ʻO ka maʻi puʻuwai hypertensive

Anter

• Nā ʻano o ka maʻi puʻuwai hypertensive
• Pahu o nā aʻa
• Mānoanoa a hoʻonui hoʻi o ka puʻuwai
• Nā pilikia
• ʻO wai ka mea e makaʻu i ka maʻi puʻuwai hypertensive?
• Keʻike nei i nā ʻōuli o ka maʻi puʻuwai hypertensive
• ʻO ka hoʻāʻo ʻana a me ka hōʻoia ʻana: I ka manawa e ʻike ai i ke kauka
• Ke mālama nei i ka maʻi puʻuwai hypertensive
• Laau Lapaʻau
• Nā ʻoki kino a me nā hāmeʻa
• Nānā wā lōʻihi
• Kāohi i ka maʻi puʻuwai hypertensive

He aha ka maʻi puʻuwai hypertensive?

ʻO ka maʻi puʻuwai hypertensive e pili ana i nā ʻano puʻuwai i hoʻokumu ʻia e ke koko kiʻekiʻe.

ʻO ka puʻuwai e hana ana ma lalo o ka hoʻonui kaomi e kumu i kekahi ʻano maʻi puʻuwai. ʻO ka maʻi puʻuwai hypertensive me ka ʻole o ka puʻuwai, ka mānoanoa o nā mākala puʻuwai, nā maʻi o ke aʻa a me nā ʻano ʻē aʻe.

Hiki i nā maʻi puʻuwai hypertensive ke kumu i nā pilikia olakino koʻikoʻi. ʻO ia ke kumu nui o ka make mai ke koko kiʻekiʻe.

Nā ʻano o ka maʻi puʻuwai hypertensive

Ma ka laulaha, pili nā pilikia puʻuwai e pili ana i ke kahe kiʻekiʻe i nā aʻa o ka puʻuwai a me nā mākala. ʻO nā ʻano o nā maʻi puʻuwai hypertensive e komo pū ana:

Pahu o nā aʻa

Hāpai nā aʻa coronary i ke koko i kou mākala puʻuwai. Ke hoʻohaʻahaʻa ke koko kiʻekiʻe i nā kīʻaha koko, hiki i ke kahe o ke koko i ka puʻuwai ke lohi a kū paha. ʻIke ʻia kēia ʻano he maʻi puʻuwai coronary (CHD), i kapa ʻia hoʻi he maʻi coronary artery.

Hana paʻakikī ʻo CHD i kou puʻuwai e hana a hāʻawi i ke koena o kāu mau lālā i ke koko. Hiki iā ia ke makaʻu iā ʻoe no ka hōʻeha puʻuwai mai kahi pūpū koko e paʻa i loko o kekahi o nā aʻa liʻiliʻi a ʻokiʻoki i ke kahe o ke koko i kou puʻuwai.

Mānoanoa a hoʻonui hoʻi o ka puʻuwai

ʻO ke kiʻekiʻe o ke koko e paʻakikī i kou puʻuwai e pīpī i ke koko. E like me nā mākala ʻē aʻe i kou kino, hana ka hana maʻamau i kou mau puʻuwai e mānoanoa a ulu. Hoʻololi kēia i ka hana a ka puʻuwai. Hana ʻia kēia mau hoʻololi i ke keena nui pumping o ka puʻuwai, ka ventricle hema. ʻIke ʻia ke ʻano ʻo hypertrophy ventricular hema (LVH).

Hiki iā CHD ke kumu iā LVH a ʻo ka ʻaoʻao ʻē aʻe. Ke loaʻa ʻo CHD, pono e hoʻoikaika ikaika i kou puʻuwai. Inā hoʻonui ʻo LVH i kou puʻuwai, hiki iā ia ke kaomi i nā aʻa coronary.

Nā pilikia

Hiki i nā CHD a me LVH ke alakaʻi iā:

• maikaʻi ʻole o ka puʻuwai: ʻaʻole hiki i kou puʻuwai ke paipū i ke koko i ke koena o kou kino
• arrhythmia: paʻi pinepine kou puʻuwai
• maʻi naʻau ischemic: ʻaʻole lawa ka oxygen i kou puʻuwai
• hōʻeha puʻuwai: ua kāpae ke kahe i ka puʻuwai a make ka puʻuwai puʻuwai mai ka nele o ka oxygen
• hopu koke ʻia kou naʻau: kū koke kou puʻuwai i ka hana, kū ʻoe i ka hanu ʻana, a nalowale ʻoe i ka ʻike
• hahau a make make koke

ʻO wai ka mea e makaʻu i ka maʻi puʻuwai hypertensive?

