Pehea e ʻike ʻia ai ka maʻi puʻuwai?

Anter

• Nā ʻōuli o ka maʻi puʻuwai
• ʻImi kino a me nā hoʻāʻo koko
• Nā hōʻike noninvasive no ka maʻi puʻuwai
• Uila uila
• ʻEchocardiogram
• Hōʻaʻo koʻikoʻi
• Ultrasound Carotid
• Luna nānā Holter
• X-ray umauma
• Hōʻike papa ʻaina
• CT scan
• Puʻuwai MRI
• Nā ho'āʻo hoʻāʻo e hōʻike i nā maʻi puʻuwai
• ʻO ka angiography coronary a me ka catheterization puʻuwai
• Ke aʻo electrophysiology
• I ka manawa e ʻike ai i kāu kauka

ʻO ka hoʻāʻo ʻana no ka maʻi puʻuwai

ʻO ka maʻi puʻuwai kekahi ʻano e hoʻopili i kou puʻuwai, e like me ka maʻi o ke aʻa a me ka arrhythmia. Wahi a ka, maʻi maʻi puʻuwai no 1 i ka 4 ʻehā make ma ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki. He kumu nui ia o ka make i nā kāne a me nā wahine.

E hōʻoia i ka maʻi puʻuwai, e hana kāu kauka i kahi o nā hoʻokolohua a me nā loiloi. Hiki iā lākou ke hoʻohana i kekahi o kēia mau hoʻāʻo e nānā iā ʻoe no nā maʻi puʻuwai ma mua o kou hoʻomohala ʻana i nā hōʻailona ʻike ʻia.

Nā ʻōuli o ka maʻi puʻuwai

Hiki i nā ʻōuli o ka pilikia puʻuwai ke komo pū:

• maule ana
• lohi a wikiwiki paha ka naʻau
• paʻa paʻa o ka umauma
• ʻeha ka umauma
• pokole o ka hanu
• pehu koke i kou mau wāwae, wāwae, kuʻekuʻe wāwae, a i ʻole ʻōpū

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, pono ʻoe e hoʻonohonoho i kahi manawa me kāu kauka. Hiki i ke kuhi mua a me ka lāʻau lapaʻau ke kōkua i ka hoʻohaʻahaʻa ʻana i kou makaʻi o nā pilikia, e like me ka hōʻeha puʻuwai a i ʻole ka hahau.

ʻImi kino a me nā hoʻāʻo koko

I kāu koho ʻana, e nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau ʻōuli a me ka mōʻaukala olakino ʻohana. E nānā pū lākou i ka helu o kou puʻuwai a me ke kahe o ke koko.

Kauoha paha kāu kauka i nā hoʻokolohua koko. ʻO kahi laʻana, ana nā kolesterol i nā pae o ka momona a me nā kōkō ma kou kahe koko. Hiki i kāu kauka ke hoʻohana i kēia mau hoʻāʻo e kōkua ai e hoʻoholo i kāu makaʻu i ka maʻi puʻuwai a me ka puʻuwai puʻuwai.

ʻO kahi hōʻoia kolesterol piha e nānā i ʻehā mau ʻano momona i kou koko.

• Huina kolesterol ʻo ka hōʻuluʻulu o nā cholesterol āpau i kou koko.
• Lipoprotein haʻahaʻa-haʻahaʻa (LDL) kolesterol kapa ʻia i kekahi manawa he "ʻino" kolesterol. ʻO ka nui loa o ia mea e hoʻokumu i ka momona i loko o kāu mau aʻa, kahi e hoʻemi ai i ke kahe o ke koko. Hiki i kēia ke alakaʻi i kahi puʻuwai puʻuwai a i ʻole hahau.
• ʻO ka lipoprotein kiʻekiʻe (HDL) kolesterol kapa ʻia i kekahi manawa he "maikaʻi" kolesterol. Kōkua ia i ka lawe ʻana i ka LDL kolekole a hoʻomaʻemaʻe i kou aʻa.
• Nā Triglycerides he ʻano momona i kou koko. Hoʻohui pinepine ʻia nā pae kiʻekiʻe o nā triglycerides me ka maʻi kō, puhipaka, a me ka ʻai nui ʻana i ka waiʻona.

E kauoha paha kāu kauka i nā hoʻokolohua C-reactive protein (CRP) e nānā i kou kino no nā ʻōuli o ka pehu. Hiki iā lākou ke hoʻohana i nā hopena o kāu CRP a me nā hoʻokolohua kolesterol e nānā i kou makaʻi o ka maʻi puʻuwai.

