Hewa ka puʻuwai - hoʻokuʻu

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. Ke hele a koʻikoʻi nā hōʻailona, ​​pono paha kahi noho haukapila. Kūkākūkā kēia ʻatikala i nā mea e pono ai ʻoe e hana e mālama iā ʻoe iho ke haʻalele ʻoe i ka haukapila.

Aia ʻoe i ka haukapila e mālama ʻia kou puʻuwai maikaʻi ʻole. Kū ka puʻuwai puʻuwai ke nāwaliwali nā mākala o kou puʻuwai a i ʻole he pilikia ka hoʻomaha ʻana, a i ʻole ʻelua paha.

ʻO kou puʻuwai kahi pauma e neʻe i nā wai i kou kino. E like me kēlā me kēia pauma, inā ʻaʻole lawa ka kahe o ka pauma, ʻaʻole holo maikaʻi nā wai a paʻa lākou i nā wahi pono ʻole. I loko o kou kino, ʻo kēia ka hōʻiliʻili o ka wai i kou māmā, ʻōpū, a me kou mau wāwae.

ʻOiai ʻoe ma ka haukapila.

• Ua hoʻoponopono pili loa kāu hui mālama ola i nā wai āu i inu ai loaʻa ai paha ma o ka laina intravenous (IV). Ua nānā lākou a ana i ka nui o ka mimi āu i hana ai.
• Ua loaʻa paha iā ʻoe nā lāʻau e kōkua i kou kino e hoʻolei aku i nā wai keu.
• Ua loaʻa paha iā ʻoe nā hoʻokolohua e nānā ai i ka maikaʻi o ka hana ʻana o kou puʻuwai.

E hoʻi mālie kou ikehu. Pono ʻoe e kōkua i ka mālama ʻana iā ʻoe iho i kou wā e hoʻi ai i ka home. E kaumaha a kaumaha paha ʻoe. Kūleʻa kēia mau mea āpau.

Kaupaona iā ʻoe iho i kēlā me kēia kakahiaka i ka pālākiō like ke ala ʻoe - ma mua o kou ʻai ʻana akā 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.

I loko o ka lā, e nīnau iā ʻoe iho:

• He pae maʻamau koʻu ikehu?
• Loaʻa wau i ka pōkole o ka hanu ke hana wau i kaʻu hana o 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 a i ka wā e moe ai au i lalo?

Inā loaʻa iā ʻoe kahi hōʻailona hou (a ʻokoʻa ʻokoʻa), e nīnau iā ʻoe iho:

• Ua ʻai anei au i kahi mea ʻokoʻa ma mua o ka hoʻāʻo ʻana i kahi meaʻai hou?
• Ua lawe anei wau i kaʻu mau lāʻau a pau i ke ala kūpono i nā manawa kūpono?

E noi paha kāu mea mālama ola iā ʻoe e kaupalena i kāu inu ʻana.

• Ke paʻakikī ʻole kou puʻuwai ʻole, ʻaʻole paha ʻoe e kaupalena nui i kāu wai.
• Ke hele a maikaʻi ʻole kou puʻuwai puʻuwai, noi ʻia ʻoe e kaohi i nā wai i 6 a 9 mau kīʻaha (1.5 a 2 liters) i ka lā.

Pono ʻoe e ʻai i ka paʻakai. Hiki i ka paʻakai ke make wai iā ʻoe, a ʻo ka make wai ke kumu e inu ai i ka wai a nui loa. Hoʻonui ka paʻakai i kou kino i ka paʻakai. Nui nā meaʻai e ʻono ʻole i ka paʻakai, a i ʻole ʻaʻole ʻoe e hoʻohui i ka paʻakai, aia nō ka nui o ka paʻakai.

Pono paha ʻoe e lawe i ka diuretic, a i ʻole ka pila wai.

Mai inu rama. Hana ka waiʻona i mea paʻakikī i ka hana o nā mākala puʻuwai. E noi i kāu mea lawelawe i ka mea e hana ai i nā manawa kūikawā kahi e hāʻawi ʻia ai ka wai ʻona a me nā meaʻai āu e hoʻāʻo nei e hōʻalo.

Inā puhi ʻoe, kū. E noi i ke kōkua e haʻalele inā pono ʻoe. Mai ʻae i kekahi e puhi i kou home.

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 momona.
• E haʻalele i nā hale ʻaina ʻai wikiwiki.
• Hōʻalo i kekahi mau meaʻai i hoʻomākaukau a paʻa.
• E aʻo i nā ʻōlelo aʻoaʻo wikiwiki.

E hoʻāʻo e noho kaʻawale i nā mea hoʻonāukiuki iā ʻoe. Inā kaumaha ʻoe i nā manawa āpau, a inā kaumaha nui ʻoe, e kamaʻilio me kāu mea hāʻawi e hiki ke kuhikuhi iā ʻoe i kahi kākāʻōlelo.

E hoʻopiha i kāu mau kauka lāʻau āpau ma 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 kanu me ka nīnau ʻole ʻana i kāu mea hāʻawi e pili ana iā lākou ma mua.

Lawe i kāu lāʻau i 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 inā e pilikia kēia iā ʻoe.

