Syndrome coronary huehue

ʻO ka huʻi coronary syndrome kahi manawa no kahi hui o nā kūlana i kū koke a hōʻemi paha i ke koko mai ke kahe ʻana i ka puʻuwai puʻuwai. Ke hiki ʻole i ke koko ke kahe i ka puʻuwai puʻuwai, hiki i ka puʻuwai puʻuwai ke lilo i mea ʻino. ʻO ka hōʻeha puʻuwai a me ka angina kūpaʻa ʻole he ʻelua syndromes coronary (ACS).

Hiki i kahi mea momona i kapa ʻia ke pālolo ke kūkulu i loko o nā aʻa e lawe mai i ke koko momona i kou puʻuwai. Hana ʻia ka plaque i ka kolesterol, momona, nā hunaola, a me nā mea ʻē aʻe.

Hiki i ka plaque ke pale i ke kahe o ke koko i ʻelua ala:

• Hiki iā ia ke hoʻoliʻiliʻi i ke aʻa i ka manawa o ka manawa i hiki ke ālai ʻia e hiki ai i nā ʻōuli.
• Haehae koke ka pālolo a hoʻopuni ke koko iā ia a puni, ʻikiʻī loa a pale paha i ke aʻa.

Nui nā kumu pilikia no ka maʻi puʻuwai e alakaʻi i kahi ACS.

ʻO ka hōʻailona maʻamau o ACS ka ʻeha o ka umauma. Hiki koke mai ka ʻeha o ka umauma, hele mai a hele, a i ʻole ʻinoʻino me ka hoʻomaha. Hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū me:

• ʻO kaʻeha ma ka poʻohiwi, ka lima, ka ʻāʻī, ka iwi ʻā, ke kua, a i ʻole ka ʻōpū
• Hōʻoluʻolu ʻole e like me ka ʻūikiʻi, kaomi ʻana, ka ʻūlū ʻana, ke puhi ʻana, a me ke ʻeha ʻana
• Hōʻoluʻolu ʻole i ka hoʻomaha a ʻaʻole hele maʻalahi ke lawe ʻoe i ka lāʻau
• Pokole o ka hanu
• Hopohopo
• Nusea
• Hoʻoulu
• Huʻihuʻi a uila paha
• ʻO ke kuʻi puʻuwai wikiwiki a i ʻole kaulike

ʻIke pinepine nā wahine a me nā poʻe mākua i kēia mau ʻōuli ʻē aʻe, ʻoiai ʻo ka ʻeha o ka umauma ka mea maʻamau no lākou pū kekahi.

E hana ana kāu mea mālama ola i kahi hōʻike, hoʻolohe i kou umauma me kahi stethoscope, a nīnau e pili ana i kāu mōʻaukala.

ʻO nā hoʻāʻo no ACS:

• Electrocardiogram (ECG) - He ECG ka manawa maʻa mau loa e hoʻāʻo ai kāu kauka. Ana ia i ka hana uila o kou puʻuwai. I ka wā o ka hoʻāʻo, loaʻa iā ʻoe nā pads liʻiliʻi i hoʻopaʻa ʻia i kou umauma a me nā wahi ʻē aʻe o kou kino.
• Hōʻike koko - Ke kōkua nei kekahi mau ho'āʻo koko e hōʻike i ke kumu o ka ʻeha o ka umauma a ʻike inā aia ʻoe i kahi makaʻu nui no ka hōʻeha puʻuwai. Hiki i kahi hōʻike koko troponin ke hōʻike inā ua hōʻino ʻia nā hunaola i loko o kou puʻuwai. Hiki i kēia hōʻoia ke hōʻoia iā ʻoe ke kuʻi puʻuwai nei.
• Echocardiogram - hoʻohana kēia hōʻike i nā nalu kani e nānā i kou puʻuwai. Hōʻike ia inā ua hōʻino ʻia kou puʻuwai a hiki ke ʻike i kekahi ʻano o nā pilikia puʻuwai.

