Maʻi maʻi puʻuwai

Anter

• Nānā no

Hoʻokahi i loko o ʻehā mau wahine ʻAmelika i make i ka maʻi puʻuwai i kēlā me kēia makahiki. I ka 2004, ʻaneʻane 60 pākēneka mau wahine i make i ka maʻi maʻi maʻi (maʻi puʻuwai a me ka hahau ʻana) ma mua o nā maʻi maʻi āpau i hui pū ʻia. Eia ka mea e pono ai ʻoe e ʻike i kēia manawa e pale i nā pilikia ma hope.

He aha ia

ʻO ka maʻi puʻuwai kekahi mau pilikia e pili ana i ka puʻuwai a me nā kīʻaha koko i loko o ka puʻuwai. Nā ʻano o nā maʻi puʻuwai e komo pū me:

• Maʻi maʻi ʻaʻai Coronary (CAD) ʻo ia ka ʻano maʻamau a ʻo ia ke kumu nui o ka hōʻeha puʻuwai. Ke loaʻa iā ʻoe ka CAD, paʻakikī a paʻakikī hoʻi kāu mau aʻa. He paʻakikī ka pīpī e kiʻi i ka puʻuwai, no laila ʻaʻole loaʻa i ka puʻuwai ke koko āpau e pono ai. Hiki iā CAD ke alakaʻi iā:
• ʻO ka angina-ʻehaʻeha a hōʻoluʻolu paha e hiki ke loaʻa ʻole ke koko i ka naʻau. ʻIke paha ia e like me ke kuʻi a ʻeha ʻana paha i ka ʻeha, pinepine i ka umauma, akā i kekahi manawa aia ka ʻeha ma nā poʻohiwi, nā lima, ka ʻāʻī, ka ʻāʻī, a i ʻole ke kua. Hiki iā ia ke manaʻo e like me ka palapū ʻole (ʻōpū hoʻohuhū). ʻAʻole Angina kahi puʻuwai puʻuwai, akā ʻo ka loaʻa ʻana o ka angina ʻo ia ka mea ʻoi aku paha ʻoe i ka puʻuwai puʻuwai.
• Maʻi hohola--kū i ka wā o kahi ākea o ke koʻikoʻi a paʻa paha, a ʻaʻole loaʻa ka naʻau i ke koko e pono ai ma mua o 20 mau minuke.
• Hewa puʻuwai hiki ke hana i ka wā ʻaʻole hiki i ka puʻuwai ke pā i ke koko ma ke kino e like me ka pono. ʻO ke kumu o kēia, ʻaʻole loaʻa i nā kino ʻē aʻe, ka mea maʻamau ke koko mai ka puʻuwai, i lawa ke koko. ʻAʻole ia he kumu e kū ka puʻuwai. ʻO nā hōʻailona o ka hōʻino puʻuwai pū kekahi:
• Ka hanu ʻana o ka hanu (me he mea lā ʻaʻole hiki iā ʻoe ke lawa ka ea)
• ʻO ka pehu ʻana i nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae
• Ka luhi nui loa
• Puʻuwai arrhythmias nā hoʻololi i ka kuʻi o ka puʻuwai. Huhū ka hapa nui o ka poʻe, maule, mai ka hanu a i ʻole ʻehaʻeha ka umauma i hoʻokahi manawa. Ma ke ʻano laulā, ʻino ʻole kēia mau hoʻololi ʻana i ka puʻuwai puʻuwai. Ke hele a makua ʻoe, loaʻa paha nā arrhythmia iā ʻoe. Mai makaʻu inā loaʻa ʻoe i kekahi mau flutters a i ʻole inā heihei kou puʻuwai i kekahi manawa i kekahi manawa. Akā inā he flutters a me nā ʻōuli ʻē aʻe e like me ka liko a me ka hanu ʻole, e kāhea koke iā 911.

