Maʻi maʻi moku liʻiliʻi

Anter

• Nā ʻōuli maʻi maʻi moku liʻiliʻi
• Nā kumu o ka maʻi moku liʻiliʻi
• Nā kumu pilikia no ka maʻi moku liʻiliʻi
• Kānāwai
• Lapaʻau maʻi moku liʻiliʻi
• Kāohi

He aha ka maʻi moku liʻiliʻi?

ʻO kahi maʻi moku liʻiliʻi kahi ʻano i loko o nā paia o nā aʻa liʻiliʻi i loko o kou puʻuwai - nā lālā liʻiliʻi mai nā aʻa nui coronary - ua hōʻino ʻia a ʻaʻole i pālahalaha pono. Pono e hoʻonui i kāu mau moku liʻiliʻi e hāʻawi i ke koko waiwai oxygen i kou puʻuwai. Ke hōʻino ʻia lākou, emi ke kahe o ke koko i kou puʻuwai. Hiki i kēia ke kumu i nā pilikia koʻikoʻi i kou puʻuwai i hiki ke alakaʻi i nā pilikia i nā ʻāpana ʻē aʻe o ke kino.

Kāhea ʻia ia ka maʻi microvascular coronary a me ka maʻi liʻiliʻi o ke aʻa liʻiliʻi.

ʻO nā ʻōuli o ka maʻi moku liʻiliʻi e hoʻohālikelike i nā maʻi puʻuwai a me ka puʻuwai puʻuwai. He paʻakikī paha ke kuhi ʻana i ka maʻi moku liʻiliʻi me ka ʻole o ka hoʻāʻo ʻana e hoʻokaʻawale ma waena ona a me nā pilikia puʻuwai.

Inā haʻalele ʻole ʻia, hiki i ka maʻi moku liʻiliʻi ke hoʻoweliweli i ke ola.

Nā ʻōuli maʻi maʻi moku liʻiliʻi

Hoʻohālikelike pinepine nā maʻi maʻi moku liʻiliʻi i kēlā me kēia maʻi puʻuwai. Inā loaʻa ʻoe i ka maʻi moku liʻiliʻi, ʻike paha ʻoe i nā ʻōuli e like me:

• pokole o ka hanu
• luhi
• ka houʻu ʻana
• nausea
• ʻūpā
• maule ana
• ʻeha i loko o kāu mandible, ʻāʻī, poʻohiwi hema, a me ka lima, hoʻi, a me kou ʻōpū
• ʻehaʻeha ka umauma a me ke kaomi, ʻoi aku ka lōʻihi o ka lōʻihi ma mua o 10 mau minuke

E ʻike paha ʻoe i kēia mau ʻōuli ma hope o ka hana maʻamau o kēlā me kēia lā a i ʻole nā ​​manawa koʻikoʻi. Hiki ke ʻehaʻeha ka umauma maʻamau mai kēia ʻano ma nā wahi āpau mai 11-30 mau minuke a ʻoi.

Inā hele a hewa kou mau ʻōuli, a i ʻole ʻike ʻoe i ka ʻeha ma ʻō aku o kou umauma, e kāhea koke i kāu kauka.

Nā kumu o ka maʻi moku liʻiliʻi

Kū ka maʻi moku liʻiliʻi ke hōʻino ʻia nā paia o loko o nā moku liʻiliʻi i kou puʻuwai, e hoʻopili ana i ka hiki ke hiki ke kīloi kūpono.

Hoʻokumu ʻia kēia pohō e:

• kahe koko kiʻekiʻe
• kolesterol kiʻekiʻe
• momona
• mimikō mellitus

Inā haʻalele ʻole ʻia, e hōʻemi ka maʻi moku liʻiliʻi i kou puʻuwai e hana ʻoi aku e pīpī i ke koko i kou kino. Hiki i kēia ke hoʻoulu i ka constriction aras coronary / spasms, kahi puʻuwai puʻuwai, puʻuwai puʻuwai, a i ʻole make.

Nā kumu pilikia no ka maʻi moku liʻiliʻi

Hiki i kēlā me kēia mea ke hoʻomohala i ka maʻi liʻiliʻi o ka moku, akā ʻoi aku ka makaʻu o nā wahine.

ʻO nā kumu pilikia ʻē aʻe:

• papaʻai pono ʻole

Kānāwai

ʻIke ka maʻi o ka moku liʻiliʻi. Pono kāu kauka e loiloi i kāu moʻolelo olakino, ka mōʻaukala ʻohana, a me nā ʻōuli.

ʻO nā kaʻina hana kiʻi diagnostics no ka maʻi moku liʻiliʻi e like me nā mea e ʻimi nei i nā ʻano maʻi maʻi puʻuwai. Hōʻike kēia mau kaʻina hana i ke ʻano a i ʻole ka hana o kāu aʻa nui coronary a me nā ʻāpana ʻē aʻe o ka puʻuwai, a hōʻike paha i nā palaka aʻa. Pili pū paha kēia mau hoʻāʻo:

• hoʻāʻo koʻikoʻi puʻuwai me ke kiʻi nukelea a i ʻole transthoracic echocardiogram
• naʻau MRI
• maʻi paʻi CT angiography scan
• pēpē PET PET
• angiogram coronary artery, i mea invasive a koi i ka catheterization puʻuwai hema

Inā ʻaʻohe wahi nui i kāu mau aa coronary nui, e hoʻohana nā kauka i kahi hoʻokolohua hoʻowahāwahā, e hoʻokomo ana i nā lāʻau like ʻole i loko o ke aʻa coronary, e nānā i nā palaka i kāu mau aʻa liʻiliʻi i ka manawa o ka catheterization puʻuwai hema. Kapa ʻia kēia he hoʻāʻo hoʻomeamea endothelial. ʻAe kēia i ke kauka e ana i ke kahe o ke koko ma o kāu mau moku liʻiliʻi.

Lapaʻau maʻi moku liʻiliʻi

ʻO nā koho lapaʻau mua no ka maʻi o ka moku liʻiliʻi e pili ana i nā lāʻau e hōʻoluʻolu i ka ʻeha, mālama i nā mea pilikia, a me ka mālama ʻana i nā ʻōuli e pili ana. E hoʻomaikaʻi kēia mau lāʻau i ke kahe o ke kahe arterial a pale i nā hōʻeha puʻuwai.

ʻO kekahi mau lāʻau lapaʻau maʻamau:

• aspirin
• nitroglycerin
• beta blocker therapy
• Hoʻomaʻamaʻa ACE-inhibitor
• lāʻau lapaʻau statin

Kāohi

Per the American Heart Association, ʻaʻole i hana ʻia kahi noiʻi kikoʻī e pili ana i ka pale ʻana i nā maʻi liʻiliʻi o ka moku. Eia nō naʻe, hiki i nā loli nohona a me ka papaʻai olakino ke hōʻemi i kou makaʻu i ka ulu ʻana i ka maʻi puʻuwai. Aia kēia mau hoʻololi:

• Hoʻopau i nā huahana paka.
• Lilo i ke kaupaona inā kiʻekiʻe kou kaumaha.
• E kiʻi i ka hoʻoikaika kino maʻamau.
• Mālama i ke kahe koko olakino.
• Kaohi i kou kiʻekiʻe kō kō, inā paha ua ʻike ʻia ʻoe me ka maʻi diabetes.
• Mālama i kahi pae kolamu olakino.