E hana koke ʻia ka angiography coronary a i ʻole ke kūpaʻa ʻoe. Kēia hōʻike:

• Hoʻohana i kahi kala a me nā kukuna kūikawā e ʻike ai i ke kahe ʻana o ke koko ma loko o kou puʻuwai
• Hiki iā ia ke kōkua i kāu mea lawelawe e hoʻoholo i nā ʻano maʻi āu e pono ai ma hope

Nā hoʻokolohua ʻē aʻe e nānā i kou puʻuwai e hana ʻia ʻoiai ʻoe ma ka haukapila e komo pū.

• Hōʻike hoʻohaʻahaʻa hoʻoikaika kino
• Hōʻike hoʻāʻo nuklear
• ʻ .lelo echocardiography koʻikoʻi

Hiki i kāu mea hāʻawi ke hoʻohana i nā lāʻau, ʻoki kino, a i ʻole nā ​​kaʻina hana ʻē aʻe e mālama i kāu mau hōʻailona a hoʻihoʻi i ke kahe o ke koko i kou puʻuwai. Pili kāu mālama i kāu kūlana a me ka nui o ka paʻa i kāu aʻa. Loaʻa i kāu mālama ʻana:

• Lapaʻau - Hāʻawi paha kāu mea hāʻawi iā ʻoe i hoʻokahi a ʻoi paha mau ʻano lāʻau, e like me ka aspirin, beta blockers, statins, nā mea lahilahi o ke koko, nā lāʻau hoʻoheheʻe ʻana o ka lāʻau, nā mea hoʻonāuki ʻo Angiotensin e hoʻohuli ana i ka ʻenemika (ACE), a i ʻole nitroglycerin. Hiki i kēia mau lāʻau ke kōkua i ka pale ʻana a haki paha i kahi kīʻaha koko, mālama i ke koko kiʻekiʻe a i ʻole angina, hoʻomaha i ka ʻeha o ka umauma, a hoʻokūpaʻa i kou puʻuwai.
• Angioplasty - wehe kēia hana i ke aʻa paʻa i ka hoʻohana ʻana i ka paipu lōʻihi a lahilahi i kapa ʻia he catheter. Hoʻokomo ʻia ka paipu i loko o ke aʻa a hoʻokomo ka mea hoʻolako i kahi pāluna deflated liʻiliʻi. Hoʻonui ʻia ka pāluna i loko o ke aʻa e wehe. E hoʻokomo paha kāu kauka i kahi paipu uea, i kapa ʻia he stent, e hāmama ai ke aʻa.
• ʻOki kino Bypass - Kēia ke ʻoki kino e kuhikuhi i ke koko a puni ke aʻa i ālai ʻia.

Pehea kāu maikaʻi ma hope o ka hilinaʻi ʻana o ACS i:

• Pehea kou wikiwiki e mālama ʻia ai
• Ka helu o nā aʻa i ālai ʻia a pehea ka maikaʻi ʻole o ka paʻa ʻana
• Inā paha ua hōʻino ʻia kou puʻuwai, a me ka nui a me kahi o ka pōʻino, a me kahi o ka pōʻino

Ma ka laulā, ʻo ka wikiwiki o kou aʻa i ka wehe ʻia, ʻo ka liʻiliʻi o ka hōʻino āu i kou puʻuwai. Hana maikaʻi ka poʻe i ka wā ke wehe ʻia ka aʻa i ālai ʻia i loko o kekahi mau hola mai ka hoʻomaka ʻana o nā ʻōuli.

I kekahi mau hihia, hiki i ka ACS ke alakaʻi i nā pilikia olakino ʻē aʻe e like me:

• Nā ritme naʻau maʻamau
• Make
• Maʻi hohola
• Hewa ka puʻuwai, i hiki ke hiki ʻole i ka puʻuwai ke pauma i ke koko
• ʻO ka haki ʻana o kahi ʻāpana o ka puʻuwai puʻuwai e hana ai i ka tamponade a i ʻole ke kahe nui o ka pā
• Hahau

ʻO kahi ACS kahi pilikia olakino. Inā loaʻa iā ʻoe nā hōʻailona, ​​kāhea koke iā 911 a i kāu helu kūloko kūloko paha.

