He aha kēia pilina ma waena o ka puʻuwai a me nā puʻupaʻa? E aʻo kākou e pili ana i ka Cardiorenal Syndrome!

ʻO ka puʻuwai a me nā puʻupaʻa he mau ʻāpana ʻelua i loko o ko kākou kino e hana like me nā hoaaloha maikaʻi loa. Inā he pilikia me kekahi, ʻike pū kekahi a hoʻopilikia ʻia. I kekahi manawa hiki ke hiki koke mai kēia mau pilikia, a i kekahi manawa e hoʻonui lākou i ka hala ʻana o ka manawa. ʻO ia ka pilikia ma waena o ka puʻuwai a me nā puʻupaʻa a kākou e kamaʻilio nei i kēia lā , ʻo ia hoʻi ka "Cardiorenal Syndrome" .

He aha ka Cardiorenal Syndrome? No ke aha e hana ai kēia?

I ka ʻōlelo maʻalahi, ʻo ka `(Cardiorenal Syndrome)` he ʻano ia e hoʻopilikia ai ka nāwaliwali o kou puʻuwai a i ʻole nā ​​puʻupaʻa i ka hana o nā ʻōpū ʻē aʻe. E noʻonoʻo e pili ana i ia mea, ʻo ko kākou puʻuwai ka mea e hoʻopuka i ke koko ma ke kino holoʻokoʻa. Hoʻomaʻemaʻe nā puʻupaʻa i kēlā koko a hoʻoneʻe i nā huahana ʻōpala pono ʻole e like me ka mimi. ʻAʻole wale ia, akā ʻo ka kaohi ʻana i ka nui o ka paʻakai a me ka wai i loko o ke kino he kuleana nui nō hoʻi ia o nā puʻupaʻa. ʻO kēia ka mea e kaohi ai i ko kākou koko a hoʻoholo i ka nui o ka wai i mālama ʻia e ke kino.

I kēia manawa, he aha ka mea e hana ai inā nāwaliwali ka puʻuwai? ʻAʻole ia e pamu pono i ke koko i ke kino. A laila e emi pū ka nui o ke koko i loaʻa i nā puʻupaʻa. Inā ʻaʻole hana pono nā puʻupaʻa, hōʻiliʻili nā huahana ʻōpala i loko o ke kino, a noho ka wai paʻakai i loko o ke kino ma kahi o ka hele ʻana i waho. Hoʻokau hou kēia i kahi kaumaha ma ka puʻuwai. He hana paʻakikī kēia e pili pū ana me ia. I kekahi manawa, hiki i nā mea e like me ka "Hoʻemi ʻia ke kahe koko i nā puʻupaʻa", ka hoʻonui ʻia o ke kaomi i loko o nā aʻa nui e lawe mai i ke koko i ka puʻuwai ("vena cava"), a me ka emi ʻana o ka hiki ke pamu o ka puʻuwai (haʻahaʻa "(cardiac output)" a i ʻole "(heart failure)" ) ke hoʻopilikia i kēia.

Pehea ka maʻamau o kēia ʻano?

ʻO ka ʻoiaʻiʻo, ʻoi aku ka maʻamau ma mua o kou manaʻo ke loaʻa nā pilikia me ka puʻuwai a me nā puʻupaʻa i ka manawa like. Ma kahi o 64 miliona mau kānaka ma ka honua e ʻeha nei i kahi maʻi i kapa ʻia ʻo "Heart failure" . Ua ʻike nā kauka aia ma waena o 45% a me 63% o kēia poʻe me ka puʻuwai mau loaʻa pū kekahi maʻi puʻupaʻa. I kekahi manawa he paʻakikī ke hoʻoholo pololei inā paha i hele mua mai ka pilikia me ka puʻuwai a i ʻole nā ​​puʻupaʻa.

He aha nā hōʻailona o ka Cardiorenal Syndrome?

I kēia kūlana, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia. Akā e hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi kou. Akā, he mea nui e makaʻala iā lākou.

