Nā maʻi puʻuwai a me nā wahine

ʻAʻole noʻonoʻo ka poʻe i ka maʻi puʻuwai i ka maʻi wahine. Eia nō naʻe ʻo ka maʻi maʻi ʻōpū ke alakaʻi nui loa i nā wahine ma mua o ka makahiki 25. Pepelu loa ia ma mua o ʻelua mau manawa i ka nui o nā wahine ma United States e like me nā ʻano maʻi ʻaʻai āpau.

Nui aʻe ka pilikia o nā kāne no ka maʻi puʻuwai ma mua o ke ola ma mua o nā wahine. Hoʻonui ka makaʻu wahine ma hope o ka menopause.

NA HOAILOHO O KA MAI MUA

Hiki paha i nā wahine ke loaʻa nā hōʻailona hōʻailona e nānā ʻole ʻia no nā pule a i ʻole mau makahiki ma mua o ka hōʻeha puʻuwai.

• Loaʻa pinepine nā kāne i nā hōʻailona puʻuwai puʻuwai "ʻano": paʻa i ka umauma, ʻeha lima, a me ka liʻiliʻi o ka hanu.
• Hiki i nā hōʻailona wahine ke like me nā kāne.
• Hiki i nā wahine ke namunamu no nā ʻōuli ʻē aʻe, e like me ka nausea, ka luhi, ka paupauaho, ka pīhoihoi, a me ka puʻupuʻu.

E HANA MA KA MANAWA

ʻO ka hoʻomaopopo a mālama ʻana i kahi puʻuwai puʻuwai koke e hoʻomaikaʻi i kou manawa e ola ai. Ma ka awelika, e kali ke kanaka i loaʻa i ka puʻuwai puʻuwai no 2 mau hola ma mua o ke kāhea ʻana i kahi kōkua.

E ʻike i nā hōʻailona hōʻailona a kāhea mau i ka 911 a i ʻole ka helu kūloko kūloko ma waena o 5 mau minuke o ka wā e hoʻomaka ai nā ʻōuli. Ma ka hana wikiwiki ʻana, hiki iā ʻoe ke kaohi i ka hōʻino o kou puʻuwai.

Hoʻoponopono i kāu mea hana pilikia

ʻO kahi mea weliweli kahi mea e hoʻonui i kou manawa i loaʻa i kahi maʻi a i ʻole loaʻa i kekahi ʻano olakino. Hiki iā ʻoe ke hoʻololi i kekahi mau pilikia no ka maʻi puʻuwai. ʻO nā kumu pilikia ʻē aʻe ʻaʻole hiki iā ʻoe ke loli.

Pono nā wahine e hana pū me kā lākou kahu mālama ola e hoʻoponopono ai i nā pilikia pilikia hiki iā lākou ke loli.

• E hoʻohana i nā ana nohona e mālama i kāu pae kolesterol i ka pae kūpono. Kūlike nā pahuhopu no nā pae kolesterol, kaukaʻi ʻia i kāu mau pilikia. E noi i kāu mea nāna e hāʻawi i nā pahuhopu i ʻoi aku ka pono iā ʻoe.
• E mālama i kou kaomi koko i kahi pae olakino. E hilinaʻi kou pae kiʻekiʻe o ke koko e pili ana i kāu mau pilikia. Kūkākūkā i kāu kaomi koko i hoʻoholo ʻia me kāu mea hāʻawi.

ʻAʻole hoʻohana hou ʻia ka Estrogen i mea e pale ai i ka maʻi puʻuwai i nā wahine o nā makahiki. Hiki i ka Estrogen ke hoʻonui i ka makaʻu no ka maʻi puʻuwai i nā wahine makua. Eia nō naʻe, hoʻohana ʻia ia no kekahi mau wahine e mālama i nā aniani wela a i ʻole nā ​​pilikia olakino ʻē aʻe.

• ʻOi aku paha ka palekana o ka hoʻohana Estrogen no nā wahine ma lalo o ka makahiki 60.
• E hoʻohana ʻia ia no ka wā pōkole loa o ka manawa.
• ʻO nā wahine i loaʻa ka haʻahaʻa i ka maʻi ahulau, maʻi puʻuwai, ke koko koko, a i ʻole ka maʻi ʻaʻai umauma e pono ke lawe i ka estrogen.

Hiki i kekahi mau wahine (ʻoi aku ka poʻe me ka maʻi puʻuwai) ke lawe i kahi aspirin haʻahaʻa haʻahaʻa i kēlā me kēia lā e kōkua i ka pale ʻana i nā puʻuwai puʻuwai. E aʻo ʻia kekahi mau wahine e lawe i ka aspirin haʻahaʻa me ka haʻahaʻa e pale i ka maʻi ahulau. Hiki i ka Aspirin ke hoʻonui i ka makaʻu no ke kahe ʻana o ke koko, no laila e nānā me kāu mea lawelawe ma mua o ka hoʻomaka ʻana i ka mālama aspirin i kēlā me kēia lā.