Nā ʻōuli

ʻAʻohe hōʻailona pinepine o ka maʻi puʻuwai. Akā, aia kekahi mau hōʻailona e nānā no:

• ʻO ka ʻeha o ka umauma a i ʻole ka ʻoluʻolu ʻole hiki ke lilo i hōʻailona o ka maʻi puʻuwai a me kahi hōʻailona hōʻailona o ka puʻuwai puʻuwai.
• Ka hanu ʻana o ka hanu (me he mea lā ʻaʻole hiki iā ʻoe ke lawa ka ea)
• Puʻupuʻu
• Nusea (manaʻo maʻi i kou ʻōpū)
• Nā puʻuwai puʻuwai maʻamau
• Manaʻo luhi loa

E kamaʻilio me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli. E haʻi i kāu kauka ua hopohopo ʻoe e pili ana i kou puʻuwai. E lawe kāu kauka i ka mōʻaukala olakino, hana i kahi hoʻokolohua kino, a kauoha paha i nā hoʻokolohua.

Nā hōʻailona o ka hōʻeha puʻuwai

No nā wahine a me nā kāne, ʻo ka hōʻailona maʻamau o ka puʻuwai puʻuwai he ʻeha a ʻoluʻolu ʻole paha ma waenakonu o ka umauma. Hiki ke ʻeha a ikaika paha ka ʻeha a hōʻehaʻeha paha. Hiki ke lōʻihi ma mua o kekahi mau minuke, a i ʻole hiki ke hele a hoʻi mai.

ʻO nā hōʻailona ʻē aʻe o ka hōʻeha puʻuwai e komo pū me:

• ʻEha a ʻoluʻolu ʻole i loko o hoʻokahi a ʻelua paha mau lima, kua, ʻāʻī, ʻāʻī, a ʻōpū paha
• Ka hanu ʻana o ka hanu (me he mea lā ʻaʻole hiki iā ʻoe ke lawa ka ea). Kū ka pinepine o ka hanu ma mua a i ʻole me ka ʻeha o ka umauma a me ka hōʻoluʻolu ʻole.
• Nusea (manaʻo maʻi i kou ʻōpū) a i ʻole ka luaʻi
• Mālohilohi a woozy paha
• Puka i ka hou anu

ʻOi aku ka nui o nā wahine ma mua o nā kāne i kēia mau hōʻailona maʻamau o ka puʻuwai puʻuwai, ʻoiai ka liʻiliʻi o ka hanu, kahoʻi a i ʻole ka luaʻi, a me ka ʻeha ma ka hope, ka ʻāʻī, a me ka ʻāʻā. Loaʻa paha i nā wahine he mau hōʻailona liʻiliʻi o ka puʻuwai puʻuwai, e like me:

• Puʻuwai puʻuwai
• Pau ka ʻai
• Luhi a palupalu paha
• ʻOughlelo huna
• Lulu ka puʻuwai

I kekahi manawa hiki koke mai nā hōʻailona o ka hōʻeha puʻuwai, akā hiki nō hoʻi ke ulu mālie, i nā hola, nā lā, a me nā pule ma mua o ka hiki ʻana o ka puʻuwai puʻuwai.

ʻO ka nui o nā hōʻailona hōʻeha puʻuwai i loaʻa iā ʻoe, ʻo ka nui loa paha ia o kou puʻuwai puʻuwai. Eia kekahi, inā ua loaʻa mua ʻoe i kahi puʻuwai puʻuwai, e ʻike ʻaʻole like paha kāu mau hōʻailona no kekahi.ʻOiai inā ʻaʻole ʻoe e ʻike i kahi puʻuwai puʻuwai, pono ʻoe e nānā iā ia.

ʻO wai ka pilikia?

ʻO ka nui o ka loaʻa ʻana o ka wahine, ʻo ka nui paha ia o ka maʻi maʻi puʻuwai. Akā e hopohopo nā wahine o nā makahiki āpau i nā maʻi puʻuwai a hana i nā hana e pale ai.

Loaʻa i nā kāne a me nā wahine ka puʻuwai puʻuwai, akā ʻoi aku ka nui o nā wahine i loaʻa i ka puʻuwai puʻuwai e make mai iā lākou. Hiki i nā mālama ke kaupalena i ka puʻuwai o ka puʻuwai akā pono e hāʻawi koke ʻia ma hope o ka hoʻomaka ʻana o ka puʻuwai puʻuwai. Ma ke kūpono, pono e hoʻomaka ka mālama ʻana i loko o hoʻokahi hola o nā ʻōuli mua. Nā mea e hoʻonui ai i ka makaʻu:

