Ke hoʻopilikia nei anei nā pilikia o ka māmā i ka ʻaoʻao ʻākau o kou puʻuwai? (Cor Pulmonale / Right-Sided Heart Failure) E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu, a i ʻole ke manaʻo nei ʻoe i kahi mea ʻē i loko o kou umauma? Malia paha ʻaʻole ʻoe e noʻonoʻo e pili ana i ia mea, hiki i kahi pilikia me kou mau māmā ke hoʻopilikia i kou puʻuwai. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Ua kapa ʻia kēia ʻo 'Cor Pulmonale' a i ʻole 'Right-Sided Heart Failure'. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia.

He aha ka Cor Pulmonale?

I ka ʻōlelo maʻalahi, ʻo 'Cor Pulmonale' kahi maʻi i loko o kou mau māmā e hoʻonui ai i ka ʻaoʻao ʻākau o kou puʻuwai, ʻo ka ventricle ʻākau , a hiki ʻole ke hana pono, e hoʻonāwaliwali mālie ana i kou puʻuwai. He ʻano kēia o ka 'Right-Sided Heart Failure' .

I kēia manawa, e nānā, ʻo kēia ka mea maʻamau e hana ʻia. Hoʻopuka ka ventricle ʻākau o kou puʻuwai i ke koko i nā māmā e lawe i ka oxygen. Hele kēia koko ma o kahi kīʻaha koko i kapa ʻia ʻo ke aʻa pulmonary . Eia naʻe, ma muli o kekahi mau maʻi māmā, piʻi nui ke koko i loko o kēia aʻa pulmonary. Ua like ia me kahi paipu wai i paʻa. A laila pono ka ventricle ʻākau e hana ikaika e hoʻopuka i ke koko i nā māmā.

E noʻonoʻo, ke hoʻāʻo nei ʻoe e wehe i ka puka kaʻa i ka lā makani. Pono ʻoe e hoʻohana i ka ikaika nui e paʻi i ka puka e kūʻē i ka makani, ʻeā? ʻO ia ka mea e hana ʻia ana i ka ventricle ʻākau. ʻO ke aʻa pulmonary, ka mea maʻamau he haʻahaʻa ke kaomi, pono e pamu i ke koko e kūʻē i ke kaomi kiʻekiʻe. I kona hoʻomau ʻana i ka hana ikaika e like me kēia, e ulu mālie ana ka ventricle ʻākau, e nāwaliwali ana kona mau ʻiʻo, a i ka hopena ʻaʻole hiki ke hana pono. ʻO ia ka mea a mākou e kapa nei ʻo 'Cor Pulmonale'. Maopopo iā ʻoe?

Aia kekahi mau ʻano nui o ka 'Cor Pulmonale'?

ʻAe, aia ʻelua ʻano nui o ka `Cor Pulmonale`:

• ʻO ka `Cor Pulmonale` koke (`Acute Cor Pulmonale`): He kūlana pōkole kēia, koke. No ka laʻana, hiki ke hana ʻia e kahi mea e like me ke koko i loko o nā māmā (`Pulmonary Embolism`).
• ʻO ka maʻi ʻeha puʻuwai mau loa: ʻO kēia ke ʻano maʻamau. Hoʻomohala mālie ia i kahi manawa lōʻihi ma muli o ka maʻi māmā.

Pehea ka maʻamau o ka `Cor Pulmonale`?

Wahi a nā helu helu mai nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ua ʻōlelo ʻia ma waena o 6% a me 7% o nā maʻi puʻuwai i hana ʻia e ka `Cor Pulmonale`. Pono mākou e hopohopo no kēia kūlana ma ko mākou ʻāina.

He aha nā hōʻailona o ka maʻi ʻōpū (Cor Pulmonale)?

I nā pae mua, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Eia nō naʻe, e hoʻomaka nā hōʻailona e ʻike ʻia i ka wā e holomua ai ke ʻano. E hoʻomanaʻo, ʻo kēia mau hōʻailona he mau hōʻailona ia o ka maʻi māmā i hoʻokumu ai i ka Cor Pulmonale.

