He aha ka Spontaneous Coronary Artery Dissection? Nā Hōʻailona, Nā Kumu, & Lapaʻau

Hana ʻia ka spontaneous coronary artery dissection (SCAD) ke haki ka paia o kahi artery coronary me ka ʻole o ka hōʻeha a i ʻole ka hana lapaʻau. Hoʻokumu kēia haki i kahi ala wahaheʻe e hiki ke pani i ke kahe koko i kou ʻiʻo naʻau, a hiki ke hoʻokumu i ka maʻi naʻau.

ʻOiai paha he mea weliweli kēia kūlana, hiki i ka hoʻomaopopo ʻana i ka SCAD ke kōkua iā ʻoe e ʻike i kāna mau hōʻailona a ʻimi i ka mālama kūpono. ʻOi aku ka nui o kēia ma waena o nā wāhine, ʻoi aku hoʻi nā mea ma lalo o 50 mau makahiki, a hana pinepine ʻia i nā manawa o ke kaumaha kino a i ʻole ka manaʻo.

He aha ka Spontaneous Coronary Artery Dissection?

ʻO ka SCAD kahi kūlana naʻau kahi e haehae ai a hoʻokaʻawale ʻia paha ka papa o loko o kahi artery coronary mai nā papa o waho. E noʻonoʻo e like me ka pepa paia e ʻili ana mai ka paia, e hana ana i kahi ʻeke ma waena o nā papa.

Ke hana ʻia kēia hoʻokaʻawale ʻana, hiki i ke koko ke kahe i loko o kēia ʻeke wahaheʻe ma mua o ka neʻe mālie ʻana ma o ka artery. Hoʻopilikia kēia i ke kahe koko maʻamau i kou ʻiʻo naʻau, ka mea e pono ai ka lako mau o ke koko momona oxygen e hana pono ai.

ʻAʻole like me nā maʻi naʻau maʻamau i hana ʻia e ka hōʻiliʻili ʻana o ka plaque, hoʻopili pinepine ʻia ka SCAD i nā poʻe me nā arteries olakino. Hiki i ke kūlana ke ho'ōla iā ia iho i nā hihia he nui, akā pono ia i ka nānā pono ʻana a me ka hoʻokele ʻana o nā kauka.

He aha nā Hōʻailona o ka Spontaneous Coronary Artery Dissection?

ʻO ka hōʻailona maʻamau loa o ka SCAD ka ʻeha umauma e like me ka maʻi naʻau. Hiki pinepine mai kēia ʻeha me ka wikiwiki a hiki ke manaʻo ʻia he kuʻi, kāomi, a ʻaihue paha i kou umauma.

Eia nā hōʻailona nui āu e ʻike ai:

• ʻEha nui a i ʻole kaomi ma ka umauma, pinepine e lōʻihi ana ma mua o 20 mau minuke
• ʻEha e pālahalaha ana i kou mau lima, ʻāʻī, ihu, a i ʻole kua
• Pōkole o ka hanu a i ʻole ka pilikia o ka hanu
• Nausea a i ʻole ka luaʻi
• Ke hoʻoheheʻe nei a i ʻole ke ʻano palupalu
• Nāwaliwali a i ʻole ka māmā
• Luhi ʻole a i ʻole nāwaliwali
• Nā palpitations o ka naʻau a i ʻole ka naʻau ʻole

Loaʻa i kekahi poʻe nā hōʻailona palupalu e hele mai ana a hele aku, ʻoiai kekahi poʻe he ʻeha nui e like me ka hoʻouka naʻau maʻamau. ʻO ka mea nui, ʻike pinepine ʻia kēia mau hōʻailona i ka wā koke i loko o nā kānaka i ola maikaʻi ma mua.

He aha nā ʻAno o ka Spontaneous Coronary Artery Dissection?

