Ke nāwaliwali nei kou puʻuwai? E kamaʻilio kākou e pili ana i ka cardiomyopathy!

Ke manaʻo nei ʻoe i kekahi manawa i ka luhi loa a me ka pōkole o ka hanu? Ke manaʻo nei ʻoe i ka poniuniu ʻoiai ke piʻi nei i nā alapiʻi? ʻAʻole paha he mau mea wale nō kēia. Malia paha he kūlana kēia e hoʻopilikia ai i kou ʻiʻo puʻuwai. E kamaʻilio mākou e pili ana i kekahi o ia ʻano kūlana i kēia lā, ʻo ia hoʻi ka cardiomyopathy.

He aha ka Cardiomyopathy?

ʻAe, he aha ka cardiomyopathy? I ka ʻōlelo maʻalahi, he maʻi ia e hoʻopilikia ai i ka ʻiʻo i loko o kou puʻuwai, ʻo ka myocardium . E noʻonoʻo iā ia me he pamu kou puʻuwai. Ke loaʻa iā ʻoe kēia maʻi, hiki i kou ʻiʻo puʻuwai ke mānoanoa loa, a i ʻole hiki ke nui aʻe, i kekahi manawa hiki ke paʻakikī, a hiki ke hana i nā ʻiʻo ʻeha.

No laila he aha ka mea e hana ʻia ke hana ʻia kēia? ʻAʻole hiki i kou puʻuwai ke pamu pono i ke koko. ʻO ia hoʻi, ʻaʻole lawa ke koko i kou kino holoʻokoʻa. I ka hala ʻana o ka manawa, hiki i ka puʻuwai ke nāwaliwali a hiki i ka hāʻule ʻana o ka puʻuwai . Akā, mai hopohopo, aia nā lāʻau lapaʻau no kēia. Pono kekahi poʻe e hana i kahi hoʻoili puʻuwai .

Aia kekahi mau ʻano like ʻole o ka cardiomyopathy?

ʻAe, aia nā ʻano cardiomyopathy like ʻole. E nānā kākou i kēlā i kēia manawa.

• ʻO Dilated Cardiomyopathy: ʻO kēia ka wā e nui ai nā keʻena o ka puʻuwai (nā keʻena e piha i ke koko) a lahilahi nā paia o nā ʻiʻo. E like me ka wā e hoʻopiha ʻia ai kahi pōpō, ua emi kona hiki ke pamu i ke koko.
• Hypertrophic Cardiomyopathy: ʻO kēia ka wā e mānoanoa nui ai ka ʻiʻo o ka puʻuwai, e emi ana ka hakahaka i loko o ka puʻuwai, e paʻakikī ai iā ia ke hoʻopiha me ke koko a me ka pamu.
• ʻO ka Ischemic Cardiomyopathy: Hoʻokumu pinepine ʻia kēia e ka pale ʻana o nā aʻa coronary e hoʻolako ana i ke koko i ka puʻuwai. Hiki ke hana ʻia kēia ʻano ke hōʻino ʻia ka ʻiʻo o ka puʻuwai, e like me ka hōʻeha puʻuwai.
• ʻO ka Arrhythmogenic Right Ventricular Dysplasia (ARVD): He inoa paʻakikī kēia. ʻO kēia kahi e pani ʻia ai ka ʻiʻo ma ka ventricle ʻākau o ka puʻuwai e ka ʻiʻo momona a me ka ʻiʻo fibrous. Hiki ke hana ʻia e nā kumu genetic.
• ʻO ka Cardiomyopathy Hoʻopaʻa: Ma kēia ʻano, lilo ka ʻiʻo o ka puʻuwai i paʻakikī a nalowale kona elasticity, hiki ʻole ke hoʻopiha pono i ke koko.
• ʻO Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM): Ma kēia, ua waiho ʻia kahi protein ʻano ʻē i kapa ʻia ʻo amyloid i loko o ka puʻuwai.
• ʻO ka Broken Heart Syndrome a i ʻole Takotsubo Cardiomyopathy: He mea kūikawā iki kēia. E noʻonoʻo, i ka wā e loaʻa koke ai iā ʻoe ke kaumaha nui, ka haʻalulu, a i ʻole ke kaumaha nui o ka noʻonoʻo, hiki i kēia kūlana ke hoʻopilikia i ka puʻuwai.
• ʻO ka cardiomyopathy i hoʻokomo ʻia e Chemotherapy: Hiki i kēia ke hana ma ke ʻano he hopena ʻaoʻao o nā lāʻau lapaʻau chemotherapy no ka maʻi kanesa.
• Cardiomyopathy i hoʻoulu ʻia e ka waiʻona: ʻO ka poʻe e inu nui ana i ka waiʻona e pilikia pū kekahi.
• ʻAʻole hoʻopili ʻia ka Ventricular Hema (LVNC): Ma kēia, lilo ka ʻiʻo ma ke keʻena hema o ka puʻuwai e like me ka huʻahuʻa.
• ʻO Peripartum Cardiomyopathy: He kūlana kēia e hiki ke hana ma ka hopena o ka hāpai ʻana a i loko o kekahi mau mahina ma hope o ka hānau ʻana.