ʻO ka maʻi puʻuwai ke kumu nui o ka make no nā kāne a me nā wahine ma United States. Ma luna o ʻAmelika e make i ka maʻi puʻuwai i kēlā me kēia makahiki.

ʻO ke kumu pilikia nui no ka maʻi puʻuwai hypertensive ʻo ke koko kiʻekiʻe. E piʻi aʻe kou makaʻu inā:

• kaumaha loa ʻoe
• ʻaʻole lawa ka hoʻoikaika kino
• puhi ʻoe
• ʻai ʻoe i ka meaʻai i ka momona a momona

ʻOi aku ka maʻalahi o ka maʻi puʻuwai inā holo ia i kou ʻohana. Loaʻa ka maʻi maʻi puʻuwai ma mua o nā kāne ma mua o nā wahine i hala ʻole i ka menopause. Kūpono like nā kāne a me nā wahine postmenopausal i ka makaʻu. E piʻi aʻe kou makaʻu no ka maʻi puʻuwai i kou mau makahiki, me ka nānā ʻole i kāu moekolohe.

Keʻike nei i nā ʻōuli o ka maʻi puʻuwai hypertensive

Kūlike nā ʻōuli ma muli o ke koʻikoʻi o ke ʻano a me ka holomua o ka maʻi. ʻAʻole paha ʻoe e ʻike i kekahi ʻōuli, a i ʻole hōʻike ʻia kāu mau ʻōuli:

• ʻeha o ka umauma (angina)
• paʻa a i ʻole kaomi i ka umauma
• pokole o ka hanu
• luhi
• ʻeha ma ka ʻāʻī, kua, lima, a i ʻole poʻohiwi
• ʻū mau
• nalo ʻai ʻole
• ʻūhā wāwae a wāwae paha

Pono ʻoe i kahi mālama kūpilikiʻi inā e kuʻi wikiwiki ana kou puʻuwai a i ʻole manawa maʻamau. E ʻimi koke i ka mālama kūlohelohe a kāhea paha iā 911 inā ʻoe e maule a i ʻole ʻeha nui i kou umauma.

E hōʻike ana nā hoʻokolohua kino maʻamau inā ʻeha ʻoe i ke koko kiʻekiʻe. Inā loaʻa iā ʻoe ke koko kiʻekiʻe, e mālama pono e nānā i nā hōʻailona o ka maʻi puʻuwai.

ʻO ka hoʻāʻo ʻana a me ka hōʻoia ʻana: I ka manawa e ʻike ai i ke kauka

E nānā kāu kauka i kāu mōʻaukala olakino, hana i kahi hoʻokolohua kino, a holo i nā hoʻokolohua lab e nānā i kāu mau puʻupaʻa, sodium, potassium, a me ka helu o ke koko.

Hoʻokahi a ʻoi paha o nā hōʻike e hiki ke hoʻohana ʻia e kōkua ai e hoʻoholo i ke kumu o kāu mau ʻōuli.

• Nānā nā electrocardiogram a hoʻopaʻa i ka hana uila o kou puʻuwai. E hoʻopili kāu kauka i nā pā i kou umauma, nā wāwae, a me nā lima. E ʻike ʻia nā hopena ma ka pakuhi, a e wehewehe kāu kauka iā lākou.
• Lawe ʻo Echocardiogram i kahi kiʻi kikoʻī o kou puʻuwai e hoʻohana ana i ka ultrasound.
• Nānā ka angiography coronary i ke kahe o ke koko ma o nā aʻa coronary. Hoʻokomo ʻia kahi paipu lahilahi i kapa ʻia he catheter ma o kou aʻa a i ʻole ke aʻa i kou lima a piʻi i ka puʻuwai.
• Nānā ka hoʻāʻo hoʻohaʻahaʻa hoʻoikaika kino i ka hopena o ka hoʻoikaika i kou puʻuwai. E noi ʻia paha ʻoe e hehi i kahi keke hoʻoikaika kino a i ʻole hele wāwae ma luna o kahi kaʻaahi.
• Nānā ka hoʻāʻo koʻikoʻi Nuclear i ke kahe o ke koko i loko o ka puʻuwai. Lawe pinepine ʻia ka hoʻāʻo ʻoiai ʻoe e hoʻomaha ana a me ka hoʻoikaika kino.