Hoʻokaʻawale ʻia ka SCAD i nā ʻano like ʻole ma muli o ke ʻano o ka hae ma nā hoʻokolohua kiʻi. Ke hoʻomaopopo nei i kēia mau ʻano e kōkua i nā kauka e hoʻoholo i ke ala lapaʻau maikaʻi loa no kou kūlana kikoʻī.

Hōʻike ka SCAD Type 1 i ka hae maopopo me ka wai koko e hōʻiliʻili ana ma waena o nā papa o ke artery. ʻOi aku ka maʻalahi o kēia ʻano ma nā hoʻokolohua kiʻi a he 30% o nā hihia.

ʻIke ʻia ka SCAD Type 2 ma ke ʻano he ʻāpana lōʻihi, ʻāpana iki o ke artery me ka hae ʻike ʻole ʻia. Hana ʻia kēia i ka wā e pālahalaha ai ke koko ma waena o nā papa ma kahi lōʻihi, e hana ana i ka hiʻohiʻona “kaula o nā sausages” ma ka kiʻi.

ʻIke ʻia ka SCAD Type 3 e like me kahi wahi pōkole, ʻāpana iki e hiki ke kuhi he atherosclerosis (plaque buildup). ʻO kēia ʻano ka mea paʻakikī loa e ʻike a pono ai ka loiloi akahele e nā cardiologists akamai.

He aha ka mea e hoʻopuka ai i ka Spontaneous Coronary Artery Dissection?

ʻAʻole maopopo mau ke kumu pololei o ka SCAD, akā manaʻo nā mea noiʻi ua hopena ia mai ka hui ʻana o nā mea e hoʻonāwaliwali i ka paia artery. Hiki i kēia mau mea ke hana i ka moku koko ʻoi aku ka maʻalahi e hae koke.

Hiki i kekahi mau kūlana a me nā mea hoʻonāukiuki ke kōkua i ka hoʻomohala ʻana o SCAD:

• Dysplasia fibromuscular (kahihia e pili ana i nā paia o nā arteries)
• Nā maʻi pili i ka ʻiʻo pili, e like me ka maʻi Ehlers-Danlos
• Nā maʻi autoimmune e like me ka lupus a i ʻole ka maʻi inflammatory bowel
• Hāpai a me ka wā ma hope o ka hānau ʻana (nā loli hormonal)
• Ka hoʻoikaika kino nui a i ʻole ka hoʻoikaika kino ikaika
• Ke kaumaha nui a i ʻole ka trauma
• Kekahi mau lāʻau lapaʻau, ʻoi aku ka nui o nā hormones
• Luaʻi, ʻūhā, a i ʻole ka hoʻoikaika (ka piʻi ʻana o ke kaomi)

I kekahi mau hihia, hana ʻia ka SCAD me ka ʻole o kekahi mea hoʻonāukiuki a i ʻole kūlana kumu i ʻike ʻia. Hiki i kēia ʻano i manaʻo ʻole ʻia ke manaʻo ʻole, akā he mea nui ia e ʻike ʻaʻole ʻo ka loaʻa ʻana o ka SCAD he manaʻo ʻoe i hana hewa a i ʻole hiki iā ʻoe ke pale aku.

I ka Wā e ʻIke ai i ke Kauka no ka Spontaneous Coronary Artery Dissection?

Pono ʻoe e ʻimi i ka mālama pilikia koke inā loaʻa iā ʻoe ka ʻeha umauma, ʻoi aku inā manaʻo ʻia he koʻikoʻi a i ʻole e hele pū me nā hōʻailona ʻē aʻe o ka maʻi naʻau. Mai kali e ʻike inā e hala ka ʻeha.

Kāhea i ka 911 koke inā loaʻa iā ʻoe ka ʻeha umauma me ka hanu pōkole, ka luaʻi, ka hou, a i ʻole ka ʻeha e pālahalaha ana i kou mau lima, ka ʻāʻī, a i ʻole ka ihu. Pono kēia mau hōʻailona i ka loiloi koke, me ka nānā ʻole i kou makahiki a i ʻole ka pilikia o ka maʻi naʻau.

