Nā lawelawe naʻau a me nā vaskular

ʻO ke kino o ke kino, a i ʻole ke kahe o ke kahe, i hana ʻia e ka puʻuwai, ke koko, a me nā kīʻaha koko (nā aʻa a me nā uaua).

ʻO nā lawelawe naʻau a me nā vascular e pili ana i ka lālā o ka lāʻau e kia ana i ka ʻōnaehana cardiovascular.

ʻO ka hana nui a ka puʻuwai e pīpī i ke koko momona o ka oxygen i ke kino ma hope o ka pauma ʻana i ke koko-maikaʻi ʻole i nā māmā. Hana maʻamau kēia i kēia 60 a 100 mau manawa i ka minuke, 24 mau hola i ka lā.

Hana ʻia ka puʻuwai i ʻehā keʻena.

• Loaʻa i ke atrium kūpono ke koko o ka oxygen-maikaʻi ʻole mai ke kino. E kahe ana kēlā koko i loko o ka ventricle ʻākau, nāna e paipu iā ia i nā ake māmā.
• Loaʻa i ke atrium hema ke koko waiwai o oxygen mai nā akemāmā. Mai laila aku, kahe ke koko i ka ventricle hema, ka mea e pīpī i ke koko mai ka puʻuwai a i ke koena o ke kino.

Hoʻohui ʻia, kapa ʻia nā aʻa a me nā veins me ke ʻōnaehana vascular. Ma ka laulā, lawe nā aʻa i ke koko mai ka puʻuwai a lawe nā veins i ke koko i ka puʻuwai.

Hāʻawi ka ʻōnaehana cardiovascular i ka oxygen, nā meaola, nā homone, a me nā mea nui ʻē aʻe i nā hunaola a me nā mea i loko o ke kino. He mea nui ia i ke kōkua ʻana i ke kino e kū i nā koi o ka hana, hoʻoikaika kino, a me ke koʻikoʻi. Mālama pū kekahi ia i ka mahana o ke kino, i waena o nā mea ʻē aʻe.

KA Lapaʻau CARDIOVASCULAR

ʻO ka lāʻau Cardiovascular e pili ana i ka lālā o ka mālama olakino e loea i ka mālama ʻana i nā maʻi a i ʻole nā ​​kūlana e pili ana i ka naʻau a me nā ʻōnaehana.

ʻO nā maʻi maʻamau e:

• Aneurysm aorta ʻōpū
• Nā hemahema puʻuwai Congenital
• ʻO ka maʻi o ke aʻa coronary, me angina a me ka puʻuwai puʻuwai
• Hewa puʻuwai
• Nā pilikia o ka puʻuwai puʻuwai
• ʻO ke koko kiʻekiʻe a me ka kiʻekiʻe o ke kō
• Nā ritme puʻuwai ʻole kaulike (arrhythmia)
• ʻO ka maʻi peripheral artery (PAD)
• Hahau

ʻO nā kauka e pili ana i ka mālama ʻana i nā maʻi o ke kaʻi a me nā maʻi vascular pū kekahi:

• Cardiologists - Nā kauka i loaʻa i ka hoʻomaʻamaʻa hou aʻe i ka mālama ʻana i nā maʻi puʻuwai a me nā vaskular
• ʻO nā kauka lāʻau - Nā kauka i loaʻa i ka hoʻomaʻamaʻa hou aʻe i ke kīʻaha koko
• ʻO nā kauka Cardiac - Nā kauka i loaʻa i ka hoʻomaʻamaʻa hou aʻe i ka ʻoki pili i ka naʻau
• Nā kauka mālama mua

ʻO nā mea lawelawe olakino ʻē aʻe i pili i ka mālama ʻana i nā maʻi o ke kahe a me nā maʻi vaskular pū kekahi:

• Nā kahu hana kahu maʻi (NPs) a i ʻole nā ​​mea kōkua kauka (PA), ka mea e kia ana ma nā puʻuwai a me nā maʻi vaskular
• Nutristists a i ʻole nā ​​dietitians
• Nā kahu maʻi i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā maʻi me kēia mau maʻi

Hiki ke hana ʻia nā hoʻokolohua kiʻi ʻana e ʻike pono ai, nānā a mālama ʻana i nā maʻi o ka ʻōnaehana sirkula a me nā ʻōiwi.

