Nā maʻi puʻuwai, nā maʻi maʻi maʻi (angina a me ka puʻuwai puʻuwai)

Nā maʻi puʻuwai, nā maʻi maʻi maʻi (angina a me ka puʻuwai puʻuwai)

 ʻO ka maʻi puʻuwai: ʻO ka manaʻo o Kauka Martin Juneau
 

Hoʻopili nui kēia pepa meangina a ka ʻeha o ka naʻau (myocardial infarction). E ʻoluʻolu e ʻoluʻolu e nīnau i kā mākou cardiac arrhythmias a me ka puʻuwai hōʻole ʻoiaʻiʻo e like me ka mea e pono ai.

ka maʻi maʻi maʻi hoʻopili i ka lehulehu o nā maʻi pili i ka hana ʻino o ka naau i nā kīʻaha koko e hanai ana.

Ke nānā nei kēia pepa i nā maʻi maʻamau 2:

  • kaangina hiki ke loaʻa ke loaʻa ʻole ke koko oxygenated i loko o ka ʻiʻo puʻuwai. He pilikia nui ia eha i loko o ka puʻuwai, ua ʻike ʻia ma ka ʻaoʻao o ka umauma. Loaʻa kēia maʻi ma ka hoʻoikaika ʻana a nalowale i loko o kekahi mau minuke me ka hoʻomaha a i ʻole ka lawe ʻana i ka nitroglycerin, me ka waiho ʻole ʻana i nā hopena. ʻO ka huaʻōlelo "angina" mai ka Latin huhu, ʻo ia hoʻi ke ʻano "e ʻumi";
  • kamyocardial infarction ou maʻi hohola hōʻike i kahi pilikia i ʻoi aku ka ikaika ma mua o ka angina. ʻO ke kumu o ka nele o ka oxygen nā ʻōpūʻo ia hoʻi ka luku ʻia ʻana o kekahi ʻāpana o ka ʻiʻo puʻuwai, kahi e pani ʻia e a pena. Hiki ke hoʻopili ʻia ka hiki ʻana o ka puʻuwai i ka hana maʻamau a paʻi i ke koko maʻamau me kēlā me kēia kuʻi; pili ia i ka nui o ka pehu. ʻO ka huaʻōlelo "infarction" mai ka Latin infarcire, ʻo ia hoʻi ka hoʻopiha ʻana a i ʻole ka hoʻopiha ʻana, no ka mea, me he mea lā ua hoʻopiha ʻia ka puʻuwai me ka wai.

Le naau he pauma ia e hiki ai i ke koko ke puunaue i na kino a pau, a no ia mea e hooiaio ai i ka lakou hana. Akā, pono nō kēia ʻiʻo hānai ʻia me ka oxygen a me nā meaʻai. Ua kapa ʻia nā ʻaʻa e hoʻolako a hānai i ka puʻuwai nā aa kala korona (e nana i ke kii). ʻO ka hoʻouka ʻana a i ʻole ka hōʻeha ʻana o ka angina i ka wā o ka paʻa ʻia nā ʻaʻaʻa coronary, ma ka hapa a i ole loa. ʻO nā wahi o ka puʻuwai ʻaʻole i hoʻolako maikaʻi ʻia me ka ʻae ʻana i ka wai a i ʻole e hoʻōki i ka hana ʻana pēlā. Hana ʻia kēia ʻano i ka wā i poino ai nā paia o nā aʻa o ka puʻuwai (e nānā i ka Atherosclerosis a me Arteriosclerosis ma lalo).

ʻO ka makahiki i loaʻa ai kahi hōʻeha angina mua a i ʻole ka puʻuwai puʻuwai e pili ana i kekahi hapa o kakūlohelohe, akā nui ʻano maʻamau o ke ola : ka ai, ka hana kino, ka puhi paka, ka inu rama a me ke kaumaha.

'O ka pinepine

Wahi a ka Heart and Stroke Foundation, ma kahi o 70 ka poʻe i ʻike maʻi hohola i kēlā me kēia makahiki ma Kanada. Ma kahi o 16 o lākou e hāʻawi iā ia. ʻO ka hapa nui o ka poʻe i ola e hoʻi hou i ke ola ikaika. Eia nō naʻe, inā ʻeha nui ka puʻuwai, nalowale kona ikaika a paʻakikī hoʻi e hoʻokō i nā pono o ke kino. ʻO nā hana maʻalahi, e like me ke komo ʻana i ka lole, lilo i mea paʻakikī. He puʻuwai hāʻule.

ʻO ka maʻi cardiovascular ka 1re kumu o make a puni ka honua, e like me ka World Health Organization2. Eia naʻe, ʻaʻole kēia ka hihia ma Kanada a me Farani, kahi i loaʻa ai nā maʻi maʻi i kēia manawa ma ka 1er kūlana. ʻO ka maʻi puʻuwai naʻe ka 1re kumu o ka make ma maʻi maʻi maʻi a me nā hui kanaka ʻē aʻe, e like me 'ōiwi.

ka popilikia puʻuwai aneane like like na kanaka a na wahine. Eia naʻe, loaʻa nā wahine i ka wā ʻelemakule.

