Loaʻa iā ʻoe kēia ʻano pilikia puʻuwai? E aʻo kākou e pili ana i ka Diastolic Dysfunction!

Ke manaʻo nei ʻoe i kekahi manawa ua pōkole ka hanu ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi? A i ʻole pehu kou mau wāwae a luhi ʻoe? Malia paha ma hope o kēia mau mea ke kūlana a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo 'Diastolic Dysfunction'. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Diastolic Dysfunction? E hoʻomaopopo maʻalahi kākou.

ʻAe, e nānā mua kākou i ke ʻano o ka hana ʻana o ko kākou puʻuwai. Ua ʻike anei ʻoe ua like ko kākou puʻuwai me ka pamu? ʻElua ʻāpana nui o kēia pamu. ʻO kekahi nā keʻena ʻelua ma luna o ka puʻuwai, a mākou e kapa nei ʻo 'Atria' . ʻO kekahi nā keʻena ʻelua ma lalo o ka puʻuwai, a mākou e kapa nei ʻo 'Ventricles' .

I kēia manawa, i ka wā e paʻi ai ka puʻuwai, ʻo ia hoʻi, i ka wā e loaʻa ai kahi `Heartbeat` , ʻelua mau mea nui e hana ʻia:

1. Diastole: ʻO kēia ka ʻāpana mua o ka puʻuwai. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻomaha iki ʻana o nā keʻena haʻahaʻa o ka puʻuwai (nā ventricles), e like me ka pōpō e mākaukau ana e hoʻopiha. A laila, hoʻopiha ke koko mai nā keʻena luna (ka atria) i kēia mau keʻena. I ka ʻōlelo maʻalahi, ʻo ia ka manawa e piha ai ka puʻuwai me ke koko.

2. Systole: Ma hope o ka piha ʻana o nā ventricles i ke koko, ʻūlū ikaika lākou, a ʻūlū paha. A laila hoʻopuka ʻia ke koko mai ka puʻuwai aku, i nā māmā, a i loko o ka aorta, ke kīʻaha koko nui e lawe ana i ke koko i ke kino holoʻokoʻa.

I kēia manawa, ua maopopo iā ʻoe ke ʻano o ka "Diastole"? ʻO ka Diastolic Dysfunction ka wā e hoʻomaha ʻole ai nā keʻena haʻahaʻa (nā cell) o ka puʻuwai e hoʻopiha me ke koko. I ka pololei, lilo nā keʻena haʻahaʻa o kou puʻuwai i mea paʻakikī iki a ʻaʻole hoʻi e hoʻomaha pono. He aha ka mea e hana ʻia? ʻAʻole hiki i kēlā mau keʻena ke hoʻopiha pono me ke koko. Ke hana ʻia kēlā, hoʻomaka ke kaomi e kūkulu i loko o ka puʻuwai.

E noʻonoʻo e pili ana i ia mea, i mea e omo ai ka huʻahuʻa i ka wai, ʻaʻole hiki ke ʻomi ʻia, pono e palupalu iki. Pēlā nō, i mea e piha ai nā keʻena o ka puʻuwai i ke koko, pono lākou e hoʻomaha maikaʻi.

Inā e ʻoi aku ka ʻino o kēia kūlana, hiki iā ia ke alakaʻi i kahi kūlana i kapa ʻia ʻo "Diastolic Heart Failure" , ʻo ia hoʻi ke oki nei ka hana a ka puʻuwai. A laila, hiki i nā wai e like me ka wai ke hōʻiliʻili ma nā wahi e like me nā māmā, ka ʻōpū, a me nā wāwae.

He aha ka ʻokoʻa ma waena o ka Diastolic Dysfunction a me ka Diastolic Heart Failure?

ʻAʻole like kēia mau mea ʻelua, akā pili lāua kekahi i kekahi. ʻO ka "Diastolic Dysfunction" ka wā e hoʻomaka ai ka pilikia o nā keʻena haʻahaʻa o ka puʻuwai e hoʻomaha. Ke lilo kēia i mea koʻikoʻi iki, ʻo ia hoʻi, e paʻakikī nā keʻena haʻahaʻa o ka ʻaoʻao hema o ka puʻuwai, a hele mai me nā hōʻailona ʻē aʻe o ka hāʻule ʻana o ka puʻuwai, kapa mākou ia he "Diastolic Heart Failure".He ʻano hāʻule puʻuwai kēia e hoʻopilikia ai i ka ʻaoʻao hema.

