Nā Kūlana Pilikia no ka maʻi Coronaary Artery (CAD)

Anter

• He aha nā mea pilikia no CAD?
• ʻAʻole hiki i nā kumu hoʻoweliweli ke kāohi
• Ka makahiki a me ke kāne
• Lāhui
• Mōʻaukala ʻohana
• Nā kumu hoʻoweliweli hiki iā ʻoe ke kaohi
• Puhipaka
• Nā pae kolesterol kūpono
• Piʻi koko kiʻekiʻe
• Hoʻoikaika kino ʻole
• Kaumaha a obesity paha
• Diabetes mellitus
• Ke hāʻawi nei i nā kumu pilikia
• Pehea e hōʻemi ai i kou makaʻi o CAD

Hōʻike Overview

ʻO ka maʻi puʻuwai ke kumu nui o ka make no nā kāne a me nā wahine. ʻO ka maʻi o ke aʻa aʻa (CAD) ka ʻano maʻamau o ka maʻi puʻuwai.

Wahi a ka, ʻoi aku ma mua o 370,000 poʻe i make mai CAD i kēlā me kēia makahiki i United States. ʻO ke kumu maʻa mau o ka CAD ka plake buildup i nā aʻa coronary.

Hiki i nā kumu he nui ke hoʻonui i kāu makaʻu i ka hoʻomohala ʻana iā CAD. Hiki iā ʻoe ke kaohi i kekahi o kēia mau kumu. E heluhelu e ʻike hou aʻe.

He aha nā mea pilikia no CAD?

ʻAʻole hiki i nā kumu hoʻoweliweli ke kāohi

He mea nui e makaʻala i nā kumu pilikia ʻaʻole hiki iā ʻoe ke kaohi, no ka mea hiki iā ʻoe ke nānā i kā lākou hopena.

Ka makahiki a me ke kāne

Hoʻonui ka nui o kāu makaʻu i ka CAD i kou mau makahiki. ʻO kēia no ka mea kūkulu ke pā i ka manawa. Wahi a ka, hoʻonui ka makaʻu no nā wahine i ka makahiki 55. Hoʻonui ka makaʻu no nā kāne i ka makahiki 45.

ʻO CAD ka ʻano maʻamau o ka maʻi puʻuwai ma waena o nā kāne a me nā wahine ma United States. ʻO nā kāne keʻokeʻo ma waena o nā makahiki 35 a me 44 e pili ana i 6 mau manawa e make ana iā CAD ma mua o nā wahine keʻokeʻo i kēlā hui like, e like me ka hōʻike 2016. ʻOi aku ka ʻokoʻa ma waena o ka poʻe ʻaʻole keʻokeʻo.

Hoʻonui ka nui o ka make ma waena o nā wahine ma hope o ka menopause. ʻO ka makaʻu o ka wahine i ka make mai CAD e like a ʻoi aku paha ma mua o ka makaʻu like no ke kāne ma ka makahiki 75.

ʻO kekahi kekelē o ka maʻi maʻi maʻi i ka pae o ka mākala puʻuwai a me nā aʻa coronary e hana pinepine ʻia e like me ka nui o nā makahiki o ka poʻe. Kuhi ʻia ke ʻano ma mua o 80 pākēneka o nā mākua ma mua o 80 mau makahiki, e like me ka a.

Nā loli i kū i ke kino i kou mau makahiki e hana i nā kūlana e maʻalahi ai ka ulu ʻana o ka maʻi puʻuwai. ʻO kahi laʻana, hiki i nā paia aʻa palupalu ke hoʻomohala i nā ʻāpana paʻakikī me ke kahe o ke koko e ʻumeʻume ai i nā waiho o ka pā a hoʻonāukiuki i nā aʻa.

Lāhui

Ma ʻAmelika Hui Pū ʻIa, ʻo ka maʻi puʻuwai ke kumu nui o ka make no ka hapa nui o nā lāhui. Wahi a ka, maʻi maʻi ka lua o ka maʻi ʻaʻai ma ke kumu o ka make ma waena o:

• Na Inikini Amerika
• Nā ʻōiwi o Alaska
• ʻAmelika-ʻAmelika
• Nā Pāpuni Pākīpika

ʻOi aku ka makaʻu o ka maʻi puʻuwai no kekahi lāhui ma mua o nā poʻe ʻē aʻe. Wahi a ka US Department of Health and Human Services Office of Minority Health (OMH), he 30 pākēneka ka nui o ka make ʻana o nā kāne a me nā wahine ʻAmelika-ʻAmelika i nā maʻi puʻuwai, e like me CAD, ma mua o nā kāne a me nā wahine keʻokeʻo ʻole Hispanika. i ka 2010.

