He aha ka maʻi Corteryary Artery?

Anter

• Nā kumu o ka maʻi ahulau coronary
• Nā ʻōuli o CAD
• Nā ʻōuli o CAD no nā wahine
• Nā kumu pilikia no CAD
• Nānā iā CAD
• He aha ka lāʻau no CAD?
• He aha ka manaʻo no CAD?

Hōʻike Overview

Hoʻokumu ka maʻi o ke aʻa maʻi (CAD) i ke kahe o ke koko i nā aʻa e hāʻawi i ke koko i ka puʻuwai. Kāhea ʻia hoʻi ka maʻi puʻuwai coronary (CHD), ʻo CAD ka ʻano maʻamau o ka maʻi puʻuwai a pili i ka 16.5 miliona mau ʻAmelika ma mua o 20 mau makahiki.

ʻO ia nō hoʻi ke kumu nui o ka make no nā kāne a me nā wahine ma United States. Ua manaʻo ʻia i kēlā me kēia 40 kekona, ua hōʻeha ka puʻuwai o kekahi ma ʻAmelika Hui Pū ʻIa.

Hiki i kahi puʻuwai puʻuwai ke hele mai mai CAD kāohi ʻole ʻia.

Nā kumu o ka maʻi ahulau coronary

ʻO ke kumu maʻamau o ka CAD ka ʻeha vascular me ka hoʻoulu ʻia o ka plake kolesterol i loko o nā aʻa, i kapa ʻia ʻo atherosclerosis. Hiki ke kahe o ke kahe o ke kahe ke lilo i hapa a i ʻole paʻa loa o hoʻokahi o kēia mau aʻa.

Aia nā aʻa nui coronary ʻehā ma ka papa o ka puʻuwai.

• ʻāpana kalaunu nui ʻākau
• ʻāpana coronary nui hema
• ʻalalā hema hema
• ʻāpana hoʻohaʻahaʻa iho o mua

Lawe kēia mau aʻa i ka oxygen a me ke koko momona i kou puʻuwai. ʻO kou puʻuwai kahi mākala ke kuleana no ka pīpī ʻana i ke koko ma loko o kou kino. Wahi a ka Cleveland Clinic, neʻe kahi puʻuwai olakino ma kahi o 3,000 galani o ke koko ma waena o kou kino i kēlā me kēia lā.

E like me nā mea ʻoniʻoni ʻē aʻe a i ʻole nā ​​mākala, pono i kou puʻuwai e loaʻa kahi lawa kūpono o ka hilinaʻi o ke koko i mea e hoʻokō ai i kāna hana. Hiki i ke kahe o ke kahe o ke koko ke hana i nā ʻōuli o CAD.

ʻO nā kumu ʻino ʻē aʻe o ka hōʻino a i ʻole ka paʻa ʻana i ke aʻa coronary e kaupalena ʻia i ke kahe o ke koko i ka puʻuwai.

Nā ʻōuli o CAD

Ke lawa ʻole ka puʻuwai arterial o kou puʻuwai, ʻike paha ʻoe i nā ʻōuli like ʻole. ʻO Angina (hōʻoluʻolu umauma) ka hōʻailona maʻamau o CAD. Hōʻike kekahi poʻe i kēia hōʻoluʻolu penei:

• ʻeha ka umauma
• kaumaha
• ʻākiki
• lapalapa ʻana
• kaomi ʻana

Hiki ke kuhihewa ʻia kēia mau ʻōuli no ka ʻehaʻeha o ka puʻuwai a i ʻole ka palaka.

ʻO nā ʻōuli ʻē aʻe o CAD ka:

• ʻeha ma nā lima a me nā poʻohiwi
• pokole o ka hanu
• ka houʻu ʻana
• ʻūpā

Hiki paha iā ʻoe ke ʻike i nā hōʻailona hou aʻe ke kaohi ʻia kāu kahe o ke koko. Inā ʻokiʻoki kahi ālai i ke kahe o ke koko a kokoke a kokoke paha, e hoʻomaka ka make o kou puʻuwai puʻuwai inā ʻaʻole i hoʻihoʻi ʻia. He puʻuwai puʻuwai kēia.