ʻO nā hōʻailona nui e ʻike ʻia:

• Paʻakikī ka hanu ʻana:ʻAʻole wale i ka wā e luhi iki ana ʻoe, akā i kekahi manawa ʻoiai ʻoe e kū mālie ana, hiki iā ʻoe ke manaʻo ua pau kou hanu.
• Nā aʻa koko ʻāʻī e pehu ana: Hiki ke ʻike ʻia kēia ke moe ʻana me kou poʻo i hāpai iki ʻia.
• Pehu ʻana o nā wāwae a i ʻole ka ʻōpū: Hiki ke pehu nā kuʻekuʻe wāwae a me nā wāwae. I kekahi manawa hiki ke pehu pū ka ʻōpū me he mea lā ua piha i ka wai.
• Manaʻo luhi loa (`Fatigue`): Manaʻo paha ʻoe ua luhi loa ʻoe a ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
• ʻEha umauma: Hiki i kekahi poʻe ke ʻeha a paʻa paha ka umauma.
• Nā hanana palupalu: ʻOiai he mea kakaikahi, hiki i kekahi poʻe ke palupalu a hāʻule.

He aha nā kumu o ka maʻi ʻeha ʻo Cor Pulmonale?

ʻO ke kumu nui o ka `Cor Pulmonale` ʻo ia nā maʻi like ʻole o ka māmā e hoʻoulu ai i ke koko kiʻekiʻe i loko o nā māmā (`Pulmonary Hypertension`). ʻO ia hoʻi, hiki ke hana ʻia kēia ʻano maʻi e kekahi maʻi māmā e hoʻonui ai i ke kaomi i loko o nā kīʻaha koko o nā māmā.

Eia kekahi o nā kumu nui:

• ʻO COPD (ʻO ka maʻi ʻeha mau loa): ʻO kēia ke kumu nui o ka ʻeha mau loa. ʻO ka COPD, i ka ʻōlelo maʻalahi, he maʻi ia e hōʻino ʻia ai nā māmā i ka hala ʻana o ka manawa a lilo mālie ia i mea paʻakikī ke hanu. ʻIke pinepine ʻia i waena o ka poʻe puhi paka.
• ʻO ka Pulmonary Embolism: He ʻūpē koko e hana ʻia ana i loko o kahi kīʻaha koko i loko o nā māmā. ʻO kēia ke kumu o ka hopu koke ʻana o ka puʻuwai.
• Nā ʻoki kino a i ʻole nā ​​ulia ka wehe ʻana i nā ʻiʻo māmā: Inā pono e wehe ʻia kahi ʻāpana o ka māmā ma muli o ke ʻoki kino a i ʻole kahi ulia.
• ʻO ka pōʻino i hoʻokumu ʻia e ka ea mechanical: I kekahi manawa hiki i nā maʻi i loko o ka keʻena mālama koʻikoʻi ke loaʻa i kēia mau kūlana.
• ʻO Scleroderma: He maʻi e hoʻopaʻakikī ai i ka ʻili a me nā ʻiʻo pili.
• ʻO Cystic Fibrosis: He maʻi hoʻoilina e hoʻomānoanoa ai i ka mucus o ke kino.
• Nā maʻi neuromuscular e hoʻopilikia ana i ka hanu ʻana: Paʻakikī i ka hanu ʻana ma muli o nā maʻi e hoʻonāwaliwali ai i nā ʻiʻo.
• Ka pale ʻana o nā aa koko i loko o nā māmā.
• Pulmonary Fibrosis: Ka ʻeha o nā māmā.
• ʻO ka Obstructive Sleep Apnea: He nui ka poʻe e hanu ana e loaʻa paha kēia pilikia. Ke ʻole ʻoe e hanu pono, piʻi aʻe ke kaomi i loko o kou mau māmā.
• Kyphosis: He piʻo ʻana i mua o ka iwi kuamoʻo e pale ai i ka hoʻonui pono ʻana o nā māmā.

He aha nā kumu pilikia no ka 'Cor Pulmonale'?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o kēia ʻano:

• Ka hoʻohana ʻana i nā huahana paka (e like me ka puhipaka, ka nau ʻana i ka nati betel): ʻO kēia ke kumu nui o ka pilikia.
• Ka hanu ʻana i ka ea uahi a haumia: He hopena koʻikoʻi ko ka haumia o ke kaiapuni.
• Loaʻa i nā maʻi māmā e hoʻoulu ai i ke koko kiʻekiʻe o ka pulmonary.

He aha nā pilikia e hiki mai ana o ka 'Cor Pulmonale'?

Inā ʻaʻole mālama pono ʻia ke ʻano `Cor Pulmonale`, hiki ke loaʻa nā pilikia koʻikoʻi. ʻO ke ʻano kēia, kiʻekiʻe ka manawa e loaʻa ai nā maʻi ʻē aʻe.

• Nā ʻano puʻuwai ʻē.
• Ka hāʻule ʻana o ka puʻuwai ʻākau.
• Ua emi ka nui o ka oxygen i loko o ke kino (Hypoxia).
• Ka nalowale pinepine o ka ʻike.
• Maʻi puʻupaʻa.
• Maʻi akepaʻa.
• ʻO ka mea pōʻino, hiki nō ke make.

