ʻEha ʻeha

ʻO kaʻeha o ka umauma he ʻoluʻolu a ʻeha paha āu e ʻike ai ma kahi o ke alo o kou kino ma waena o kou ʻāʻī a me kou ʻōpū luna.

Nui ka poʻe me ka ʻeha o ka umauma e makaʻu i ka puʻuwai puʻuwai. Eia nō naʻe, nui nā kumu kūpono o ka ʻeha o ka umauma. ʻAʻole weliweli kekahi mau kumu i kou olakino, ʻoiai nā kumu ʻē aʻe he koʻikoʻi a, i kekahi mau hihia, hoʻoweliweli i ke ola.

Hiki i nā ʻōpala a i ʻole nāʻaʻaʻa i loko o kou umauma ke kumu o ka ʻeha, e like me kou puʻuwai, māmā, esophagus, nā mākala, nā iwi ʻaoʻao, nā aʻa, a me nā aʻa. E pāhola paha ka ʻeha i ka umauma mai ka ʻāʻī, ʻōpū, a me ke kua.

Nā pilikia o ka naʻau a i ʻole ke kīʻaha koko i hiki ke hōʻeha i ka umauma.

• Angina a hōʻeha puʻuwai paha. ʻO ka hōʻailona maʻamau ka ʻeha o ka umauma i manaʻo ʻia e like me ke kīkiʻi, kaomi nui, kaomi ʻana, a i ʻole ka ʻehaʻeha ʻana. E pāhola paha ka ʻeha i ka lima, ka poʻohiwi, ka iwi ā, a i ʻole ke kua.
• ʻO kahi waimaka i ka paia o ka aorta, ke kīʻaha koko nui e lawe i ke koko mai ka puʻuwai a i ke koena o ke kino (dissort aortic) ke kumu o ka ʻehaʻeha o ka umauma a me ke kua i luna.
• ʻO ka pehu (pulu) i loko o ka ʻeke e hoʻopuni ana i ka puʻuwai (pericarditis) ke kumu o ka ʻeha ma ka ʻaoʻao waena o ka umauma.

Nā pilikia o ka lepa i hiki ke hōʻeha i ka umauma.

• Kahi koko i loko o ka hū (pulmonary embolism).
• Uha o ka hāhā (pneumothorax).
• Hoʻokumu ʻo Poniaonia i ka ʻeha o ka umauma ʻoi aku ka maikaʻi a keu i ka hanu ʻana a i ʻole ka huehue.
• ʻO ka pehu ʻana o ka lining a puni ka hakahaka (pleurisy) hiki ke hana i ka ʻeha o ka umauma me he mea ʻoi loa, a ʻoi aku ka maikaʻi o ka wā ke hanu nui ʻoe a i ʻole ka huehue.

Nā kumu ʻē aʻe o ka ʻeha o ka umauma:

• Hoʻoweliweli weliweli, kahi e hana pinepine ʻia me ka hanu wikiwiki.
• Hoʻopilikia kahi e hui ai nā iwi ʻaoʻao i ka iwi umauma a i ʻole sternum (costochondritis).
• ʻO ka shingles, ka mea e koi ai i ka ʻeha a ʻeha hoʻi ma kekahi ʻaoʻao e kīloi ana mai ka umauma a i ka hope, a he kumu no ka ʻāwīwī.
• ʻO ke kanana o nā mākala a me nā olonā ma waena o nā iwi ʻaoʻao.

Hiki pū ʻia ka ʻeha o ka umauma ma muli o nā pilikia ʻōnaehana digestive aʻe:

• Spasms a iiki paha o ka esophagus (ka paipu e lawe i ka meaʻai mai ka waha a ka ʻōpū)
• Hoʻokumu ʻo Gallstones i ka ʻeha e ʻoi aku ka maikaʻi ma hope o ka pāʻina ʻana (ka manawa pinepine i ka ʻai momona).
• ʻO Heartburn a i ʻole reflux gastroesophageal (GERD)
• ʻO ka ulcer ʻōpū a gastritis paha: Puni ka ʻeha inā hakahaka kou ʻōpū a ʻoi aku kou manaʻo ke ʻai ʻoe i ka meaʻai

I nā keiki, ʻaʻole ka nui o ka ʻeha o ka umauma e ka puʻuwai.

No ka hapa nui o ka ʻeha o ka umauma, ʻoi aku ka maikaʻi e nānā me kāu kauka olakino ma mua o ka mālama ʻana iā ʻoe iho ma ka home.