Mai nānā ʻole i kekahi o kēia mau ʻōuli, keu hoʻi inā he excruciating a i ʻole ʻoi aku ka lōʻihi ma mua o ʻelima mau minuke. Pono ka lāʻau lapaʻau koke.

Nā ʻōuli o CAD no nā wahine

Hiki paha i nā wahine ke ʻike i nā ʻōuli i luna, akā ʻoi aku paha ka loaʻa iā lākou:

• nausea
• ka luaʻi
• ʻeha kua
• ʻeha ka ʻāʻī
• ka hanu ʻana me ka ʻole o ka ʻeha o ka umauma

Loaʻa ka nui o ka makaʻu o nā kāne i ka hoʻomohala ʻana i nā maʻi puʻuwai ma mua o nā wahine premenopausal. ʻO nā wahine Postmenopausal i ka makahiki 70 i ka like o ka makaʻu me nā kāne.

Ma muli o ka hoʻemi ʻia o ke kahe o ke koko, hiki i kou puʻuwai ke:

• lilo i nāwaliwali
• hoʻomohala i nā puʻuwai puʻuwai abnormal (arrhythmia) a i ʻole nā ​​helu
• ʻaʻole e pauma i ke koko e like me ka makemake o kou kino

E ʻike kāu kauka i kēia mau maʻi kīnā ʻole o ka puʻuwai i ka wā o ka diagnostics.

Nā kumu pilikia no CAD

Ma ka hoʻomaopopo ʻana i nā kumuhana pilikia no ka CAD hiki ke kōkua me kāu hoʻolālā e pale a hoʻēmi paha i ka likelike o ka hoʻomohala ʻana i ka maʻi.

ʻO nā kumu pilikia me:

• kahe koko kiʻekiʻe
• pae kiʻekiʻe o ke koko
• puhipaka
• ke kūpaʻa o ka insulin / hyperglycemia / diabetes mellitus
• momona
• hana ole
• mau ʻano ʻai maikaʻi ʻole
• pāʻālua hiamoe ʻaʻano
• kaumaha kaumaha
• inu lama loa
• moʻolelo o preeclampsia i ka wā hāpai

Hoʻonui pū ka makaʻu no CAD me ka makahiki. Ma muli o ka makahiki wale nō ma ke ʻano he kūlana pilikia, ʻoi aku ka nui o ka makaʻu o nā kāne no ka maʻi e hoʻomaka ana i ka makahiki 45 a ʻoi aku ka nui o ka makaʻu o nā wahine e hoʻomaka ana i ka makahiki 55. ʻOi aku ka kiʻekiʻe o ka pilikia no ka maʻi o ke aʻa coronary inā loaʻa iā ʻoe ka moʻolelo ʻohana o ka maʻi. .

Nānā iā CAD

Pono ka diagnostics CAD i kahi loiloi o kāu mōʻaukala olakino, kahi hoʻokolokolo kino, a me nā hoʻokolohua olakino ʻē aʻe. Aia kēia mau hoʻāʻo:

• Uila uila: Mālama kēia ho'āʻo i nā hōʻailona uila e hele ma waena o kou puʻuwai. Hiki ke kōkua i kāu kauka e hoʻoholo inā loaʻa paha ʻoe i kahi puʻuwai puʻuwai.
• ʻEchocardiogram: Hoʻohana kēia ho'āʻo kiʻi ʻana i nā nalu ultrasound e hana i kiʻi o kou puʻuwai. Hōʻike nā hopena o kēia hōʻike inā e hana pono nei kekahi mau mea i kou puʻuwai.
• Hōʻaʻo koʻikoʻi: Ana kēia hōʻike kikoʻī i ke koʻikoʻi ma luna o kou puʻuwai i ka hoʻoikaika kino ʻana a i ka wā hoʻomaha. Nānā ka hoʻokolohua i ka hana uila o kou puʻuwai ʻoiai ʻoe e hele wāwae ana ma ka papa hehi wāwae a i ʻole holo i ke keke kaʻa. Hana ʻia paha ke kiʻi nukelea no kahi ʻāpana o kēia hōʻike. No ka poʻe hiki ʻole ke hana i ka hoʻoikaika kino, hiki ke hoʻohana ʻia kekahi mau lāʻau no ka hoʻāʻo ʻana o ke koʻikoʻi.
• Kāleka Cardiac (catheterization puʻuwai hema): I loko o kēia kaʻina hana, injhes kāu kauka i kahi kala make i loko o kāu aʻa coronary ma o kahi catheter i hoʻokomo ʻia ma o ke aʻa i loko o kou aʻa a lima paha. Kōkua ka wai kala i ka hoʻomaikaʻi ʻana i ke kiʻi paʻi paʻi o kou aʻa coronary e ʻike ai i nā ālai.
• Scanner CT Heart: Hiki paha i kāu kauka ke hoʻohana i kēia hōʻike kiʻi e nānā ai no ka waiho ʻana o ka calcium i loko o kāu aʻa.