Ke mālama nei i ka maʻi puʻuwai hypertensive

ʻO ka mālama ʻana i nā maʻi puʻuwai hypertensive pili i ka koʻikoʻi o kou maʻi, kou makahiki, a me kāu mōʻaukala olakino.

Laau Lapaʻau

Kōkua nā lāʻau i kou puʻuwai i nā ʻano like ʻole. ʻO nā pahuhopu nui e pale i kou kōkō mai ke kō ʻana, hoʻomaikaʻi i ke kahe o kou koko, a hoʻohaʻahaʻa i kāu kolesterol.

Nā laʻana o nā lāʻau maʻi maʻi maʻamau e like me:

• nā pauka wai e kōkua i ka hoʻohaʻahaʻa i ke kaomi koko
• nitrates e mālama i ka ʻeha o ka umauma
• statins e mālama i ka kiʻekiʻe kolesterol
• nā poloka aʻa a me nā mea kāohi ACE e kōkua i ka hoʻohaʻahaʻa ʻana i ke koko
• aspirin e pale aku i nā kahe koko

He mea nui e lawe mau i nā lāʻau āpau e like me ke kuhikuhi.

Nā ʻoki kino a me nā hāmeʻa

I nā hihia keu aku, pono ʻoe i ke ʻoki e hoʻonui i ke kahe o ke koko i kou puʻuwai. Inā pono ʻoe i kōkua i ka hoʻoponopono ʻana i ka helu o kou puʻuwai a i ʻole ka mele, hiki i kāu kauka ke hana i kahi mea hoʻohana i ka uila i kapa ʻia he pacemaker i kou umauma. Hoʻopuka kahi pacemaker i ka hoʻonāuki uila e hana i ka ʻaʻa puʻuwai puʻuwai e ʻaelike. He mea nui a maikaʻi ke kanu ʻana i ka mea mālama i ka naʻau inā lōʻihi a lohi paha ka hana uila o ka puʻuwai puʻuwai.

ʻO nā Cardioverter-defibrillators (ICDs) nā mea hoʻopili i hiki ke hoʻohana ʻia e mālama ai i nā arrhythmias cardiac hoʻoweliweli.

Mālama ʻo Coronary artery bypass graft surgery (CABG) i nā aʻa o ka coronary. Hana wale ʻia kēia ma CHD koʻikoʻi. Pono paha kahi transplant puʻuwai a i ʻole nā ​​mea kōkua kōkua puʻuwai inā koʻikoʻi loa kou ʻano.

Nānā wā lōʻihi

ʻO ka loaʻa ʻana mai nā maʻi puʻuwai hypertensive pili i ke ʻano kikoʻī a me kona ikaika. Hiki i nā loli nohona ke kōkua i ka mālama ʻana i ke ʻano mai kekahi mau hihia. I nā hihia koʻikoʻi, ʻaʻole maikaʻi paha nā lāʻau a me nā ʻoki kino i ka kaohi ʻana i ka maʻi.

Kāohi i ka maʻi puʻuwai hypertensive

ʻO ka nānā ʻana a me ka pale ʻana i kou kaʻe koko mai ke kiʻekiʻe loa o kekahi o nā ala nui e pale aku ai i ka maʻi puʻuwai hypertensive. ʻO ka hoʻohaʻahaʻa ʻana i kou kaomi koko a me ka cholesterol e ka ʻai ʻana i ka papaʻai olakino a me ka nānā ʻana i nā pae stress ʻo ia paha nā ala maikaʻi loa e pale ai i nā pilikia puʻuwai.

Mālama i ke kaupaona olakino, loaʻa ʻana o ka hiamoe kūpono, a me ka hoʻoikaika mau ʻana i nā manawa maʻamau he mau ʻōlelo koi maʻamau o ke ola. E kamaʻilio me kāu kauka e pili ana i nā ala e hoʻomaikaʻi ai i kou olakino holoʻokoʻa.