Ke nāwaliwali nei kou puʻuwai? E makaʻala kākou i kēia haʻalulu puʻuwai weliweli (Cardiogenic Shock)!

Ua noʻonoʻo paha ʻoe i ke ʻano kupaianaha o ka pamu o ko kākou puʻuwai? Akā i kekahi manawa, aia nā manawa ʻaʻole hiki i ka puʻuwai ke hana pono. Ke hana ʻia kēlā, ʻaʻole hiki i ke koena o ke kino ke loaʻa ke koko lawa, ka mea i kapa ʻia ʻo cardiogenic shock . He kūlana hoʻoweliweli ola kēia e pono ai ke kōkua lapaʻau koke. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā me nā kikoʻī hou aku, ea?

He aha kēia haʻalulu cardiogenic?

I ka ʻōlelo maʻalahi, ʻo ke kaʻe cardiogenic ka wā hiki ʻole i kou puʻuwai ke pamu i ke koko lawa i kou kino. Ke hāʻule kou koko, ʻaʻole loaʻa i kāu mau ʻōpū koʻikoʻi (e like me kou lolo, nā puʻupaʻa, a me ke akepaʻa) ka oxygen a lākou e pono ai. A laila hiki i kēia mau ʻōpū ke oki i ka hana a hoʻomaka e hōʻino ʻia. He pilikia koʻikoʻi kēia a pono e hoʻokipa koke ʻia i ka haukapila a me ka mālama ʻana. A i ʻole, hiki ke hoʻoweliweli i ke ola.

Aia kekahi mau pae like ʻole i kēia?

ʻAe, ua hoʻokaʻawale nā ​​kauka i kēia maʻi puʻuwai i nā pae like ʻole e like me ke koʻikoʻi o ke kūlana. E like me nā papa ma ke kula. ʻO ia hoʻi, ua hoʻoholo ʻia kēia mau pae e like me ke ʻano o ka nāwaliwali a me ka paʻakikī o ka mea maʻi. E nānā kākou i ke ʻano o lākou:

• I ka pilikia (A): ʻO ke ʻano kēia e loaʻa paha iā ʻoe ka hōʻeha puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai, akā ʻaʻole ʻoe e hōʻike nei i nā hōʻailona o ka haʻalulu. ʻO ke ʻano kēia he liʻiliʻi ka pilikia a pono ʻoe e makaʻala.
• Hoʻomaka (B): I kēia manawa, e hoʻomaka paha kou koko e hāʻule, a i ʻole e lilo paha kou puʻuwai i mea ʻē. ʻO ke ʻano kēia ua mākaukau ʻoe e komo i ka haʻalulu.
• Kuʻuna (C): I kēia hihia, pono paha ʻoe i ka lāʻau lapaʻau a i ʻole kekahi ʻano mea hana e kōkua i ka pamu ʻana i ke koko i nā ʻōpū o kou kino. ʻOi aku ka koʻikoʻi o ke kūlana.
• Ke kahua ʻino (D): Maanei, ʻoi aku ka ʻino o ke kūlana ma hope o 30 mau minuke, me ka ʻole o ka pane ʻana i nā lāʻau lapaʻau a i ʻole nā ​​​​lako i hoʻohana ʻia.
• ʻOi loa (E): ʻO kēia ke kahua koʻikoʻi loa. Hiki mai kahi hōʻeha puʻuwai a pono ʻoe i kahi ventilator e hanu ai, CPR e hoʻōla hou i ka puʻuwai, a me kahi defibrillator.

Ua manaʻo ʻia aia ma waena o 40,000 a me 50,000 mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō e ʻeha nei i kēia maʻi puʻuwai i kēlā me kēia makahiki. ʻOi aku ka nui o ka loaʻa ʻana o ia maʻi i nā wāhine. Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe ma luna o 75 mau makahiki a me ka poʻe me ka maʻi puʻuwai mua.

He aha nā hōʻailona o kēia? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi...

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e hopohopo no lākou.