• Manaʻo o ka luhi mau (`Fatigue`): He manaʻo o ka luhi, me he mea lā ʻaʻohe ou ikaika e hana i kekahi mea.
• Pōkole o ka hanu : Manaʻo i ka pōkole o ka hanu ʻoiai ke hele iki a piʻi paha i kekahi mau alapiʻi.
• Ka hoʻopuka ʻana o ka mimi haʻahaʻa : Inā manaʻo ʻoe e mimi iki ana ʻoe i ke ao.
• Kaumaha : Ke kaumaha wale nei, me he mea lā ke kaumaha nei ʻoe.
• Pehu ʻana o nā wāwae a me ka ʻōpū : Ua pehu nā wāwae, nā kuʻekuʻe wāwae, a i kekahi manawa ua like ka ʻōpū me ka pehu. Me he mea lā ua piha i ka wai.
• Manaʻo huikau ('Huikū'): Me he mea lā he paʻakikī ke kau i ka manaʻo, me he mea lā e huikau ana nā mea.
• Ke manaʻo nei i kahi loli o ka mele o ka puʻuwai: Ke manaʻo nei e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai, a i ʻole e lele ana i kahi kuʻi.

He aha nā kumu o ka Cardiorenal Syndrome?

Nui nā kumu no kēia. ʻO kekahi he mau pilikia e pili ana i ka puʻuwai, ʻo kekahi he mau pilikia e pili ana i nā puʻupaʻa, a ʻo kekahi he mau kūlana e hoʻopilikia ai i ke kino holoʻokoʻa.

• Pūʻiwa Cardiogenic : He pūʻiwa koke i ka puʻuwai.
• `(Ka hāʻule ʻana o ka puʻuwai)` : Ka nāwaliwali o ka hana o ka puʻuwai.
• `(Acute coronary syndrome)` : He kūlana pilikia i hoʻokumu ʻia e ka ālai ʻana o nā kīʻaha koko e hoʻolako ana i ka puʻuwai.
• Nā pilikia o ke ʻoki puʻuwai.
• Maʻi kīwila puʻuwai.
• ʻO Vasculitis : ʻO kahi maʻi mumū e kū mai ana i loko o nā kīʻaha koko.
• Atherosclerosis : Ka lahilahi a me ka paʻakikī o nā aʻa.
• ʻO ka embolism pulmonary (PE) : He ʻūpā koko e ālai ana i kahi kīʻaha koko i loko o nā māmā.
• Maʻi a i ʻole ʻeha o nā puʻupaʻa.
• Sepsis : He maʻi ʻino e laha ana ma ke kino holoʻokoʻa.
• Lupus : He maʻi i hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana pale.
• ʻO Sarcoidosis : He maʻi ia e hoʻokumu ʻia ai nā granulomas liʻiliʻi ma nā ʻāpana like ʻole o ke kino.
• Maʻi diabetes .
• Nā maʻi electrolyte ( nā pilikia electrolyte i loko o ke kino) .

ʻO wai ka mea i pilikia nui no kēia?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi (Cardiorenal Syndrome) i kekahi poʻe. ʻO ke ʻano kēia, pono i ka poʻe me kēia mau mea pilikia ke akahele iki aʻe.

• No nā poʻe me ka maʻi diabetes .
• No ka poʻe me ke koko kiʻekiʻe .
• No ka poʻe me ka helu nui o ke kino (BMI) ma luna o 30 (ʻo ia hoʻi ka momona).
• No ka poʻe me nā maʻi vascular.
• No ka poʻe i loaʻa mua i ka maʻi puʻupaʻa .
• No ka poʻe i loaʻa mua i ka hāʻule ʻana o ka puʻuwai .

He aha nā pilikia e hiki ke loaʻa mai ka Cardiorenal Syndrome?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki iā ia ke alakaʻi i nā pilikia hou aʻe. ʻO ia hoʻi, hiki i ke kūlana ke lilo i mea ʻino aʻe.

• Hiki ke loaʻa ka haʻalulu cardiogenic .
• Hiki i ka maʻi puʻupaʻa ke lilo i mea ʻino aʻe ('Worsening kidney disease').
• Hiki ke hoʻonui ʻia ka Atherosclerosis (ka hoʻohaiki ʻana o nā aʻa).
• Hiki ke loaʻa ka mumū i loko o ke kino.