• Cardiac CT
• Cardiac MRI
• Angiography Coronary
• CT angiography (CTA) a me ka angiography resonance magnet (MRA)
• ʻEchocardiogram
• Ka scan PET o ka puʻuwai
• Nā hoʻāʻo koʻikoʻi (nui nā ʻano o nā hoʻāʻo koʻikoʻi i loaʻa)
• ʻO ke ultrasound vascular, e like me ultrasound carotid
• ʻO Venasound ultrasound o nā lima a me nā wāwae

NĀ HULA ME NĀ HUAKAI

Hiki ke hana i nā kaʻina hana hoʻowahāwahā liʻiliʻi e hōʻoia, nānā a mālama i nā maʻi o ka puʻuwai a me ka ʻōnaehana vaskular.

I ka hapa nui o kēia mau ʻano kaʻina hana, hoʻokomo ʻia kahi catheter ma o ka ʻili i loko o kahi kīʻaha koko nui. I ka hapanui o nā hihia, ʻaʻole pono ia ʻano hana i ka anesthesia ākea. ʻAʻole pono ka poʻe maʻi e noho pinepine i ka haukapila i ka pō. Ola lākou i 1 i 3 mau lā a hiki ke hoʻi pinepine i kā lākou mau hana maʻamau i loko o hoʻokahi pule.

Pēlā nā kaʻina hana:

• ʻO Ablapi therapy e mālama i nā arrhythmia cardiac
• Angiogram (e hoʻohana ana i nā kukuna x a injected ke kala ʻokoʻa e loiloi i nā kīʻaha koko)
• Angioplasty (e hoʻohana ana i kahi baluna liʻiliʻi e wehe i kahi ākea i loko o kahi kīʻaha koko) me ka ʻole o kahi kau stent
• Kāleka Cardiac (ana i nā kaomi i loko a puni o ka puʻuwai)

Pono paha ka ʻoki puʻuwai e mālama i kekahi pilikia o ka puʻuwai a i ʻole ke koko. Hoʻopili paha kēia:

• Ke kuʻi puʻuwai
• Ka hoʻokomo o nā pacemakers a i ʻole defibrillators
• Wehe a hoʻohaʻahaʻa minimally invasive artery bypass ʻoki kino
• Hoʻoponopono a hoʻololi paha i nā kiwikā o ka puʻuwai
• ʻOki lāʻau lapaʻau o nā congenital puʻuwai kīnā

ʻO ke kīʻaha vascular e pili ana i nā kaʻina hana i hoʻohana ʻia e mālama a ʻike pono paha i nā pilikia i loko o kahi kīʻaha koko, e like me ka blockage a haki paha. Pēlā nā kaʻina hana:

• Nā grafts bypass Arterial
• KahunaHale
• Hoʻoponopono i nā aneurysms (hoʻonui / hoʻonui i nā ʻāpana) o ke aorta a me nā lālā

Hiki ke hoʻohana ʻia nā kaʻina hana e mālama i nā aʻa e hoʻolako i ka lolo, nā puʻupaʻa, nā ʻōpū, nā lima a me nā wāwae.

KA PALAPALA ANA I KA CARDIOVASCULAR AND REHABILITATION

Hoʻohana ʻia ka Cardiac rehabilitation i mea e pale ai i nā maʻi puʻuwai mai ka ʻino. Paipai pinepine ʻia ma hope o nā hanana pili i ka puʻuwai nui e like me ka puʻuwai puʻuwai a i ʻole ka ʻoki ʻana i ka puʻuwai. Pākuʻi ʻia paha:

• Nā hōʻike loiloi kamepiula Cardiovascular
• ʻO nā loiloi olakino a me nā hōʻike olakino
• ʻO ke olakino a me nā ʻōlelo aʻo e pili ana i ka nohona, me ke kuhi ʻana i ka paka a me ka aʻo diabetes
• Hoʻomaʻamaʻa mālama

ʻŌnaehana Kaapuni; ʻŌnaehana Vascular; ʻŌnaehana Cardiovascular

E hele iā MR, Starr JE, Satiani B. Hoʻomohala a me ka hana ʻana o nā kikowaena puʻuwai puʻuwai multispecialty. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 197.

Mills NL, Japp AG, Robson J. ʻO ka ʻōnaehana cardiovascular. I: Innes JA, Dover A, Fairhurst K, eds. ʻO kā Macleod's Clinical Examination. 14th ed. Piladelapia, PA: Elsevier Churchill Livingstone; 2018: chap 4.