He hahau paha ia a he puʻuwai puʻuwai paha?

Anter

• He aha nā hōʻailona?
• He aha nā kumu?
• Kumu hahau
• Kumu puʻuwai puʻuwai
• He aha nā mea weliweli?
• Pehea e ʻike ʻia ai ka hōʻeha puʻuwai a me ka hahau?
• Pehea e mālama ai i ka puʻuwai a me ka hahau?
• Maʻi hohola
• Hahau
• He aha ka kuanaʻike?
• Kāohi i ka puʻuwai a me ka hahau

Hōʻike Overview

ʻO ka maʻi hahau a me ka hōʻeha puʻuwai e kū koke. ʻOiai loaʻa kekahi mau hanana like ʻole i nā hanana ʻelua, ʻokoʻa kā lākou mau ʻōuli ʻē aʻe.

ʻO kahi ʻōuli maʻamau o ka hahau ʻana he hōʻeha ʻeha a ikaika loa. ʻO ka hahau i kekahi manawa ua kapa ʻia ia he "hoʻouka lolo." ʻO ka puʻuwai puʻuwai, ma ka ʻaoʻao ʻē aʻe, pinepine me ka ʻeha o ka umauma.

ʻO ka hoʻomaopopo ʻana i nā ʻōuli ʻokoʻa o ka hahau a me ka puʻuwai puʻuwai hiki ke hoʻololi i ka loaʻa ʻana o ke ʻano kōkua kūpono.

He aha nā hōʻailona?

ʻO nā ʻōuli o ka hahau a me ka puʻuwai puʻuwai e kaukaʻi ʻia:

• ka paʻakikī o ka hopena
• kou mau makahiki
• kou kāne kāne
• kou olakino holoʻokoʻa

Hiki ke hele koke mai nā ʻōuli me ka ʻole o ka ʻōlelo aʻoaʻo.

He aha nā kumu?

Hiki i nā hahau ʻelua a me nā puʻuwai puʻuwai ma muli o nā aʻa i ālai ʻia.

Kumu hahau

ʻO ka ʻano maʻamau o ka hahau ʻana he ulia ischemic:

• Hiki i ke kīʻaha koko i loko o ke aʻa i loko o ka lolo ke hōʻoki i ke kaapuni ʻana i ka lolo. Hiki i kēia ke hōʻeha.
• Hāpai nā aʻa carotid i ke koko i ka lolo. Hiki ke loaʻa ka hopena like i ke kūkulu plaque i loko o ke aʻa carotid.

ʻO kekahi ʻano nui o ka hahau ʻana he maʻi heʻe hemorrhagic. Kū kēia i ka wā e haki kahi kīʻaha koko i ka lolo a hoʻokahe ke koko i nā mea a puni. ʻO ke kiʻekiʻe o ke koko e hoʻokaumaha i nā paia o kou aʻa i hiki ke hana i kahi maʻi hemorrhagic.

Kumu puʻuwai puʻuwai

Hana ʻia kahi puʻuwai puʻuwai ke lilo kahi aʻa aʻa a i ʻemi paha i ka nui o ke kahe ʻana o ke kahe o ke kaohi. ʻO ke aʻa coronary kahi aʻa e hāʻawi i ke koko i ka puʻuwai puʻuwai.

Hiki ke pale i ke aʻa coronary inā kū kahi koko i ke kahe o ke koko. Hiki iā ia ke hana inā kūkulu ʻia kahi plake kolamu i loko o ke aʻa a hiki i kahi i lohi ai ke kahe ʻana i kahi trickle a kū hope loa paha.

He aha nā mea weliweli?

ʻO ka hapa nui o nā hopena pilikia no ka hahau a me ka puʻuwai puʻuwai ka mea like. Pākuʻi ʻia kēia mau mea:

• puhipaka
• kolesterol kiʻekiʻe
• kahe koko kiʻekiʻe
• makahiki
• moolelo ohana

Hoʻopilikia ke kahe kiʻekiʻe i nā paia o kou kīʻaha koko. Hana lākou i ka ʻoʻoleʻa a liʻiliʻi paha e hoʻonui e like me ka mea e pono ai e mālama i ke kahe olakino. Hiki i ka maikaʻi ʻole o ke kaapuni ke hoʻonui i kāu makaʻi o ka hahau a me ka puʻuwai puʻuwai.