Pehea e ʻike ʻia ai kēia maʻi (Cardiorenal Syndrome)?

Hoʻokahi wale nō "kūlana gula" no ka ʻike ʻana i kēia maʻi.ʻAʻohe hoʻāʻo. E nānā ke kauka iā ʻoe a loiloi i ka nui o ka wai i loko o kou puʻuwai, nā māmā, ka ʻōpū, nā wāwae, a me nā kīʻaha koko. Eia kekahi, hiki ke kauoha ʻia kekahi mau hoʻāʻo.

ʻO nā hoʻokolohua hiki ke hana no kēia:

• Nā hoʻāʻo koko : E nānā i ka hana o nā puʻupaʻa a me ka hōʻino ʻana o ka puʻuwai.
• Urinalysis : Nānā i ke koko a me ka protein i loko o ka mimi.
• Echocardiogram (Echo): He scan e nānā i ka hana, ka nui, a me ke kūlana o nā valves o ka puʻuwai.
• ʻO ke nānā ʻana i ka ultrasound o kou mau puʻupaʻa a/a i ʻole ka umauma : E nānā i ke kūlana o kēia mau ʻōkana.
• `(Ka hoʻokomo ʻana i ka catheter ma ka puʻuwai ʻākau)` : He hoʻāʻo e ana i ke kaomi ma ka ʻaoʻao ʻākau o ka puʻuwai.
• X-ray o ka umauma : E ʻike inā he wai i loko o nā māmā a inā paha ua hoʻonui ʻia ka puʻuwai.

Aia kekahi ʻano o ka Cardiorenal Syndrome?

ʻAe, hoʻokaʻawale nā ​​kauka i kēia maʻi. Aia ia i ka ʻōpū i hoʻomaka mua ai ka pilikia a me ka lōʻihi o ka wā ma mua. Ke hoʻomaopopo ʻoe i kēia, e maʻalahi ka mālama ʻana.

Aia he 5 mau ʻano nui:

• ʻAno 1: Hoʻōki koke ka puʻuwai i ka hana. Hoʻopilikia kēia i nā puʻupaʻa a hāʻule kā lākou hana. He kūlana 'ʻoi' kēia.
• ʻAno 2: Hoʻopōʻino mālie nā pilikia puʻuwai mau i nā puʻupaʻa i ka hala ʻana o ka manawa.
• ʻAno 3: ʻO ka ʻeha puʻupaʻa koʻikoʻi (AKI) ke kumu o ka hāʻule ʻana o ka puʻuwai koʻikoʻi.
• ʻAno 4: ʻO ka maʻi puʻupaʻa mau loa ke kumu o nā pilikia puʻuwai i ka hala ʻana o ka manawa. No ka laʻana, nā maʻi puʻuwai, ka hāʻule ʻana o ka puʻuwai , a i ʻole ka maʻi coronary artery (CAD) .
• ʻAno 5: He kūlana e hoʻopilikia ai i ke kino holoʻokoʻa, e hōʻeha ai i ka puʻuwai a me nā puʻupaʻa.

Pehea e mālama ʻia ai kēia?

ʻO ka pahuhopu nui o ka mālama ʻana i ka Cardiorenal Syndrome ka mālama ʻana i nā pae koko a me nā wai maʻamau i loko o kou kino. ʻO kēia no ka mea ke nāwaliwali kou puʻuwai (ka hāʻule ʻana o ka puʻuwai), hiki i ka wai ke hōʻiliʻili i loko o kou kino. ʻO nā puʻupaʻa ke kuleana no ka wehe ʻana i kēia wai keu. No laila, ke hoʻopilikia ʻia kou puʻuwai a me kou puʻupaʻa i ka manawa like, hiki ke paʻakikī ke mālama i kēia kaulike.