MAI:

• E hoʻāʻo e hoʻokele iā ʻoe iho i ka haukapila.
• WAIT - Inā loaʻa ʻoe i kahi puʻuwai puʻuwai, makaʻu ʻoe i ka makaʻu nui loa no ka make koke i nā hola mua.

Nui nā mea hiki iā ʻoe ke hana e pale aku iā ACS.

• ʻAi i kahi papaʻai olakino puʻuwai. Loaʻa ka nui o nā huaʻai, nā mea ʻai, nā kīʻaha holoʻokoʻa, a me nāʻiʻo momona. E hoʻāʻo e kaupalena i nā meaʻai kiʻekiʻe i ka kolesterol a me nā momona momona, no ka mea ʻo ka nui loa o kēia mau mea i hiki ke hoʻopili i kāu mau aʻa.
• E kiʻi i ka hoʻoikaika kino. AIM e kiʻi ma ka liʻiliʻi he 30 mau minuke o ka hoʻomeamea hoʻoikaika kino i nā lā he nui o ka pule.
• Lilo i ke kaupaona, inā ʻoi aku kou kaumaha.
• E haʻalele i ka puhi pua ʻana. Hiki i ka puhipaka ke hoʻopōʻino i kou puʻuwai. E noi i kāu kauka inā makemake ʻoe i ke kōkua e haʻalele.
• E kiʻi i nā loiloi olakino pale. Pono ʻoe e ʻike i kāu kauka no ka hoʻomaʻamaʻa ʻana i ka cholesterol a me ke kahe o ke koko a aʻo pehea e mālama ai i kāu helu.
• Hoʻoponopono i nā kūlana olakino, e like me ke kiʻekiʻe o ke koko, ke kiʻekiʻe o ke kōkō, a i ʻole ka maʻi kō.

Puʻuwai puʻuwai - ACS; Infarction Myocardial - ACS; MI - ACS; Acute MI - ACS; Infarction myocardial kiʻekiʻe ST - ACS; Infarction myocardial non-kiʻekiʻe - ACS; Angina kūpaʻa ʻole - ACS; ʻO ka wikiwiki o ka angina - ACS; Angina - kūpaʻa-ACS; Angina holomua

Amsterdam EA, Wenger NK, Brindis RG, a me al. 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka ʻole ST-kiʻekiʻe kiʻekiʻe syndromes coronary: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force ma nā Kumu Alakaʻi. ʻO J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Bohula EA, ʻApōpō DA. Infarction myocardial ST-kiʻekiʻe: hoʻokele. 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 59.

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC alakaʻi ma ka mālama ʻana i ka nohona e hoʻoliʻiliʻi i ka pilikia o ka maʻi puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2014; 129 (25 Hōʻuluʻulu 2): S76-S99. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

Giugliano RP, Braunwald E. Non-ST kiʻekiʻe a me nā syndrome coronary. 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 60.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka infarction myocardial ST-kiʻekiʻe: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force ma nā Kumu Alakaʻi. Kaapuni. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

Scirica BM, Libby P, Morrow DA. Infarction myocardial ST-kiʻekiʻe: pathophysiology a me ka hoʻomohala 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 58.

Smith SC Jr, Benjamin EJ, Bonow RO, et al. ʻO AHA / ACCF ka pale ʻelua a me ka hoʻōla hōʻemi hōʻemi no nā mea maʻi me ka coronary a me nā maʻi atherosclerotic vascular maʻi hou: 2011 update: kahi alakaʻi mai ka American Heart Association a me ka American College of Cardiology Foundation. Kaapuni. 2011; 124 (22): 2458-2473. PMID: 22052934 pubmed.ncbi.nlm.nih.gov/22052934/.