ʻOi aku ka nui o ka make o nā kāne keʻokeʻo ʻole Hispanika no ka maʻi maʻi puʻuwai ma mua o nā Indians ʻAmelika a me nā kamaʻāina o Alaska, e like me ka OMH.

ʻO ka hoʻonui ʻia o ka maʻi maʻi puʻuwai i kekahi mau lāhui e pili pū me ka hoʻonui ʻia o ke kiʻekiʻe o ke koko kiʻekiʻe, ka momona, a me ka maʻi diabetes. ʻO kēia nā mea pilikia no ka maʻi puʻuwai.

Mōʻaukala ʻohana

E holo paha ka maʻi puʻuwai i ka ʻohana. Wahi a ka World Heart Federation, hoʻonui ʻia kāu maʻi puʻuwai inā he maʻi ʻeha ko ka ʻohana pili. Hoʻonui hou ʻia kou makaʻi inā loaʻa i kāu makuakāne a i kou hoahānau paha i kahi hōʻailona o ka maʻi puʻuwai ma mua o ka makahiki 55, a i loaʻa paha i kahi maʻi o kou makuahine a i ʻole kaikuahine ma mua o ka makahiki 65.

Hoʻohui ʻia, inā loaʻa nā pilikia o kāu mau mākua ʻelua me ka maʻi puʻuwai ma mua o ko 55 mau makahiki, e hoʻonui loa kēia i kou makaʻi no ka maʻi puʻuwai. Hiki paha iā ʻoe ke hoʻoilina i kahi preponderance i ka hoʻomohala ʻana i ka ʻano diabetes diabetes 1 a i ʻole 2, a i ʻole nā ​​ʻano maʻi ʻē aʻe a i ʻole ke ʻano e hoʻonui ai i ka makaʻu o CAD.

Nā kumu hoʻoweliweli hiki iā ʻoe ke kaohi

Hiki ke mālama ʻia nā kumu pilikia he nui no ka CAD. Wahi a ka American Heart Association (AHA), hiki iā ʻoe ke hoʻololi i ʻeono mau kumu nui weliweli.

Puhipaka

ʻOiai inā ʻaʻohe ou mau pilikia ʻē aʻe, ka puhipaka ʻana i nā huahana paka mai ka mua a i ʻole ka lua, ma o ia iho, hoʻonui i kou makaʻu o CAD. Inā loaʻa iā ʻoe kahi mau pilikia pilikia, piʻi aʻe ka makaʻu o CAD. He mea weliweli loa ka puhi inā he moʻolelo ʻohana kāu na ka maʻi puʻuwai a i ʻole inā e lawe ʻoe i kekahi lāʻau hoʻomake hānau.

Nā pae kolesterol kūpono

ʻO ka lipoprotein haʻahaʻa haʻahaʻa haʻahaʻa (LDL) a me ka lipoprotein haʻahaʻa kiʻekiʻe (HDL) kolamu nā mea i hiki ke hōʻike i kahi pilikia nui no CAD. Kuhi ʻia ʻo LDL i kekahi manawa ma ke ʻano he "ʻino" kolesterol. Kuhi ʻia ʻo HDL i kekahi manawa ma ke ʻano he "maikaʻi" kolesterol.

ʻO nā kiʻekiʻe kiʻekiʻe o ka LDL a me nā pae haʻahaʻa o HDL e hoʻonui i kou makaʻi i ke kūkulu ʻana o ka pā i loko o kāu mau aʻa. Aia kekahi pilikia hou ke hele pū kekahi o kēia mau mea me kahi pae triglyceride kiʻekiʻe.

Aia kekahi mau kulekele kolesterol hou no nā mākua e pili ana i nā mea i manaʻo ʻia he ʻoluʻolu a maʻamau pae pae koloke mai ka American College of Cardiology and American Heart Association. Hoʻopili pū nā kulekele hou i ke ʻano hana e hiki mai ana ke kūleʻa nā pae kolesterol. Hoʻomaopopo ka mālama ʻana inā loaʻa ʻoe i ka maʻi puʻuwai a i ʻole nā ​​mea pilikia no ka maʻi puʻuwai.