Pehea ka maʻamau o kēia maʻi?

Hiki i ka Cardiomyopathy ke hoʻopilikia i nā kānaka o nā makahiki āpau, nā kāne, a me nā lāhui. ʻO ke ʻano maʻamau, i kapa ʻia ʻo hypertrophic cardiomyopathy , he ʻano genetic ia i hoʻoili ʻia i nā hanauna. Ua manaʻo ʻia he hoʻokahi i loko o 500 mau kānaka ma ka honua i loaʻa iā ia. Hoʻopilikia nā ʻano genetic ʻē aʻe i kahi hoʻokahi i loko o 2,000 a i ʻole 2,500 mau kānaka.

He aha nā hōʻailona?

ʻĀ, he aha nā hōʻailona e hōʻike ai kekahi me ka cardiomyopathy?

• Manaʻo luhi loa (Luhi): ʻAʻole wale ka luhi, akā, ka luhi mau a wehewehe ʻole ʻia.
• Nā palpitations o ka puʻuwai: Hiki i kēia ke manaʻo e like me ka pahu e kuʻi ana i loko o ka umauma, a i ʻole e like me ka puʻuwai e lele ana i kahi kuʻi.
• ʻEha umauma: He hōʻailona nō hoʻi kēia.
• Nā ʻano ʻē o ka puʻuwai (Arrhythmia): ʻO ke ʻano kēia ua hoʻopilikia ʻia ke kuʻina o ka puʻuwai.
• Paʻakikī ka hanu ʻana (Dyspnea): Hiki paha iā ʻoe ke paʻakikī ke hanu me ka hoʻoikaika iki ʻana, a i ʻole ke kū wale ʻana.
• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae (Edema): Hiki ke hana kēia ma muli o ka hōʻiliʻili ʻana o ka wai i loko o ke kino.
• Nāwaliwali a nalowale paha ka ʻike (Syncope): Hiki ke nalowale koke ka ʻike a me ka hiolo ʻana.

Eia nō naʻe, loaʻa paha i kekahi poʻe ka cardiomyopathy me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona. ʻAʻole paha lākou e pono i ka lāʻau lapaʻau. Eia nō naʻe, hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia i ka wā e holomua ai ka maʻi.

He aha nā kumu o ka cardiomyopathy?

He aha nā kumu o ka cardiomyopathy? ʻO kekahi kumu nui, ʻo ia ka genetics . ʻO ke ʻano kēia, hiki ke hoʻoilina ʻia ka maʻi mai ko kākou mau mākua mai. Ua ʻike nā kānaka noiʻi i nā tausani o nā mutations genetic e pili ana i ka maʻi.

Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe:

• Ka maʻi ʻaʻa coronary .
• Nā Maʻi Autoimmune: No ka laʻana, nā Maʻi Pili Pili.
• Nā maʻi e hoʻopilikia ana i ka ʻiʻo o ka puʻuwainā maʻi (e like me nā virus, bacteria).
• Ka mumū o ka puʻuwai .
• ʻO ka maʻi diabetes `(Diabetes Mellitus)` .
• Ka maʻi thyroid .
• ʻO ka Dystrophy Muscular .
• Nā maʻi cholesterol kiʻekiʻe .
• ʻO ka Sarcoidosis .
• ʻAmyloidosis .
• Hemochromatosis: ʻO kēia ka wā e hōʻiliʻili ai ka hao keu i loko o ke kino.