Inā loaʻa iā ʻoe kahi maʻi puʻuwai puʻuwai i ʻike ʻia ʻo atrial fibrillation (AK), ua hoʻonui pū ʻia ʻoe me ka pilikia o ka hahau. Ma muli o ka pā ʻole o kou puʻuwai i kahi mele maʻa mau i ka manawa o AF, hiki i ke koko ke komo i loko o kou puʻuwai a hana i kahi ʻōpala. Inā haki kēlā hāmeʻa i kou puʻuwai, hiki iā ia ke hele ma ke ʻano he embolus i kou lolo a hana i kahi hahau ischemic.

Pehea e ʻike ʻia ai ka hōʻeha puʻuwai a me ka hahau?

Inā loaʻa iā ʻoe nā hōʻailona hahau, e loaʻa i kāu kauka kahi hōʻuluʻulu wikiwiki o nā ʻōuli a me kahi mōʻaukala olakino. E loaʻa paha iā ʻoe kahi CT scan o ka lolo. Hiki i kēia ke hōʻike i ke kahe ʻana o ka lolo ma nā lolo a me nā wahi o ka lolo i hiki ke hoʻopili ʻia e ke kahe koko maikaʻi ʻole. E kauoha paha kāu kauka i kahi MRI.

Hana ʻia kahi ʻano ʻokoʻa o nā hoʻokolohua e kuhikuhi i ka hōʻeha puʻuwai. Makemake mau kāu kauka e ʻike i kāu mau hōʻailona a me ka mōʻaukala olakino. Ma hope o kēlā, e hoʻohana lākou i kahi electrocardiogram e nānā ai i ke olakino o kou puʻuwai puʻuwai.

Hana ʻia kahi hōʻike koko e nānā i nā enzymes e hōʻike i ka hōʻeha puʻuwai. Hana paha kāu kauka i kahi catheterization cardiac. Pili kēia hōʻike i ke alakaʻi ʻana i kahi paipu lōʻihi a maʻalahi hoʻi ma o kahi kīʻaha koko i loko o ka puʻuwai e nānā ai no ka poloka.

Pehea e mālama ai i ka puʻuwai a me ka hahau?

Maʻi hohola

I kekahi manawa e mālama ana i ka blockage kuleana no ka puʻuwai puʻuwai e koi aku ma mua o ka lāʻau a me nā loli nohona. I kēia mau hanana, pono paha i ke kahakaha aʻa koko coronary (CAGB) a i ʻole angioplasty me kahi stent e pono ai.

I loko o kahi CABG, i kapa pinepine ʻia ma ke ʻano he "bypass surgery," lawe kāu kauka i kahi kīʻaha koko mai kahi ʻē aʻe o kou kino a hoʻopili iā ia i kahi aʻa i ālai ʻia. Holo kēia i ke kahe o ke koko a puni ka ʻāpana paʻa o ke kīʻaha koko.

Hana ʻia ʻo Angioplasty i kahi catheter me kahi pāluna liʻiliʻi ma kona wēlau. Hoʻokomo kāu kauka i kahi catheter i loko o ke kīʻaha koko a hoʻonui i ka pāluna ma ke kahua o ka paʻa. Hoʻopili ka baluna i ka pā i nā paia o ke aʻa e wehe iā ia no ke kahe o ke koko maikaʻi. ʻO ka manawa pinepine, e waiho lākou i kahi uea uwea uea, i kapa ʻia he stent, ma kahi e kōkua ai i ka wehe ʻana o ke aʻa.

Ma hope o ka puʻuwai puʻuwai a me ka lāʻau hope, pono ʻoe e komo i ka hoʻoponopono hou ʻana o ka naʻau. Ma hope o ka hoʻoponopono hou ʻana o Cardiac he mau pule he nui a hoʻokomo pū ʻia me nā kau hoʻoikaika kino a me ka ʻike e pili ana i ka papaʻai, ka nohona, a me nā lāʻau no ke olakino puʻuwai maikaʻi.