Hiki i kāu kauka ke nānā i kāu mau pae kolesterol like ʻole i kou kahawai e ʻike inā kiʻekiʻe a haʻahaʻa paha lākou. Inā loaʻa iā ʻoe kekahi ʻano o ke kūlana kolamu kolamu, hiki i kāu kauka ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau maikaʻi.

Piʻi koko kiʻekiʻe

ʻO ke kaomi koko ke ana o ke kaomi ma luna o nā kīʻaha koko ke kahe ana ke koko ma o lākou e pili ana i ka neʻe ʻana o ka puʻuwai o ka pauma ʻana a hoʻomaha paha. I ka hala ʻana o ka manawa, ke koko kiʻekiʻe, a i ʻole ke kiʻekiʻe kiʻekiʻe, hiki ke hoʻonui i ka mākala puʻuwai a neʻe ʻole me ka pololei.

AIM e mālama mau i kou kaomi koko ma lalo o 120/80 mmHg. ʻO ke kahe koko Systolic ka helu kiʻekiʻe. ʻO ke kaomi koko Diastolic ka helu lalo.

Hoʻomaopopo ʻia ke kiʻekiʻe o ka hypertension ma ke ʻano he systolic pressure pressure ma luna o 130 mmHg, kaomi koko diastolic ma mua o 80 mmHg, a i ʻole ʻelua paha. Inā loaʻa ʻoe i ke koko kiʻekiʻe, paipai ka AHA e hoʻomaka me nā loli nohona e hiki ke kōkua i ka hoʻohaʻahaʻa iā ia:

• ʻO ka lilo ʻana o ke kaupaona inā ʻoi aku kou kaumaha a mālama i kahi kaupaona olakino.
• Hoʻomaʻamaʻa pinepine.
• Ka palena i ka nui o ka waiʻona āu e inu ai.
• ʻAi i kahi papaʻai olakino.
• Mai puhi paka.
• Hoʻoponopono me ke olakino.

Inā ʻaʻole e hoʻohaʻahaʻa kēia mau nohona i kou kahe koko kiʻekiʻe i ka pae i koi ʻia, makemake paha ʻoe a me kāu kauka e kūkākūkā i nā lāʻau i hiki ke kōkua i ka hoʻohaʻahaʻa i kou kahe koko.

Hoʻoikaika kino ʻole

Kōkua ka hoʻoikaika i ka hoʻohaʻahaʻa i kou makaʻu o CAD e:

• hoʻohaʻahaʻa ʻana i ke koko
• ke hāpai nei i ka HDL kolesterol
• ke hoʻoikaika nei i kou puʻuwai no laila ke hana nei me ka maikaʻi

Kōkua pū ka hoʻoikaika iā ʻoe e mālama i kahi kaupaona olakino a hoʻemi i kou makaʻi no nā maʻi ʻē aʻe, e like me ka momona a me ka maʻi diabetes, i alakaʻi ʻia ai iā CAD.

Kaumaha a obesity paha

ʻO ka momona a obesity paha ka mea e hoʻonui ai i kou makaʻi o CAD. ʻO ka halihali ʻana i ka nui o ke kaupaona e pili pinepine ʻia me ke koko kiʻekiʻe a i ʻole diabetes mellitus. Pili pono ia i ka papaʻai maikaʻi ʻole a me nā ʻano hoʻoikaika kino.

Hoʻomaopopo pinepine ʻia ka overweight a obese paha ma ka ʻōlelo o ka helu nui o ke kino (BMI). ʻO kāu BMI, kahi ana o ke kaupaona i ke kiʻekiʻe, e noho ma waena o 18.5 a me 24.9. ʻO kahi BMI o 25 a ʻoi paha, ʻoi aku inā he nui kou kaupaona a puni kou midsection, hoʻonui i kou makaʻu o CAD.

Wahi a nā kulekele mai ka AHA, pono i nā wahine i ka pōʻai pūhaka ma lalo o 35 ʻīniha. Pono i nā kāne ke kaʻi i ke kāʻei ma lalo o 40 ʻīniha.

ʻAʻole hōʻike mau loa kāu BMI, akā hiki ke lilo i mea maikaʻi. Hiki iā ʻoe ke hoʻohana i kahi pūnaewele a kamaʻilio pū paha i kāu kauka e pili ana i ka hopena o kou kaupaona a me ke olakino holoʻokoʻa i kāu makaʻu o ka hoʻomohala ʻana iā CAD.