• ʻO ka mōʻaukala ʻohana (Inā loaʻa i kou makuakāne a i ʻole kaikunāne paha i ka puʻuwai puʻuwai ma mua o ka makahiki 55, a inā i loaʻa i kou makuahine a i ʻole kaikuahine ma mua o ka makahiki 65, ʻoi aku paha ʻoe i ka maʻi puʻuwai.)
• ʻObesity
• Ka nele o ka hoʻoikaika kino
• Ke koko kiʻekiʻe
• Diabetes
• ʻO ʻAmelika ʻAmelika a me ʻAmelika Hepanika / Latina

Ke kuleana o ke koko kiʻekiʻe

ʻO ke koko ka ikaika o kou koko e kūʻē i nā paia o kou aʻa. Kiʻekiʻena ke kaomi ke pīpī i kou naʻau i ke koko i loko o kou mau aʻa-ke pā. ʻO ka mea haʻahaʻa ma waena o nā puʻuwai puʻuwai, ke hoʻomaha ka puʻuwai. Na ke kauka a kahu hānai paha e hoʻopaʻa i kou koko e like me ka helu kiʻekiʻe ma mua o ka helu haʻahaʻa. ʻO ke kaomi ʻana i ke kaomi koko ma lalo o 120/80 ka mea maʻa mau. ʻO ke kaomi haʻahaʻa haʻahaʻa (haʻahaʻa ma mua o 90/60) i kekahi manawa ke kumu o ka hopohopo a pono e nānā ʻia e ke kauka.

ʻO ke koko kiʻekiʻe, a i ʻole ke kiʻekiʻe Hiki i nā makahiki o ke koko kiʻekiʻe ke hōʻino i nā paia o ke aʻa, e lilo ai i mea paʻakikī a ʻākiki. Hoʻopili kēia i nā aʻa e lawe ana i ke koko i ka puʻuwai. ʻO ka hopena, ʻaʻole hiki i kou puʻuwai ke loaʻa i ke koko e pono ai e holo pono. Hiki i kēia ke hōʻeha i ka puʻuwai.

ʻO ke kaomi koko ʻana o 120/80 a 139/89 i manaʻo ʻia he pre-hypertension. ʻO ke kumu kēia ʻaʻohe ou koko kiʻekiʻe i kēia manawa akā e hoʻomohala paha ia i ka wā e hiki mai ana.

Ke kuleana okolesterol kiʻekiʻe

ʻO Cholesterol kahi mea waxy i loaʻa i nā hunaola i nā ʻāpana āpau o ke kino. Ke nui a nui ka cholesterol i kou koko, hiki i ka cholesterol ke kūkulu ma luna o nā paia o kou mau aʻa a hoʻonāukiuki i ke koko. Hiki i ka Cholesterol ke pale i kou aʻa a mālama i kou puʻuwai mai ka loaʻa ʻana o ke koko e pono ai. Hiki i kēia ke hōʻeha i ka puʻuwai.

ʻElua ʻano o ke kolako:

• Lipoprotein haʻahaʻa haʻahaʻa (LDL) Kāhea pinepine ʻia ka "ʻano" ʻano kolesterol no ka mea hiki iā ia ke ālai i nā aʻa e hāpai i ke koko i kou puʻuwai. No ka LDL, ʻoi aku ka maikaʻi o nā helu haʻahaʻa.
• Lipoprotein kiʻekiʻe (HDL) ʻIke ʻia ʻo "maikaʻi" ke kōkoʻa no ka mea lawe ia i ka cholesterol maikaʻi mai kou koko a mālama iā ia mai ke kūkulu ʻana i loko o kāu mau aʻa. No HDL, ʻoi aku ka maikaʻi o nā helu kiʻekiʻe.

Pono nā wāhine a pau he 20 makahiki a keu aku e nānā i ko lākou koko cholesterol a me nā pae triglyceride ma kahi o hoʻokahi manawa i kēlā me kēia 5 makahiki.

Ka hoʻomaopopo ʻana i nā helu

Huina kolamu pae-ʻOi aku ka maikaʻi o ka haʻahaʻa

Ma lalo o 200 mg / dL - Koina

200 - 239 mg / dL - Kiʻekiʻena palena kiʻekiʻe

240 mg / dL a ma luna - Kiʻekiʻena

LDL (ʻino) kolesterol - ʻOi aku ka maikaʻi o lalo.

