Ola ma faʻamaʻi fatu ma angina

O le maʻi fatu fatu (CHD) o se vaiti o tamaʻi toto toto e maua ai le toto ma le okesene i le fatu. Angina o le fatafata tiga poʻo le le mautonu e masani ona tupu pe a e faia ni gaioiga pe lagona faʻanoanoa. O lenei tusitusiga o loʻo talanoaina ai mea e mafai ona e faia e faʻataʻitaʻia ai le tiga o le fatafata ma faʻaititia ai ou aʻafiaga mo faʻamai o le fatu.

CHD o se vaiti o tamaʻi toto ala e faʻatupuina le toto ma le okesene i le fatu.

Angina o le fatafata tiga poʻo le le mautonu e masani ona tupu pe a e faia ni gaioiga pe lagona faʻanoanoa. E mafua mai i le le lelei o le tafe o le toto i totonu o ala toto o le fatu maso.

A maualuga lou toto, suka, poʻo le maualuga o le toto, e ono fautuaina oe e lau fomaʻi e:

• Taofiofi lou toto maualuga faʻatonutonu masani i le 130/80. Lalo atonu e sili atu pe a e maua i le maʻisuka, maʻi fatu, stroke, poʻo faʻafitauli i le fatu, ae o le a avatu ia te oe e lau tautua au sini faʻapitoa.
• Inu fualaʻau e faʻaititia ai lou suka.
• Taofi lau HbA1c ma le suka suka i tulaga fautuaina.

Nisi o lamatiaga mafai ona taofiofia lamatiaga mo fatu faamaʻi o:

• Inu 'ava malosi A e inu, faʻatapulaʻa oe ia le sili atu ma le 1 inu i le aso mo fafine, pe 2 i le aso mo aliʻi.
• Soifua Maloloina faalelagona. Siaki ma togafiti mo le faʻanoanoa, pe a manaʻomia.
• Faʻamalositino. Maua le tele o faʻamalositino faʻamalositino, pei o le savali, aau, po o le uila vilivae, a itiiti mai e 40 minute i le aso, a itiiti mai 3 i le 4 aso i le vaiaso
• Ulaula Aua le ulaula pe faʻaaoga le tapaa.
• Faʻafitauli Aloʻese pe faʻaititia le popolevale i le tele e te mafaia.
• Pauna Faatumauina se mamafa maloloina. Taumafai mo se tino vaega tele (BMI) i le va o le 18.5 ma le 24.9 ma se puimanava laititi atu i le 35 inisi (90 senitimita).

Lelei meaai e taua mo lou soifua maloloina soifua maloloina. O le soifua maloloina maloloina taumafa o le a fesoasoani ia oe faʻatonutonu nisi o au tulaga lamatia mafua mo fatu faʻamaʻi.

• Taumafa tele o fualaʻau, fualaʻau, ma fatu atoa.
• Filifili ni porotini vaivai, e pei o le paʻu moa, iʻa ma pi.
• Taumafa mea gaʻo e le gaʻo pe maualalo gaʻo, e pei o le susu susu ma le yogurt maualalo gaʻo.
• Aloese mai meaʻai e iai le maualuga o sodium (masima).
• Faitau igoa meaai. Aloese mai meaʻai e iai le lololo gaʻo ma gaʻo hydrogenated poʻo hydrogenated gaʻo. Nei gaʻo le maloloina e masani ona maua i falai meaai, gaosi meaai, ma tao tao.
• Ai ni nai meaʻai e iai sisi, kulimi, poʻo fuamoa.

E ono fautuaina e lau tautua ni vailaʻau e togafitia ai le CHD, toto maualuga, suka, poʻo le maualuga o le toto. E ono aofia ai:

• Aisa taofi
• Beta-poloka
• O poloka poloka auala
• Diuretics (vai fualaʻau)
• Statins e tuʻu i lalo le cholesterol
• Nitroglycerin fualaʻau poʻo le faʻasusu e puipuia pe taofi ai se osofaʻiga angina

Ina ia faʻaititia le ono aʻafia i se fatu fatu, e mafai foʻi ona taʻu atu ia oe e ave le aspirin, clopidogrel (Plavix), ticagrelor (Brilinta) poʻo le prasugrel (Effient) i aso uma. Mulimuli ma le faʻaeteete i faʻatonuga a lau tautua e taofia ai le faʻamaʻi fatu ma angina mai le leaga atili.

Talanoa i taimi uma i lau tautua ae e te leʻi tuʻuina se tasi o au vailaʻau. O le taofi faʻafuaseʻi o nei vailaʻau pe suia lou fualaʻau e mafai ai ona faʻateleina lou angina pe mafua ai ona oso se fatu.

Fausia se fuafuaga ma lau 'auʻaunaga mo le faʻatautaia o lau angina. Lau fuafuaga e tatau ona aofia ai:

• O a gaoioiga e lelei mo oe e fai, ae o fea e le lelei
• O a vailaʻau e tatau ona inu pe a maua i le angina
• O a faʻailoga o lou angina ua atili ai ona leaga
• A e tatau ona valaʻau lau tautua poʻo le 911 poʻo le numera faʻafuaseʻi o le faʻalavelave

Iloa le mea e ono faʻatupuina ai lou angina, ma taumafai e aloese mai nei mea. Mo se faʻataʻitaʻiga, o nisi tagata latou te iloaina o le malulu o le tau, faʻamalositino, 'ai tele meaʻai, po o le le fiafia poʻo le faʻamamafa atili ai ona faʻamaʻiina o latou angina

Faʻamaʻi o le alatoto toto - nonofo ma; CAD - nonofo faʻatasi; Tiga o le fatafata - nonofo ma

• Meaʻai maloloina

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC taʻiala i le puleaina o olaga e faʻaititia ai le afaina o le fatu: o se lipoti a le American College of Cardiology / American Heart Association Task Force i luga o faʻataʻitaʻiga faʻataʻitaʻi. J Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS taulaʻi faʻafouina o le taʻiala mo le suʻesuʻeina ma le puleaina o tagata mamaʻi ma le mautu o le fatu ischemic faʻamaʻi: o se lipoti a le American College of Cardiology / American Heart Association Task Force i luga o Faʻataʻitaʻiga Faʻatonuga, ma le American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Sosaiete mo Cardiovascular Angiography ma Faʻalavelave, ma le Sosaiete a Thoracic Surgeons. J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

Taeao DA, de Lemos JA. Maʻi fatu fatu ischemic I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 61.

Mozaffarian D. Meaʻai paleni ma faʻamaʻi fatu ma faʻamaʻi. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2018: chap 49.

Stone NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC / AHA taʻiala i le togafitia o le toto toto e faʻaititia ai le atherosclerotic cardiovascular tulaga lamatia i tagata matutua: o se lipoti a le American College of Cardiology / American Heart Association Task Force i faʻataʻitaʻiina faʻatonuga.J Am Coll Cardiol. 2014; 63 (25 Pt B): 2889-2934. PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

Thompson PD, Ades PA. Faʻamalositino-faʻavae, atoatoa toe faʻaleleia le fatu. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 54.

• Angina
• Faʻamaʻi o le Coronary Artery