ʻOiai inā manaʻo ʻia kou mau hōʻailona he māmā a hele mai a hele aku paha, ʻoi aku ka maikaʻi o ka loiloi koke ʻia. Hiki i ka SCAD ke hoʻopili i nā poʻe ʻōpio, olakino e manaʻo paha ʻaʻole lākou i pilikia i nā pilikia naʻau.

Inā ua ʻike mua ʻia ʻoe me ka SCAD, e hoʻokaʻaʻike i kāu cardiologist inā loaʻa iā ʻoe kekahi hoʻi ʻana o ka ʻeha umauma, ka hanu pōkole hou, a i ʻole nā ​​hōʻailona pilikia ʻē aʻe. He mea nui ka mālama hoʻomau mau no ka nānā ʻana i kou kūlana.

He aha nā Kumu Pōpilikia no ka Spontaneous Coronary Artery Dissection?

Loaʻa i ka SCAD kekahi mau kumu pilikia kūikawā e ʻokoʻa mai ka maʻi naʻau maʻamau. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe a me kāu kauka e loiloi i kou pilikia pilikino a hoʻolālā i ka mālama kūpono.

ʻO nā kumu pilikia nui loa kēia:

• ʻO ka wahine (ma kahi o 90% o nā hihia e loaʻa ana i nā wāhine)
• ʻO ka makahiki ma waena o 30-50 mau makahiki
• ʻO ka hāpai ʻana i ka pēpē aiʻole ka hānau ʻana (a hiki i 12 mau pule ma hope o ka hānau ʻana)
• Dysplasia fibromuscular (loaʻa ma kahi o 50% o nā mea maʻi SCAD)
• Nā maʻi pili i ka ʻiʻo pili
• Nā kūlana autoimmune
• Mōʻaukala ʻohana o SCAD
• Nā ʻeha poʻo migraine
• Mōʻaukala o ka manaʻo kaumaha a i ʻole ka hopohopo
• Multiparity (ka loaʻa ʻana o nā hāpai ʻana)

ʻAʻole like me ka maʻi naʻau kuʻuna, ʻaʻole pinepine ka SCAD i nā kānaka me nā kumu pilikia maʻamau e like me ka cholesterol kiʻekiʻe, ka puhipaka, a i ʻole ka maʻi diabetes. ʻO kēia ka mea e pono ai ke ʻike ʻia he hiki ke pilikia i kekahi kanaka, ʻaʻohe mea i ko lākou olakino holoʻokoʻa.

He aha nā pilikia hiki ke loaʻa i ka Spontaneous Coronary Artery Dissection?

ʻOiai he nui nā kānaka me SCAD e ola maikaʻi, hiki i ke kūlana ke alakaʻi i nā pilikia nui e pono ai ka mālama lāʻau mau. ʻO ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e makaʻala e pili ana i kou olakino naʻau.

ʻO nā pilikia koke loa kēia:

• ʻO ka maʻi naʻau (myocardial infarction)
• Nā ʻano naʻau kūpono ʻole (arrhythmias)
• Ka hāʻule ʻana o ka naʻau mai ka ʻiʻo naʻau i hōʻino ʻia
• Cardiogenic shock (hōʻemi nui ʻia o ke kaomi koko)
• Sudden cardiac arrest
• Hoʻolōʻihi ʻia o ka dissection i nā arteries ʻē aʻe

Hiki ke ulu nā pilikia lōʻihi i ka manawa a me ka hoʻi hou ʻana o nā hanana SCAD, kahi e loaʻa ana ma kahi o 10-20% o nā mea maʻi. Hiki i kekahi poʻe ke ʻike i ka ʻeha umauma mau a i ʻole ke hoʻomohala ʻana i ka hopohopo e pili ana i ko lākou olakino naʻau.

ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama lāʻau kūpono a me ka nānā ʻana, hiki i ka hapa nui o nā kānaka me SCAD ke manaʻo i kahi prognosis maikaʻi. E hana pū kāu hui olakino me ʻoe e hoʻemi i kēia mau pilikia a kōkua iā ʻoe e mālama i kou olakino naʻau.

Pehea e ʻike ʻia ai ka Spontaneous Coronary Artery Dissection?

ʻO ka hōʻoia ʻana i ka SCAD e pono ai nā hoʻokolohua kiʻi kūikawā e hōʻike i ka haehae ma kou ʻāpana puʻuwai. Hoʻomaka pinepine ka hana ma ka lumi pilikia inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana i ka puʻuwai ʻeha.

E hoʻomaka kāu kauka me nā hoʻokolohua maʻamau e like me ka electrocardiogram (EKG) e nānā i ka hana uila o kou puʻuwai a me nā hoʻokolohua koko e ʻimi i nā māka o ka pōʻino o ka puʻuwai. Kūleʻa kēia mau hoʻokolohua i ka hoʻoholo ʻana inā loaʻa iā ʻoe ka puʻuwai ʻeha akā ʻaʻole ia e hōʻoia kūikawā i ka SCAD.

ʻO ka hoʻokolohua hōʻoia nui ka angiography coronary, kahi i hoʻokomo ʻia ai kahi paipu lahilahi i loko o kou mau kīʻaha koko a hoʻohana ʻia ka waihoʻoluʻu hoʻohālikelike e ʻike i kou mau ʻāpana puʻuwai. Hiki i kēia kaʻina hana ke hōʻike i ke ʻano hiʻohiʻona o ka SCAD a kōkua i ka hoʻokaʻawale ʻana mai nā kumu ʻē aʻe o ka puʻuwai ʻeha.

I kekahi manawa, pono nā kiʻi hou aku e like me ka intravascular ultrasound a i ʻole ka optical coherence tomography e kiʻi i kahi kiʻi maopopo o ka paia o ka ʻāpana. Hāʻawi kēia mau hoʻokolohua i nā kiʻi kikoʻī e kōkua i ka hōʻoia ʻana i ka hōʻoia a alakaʻi i nā hoʻoholo mālama.

He aha ka mālama ʻana no ka Spontaneous Coronary Artery Dissection?

ʻO ka mālama ʻana no ka SCAD e hilinaʻi ana i nā mea he nui, me ka wahi a me ka nui o ka dissection, kou mau hōʻailona, ​​a me kou olakino holoʻokoʻa. ʻOi aku ka mālie o ke ala ma mua o ka mālama ʻana no nā puʻuwai ʻeha maʻamau.

Hoʻokele ʻia nā hihia he nui o ka SCAD me nā lāʻau lapaʻau ma mua o nā kaʻina hana koke. ʻAe kēia ala mālama mālie i ka hoʻōla kūlohelohe ʻana o ka ʻāpana ʻoiai e palekana ana i kou puʻuwai a pale aku i nā pilikia.

ʻO nā lāʻau lapaʻau maʻamau e komo pū ana:

• Aspirin e pale aku i nā clots koko
• Beta-blockers e hoʻemi i ka wikiwiki o ka puʻuwai a me ke kaomi koko
• ACE inhibitors a i ʻole ARBs e pale i kou puʻuwai
• Statins e hoʻoikaika i nā paia ʻāpana
• Clopidogrel (Plavix) no ka pale ʻana hou aku i nā clots

I nā hihia koʻikoʻi kahi i ālai nui ʻia ai ke kīʻaha koko, hiki i kāu kauka ke ʻōlelo aku i ka percutaneous coronary intervention (PCI) a i ʻole ka stenting. Eia naʻe, ʻoi aku ka nui o nā pilikia o kēia mau hana ma nā mea maʻi SCAD no ka mea ua hōʻino ʻia ka paia o ke kīʻaha koko.