He aha ka lāʻau no CAD?

He mea nui e hōʻemi a kāohi paha i kāu mau pilikia a ʻimi i ka lāʻau e hoʻohaʻahaʻa ai i ka manawa o ka puʻuwai a i ʻole ka hahau ʻana, inā ʻike ʻia ʻoe me CAD. Pili pū ka mālama ʻana i kāu kūlana olakino o kēia manawa, nā pilikia weliweli, a me ke olakino holoʻokoʻa. ʻO kahi laʻana, hiki i kāu kauka ke kauoha i ka lāʻau lapaʻau e mālama ai i ke kiʻekiʻe o ke kōkō a i ʻole ke koko kiʻekiʻe, a i ʻole e loaʻa iā ʻoe ka lāʻau e kaohi i ke kō kō inā loaʻa ʻoe i ka maʻi diabetes.

Hiki i nā loli nohona ke hoʻoliʻiliʻi i kāu makaʻu i ka maʻi puʻuwai a me ka hahau. O kahi laʻana:

• haʻalele i ka paka ʻana
• hoʻemi a hōʻoki paha i kāu inu ʻana i ka wai ʻona
• hoʻoikaika kino mau
• lilo kaupaona i kahi pae olakino
• ʻai i ka papaʻai olakino (haʻahaʻa i ka momona, haʻahaʻa i ka sodium)

Inā hoʻomaikaʻi ʻole kou kūlana me nā loli nohona a me nā lāʻau, hiki i kāu kauka ke koi i kahi hana e hoʻonui i ke kahe o ke koko i kou puʻuwai. ʻO kēia mau kaʻina hana:

• balloon angioplasty: e hoʻonui i nā aʻa i ālai ʻia a hoʻomaʻemaʻe i ka plake buildup, hana mau ʻia me ka hoʻokomo ʻana i kahi stent e kōkua i ka wehe ʻana o ka lumen ma hope o ke kaʻina hana.
• ʻoki kino by coronary artery bypass graft: e hoʻihoʻi i ke kahe o ke koko i ka puʻuwai ma ke kīʻaha umauma hāmama
• hoʻomaikaʻi kūwaho counterpulsation: e hoʻoulu ai i ke kūkulu ʻia ʻana o nā kīʻaha koko liʻiliʻi e kāpae kūlohelohe i nā aʻa paʻa i kahi kaʻina noninvasive

He aha ka manaʻo no CAD?

ʻOkoʻa ka nānā o kēlā me kēia kanaka no CAD. Loaʻa iā ʻoe nā manawa ʻoi aku ka maikaʻi o ka pale ʻana i ka nui o ka hōʻino o kou puʻuwai ma mua o ka hiki iā ʻoe ke hoʻomaka i kāu mālama ʻana a i ʻole hoʻokō i nā loli nohona.

He mea nui e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka. Lawe i nā lāʻau e like me ke kuhikuhi a hoʻololi i ka nohona i manaʻo ʻia. Inā loaʻa iā ʻoe kahi makaʻu kiʻekiʻe no CAD, hiki iā ʻoe ke kōkua i ka pale ʻana i ka maʻi ma ka hōʻemi ʻana i kāu mau kumu pilikia.