Ma lalo o 100 mg / dL - Optimal

100-129 mg / dL - Kokoke maikaʻi / ma luna o ka maikaʻi

130-159 mg / dL - kiʻekiʻe palena palena

160-189 mg / dL - kiʻekiʻe

190 mg / dL a ma luna - kiʻekiʻe loa

HDL (maikaʻi) kolesterol - ʻOi aku ka maikaʻi o ke kiʻekiʻe. Ma mua o 60 mg / dL ʻoi aku ka maikaʻi.

Nā pae Triglyceride - ʻOi aku ka maikaʻi o lalo. Ma lalo o 150mg / dL ʻoi aku ka maikaʻi.

ʻO nā lāʻau lapaʻau hānau

Lawe palekana ʻia ka lawe ʻana i nā huaale mālama hānau (a i ʻole ka pāʻina) no nā wahine ʻōpio, olakino inā ʻaʻole puhipaka. Akā hiki i nā lāʻau kaohi hānau ke hoʻoweliweli i nā maʻi puʻuwai no kekahi mau wahine, keu hoʻi nā wahine i ʻoi aku ma mua o 35; nā wahine me ke koko kiʻekiʻe, ka maʻi diabetes, a i ʻole ka cholesterol kiʻekiʻe; a nā wahine puhipaka. E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i ka pila.

Inā ʻoe e inu i nā lāʻau kaohi hānau, e kiaʻi i nā hōʻailona o ka pilikia, me:

• Nā pilikia o ka maka e like me ka blur a i ʻole ka ʻike lua
• ʻEha ma ke kino o luna a lima paha
• ʻEha poʻo poʻo
• Pilikia i ka hanu ʻana
• Kuha ana i ke koko
• ʻO ka pehu a ʻeha paha i ka wāwae
• Melemele o ka ʻili a me nā maka
• Nā puʻupuʻu umauma
• ʻO ka maʻamau (ʻaʻole maʻamau) kahe nui o ke kahe mai kāu ʻōpala

Ke hoʻomau nei ka noiʻi e ʻike inā kiʻekiʻe ka makaʻu no ka pehu koko i nā mea hoʻohana patch. Hiki i ke koko ke alakaʻi i ka puʻuwai a i ʻole ka hahau. E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i ka patch.

Menopausal Hormone Therapy (MHT)

Hiki ke kōkua i ka menopausal hormone therapy (MHT) me kekahi o nā ʻōuli o ka menopause, e like me nā kukuna wela, ka maloʻo ʻana o ke kino, a me ka nalo ʻana o ka iwi, akā aia kekahi mau pilikia pū kekahi. No kekahi mau wahine, hiki i ka lawe ʻana i nā homone ke hoʻonui i ko lākou manawa kūpono i ka puʻuwai puʻuwai a i ʻole ka hahau ʻana. Inā hoʻoholo ʻoe e hoʻohana i nā homone, e hoʻohana iā lākou i ka mahele lāʻau haʻahaʻa e kōkua ai no ka manawa pōkole e pono ai. E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i ka MHT.

ʻIkepili

E kuhi kāu kauka i ka maʻi o ke aʻa coronary (CAD) ma muli o:

• ʻO kāu moʻolelo olakino a ʻohana
• ʻO kāu mau mea pilikia
• Nā hopena o kahi hoʻokolohua kino a me nā hōʻike diagnostic a me nā kaʻina hana

ʻAʻole hiki i kahi hoʻokolohua hoʻokahi ke hōʻoia iā CAD. Inā manaʻo kāu kauka he CAD kāu, e hana paha ia i hoʻokahi a ʻoi paha o nā hōʻike aʻe.

EKG (Electrocardiogram)

He ho'āʻo maʻalahi kahi EKG e ʻike a hoʻopaʻa i ka hana uila o kou puʻuwai. Hōʻike kahi EKG i ka wikiwiki o ka paʻi ʻana o kou puʻuwai a inā he ʻano maʻamau kāna. Hōʻike pū ia i ka ikaika a me ka manawa o nā hōʻailona uila i ka wā e hele ai i kēlā me kēia ʻāpana o kou puʻuwai.