E OLA ANA I KE OLA OLA

ʻO kekahi o nā kumu pilikia no ka maʻi puʻuwai e HIKI iā ʻoe ke hoʻololi:

• Mai puhi a hoʻohana paka paha.
• E hoʻonui i ka hoʻoikaika kino. ʻO nā wahine e pono ana e lilo i ka paona a mālama i ko lākou kaumaha pono e loaʻa ma kahi o 60 a 90 mau minuke o ka hoʻoikaika kino waena i nā lā he nui. No ka mālama ʻana i kou olakino, e kiʻi ma ka liʻiliʻi he 30 mau minuke hoʻoikaika kino i ka lā, ʻoi aku ma kahi o 5 mau lā o ka pule.
• Mālama i kahi kaupaona olakino. Pono nā wahine e hoʻoikaika i ka papa kuhikuhi kino (BMI) ma waena o 18.5 a me 24.9 a me kahi pūhaka i ʻoi aku ma mua o 35 ʻīniha (90 cm).
• E nānā a mālama ʻia no ke kaumaha, inā pono.
• Hiki i nā wahine me ke kiʻekiʻe o ke kolesterol a i ʻole nā ​​pae triglyceride ke kōkua mai ka omega-3 fatty acid supplement.

Inā inu ʻoe i ka ʻalekohola, e kaupalena iā ʻoe iho ma mua o hoʻokahi inu i kēlā me kēia lā. Mai inu wale no ka pale ʻana i kou puʻuwai.

He mea nui ka meaʻai maikaʻi i kou olakino puʻuwai, a he mea kōkua ia e kaohi i kekahi o kāu pilikia maʻi maʻi puʻuwai.

• ʻAi i kahi papaʻai i waiwai i nā huaʻai, nā mea kanu, a me nā hua piha.
• Koho i nā protein protein, e like me ka moa, ka iʻa, ka pīni, a me nā legume.
• ʻAi i nā mea hana waiū momona momona, e like me ka waiū skim a me ka yogurt momona momona.
• Hōʻalo i ka sodium (paʻakai) a me nā momona i loaʻa i nā meaʻai palai, nā meaʻai i hana ʻia, a me nā mea i hoʻomoʻa ʻia.
• ʻAi liʻiliʻi i nā huahana holoholona i piha ka tī, ka kirima, a i ʻole nā ​​hua manu.
• E heluhelu i nā lepili, a haʻalele i ka "momona momona" a me nā mea i loaʻa ka ʻāpana hapa-hydrogenated a i ʻole nā ​​"momona hydrogenated". ʻOi aku ka kiʻekiʻe o kēia mau huahana i nā momona momona.

CAD - wahine; ʻO ka maʻi ahulau coronary - nā wahine

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Acute MI
• Papaʻai olakino

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 Gulati M, Bairey Merz CN. ʻO ka maʻi Cardiovascular i nā wahine. 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 89.

Hodis HN, Mack WJ, Henderson VW, et al; Pūʻulu noiʻi ELITE. Nā hopena vascular o ka wanaʻao me ka hopena o ka lāʻau postmenopausal me ka estradiol. N Engl J Med. 2016; 374 (13): 1221-1231. PMID: 27028912 pubmed.ncbi.nlm.nih.gov/27028912/.

Meschia JF, Bushnell C, Boden-Albala B, et al; ʻAha ʻAha ʻAha ʻAmelika Hui Pū ʻIa; ʻAha Kūkā ma ka hanai maʻi Cardiovascular a me ka hahau; ʻAha Kūkā ma ka Cardiology Clinical; Ka ʻaha kūkā ma nā genomics a me ka biology translational; ʻAha Kūkākūkā Nā ʻōkuhi no ka pale mua ʻana i ka hahau: kahi ʻōlelo no ka poʻe ʻoihana ola kino mai ka American Heart Association / American Stroke Association. Hahau. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.

Mosca L, Benjamin EJ, Berra K, et al. Nā alakaʻi e pili ana i ka hopena e pono ai ka pale ʻana i ka maʻi maʻi ʻōpū i nā wahine - 2011 hōʻano hou: Kahi alakaʻi mai ka American Heart Association. Kaapuni. 2011; 123 (11): 1243-1262. PMID: 21325087 pubmed.ncbi.nlm.nih.gov/21325087/.

ʻO Ridker PM, Libby P, Buring JE. ʻO nā māka hōʻailona a me ka pale mua ʻana i ka maʻi maʻi maʻi maʻi. 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 45.

Smith SC Jr, Benjamin EJ, Bonow RO, et al. ʻO AHA / ACCF ka pale ʻelua a me ka hoʻōla hōʻemi pilikia no nā mea maʻi me ka coronary a me nā maʻi atherosclerotic vascular maʻi hou: 2011 update: kahi papa kuhikuhi mai ka American Heart Association a me ka American College of Cardiology Foundation i kākoʻo ʻia e ka World Heart Federation a me ka Preventive Cardiovascular Nurses Association. ʻO J Am Coll Cardiol. 2011; 58 (23): 2432-2446. PMID: 22055990 pubmed.ncbi.nlm.nih.gov/22055990/.

ʻO ka NAMS Hormone Therapy Position Statement Advisory Panel. ʻO ka ʻōlelo 2017 kūlana hoʻōla therapy o The North American Menopause Society. Menopause. 2017; 24 (7): 728-753. PMID: 28650869 pubmed.ncbi.nlm.nih.gov/28650869/.