Maʻi maʻi coronary

ʻO ka maʻi puʻuwai Coronary kahi mea liʻiliʻi o nā kīʻaha koko e hāʻawi i ke koko a me ka oxygen i ka puʻuwai. ʻO ka maʻi puʻuwai Coronary (CHD) kahi i kapa ʻia ʻo coronary artery disease.

ʻO CHD ke kumu nui o ka make ma United States no nā kāne a me nā wahine.

Hoʻokumu ʻia ʻo CHD e ke kūkulu ʻia ʻana o nā pā i nā aʻa i kou puʻuwai. Kāhea ʻia paha kēia he paʻakikī o nā aʻa.

• Hoʻokumu nā mea momona a me nā mea ʻē aʻe i kahi plake buildup ma nā paia o kāu mau aʻa coronary. Lawe ke aʻa coronary i ke koko a me ka oxygen i kou puʻuwai.
• Kuhi kēia kūkulu i nā aʻa o ke kuʻikuʻi.
• ʻO ka hopena, hiki i ke kahe o ke koko i ka puʻuwai ke hoʻolohi a kū paha.

ʻO kahi kumu pilikia no ka maʻi puʻuwai kahi mea e hoʻonui i kou manawa e loaʻa ai. ʻAʻole hiki iā ʻoe ke hoʻololi i kekahi mau pilikia no ka maʻi puʻuwai, akā hiki iā ʻoe ke hoʻololi i nā poʻe ʻē aʻe.

I kekahi mau hihia, ʻike nui ʻia nā ʻōuli. Akā, hiki iā ʻoe ke loaʻa i ka maʻi a ʻaʻohe ou ʻōuli. ʻOi aku ka ʻoiaʻiʻo o kēia i nā wā mua o ka maʻi puʻuwai.

ʻO ka ʻeha o ka umauma a hōʻoluʻolu ʻole (angina) ka hōʻailona maʻamau. ʻIke ʻoe i kēia ʻeha ke loaʻa ʻole ke koko a me ka oxygen i ka puʻuwai. ʻOkoʻa paha ka ʻeha mai kekahi kanaka a i kekahi.

• ʻIke paha he kaumaha a i ʻole e like me ke kīkē ʻana o kekahi i kou puʻuwai. ʻIke paha ʻoe iā ia ma lalo o kou iwi umauma (sternum). Hoʻomaopopo paha ʻoe iā ia i kou ʻāʻī, lima, ʻōpū, a i luna hoʻi.
• Kū pinepine ka ʻeha me ka hana a me ka naʻau. Hele aku ia me ka maha a i ʻole ka lāʻau i kapa ʻia ʻo nitroglycerin.
• ʻO nā ʻōuli ʻē aʻe e pili ana i ka hanu a me ka luhi me ka hana (hoʻoikaika).

Loaʻa i kekahi poʻe nā ʻōuli ʻē aʻe ma mua o ka ʻeha o ka umauma, e like me:

• Ka luhi
• Pokole o ka hanu
• Nāwaliwali laulā

E nānā kāu mea mālama ola iā ʻoe. Pono ʻoe ma mua o hoʻokahi hōʻike ma mua o ka loaʻa ʻana o kahi hōʻailona.

Hiki i nā hoʻāʻo e loiloi iā CHD ke:

• Angonography coronary - kahi hoʻāʻo invasive e loiloi i nā aʻa puʻuwai ma lalo o x-ray.
• Hōʻike hoʻāʻo Echocardiogram.
• Electrocardiogram (ECG).
• Hoʻopili ʻia ka electrography-beam tomography (EBCT) e nānā no ka calcium i ka uhi o nā aʻa. ʻO ka nui o ka calcium, ʻo ke kiʻekiʻe kou manawa kūpono no CHD.
• Hōʻike hoʻohaʻahaʻa hoʻoikaika kino.
• Scanner CT Heart.
• Hōʻike hoʻāʻo nuklear.

Nonoi ʻia ʻoe e lawe i hoʻokahi a ʻoi paha nā lāʻau e mālama ai i ke koko, ka maʻi kō, a i ʻole nā ​​kiʻekiʻe o ke kō. E hāhai pono i nā kuhikuhi a kāu mea hāʻawi e pale aku ai iā CHD mai ka ʻino ʻana.

Nā Pahuhopu no ka mālama ʻana i kēia mau ʻano i ka poʻe i loaʻa iā CHD:

• ʻO ka pahuhopu kahe o ke koko e hoʻohana pinepine ʻia no ka poʻe me ka maʻi puʻuwai ma lalo o 130/80, akā e ʻōlelo paha kāu mea hāʻawi i kahi pahuhopu koko ʻokoʻa.
• Inā loaʻa ʻoe i ka maʻi diabetes, e nānā ʻia kāu pae HbA1c a lawe ʻia i lalo i ka pae a kāu mea e hāʻawi ai.
• E hoʻohaʻahaʻa ʻia kāu pae LDL kolokolo me nā lāʻau statin.

Pili ka mālama ʻana i kāu mau ʻōuli a me ke ʻano o ka maʻi. E ʻike ʻoe e pili ana i:

• ʻO nā lāʻau ʻē aʻe i hoʻohana ʻia e mālama i ka angina.
• He aha e hana ai inā ʻeha kou umauma.
• Ke hana nei inā loaʻa ka maʻi puʻuwai.
• ʻO ka ʻai ʻana i ka papaʻai olakino puʻuwai.

Mai hōʻoki i ka lawe ʻana i kāu lāʻau i ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi. ʻO ka kū ʻana i nā lāʻau i ka puʻuwai hiki ke hōʻeha loa i kāu angina a i ʻole ke kumu o ka hōʻeha puʻuwai.

