Hāʻule Naʻau

ʻO ka haʻalulu naʻau he kūlana weliweli ola ia kahi e hiki ʻole ai i kou naʻau ke pūʻolo i ke koko lawa e hoʻokō ai i nā pono o kou kino. ʻO ka nui o kēia kūlana mai kahi hoʻouka naʻau nui mai, akā ʻaʻole nā ​​​​kānaka a pau i loaʻa ka hoʻouka naʻau e loaʻa ai ka haʻalulu naʻau.

He mea maʻamau ʻole ka haʻalulu naʻau. He mea make pinepine ia inā ʻaʻole i mālama koke ʻia. Ke mālama koke ʻia, ma kahi o ka hapalua o nā kānaka i loaʻa i kēia kūlana e ola.

Nā hōʻailona a me nā hōʻailona o ka hōʻeha naʻau:

• Hanu wikiwiki
• Pōkole hanu nui
• Holo wikiwiki koke o ka naʻau (tachycardia)
• Nalowale o ka ʻike
• Nawaliwali ka puʻuwai
• Haʻahaʻa ke koko (hypotension)
• Ke kahe wai
• ʻIli mālie
• Lima a i ʻole nā ​​wāwae anu
• Kakaʻikahi ka mimi ʻana a i ʻole ʻaʻohe

ʻO ka loaʻa koke ʻana o ka mālama ʻana i ka maʻi naʻau e hoʻomaikaʻi ai i kou manawa ola a hoʻemi i ka pōʻino i kou naʻau. Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi naʻau, e kāhea i ka 911 a i ʻole nā ​​lawelawe lapaʻau pilikia ʻē aʻe no ke kōkua. Inā ʻaʻohe ou komo i nā lawelawe lapaʻau pilikia, e noi i kekahi e hoʻokele iā ʻoe i ka haukapila kokoke loa. Mai hoʻokele ʻoe iā ʻoe iho.

I ka hapanui o nā hihia, ʻo ka nele o ka oxygen i kou naʻau, maʻamau mai kahi hōʻeha naʻau, e hōʻino ana i kāna keʻena puʻupuʻu nui (ventricular hema). Me ka ʻole o ke koko momona oxygen e kahe ana i kēlā wahi o kou naʻau, hiki i ka ʻiʻo naʻau ke nāwaliwali a komo i loko o ka cardiogenic shock.

ʻAʻole pinepine, ʻo ka hōʻino ʻana i ka ventricle ʻākau o kou naʻau, ka mea e hoʻouna ana i ke koko i kou māmā e kiʻi i ka oxygen, e alakaʻi i ka cardiogenic shock.

ʻO nā kumu ʻē aʻe o ka cardiogenic shock:

• Ka mumū ʻana o ka ʻiʻo naʻau (myocarditis)
• Ka maʻi o nā valve naʻau (endocarditis)
• Ka nāwaliwali o ka naʻau mai kekahi kumu
• Nā overdose lāʻau lapaʻau a i ʻole ka make ʻana me nā mea hiki ke hoʻopilikia i ka hiki ke puʻupuʻu o kou naʻau

Inā loaʻa iā ʻoe kahi hōʻeha naʻau, e hoʻonui ʻia kou pilikia o ka loaʻa ʻana o ka hōʻeha naʻau cardiogenic inā ʻoe:

• Ua ʻelemakule
• Loaʻa iā ʻoe kahi moʻolelo o ka hōʻeha naʻau a i ʻole ka hōʻeha naʻau
• Loaʻa iā ʻoe nā mea pale (maʻi artery coronary) ma kekahi o nā arteries nui o kou naʻau
• Loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe
• He wahine ʻoe

Inā ʻaʻole i mālama koke ʻia, hiki i ka hōʻeha naʻau ke alakaʻi i ka make. ʻO kekahi pilikia nui ʻē aʻe ka hōʻino ʻana i kou ate, nā puʻupaʻa a i ʻole nā ​​mea kino ʻē aʻe mai ka nele o ka oxygen, kahi hiki ke mau loa.

ʻO ke ala maikaʻi loa e pale aku ai i ka hōʻeha naʻau he mea ia e hoʻololi ai i ke ʻano o ke ola e mālama ai i kou naʻau i ke olakino a me kou koko i ka mana.

