Ua ʻike anei ʻoe i ka Cardiac Cachexia? E kamaʻilio kākou!

Ke manaʻo nei ʻoe e like me kekahi o kou ʻohana, ʻoiai kekahi me ka puʻuwai puʻuwai, e emi mālie ana ke kaumaha a me ka nalowale ʻana o ka nui o nā ʻiʻo? Ke manaʻo nei ʻoe i ka luhi nui me ka nalowale o ka makemake e ʻai? Inā pēlā, ʻo ia paha ka mea a mākou e kamaʻilio nei. Kāhea mākou i kēia he cardiac wasting, a i ʻole e like me ke kāhea ʻana o nā kauka he "Cardiac Cachexia".

He aha kēia mea i kapa ʻia ʻo cardiac cachexia?

I ka ʻōlelo maʻalahi, ʻo (Cardiac Cachexia) kahi kūlana kūikawā o ka ʻai ʻole a me ka nalowale ʻana o nā ʻiʻo e kū mai ana me ka maʻi puʻuwai koʻikoʻi, ʻoiai i nā pae hope loa o ka maʻi. ʻO ka huaʻōlelo "cachexia" ʻo ia hoʻi "kūlana maikaʻi ʻole". ʻAʻole wale kēia he maʻi puʻuwai, akā hiki ke hana pū me kekahi mau maʻi koʻikoʻi ʻē aʻe. ʻO ka mea e hana nei ma ʻaneʻi, me ka ʻole o ka hoʻoikaika ʻana, e lahilahi ke kino a nalowale nā ​​ʻiʻo.

Wahi a nā kauka, ʻo kekahi o nā hōʻailona nui o kēia maʻi , ʻo ia ka emi ʻana o kou kaumaha ma ka liʻiliʻi he 5% i ka makahiki i hala, me ka hana ʻole i kekahi mea e hōʻemi ai i ke kaumaha. Wahi a kekahi poʻe loea, inā he 6% a ʻoi aku paha kēia nui, a he nui nā hōʻailona ʻē aʻe, he "Cardiac Cachexia" paha ia.

Pehea ka maʻamau o ka Cardiac Cachexia?

Aia ma mua o 20 miliona mau kānaka me ka maʻi puʻuwai mau loa ma ka honua. Ma waena o lākou, ua hōʻike ʻia ma waena o 10% a me 39% o nā maʻi puʻuwai mau loa e loaʻa ana i kēia ʻano (Cardiac Cachexia). ʻO ke ʻano kēia, ʻaʻole ia he mea maʻamau ʻole.

He aha nā hōʻailona o kēia?

E hoʻomanaʻo, mai hopohopo inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona. Akā inā hoʻomau lākou, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

• ʻO ka lilo ʻana ma mua o 5% o kou kaumaha holoʻokoʻa i loko o hoʻokahi makahiki me ka ʻole o ka hoʻoikaika ʻana (he pohō kēia o ka momona o ke kino, ʻaʻole ke kaumaha o ka wai).
• Ka nalowale ʻana o ka ikaika o nā ʻiʻo, ka manaʻo o ka nāwaliwali.
• Manaʻo luhi loa a me ka luhi loa.
• ʻAʻole hiki ke hana i nā hana maʻamau o kēlā me kēia lā ma muli o ka nele o ka ikehu.
• Ka nalowale o ka makemake.

E noʻonoʻo, inā ʻeha kou kupuna wahine a kupuna kāne paha i ka maʻi puʻuwai, inā ʻaʻole ʻo ia e ʻai e like me ka wā ma mua, inā ʻaʻole hiki iā ia ke hele, inā ua paʻa ʻo ia ma kahi moe, inā like kona mau lole me he mea lā ua nui loa, pono ʻoe e hopohopo iki e pili ana i kēia.

No ke aha e ulu ai ka Cardiac Cachexia? He aha nā kumu?

ʻAʻole i hoʻokumu ʻia kēia kūlana "Cardiac Cachexia" e kahi kumu hoʻokahi. He hui pū ʻana ia o nā loli he nui e kū nei i ke kino o ke kanaka me ka hāʻule nui o ka puʻuwai. ʻO nā kumu nui e hoʻopilikia nei iā ia:

• He kūlike ʻole i ka metabolism o kou kino. ʻO ia hoʻi, he pilikia me ke ʻano o ka hana ʻana a me ka hoʻohana ʻana o kou kino i ka ikehu.
• ʻAʻole lawa ka protein mai ka meaʻai a me ka mea inu.He mea nui ka protein no ke kūkulu ʻana a me ka mālama ʻana i ka nui o nā uaua.
• ʻAʻole omo pono i nā meaola mai kāu mea e ʻai ai a inu ai.
• Ke komo ʻole nei i kekahi hana kino a i ʻole hoʻoikaika kino.