I kekahi manawa, ʻaʻole hiki i nā loea ke hoʻomaopopo i ke kumu o ka cardiomyopathy o kekahi. Kāhea mākou i kēlā he idiopathic.

He aha nā kumu pilikia?

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka cardiomyopathy? ʻAʻole hiki iā mākou ke hoʻololi i kekahi o kēia mau mea.

• Inā he moʻolelo ko kekahi o ka ʻohana no ka hāʻule ʻana o ka puʻuwai, cardiomyopathy, a i ʻole ka hopu koke ʻana o ka puʻuwai.
• Inā ua loaʻa iā ʻoe nā hōʻeha puʻuwai ma mua.
• Ka hoʻohana lōʻihi ʻana i ka cocaine a i ʻole ka waiʻona.
• Ka hāpai ʻana.
• He ʻike kaumaha loa, e like me ka nalowale ʻana o kahi mea aloha, no ka laʻana.
• Ke loaʻa nei i ka radiation a i ʻole chemotherapy no ka maʻi kanesa.
• ʻOi aku ka nui o ke kino (BMI) ma mua o 30 (ʻo ia hoʻi ka momona).

He aha nā pilikia e hiki mai ana?

Inā lilo kēia cardiomyopathy i mea koʻikoʻi, hiki ke kū mai nā pilikia puʻuwai ʻē aʻe. ʻO kēia mau mea:

• Nā ʻano like ʻole o ka puʻuwai (Arrhythmias) .
• Ka hāʻule ʻana o ka puʻuwai .
• Hahau ʻana .
• Maʻi Valve Puʻuwai .
• Hoʻopaʻa ʻia ka puʻuwai .
• Ka haʻalulu Cardiogenic .

Pehea e hana ʻia ai ka hōʻailona?

No laila, pehea ʻoe e ʻike pono ai inā he cardiomyopathy kou? Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia e pili ana i kou mōʻaukala olakino a inā paha he maʻi kēia i loko o kou ʻohana. A laila e hana lākou i kahi hoʻokolokolo kino.

Inā kānalua lākou he maʻi puʻuwai kou, e kuhikuhi lākou iā ʻoe i kahi kauka puʻuwai. E hana ke kauka puʻuwai i kahi hoʻokolokolo piha a, inā pono, e hana i kekahi mau hoʻokolohua hou aku.

Nā hoʻokolohua diagnostics

• Ka Nānā ʻana i ka Ambulatory: Pili kēia i ke kau ʻana i kahi mea liʻiliʻi no 24 mau hola a ʻoi aku paha e nānā i ka hana o ka puʻuwai.
• Nā hoʻāʻo koko .
• X-ray o ka umauma .
• ʻO ke kiʻi CT puʻuwai .
• MRI Puʻuwai `(MRI Puʻuwai)` .
• Echocardiogram: He hoʻāʻo koʻikoʻi loa kēia. Hiki iā ia ke nānā i nā mea he nui e like me ka nui a me ke ʻano o ka puʻuwai, ka mānoanoa o nā ʻiʻo, pehea e pamu ai i ke koko, a me ka hana o nā valves.
• Electrocardiogram (EKG/ECG): Ke ana kēia i ka hana uila o ka puʻuwai a hiki ke ʻike i nā mea e like me nā ʻano ʻē o ka puʻuwai.
• Hoʻāʻo Hoʻoluhi Hoʻoikaika Kino .
• Ka hoʻokomo ʻana i ka catheter o ka puʻuwai .
• Biopsy Myocardial: Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo puʻuwai no ka hoʻokolokolo ʻana.

He aha nā lāʻau lapaʻau?

ʻAʻole hiki i ka lāʻau lapaʻau no ka cardiomyopathy ke ho'ōla loa i ke kūlana. Eia nō naʻe, hiki ke mālama ʻia nā hōʻailona a hiki ke kāohi ʻia ka maʻi . Hiki i kāu kauka ke ʻōlelo aku i nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, nā mea hana like ʻole, a i ʻole ke ʻoki kino.