Hiki i kekahi kanaka me ka "Diastolic Heart Failure" ke ʻike i nā hōʻailona e like me:

• Luhi: Manaʻo luhi ʻoiai ke noho wale ʻana ma laila.
• Ka pehu ʻana o nā wāwae: ʻOi loa aku nā kuʻekuʻe wāwae.
• Ka luaʻi a me ka nalowale o ka makemake e ʻai: ʻAʻole ʻoe makemake e ʻai, a hiki paha iā ʻoe ke manaʻo i ka luaʻi.
• Paʻakikī ka hanu ʻana (Dyspnea): Paʻakikī ka hanu ʻana ʻoiai ke hana ʻana i nā hana maʻalahi, i kekahi manawa ʻoiai e hiamoe ana.
• Loaʻa ke kaumaha: ʻO ka paʻa ʻana o ka wai ke kumu o ka loaʻa koke ʻana o ke kaumaha.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? He aha nā kumu pilikia?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i ka "Diastolic Dysfunction". Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā kākou ʻo wai lākou?

• ʻO nā kānaka ma luna o 70 mau makahiki: Ke piʻi nei ka pilikia o kēia ʻano i kou wā ʻelemakule.
• ʻO ka poʻe i hana ʻole i ke kino: ʻO ka nele i ka hoʻoikaika kino a me ka noho mālie hiki ke hoʻopilikia i kēia.
• ʻO ka poʻe e puhipaka ana a hoʻohana paha i nā huahana paka.

Eia kekahi, ʻoi aku ka kiʻekiʻe o ka pilikia inā loaʻa iā ʻoe nā pilikia olakino e like me:

• Inā ʻo kou helu nui o ke kino (BMI) he 30 a ʻoi aku paha (ʻo ia hoʻi, ua momona ʻoe).
• Inā loaʻa iā ʻoe ka maʻi ʻiʻo puʻuwai ('Cardiomyopathy') .
• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā he koko kiʻekiʻe kou (High Blood Pressure / Hypertension) .
• Inā loaʻa iā ʻoe ka maʻi ʻaʻa coronary .
• Inā loaʻa iā ʻoe ka apnea hiamoe .

Pehea ka hopena o ka diastolic dysfunction i ke kino?

E noʻonoʻo, no ka mea, ʻaʻole i piha pono nā keʻena haʻahaʻa o ka puʻuwai i ke koko, pono nā keʻena o luna e hana ikaika e pamu i ke koko. Hoʻonui kēia i ke kaomi i loko o ka puʻuwai. He aha ka mea e hana ʻia ma muli o kēia kaomi?

• Piʻi ke kaomi i loko o nā kīʻaha koko i loko o nā māmā a hiki ke hōʻiliʻili i ka wai. ʻO kēia ka manawa e paʻakikī ai ka hanu ʻana.
• Piʻi ke kaomi i loko o nā kīʻaha koko i loko o ka ʻōpū a me nā wāwae, a hiki ke hōʻiliʻili ka wai ma laila. Hiki i kēia ke hana i nā mea e like me ka nalowale o ka makemake a me ka pehu ʻana o nā wāwae.

I ka hala ʻana o ka manawa, hiki i kēia kūlana, i kapa ʻia ʻo "Diastolic Dysfunction", ke ulu aʻe i "Diastolic Heart Failure". He kumu nui nō hoʻi ia o ke koko kiʻekiʻe pulmonary . I kekahi manawa hiki ke pili pū me kahi puʻuwai puʻuwai kūpono ʻole i kapa ʻia ʻo "Atrial Fibrillation" .

ʻO ke kūlana i loaʻa i ka hapa nui o ka poʻe me ka "Diastolic Heart Failure" ʻo ia ka HFpEF (ʻO ka Heart Failure me ka Preserved Ejection Fraction).I ka ʻōlelo maʻalahi, ʻo ka nui o ke koko i pamu ʻia e ka puʻuwai (kapa mākou iā ia ʻo 'Ejection Fraction') ka mea maʻamau, akā hōʻike mau i nā hōʻailona o ka hāʻule ʻana o ka puʻuwai.

Pehea ka maʻamau o kēia ʻano?

He maʻi maʻamau loa ka diastolic dysfunction i waena o ka poʻe ʻelemakule. Wahi a kekahi mau loea lapaʻau, ma kahi o ka hapalua o ka poʻe ma luna o 70 mau makahiki he nui paha ka maʻi diastolic. Eia naʻe, ʻaʻole ia he mea maʻamau i waena o nā keiki a me ka poʻe ma lalo o 70 mau makahiki.

He aha nā hōʻailona o ka diastolic dysfunction?

He nui ka poʻe i loaʻa i nā pae iki o ka "Diastolic Dysfunction" . Hiki iā ʻoe ke manaʻo i ka pōkole iki o ka hanu me ka hoʻoikaika māmā, e like me ke piʻi ʻana i nā alapiʻi. Eia nō naʻe, i ka holomua ʻana o ke kūlana, lilo ka hanu ʻana i mea paʻakikī a hiki ke ulu aʻe nā hōʻailona o ka "Diastolic Heart Failure".

