Atherosclerosis

ʻO Atherosclerosis, i kapa ʻia i kekahi manawa ʻo "paʻakikī o nā aʻa," ke kū ka momona, ka kolesterol, a me nā mea ʻē aʻe i nā paia o nā aʻa. Kapa ʻia kēia mau waihona kālā he plake. I ka hala ʻana o ka manawa, hiki i kēia mau pālāki ke hoʻopaʻa a kāpae loa i nā aʻa a hana i nā pilikia ma loko o ke kino.

ʻO Atherosclerosis kahi maʻi maʻamau.

Hana pinepine ʻo Atherosclerosis me ka ʻelemakule. Ke hele a makua ʻoe, hoʻopili ka plaque buildup i kou mau aʻa a hoʻonāukiuki iā lākou. Hoʻonui kēia mau hoʻololi i ke kahe o ke koko ma waena o lākou.

Hiki ke hana i nā Clots i loko o kēia mau aʻa liʻiliʻi a ālai i ke kahe o ke koko. Hiki i nā ʻāpana o ka pālaki ke haki a neʻe i nā kīʻaha koko liʻiliʻi, e ālai ana iā lākou.

Pōloli kēia mau wahi i nā ʻaʻa o ke koko a me ka oxygen. Hiki i kēia ke hopena i ka hōʻino a i ʻole ka make ʻana o nā kikoola. He kumu maʻamau ia o ka puʻuwai a me ka hahau.

Hiki i nā pae kolesterol kiʻekiʻe ke kumu i ka paʻakikī o nā aʻa i ka wā ʻōpio.

No ka poʻe he nui, nā pae kolesterol kiʻekiʻe ma muli o kahi papaʻai i kiʻekiʻe loa i nā momona momona a me nā momona trans.

Nā kumu ʻē aʻe i hiki ke kōkua i ka paʻakikī ʻana o nā aʻa i loko:

• Diabetes
• ʻO ka moʻolelo o ka ʻohana o ka paʻakikī o nā aʻa
• Piʻi koko kiʻekiʻe
• Ka nele o ka hoʻoikaika kino
• Ka momona a momona paha
• Puhipaka

ʻAʻole hana ke atherosclerosis i nā ʻōuli a hiki i ke kahe ʻana o ke koko i kahi ʻāpana o ke kino e lohi a pale ʻia paha.

Inā hāiki nā aʻa e hāʻawi ana i ka puʻuwai, hiki i ke kahe o ke koko ke hoʻolohi a kū paha. Hiki i kēia ke kumu i ka ʻeha o ka umauma (stable angina), ka pōkole o ka hanu, a me nā ʻōuli ʻē aʻe.

Hiki i nā aʻa ākea a i ʻole ke ālai ʻia ke hoʻopilikia i nā ʻōpū, nā puʻupaʻa, nā wāwae, a me ka lolo.

E hana kahi mea mālama ola i kahi hoʻokolohua kino a hoʻolohe i ka puʻuwai a me nā māmā me kahi stethoscope. Hiki i ke Atherosclerosis ke hana i kahi kani kani a kani paha ("bruit") ma luna o ke aʻa.

ʻO nā mākua āpau ma mua o 18 mau makahiki e nānā i ko lākou kahe koko i kēlā me kēia makahiki. Pono paha e ana hou pinepine ʻia no ka poʻe me ka mōʻaukala o ka heluhelu ʻana i ke koko kiʻekiʻe a i ʻole nā ​​mea me nā mea pilikia no ke kahe kiʻekiʻe.

Paipai ʻia ka hoʻāʻo ʻana o Cholesterol i nā mākua āpau. ʻOkoʻa nā kulekele aupuni nui i ka makahiki i hōʻike ʻia e hoʻomaka ai ka hoʻāʻo.