No laila, ʻaʻole pono e lawe māmā ʻia ke ʻano `Cor Pulmonale`. Inā loaʻa iā ʻoe nā hōʻailona, ​​​​he mea nui e ʻimi koke i ke kōkua lapaʻau.

Pehea e ʻike ai i ka `Cor Pulmonale`?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki iā ia ke hoʻolohe i kou umauma me kahi stethoscope a lohe i nā leo puʻuwai ʻē. A laila e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka maʻi ʻo 'Cor Pulmonale'.

He aha nā hoʻokolohua diagnostics?

• Echocardiogram: Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke hōʻike i ka nui o nā keʻena o ka puʻuwai, ka mānoanoa o nā paia o ka puʻuwai, a me ka maikaʻi o ka puʻuwai e pamu ai i ke koko. Hiki iā ia ke hōʻike inā ua hoʻonui ʻia ka ventricle ʻākau.
• X-ray o ka umauma: Hiki i kēia ke hāʻawi i kahi manaʻo maʻamau o ke kūlana o nā māmā a me ka nui o ka puʻuwai.
• Electrocardiogram (ECG): Hoʻāʻo kēia i ka hana uila o ka puʻuwai. Inā hoʻonui ʻia ka ventricle ʻākau, hiki ke ʻike ʻia nā loli ma ka ECG.
• Kiʻi lāʻau lapaʻau nuklea: Hiki i kēia ke hāʻawi i ka ʻike kikoʻī e pili ana i ke kahe koko i loko o ka puʻuwai a me nā māmā.
• CT Angiogram: He mea nui loa kēia e nānā i nā ʻōpū koko i loko o nā kīʻaha koko o nā māmā (Pulmonary Embolism).
• MRI o ka puʻuwai: Hiki ke loaʻa kahi kiʻi maopopo o ke ʻano a me ka hana o ka puʻuwai.
• VQ scan: He hoʻāʻo e nānā i ka pilina ma waena o ka ea a me ke kahe o ke koko i loko o nā māmā.
• ʻO ke kāpili ʻana o ka puʻuwai ʻākau: He hoʻāʻo paʻakikī iki kēia. Hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o kahi kīʻaha koko i loko o ka ʻaoʻao ʻākau o ka puʻuwai a ana ʻia ke kaomi ma laila. Kōkua kēia i ka hoʻoholo ʻana inā loaʻa iā ʻoe ke koko kiʻekiʻe pulmonary a pehea kona koʻikoʻi.

Pehea e mālama ʻia ai ʻo 'Cor Pulmonale'?

ʻO ke kumu nui o ka mālama ʻana no ka 'Cor Pulmonale' ʻo ia ka mālama ʻana i ka maʻi māmā i hoʻoulu ai i ke ʻano.No ka mea, inā wale nō e hoʻoponopono mua ʻia kēlā pilikia hiki ke hoʻēmi ʻia ka hopena ma ka puʻuwai.

ʻO nā pahuhopu nui o ka mālama ʻana:

• E hāʻawi ana i ka nui o ka oxygen e pono ai i nā ʻiʻo o kou kino.
• Ke kōkua nei i ka ventricle ʻākau o kou puʻuwai e hana maikaʻi aʻe.
• Ke kāohi nei i ka ʻūmiʻi pono ʻole o nā kīʻaha koko i loko o nā māmā a me ka ʻae ʻana i ke koko e kahe maʻalahi.

He mea nui loa e hoʻomaka i ka lāʻau lapaʻau i ka wā mua ma mua o ka hōʻeha mau ʻia ʻana o ka puʻuwai.

He aha nā lāʻau lapaʻau a i ʻole nā ​​​​​​lāʻau lapaʻau kikoʻī i hoʻohana ʻia?

Aia kekahi mau lāʻau lapaʻau no ka `Cor Pulmonale`:

• ʻO ka lāʻau lapaʻau oxygen: Inā haʻahaʻa nā pae oxygen o ke kino, hāʻawi ʻia ka oxygen ma o kahi ʻōmole i kau ʻia i loko o ka ihu a i ʻole ma o kahi uhi waha.
• Nā Bronchodilators: Hoʻonui kēia mau lāʻau lapaʻau i nā ala ea i haiki i loko o nā māmā, e maʻalahi ai ka hanu ʻana. Hoʻohana ʻia lākou e mālama i nā maʻi e like me ka hānō a me ka COPD.
• Corticosteroids: Kōkua kēia mau lāʻau lapaʻau i ka hōʻemi ʻana i ka mumū i loko o nā māmā.
• Nā lāʻau diuretic (nā pila wai): Kōkua kēia mau lāʻau lapaʻau i ka wehe ʻana i ke kahe nui mai ke kino ma o ka mimi. Hoʻohana ʻia lākou e mālama i nā kūlana e like me nā wāwae pehu a me ka pehu ʻana.
• Nā Anticoagulants (nā mea hoʻokahe koko): Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale i ke kūkulu ʻia ʻana o nā ʻōpū koko a i ʻole e hoʻoheheʻe i nā ʻōpū koko e kū nei. He mea nui kēia i nā kūlana e like me ka Pulmonary Embolism.
• Hoʻoponopono puʻuwai: He papahana e komo pū ana me ka hoʻoikaika kino, ka hoʻonaʻauao, a me ke aʻo ʻana. Kōkua kēia i ka hoʻomaikaʻi ʻana i ke olakino o ka puʻuwai.
• Embolectomy: I ke ʻano o ka embolism pulmonary, pono ke ʻoki ʻana i kekahi manawa e wehe i kahi koko nui i hoʻopaʻa ʻia i loko o ka māmā.
• Nā vasodilators pulmonary: He mau lāʻau lapaʻau kūikawā kēia e kōkua ai i ka mālama ʻana i ke koko kiʻekiʻe pulmonary ma ka hoʻonui ʻana i nā kīʻaha koko i loko o nā māmā.
• Hoʻoili māmā a puʻuwai paha i ka māmā: Manaʻo ʻia i nā hihia koʻikoʻi loa kahi ʻaʻohe lāʻau ʻē aʻe e pono ai.

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao a i ʻole nā ​​​​pilikia e hiki ke kū mai i ka wā o ka mālama ʻana no ka `Cor Pulmonale`. E ʻokoʻa ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe ma muli o ka lāʻau āu e loaʻa nei. E wehewehe kāu kauka i kēia mau mea iā ʻoe. Inā ʻike ʻoe i kekahi mea ʻē, pono ʻoe e haʻi koke i kāu kauka.

He aha ke ʻano o ke ola e hiki i kahi kanaka me 'Cor Pulmonale' ke manaʻo?

ʻO kaʻoiaʻiʻo, nui ka poʻe me ka `Cor Pulmonale` e ʻike paha i kahi ʻano ola haʻahaʻa iki. No ka mea, ʻo nā mea e like me ka hanu pōkole a me ka luhi hiki ke hoʻolilo i mea paʻakikī ke hana i nā hana o kēlā me kēia lā. ʻOiai me ka mālama ʻana, hiki ke hoʻi hou mai nā hōʻailona.

Pehea ka lōʻihi o ke ola ʻana o ka `Cor Pulmonale`?

ʻO ka maʻamau, he maʻi lōʻihi ka Cor Pulmonale. Eia nō naʻe, ʻo ka cor pulmonale koʻikoʻi, i hana ʻia e ka pōʻino mai kahi ventilator a i ʻole kahi pilikia e like me ka pulmonary embolism, hiki ke lilo i mea pōkole, ʻo ia hoʻi, hiki ke ho'ōla ʻia ke mālama ʻia ke kumu kumu.

He aha ka manaʻo no ka lāʻau lapaʻau ʻo Cor Pulmonale?

ʻO ke ʻano o ka nānā ʻana (a i ʻole ka wānana) no kekahi me ka cor pulmonale e pili ana i ka maʻi māmā ma lalo. ʻO ia hoʻi, pehea ke koʻikoʻi o ka maʻi māmā mua a pehea ka maikaʻi o ka mālama ʻia ʻana.

Eia kekahi laʻana, inā ʻo COPD ke kumu o ka `Cor Pulmonale`, ʻaʻole maikaʻi loa ka nānā ʻana inā ʻaʻole mālama pono ʻia ka maʻi māmā. Wahi a nā helu helu, he 30% wale nō o ka poʻe i loaʻa i ka `Cor Pulmonale` ma muli o ka COPD e ola no ʻelima mau makahiki hou aku. No laila, he mea nui e mālama pono i ka maʻi mua.

Hiki ke pale ʻia ka maʻi ʻo Cor Pulmonale?