E kuhikuhi ʻia ʻoe i kahi polokalamu hoʻoponopono naʻau e kōkua i ka hoʻomaikaʻi ʻana i kou olakino puʻuwai.

Nā hana a me nā ʻoki lāʻau i hoʻohana ʻia e mālama iā CHD e komo pū me:

• Hoʻokomo ʻia ka angioplasty a me ka stent, i kapa ʻia ʻo interutan coronary percutaneous (PCI)
• ʻOki kino by Coronary artery bypass
• ʻOki kino puʻuwai minimally invasive

Ola ʻokoʻa nā kānaka āpau. Hiki i kekahi poʻe ke noho olakino ma o ka loli ʻana i kā lākou papaʻai, ka hoʻōki ʻana i ka puhipaka, a me ka lawe ʻana i kā lākou lāʻau e like me ke kauoha. Pono paha i kekahi poʻe i nā hana olakino e like me ka angioplasty a i ʻole ke ʻoki ʻana.

Ma ka laulaha, ʻike pinepine ʻia ka CHD e alakaʻi i kahi hopena ʻoi aku ka maikaʻi.

Inā loaʻa iā ʻoe kekahi mau pilikia no CHD, e kamaʻilio me kāu mea hoʻolako e pili ana i ka pale ʻana a me nā hana e hiki ai ke mālama.

Kāhea i kāu mea lawelawe, kāhea i ka helu kūloko kūloko (e like me 911), a i ʻole e hele koke i ka lumi pilikia inā loaʻa iā ʻoe:

• ʻO Angina a ʻehaʻeha paha
• Pokole o ka hanu
• Nā ʻōuli o ka puʻuwai puʻuwai

E hana i kēia mau hana e pale ai i ka maʻi puʻuwai.

• Inā puhi ʻoe, kū. Nui nā kumuwaiwai i loaʻa e kōkua iā ʻoe e hōʻoki i ka puhipaka.
• E aʻo pehea e ʻai ai i ka papaʻai olakino puʻuwai e ka hoʻololi ʻana i nā mea maʻalahi. ʻO kahi laʻana, koho i nā momona momona o ka puʻuwai ma mua o ka waiūpaka a me nā momona momona ʻē aʻe.
• E kiʻi i ka hoʻoikaika kino, kūpono ma ka liʻiliʻi he 30 mau minuke i nā lā he nui. Inā loaʻa ʻoe i ka maʻi puʻuwai, e kamaʻilio me kāu mea hoʻolako e pili ana i ka hoʻomaka ʻana i kahi papa hoʻoikaika.
• Mālama i ke kaupaona kino olakino.
• Hoʻoiho i ke kiʻekiʻe o ke kolesterol me nā loli nohona, a inā pono, nā lāʻau statin.
• E hoʻohaʻahaʻa i ke koko kiʻekiʻe e hoʻohana ana i ka papaʻai a me nā lāʻau.
• E kamaʻilio me kāu mea hāʻawi e pili ana i ka aspirin therapy.
• Inā he maʻi diabetes ʻoe, mālama maikaʻi ʻia ia e kōkua ai i ka pale ʻana i ka puʻuwai a me ka hahau.

ʻOiai inā he maʻi puʻuwai kou, e kōkua ana i kēia hana i ka pale ʻana i kou puʻuwai a pale i ka hōʻino hou ʻana.

Maʻi puʻuwai, maʻi puʻuwai Coronary, Coronary artery disease; Maʻi maʻi naʻau Arteriosclerotic; CHD; CAD

• Ma hope o ke kaupaona kaumaha-lilo - he aha e nīnau aku ai i kāu kauka
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ma mua o ke kaupaona ʻana o ke kaupaona - he aha kāu e noi aku ai i kāu kauka
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• ʻOki kino kik Gastric - hoʻokuʻu
• ʻOki kino bypass - hoʻokuʻu
• ʻOki kino bypass Heart - minimally invasive - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - nā wai a me nā diuretics
• Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home
• Hoʻomaʻamaʻa i ka puʻuwai - hoʻokuʻu
• Pehea e heluhelu ai i nā lepili ʻai
• Imibrable cardioverter defibrillator - hoʻokuʻu
• Hoʻopaʻa ʻōpū Laparoscopic - hoʻokuʻu
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Nā aʻa puʻuwai mua
• Nā aʻa puʻuwai posterior
• Acute MI
• Nā mea hana Cholesterol

Arnett DK, Blumenthal RS, Albert MA, et al. ʻO 2019 ACC / AHA kulekele e pili ana i ka pale mua i nā maʻi maʻi maʻi maʻi. Kaapuni. 2019 [Epub ma mua o ka paʻi] PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

Boden WE. Angina pectoris a me ka maʻi puʻuwai ischemic paʻa. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 62.

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. Kaapuni. 2014; 130 (19): 1749-1767.PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

ʻO Marks AR. Cardiac a me ka holo ʻana o ka hana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 47.

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: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 61.

Whelton PK, Carey RM, Aronow WS, et al. ʻO 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Kuhi no ke Kāohi, ʻIke, loiloi, a me ka mālama ʻana i ke kiʻekiʻe o ke koko kiʻekiʻe i nā mākua Pūʻulu Hana ʻAhahui Puʻuwai e pili ana i nā ʻōkuhi hoʻomaʻamaʻa lapaʻau. [Paʻi ʻia ka hoʻoponopono ma J Am Coll Cardiol. 2018; 71 (19): 2275-2279]. ʻO J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.