• Ka huikau a nalowale paha o ka ʻike:ʻAʻole hiki iā ʻoe ke hoʻomaopopo pono i ka mea e hana nei, a i ʻole manaʻo paha ʻaʻole maopopo nā mea āu e ʻōlelo nei.
• Nāwaliwali: E nalowale koke paha kou ʻike a hāʻule.
• Paʻakikī ka hanu ʻana: Paʻakikī ka hanu ʻana, me he mea lā e hanu ana.
• Ka emi ʻana o ka mimi: ʻOi aku ka liʻiliʻi o ka nui o ka mimi āu e hoʻokuʻu ai ma mua o ka maʻamau.
• Nā lima a me nā wāwae anu: Manaʻo nā lima a me nā wāwae i ke anu ke pā.
• Nā loli o ke kala o ka ʻili: Hiki ke keʻokeʻo ka ʻili a lilo i polū.
• Luhi loa/māluhiluhi loa: Luhi loa e hana i kekahi mea.
• Ka pehu ʻana o ka ʻōpū a me nā wāwae: Pehu ka ʻōpū me he mea lā ua piha i ka wai, a pehu nā wāwae ʻelua.
• Anorexia: Ka nalowale o ka makemake e ʻai.

ʻO ka mea nui loa: Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai (e laʻa me ka ʻeha nui o ka umauma, ka pōkole o ka hanu), e ʻimi koke i ke kōkua lapaʻau. Mai hoʻokaʻulua!

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO ke kumu nui o ka haʻalulu cardiogenic ka hōʻeha puʻuwai . Eia nō naʻe, hiki ke hana ʻia e nā maʻi puʻuwai ʻē aʻe. I ka ʻōlelo maʻalahi, ʻo nā mea āpau e hoʻonāwaliwali ai i ka hana o kou puʻuwai hiki ke hana ia.

ʻO kekahi mau kumu ʻē aʻe:

• Myocarditis : Ka mumū o ka ʻiʻo o ka puʻuwai.
• Endocarditis : Ka maʻi o nā kiwikā o ka puʻuwai.
• Puʻuwai kū ʻole (Arrhythmia) : He puʻuwai kū ʻole.
• ʻO ka Tamponade Cardiac : ʻO kahi kūlana kahi e hōʻiliʻili ai ka wai a i ʻole ke koko i loko o ka ʻeke a puni ka puʻuwai, e hoʻoulu ai i ke kaomi ma ka puʻuwai.
• ʻO ka Pulmonary Embolism : Hoʻopili koke kahi ʻaʻa koko i kahi kīʻaha koko i loko o nā māmā.
• He pilikia me ka valve puʻuwai: Eia kekahi laʻana, he haehae i loko o ke ʻiʻo e kākoʻo ana i ka valve, a i ʻole kahi valve prosthetic i hoʻokomo ʻia ʻaʻole e hana pono.
• Ka hōʻino ʻana i ka paia ma waena o ka atrium hema a me ka ʻākau o ka puʻuwai.
• He ʻeha ma ka umauma.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi puʻuwai. A laila, i kekahi lā, hiki mai paha kēia hōʻeha puʻuwai (Cardiogenic Shock). E nānā kākou i kēia mau kumu pilikia:

• Loaʻa ka hāʻule ʻana o ka puʻuwai.
• Ma hope o ka loaʻa ʻana o kahi hāʻule puʻuwai ma mua.
• Loaʻa i ka maʻi ʻaʻa coronary.
• Ke koko kiʻekiʻe.
• Kolesterol kiʻekiʻe.
• Ka maʻi diabetes.
• Ka hoʻohana ʻana i ka paka (puhi paka, nau paka).
• Kaumaha Loa a me ka Momona.
• Ma hope o ka hana ʻana i ke ʻoki ʻoki coronary artery bypass ma mua.
• Ka nele i ka hoʻoikaika kino.

ʻO ka nūhou maikaʻi, hiki iā ʻoe ke hoʻololi i kekahi o kēia mau mea pilikia. ʻO ia hoʻi, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hana ʻana i nā hoʻololi i ke ʻano o ka nohona.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia maʻi?