ʻAe, ma ka pale ʻana i nā maʻi māmā e hoʻoulu ai i ka `Cor Pulmonale`, hiki iā ʻoe ke pale aku i ka `Cor Pulmonale`. Hiki iā ʻoe ke hōʻemi i kou pilikia ma o:

• E pale loa i nā huahana paka a me nā cigarettes. ʻAʻole maikaʻi hoʻi ke noho ma nā wahi e puhipaka ai kekahi poʻe.
• E pale i ka haumia o ka ea. E noho i nā wahi me ka ea maʻemaʻe e like me ka hiki.
• E pale i nā mea e hoʻoulu ai i ke koko kiʻekiʻe o ka pulmonary.
• Inā loaʻa iā ʻoe kahi maʻi māmā, e mālama koke a kūpono. E lawe i kāu lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai, a e hahai i kāna mau kuhikuhi.

Pehea lā wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ʻo 'Cor Pulmonale', he mea nui loa ia e mālama iā ʻoe iho.

• E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka me ka pololei a me ka manawa kūpono. Mai poina i hoʻokahi lā.
• E mālama i nā manawa hoʻopaʻa a pau me kāu kauka. Mai makaʻu e nīnau inā he mau nīnau kāu.
• Inā ʻoe e hoʻohana i nā huahana paka, e hoʻōki i kēia manawa. E noi i kāu kauka no ke kōkua.
• Hoʻoikaika kino. Akā, e nīnau i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe a pehea ka lōʻihi e hana ai ʻoe.
• E kiʻi i nā lāʻau pale e hiki ke pale aku i ka maʻi palū a i ʻole nā ​​maʻi ʻē aʻe e hoʻopilikia ai i nā māmā.

Aia kekahi mau mea hiki ʻole iā ʻoe ke ʻai a inu paha i ka wā e loaʻa ai iā ʻoe ka 'Cor Pulmonale'?

Makemake paha kāu kauka e kaupalena ʻoe i ka nui o ka paʻakai a me nā wai āu e inu ai (e like me ka wai, ke kī, ke kope, a me ka wai huaʻai). ʻO kēia no ka mea ʻo ka nui o ka paʻakai a me nā wai e hiki ai i kou kino ke mālama i ka wai a hoʻonui i ka pehu. No laila, e hahai pono i nā ʻōlelo a kāu kauka.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ua hoʻokomo ʻia ʻoe i ka haukapila no ka maʻi ʻo 'Cor Pulmonale', pono ʻoe e ʻike i kahi 'Cardiologist' a me kahi 'Pulmonologist'. E noi paha lākou iā ʻoe e hoʻi mai i loko o hoʻokahi a ʻelua paha pule. Inā he loli i kāu mau hōʻailona, ​​​​no ka laʻana, inā ʻoi aku ka paʻakikī o ka hanu ʻana, ʻoi aku ka pehu ʻana o kou mau wāwae, a i ʻole ka ʻeha o ka umauma, e ʻike koke i ke kauka.

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

E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e pili ana i ka `Cor Pulmonale`. Eia kekahi laʻana:

• He aha ke kumu e loaʻa ai iaʻu ka `Cor Pulmonale`?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• He aha ka nānā ʻana no koʻu kūlana?
• Pehea ka mamao a he aha ke ʻano o ka hoʻoikaika kino e hiki iaʻu ke hana?
• Aia kekahi mau hui kākoʻo e kōkua ana i nā poʻe me kēia ʻano kūlana?

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

ʻO ka 'Cor Pulmonale' kahi maʻi māmā kahi e hoʻonui ʻia ai ka ventricle ʻākau o ka puʻuwai a nāwaliwali. He mea maʻamau ke kaumaha a me ka hoʻonāukiuki ke loaʻa iā ʻoe kahi maʻi e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā. I kēlā mau manawa, mai kānalua e noi i ke kōkua mai ka ʻohana a me nā hoaaloha.

E wehewehe kāu kauka i nā koho lapaʻau kūpono iā ʻoe. Inā he mea āu e maopopo ʻole ai e pili ana iā 'Cor Pulmonale', mai makaʻu e nīnau. Me ka ʻike mua ʻana, ka mālama kūpono, a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki iā ʻoe ke ola i kahi ola maikaʻi me kēia maʻi. ʻO nā ala maikaʻi loa e pale aku ai iā 'Cor Pulmonale' ʻo ia ka hoʻōki loa ʻana i ka puhipaka a me ka loaʻa ʻana o ka lāʻau lapaʻau mua no nā maʻi māmā.

ʻO Cor Pulmonale, Ka hāʻule ʻana o ka puʻuwai ʻaoʻao ʻākau, Maʻi akemāmā, Maʻi puʻuwai, Paʻakikī i ka hanu ʻana, COPD, Ke koko kiʻekiʻe o ka puʻuwai, Ke koko kiʻekiʻe o ka puʻuwai