ʻO kekahi mau mana uila a ka EKG e ʻike ai hiki ke hōʻike inā paha paha ʻo CAD. Hiki i kahi EKG ke hōʻike i nā hōʻailona o ka puʻuwai puʻuwai ma mua a i ʻole ia.

Hōʻoia ʻIke

I ka hoʻāʻo ʻana o ke koʻikoʻi, hoʻoikaika ʻoe e hana i kou puʻuwai e hana paʻakikī a paʻi wikiwiki i ka wā o nā hoʻokolohua puʻuwai e hana ʻia. Inā ʻaʻole hiki iā ʻoe ke hoʻoikaika kino, hāʻawi ʻia ʻoe i ka lāʻau e wikiwiki ai ka wikiwiki o kou puʻuwai.

Ke paʻi wikiwiki nei kou puʻuwai a hana ikaika, pono i ke koko a me ka oxygen. ʻAʻole hiki i nā aʻa i kaupalena ʻia e ka plake ke hāʻawi i ke koko piha i ka oxygen e kū i nā pono o kou puʻuwai. Hiki i kahi hoʻokolohua koʻikoʻi ke hōʻike i nā hōʻailona kūpono o CAD, e like me:

• Nā loli maʻamau i ka helu o kou puʻuwai a i ʻole ke kaomi koko
• Nā ʻōuli e like me ka pōkole o ka hanu a me ka ʻeha o ka umauma
• Hoʻololi maʻamau i kāu mele naʻau a i ʻole ka hana uila o kou puʻuwai

I ka wā o ka hoʻāʻo koʻikoʻi, inā ʻaʻole hiki iā ʻoe ke hoʻoikaika kino inā lōʻihi ka mea i manaʻo ʻia he maʻamau no kekahi o kou mau makahiki, he hōʻailona paha ia ʻaʻole lawa ke kahe o ke koko i kou puʻuwai. Akā ʻo nā kumu ʻē aʻe ma waho o CAD hiki ke pale iā ʻoe mai ka hoʻoikaika kino lōʻihi (e laʻa, nā maʻi ʻāʻī, anemia, a i ʻole ka hoʻoikaika kino kino).

Hoʻohana kekahi mau hoʻokolohua koʻikoʻi i kahi kala radioactive, nalu kani, positron emission tomography (PET), a i ʻole cardiac magnetic resonance imaging (MRI) e kiʻi i nā kiʻi o kou puʻuwai ke hana nui a ke hoʻomaha ia.

Hiki i kēia mau hoʻāʻo koʻikoʻi koʻikoʻi ke hōʻike i ke kahe maikaʻi o ke koko i nā ʻāpana like ʻole o kou puʻuwai. Hiki iā lākou ke hōʻike i ka maikaʻi o ka puʻuwai o kou puʻuwai i ke koko ke kuʻi.

ʻ .lelo Echocardiography

Hoʻohana kēia ho'āʻo i nā nalu kani e hana i kahi kiʻi neʻe o kou puʻuwai. Hāʻawi ʻo Echocardiography i ka ʻike e pili ana i ka nui a me ke ʻano o kou puʻuwai a me ka maikaʻi o ka hana ʻana o nā keʻena o kou puʻuwai.

Hiki i ka hoʻāʻo ke ʻike i nā wahi o ke kahe maikaʻi ʻole o ke koko i ka puʻuwai, nā wahi o ka puʻuwai puʻuwai ʻaʻole kuʻikahi maʻamau, a me ka ʻeha ma mua i ka puʻuwai puʻuwai i hoʻokumu ʻia e ke kahe koko maikaʻi ʻole.

X-Ray umauma

Lawe ʻia kahi kiʻi x-ray i ke kiʻi o nā meaola a me nā kūkulu i loko o ka umauma, me kou puʻuwai, nā māmā, a me nā kīʻaha koko. Hiki iā ia ke hōʻike i nā hōʻailona o ka holo pono ʻole o ka puʻuwai, a me nā maʻi pūpū a me nā kumu ʻē aʻe o nā ʻōuli ʻaʻole ma muli o CAD.

Nā ho'āʻo koko

Nānā nā hoʻāʻo koko i nā pae o kekahi momona, kolesterol, kō, a me nā protein i loko o kou koko. Hiki i nā pae maʻamau ke hōʻike he pilikia kāu no CAD.