ʻAʻole pinepine ka ʻoki bypass pilikia, akā hiki ke noʻonoʻo ʻia inā nui nā kīʻaha koko i pilikia a i ʻole inā ʻaʻole holomua nā lapaʻau ʻē aʻe. E kaupaona pono kāu cardiologist i nā pilikia a me nā pono o kēlā me kēia hana.

Pehea e lawe ai i ka mālama home i ka wā o ka Spontaneous Coronary Artery Dissection?

ʻO ka mālama ʻana i ka SCAD ma ka home e kau nui ana i ke kākoʻo ʻana i ke kaʻina hoʻōla o kou naʻau ʻoiai e pale aku ana i nā pilikia. Hoʻopili kēia i ka lawe ʻana i nā lāʻau lapaʻau e like me ke kauoha ʻana a me ka hoʻololi ʻana i ke ʻano ola e hoʻoikaika ai i ke olakino cardiovascular.

E lawe i nā lāʻau lapaʻau āpau e like me ke kauoha a kāu kauka, ʻoiai inā ʻoi aku kou maikaʻi. He kuleana nui kēia mau lāʻau lapaʻau i ka pale ʻana i kou naʻau a me ka pale ʻana i nā clots koko i ka wā hoʻōla.

He mea nui ka hoʻololi ʻana i ka hana i ka wā o kou hoʻōla ʻana. E ʻōlelo paha kāu kauka e pale aku i ka hoʻoikaika nui a me ka hāpai kaumaha no kekahi mau pule a mahina paha. Hoʻoikaika pinepine ʻia nā hana māmā e like me ka hele wāwae ke kūpaʻa ʻoe.

Liʻiliʻi loa ka hoʻokele koʻikoʻi no ka mea hiki i ke koʻikoʻi o ka manaʻo ke hoʻoulu i ka SCAD. E noʻonoʻo e aʻo i nā ʻano hoʻomaha, e hoʻomaʻamaʻa i ka hanu hohonu, a i ʻole e hana pū me kahi kākāʻōlelo inā manaʻo ʻoe e hopohopo nei no kāu hōʻailona.

E nānā pono i kāu mau hōʻailona a ʻike i ka wā e ʻimi ai i ke kōkua. E mālama i kahi papa inoa o nā hōʻailona hoʻomaopopo e like me ka ʻeha umauma, ka pōkole o ka hanu, a i ʻole ka luhi maʻamau, a mai kānalua e hoʻokaʻaʻike i kāu hui mālama ola inā loaʻa kēia mau mea.

Pehea e hiki ai ke pale ʻia ka Spontaneous Coronary Artery Dissection?

ʻO ka mea pōʻino, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka SCAD no ka mea pinepine ia e kū mai ana me ka ʻole o ka ʻōlelo aʻo. Eia naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i kou pilikia a kākoʻo i kou olakino cardiovascular holoʻokoʻa.

He mea nui ka mālama ʻana i nā kūlana kumu e hoʻonui ai i ka pilikia o ka SCAD. Inā loaʻa iā ʻoe ka fibromuscular dysplasia, nā maʻi pili i ka pūnaewele hoʻohui, a i ʻole nā ​​kūlana autoimmune, e hana pono me kāu hui olakino e mālama pono i kēia mau kūlana.

E noʻonoʻo i nā hoʻololi ʻano ola e kākoʻo i ke olakino o ka naʻau, e like me ka hoʻoikaika kino maʻamau, ka ʻai olakino naʻau, ka hiamoe lawa, a me ka mālama ʻana i ke kaumaha. ʻOiai ʻaʻole kēia e pale aku pololei i ka SCAD, hiki iā lākou ke kōkua i kāu ʻōnaehana cardiovascular e noho maikaʻi loa.