He aha nā pilikia e hiki mai ana o ka Cardiac Cachexia?

Inā ʻaʻole mālama pono ʻia kēia kūlana, hiki ke kū mai kekahi pilikia ma hope o kekahi.

• ʻO Sarcopenia: ʻO ke ʻano kēia o ka emi ʻana o ka nui o nā uaua.
• I kekahi manawa hiki ke loaʻa ka ʻeha ma ka ʻiʻo o ka puʻuwai.
• Hiki ke hōʻike ʻia ka nāwaliwali a me ka nawaliwali, e alakaʻi ana i ka hāʻule pinepine a me nā ʻeha.
• Hiki i ka Anorexia ke hana i nā electrolyte a me nā wai kaulike ʻole i loko o ke kino .
• Hiki ke loaʻa ka osteoporosis. ʻO ke ʻano kēia e emi ana ka nui o nā iwi a hiki i nā iwi ke haki maʻalahi.
• ʻO ka mea kaumaha, hiki i kēia kūlana (Cardiac Cachexia) ke lilo i mea koʻikoʻi a hiki i ka make.

Pehea e ʻike ai nā kauka i kēia?

Hoʻoponopono ke kauka i ka cardiac cachexia inā ua nalowale ʻoe i 5% a ʻoi aku paha o kou kaumaha kino i ka makahiki i hala, a loaʻa iā ʻoe ma ka liʻiliʻi he ʻekolu o kēia mau mea:

• Luhi nui, māluhiluhi.
• Ka nalowale ʻana o ka ikaika a i ʻole ka nui o nā ʻiʻo.
• ʻAʻohe ʻono.
• Ka mumū i loko o ke kino.
• ʻAʻohe maʻi koko.
• Loaʻa i loko o ke kino nā pae haʻahaʻa loa o kahi protein i kapa ʻia ʻo albumin.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

No ka hōʻoia pololei ʻana i kēia kūlana, hiki i ke kauka ke kauoha i nā hoʻokolohua like ʻole.

• Nā hoʻāʻo koko: Hiki i kēia ke nānā i nā mea he nui, e like me nā pae protein, anemia, a me nā kūlana mumū.
• Electrocardiogram (EKG): E nānā i ka hana uila o ka puʻuwai.
• Echocardiogram: Ke nānā ʻana i ka hana a me ke ʻano o ka puʻuwai, e like me ka ultrasound scan.
• X-ray umauma.
• ʻO ke kiʻi ʻana o ka DEXA (DXA): Ke ana i ka nui o ka iwi a me ke ʻano o ke kino (ʻiʻo, momona).
• ʻO ke kiʻi ʻana o ka Computer Tomography (CT).
• Ke nānā ʻana i ke kiʻi Magnetic Resonance Imaging (MRI).
• Hoʻāʻo hoʻoikaika kino Cardiopulmonary: E ʻike pehea e pane ai ka puʻuwai a me nā māmā i ka hoʻoikaika kino.

He mea nui loa kēia mau hoʻokolohua no ka mea, ʻo ka poʻe me ka maʻi puʻuwai e paʻa pinepine i ka wai a me ka pehu ʻana, hiki ke alakaʻi i kahi helu helu kino kiʻekiʻe (BMI).Hiki ke paʻakikī ke ana pololei. Hiki i ka pehu ke hūnā i ka nui maoli o kou pohō kaumaha.

Hiki i kahi hoʻokolohua kūikawā i kapa ʻia ʻo "right heart catheterization" ke kōkua i kāu kauka e ʻike i ka nui o ka wai keu i loko o kou kino. Hiki i kēia ke kōkua iā ʻoe e hoʻomaopopo i ka nui o ke kaumaha āu i nalowale ai a me ka nui o ka wai āu i mālama ai.

He aha nā lāʻau lapaʻau no ka Cardiac Cachexia?

He maʻi paʻakikī loa kēia, no laila he paʻakikī ke noʻonoʻo, "E ʻai hou aku a e maikaʻi nō." ʻAʻole hiki ke ho'ōla ʻia me hoʻokahi lāʻau lapaʻau. Pono e hoʻokokoke ʻia mai nā kihi he nui.