ʻO Tomography Pūnaewele uila

Hiki i kāu kauka ke koi aku i ka tomography compiled electron-beam (EBCT). ʻIke a ana kēia ana i nā waihona calcium (i kapa ʻia he helu helu) i loko a me nā aʻa o nā coronary. ʻO ka nui o ka calcium i ʻike ʻia, ʻo ka nui paha o ka loaʻa iā CAD.

ʻAʻole hoʻohana pinepine ʻia ʻo EBCT e ʻike pono i ka CAD, no ka mea, ʻaʻole ʻike ʻia kāna ʻoiaʻiʻo.

ʻO Coronary Angiography a me Cardiac Catheterization

E noi paha kāu kauka iā ʻoe e loaʻa i ka angonography coronary inā hōʻike ʻia nā hoʻokolohua ʻē aʻe a i ʻole nā ​​mea e loaʻa ana iā CAD ʻoe. Hoʻohana kēia ho'āʻo i ka pena a me nā kukuna x kūikawā e hōʻike i ka ʻaoʻao o kāu mau aʻa coronary.

I mea e komo ai ke kala i loko o kāu mau aa coronary, e hoʻohana kāu kauka i kahi hana i kapa ʻia he catheterization cardiac. Hoʻokomo ʻia kahi paipu lōʻihi, lahilahi a maʻalahi i kapa ʻia he catheter i loko o kahi kīʻaha koko ma kou lima, ʻāʻī ('ūhā luna), a ʻāʻī paha. Hoʻopili ʻia ka paipu i loko o nā aʻa o kou coronary, a hoʻokuʻu ʻia ka kala i kou kahe koko. Lawe ʻia nā kukuna x kūikawā i ka wā e kahe ana ka kala i loko o kāu mau aʻa coronary.

Hana ʻia ka catheterization cardiac ma kahi haukapila. Ala ʻoe i ke kaʻina hana. ʻAʻole ia e hōʻeha iki i ka ʻeha, ʻoiai ʻoe e ʻehaʻeha i loko o ke kīʻaha koko kahi i kau ai kāu kauka i ka catheter.

Lapaʻau

ʻO ka mālama ʻana no ka maʻi o ke aʻa coronary (CAD) hiki ke hoʻopili i nā loli nohona, nā lāʻau, a me nā kaʻina olakino. ʻO nā pahuhopu o nā mālama ʻana i:

• Hōʻoluʻolu i nā ʻōuli
• E hoʻemi i nā mea pilikia i ka hoʻāʻo e lohi, kū, a i ʻole hoʻohuli i ke kūkulu ʻana o ka pā
• E hoʻohaʻahaʻa i ka makaʻu o ke kahe o ke koko e hana ana, kahi e hiki ai ke hōʻeha i ka puʻuwai
• Hoʻonui a pale ʻia paha i nā aʻa paʻa
• Kāohi i nā pilikia o CAD

Nā Hoʻololi nohona

ʻO ka hana ʻana i nā loli nohona e hoʻopili i kahi hoʻolālā ʻai olakino puʻuwai, ʻaʻole puhipaka, kaohi ʻana i ka ʻalekohola, hoʻoikaika kino a me ka hoʻohaʻahaʻa kaumaha hiki ke kōkua pinepine i ka pale ʻana a mālama ʻana iā CAD. No kekahi poʻe, ʻo kēia mau hoʻololi ʻana wale nō paha ka lapaʻau e pono ai.

Hōʻike ka noiʻi ʻo ka "trigger" i hōʻike pinepine ʻia no ka hōʻeha puʻuwai kahi hanana hoʻonāukiuki nui-ʻo ia hoʻi me ka huhū. Akā ʻo kekahi o nā ala e kū ai ka poʻe me ke koʻikoʻi, e like me ka inu ʻana, puhipaka ʻana, a ʻai nui ʻole paha, ʻaʻole olakino puʻuwai.

Hiki i ka hoʻoikaika kino ke kōkua i ka hoʻoluhi i ke kaumaha a hoʻoliʻiliʻi i nā mea ʻē aʻe o ka CAD. ʻIke pū ka poʻe he nui i ka noʻonoʻo ʻana a i ʻole ka hoʻomaha hoʻomaha e kōkua iā lākou e hōʻemi i ke kaumaha.