Hiki i ka haʻalulu Cardiogenic ke hōʻino i nā ʻōpū koʻikoʻi e like me kou lolo, akepaʻa, a me nā puʻupaʻa. Hiki iā ia ke hana i kahi puʻuwai puʻuwai kūpono ʻole a make i ka hopu ʻia ʻana o ka puʻuwai. ʻO ka hahau kekahi pilikia hiki. I kekahi mau hihia, hiki i kēia maʻi ke make.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou maʻi a me nā hōʻailona āu e ʻike nei. A laila, i ka wā o ka hoʻokolokolo kino, e ʻike paha ʻoe i nā hōʻailona e like me:

• He naʻau palupalu.
• Anu a hou ka ʻili.
• Ke koko haʻahaʻa.
• He puʻuwai kū ʻole i ka maʻamau a i ʻole he leo kū ʻole i hiki i ke kauka ke lohe me ka stethoscope (Heart Murmur).

He aha nā hoʻokolohua e hana ʻia?

Hana ʻia kekahi mau hoʻokolohua e hoʻoholo pono ai inā he cardiogenic shock.

• Kāʻei Paʻa Koko: E nānā inā he haʻahaʻa ke koko.
• Catheterization Cardiac: Hana ʻia kēia e nānā i nā ālai ʻana i nā aʻa coronary e hoʻolako ana i ke koko i ka puʻuwai. Hiki iā ia ke nānā i ka maikaʻi o ka puʻuwai e pamu ana i ke koko.
• Electrocardiogram (ECG/EKG): E ʻike i ka hana uila o ka puʻuwai (ka ʻōhumu o ka puʻuwai).
• Echocardiogram: Nānā i nā pilikia me ka ikaika o ka puʻuwai a me ke ʻano o ka puʻuwai.
• X-ray o ka umauma: No ka nānā ʻana i ke ʻano o ka wai i loko o nā māmā a me ke kūlana o ka puʻuwai a me nā kīʻaha koko.
• Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo e like me `(Lactate)` e nānā i ka pae oxygen i loko o ke koko a e ʻike inā he hōʻino ʻia nā ʻōkana nui.

Pehea e mālama ʻia ai kēia?

He kūlana hoʻoweliweli kēia i ke ola, no laila he mea nui ka mālama ʻana i ka pilikia .

ʻO ka pahuhopu nui o ka mālama ʻana i ka haʻalulu cardiogenic ka hoʻomaikaʻi ʻana i ke kahe koko a me ka oxygen i nā ʻōpū nui a pale i ka hōʻino ʻana iā lākou. I kekahi manawa hiki ke hana ʻia kēia me ka lāʻau lapaʻau. Eia nō naʻe, i nā hihia koʻikoʻi, pono paha nā lako kūikawā (Nā Mea Kākoʻo) e kōkua i ka puʻuwai.

ʻO nā lāʻau lapaʻau e hoʻomaka ana ma ka Lumi Hoʻopilikia a i ʻole ka Intensive Care Unit (ICU) o ka haukapila e komo pū me:

• Nā lāʻau lapaʻau e wehe ai i ke kahe keu, hoʻomaikaʻi i ke kahe koko, a kōkua i ka hana puʻuwai.
• ʻOkikene e kōkua i ka hanu ʻana (malia paha me kahi ventilator).
• He Swan-Ganz Catheter e nānā ai i ke kaomi i loko o ka puʻuwai.
• Nā Mea Kākoʻo e kōkua mīkini ana i ka puʻuwai.