Ma hope o kēlā, pono ʻoe e hoʻomau i ka hoʻoikaika kino a me ka ʻai ʻana i ka papaʻai olakino puʻuwai me ka hōʻalo ʻana i nā mea e like me ka puhipaka, nui loa ka waiʻona, a me ke koʻikoʻi.

Hahau

Paipai ʻia kēlā ʻano olakino olakino e like me ka mālama ʻana i ka maʻi kō. Inā loaʻa ʻoe i ka hahau ischemic a hoʻokau iā ia i ka haukapila i loko o kekahi mau hola e hoʻomaka ana, hiki i kāu kauka ke hāʻawi iā ʻoe i lāʻau lapaʻau i kapa ʻia ka mea hoʻāʻo plasminogen, e kōkua ai e haki i kahi ʻōpala. Hiki iā lākou ke hoʻohana i nā mea liʻiliʻi e kiʻi i kahi ʻōpala mai nā kīʻaha koko.

No ka maʻi heʻe hemorrhagic, pono ʻoe i ke ʻoki e hoʻoponopono i ka moku koko i hōʻino ʻia. Hiki i kāu kauka ke hoʻohana i kahi pāʻālua kūikawā i kekahi mau hihia e hoʻopaʻa i ka ʻāpana o kahi kīʻaha koko i haki.

He aha ka kuanaʻike?

ʻO kāu nānā ʻana ma hope o ka hahau a me ka puʻuwai puʻuwai e pili nui ana i ka paʻakikī o ka hanana a me ka wikiwiki o kou loaʻa ʻana i ka lāʻau.

ʻO kekahi poʻe i loaʻa i ka maʻi hahau e ʻike lākou i nā mea hōʻino e hoʻīliʻi ai i ka hele wāwae ʻana a i ʻole ke kamaʻilio ʻana no kekahi manawa lōʻihi. Lilo kekahi i ka hana lolo ʻaʻole hoʻi hou. No ka poʻe he nui i mālama ʻia ma hope koke iho o ka hoʻomaka ʻana o nā ʻōuli, hiki paha ke hoʻōla piha.

Ma hope o ka puʻuwai puʻuwai, hiki iā ʻoe ke manaʻo e hoʻomaka hou i ka hapa nui o nā hana āu i hauʻoli ai ma mua inā ʻoe e hana i nā mea āpau:

• hāhai i nā kauoha a kāu kauka
• komo i ka hoʻoponopono puʻuwai
• mālama i kahi nohona olakino

E hilinaʻi nui kou kali ʻana i ke ola inā pili ʻoe i nā ʻano olakino naʻau. Inā loaʻa ʻoe i ka hahau a i ʻole ka puʻuwai puʻuwai, he mea nui ia e noʻonoʻo pono i ke kaʻina hana hou a pili me ia. E like me ka paʻakikī i kekahi manawa, ʻoi aku ka maikaʻi o ka uku o ke ola.

Kāohi i ka puʻuwai a me ka hahau

ʻO ka nui o nā hoʻolālā like e hiki ke kōkua i ka pale ʻana i kahi hahau hiki ke kōkua i ka hōʻemi ʻana i kou manawa o ka puʻuwai puʻuwai. Pākuʻi ʻia kēia mau mea:

• ke kiʻi nei i kāu pae kolesterol a me nā kiʻekiʻe o ke koko i kahi pae olakino
• puhipaka ʻole
• ka mālama ʻana i kahi kaupaona olakino
• ka palena ʻana i kāu inu ʻona
• ka mālama ʻana i kāu kō kō
• ke hoʻohana nei i ka hapa nui, inā ʻaʻole nā ​​lā āpau o ka pule
• e ʻai nei i ka papaʻai i haʻahaʻa i nā momona momona, nā kō i hoʻohui ʻia, a me ka sodium

ʻAʻole hiki iā ʻoe ke kāohi i kekahi mau pilikia, e like me ka makahiki a me ka mōʻaukala olakino ʻohana. Eia nō naʻe, hiki iā ʻoe ke ola i kahi nohona olakino i hiki ke kōkua i ka hōʻemi ʻana i kāu alo o ka puʻuwai a i ʻole ka hahau ʻana.