Nā hōʻike noninvasive no ka maʻi puʻuwai

Ma hope o ka pau ʻana o kahi hoʻokolohua kino a me nā hoʻokolohua koko, hiki i kāu kauka ke kauoha i nā hoʻokolohua noninvasive hou aʻe. Noninvasive ʻo ia hoʻi, ʻaʻole pili nā hoʻokolohua i nā pono hana e haki i ka ʻili a i ʻole komo kino i ke kino. Nui nā hōʻike noninvasive i loaʻa e kōkua i kāu kauka e nānā no ka maʻi puʻuwai.

Uila uila

ʻO kahi electrocardiogram (EKG) kahi hōʻike pōkole e nānā i ka hana uila i kou puʻuwai. Hoʻopaʻa ia kēia hana ma kahi pepa. Hiki i kāu kauka ke hoʻohana i kēia hoʻokolohua e nānā ai i kahi puʻuwai kūpono ʻole a i ʻole ka hōʻino o ka puʻuwai.

ʻEchocardiogram

ʻO kahi echocardiogram kahi ultrasound o kou puʻuwai. Hoʻohana ia i nā nalu kani e hana i kiʻi o kou puʻuwai. Hiki paha i kāu kauka ke hoʻohana iā ia e loiloi i nā valves o kou puʻuwai a me nā mākala puʻuwai.

Hōʻaʻo koʻikoʻi

No ke kuhi ʻana i nā pilikia puʻuwai, pono paha i kāu kauka e nānā iā ʻoe ʻoiai ʻoe e hana nei i nā hana ikaika. I ka wā o kahi hoʻowalewale hoʻokolohua, e noi paha lākou iā ʻoe e holo i kahi keke kū wāwae a i ʻole hele wāwae a holo paha ma luna o kahi papa hana no nā minuke he nui. E nānā lākou i ka hopena o kou kino i ka hoʻoluhi ke piʻi aʻe ka nui o kou puʻuwai.

Ultrasound Carotid

Hoʻohana kahi scanner duplex carotid i nā nalu kani e hana i nā kiʻi o kāu aʻa carotid ma nā ʻaoʻao ʻelua o kou ʻāʻī. ʻAe ia i kāu kauka e nānā no kahi kūkulu o ka pā i kāu mau aʻa a nānā i kou maka o ka hahau.

Luna nānā Holter

Inā pono kāu kauka e nānā i kou puʻuwai ma kahi o 24 a 48 mau hola, e noi lākou iā ʻoe e komo i kahi hāmeʻa i kapa ʻia he Holter monitor. Hana kēia mīkini liʻiliʻi e like me ka EKG mau. Hiki i kāu kauka ke hoʻohana iā ia e nānā no nā pono kīnā ʻole o ka naʻau i hiki ke ʻike ʻole ʻia ma kahi EKG maʻamau, e like me arrhythmia, a i ʻole nā ​​puʻuwai puʻuwai ʻole.

X-ray umauma

Hoʻohana kahi X-ray umauma i kahi liʻiliʻi o ka radiation e hana i nā kiʻi o kou umauma, me kou puʻuwai. Hiki iā ia ke kōkua i kāu kauka e hoʻoholo i ke kumu o ka pōkole o ka hanu a i ʻole nā ​​ʻeha o ka umauma.

Hōʻike papa ʻaina

Hiki paha i kāu kauka ke hana i kahi hoʻokolohua papaʻaina lūlū inā ʻoe e maule. E noi lākou iā ʻoe e moe ma luna o kahi pākaukau e neʻe ana mai kahi ākea a i kahi kū i luna. Ke neʻe nei ka pākaukau, e nānā lākou i ka helu o kou puʻuwai, ke kahe o ke koko, a me ka pae o ka oxygen. Hiki i nā hopena ke kōkua i kāu kauka e hoʻoholo inā ʻo kou maʻi maule i hoʻokumu ʻia e ka maʻi puʻuwai a i ʻole kahi ʻano ʻē aʻe.

CT scan

Hoʻohana kahi CT scan i mau kiʻi X-ray he nui e hana i kahi kiʻi ʻāpana o kou puʻuwai. Hiki i kāu kauka ke hoʻohana i nā ʻano ʻokoʻa o ka CT scan e ʻike ai i nā maʻi puʻuwai. ʻO kahi laʻana, hiki iā lākou ke hoʻohana i kahi kānana helu kānana e nānā i ka naʻau e nānā ai no ka waiho ʻana o ka calcium i loko o kāu aʻa coronary. A i ʻole hoʻohana lākou i ka angiography CT coronary e nānā ai no ka waiho ʻana o ka momona a me ka calcium i loko o kāu mau aʻa.