Lapaʻau ma hope

Ma hope o ka mālama ʻana i ka pilikia, pili ka mālama hou aku i ke kumu o kou haʻalulu cardiogenic. Hiki ke komo pū ka mālama ʻana:

• Inā ma muli o ka hōʻeha puʻuwai: Angioplasty e ʻae i ke koko e kahe ma o kahi kīʻaha koko i paʻa a me kahi stent paha.
• Inā ma muli o ka pilikia o ka valve: Hoʻoponopono a Hoʻololi paha i ka Valve o ka Puʻuwai.
• No ka puʻuwai me ka puʻuwai kū ʻole i ke ʻano maʻamau: Defibrillation (ka hāʻawi ʻana i kahi haʻalulu uila) a i ʻole ke hoʻokomo ʻana i kahi pacemaker.
• Inā he wai a puni ka puʻuwai: He hana e hoʻohana ana i ka nila e wehe i ke kahe nui e kaomi ana ma ka puʻuwai.
• No nā aʻa coronary i ālai ʻia: ʻO ke Coronary Artery Bypass Graft (CABG / Open-Heart Surgery) e ʻae i ke koko hou aku e kahe i ka puʻuwai.
• No ka puʻuwai e pono ai ke kōkua hou aku: He mīkini i kapa ʻia ʻo `ECMO (Extracorporeal Membrane Oxygenation)` e hana i ka hana o kou puʻuwai a me kou mau māmā, a me kahi pamu pōkole `(Short-term Pump in Aorta)` e kōkua i ka puʻuwai e pamu i ke koko hou aku.
• No ka puʻuwai e like me ka hāʻule ʻana: ʻO kahi hāmeʻa lōʻihi e kōkua i ka puʻuwai ua kapa ʻia ʻo "Left Ventricular Assist Device (LVAD). ʻO ka hana aʻe he "Heart Transplant."

ʻEhia ka lōʻihi e ola ai?

ʻO ka manawa e pono ai no ʻoe e hoʻōla ai ma muli o ka lāʻau āu e loaʻa ai. Pono paha ʻoe e noho i ka haukapila no hoʻokahi pule a ʻoi aku paha. Ma hope o kēlā, hiki ke hala i kekahi mau pule a i kekahi mau mahina e hoʻōla ai, ma ka home a i ʻole ma ke kikowaena hoʻōla. ʻO ka hele ʻana i kahi papahana hoʻōla puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai hiki ke kōkua nui i kēia kaʻina hana hoʻōla.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai a i ʻole ka haʻalulu cardiogenic, e kāhea koke i kahi kaʻa kaʻa. Hiki iā ʻoe ke hoʻomaka i ka mālama ʻana ma ke kaʻa kaʻa.

Ma hope o ke kūpilikiʻi cardiogenic, pono ʻoe e ʻike i kāu kauka no nā kipa hahai. Inā he mea lapaʻau kāu e kōkua ai i kou puʻuwai e hana pono, pono ʻoe e hana i nā nānā mau e hōʻoia i ka hana pono ʻana.

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou.

ʻO kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha nā mea e pono iaʻu e makaʻala ai i ka wā e hiki mai ana?
• Pono anei iaʻu e hana i kekahi mau hoʻololi i kaʻu mau hana o kēlā me kēia lā?
• He aha nā lāʻau lapaʻau e pono iaʻu e hoʻomau i ka lawe ʻana a pehea ka lōʻihi?

ʻAʻole anei hiki ke pale ʻia kēia?

ʻO ka loaʻa ʻana o ka lāʻau lapaʻau koke no ka hōʻeha puʻuwai ke ala maikaʻi loa e pale aku ai i ka haʻalulu cardiogenic, no ka mea, ʻo ka haʻalulu cardiogenic ka mea pinepine i hoʻokumu ʻia e ka hōʻeha puʻuwai.

E ʻike i kāu kauka e aʻo e pili ana i kou pilikia no ka maʻi puʻuwai a e hana i nā hana e hoʻomaikaʻi ai i kou olakino puʻuwai. Inā loaʻa iā ʻoe ka maʻi ʻaʻa coronary, e ʻike mau i kāu kauka a e hahai i ka hoʻolālā lapaʻau āna e ʻōlelo ai.

He aha ka mea e hana ʻia inā kū ʻoe i kēia kūlana?