• Pono e hoʻomaka i ka kānana ma waena o 20 a 35 mau makahiki no nā kāne a 20 a 45 mau makahiki no nā wahine.
• ʻAʻole pono ka hoʻāʻo hou ʻana no ʻelima mau makahiki no ka hapanui o nā mākua me nā pae kolesterol maʻamau.
• Pono paha e hoʻāʻo hou inā loaʻa nā loli nohona, e like me ka hoʻonui nui ʻana o ka paona a i ʻole ka loli o ka papaʻai.
• Pono ʻia ka hoʻāʻo pinepine ʻana no nā mākua me ka mōʻaukala o ke kiʻekiʻe o ke kōkōhō, ka maʻi diabetes, nā pilikia o ka puʻuwai, nā maʻi puʻuwai, ka hahau, a me nā kūlana ʻē aʻe

Hiki ke hoʻohana ʻia i kahi mau hoʻokolohua kiʻi e ʻike i ke neʻe ʻana o ke koko ma o kou mau aʻa.

• Nā ho'āʻo Doppler e hoʻohana i ka ultrasound a i ʻole nā ​​nalu kani
• Mākēneki resonance arteriography (MRA), kahi ʻano kūikawā o ka MRI scan
• ʻO nā kaha kiʻi CT kūikawā i kapa ʻia ʻo CT angiography
• Arteriograms a i ʻole angiography e hoʻohana i nā kukuna x a me nā mea hoʻohālikelike (i kapa ʻia i kekahi manawa "kala") e ʻike i ke ala o ke kahe o ke koko i loko o nā aʻa

E hoʻoliʻiliʻi ka hoʻololi ʻana i ke ola i kou makaʻu o atherosclerosis. Nā mea hiki iā ʻoe ke hoʻopili:

• E haʻalele i ka puhi ʻana: ʻO kēia kahi hoʻololi nui hoʻokahi hiki ke hana e hōʻemi i kou makaʻi o ka maʻi puʻuwai a me ka hahau.
• Hōʻalo i nā meaʻai momona: ʻai i nā meaʻai kaulike maikaʻi i haʻahaʻa i ka momona a me ka cholesterol. Hoʻopili i nā lawelawe o nā hua a me nā lau i kēlā me kēia lā. ʻO ka hoʻohui ʻana i ka iʻa i kāu papaʻai ma ka liʻiliʻi he ʻelua mau manawa o ka pule he kōkua paha. Eia naʻe, mai ʻai i ka iʻa palai.
• Palena i ka nui o ka wai ʻona āu e inu ai: ʻO nā palena i ʻōlelo ʻia hoʻokahi inu i ka lā no nā wahine, ʻelua i ka lā no nā kāne.
• E kiʻi i ka hoʻoikaika kino maʻamau: ka hoʻoikaika kino me ka ikaika haʻahaʻa (e like me ka hele wikiwiki ʻana) 5 mau lā o ka pule no 30 mau minuke i ka lā inā ʻoe i kahi kaupaona olakino. No ka pohō kaumaha, hoʻoikaika kino no 60 a 90 mau minuke i ka lā. E kamaʻilio me kāu mea hāʻawi ma mua o ka hoʻomaka ʻana i kahi hoʻolālā hoʻoikaika hou, keu hoʻi inā ua ʻike ʻia ʻoe me ka maʻi puʻuwai a i ʻole he maʻi puʻuwai kou.

Inā kiʻekiʻe ke koko, he mea nui ia iā ʻoe e hoʻohaʻahaʻa iā ia a mālama ia ma lalo o ka kaohi.

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i kou kaomi koko i mea e loaʻa ai iā ʻoe kahi haʻahaʻa o nā pilikia olakino i hoʻokumu ʻia e ke koko kiʻekiʻe. Pono ʻoe a me kāu mea e hāʻawi i kahi pahuhopu kahe koko no ʻoe.

• Mai hōʻoki a hoʻololi paha i nā lāʻau lapaʻau kiʻekiʻe me ke kamaʻilio ʻole ʻana me kāu mea hāʻawi.