Diabetes mellitus

ʻO ka maʻi diabetes mellitus kahi kūlana i hiki ʻole i kou kino ke hoʻohana kūpono i ka insulin a i ʻole hiki ʻole ke lawa ka nui o ka insulin. Kuhi kēia i ka nui o ka glucose i kou kahe koko. ʻO nā kumu pilikia ʻē aʻe no CAD e hele pinepine pū me ka maʻi diabetes ʻelua, e like me ka momona a me ke kōpaʻa kiʻekiʻe.

ʻO kou hoʻokēʻai ʻana i ke kō glucose e pono ma lalo o 100 mg / dL. ʻO kou hemoglobin A1c (HbA1c) ma lalo o 5.7 pakeneka. ʻO ka HbA1C kahi ana o kāu kaohi glucose glucose koko ma mua o ʻelua a ʻekolu paha mahina. Inā ʻoi aku ke kiʻekiʻe o kāu kō kō a i ʻole kāu HbA1c ma mua o kēlā mau waiwai, ʻoi aku ka nui o kāu makaʻu i ka hoʻomohala ʻana i ka maʻi diabetes a i ʻole ua loaʻa paha i ka maʻi diabetes. Hoʻonui kēia i kou makaʻu no ka loaʻa ʻana iā CAD.

Inā he maʻi diabetes ʻoe, e kamaʻilio me kāu kauka a hāhai i kā lākou ʻōlelo aʻo no ka mālama ʻana i kāu kō kō.

Ke hāʻawi nei i nā kumu pilikia

Hiki i kekahi mau ʻano hana ke hoʻonui i kou makaʻu no ka maʻi puʻuwai, ʻoiai inā ʻaʻole lākou i hoʻokaʻawale ʻia ma ke ʻano he pilikia kuʻuna maʻamau. ʻO kahi laʻana, hiki i ka hoʻohana pinepine ʻana i kekahi mau lāʻau lapaʻau kū kānāwai a me ka lāʻau lapaʻau ʻole ke alakaʻi i ke koko kiʻekiʻe a hoʻonui i ka makaʻu no ka maikaʻi ʻole o ka puʻuwai, ka puʻuwai puʻuwai, a me ka hahau ʻana. Hoʻonui ka hoʻohana ʻana i ka cocaine a me nā amphetamines i kou makaʻi ʻana i ka maʻi puʻuwai.

Hoʻonui pū ka hoʻohana nui ʻana i ka waiʻona i ka maʻi puʻuwai. Inā inu nui ʻoe a hoʻohana i nā lāʻau, e noʻonoʻo e kamaʻilio me kāu kauka a i ʻole kahi lawelawe olakino noʻonoʻo e pili ana i ka mālama ʻana a i ʻole nā ​​polokalamu detox e pale i nā pilikia olakino weliweli.

Pehea e hōʻemi ai i kou makaʻi o CAD

ʻO ka hana mua e ʻike i kāu mau pilikia. ʻOiai ʻaʻohe ou mana ma luna o kekahi o lākou - e like me nā makahiki a me nā ʻano kūpuna - maikaʻi mau ka ʻike e pili ana iā lākou. Hiki iā ʻoe ke kūkākūkā iā lākou me kāu kauka a nānā i kā lākou hopena.

Hiki iā ʻoe ke hoʻololi i nā kumu ʻē aʻe. Eia kekahi ʻōlelo aʻoaʻo:

• E noi i kāu kauka e kiaʻi i kou kiʻekiʻe o ke koko a me nā pae kolesterol. Inā lākou i waho i nā pae i koi ʻia, e noi i kāu kauka no nā manaʻo e pili ana pehea e hiki ai iā ʻoe ke hōʻemi.
• Inā puhi ʻoe i nā huahana paka, e hoʻolālā e haʻalele.
• Inā nui kou kaupaona, e kūkākūkā i kahi papahana hōʻemi kaumaha me kāu kauka.
• Inā loaʻa ʻoe i ka maʻi diabetes, e noi i kāu kauka no ke kōkua me ka hoʻokumu ʻana i kahi hoʻolālā e mālama i kāu pae glucose koko i lalo o ka kaohi.

Hiki ke kōkua i ka mālama ʻana i kāu helu CAD i hiki iā ʻoe ke ola i ke ola olakino.