He aha nā kumu o ka maʻi diastolic?

Aia kekahi mau kumu nui no kēia. Pili pū nā kumu pilikia a mākou i kūkākūkā ai ma mua i kēia.

• Maʻi ʻAʻa Coronary: Ka pale ʻana o nā ʻaʻa e hoʻolako koko ai i ka puʻuwai.
• Ka maʻi diabetes.
• Ke koko kiʻekiʻe ('Ke koko kiʻekiʻe / Hypertension').
• Inā ua loaʻa iā ʻoe nā hōʻeha puʻuwai ma mua.
• ʻAneʻane hiamoe.

Pehea e ʻike ai i kēia maʻi? (Diagnosis)

Inā kānalua kāu kauka he maʻi kou, e kuhikuhi paha lākou iā ʻoe no kahi echocardiogram ( ʻike ʻia hoʻi he "echo test") .

Ua like ka hoʻāʻo echo me kahi scan ultrasound. Nānā ia i ka maikaʻi o ka puʻuwai e pamu ana i ke koko, ka maikaʻi o ka hana ʻana o kāu mau valves puʻuwai, ka mānoanoa o nā paia o kou mau keʻena puʻuwai, a me ka maikaʻi o ko lākou hoʻomaha ʻana. He mea nui loa kēia e ʻike ai inā he diastolic dysfunction kāu.

Ua helu ʻia ka Diastolic Dysfunction e like me ke koʻikoʻi? (Nā Māka)

ʻAe, hoʻokaʻawale nā ​​kauka i kēia maʻi e like me kona koʻikoʻi. Ua kapa ʻia ʻo ia he "Grades".

• Papa I: He nāwaliwali iki kēia i ka hiki o ka puʻuwai ke hoʻomaha. ʻIke pinepine ʻia kēia i nā poʻe ma luna o 60 mau makahiki.
• Papa II: Ua hoʻonui iki ʻia ke kaomi ma ka ʻaoʻao hema o ka puʻuwai.
• Papa III: Ua piʻi nui ʻia ke kaomi ma ka ʻaoʻao hema o ka puʻuwai.
• Papa IV: He hāʻule puʻuwai koʻikoʻi kēia. Kiʻekiʻe loa ke kaomi ma ka ʻaoʻao hema o ka puʻuwai.

He aha nā lāʻau lapaʻau no ka diastolic dysfunction?

ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau no kēia maʻi. Aia kekahi mau lāʻau lapaʻau hiki ke hana ʻia:

1. Nā loli o ke ʻano o ka nohona: He mea nui loa kēia.

• Inā ʻoe e puhipaka, e hoʻōki.
• Hoʻemi i ka paʻakai (sodium) i nā meaʻai.
• Hoʻoikaika kino mau (ʻoi aku ka hoʻoikaika kino aerobic e like me ka hele wāwae a me ke kaʻa paikikala).
• Hiki paha i kāu kauka ke kuhikuhi iā ʻoe i kahi papahana hoʻoponopono puʻuwai , hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou olakino puʻuwai.

2. Nā ʻano lāʻau lapaʻau:

• Nā Diuretics (a i ʻole "nā pila wai"): Kōkua kēia i ka hoʻēmi ʻana i ka nui o ka wai pono ʻole i hōʻiliʻili ʻia i loko o ke kino.
• Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ke koko kiʻekiʻe a i ʻole ka maʻi diabetes, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau ʻokoʻa e kāohi iā lākou .

3. Nā Mea Hana Kōkua Ventricular Hema (LVAD): He mau mea hana liʻiliʻi kēia i hoʻokomo ʻia ma ke ʻoki ʻana i loko o ka puʻuwai e kōkua i ka puʻuwai e pamu i ke koko. Hoʻohana pinepine ʻia lākou i nā hihia koʻikoʻi o ka Diastolic Heart Failure, ʻoiai ke emi nui nei ka hiki o ka puʻuwai ke pamu i ke koko (Systolic Function).

4. Hoʻoili Puʻuwai: Manaʻo ʻia kēia i nā hihia koʻikoʻi loa, ke holo pono ʻole kekahi lāʻau ʻē aʻe. Hiki i ka hapa nui o ka poʻe ke hoʻokele i kēia kūlana me nā hoʻololi ʻana i ke ʻano o ka nohona a me nā lāʻau lapaʻau.

Hiki ke pale ʻia ka Diastolic Dysfunction?

ʻAe, hiki nō i kahi nui! ʻO ka hahai ʻana i nā hana olakino puʻuwai hiki ke hōʻemi i kēia pilikia. He aha kēlā mau hana?