• Mai puhi paka, a pale aku i ka ua paka. Inā ʻoe e puhi paka, ʻo ke ala maikaʻi loa e hoʻemi ai i kou pilikia o ka hōʻeha naʻau, ʻo ia ka haʻalele ʻana.
• Mālama i ka kaumaha olakino. ʻO ka nui o ke kaumaha ke kumu o nā pilikia ʻē aʻe no ka hōʻeha naʻau a me ka hōʻeha naʻau, e like me ke koko kiʻekiʻe, ka maʻi cardiovascular a me ka maʻi diabetes. ʻO ka lilo ʻana o 10 paona (4.5 kilokalama) wale nō e hiki ke hoʻoemi i ke koko a hoʻomaikaʻi i nā pae cholesterol.
• ʻAi liʻiliʻi i ka cholesterol a me ka momona saturated. ʻO ka palena ʻana i kēia mau mea, ʻoi aku hoʻi ka momona saturated, hiki ke hoʻemi i kou pilikia o ka maʻi naʻau. Pale aku i nā momona trans.
• Hoʻohana liʻiliʻi i ka paʻakai. ʻO ka nui o ka paʻakai (sodium) e alakaʻi i ka wai i loko o ke kino, kahi e hiki ai ke hoʻoikaika i ka naʻau. E pahuhopu i ka emi iho o 2,300 milligrams (mg) i ka lā o ka sodium. Loaʻa ka paʻakai i nā meaʻai canned a me nā meaʻai i hana ʻia, no laila he manaʻo maikaʻi ia e nānā i nā lepili meaʻai.
• E emi iho i ke kō. E kōkua kēia iā ʻoe e pale aku i nā calorie ʻaʻohe meaʻai a e kōkua iā ʻoe e mālama i ka kaumaha olakino.
• Palena i ka waiʻona. Inā koho ʻoe e inu i ka waiʻona, e hana pēlā me ka mālie. No nā mākua olakino, ʻo ia hoʻi a hiki i hoʻokahi inu i ka lā no nā wāhine a hiki i ʻelua inu i ka lā no nā kāne.
• E hoʻoikaika mau. Hiki i ka hoʻoikaika kino ke hoʻoemi i kou koko a hoʻomaikaʻi i ke olakino holoʻokoʻa o kou mau kīʻaha koko a me kou naʻau. E kiʻi i ka liʻiliʻi o 150 mau minuke o ka hana aerobic waena a i ʻole 75 mau minuke o ka hana aerobic ikaika i ka hebedoma, a i ʻole ka hui pū ʻana o ka hana aerobic waena a me ka ikaika. Paipai ʻia e hoʻolaha i kēia hoʻoikaika kino i ka wā o ka hebedoma. ʻO ka nui o ka hoʻoikaika kino e hāʻawi aku i nā pono olakino ʻoi aku ka nui. Inā loaʻa iā ʻoe ka hōʻeha naʻau, hiki i ka hana wikiwiki ke kōkua i ka pale ʻana i ka hōʻeha naʻau. E ʻimi i ka kōkua olakino pilikia inā manaʻo ʻoe e loaʻa ana iā ʻoe ka hōʻeha naʻau.

Hoʻomaopopo pinepine ʻia ka haʻalulu naʻau i loko o kahi kūlana pilikia. E nānā nā kauka i nā hōʻailona a me nā hōʻailona o ka haʻalulu, a laila e hana i nā hoʻokolohua e ʻimi i ke kumu. Loaʻa paha nā hoʻokolohua i kēia mau mea:

• Ana ʻana i ke kaomi koko. Loaʻa i nā poʻe i ka haʻalulu ka haʻahaʻa loa o ke kaomi koko.
• Electrocardiogram (ECG a EKG paha). Hoʻopaʻa kēia hoʻokolohua wikiwiki, ʻaʻohe ʻeha, i ka hana uila o kou naʻau me ka hoʻohana ʻana i nā electrode i hoʻopili ʻia i kou ʻili. Inā loaʻa iā ʻoe ka ʻiʻo naʻau i hōʻino ʻia a i ʻole ka wai i hoʻopiha ʻia a puni kou naʻau, ʻaʻole e hoʻouna ka naʻau i nā hōʻailona uila maʻamau.
• X-ray umauma. Hōʻike ka X-ray umauma i ka nui a me ke ʻano o kou naʻau a inā paha he wai i loko o kou māmā.
• Nā hoʻokolohua koko. E lawe ʻia kou koko e nānā i ka hōʻino ʻana o nā ʻōnaehana, ka maʻi a me ka naʻau puʻuwai. Loaʻa paha ka hoʻokolohua kinoea koko arterial e ana i ka oxygen i loko o kou koko.
• Echocardiogram. Hoʻopuka nā leo kani i kahi kiʻi o kou naʻau. Hiki i kēia hoʻokolohua ke kōkua i ka ʻike ʻana i ka hōʻino mai ka naʻau puʻuwai.
• Cardiac catheterization (angiogram). Hiki i kēia hoʻokolohua ke hōʻike i nā arteries i pani ʻia a i ʻole nā ​​​​arteries i hoʻohaʻahaʻa ʻia. Hoʻokomo kahi kauka i kahi tube lōʻihi, lahilahi (catheter) ma o kahi artery i kou wāwae a i kou lima paha a alakaʻi iā ia i kou naʻau. Ke kahe ka waihoʻoluʻu ma o ka catheter, e ʻike maʻalahi ʻia kāu mau arteries ma ka X-ray.