Atherosclerosis a me arteriosclerosis

kaatherosclerosis pili i ka loaʻa ʻana o ka plaque ma ka paia o loko o nā ʻaʻa e keʻakeʻa ai i ke kahe ʻana o ke koko. Hoʻomaka mālie ia, pinepine i nā makahiki he nui ma mua o ka hoʻouka ʻana o ka angina a i ʻole nā ​​​​hōʻailona ʻē aʻe. Hoʻopilikia ka Atherosclerosis aʻa nui a waena (no ka laʻana, nā ʻaʻaʻa coronary, nā aʻa o ka lolo a me nā aʻa o nā lālā).

Pili pinepine ia meʻĀnopeko : ʻo ia hoʻi, ka paʻakikī, ka mānoanoa a me ka nalowale o ka elasticity o nā aʻa.

Pehea ka puʻuwai puʻuwai?

Loaʻa ka hapa nui o nā puʻuwai puʻuwai 3 mau ʻanuʻu pakahi.

  • ʻO ka mua, pono e hoʻopaʻa ʻia ka paia o loko o ke aʻa microblessures. Hiki i nā ʻano mea like ʻole ke hōʻino i ke aʻa i ka manawa, e like me ke kiʻekiʻe o nā lipids i loko o ke koko, ka maʻi diabetes, ka puhi ʻana, a me ke koko kiʻekiʻe.
  • ʻO ka hapa nui o ka manawa, pau ka moʻolelo ma ʻaneʻi, no ka mea, mālama pono ke kino i kēia mau ʻeha micro. Ma ka ʻaoʻao ʻē aʻe, ua mānoanoa ka paia o ke aʻa a hana i kahi ʻano pena kapa ʻia ” una honua “. Loaʻa kēia i nā waihona o ka cholesterol, nā cell immune (no ka mea, ua hoʻomaka ka ʻeha micro i ka hopena ʻeha) a me nā mea ʻē aʻe, me ka calcium.
  • ʻAʻole "pilikia" ka hapa nui o nā plaques; ʻaʻole lākou e nui a lohi paha, a laila kūpaʻa. Hiki i kekahi ke hoʻemi i ka wehe ʻana o nā aʻa coronary a hiki i ka 50% a i ka 70%, me ka ʻole o ka hōʻeha ʻana i nā hōʻailona a me ka piʻi ʻole ʻana. No ka ma'i pu'uwai, a ʻōpū koko puka ma luna o kahi pā (ʻaʻole pono nui). I loko o kekahi mau hola a i ʻole mau lā, hiki ke hoʻopaʻa ʻia ke aʻa e ka clot. ʻO kēia ka mea e hoʻoulu ai i ka puʻuwai a me ka ʻeha hikiwawe, me ka ʻole o ke ʻano ʻōlelo aʻo.

    ʻAʻole maopopo loa nā ʻanuʻu e alakaʻi ai i ke koko koko ma luna o kahi plaque. Hana ʻia ka ʻāʻī i ke koko i hoʻopaʻa ʻia. E like me ka wā e ʻeha ai ka manamana lima, makemake ke kino e hoʻoponopono iā ia ma o ka coagulation.

kaatherosclerosis e hoopa aku kekahi mau aʻa i ka manawa like. No laila, hoʻonui ia i ka pilikia o nā pilikia olakino koʻikoʻi, e like me ka hahau ʻana a i ʻole ka hōʻino ʻana i ka puʻupaʻa.

No ka loiloi i nā pilikia: ka nīnau nīnau Framingham a me nā mea ʻē aʻe

Hoʻohana ʻia kēia nīnau nīnau e kuhi ka pilikia o ka maʻi cardiovascular i nā makahiki he 10 e hiki mai ana. Hiki ke haʻahaʻa (emi iho ma mua o 10%), haʻahaʻa (10% a 19%) a i ʻole kiʻekiʻe (20% a ʻoi aku). ʻO nā hopena e alakaʻi i nā kauka i ke koho ʻana i ka lāʻau lapaʻau. Inā kiʻekiʻe ka pilikia, e ʻoi aku ka ikaika o ka mālama ʻana. Hoʻopili kēia nīnau nīnau i kamakahiki, uku o cholesterol, ke koko, a me nā mea pilikia ʻē aʻe. Hoʻohana nui ʻia e nā kauka Kanada a me ʻAmelika. Ua kūkulu ʻia ma ʻAmelika Hui Pū ʻIa, ma ke kūlanakauhale ʻo Framingham4. Nui nā ʻano nīnau nīnau, no ka mea, pono e hoʻololi ʻia i ka heluna kanaka e hoʻohana nei. Ma ʻEulopa, ʻo kekahi o nā mea i hoʻohana nui ʻia MAUA (" Systematic COronari Risk Eka helu helu »)5.

 

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