Puʻuwai MRI

I kahi MRI, hana nā mākēneki nui a me nā nalu lekiō i nā kiʻi o loko o kou kino. I ka manawa o ka puʻuwai MRI, hana kahi loea i nā kiʻi o kou kīʻaha koko a me ka puʻuwai ʻoiai ke pā nei. Ma hope o ka hoʻokolohua, hiki i kāu kauka ke hoʻohana i nā kiʻi e ʻike i nā ʻano he nui, e like me nā maʻi puʻuwai puʻuwai a me nā maʻi o ke aʻa.

Nā ho'āʻo hoʻāʻo e hōʻike i nā maʻi puʻuwai

I kekahi manawa ʻaʻole hāʻawi nā hōʻike noninvasive i nā pane i lawa. Pono paha kāu kauka e hoʻohana i kahi hana invasive e kuhikuhi i nā maʻi puʻuwai. Hoʻopili nā kaʻina hana invasive i nā pono hana e komo kino i ke kino, e like me ka nila, ka paipu, a i ʻole ka pae.

ʻO ka angiography coronary a me ka catheterization puʻuwai

I ka manawa o ka catheterization puʻuwai, hoʻokomo kāu kauka i kahi paipu lōʻihi lōʻihi ma o kahi kīʻaha koko i kou ʻūlū a i ʻole ʻē aʻe ʻāpana o kou kino. A laila neʻe lākou i kēia pahu i kou puʻuwai. Hiki i kāu kauka ke hoʻohana iā ia e alakaʻi i nā hoʻokolohua e nānā ai i nā pilikia o ke kīʻaha koko a me nā ʻano maikaʻi ʻole o ka naʻau.

ʻO kahi laʻana, hiki i kāu kauka ke hoʻopau i kahi angiography coronary me ka catheterization. E hoʻopili lākou i kahi kala kūikawā i loko o nā kīʻaha koko o kou puʻuwai. A laila e hoʻohana lākou i kahi X-ray e nānā i kāu aʻa coronary. Hiki iā lākou ke hoʻohana i kēia hoʻāʻo e nānā i nā aʻa ʻikiʻī a i ʻole nā ​​palaka.

Ke aʻo electrophysiology

Inā loaʻa iā ʻoe kahi mau puʻuwai puʻuwai maikaʻi ʻole, hiki i kāu kauka ke alakaʻi i kahi noi electrophysiology e hoʻoholo i ke kumu a me ka hoʻolālā lapaʻau maikaʻi loa. I loko o kēia hōʻike, hānai kāu kauka i kahi catheter electrode ma o kou kīʻaha koko i kou puʻuwai. Hoʻohana lākou i kēia electrode e hoʻouna i nā hōʻailona uila i kou puʻuwai a hana i kahi palapala ʻāina o kāna hana uila.

E hoʻāʻo paha kāu kauka e hoʻihoʻi i kāu mele naʻau maoli ma ke kau ʻana i nā lāʻau a i ʻole nā ​​lāʻau ʻē aʻe.

I ka manawa e ʻike ai i kāu kauka

Inā manaʻo ʻoe he maʻi puʻuwai kāu, e hoʻopaʻa i kāu manawa me kāu kauka. Nā kumu i hoʻokau iā ʻoe i kahi makaʻu kiʻekiʻe no ka maʻi puʻuwai e komo pū:

• moʻolelo ʻohana o ka maʻi puʻuwai
• moʻolelo o ka puhipaka
• momona
• ʻai maikaʻi ʻole
• makahiki

Hana paha kāu kauka i kahi hoʻokolokolo kino, kauoha i nā hoʻokolohua koko, a hoʻohana i nā hoʻokolohua ʻē aʻe e nānā ai i nā pilikia me kou puʻuwai a i ʻole nā ​​kīʻaha koko. Hiki i kēia mau hoʻāʻo ke kōkua iā lākou e hōʻoia i ka maʻi puʻuwai a hoʻomohala i kahi papa hana.

ʻO nā pilikia o ka maʻi puʻuwai me ka puʻuwai a me ka hahau. Hiki iā ʻoe ke hōʻemi i ka pilikia o nā pilikia me ka ʻike mua a me ka mālama ʻana. E kamaʻilio me kāu kauka inā he hopohopo kāu. E aʻo lākou iā ʻoe pehea e ʻike ai i nā hōʻailona o ka maʻi puʻuwai a mālama i kahi puʻuwai olakino.