Nui nā koho lapaʻau, mai nā lāʻau lapaʻau a hiki i nā mea hana a me nā hoʻoili ʻana o nā kino:

• Diuretics : Nā lāʻau lapaʻau e kōkua i ke kino e hoʻopau i ka wai keu e like me ka mimi.
• Nā mea pale Beta : Kāohi i ka helu o ka puʻuwai a hōʻemi i ka ukana hana ma ka puʻuwai.
• Nā mea hoʻopaʻa ACE : Kōkua i ka kaohi ʻana i ke koko.
• Nā ARB : He ʻano lāʻau lapaʻau kēia e kaohi ai i ke koko.
• ARNI (angiotensin receptor/neprilysin inhibitors): He ʻano lāʻau lapaʻau hou e hoʻomaikaʻi ai i ka hana o ka puʻuwai.
• Nā mea pale i ka ʻōnaehana Renin angiotensin : E ālai i kēia ʻōnaehana, e hoʻemi ana i ke koko a me ka hōʻino ʻana o nā puʻupaʻa.
• Nā antagonists receptor Mineralocorticoid : kōkua i ka mālama ʻana i ke kaulike paʻakai a me ka wai i loko o ke kino.
• Nā Inotropes : Nā lāʻau lapaʻau e hoʻonui ai i ka ikaika o ka puʻuwai. Hāʻawi pinepine ʻia kēia mau mea i ka wā e mālama ʻia ai i ka haukapila.
• Ultrafiltration a dialysis paha : He ʻano hana e hoʻomaʻemaʻe ai i ke koko me ka hoʻohana ʻana i kahi mīkini ke hana pono ʻole nā ​​​​puʻupaʻa.
• ʻO ka defibrillator cardioverter implantable (ICD ): He mea liʻiliʻi i kau ʻia ma lalo o ka ʻili o ka umauma e hoʻōki i nā hewa ʻino o ka puʻuwai.
• Mea kōkua ventricular hema (LVAD): He pamu mechanical e kōkua i ka poʻe i nāwaliwali loa ko lākou puʻuwai puʻuwai.
• Lapaʻau hoʻololi puʻuwai (CRT) : Ua like ia me ka pacemaker e kōkua ana i nā keʻena o ka puʻuwai e kuʻi pū.
• Hoʻoili puʻuwai .
• Hoʻoili puʻupaʻa .

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻAe, e like me nā lāʻau lapaʻau āpau, hiki ke loaʻa kekahi mau hopena ʻaoʻao me kēia mau lāʻau lapaʻau no ka "Cardiorenal Syndrome." Eia naʻe, ʻaʻole kēia mau mea āpau i loaʻa i nā kānaka āpau.

• ʻEha poʻo.
• Pōʻaiʻī.
• Luhi.
• ʻO ka mimi pinepine (ʻoi aku hoʻi i ka wā e lawe ana i nā diuretics ).
• Lohi ka puʻuwai.
• Nā pae potassium kiʻekiʻe i loko o ke koko.
• ʻEha puʻupaʻa (ma muli o kekahi mau lāʻau lapaʻau).
• Hana hewa o ka hāmeʻa.
• ʻO ka maʻi a i ʻole ke kahe ʻana o ke koko ma hope o ke hoʻokomo ʻia ʻana o kahi hāmeʻa a ma hope paha o ka hoʻoili ʻana o kahi kino.
• Maʻi puʻupaʻa.
• Ka hōʻole ʻana o nā kino.

ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka ma mua o kou hopohopo e pili ana i kēia mau hopena ʻaoʻao. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo pono i ka mea hiki ke hana a me ka mea e hana ai e pili ana iā lākou.

He aha ka mea hiki i kekahi me ka Cardiorenal Syndrome ke manaʻo?

