Noho me ka maʻi puʻuwai a me ka angina

ʻO ka maʻi puʻuwai Coronary (CHD) kahi mea liʻiliʻi o nā kīʻaha koko liʻiliʻi e hāʻawi i ke koko a me ka oxygen i ka puʻuwai. ʻO Angina ka ʻeha o ka umauma a me ka hōʻoluʻolu ʻole e hana pinepine ʻia ke hana ʻoe i kekahi mau hana a i ʻole kaumaha. Kūkākūkā kēia ʻatikala i ka mea hiki iā ʻoe ke hana e mālama i ka ʻeha o ka umauma a hoʻemi i kāu mau pilikia no ka maʻi puʻuwai.

ʻO CHD kahi liʻiliʻi o nā kīʻaha koko e hāʻawi i ke koko a me ka oxygen i ka puʻuwai.

ʻO Angina ka ʻeha o ka umauma a me ka hōʻoluʻolu ʻole e hana pinepine ʻia ke hana ʻoe i kekahi mau hana a i ʻole kaumaha. Hoʻokumu ʻia ia e ke kahe koko maikaʻi ʻole ma o nā kīʻaha koko o ka puʻuwai puʻuwai.

Inā loaʻa ʻoe i ke kiʻekiʻe o ke koko, diabetes, a i ʻole ke kiʻekiʻe o ka cholesterol, e ʻōlelo paha kāu mea mālama ola iā ʻoe e:

• Mālama pinepine i kou kaomi koko i 130/80. ʻOi aku ka maikaʻi o ka haʻahaʻa inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi ʻōpū, hahau, a i ʻole nā ​​pilikia puʻuwai, akā hāʻawi ka mea hāʻawi iā ʻoe i kāu mau pahuhopu kikoʻī.
• E lawe i nā lāʻau e hōʻemi ai i kāu kolesterol.
• Mālama i kāu HbA1c a me ke kō kō i nā pae i manaʻo ʻia.

ʻO kekahi mau kumu pilikia no ka maʻi puʻuwai ʻo:

• Ka inu lama. Inā inu ʻoe, kau palena iā ʻoe iho ma mua o 1 inu i ka lā no nā wahine, a i ʻole 2 i kēlā me kēia lā no nā kāne.
• Ola olakino. E nānā a mālama ʻia no ke kaumaha, inā pono.
• Hoʻoikaika kino. E kiʻi i ka nui o ka hoʻoikaika kino aerobic, e like me ka hele wāwae, ʻauʻau, a kaʻa paikikala paha, ma ka liʻiliʻi 40 mau minuke i ka lā, ma ka liʻiliʻi 3 a 4 mau lā o ka pule.
• Puhipaka. Mai puhi paka a hoʻohana paka paha.
• Kaumaha. E hōʻalo a hōʻemi paha i ke koʻikoʻi ma mua o ka hiki.
• Kaumaha. Mālama i kahi kaupaona olakino. E hooikaika no ka papa kuhikuhi nui o ke kino (BMI) ma waena o 18.5 a me 24.9 a me kahi pūhaka i ʻoi aku ma mua o 35 ʻīniha (90 kenimika).

He mea nui ka meaʻai maikaʻi i kou olakino puʻuwai. E kōkua nā hana ʻai olakino iā ʻoe e kaohi i kekahi o kāu mau pilikia no ka maʻi puʻuwai.

• ʻAi i nā huaʻai, nā mea kanu, a me nā mea kanu.
• Koho i nā protein momona, e like me ka moa ʻili ʻole, iʻa, a me nā pī.
• ʻAi i nā huahana waiū momona ʻole a momona hoʻi, e like me ka waiū skim a me ka yogurt momona momona.
• Hōʻalo i nā meaʻai i loaʻa nā pae kiʻekiʻe o ka sodium (paʻakai).
• Heluhelu i nā lepili ʻai. Hōʻalo i nā meaʻai i loaʻa ka momona momona a hapa hapa hydrogenated a i ʻole hydrogenated momona. ʻO kēia nā momona momona ʻole i ʻike pinepine ʻia i nā meaʻai palai, nā meaʻai i hana ʻia, a me nā mea i hoʻomoʻa ʻia.
• ʻAi i nā meaʻai liʻiliʻi i loaʻa ka tī, ka kirima, a i ʻole nā ​​hua manu.

Kauoha paha kāu mea hāʻawi i ka lāʻau e mālama ai iā CHD, ke koko kiʻekiʻe, ka maʻi kō, a i ʻole nā ​​kiʻekiʻe o ke kolesterol. Pākuʻi ʻia kēia mau mea:

• Nā mea kāohi ACE
• Nā poloka beta
• Nā poloka ʻauana kalipuna
• Diuretics (wai huaale)
• ʻO nā Statins e hoʻohaʻahaʻa i ka cholesterol
• Nā huaale Nitroglycerin a i ʻole ka ʻehu e pale a pale ai paha i kahi hōʻeha angina

I mea e hōʻemi ai i ka hopena o ka puʻuwai puʻuwai, e ʻōlelo ʻia paha ʻoe e lawe i ka aspirin, clopidogrel (Plavix), ticagrelor (Brilinta) a i ʻole prasugrel (Effient) i kēlā me kēia lā. E hāhai pono i nā kuhikuhi a kāu mea lawelawe e mālama i ka maʻi puʻuwai a me ka angina mai ka maikaʻi ʻole.

E kamaʻilio mau i kāu mea hoʻolako ma mua o kou kū ʻana i ka lawe ʻana i kekahi o kāu lāʻau. Ke kū nei i kēia mau lāʻau a hoʻololi paha i kāu kau lāʻau hiki ke hōʻino i kāu angina a i ʻole ke kumu o ka hōʻeha puʻuwai.

E hana i kahi hoʻolālā me kāu mea hoʻolako no ka mālama ʻana i kāu angina. Pono e hoʻopili i kāu hoʻolālā:

• He aha nā hana kūpono iā ʻoe e hana ai, a ʻo nā mea maikaʻi ʻole
• He aha nā lāʻau e pono ai ʻoe e ʻai ke loaʻa iā angina
• He aha nā hōʻailona e ʻoi aku ana ka ʻino o kāu angina
• Ke hea ʻoe i kāu mea hāʻawi a i ʻole 911 a i ʻole ka helu kūloko kūloko

E ʻike i ka mea hiki ke hōʻeha i kāu angina, a hoʻāʻo e hōʻalo i kēia mau mea. ʻO kahi laʻana, ʻike kekahi poʻe i ke anuanu, hoʻoikaika kino, ʻai ʻana i nā pāʻina nui, a i ʻole ke huhū a koʻikoʻi paha e hoʻomāhuahua i ko lākou angina.

Maʻi maʻi aʻa coronary - noho me; CAD - noho pū me; ʻEha ʻeha - noho pū me

• Papaʻai olakino

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: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

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. ʻO J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

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.

ʻO Mozaffarian D. Nutrite a me nā maʻi maʻi maʻi a me nā maʻi ʻino. 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; 2018: chap 49.

Stone NJ, Robinson JG, Lichtenstein AH, a me al. 2013 ACC / AHA kulekele e pili ana i ka mālama ʻana i ke kōpaʻa o ke koko e hōʻemi i ka pilikia o ka maʻi atherosclerotic i ka poʻe mākua: 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): 2889-2934. PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

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
• ʻO ka maʻi ʻaʻa Coronary