Makemake paha kāu mea lawelawe iā ʻoe e ʻai i ka lāʻau no nā pae kolesterol kūpono a i ʻole no ke kiʻekiʻe o ke koko inā ʻaʻole holo ka nohona. E hilinaʻi kēia ma:

• Kou makahiki
• Nā lāʻau āu e lawe ai
• ʻO kou makaʻu i nā hopena ʻino mai nā lāʻau hiki
• Inā loaʻa ʻoe i ka maʻi puʻuwai a i ʻole nā ​​pilikia kahe o ke koko
• E puhi paha ʻoe a ʻoi paha ka momona
• Inā loaʻa ʻoe i ka maʻi diabetes a i ʻole nā ​​kumu maʻi maʻi ʻeha ʻē aʻe
• Inā loaʻa paha iā ʻoe kekahi mau pilikia olakino ʻē aʻe, e like me ka maʻi puʻuwai

E ʻōlelo paha kāu mea hāʻawi i ka lawe ʻana i ka aspirin a i ʻole lāʻau ʻē aʻe e kōkua ai i ka pale ʻana i nā kahe koko mai loko o kāu mau aʻa. Kapa ʻia kēia mau lāʻau i nā lāʻau antiplatelet. Mai lawe i ka aspirin me ke kamaʻilio ʻole mua ʻole ʻana i kāu mea hāʻawi.

ʻO ka lilo ʻana o ke kaupaona inā ʻoi nui ʻoe a hoʻoliʻiliʻi i ke kō kō inā loaʻa ʻoe i ka maʻi diabetes a i ʻole ka pre-diabetes hiki ke kōkua i ka hōʻemi ʻana i ka makaʻu o ka hoʻomohala atherosclerosis.

ʻAʻole hiki ke hoʻohuli ʻia ʻo Atherosclerosis ke hiki mai. Eia nō naʻe, hiki i nā loli nohona a mālama ʻana i nā pae kolesterol kiʻekiʻe ke pale a hoʻolohi paha i ke kaʻina mai ka ʻino. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā manawa o ka puʻuwai puʻuwai a me ka hahau ʻana ma muli o ke atherosclerosis.

I kekahi mau hihia, ʻo ka pālaki kahi ʻāpana o kahi hana e hoʻonā i ka nāwaliwali o ka paia o kahi aʻa. Hiki i kēia ke alakaʻi i kahi puʻupuʻu i kahi aʻa i kapa ʻia he aneurysm. Hiki i nā Aneurysms ke haki hāmama (haki). ʻO kēia ke kumu o ke kahe e hiki ke hoʻoweliweli i ke ola.

Hoʻopaakiki o nā aʻa; Arteriosclerosis; Kukulu koʻokoʻo - nā aʻa; Hyperlipidemia - atherosclerosis; Cholesterol - atherosclerosis

• Hoʻoponopono aneurysm aorta ʻōpū - wehe - hoʻokuʻu
• Aortic aneurysm hana hou - endovascular - hoʻokuʻu
• ʻO ka aspirin a me ka maʻi puʻuwai
• Hewa ka puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka
• ʻAno 2 diabetes - he aha e nīnau aku ai i kāu kauka

• Carotid stenosis - X-ray o ke aʻa hema
• Carotid stenosis - X-ray o ke aʻa pono
• ʻIke hoʻonui ʻia o atherosclerosis
• Kāohi ʻana i nā maʻi puʻuwai
• Ke kaʻina hoʻomohala o atherosclerosis
• Angina
• Atherosclerosis
• Nā mea hana Cholesterol
• Coronary artery balloon angioplasty - moʻo

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Pūnaewele Hana Hana Hana Preventive US. ʻO ka ʻōlelo koi hope loa: hoʻohana statin no ka pale mua ʻana i ka maʻi maʻi maʻi maʻi i loko o nā mākua: ka lāʻau pale. Hoʻohou Nowemapa 13, 2016. Loaʻa iā Ianuali 28, 2020. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adults-preventive-medication1.

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