Ua nāwaliwali kou puʻuwai? E aʻo kākou e pili ana i ka Diastolic Heart Failure!

Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu? A i ʻole ua nāwaliwali ʻoe ma hope o ka hele wāwae ʻana i kahi mamao pōkole? Pono paha ʻoe e kākoʻo iā ʻoe iho me ʻelua a ʻekolu mau uluna i ka pō i ʻole hiki iā ʻoe ke moe pololei? ʻAʻole paha he luhi wale kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻopilikia nui i ke olakino o ko mākou puʻuwai a hiki ke koʻikoʻi loa. ʻO ia ka Diastolic Heart Failure .

Ua ʻike anei ʻoe i ke ʻano o ka Diastolic Heart Failure?

I ka ʻōlelo maʻalahi, ʻo ka Diastolic Heart Failure kahi kūlana kahi e paʻakikī ai ke keʻena pamu nui o kou puʻuwai, ʻo ka ventricle hema , a hiki ʻole ke hoʻopiha me ke koko lawa. Ua kapa ʻia kēia ʻo Heart Failure me Preserved Ejection Fraction (HFpEF) .

ʻElua ʻano o ka hāʻule ʻana o ka puʻuwai e kū mai ana ma ka ʻaoʻao hema o ko kākou puʻuwai. ʻO kekahi ʻano ka hāʻule ʻana o ka puʻuwai diastolic. ʻO ka mea e hana ʻia ana ma laila, ʻo ia ka emi ʻana o ka hiki o ka ventricle hema ke pamu i ke koko. Akā i kēia lā, ke kamaʻilio hou aku nei mākou e pili ana i ka hāʻule ʻana o ka puʻuwai diastolic.

He aha ka hana a ka ventricle hema o ko kākou puʻuwai?

Ua ʻike anei ʻoe ua like ko kākou puʻuwai me kahi hale me nā keʻena ʻehā? Aia ʻelua keʻena ma ka papahele kiʻekiʻe (atrium ʻākau a me ka atrium hema), a ʻelua keʻena ma ka papahele lalo (ventricle ʻākau a me ka ventricle hema). Hoʻopuka wale ka ventricle ʻākau i ke koko i nā māmā. Akā, ʻo ka ventricle hema ka ʻāpana koʻikoʻi loa e hoʻopuka i ke koko i ke kino holoʻokoʻa. ʻO ia ke kumu ʻo ka ventricle hema ka keʻena mānoanoa loa o ka puʻuwai. ʻO ia ka mea e hoʻolaha i ke koko oxygenated i ko kākou kino holoʻokoʻa.

He aha ka manaʻo o nā huaʻōlelo Diastolic a me Systolic?

Ua ana ʻia kou koko ? Hāʻawi ia i ʻelua mau helu. Ua kapa ʻia kēlā mau helu ʻelua he systolic a me diastolic.

E noʻonoʻo e pili ana i ia mea, i kēlā me kēia manawa e paʻi ai kou puʻuwai, e pamu ia i kahi koko liʻiliʻi i loko o ka ʻōnaehana kaʻapuni ma kou kino. ʻO ke kaomi i hana ʻia i ka wā e pamu ʻia ai kēlā koko ua kapa ʻia ʻo ia he systolic blood pressure .

ʻO ke kaomi koko diastolic ke kaomi i loko o nā kīʻaha koko i ka wā e hoʻomaha ai ka puʻuwai ma waena o nā kuʻi, ʻo ia hoʻi, i ka wā e hoʻomaha iki ai ka ʻiʻo o ka puʻuwai.

ʻO ia ke kumu he ʻelua mau waiwai o kāu kaomi:

• ʻO ka helu kiʻekiʻe loa ka systolic blood pressure.
• ʻO ka helu lalo ka diastolic blood pressure.

I kēia manawa, ua maopopo iā ʻoe pehea e puka mai ai ka huaʻōlelo "diastolic" ke ʻōlelo mākou he diastolic heart failure? ʻO ia hoʻi, ʻo ka pilikia i ka wā diastolic, i ka wā e hoʻomaha ai ka puʻuwai a piha i ke koko.

Pehea ka hopena o ka puʻuwai diastolic i kou kino?

Ke paʻakikī ka ʻaoʻao hema o kou puʻuwai, ʻoiai ka ventricle hema, eia ka mea e hana ʻia:

• ʻAʻole hiki i ka puʻuwai ke hoʻomaha pono ma waena o nā kuʻi.
• No laila, ʻaʻole piha ka puʻuwai i ke koko lawa .
• ʻAʻole hiki i ka puʻuwai olakino maʻamau ke pamu i ke koko i ka nui o ke kino holoʻokoʻa.