Inā ua loaʻa iā ʻoe ka SCAD ma mua, lilo ka pale ʻana i nā mea hoʻonāukiuki i mea nui. Hiki paha kēia ke komo i ka mālama ʻana i nā pae kaumaha, ka pale ʻana i ka hoʻoikaika kino nui, a me ke kūkākūkā ʻana i nā pilikia a me nā pono o nā lāʻau hormonal me kāu kauka.

He mea nui ka mālama hoʻomau mau me ka cardiologist e hoʻomaopopo ana i ka SCAD. Hiki iā lākou ke nānā i kou kūlana, hoʻoponopono i nā lāʻau e like me ka pono, a nānā i nā kūlana ʻē aʻe e hiki ke hoʻonui i kou pilikia.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā kauka?

Ke hoʻomākaukau nei ʻoe no kāu ʻaha kūkā e kōkua iā ʻoe e loaʻa ka mea nui loa mai kāu manawa me kāu hui olakino. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou, pehea ka lōʻihi o ko lākou mau, a me kāu hana i ka wā i loaʻa ai lākou.

E lawe mai i ka papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā wikamina āu e lawe nei. E komo pū i nā dosages a me ka pinepine o kāu lawe ʻana iā lākou. E ʻohi pū i nā moʻolelo olakino a i ʻole nā ​​hopuna o nā hoʻokolohua mai nā mea lawelawe olakino ʻē aʻe.

E kākau i kāu mau nīnau ma mua o ka ʻaha kūkā i ʻole ʻoe e poina e nīnau i nā mea nui. ʻO nā nīnau maʻamau paha e komo pū me ka mea i hana i kāu SCAD, he aha kāu mau koho mālama, a he aha nā hana āu e pale aku ai.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia i ka wā o ka ʻaha kūkā. Hiki iā lākou ke hāʻawi i ke kākoʻo manaʻo a kōkua i ka pale aku i kāu mau pono.

E mākaukau e kūkā i ka mōʻaukala o kou ʻohana i ka maʻi naʻau, kekahi mau hanana kaumaha i hala koke nei, a me kou mau hana ola i kēia manawa. Kōkua kēia ʻike i kāu kauka e hoʻomaopopo i kāu mau kumu pilikia pilikino a hoʻomohala i ka papa hana mālama maikaʻi loa.

He aha ka lawe nui e pili ana i ka Spontaneous Coronary Artery Dissection?

ʻO ka SCAD kahi ʻano kūikawā o ka maʻi naʻau e pili nui ana i nā wāhine ʻōpio, olakino, a hiki ke hana me ka ʻole o ka ʻōlelo aʻo. ʻOiai paha kēia e manaʻo ʻia he weliweli, ʻo ka hoʻomaopopo ʻana he kūlana i ʻike ʻia me nā lāʻau lapaʻau i hoʻokumu ʻia ke hāʻawi aku i ka hōʻoia.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka hiki ke mālama ʻia ka SCAD, a nui nā kānaka e ola mau ana i nā ola maʻamau, olakino ma hope o ka ʻike ʻia. ʻO ka hana pili loa me ka cardiologist e hoʻomaopopo ana i kēia kūlana he mea nui ia no kāu mālama mau.

E hilinaʻi i kou kino a e ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe ka ʻeha umauma a i ʻole nā ​​hōʻailona maʻi naʻau ʻē aʻe, me ka nānā ʻole i kou makahiki a i ʻole nā ​​kumu pilikia i manaʻo ʻia. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hana i kahi ʻokoʻa nui i kāu hopena.

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i ka SCAD loa, hiki iā ʻoe ke lawe i nā ʻanuʻu e kākoʻo i kou olakino naʻau a hoʻemi i kou pilikia o nā pilikia. E noho pili me kāu hui mālama ola, e lawe i nā lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, a mai kānalua e hoʻopili aku inā loaʻa iā ʻoe nā hopohopo.

