Hōʻike hoʻohaʻahaʻa hoʻoikaika kino

Hoʻohana ʻia kahi hoʻokolohua hoʻoluhi hoʻoikaika kino e ana i ka hopena o ka hoʻoikaika kino i kou puʻuwai.

Hana ʻia kēia hōʻike ma kahi keʻena olakino a i ʻole ke keʻena lawelawe olakino.

E hoʻonoho ka mea loea i 10 mau pālahalaha, nā palapū i kapa ʻia he mau electrodes ma kou umauma. Hoʻopili kēia mau pākuʻi i kahi nānā ECG e ukali i ka hana uila o kou puʻuwai i ka wā o ka hoʻokolohua.

E hele wāwae ʻoe ma luna o kahi papa hehi wāwae a i ʻole hehi wāwae ma ke keke uila. Lohi (e pili ana i kēlā me kēia 3 mau minuke), e noi ʻia ʻoe e hele wāwae (a hehi wāwae paha) me ka wikiwiki a ma ka piʻo a i ʻole ke kūpaʻa hou aku. He like ia me ka hele wikiwiki a jogging paha i kahi puʻu.

ʻOiai ʻoe e hoʻoikaika kino, ana ʻia ka hana o kou puʻuwai me ka electrocardiogram (ECG). Lawe ʻia hoʻi kāu heluhelu kaomi koko.

Hoʻomau ka hōʻike a hiki i:

• Hiki ʻoe i kahi helu naʻau pahu hopu.
• Hoʻokumu ʻoe i ka ʻeha o ka umauma a i ʻole kahi loli i kou kaomi koko e pili ana.
• Hōʻike nā loli ECG i ka loaʻa ʻole o ka oxygen i kou puʻuwai puʻuwai.
• Ua luhi loa ʻoe a i ʻole loaʻa nā hōʻailona ʻē aʻe, e like me ka ʻeha o ka wāwae, i pale ai iā ʻoe mai ka hoʻomau ʻana.

Nānā ʻia ʻoe no 10 a 15 mau minuke ma hope o ka hoʻoikaika kino ʻana, a i ʻole a hoʻi ka helu o kou puʻuwai i ka laina maʻamau. ʻO ka manawa holoʻokoʻa o ka hoʻāʻo ma kahi o 60 mau minuke.

E komo i nā kāmaʻa ʻoluʻolu a me nā lole leʻaleʻa e ʻae iā ʻoe e hoʻoikaika kino.

E noi i kāu mea hāʻawi inā pono ʻoe e lawe i kekahi o kāu lāʻau maʻamau i ka lā o ka hoʻokolohua. Hoʻopilikia paha kekahi mau lāʻau i nā hopena hōʻike. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu kauka.

E haʻi i kāu kauka inā lawe ʻoe i sildenafil citrate (Viagra), tadalafil (Cialis), a i ʻole vardenafil (Levitra) a ua lawe i kahi lāʻau i loko o 24 a 48 mau hola i hala.

ʻAʻole pono ʻoe e ʻai, puhipaka, a inu ʻole i nā mea inu i loaʻa ka caffeine a i ʻole ka waiʻona no 3 mau hola (a ʻoi paha) ma mua o ka hoʻāʻo. I ka hapanui o nā hihia, noi ʻia ʻoe e pale i ka caffeine no 24 mau hola ma mua o ka hoʻāʻo. Pākuʻi ʻia kēia:

• Kī a me kope
• ʻO nā soda āpau, ʻo nā mea i kapa ʻia me ka ʻole o ka caffeine
• Nā kokoleka
• ʻO kekahi mau mea ʻeha ʻeha i loaʻa ka caffeine

E kau ʻia nā electrodes (conductive patches) ma kou umauma e hoʻopaʻa i ka hana a ka puʻuwai. ʻO ka hoʻomākaukau ʻana o nā pūnaewele uila i kou umauma e hana paha i kahi nahenahe a ʻeha paha.

E hoʻonui ʻia ke kuʻi koko ma kou lima i kēlā me kēia minuke. Hoʻopuka kēia i kahi ʻona puʻupuʻu e manaʻo paʻa paha. E lawe ʻia nā ana o ka helu o ka helu o ka naʻau a me ke kahe o ke koko ma mua o ka hoʻomaka ʻana o ka hoʻoikaika kino.

E hoʻomaka ʻoe i ka hele wāwae ʻana ma luna o kahi papa hehi wāwae a i ʻole ka hehi wāwae ʻana i ke paikikala paʻa. E hoʻonui mālie i ka wikiwiki a me ka lalani o ka treadmill (a i ʻole ke kūpale pae ʻana.

I kekahi manawa, ʻike ka poʻe i kekahi o kēia mau hōʻailona ma ka hoʻāʻo.