ʻO ka hopena, hiki iā ʻoe ke ʻike i nā hōʻailona o ka hāʻule ʻana o ka puʻuwai. Hiki iā ʻoe ke paʻakikī i ka hanu ʻana, a hiki iā ʻoe ke luhi me ka nānā ʻole i ka nui o ka hoʻomaha āu e loaʻa ai . Hiki iā ʻoe ke paʻakikī i ka hanu ʻana ke moe ʻoe i ka pō. Hiki iā ʻoe ke ʻike i ka pehu (edema) i loko o kou ʻōpū a i ʻole nā ​​​​wāwae. Hiki ke hoʻonui mālie ʻia kēia mau hōʻailona i ka hala ʻana o ka manawa.

He aha ke kumu o ka hāʻule ʻana o ka puʻuwai diastolic?

Aia kekahi mau kumu e hiki ai ke hoʻoulu i kēia maʻi. ʻO kekahi o lākou:

• ʻO ka fibrillation atrial (Afib) : He puʻuwai puʻuwai kūpono ʻole kēia.
• Maʻi ʻaʻa coronary : Ka pale ʻana o nā aʻa e hoʻolako koko i ka puʻuwai.
• Maʻi diabetes
• Ke koko kiʻekiʻe (hypertension)
• ʻO ka apnea hiamoe obstructive (OSA)
• Momona
• Maʻi puʻupaʻa mau loa
• Nā maʻi ʻē aʻe e hoʻopilikia ai i nā ʻiʻo puʻuwai, e like me ka amyloidosis .

Ke nānā nei i kēia mau kumu, ua maopopo he nui nā maʻi e pono ai mākou e kāohi i ko mākou ola o kēlā me kēia lā e hoʻopilikia ʻia e kēia.

He aha nā hōʻailona o kēia maʻi?

Ua like loa nā hōʻailona o ka hāʻule ʻana o ka puʻuwai diastolic me nā ʻano hāʻule puʻuwai ʻē aʻe. Inā loaʻa iā ʻoe kēia maʻi, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Hanu ʻana, he leo e like me ke kuʻi ʻana a i ʻole ka hāhā ʻana .
• Pōʻaiʻī .
• ʻEdema , ʻo ia hoʻi ka pehu ʻana, ʻoiai ma nā wāwae, nā kuʻekuʻe wāwae, nā wāwae, a me ka ʻōpū.
• Luhi mau loa .
• Ka mimi pinepine ʻana .
• Ka pōkole o ka hanu , ʻoiai i ka wā e moe ana a i ʻole e hana ana i nā hana māmā.
• Ka emi ʻana o ka hoʻomanawanui hoʻoikaika kino . E noʻonoʻo wale, inā manaʻo ʻoe i kēia manawa ua ʻūmiʻi kou umauma a ke pilikia nei ʻoe i ka hanu ʻana i kou piʻi ʻana i kahi alapiʻi āu i hiki ai ke piʻi maʻalahi, he hōʻailona paha kēia.

Mea nui:Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻimi i ke kōkua lapaʻau. ʻAʻole paha kēia mau mea ma muli o ka hāʻule ʻana o ka puʻuwai diastolic, akā he mea nui loa ka loaʻa ʻana o kahi hōʻailona kūpono.

Pehea e ʻike ʻia ai ka hemahema o ka puʻuwai diastolic?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a me ka mōʻaukala olakino ʻohana, a laila e nānā iā ʻoe a hoʻolohe i kou puʻuwai me kahi stethoscope .

Hiki ke hana ʻia kekahi mau hoʻokolohua kūikawā e ʻike ai i kēia kīnā o ka puʻuwai. Eia kekahi laʻana:

• X-ray o ka umauma : E kiʻi i nā kiʻi o kou umauma a me kou puʻuwai.
• Electrocardiogram (EKG) : He hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai.
• Echocardiogram : Hoʻohana i nā nalu kani e nānā i ke ʻano a me ka hana o ka ʻiʻo puʻuwai a me nā valves.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino : Hoʻonui ʻia kou puʻuwai, ma ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau a i ʻole ma ka hele wāwae ʻana ma luna o kahi treadmill, a ke nānā ʻia nei kou puʻuwai no ka pane.
• Ka catheterization cardiac : Hoʻokomo ʻia kahi ʻōmole lahilahi a hakahaka (catheter) e ana i ke kaomi a me ke kahe o ke koko i loko o ka puʻuwai.

ʻO kēia mau hoʻokolohua ka mea e hiki ai i ke kauka ke hoʻoholo pono i ke ʻano o kou maʻi.

He aha nā lāʻau lapaʻau no kēia?

Mai hopohopo inā ʻike ʻoe he diastolic heart failure kou. Aia nā lāʻau lapaʻau no ia mea. E paipai paha kāu kauka i kekahi mau hoʻololi nohona . Hiki i nā hana olakino ke hoʻomaikaʻi i kou olakino cardiovascular a kōkua i kou puʻuwai e hana maikaʻi. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hana ʻana i kēia mau mea:

• E hoʻokō a mālama i kahi kaumaha olakino .
• ʻAi ʻana i ka papaʻai haʻahaʻa-sodium no ka hāʻule ʻana o ka puʻuwai . He mea maikaʻi loa ia e hōʻemi i ka paʻakai i loko o nā meaʻai a mākou e ʻai ai a ʻai hou aku i nā huaʻai a me nā mea kanu.
• E mālama i ke koko kiʻekiʻe .
• Ke komo nei i ka mīkini CPAP inā loaʻa iā ʻoe ka apnea hiamoe .
• E hoʻoikaika kino no ka liʻiliʻi he 30 mau minuke i ka hapa nui o nā lā o ka pule.
• Ke hoʻōki nei i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka . E nīnau i kāu kauka inā makemake ʻoe i ke kōkua me kēia.

