke hana ʻoe a i ka wā e hoʻomaha ai.
• Loaʻa kou hanu manawa ke moe ʻoe i lalo, a i hoʻokahi hola a ʻelua paha ma hope o kou hiamoe ʻana.
• Ke ʻuwī nei ʻoe a pilikia i ka hanu ʻana.
• He ʻūhū kāu hele ʻole. Maloo paha ia a hacking paha, a i ʻole kani pulu paha a lawe mai i ka poni, a kuha i ka hua.
• He pehu kou i kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae.
• Pono ʻoe e mimi i ka nui, keu i ka pō.
• Ua loaʻa a ua lilo kaupaona.
• He ʻeha a palupalu kou i kou ʻōpū.
• Loaʻa iā ʻoe nā ʻōuli āu e manaʻo ai no kāu mau lāʻau.
• Lohi a kuʻi wikiwiki paha kou puʻuwai a puʻuwai paha, a i ʻole maʻamau.
• ʻOi aku ka haʻahaʻa o ke kō a ʻoi paha ma mua o ka maʻamau no ʻoe.

HF - nānā ka home; CHF - nānā i ka home; Cardiomyopathy - nānā i ka home

• Pulse uila

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC alakaʻi ma ka mālama ʻana i ka nohona e hōʻemi i ka pilikia o ka maʻi puʻuwai: 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; 63 (25 Pt B): 2960-2984. PMID: 2423992 pubmed.ncbi.nlm.nih.gov/24239922/.

ʻO Mann DL. Ka mālama ʻana i nā mea maʻi puʻuwai me ka hapa liʻiliʻi o ka eject. 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 25.

ʻO Yancy CW, Jessup M, Bozkurt B, et al. ʻO 2017 ACC / AHA / HFSA Hoʻolaha Hoʻolaha o ka 2013 ACCF / AHA Kuhi no ka mālama ʻana i ka puʻuwai puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā papa kuhikuhi Clinical Practice and a me ka Heart Failure Society of America. Kaapuni. 2017; 136 (6): e137-e161. PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

Zile MR, Litwin SE. Hema ka puʻuwai me kahi ʻāpana eject i mālama ʻia. 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 26.

• Angina
• Maʻi maʻi coronary
• Hewa puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe - nā mākua

• ʻO ka aspirin a me ka maʻi puʻuwai
• ʻO Cholesterol a me ka nohona
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• ʻLelo aʻoaʻo ʻai wikiwiki
• Hewa ka puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - nā wai a me nā diuretics
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• Papaʻai paʻakai haʻahaʻa

• Hoka Puʻuwai