Nā Lapaʻau

Pono ʻoe i nā lāʻau e mālama iā CAD inā ʻaʻole lawa nā loli nohona. Hiki i nā lāʻau lapaʻau ke:

• E ho'ēmi i ka hana ma kou puʻuwai a hoʻomaha i nā hōʻailona CAD
• E hoʻemi i kou manawa i loaʻa i ka puʻuwai puʻuwai a make make ʻole paha
• E hoʻohaʻahaʻa i kāu kōkōlō a me ke kaomi koko
• Kāohi i ke koko
• Kāohi a hoʻolohi paha i ka pono no kahi kaʻina hana kūikawā (e laʻa me ka angioplasty a i ʻole ke kōkō ʻana o ke aʻa coronary (CABG))

Hoʻohana ʻia nā lāʻau e mālama ai iā CAD me nā anticoagulants, aspirin a me nā lāʻau antiplatelet ʻē aʻe, nā mea kāohi ACE, nā beta blockers, nā blockers calcium, nitroglycerin, glycoprotein IIb-IIIa, nā statins, a me nā aila iʻa a me nā mea kōkua ʻē aʻe i kiʻekiʻe ma nā omega-3 fatty acid.

Nā Hana Lapaʻau

Pono ʻoe i kahi kaʻina olakino e mālama iā CAD. Hoʻohana ʻia nā angioplasty a me CABG i mau ʻano lapaʻau.

• Angioplasty wehe a pani ʻia paha nā aʻa coronary. I ka manawa o ka angioplasty, kahi wīwī lahilahi me kahi baluna a i ʻole nā ​​mea ʻē aʻe i ka hopena ke wili ʻia i loko o kahi kīʻaha koko i nā aʻa o ke ākea a i ʻole ālai ʻia. I ka manawa ma kahi, hoʻonui ʻia ka pāluna e pahu i ka pahu i waho i ka paia o ke aʻa. Hoʻonui kēia i ke aʻa a hoʻihoʻi i ke kahe o ke koko.
  
  Hiki i ka Angioplasty ke hoʻomaikaʻi i ke kahe o ke koko i kou puʻuwai, e hoʻomaha i ka ʻeha o ka umauma, a pale paha i ka hōʻeha puʻuwai. I kekahi manawa hoʻokomo ʻia kahi ʻōmole mesh i kapa ʻia he stent i loko o ke aʻa e hāmama ai ma hope o ke kaʻina hana.

• In ʻO CABG, nā aʻa a i ʻole nā ​​aa koko mai nā wahi ʻē aʻe i kou kino e hoʻohana ʻia e kāpae (ʻo ia hoʻi, e hele a puni) i kou mau aʻa ākea. Hiki i ka CABG ke hoʻomaikaʻi i ke kahe o ke koko i kou puʻuwai, e hoʻomaha i ka ʻeha o ka umauma, a pale paha i kahi hōʻeha puʻuwai.

E hoʻoholo ʻoe a me kāu kauka i kahi kūpono kūpono iā ʻoe.

Kāohi

Hiki iā ʻoe ke hōʻemi i kou manawa e loaʻa ai ka maʻi puʻuwai ma o ka lawe ʻana i kēia mau kaʻina hana.

• E ʻike i kou kaomi koko. Hiki i nā makahiki o ke koko kiʻekiʻe ke alakaʻi i ka maʻi puʻuwai. ʻAʻohe mau hōʻailona o ka poʻe me ke koko kiʻekiʻe, no laila e nānā i ke koko i kēlā me kēia 1 a 2 mau makahiki a loaʻa ka lāʻau lapaʻau inā pono ʻoe.
• Mai puhi. Inā puhi ʻoe, hoʻāʻo e haʻalele. Inā pilikia ʻoe i ka haʻalele ʻana, e nīnau i kāu kauka a kahu hānai paha e pili ana i nā ʻāpana nicotine a me nā ʻāʻī a i ʻole nā ​​huahana a me nā papahana e hiki ke kōkua iā ʻoe e haʻalele.

