Ka maʻi puʻuwai a me ka pilina

Inā loaʻa iā ʻoe ka angina, ka puʻuwai puʻuwai, a i ʻole ka puʻuwai puʻuwai, hiki paha iā ʻoe:

• Mahalo inā hiki iā ʻoe ke moe hou
• Loaʻa nā manaʻo ʻokoʻa e pili ana i ka moekolohe a i ʻole ke launa ʻana me kāu hoa

ʻAneʻane nā poʻe āpau me nā pilikia puʻuwai i kēia mau nīnau a me nā hopohopo. ʻO ka mea kōkua nui hiki iā ʻoe ke kamaʻilio me kāu poʻe lawelawe olakino, wahine, pakanā, a mau hoaaloha paha.

E hopohopo paha ʻoe a me kāu mea hāʻawi i ka wahine i ka moekolohe ʻana. Hiki i kāu mea hāʻawi ke haʻi iā ʻoe ke palekana ke moe hou.

Ma hope o ka puʻuwai puʻuwai a i ʻole ka hana naʻau:

• Loaʻa paha iā ʻoe kahi hoʻokolohua hoʻoikaika kino, e ʻike ai i ka hopena o kou puʻuwai e hoʻoikaika.
• I kekahi manawa, ma ka liʻiliʻi o 2 mau pule mua ma hope o ka puʻuwai puʻuwai, e ʻōlelo paha kāu mea hāʻawi e hōʻalo i ka moekolohe.

E ʻike pono i nā ʻōuli e hiki ke manaʻo e hana nui nei kou puʻuwai. Pākuʻi ʻia lākou:

• ʻEhaʻeha a ʻeha paha
• ʻĀlohilohi, poni, a maʻule paha
• Nusea
• Hī pilikia
• Pākuʻi kūpono ʻole a wikiwiki paha

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli i ke ao, pale i ka moekolohe a kamaʻilio pū me kāu mea hāʻawi. Inā ʻoe e ʻike i kēia mau ʻōuli i ka manawa (a i ʻole ma hope koke iho) ka moekolohe ʻana, e hoʻōki i ka hana. Kāhea i kāu mea lawelawe e kūkākūkā i kāu mau ʻōuli.

Ma hope o ka puʻuwai puʻuwai a i ʻole ka puʻuwai puʻuwai, e ʻōlelo paha kāu mea lawelawe he palekana ka moekolohe hou ʻana.

Akā hiki i kāu olakino olakino ke hoʻololi i ke ala āu e manaʻo ai a i ʻole ʻike i ka moekolohe a pili kokoke me kāu hoa. Ma waho o ka hopohopo no ka hōʻeha puʻuwai i ka wā o ka moekolohe, manaʻo paha ʻoe:

• ʻOi aku ka hoihoi i ka moekolohe ʻana a i ʻole ke pili ʻana me kāu hoa
• E like me ka wahine ka ʻoluʻolu ʻole
• Kaumaha a kaumaha paha
• Hopohopo a koʻikoʻi paha
• E like me ʻoe he kanaka ʻokoʻa i kēia manawa

Pilikia paha ka wahine i ka hoʻāla ʻana. He pilikia paha kā nā kāne i ka hana ʻana a hoʻopaʻa ʻana paha i kahi kūkulu, a i ʻole nā ​​pilikia ʻē aʻe.

Loaʻa paha i kāu hoa like nā manaʻo like āu e loaʻa nei a makaʻu paha i ka moekolohe ʻana me ʻoe.

Inā he mau nīnau a hopohopo paha kāu e pili ana i ka pili aloha, e kamaʻilio i kāu mea hāʻawi. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e ʻike i ke kumu o ka pilikia a hōʻike i nā ala e hana ai.

• ʻAʻole maʻalahi paha e kamaʻilio e pili ana i kēlā mau mea pilikino, akā aia paha kahi lāʻau e hiki ke kōkua iā ʻoe.
• Inā paʻakikī ʻoe e kamaʻilio me kāu kauka puʻuwai e pili ana i kēia mau kumuhana, e kamaʻilio me kāu mea mālama mua.

Inā kaumaha ʻoe, hopohopo, a makaʻu paha, hiki i ka lāʻau a i ʻole ke kamaʻilio ʻana ke kōkua. Hiki ke kōkua i nā papa i ka nohona, ka hoʻokele koʻikoʻi, a i ʻole ka hoʻomaʻamaʻa ʻana iā ʻoe, nā lālā o ka ʻohana, a me nā hoa.

Inā hopena ʻia ka pilikia e nā hopena ʻaoʻao o ka lāʻau āu e lawe nei, hiki ke hoʻoponopono ʻia kēlā lāʻau, hoʻololi ʻia, a i ʻole hoʻohui ʻia kahi lāʻau ʻē aʻe.

ʻO nā kāne i loaʻa ka pilikia i ka hana ʻana a mālama ʻana paha i ke kūkulu ʻana e kuhikuhi ʻia i lāʻau lapaʻau e mālama ai i kēia. Hoʻopili kēia i nā lāʻau e like me sildenafil (Viagra), vardenafil (Levitra), a me tadalafil (Cialis).

• ʻAʻole palekana nā lāʻau i luna inā ʻoe e lawe i nā lāʻau ʻē aʻe. Mai lawe iā lākou inā lawe ʻoe i ka nitroglycerin a i ʻole nā ​​nitrates. Lawe i nā ʻano ʻelua o kēia mau lāʻau i hiki ke alakaʻi i kahi hāʻule hoʻoweliweli o ke koko.
• Mai kūʻai i kēia mau lāʻau i loko o ka leka uila a i ʻole kahi kauka ʻē aʻe i ʻike ʻole i kāu mōʻaukala olakino piha. No ke kiʻi pololei ʻana, e kamaʻilio me ke kauka nāna e ʻike i kou moʻaukala olakino a me nā lāʻau āpau āu e lawe ai.

Inā loaʻa iā ʻoe nā hōʻailona hou o ka puʻuwai puʻuwai i ka wā o ka moekolohe, e hoʻōki i ka hana. Kāhea i kāu mea hāʻawi aku no ka ʻōlelo aʻoaʻo. Inā ʻaʻole e hele nā ​​ʻōuli ma waena o 5 a 10 mau minuke, e kāhea iā 911 a i ʻole ka helu kūloko kūloko.

Levine GN, Steinke EE, Bakaeen FG, et al. ʻO ka hana moekolohe a me nā maʻi maʻi puʻuwai: kahi ʻōlelo ʻepekema mai ka American Heart Association. Kaapuni. 2012; 125 (8): 1058-1072. PMID: 22267844 pubmed.ncbi.nlm.nih.gov/22267844/.

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.

Scott KM, Temme KE. Ka hana a ka wahine a me ke kīnā ʻole. I: Cifu DX, hoʻoponopono. ʻO Braddom's Physical Medicine and Rehabilitation. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 22.

Steinke EE, Jaarsma T, Barnason SA, Byrne M, et al. ʻO ka ʻōlelo aʻoaʻo moekolohe no kēlā me kēia kanaka me ka maʻi puʻuwai puʻuwai a me kā lākou mau hoa: kahi palapala ʻae mai ka American Heart Association a me ka ESC Council ma Cardiovascular Nursing and Allied Profions (CCNAP). ʻO Eur Heart J. 2013; 34 (41): 3217-3235. PMID: 23900695 pubmed.ncbi.nlm.nih.gov/23900695/.

• Maʻi hohola
• Nā maʻi puʻuwai
• ʻO ke olakino moekolohe