Hiki i kāu hoʻolālā lapaʻau ke hoʻokomo pū i nā lāʻau lapaʻau i kuhikuhi ʻia . He mea nui loa ia e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka.

Nui ka poʻe me HFpEF e lawe ana paha i nā lāʻau lapaʻau no nā maʻi puʻuwai ʻē aʻe. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau no ka hāʻule ʻana o ka puʻuwai diastolic. Hiki i kēia mau mea ke komo pū me:

• Diuretics : Nā lāʻau lapaʻau e kōkua i ka wehe ʻana i ka sodium (paʻakai) keu a me ka wai mai ke kino. ʻO kēia nā mea a mākou e kapa pinepine ai he "diuretics."
• Nā antagonists receptor Mineralocorticoid : Kōkua pū kēia i ka mālama ʻana i nā pae potassium me ka wehe ʻana i ka sodium keu mai ke kino.
• Nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko .

Hiki ke ho'ōla loa ʻia ka hāʻule ʻana o ka puʻuwai diastolic?

ʻO ka ʻoiaʻiʻo, ʻaʻole hiki ke ho'ōla piha ʻia ka hāʻule ʻana o ka puʻuwai diastolic. Eia nō naʻe, me ka mālama pono ʻana, hiki iā ʻoe ke kāohi i nā hōʻailona a hoʻomaikaʻi i ka hana o kou puʻuwai. ʻO ia hoʻi, hiki iā ʻoe ke ola maikaʻi me kēia maʻi.

He aha kā mākou e hana ai e hōʻemi i kēia pilikia?

ʻO ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka hāʻule ʻana o ka puʻuwai diastolic, ʻo ia ke hoʻokō i nā ʻano olakino . E hoʻomaikaʻi kēia mau ʻano i kou olakino puʻuwai holoʻokoʻa a hōʻemi i kou pilikia o ka maʻi puʻuwai.

Hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hana ʻana i kēia mau mea:

• Ka ʻai ʻana i ka meaʻai olakino no ka puʻuwai .
• Hoʻoikaika kino mau .
• E hōʻemi i ka inu ʻana i ka waiʻona a pale i ka puhipaka .
• Ke kaohi ʻana i nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe .

He aha ka manaʻolana no kekahi me ka Diastolic Heart Failure?

Me ka lāʻau lapaʻau, hiki iā ʻoe ke ola maikaʻi me ka hāʻule ʻana o ka puʻuwai diastolic. ʻO ka mea nui loa, ʻo ia ka hahai pololei ʻana i ka hoʻolālā lapaʻau a kāu kauka. ʻOiai ʻaʻole paha e nalowale loa ka hāʻule ʻana o ka puʻuwai diastolic, hiki iā ʻoe ke hoʻokele i kāu mau hōʻailona.

He aha hou kāu e makemake ai e nīnau i kāu kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:

• He aha kaʻu e hana ai e pale aku ai i ka hoʻonui ʻia ʻana o kēia hemahema o ka puʻuwai?
• He aha nā meaʻai e pono iaʻu e pale aku i ka wā e loaʻa ai iaʻu ka puʻuwai diastolic?
• He aha kaʻu e hana ai e mālama i nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• ʻEhia pinepine e pono ai iaʻu ke ʻike i ke kauka no kēia maʻi puʻuwai diastolic?

Leka Lawe-Home

ʻO ka hāʻule ʻana o ka puʻuwai diastolic kekahi o nā ʻano hāʻule puʻuwai ʻelua e kū mai ana ma ka ʻaoʻao hema o ka puʻuwai. Ua kapa ʻia hoʻi ʻo HFpEF . Hoʻonui ka pilikia o ka loaʻa ʻana o kēia ʻano i kou wā ʻelemakule. Eia kekahi, ʻoi aku ka kiʻekiʻe o ka pilikia inā loaʻa iā ʻoe nā maʻi maʻi, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.

ʻOiai ʻaʻohe lāʻau lapaʻau piha no ka hāʻule ʻana o ka puʻuwai diastolic, hiki ke mālama maikaʻi ʻia nā hōʻailona ma o nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau.

He nui ka poʻe e ola piha ana me ka puʻuwai diastolic. No laila, mai makaʻu a e hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono.

Hoʻouka puʻuwai , hāʻule puʻuwai diastolic, hana puʻuwai, pōkole o ka hanu, pehu, koko kiʻekiʻe, maʻi kō