Kāhea iā 911 a i ʻole ka helu kūloko kūloko inā:

• Loaʻa iā ʻoe ka haki ʻana, kaomi ʻana, ka paʻa ʻana, a i ʻole kaomi ʻana i kou umauma.
• Pālahalaha kaʻeha (hoʻomālamalama) i kou ā, ʻāpana hema, a i ʻole ma waena o kou mau poʻohiwi.
• Loaʻa ka pualu, lōlō, sweating, puʻuwai heihei, a i ʻole ka liʻiliʻi o ka hanu.
• ʻIke ʻoe he angina ʻoe a ʻoi aku ka nui o ka huhū o kou umauma, lawe ʻia e ka hana māmā, a ʻoi aku ka lōʻihi ma mua o ka maʻamau.
• Hana ʻia kāu ʻōuli angina ʻoiai ʻoe e hoʻomaha ana.
• Loaʻa iā ʻoe ka ʻeha o ka umauma me ka ʻeha o ka hanu, keu hoʻi ma hope o kahi huakaʻi lōʻihi, kahi moe o kahi moe (e laʻa me ka hana ma hope), a i ʻole ka ʻole o ka neʻe ʻana, keu hoʻi inā pehu kekahi wāwae a pehu paha ma mua o kekahi. hiki i kēia ke kōkuʻu koko, ua neʻe kekahi o nā mea i nā ake māmā).
• Ua hōʻoia ʻia ʻoe me kahi kūlana koʻikoʻi, e like me ka hōʻeha puʻuwai a i ʻole embolism pulmonary.

ʻOi aku kou makaʻu o ka puʻuwai puʻuwai inā:

• He moʻolelo ʻohana kāu no ka maʻi puʻuwai.
• Puhi ʻoe, hoʻohana i ka cocaine, a i ʻole ke kaumaha nui.
• He kolesterol kiʻekiʻe kou, ke koko kiʻekiʻe, a diabetes.
• He maʻi puʻuwai kou.

Kāhea i kāu mea hāʻawi inā:

• He kuni kou a he puʻu paha e hua ai i ka phlegm melemele-ʻōmaʻomaʻo.
• Loaʻa iā ʻoe ka ʻeha o ka umauma ke koʻikoʻi a ʻaʻole hele.
• Ke pilikia nei ʻoe i ka ale ʻana.
• ʻOi aku ka lōʻihi o ka ʻeha o ka umauma ma mua o 3 a 5 mau lā.

E nīnau paha kāu mea hāʻawi i nā nīnau e like me:

• ʻO kaʻeha ma waena o nā poʻohiwi poʻohiwi? Ma lalo o ka iwi umauma? Hoʻololi ka ʻeha i kahi? Ma ka ʻaoʻao wale nō?
• Pehea ʻoe e wehewehe ai i ka ʻeha? (koʻikoʻi, haehae a haehae, ʻoi, ʻāʻā, puhi, ʻūlū, paʻa, pēpē-like, ʻānai, ʻeha, ʻūʻū, kaumaha)
• Hoʻomaka koke paha ia? Hana ʻia ka ʻeha i ka manawa like i kēlā me kēia lā?
• Maikaʻi a ʻeha paha kaʻeha ke hele ʻoe a hoʻololi paha i nā kūlana?
• Hiki iā ʻoe ke hana i ka ʻeha ma ke kaomi ʻana i kahi ʻāpana o kou umauma?
• Ke hele nei a ʻeha ka ʻeha? Pehea ka lōʻihi o ke kaumaha?
• Hele ka ʻeha mai kou umauma i kou poʻohiwi, lima, ʻāʻī, ʻāʻī, a i ʻole hoʻi?
• ʻOi aku kaʻeha ke hanu nui ʻoe, ka huehue, ʻai ʻana a i ʻole ke kūlou ʻana?
• ʻOi aku kaʻeha ke hana ʻoe? ʻOi aku ka maikaʻi ma hope o kou hoʻomaha? Hele loa aku paha ia, a i ʻole he ʻemi ʻemi wale nō?
• ʻOi aku ka ʻeha ma hope o kou lawe ʻana i ka lāʻau nitroglycerin? Ma hope o kou ʻai ʻana a i ʻole lawe i nā antacids? Ma hope o kou kāʻei?
• He aha nā hōʻailona ʻē aʻe āu?

Pili nā ʻano o nā hoʻokolohua i ke kumu o ka ʻeha, a he aha nā pilikia olakino ʻē aʻe a i ʻole nā ​​mea ʻino e loaʻa iā ʻoe.

Paʻa paʻa o ka umauma; Puʻe ka poli; Hōʻoluʻolu o ka umauma

• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Ke hana nei ma hope o ka hōʻeha o kou puʻuwai

• Nā hōʻailona hōʻeha puʻuwai
• ʻEha a me ka puʻuwai puʻuwai

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ʻO MP MPaca, Sabatine MS. Hele i ka mea maʻi me ka ʻeha o ka umauma. 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 56.

ʻO Brown JE. ʻEha ʻeha. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 23.

ʻO Goldman L. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi maʻi maʻi maʻi hiki. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 45.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka infarction myocardial ST-kiʻekiʻe: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force ma nā Kumu Alakaʻi. ʻO J Am Coll Cardiol. 2013; 61 (4): e78-e140. PMID: 23256914 pubmed.ncbi.nlm.nih.gov/23256914/.