ʻO ke ʻano o ka hopena o ka haʻalulu cardiogenic i kou ola, pili ia i ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau. ʻO ka pōkole o ka manawa āu e noho ai i ka haʻalulu, ʻoi aku ka maikaʻi. ʻO ia hoʻi, ʻoi aku ka liʻiliʻi o ka hōʻino ʻia i kou mau kino nui. ʻO ka nui o nā kino i loaʻa ʻole ke koko lawa, ʻoi aku ka kiʻekiʻe o kou pilikia o ka make ʻana mai ka haʻalulu cardiogenic.

Ua piʻi aʻe ka manawa kūpono e ola ai i ka haʻalulu cardiogenic i ka hala ʻana o ka manawa. Eia nō naʻe, me ka mālama ʻia ʻana, hiki i kēia maʻi ke make. ʻAʻole ola ka nui o ka poʻe.

He aha ka ʻokoʻa ma waena o ka Cardiogenic Shock a me ka Septic Shock?

He mau maʻi haʻalulu nā mea ʻelua. ʻO ke ʻano kēia, ʻaʻole i loaʻa i kou mau kino a me nā ʻiʻo ka oxygen e pono ai. Eia nō naʻe, ua hoʻokumu ʻia kēia mau maʻi hoʻoweliweli ola ʻelua e nā mea like ʻole. Hoʻokumu ʻia ka haʻalulu Cardiogenic e ka maʻi puʻuwai. Hoʻokumu ʻia ka haʻalulu Septic e nā maʻi. I kekahi manawa hiki i kēia mau maʻi ʻelua ke hana i ka manawa like.

Ua like anei ka Cardiogenic Shock me ka Heart Attack?

ʻAʻole, ʻaʻole like ka haʻalulu cardiogenic me ka hōʻeha puʻuwai. Eia nō naʻe, ʻo ka hōʻeha puʻuwai ke kumu nui o ka haʻalulu cardiogenic.

Ke ola ʻoe i ka hōʻeha puʻuwai a me ka haʻalulu cardiogenic, nui paha kou mau manaʻo. He manaʻo maikaʻi ke kamaʻilio e pili ana i kāu mea e hele nei me kahi kākāʻōlelo, he hoaaloha, a i ʻole kahi hui kākoʻo. Mai poina e lawe i nā lāʻau lapaʻau a pau a kāu kauka i kuhikuhi ai. Hiki i ka ʻike ʻana i kāu kauka ke kōkua iā ʻoe e hoʻōla.

ʻO nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

ʻAe, i kēia manawa ua maopopo iā ʻoe ka mea a mākou i kamaʻilio ai i kēia lā, ʻo Cardiogenic Shock. Eia kekahi mau mea nui e hoʻomanaʻo ai:

• ʻO ka haʻalulu Cardiogenic kahi kūlana koke a weliweli hoʻi e kū mai ana i ka wā hiki ʻole i ka puʻuwai ke pamu pono i ke koko.
• E makaʻala i nā hōʻailona: Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka nalowale o ka ʻike, a me nā lima a me nā wāwae anu, mai hoʻokaʻulua.
• E ʻimi koke i ke kōkua lapaʻau: Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e hele koke i ka haukapila. Kāhea i kahi ambulance.
• ʻO ka hōʻeha puʻuwai ke kumu nui: no laila, inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai, e ʻimi koke i ka lāʻau no ia mea.
• E kāohi i nā kumu pilikia: E pale i ka puhipaka, e ʻai i ka meaʻai kaulike, e hoʻoikaika kino, a e kāohi i ka maʻi diabetes a me ke koko kiʻekiʻe. Hiki i kēia mau mea ke kōkua iā ʻoe e pale iā ʻoe iho mai kēia mau maʻi.

Inā makemake ʻoe e ʻike hou aku e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka. E noho olakino!

ʻO ka haʻalulu Cardiogenic, hōʻeha puʻuwai, maʻi puʻuwai, mālama ulia pōpilikia, puʻuwai, koko kiʻekiʻe