Cardiologist: i ka manawa hea e koi ai e hana i kahi manawa?

Anter

• Nā ʻōuli o nā pilikia puʻuwai
• Nā hoʻāʻo naʻau
• ʻO nā maʻi maʻi maʻamau

ʻO ke kūkākūkā ʻana me ka cardiologist, ʻo ia ke kauka no ke kuhi a me ka mālama ʻana i nā maʻi puʻuwai, pono e hana mau ʻia e like me ka ʻeha o ka umauma a i ʻole ka luhi mau, ʻo kahi laʻana, ʻoiai he mau hōʻailona ia e hiki ai ke hōʻike i nā loli i ka puʻuwai.

ʻO ka maʻamau, ke loaʻa i ke kanaka ka maʻi maʻi puʻuwai, e like me ka maikaʻi ʻole o ka puʻuwai, no ka laʻana, koi ʻia ʻoe e hele i ke kauka i kēlā me kēia 6 mau mahina a i ʻole e like me ke kuhikuhi ʻana, no laila e hoʻoponopono ʻia nā hoʻokolokolo a me nā lāʻau.

He mea nui i nā kāne ma kahi o 45 a me nā wahine ma mua o 50 i loaʻa ʻole ka mōʻaukala o nā pilikia puʻuwai i nā koho makahiki me ka cardiologist. Eia nō naʻe, i ka moʻaukala o nā pilikia puʻuwai i ka ʻohana, ʻo nā kāne a me nā wahine i piha iā 30 a 40 mau makahiki, e kipa aku i ka cardiologist i kēlā me kēia manawa.

ʻO ka loaʻa ʻana o nā mea pilikia inā loaʻa ka manawa ʻoi aku ka nui o nā pilikia puʻuwai, a ʻo kekahi o nā mea i komo pū me ka kaona kaupaona ʻana, ka puhipaka, ka noho a me ka loaʻa ʻana o ke kolesterol kiʻekiʻe, a ʻo nā mea hou aʻe i ʻoi aku ka nui o ka makaʻi E ʻike i ka ʻike hou aʻe: Ke nānā kino ʻana.

Nā ʻōuli o nā pilikia puʻuwai

He mea nui e makaʻala i nā ʻōuli e hōʻike paha i nā pilikia o ka puʻuwai, a pono ʻoe e hele i ke kauka lāʻau i ka wā e puka mai ai. Inā kānalua ʻoe i nā pilikia puʻuwai, e hana i kēia hōʻike ʻōuli:

1. 1. Ke kani pinepine i ka wā hiamoe
2. 2. Ka hanu ʻana o ka hanu i ka hoʻomaha a i ʻole ka hoʻoikaika ʻana
3. 3. Ka ʻeha o ka umauma a hōʻoluʻolu ʻole paha
4. 4. Mākō maloʻo a hoʻomau
5. 5. ʻUla polū i kou manamana lima
6. 6. Pōpō a maule pinepine paha
7. 7. Palpitations a i ʻole tachycardia
8. 8. ʻO ka pehu ʻana i nā wāwae, nā kuʻekuʻe wāwae a me nā wāwae
9. 9. Ka luhi nui loa me ke kumu ʻole
10. 10. Ka hou anu
11. 11. Ka maikaʻi ʻole o ka digestion, nausea a me ka nalo ʻana o ka makemake ʻole

Inā loaʻa i kēia kanaka kekahi o kēia mau ʻōuli, koi ʻia ʻoe e hele koke i ke kauka lāʻau, no ka mea he hōʻailona paha ia i ka loaʻa ʻana o kekahi maʻi puʻuwai, a pono e mālama koke ʻia i ʻole e hoʻoweliweli i kou ola. ʻIke i nā hōʻailona 12 i hiki ke hōʻike i nā pilikia puʻuwai.

Nā hoʻāʻo naʻau

ʻO kekahi mau hoʻokolohua i hiki i ke kauka ke kuhikuhi e nānā inā ua loli ka mea maʻi i ka puʻuwai.

• Echocardiogram: he scan ultrasound o ka puʻuwai e ʻae iā ʻoe e kiʻi i nā kiʻi o nā ʻano ʻokoʻa o ka puʻuwai i ka neʻe. Nānā kēia hōʻike i ka nui o nā ana, nā kiwikā o ka puʻuwai, ka hana o ka puʻuwai;
• Electrocardiogram: he ala wikiwiki a maʻalahi hoʻi ia e hoʻopaʻa inoa i ka puʻuwai puʻuwai ma ke kau ʻana i nā electrode metallic ma ka ʻili o ka mea maʻi;
• Hoʻokolohua hoʻoikaika kino: he hoʻāʻo hoʻoikaika kino ia, i hoʻohana ʻia e ʻike i nā pilikia i ʻike ʻole ʻia i ka wā e hoʻomaha ana ke kanaka, ʻo ia ka hoʻokolohua i hana ʻia me ka mea e holo ana ma luna o ka treadmill a i ʻole ke hehi wāwae ʻana i kahi keke hoʻoikaika kino i ka wikiwiki i holo wikiwiki;
• Kiʻi resonance ʻume mākenēki: he hōʻike kiʻi i hoʻohana ʻia e kiʻi i nā kiʻi o ka puʻuwai a me ka umauma.

Ma waho aʻe o kēia mau hoʻāʻo, hōʻike paha ka mea kālaʻi naʻau i nā hoʻokolohua kikoʻī a i ʻole nā ​​hoʻokolohua keʻena hoʻokolohua, e like me CK-MB, Troponin a me myoglobin, no ka laʻana. E ʻike he aha nā hoʻokolohua ʻē aʻe e loiloi i ka puʻuwai.

ʻO nā maʻi maʻi maʻamau

E ʻike ai i nā maʻi puʻuwai puʻuwai maʻamau, e like me arrhythmia, puʻuwai puʻuwai a me infarction, no ka laʻana, he mea nui e hele i ka cardiologist ke hiki mai nā ʻōuli mua a i ʻole hoʻokahi manawa i ka makahiki.

ʻO Arrhythmia kahi kūlana i hōʻike ʻia e ka puʻuwai puʻuwai kūlike ʻole, ʻo ia hoʻi, e kuʻi ka puʻuwai i ka lohi a i ʻole ka wikiwiki ma mua o ka maʻamau a hoʻololi paha i ka hana a me ka hana o ka puʻuwai, e waiho ana i ke ola o kēlā kanaka i ka makaʻu.

I ke kumu o ka holo pono ʻole o ka puʻuwai, paʻakikī ka puʻuwai i ka pīkī pono ʻana i ke koko i ke kino, e hana ana i nā hōʻailona e like me ka nui o ka luhi a me ka pehu ʻana i nā wāwae i ka hopena o ka lā.

ʻO Infarction, ka mea i ʻike ʻia me ka puʻuwai puʻuwai, ʻo ia kekahi o nā maʻi ʻoi loa o ka maʻi, i ʻike ʻia e ka make ʻana o nā hunaola ma kahi ʻāpana o ka puʻuwai, ma muli o ka loaʻa ʻole o ke koko i loko o kēlā ʻokana.

E hoʻohana i ka calculator aʻe a ʻike i kāu makaʻu i ka loaʻa ʻana o nā pilikia puʻuwai.