• Hoʻoikaika Kino: Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i kekahi hoʻoikaika kino aerobic (kahi e hoʻonui ai i kou puʻuwai). E kōkua kēia i ka pale ʻana i ka hoʻopau hou ʻana o nā ʻiʻo. Ua ʻike nā kānaka noiʻi ʻo ka hoʻoikaika kino kekahi o nā lāʻau lapaʻau maikaʻi loa no ka cachexia cardiac. He nui nā pono o nā papahana hoʻoponopono puʻuwai no ka poʻe me ka hāʻule ʻana o ka puʻuwai:
• Hiki iā ʻoe ke hoʻomaikaʻi i ka maikaʻi o ke ola.
• Hiki ke hoʻemi ʻia nā noho ʻana ma ka haukapila.
• Hiki iā ʻoe ke hoʻolōʻihi i kou ola.

• Ka Hoʻokipa ʻana ma ka Halemai: Inā manaʻo ʻoe ua nāwaliwali a haʻahaʻa loa kou koko, hiki i kāu kauka ke hoʻokomo iā ʻoe i ka haukapila. E nānā ʻia kou kaumaha a me ka nui āu e ʻai ai a inu ai. E hiki iā ʻoe ke hoʻi i ka home ma hope o kou loaʻa ʻana o ka meaʻai kūpono. Pono ʻoe e ʻike i kēia mau loea i nā pule ʻelua a ʻehā e hiki mai ana:
• He kauka puʻuwai.
• Mea ʻai meaʻai.
• Kou kauka ʻohana ('Mea lawelawe mālama mua').

• Ke mālama ʻana i ka maʻi puʻuwai kumu: Inā aia kou maʻi puʻuwai i kahi pae holomua, he mea paʻakikī paha ke hoʻohuli i ka cachexia me ka ʻole o ka mālama ʻana i ka maʻi puʻuwai kumu. Pono kēia e ʻike i kahi kauka cardiologist holomua. Hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau e pono ai, a inā kūpono, e hoʻokomo i kahi pamu puʻuwai mechanical, a i ʻole e kuhikuhi iā ʻoe no kahi hoʻoili puʻuwai.

Nā lāʻau lapaʻau a i ʻole nā ​​​​mea hoʻohui kikoʻī i hāʻawi ʻia

Hiki i ke kauka ke kuhikuhi i nā mea e like me:

• Nā mea hoʻohui protein.
• Nā wikamina C a me E.
• Nā waikawa momona Omega-3.
• Nā steroid anabolic.
• ʻO ka hormone ulu kanaka ('HGH - hormone ulu kanaka').
• Nā agonists receptor Ghrelin.
• Nā mea pale beta.
• Nā mea hoʻololi i ka mea loaʻa androgen koho.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻO kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia no ka 'Cardiac Cachexia' hiki ke hana i nā hopena ʻaoʻao e like me:

• ʻIli ʻaila.
• Pehu kuʻekuʻe wāwae.
• Luhi.
• Ka luaʻi.
• Pōʻaiʻī.
• ʻAʻole hiki ke hiamoe.

Pehea e hōʻemi ai i ka pilikia o ka Cardiac Cachexia?

I mea e kōkua ai i ka hōʻemi ʻana i ka pilikia o kēia ʻano, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia (ua kuhikuhi pinepine ʻia kēia mau mea no nā hōʻeha puʻuwai):

• Nā mea hoʻopaʻa i ka enzyme hoʻololi-Angiotensin (ACE).
• Nā mea pale beta.
• Nā lāʻau diuretic loop (nā pila wai).
• Nā mea kū'ē iā Aldosterone.

He aha ka mea e hiki ai i kekahi me Cardiac Cachexia ke manaʻo?

ʻO kaʻoiaʻiʻo, ʻo ka (Cardiac Cachexia) he maʻi ia e loaʻa pinepine ana kahi prognosis maikaʻi ʻole. Eia nō naʻe, hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka hoʻomaikaʻi ʻana i ka hopena. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka mālama ʻana, ʻoi aku ka maikaʻi o nā manawa kūpono e hoʻohuli i ke kūlana.

Hiki i ka cardiac cachexia ke hoʻoulu i ka make?

ʻAe, hiki ke hana ʻia. ʻAʻole maikaʻi loa ka wānana no ka "Cardiac Cachexia". Ua ʻōlelo ʻia ma kahi o 50% o ka poʻe me kēia maʻi e make i loko o 18 mau mahina . Wahi a kekahi noiʻi, hiki i kekahi poʻe ke make i loko o ʻekolu, ʻeono, a i ʻole ʻumikūmālua mahina. ʻAʻole kēia e hoʻoweliweli iā ʻoe, akā e hoʻomaopopo iā ʻoe i ke koʻikoʻi o kēia maʻi.