Hāʻawi ʻia nā lāʻau i lalo i nā poʻe he nui ka puʻuwai puʻuwai. I kekahi manawa aia kekahi kumu ʻaʻole palekana lākou e lawe, ʻoiai. Hiki i kēia mau lāʻau ke kōkua i ka pale ʻana i kou puʻuwai. E kamaʻilio me kāu mea hāʻawi inā ʻaʻole ʻoe ma kekahi o kēia mau lāʻau:

• ʻO nā lāʻau Antiplatelet (nā mea lahilahi o ke koko) e like me aspirin, clopidogrel (Plavix), a i ʻole warfarin (Coumadin) e kōkua i ka mālama ʻana i kou koko mai ka hoʻopili ʻana
• ʻO ka beta blocker a me nā lāʻau lapaʻau hōkai ACE e hoʻohaʻahaʻa i kou kahe koko
• Statins a i ʻole nā ​​lāʻau ʻē aʻe e hoʻohaʻahaʻa i kāu kolesterol

E kamaʻilio i kāu mea hāʻawi ma mua o ka loli ʻana i ke ala e lawe ai i kāu mau lāʻau. Mai hōʻoki wale i ka lawe ʻana i kēia mau lāʻau no kou puʻuwai, a i ʻole nā ​​lāʻau āu e lawe nei no Diabetes, ke koko kiʻekiʻe, a i ʻole nā ​​ʻano olakino ʻē aʻe āu.

Inā ʻoe e lawe i ka mea lahilahi o ke koko, e like me warfarin (Coumadin), pono ʻoe e hōʻoia hou i ke koko e hōʻoia i ka pololei o kāu mahele.

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. Hōʻoiaʻiʻo ʻoe e hōʻalo ai i ka hāpai hāpai kaumaha.

E ʻike pono i nā ʻōuli o ka puʻuwai ʻole a me ka hōʻeha puʻuwai. E ʻike i ka mea e hana ai inā ʻeha kou umauma, a angina paha.

E nīnau mau i kāu mea hāʻawi ma mua o ka hoʻomaka hou ʻana i ka moekolohe. Mai lawe iā sildenafil (Viagra), a i ʻole vardenafil (Levitra), tadalafil (Cialis), a i ʻole kahi lāʻau lapaʻau no nā pilikia kūkulu kūkulu me ka nānā ʻole ʻana ma mua.

E hōʻoia i ka hoʻonohonoho ʻia ʻana o kou home e palekana a maʻalahi hoʻi iā ʻoe e neʻe a puni a pale i ka hāʻule.

Inā hiki ʻole iā ʻoe ke hele wāwae a puni, e noi i kāu mea hāʻawi no nā hoʻomaʻamaʻa hiki iā ʻoe ke hana ʻoiai ʻoe e noho ana.

E ʻike pono i ka pā ʻana o ka maʻi flu i kēlā me kēia makahiki. Pono paha ʻoe i kahi kīmonia. E nīnau i kāu mea hāʻawi e pili ana i kēia.

Kāhea paha kāu mea hāʻawi iā ʻoe e ʻike pehea ʻoe e hana nei a e hōʻoia i kou nānā ʻana i kou kaupaona a me ka lawe ʻana i kāu lāʻau.

Pono ʻoe e koho i nā wā e ukali ai ma ke keʻena o kāu mea hāʻawi.

Pono paha ʻoe e loaʻa i kekahi mau hoʻokolohua lab e nānā i kāu pae sodium a me potassium a nānā i ka hana a kāu mau puʻupaʻa.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe ma mua o 2 paona (lb) (1 kilogram, kg) i hoʻokahi lā, a i ʻole 5 lb (2 kg) i hoʻokahi pule.
• Luhi loa ʻoe a nawaliwali hoʻi.
• Liliʻu a ʻālohilohi ʻoe.
• ʻOi aku ka pōkole o kou hanu ke hana nei ʻoe i kāu hana maʻamau.
• Loaʻa iā ʻoe ka hanu hou ke noho ʻoe.
• Pono ʻoe e noho i luna a hoʻohana paha i nā uluna hou aʻe i ka pō no ka mea he pōkole kou hanu ke moe ʻoe i lalo.
• Ala ʻoe i 1 a 2 mau hola ma hope o kou hiamoe ʻana no ka mea he pōkole kou hanu.
• Ke ʻuwī nei ʻoe a pilikia i ka hanu ʻana.
• ʻIke ʻoe i ka ʻeha a i ʻole kaomi i kou umauma.
• 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 i ʻole nā ​​wāwae.
• Pono ʻoe e mimi i ka nui, keu i ka pō.
• He ʻeha kou ʻōpū a palupalu.
• Loaʻa iā ʻoe nā ʻōuli āu e manaʻo ai no kāu mau lāʻau.
• Lohi a kuʻi wikiwiki paha kou puʻuwai, a i ʻole wikiwiki paha ia.

Hoka puʻuwai Congestive - hoʻokuʻu; CHF - hoʻokuʻu; HF - hoʻokuʻu

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. 2017 ACC / AHA / HFSA hoʻomōlele hou i ka 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka puʻuwai puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Guide and the 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
• Atherosclerosis
• Nā kaʻina hana hoʻopau Cardiac
• Maʻi maʻi coronary
• Hewa puʻuwai
• Puʻuwai puʻuwai
• Ke koko kiʻekiʻe - nā mākua
• Imi i ka cardioverter-defibrillator
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka
• Hāmeʻa kōkua Ventricular

• Nā mea kāohi ACE
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ke hana nei inā loaʻa ka maʻi puʻuwai
• ʻO ka pata, ka margarine, a me nā aila kuke
• ʻO Cholesterol a me ka nohona
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - nā wai a me nā diuretics
• Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• 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)

• Hoka Puʻuwai