ʻO ka pilikia maoli o ka hōʻeha puʻuwai i ka wā o ka hoʻoikaika kino
Anter
No nā moʻolelo he nui e like me ka hoʻopiʻi ʻana i nā keu pono o ka holo ʻana, ʻike mākou i kekahi manawa i kahi mea i kū ʻē, e like me nā nūhou e pili ana i ka hala ʻana o ʻelua mau kāne kūkā he 30 mau kāne i ka wā o ka Rock 'n' Roll hapalua marathon ma Raleigh, NC, i ka hopena pule i hala.
ʻAʻole i hoʻokuʻu nā luna lāhui i ke kumu kumu o ka make, akā ʻo Umesh Gidwani, M.D., ke poʻo o Cardiac Critical Care ma ka Halemai ʻo Mount Sinai ma New York City, ke kuhi nei ʻo ia ka hopu ʻana i ka naʻau e alakaʻi i ko lākou make koke. ʻOi aku ka kiʻekiʻe o nā hanana o kēia hanana i nā kāne ma mua o nā wahine, akā naʻe liʻiliʻi ia-ma kahi o 1 i 100,000. "ʻO ka likelika o ka make ʻana i ka holo ʻana i ka marathon ua like ia me ka loaʻa ʻana o kahi ulia pōpilikia make," wahi a Gidwani, nāna e kapa i kēia he "pōʻino freak."
ʻElua mau kūlana nui i alakaʻi i kēia mau hanana i manaʻo ʻole ʻia, wehewehe ʻo ia. Kāhea ʻia kahi mea he hypertrophic cardiomyopathy, ʻo ia ka manawa a mānoanoa nā mākala puʻuwai, keakea i ke kahe o ke koko i ke koena o ke kino. ʻO ka maʻi puʻuwai ischemic (a i ʻole ischemic) ma muli o ka emi ʻana o ke kahe o ke koko i loko o ke aʻa e hāʻawi ana i ka naʻau. Loaʻa kēia i ka poʻe ʻelemakule a i ʻole ka poʻe i loaʻa ka moʻolelo ʻohana o ka maʻi puʻuwai. ʻO nā ʻano nohona maikaʻi ʻole, e like me ka uahi ʻana, a i ʻole ka loaʻa ʻana o nā pilikia kolesterol hiki ke hoʻonui i ka makaʻu o ka hope.
ʻO ka mea pōʻino, ʻaʻohe mau hōʻailona e nānā ai. "ʻO ka ʻeha o ka umauma a i ʻole ka hōʻoluʻolu, ka hoʻoluʻu ʻokoʻa, a me ka manaʻo ʻana i ka palpitations puʻuwai maʻamau he mau hōʻailona hōʻailona maʻamau, akā ʻaʻole i loaʻa kēia mau mea ma mua o ka make ʻana o ka naʻau," ʻōlelo ʻo Gidwani. ʻOiai ʻaʻohe mea e nānā ai i ka wā e holo ana, hiki iā ʻoe ke noi i kāu kauka no ka loiloi mua ʻana inā loaʻa iā ʻoe kahi kumu no ka hopohopo.
"Hiki i ka EKG ke kiʻi inā he hewa kou puʻuwai," wahi a Gidwani. ʻOiai inā ʻaʻohe hewa o kāu ticker, ʻoi aku ka nui o nā hoʻokolohua kūikawā e noiʻi hou aku. Akā lahilahi nā kahakaha āu i moho ai no kēia ʻano hoʻokolohua. "He haʻahaʻa loa ka maʻi o ka maʻi maʻi puʻuwai i ka poʻe ʻōpio ʻaʻole ia e kōkua i ka loaʻa ʻana o ka nānā ʻana no ia mea," wahi a Gidwani, me ka hoʻohui ʻana ua ʻōlelo ʻia kēia mau hoʻokolohua inā loaʻa iā ʻoe kahi moʻolelo ʻohana, loaʻa ka ʻeha o ka umauma i ka wā i hala. he mea puhi paka, a i ʻole he mau hōʻailona ʻē aʻe.
Manaʻo pinepine ʻia nā kukini i ke olakino maikaʻi. Inā hoʻomaʻamaʻa pono ʻoe a loaʻa iā ʻoe ka maikaʻi mai kāu kauka mālama mua a i ʻole cardiologist, a laila pono ʻoe e hele i kahi mamao.