Nā loli o ke ʻano o ka nohona

Hiki iā kākou ke hoʻoikaika i ko kākou mau naʻau ma ka hoʻololi ʻana i ke ʻano o ko kākou noho ʻana i kēlā me kēia lā. Eia kekahi mau mea hiki iā kākou ke hana:

• ʻAi ʻana i ka meaʻai haʻahaʻa i ka momona a me ka paʻakai.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• Hoʻoikaika kino mau.
• Ka lawa ʻana o ka hiamoe.
• Hoʻemi i ke kaumaha.
• Ke pale nei i ka hoʻohana ʻana i nā huahana paka.
• Ke pale ʻana i ka inu ʻana i ka waiʻona.

He mea nui loa ka hahai pololei ʻana i kēia mau mea, ke maopopo nei iā ʻoe?

Nā lāʻau lapaʻau

Hiki i kāu cardiologist ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau antihypertensive .
• Nā Anticoagulants (nā mea hoʻokahe koko)
• ʻO nā lāʻau antiarrhythmics nā lāʻau e kaohi ai i nā ʻano hana ʻole o ka puʻuwai .
• Nā lāʻau hoʻohaʻahaʻa kolesterol.
• Nā mea kū'ē i ka Aldosterone
• Corticosteroids (ma kekahi mau hihia kikoʻī).

Nā mea hana no ka hoʻoponopono ʻana i nā hewa o ka rhythm o ka puʻuwai

• Nā mea hoʻokele pacemaker .
• Nā Defibrillators Cardioverter Implantable (ICDs)

Nā mea hana e hoʻomaikaʻi ai i ke kahe koko

• Lapaʻau Hoʻololi Hou ʻana o ka Puʻuwai (CRT) .
• Mea Kōkua Ventricular Hema (LVAD) .

ʻO ke ʻoki kino a me nā kaʻina hana ʻē aʻe

ʻO ka maʻamau, ʻōlelo pinepine nā kauka i ke ʻoki puʻuwai hāmama a i ʻole ka hoʻoili puʻuwai inā ʻaʻole i holo pono nā lāʻau lapaʻau ʻē aʻe a pau. ʻO nā kaʻina hana i hoʻohana pinepine ʻole ʻia e komo pū me:

• ʻO ka miectomy septal .
• Hoʻoili Puʻuwai .
• ʻO ka hoʻopau ʻana i ka Septal Alcohol .
• Ka hoʻopau ʻana i ke catheter .

Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia o ka cardiomyopathy?

Hiki iā ʻoe ke hana i nā hana e pale aku iā ʻoe iho mai nā mea e hiki ai ke alakaʻi i ka cardiomyopathy.

• Ke kāohi nei i kou koko.
• Ka mālama ʻana i nā pae cholesterol ma kahi pae olakino.
• Hoʻoikaika kino mau.
• Ke pale nei i ka hoʻohana ʻana i nā huahana paka, ka waiʻona, a me ka cocaine.
• Ke kaohi ʻana i nā kūlana olakino e like me ka apnea hiamoe a i ʻole ka maʻi diabetes.
• Ke hele nei no nā hoʻokolohua lapaʻau maʻamau.
• Ke lawe nei i nā lāʻau lapaʻau a pau e like me ke kauoha.

ʻO ka mea nui, ʻaʻole hiki ke pale ʻia nā ʻano congenital (genetic) o ka cardiomyopathy . Akā inā loaʻa iā ʻoe ka cardiomyopathy, hiki iā ʻoe ke hoʻomaopopo i kou ʻohana. A laila hiki iā lākou ke kamaʻilio me kā lākou mau kauka e ʻike inā he pilikia lākou a loaʻa paha ka maʻi. Kōkua ka ʻike mua ʻana i ka hoʻomohala ʻana i kahi hoʻolālā e mālama ai i ka maʻi.

He aha ka mea e hana ai inā loaʻa iaʻu ka cardiomyopathy?

He maʻi koʻikoʻi ka Cardiomyopathy. Inā ʻaʻole mālama ʻia, hiki ke hoʻoweliweli i ke ola. He maʻi holomua nō hoʻi ia.