• E mālama i ke kaumaha olakino no kou kiʻekiʻe, kou makahiki, a me kou kāne.
• E hōʻalo i ka paka a me ka waiʻona. E hōʻemi i ka inu ʻana i ka caffeine (kī, kofe).
• E ʻai i ka ʻai kaulike i waiwai i nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, nā momona olakino (e like me ka ʻaila ʻoliva, avocado), a me ka protein momona (iʻa, moa).
• E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino aerobic (e like me ka hele wikiwiki, ka holo ʻana, ka ʻauʻau ʻana) i kēlā me kēia pule.
• Inā loaʻa iā ʻoe nā maʻi olakino ʻē aʻe (e like me ka maʻi diabetes, ke koko kiʻekiʻe), e hahai i nā ʻōlelo a kāu kauka a lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia e like me ke kauoha.
• E hōʻemi i ka ʻai ʻana i nā momona momona, ka paʻakai, a me ke kō i hoʻomaʻemaʻe ʻia.
• E hoʻokele i ke kaumaha (ma o ka noʻonoʻo ʻana, yoga, kamaʻilio ʻana me kahi kanaka hilinaʻi, a pēlā aku).
• E hiamoe maikaʻi ma ka liʻiliʻi he 7-8 mau hola i ka pō.

He aha ka mea e hana ʻia inā loaʻa iā ʻoe ka diastolic dysfunction? He aha kāu e manaʻo ai?

Inā ʻaʻole mālama ʻia, hiki i ke kūlana o ka "Diastolic Dysfunction" ke ʻoi aku ka ʻino a alakaʻi i ka hāʻule ʻana o ka puʻuwai. Eia naʻe,Hiki i nā poʻe he nui ke hoʻokele maikaʻi i kēia kūlana a ola i nā ola maʻamau me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau.

ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia maʻi, e hele ʻoe no nā nānā lapaʻau maʻamau a hahai pololei i nā ʻōlelo a kāu kauka. A laila, hiki i kāu kauka ke nānā i kou kūlana a hoʻohui i nā lāʻau lapaʻau hou aʻe inā pono.

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

Inā loaʻa iā ʻoe a manaʻo paha he diastolic dysfunction kāu, hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:

• He aha ke kumu kūpono loa o kēia mau hōʻailona i loaʻa iaʻu?
• He aha nā hōʻailona mua o ka "Diastolic Dysfunction"?
• He aha nā hoʻokolohua e pono iaʻu e hana e ʻike pololei ai i kēia maʻi?
• He aha nā koho lapaʻau no ka "Diastolic Dysfunction"?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona e hōʻemi ai i ka pilikia o ka hoʻonui ʻia ʻana o kēia maʻi?

He aha ke kumu nui o ka diastolic dysfunction?

ʻO ke koko kiʻekiʻe i kāohi ʻole ʻia ke kumu maʻamau a me ke kumu nui o ka hana diastolic a me ka hāʻule ʻana o ka puʻuwai diastolic.

ʻEhia ka lōʻihi e hiki ai iā ʻoe ke ola me ka diastolic dysfunction?

He nūhou maikaʻi kēia! Hiki i nā kānaka me ka "Diastolic Dysfunction" ʻaʻohe maʻi ʻaʻai coronary ke ola e like me ke kanaka olakino o ka makahiki like. Eia nō naʻe, inā loaʻa iā ʻoe ka "Diastolic Dysfunction" me nā maʻi puʻuwai ʻē aʻe (e like me ka maʻi ʻaʻai coronary , systolic heart failure), ʻokoʻa iki paha ke kūlana. ʻO ia ke kumu he mea nui loa ka loaʻa ʻana o ka lāʻau kūpono a hahai i ka ʻōlelo aʻo a kāu kauka.

Leka Lawe-Home

ʻO ka diastolic dysfunction ka wā e hoʻomaha pono ʻole ai nā keʻena haʻahaʻa o ka puʻuwai a piha i ke koko. Hoʻonui kēia i ke kaomi i loko o ka puʻuwai, a hiki i ka hopena ke alakaʻi i ka hāʻule ʻana o ka puʻuwai.

Akā, mai hopohopo! He kūlana kēia e hiki ke hoʻomalu maikaʻi ʻia me nā loli maikaʻi o ke ʻano o ka nohona, nā lāʻau lapaʻau inā pono, a me ka nānā mau ʻana i nā lāʻau lapaʻau. E mālama i kou puʻuwai a ola i kahi ola olakino. Inā he mau hopohopo kāu, mai kānalua e kamaʻilio me kāu kauka.

ʻO ka hana ʻino diastolic, maʻi puʻuwai, ka hāʻule ʻana o ka puʻuwai, ka pōkole o ka hanu, ke koko kiʻekiʻe, ka maʻi diabetes, ka hāʻule ʻana o ka puʻuwai