• E hōʻoia i ka maʻi kō. Loaʻa nā kānaka me ka maʻi kō i ke kō koko kiʻekiʻe (i kapa ʻia he kō kō). ʻO ka manawa pinepine, ʻaʻohe o lākou hōʻailona, ​​no laila e nānā pinepine ʻia i kāu glucose glucose. ʻO ka loaʻa ʻana o ka maʻi diabetes e hāpai i kou manawa e loaʻa ai ka maʻi puʻuwai. Inā loaʻa ʻoe i ka maʻi diabetes, e hoʻoholo kāu kauka inā ʻoe e pono i nā lāʻau diabetes a i ʻole nā ​​kīkia insulin. Hiki i kāu kauka ke kōkua iā ʻoe e hana i kahi papaʻai olakino a me ka hoʻolālā hoʻoikaika kino.
• E hoʻāʻo i kāu pae kolesterol a me nā pae triglyceride. Hiki i ke koko kiʻekiʻe ke kope i kou mau aʻa a mālama i kou puʻuwai mai ka loaʻa ʻana o ke koko e pono ai. Hiki i kēia ke hōʻeha i ka puʻuwai. ʻO nā pae kiʻekiʻe o nā triglycerides, kahi ʻano momona i loko o kou kahawai koko, ua hoʻopili ʻia i nā maʻi puʻuwai i kekahi poʻe. ʻO ka poʻe me ke koko kiʻekiʻe a i ʻole nā ​​triglycerides koko kiʻekiʻe ʻaʻohe hōʻailona, ​​no laila ua nānā pinepine ʻia nā pae ʻelua. Inā kiʻekiʻe kou pae, e kamaʻilio me kāu kauka e pili ana i ka mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa iā lākou. Hiki paha iā ʻoe ke hoʻohaʻahaʻa i nā mea ʻelua ma ka ʻai ʻana i ka maikaʻi a me ka hoʻoikaika ʻana i nā mea hou aʻe. (Hiki i ka hoʻoikaika kino ke hoʻohaʻahaʻa i ka LDL a hāpai i ka HDL.) Hiki i kāu kauka ke kuhikuhi i ka lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol.
• E mālama i ke kaumaha olakino. ʻO ka momona nui e hoʻāla i kou makaʻi no ka maʻi puʻuwai. E helu i kāu Kuhi Kino Kino (BMI) e ʻike ai inā ʻoe i kahi kaupaona olakino. He mea nui nā koho meaʻai olakino a me ka hoʻoikaika kino i ka noho ʻana i ke kaupaona olakino.
• E hoʻomaka me ka hoʻohui ʻana i nā huaʻai, nā mea kanu, a me nā hua ma kāu papaʻai.
• I kēlā me kēia pule, e ʻimi e loaʻa ma 2 mau hola a me 30 mau minuke o ka hoʻoikaika kino hoʻoikaika kino, 1 hola a me 15 mau minuke o ka hoʻoikaika kino hoʻoikaika kino ʻana, a i ʻole ka hui ʻana o ka hana kūpono a ikaika hoʻi.
• E kaupalena i ka inu ʻona. Inā inu ʻoe i ka ʻalekohola, e kaupalena iā ia ʻaʻole i ʻoi aku ma mua o hoʻokahi inu (hoʻokahi pia 12 auneke, hoʻokahi 5 auneke kīʻaha waina, a i hoʻokahi auneke kī kī o ka waiʻona paʻakikī) i ka lā.
• He aspirin i ka lā. Hiki ke kōkua ʻia ka aspirin no nā wahine i pilikia nui, e like me ka poʻe i loaʻa i ka maʻi puʻuwai. Akā hiki i ka sspirin ke loaʻa nā hopena ʻaoʻao koʻikoʻi a ʻino paha ke hui pū ʻia me kekahi mau lāʻau. Inā ʻoe e noʻonoʻo e pili ana i ka lawe ʻana i ka aspirin, e kamaʻilio mua i kāu kauka. Inā manaʻo kāu kauka he koho maikaʻi ka aspirin iā ʻoe, e mālama pono e like me ke kuhikuhi
• E ʻike i nā ala olakino e kū ai i ke koʻikoʻi. E hoʻohaʻahaʻa i kou pae koʻikoʻi ma ke kamaʻilio ʻana i kāu mau hoaaloha, hoʻoikaika kino, a i ʻole ke kākau ʻana i loko o kahi puke pai.

Nā Kumuwaiwai: National Heart Lung and Blood Institute (www.nhlbi.nih.gov); ʻO ka National Information Health Health Center (www.womenshealth.gov)

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