• Hōʻoluʻolu o ka umauma
• Puʻupuʻu
• Palpitations
• Pokole o ka hanu

Nā kumu e hana ʻia ai kahi hoʻāʻo koʻikoʻi koʻikoʻi me:

• Ke loaʻa nei iā ʻoe ka ʻeha o ka umauma (e nānā no ka maʻi o ke aʻa coronary, hoʻoliʻiliʻi o nā aʻa e hānai i ka mākala puʻuwai).
• Ke hele nei a ʻoi aku ka ʻino o kāu angina a i ʻole pinepine pinepine paha.
• Ua loaʻa ʻoe i ka puʻuwai puʻuwai.
• Ua loaʻa iā ʻoe kahi angioplasty a i ʻole ka puʻuwai holo by heart.
• E hoʻomaka ana ʻoe i kahi papahana hoʻoikaika kino a loaʻa ʻoe i ka maʻi puʻuwai a i ʻole kekahi mau mea weliweli, e like me ka maʻi kō.
• E ʻike i nā loli o ka puʻuwai puʻuwai e hiki ke hana ʻia i ka wā hoʻoikaika kino.
• No ka hoʻāʻo hou ʻana no ka pilikia o ka puʻuwai puʻuwai (e like me ka valves aortic a i ʻole stenosis mitral valve).

Aia paha he mau kumu ʻē aʻe e noi ai kāu mea hāʻawi i kēia hōʻike.

ʻO ka hoʻāʻo maʻamau e hōʻike pinepine ʻia ua hiki iā ʻoe ke hoʻoikaika kino inā lōʻihi a ʻoi aku paha ma mua o ka hapa nui o ka poʻe o kāu makahiki a me ka moekolohe. ʻAʻole nō ʻoe i loaʻa nā hōʻailona a pili paha i nā loli i ke kaomi koko a i ʻole kāu ECG.

Aia ke ʻano o kāu hopena hopena ma ke kumu o ka hoʻāʻo, kou makahiki, a me kou mōʻaukala o ka puʻuwai a me nā pilikia olakino ʻē aʻe.

He paʻakikī paha e wehewehe i nā hopena o kahi hoʻowalewale wale nō i nā poʻe.

Nā hopena kūpono ʻole ma muli o:

• Nā ritme naʻau maʻamau i ka hoʻoikaika kino
• Nā loli i kāu ECG i mea paha he blockage i loko o nā aʻa e hāʻawi i kou puʻuwai (coronary artery disease)

Ke loaʻa iā ʻoe kahi hoʻokolohua koʻikoʻi koʻikoʻi hoʻoikaika kino, loaʻa paha iā ʻoe nā hoʻokolohua ʻē aʻe i kau puʻuwai e like me:

• ʻO ka catheterization Cardiac
• Hōʻike hoʻāʻo nuklear
• ʻ .lelo echocardiography koʻikoʻi

Palekana ʻo ka hoʻāʻo koʻikoʻi. Loaʻa paha i kekahi poʻe ka ʻeha o ka umauma a maʻule paha a hina paha. Kākaʻikahi ka puʻuwai puʻuwai a i ʻole ka weliweli puʻuwai irregular heart.

ʻO ka poʻe i loaʻa pinepine i nā pilikia e ʻike pinepine ʻia e like me nā pilikia puʻuwai, no laila ʻaʻole lākou e hāʻawi ʻia i kēia hōʻike.

Hoʻoikaika ECG; ECG - hana hoʻoikaika kino; EKG - hana hoʻoikaika kino; Stress ECG; Electrocardiography hoʻoikaika kino; Hōʻaʻo koʻikoʻi - hoʻoikaika kino; CAD - mīkini hūlili; Maʻi maʻi ʻaʻai Coronary - treadmill; ʻEha o ka umauma - treadmill; Angina - treadmill; Maʻi maʻi puʻuwai - treadmill

ʻO Balady GJ, Morise AP. ʻO ka hoʻāʻo uila electrocardiographic. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli MD, Braunwald E, nā hua. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 13.

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/.

Goff DC Jr, Lloyd-Jones DM, Bennett G, et al; Ke Kulanui o Cardiology / ʻAmelika Hui Pū ʻIa ʻAmelika Hui Pū ʻIa Hana ma nā Kūlana Kūpono. 2013 ACC / AHA Kuhi Ma ke ʻano o ka loiloi ʻana i ka pilikia o ka maʻi ʻaʻa puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kuhikuhi hana. ʻO J Am Coll Cardiol. 2014; 63 (25 Pt B): 2935-2959. PMID: 24239921 pubmed.ncbi.nlm.nih.gov/24239921/.

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.