Pehea e mālama ai iaʻu iho a i ʻole kekahi mea aʻu e mālama nei?

Inā ʻoe e ʻeha nei i kēia ʻano maʻi, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua:

• Hiki i ka ʻai ʻana i nā meaʻai palupalu ke kōkua i ka pale ʻana i ka pilikia o ka hanu ʻana i ka wā e ʻai ana.
• He mea maikaʻi nō hoʻi ka ʻai pinepine ʻana i nā meaʻai liʻiliʻi, ma mua o ka ʻai ʻana i ka meaʻai nui i ka manawa hoʻokahi.
• He ʻokoʻa nā manaʻo o nā kauka no ka nui o ka paʻakai āu e ʻai ai. No laila, e noi i kāu kauka no ka ʻōlelo aʻo. Wahi a ka nui o nā kauka he maikaʻi ka Mediterranean Diet a me ka DASH diet no ka poʻe me Cardiac Cachexia.
• E lawe i nā mea hoʻohui meaʻai a kāu kauka e manaʻo ai e kōkua iā ʻoe. Hiki i kēia mau mea ke hoʻomaikaʻi i kou ʻano ola a me kou ola holoʻokoʻa. ʻO ka loaʻa ʻana o nā meaʻai lawa e hiki ke kōkua iā ʻoe e hoʻomākaukau no kahi hoʻoili puʻuwai inā e loaʻa iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

E kamaʻilio me kāu kauka e pili ana i ka pinepine o kou pono e ʻike iā ia. Pono paha ʻoe e nānā pinepine iā ia.Ma ka liʻiliʻi loa, pono ʻoe e hōʻike i kou kaumaha a me ka lawe ʻana i ka calorie.

He aha nā nīnau āu e nīnau ai i ke kauka?

Mai kānalua e nīnau i kāu kauka i nā nīnau e like me kēia:

• Pehea ke koʻikoʻi o koʻu maʻi (Cardiac Cachexia)?
• Hiki iā ʻoe ke kuhikuhi mai i kahi papaʻai kūikawā e kūpono iaʻu?
• He aha nā mea hoʻohui meaʻai maikaʻi loa iaʻu?

ʻO ka mea nui loa: Inā loaʻa iā ʻoe ka maʻi puʻuwai koʻikoʻi a ke emi nei kou kaumaha, e kamaʻilio koke me kāu kauka. ʻO ka poʻe me ka maʻi puʻuwai he kino pehu ko lākou, no laila ʻaʻole paha ʻoe e ʻike i ka nui o kou kaumaha i nalowale. E mālama iā ʻoe iho a loaʻa ke kōkua āu e pono ai. A laila wale nō hiki iā ʻoe ke pale aku i ka maʻi mai ka ʻino ʻana.

I ka hōʻuluʻulu manaʻo, ʻo ka leka lawe home

ʻAe, i kēia manawa ua ʻike maikaʻi ʻoe i ke kūlana a mākou i kamaʻilio ai i kapa ʻia ʻo (Cardiac Cachexia). E hoʻomanaʻo, he kūlana koʻikoʻi kēia e hiki ke hele mai me ka hāʻule ʻana o ka puʻuwai. Inā ʻoe e emi ana ke kaumaha me ka ʻike ʻole, loaʻa nā hōʻailona e like me ka nalowale o ka makemake, a me ka luhi, mai hoʻowahāwahā iā ia.

ʻO ka ʻike mua ʻana a me ka mālama kūpono nā mea nui loa. ʻAʻohe lāʻau hoʻokahi no kēia, he hui pū ʻana ia o ka hoʻoikaika kino, ka meaʻai, a, inā pono, ka lāʻau lapaʻau. He mea nui loa e kamaʻilio ākea me kāu kauka a hahai pololei i kāna ʻōlelo aʻo. Inā ʻeha kekahi hoaaloha o ʻoe i kēia maʻi, mai poina e paipai iā ia a hāʻawi iā ia i ke kākoʻo e pono ai.

ʻO ka Cachexia o ka puʻuwai, maʻi puʻuwai, nāwaliwali, nāwaliwali o nā ʻiʻo, ʻai ʻole i ka pono, maʻi puʻuwai, meaʻai