He mea nui loa ka ʻike ʻana i kēia maʻi i ka wā mua. A laila, ke loaʻa iā ʻoe ka lāʻau kūpono i ka manawa kūpono, hiki iā ʻoe ke mālama i kou ʻano ola i kekahi ʻano. Akā, i ka ʻoiaʻiʻo, `(Cardiorenal Syndrome)`I kēia kūlana, ʻaʻole maikaʻi loa ka `prognosis` a i ʻole `outlook` o ka mea maʻi. ʻO ke ʻano kēia, he koʻikoʻi loa paha ka maʻi. I ia mau hihia, hiki ke kōkua nui kahi ʻano lapaʻau i kapa ʻia ʻo `palliative care` . Hana ʻia kēia ma ka kaohi ʻana i nā hōʻailona, ​​​​​​e hōʻoluʻolu i ka mea maʻi, a me ka hōʻemi ʻana i nā komo pinepine ʻana i ka haukapila.

Pehea e hiki ai iaʻu ke hōʻemi i kēia pilikia?

Ma ka kaohi ʻana i kekahi mau mea, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka Cardiorenal Syndrome .

• Inā loaʻa iā ʻoe ka maʻi diabetes , e kaohi pono iā ia.
• Inā loaʻa iā ʻoe ka maʻi ʻaʻa coronary , e mālama pono ʻia.
• Inā he koko kiʻekiʻe kou, e kaohi iā ia.
• Inā ʻoi aku kou helu nui o ke kino (BMI) ma mua o 30 , e hoʻāʻo e hoʻēmi i ke kaumaha.

He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau kūpono no kēia mau kūlana, ma ka nui kūpono. No ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka hana o nā puʻupaʻa inā lawe hewa ʻia.

Loaʻa iaʻu ka Cardiorenal Syndrome, pehea e hiki ai iaʻu ke mālama iaʻu iho?

Inā loaʻa iā ʻoe kēia maʻi, he mea nui loa ia e mālama i kēia mau mea:

• E hahai pono i ka hoʻolālā lapaʻau a kāu kauka. E lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono a e like me ke kuhikuhi ʻana.
• Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, a inā e ʻoi aʻe ka ʻino o kahi hōʻailona, ​​e haʻi koke aku i kāu kauka.
• E hōʻoia e hele i ke kauka i nā manawa i hoʻonohonoho ʻia.

Āhea wau e hele koke ai i ka haukapila (ETU) ?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau. E hele i ka haukapila i ka hikiwawe loa.

• Inā ʻaʻole ʻoe e hana ana i ka mimi .
• Inā ʻaʻole hiki iā ʻoe ke hopu i kou hanu.

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

Ke ʻike ʻoe i kāu kauka, mai makaʻu e nīnau i kāu mau nīnau. Hiki iā ʻoe ke nīnau i nā mea e like me:

• He aha ke ʻano lapaʻau kūpono loa iaʻu?
• Hiki iaʻu ke mālama iā ia me ka lāʻau lapaʻau wale nō?
• Aia kekahi mau hui kākoʻo no ka poʻe me ka Cardiorenal Syndrome ?
• Pehea ke koʻikoʻi o koʻu kūlana?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka maʻi puʻuwai (Cindrome Cardiorenal)He ʻano paʻakikī iki kēia. No ka mea, ʻo ka mea e hana nei ma ʻaneʻi, ʻaʻole hana pono ʻekolu o ko kākou mau ʻōpū koʻikoʻi - ka puʻuwai a me nā puʻupaʻa ʻelua. No laila, inā loaʻa iā ʻoe kēia maʻi, ʻo ka hahai pololei ʻana i nā ʻōlelo a kāu kauka ke ala maikaʻi loa e loaʻa ai nā hopena maikaʻi loa. ʻO ka hoʻomaopopo ʻana i kāu poʻe aloha e pili ana i kāu mau makemake e hāʻawi iā ʻoe i ka maluhia nui o ka noʻonoʻo. Inā e ʻoi koke ka ʻino o kou maʻi, ʻo ka loaʻa ʻana o kahi 'palapala kauoha ola' i kākau ʻia i kou wā e ola ana e kōkua i kou ʻohana e hoʻoholo i ke ʻano o ka mālama āu e pono ai.

ʻO ka Cardiorenal Syndrome, Cardiorenal Syndrome, Maʻi Puʻuwai, Maʻi Pūpū, Pōkole o ka Hanu, Edema, ʻŌlelo Aʻo Lapaʻau