Nā Nīnau Pinepine e pili ana i ka Spontaneous Coronary Artery Dissection

Q1: Hiki i ka SCAD ke hana hou aku ma mua o hoʻokahi manawa?

ʻAe, hiki i ka SCAD ke hana hou i kahi 10-20% o nā mea maʻi, maʻamau i loko o nā makahiki mua ma hope o ka hanana mua. ʻO ia ke kumu he mea nui loa ka mālama mālama mau ʻana me ka cardiologist. E nānā pono kāu kauka iā ʻoe a hiki ke kuhikuhi i nā lāʻau lapaʻau e hoʻemi i kou pilikia o ka hana hou ʻana. Inā loaʻa iā ʻoe ka SCAD ma mua, he mea nui ia e ʻike i nā hōʻailona hōʻailona a e ʻimi koke i ka mālama lapaʻau inā hoʻi mai nā hōʻailona.

Q2: He palekana anei ke hoʻoikaika kino ma hope o ka loaʻa ʻana o ka SCAD?

Hiki i ka hapanui o nā kānaka ke hoʻi i ka hoʻoikaika kino ma hope o ka SCAD, akā pono e hana ʻia kēia me ka mālie a ma lalo o ka nānā ʻana o ke kauka. E ʻōlelo paha kāu kauka e pale aku i nā hana ikaika nui i ka hoʻomaka ʻana a hiki paha ke manaʻo i ka hoʻōla naʻau e kōkua iā ʻoe e hoʻi maluhia i ka hana kino. ʻO ka mea nui, ʻo ka loaʻa ʻana o ke kaulike kūpono ma waena o ka noho ʻana i ka hana no kou olakino naʻau ʻoiai e pale aku ana i nā hana e hiki ke hoʻoulu i kahi hanana ʻē aʻe.

Q3: Hiki iaʻu ke loaʻa kahi hāpai maʻamau ma hope o ka SCAD?

Hiki i nā wāhine he nui ke loaʻa nā hāpai holomua ma hope o ka SCAD, akā pono kēia i ka hoʻolālā akahele a me ka nānā ʻana me kāu cardiologist a me kāu obstetrician. Hoʻonui ka hāpai i ka pilikia o ka hoʻi hou ʻana o ka SCAD, no laila pono e kaupaona pono kāu hui lapaʻau i nā pilikia a me nā pono. Inā ke noʻonoʻo nei ʻoe i ka hāpai, e kūkākūkā me kāu cardiologist ma mua o kou ho'āʻo ʻana e hāpai.

Q4: Aia kekahi mau meaʻai a i ʻole nā mea hoʻohui e pono ai au e pale aku me ka SCAD?

ʻAʻohe mau meaʻai kikoʻī āu e pono ai e pale aku, akā ʻōlelo ʻia ka hahai ʻana i ka ʻai olakino naʻau. Manaʻo kekahi mau kauka e kaupalena i ka caffeine a pale aku i nā mea hoʻohui e hiki ke hoʻopilikia i ke koko, akā pono e pilikino kēia mau hoʻoholo. E kūkākūkā mau i nā mea hoʻohui ʻai a i ʻole nā ​​hoʻololi nui i ka ʻai me kāu cardiologist ma mua o ka hana ʻana iā lākou.

Q5: Pono anei au e lawe i nā lāʻau naʻau no ke koena o koʻu ola?

Ke hilinaʻi nei kēia i kou kūlana pilikino a me ka maikaʻi o kou ola hou ʻana mai ka SCAD. Pono kekahi poʻe i nā lāʻau lōʻihi e pale i ko lākou naʻau a pale aku i nā pilikia, ʻoiai hiki i nā poʻe ʻē aʻe ke hōʻemi a hoʻopau paha i kekahi mau lāʻau ma hope o kekahi manawa. E nānā mau kāu cardiologist i kāu mau lāʻau a hoʻoponopono iā lākou ma muli o kou kūlana olakino mau a me nā kumu pilikia.