Eia nō naʻe, hiki i ka mālama ʻana no ka cardiomyopathy ke hoʻomaikaʻi i kou kūlana. Inā loaʻa iā ʻoe kēia kūlana, e ʻimi i ka lāʻau lapaʻau mai kahi kauka cardiologist.

Pehea ka lōʻihi o ke ola ʻana o ka cardiomyopathy?

ʻO ka lōʻihi o ka manawa e loaʻa ai iā ʻoe ka cardiomyopathy e pili ana i ke ʻano āu i loaʻa ai. ʻO ka Takotsubo cardiomyopathy he manawa pōkole wale nō. Hiki ke hoʻopau ʻia ka cardiomyopathy i hoʻoulu ʻia e ka waiʻona i loko o kekahi mau mahina. Me nā ʻano ʻē aʻe, pono ʻoe e hoʻokele i nā hōʻailona no ke koena o kou ola.

Nānā no ka cardiomyopathy

ʻAʻohe lāʻau lapaʻau no ka cardiomyopathy. Eia nō naʻe, hiki iā ʻoe ke mālama i ke kūlana a hoʻolohi paha i kona holomua. Hiki i ka nui o ka poʻe me ka cardiomyopathy ke ola i kahi ola maikaʻi me kahi nohona olakino a me ka mālama olakino.

Pehea wau e mālama ai iaʻu iho?

Hiki i nā koho nohona ke hoʻopili i ka wikiwiki o ka ulu ʻana o ka cardiomyopathy.

• E mālama i ke kaumaha olakino no kou kiʻekiʻe a me kou mau makahiki.
• ʻO ka ʻai ʻana i ka meaʻai olakino no ka puʻuwai, ʻoiai ka hōʻemi ʻana i ka ʻai ʻana o ka sodium (paʻakai).
• Hoʻoikaika kino mau.
• Ke kaupalena nei i ka inu ʻana i ka waiʻona.
• Ka mālama ʻana a me ka hōʻemi ʻana i ke kaumaha.
• E pale i ka puhipaka.

Āhea wau e ʻike ai i kaʻu kauka?

Pono ʻoe e nānā mau i ke olakino o kou puʻuwai. E kelepona koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā ʻike ʻia nā hōʻailona hou.
• Inā e ʻoi aku ka ʻino o kou mau hōʻailona.
• Inā he mau hopena ʻaoʻao mai ka lāʻau lapaʻau.
• Inā he pilikia me kahi hāmeʻa āu (e.g. he pacemaker).

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻEha ka umauma.
• Nā palpitations o ka puʻuwai (puʻuwai wikiwiki a kūpono ʻole paha).
• Ka mae ʻana a i ʻole ka nalowale ʻana o ka ʻike.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• He aha ke kumu kūpono loa o koʻu cardiomyopathy?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hoʻololi o koʻu nohona e pono ai iaʻu e hana e hoʻomaikaʻi ai i ke olakino o koʻu puʻuwai?
• Aia kekahi hui kākoʻo kokoke a i ʻole ma ka pūnaewele e hiki iaʻu ke hui pū?

He mea maʻamau ke hopohopo e pili ana i kahi hōʻailona o ka cardiomyopathy. Akā, he nui nā lāʻau lapaʻau a nā kauka e hiki ke hoʻomaikaʻi i kou ola a kōkua iā ʻoe e ola lōʻihi.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

He maʻi ka Cardiomyopathy e hoʻopilikia ana i ka ʻiʻo puʻuwai, akā ʻaʻohe mea e makaʻu ai. Inā ʻike mua ʻia ʻoe, mālama pono ʻia, a hahai i kahi nohona maikaʻi, hiki iā ʻoe ke ola maikaʻi me kēia maʻi. Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole nā ​​​​hōʻailona o ka puʻuwai, mai hoʻowahāwahā iā lākou a ʻike i ke kauka. ʻO ka mālama ʻana i kou puʻuwai ka mea nui loa. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, aia nā kauka a me ka ʻohana e kōkua!

ʻO ka maʻi puʻuwai, cardiomyopathy, maʻi ʻiʻo puʻuwai, hāʻule ʻana o ka puʻuwai, hāʻule ʻana o ka puʻuwai, pōkole o ka hanu, lāʻau lapaʻau puʻuwai