Pehea kou manaʻo inā e ho'ōla ana ʻoe mai kahi hāʻule puʻuwai a loaʻa koke iā ʻoe kahi ʻeha umauma ʻē? He mea maʻamau ka makaʻu a noʻonoʻo, "ʻAuē, ʻo ia anei ka mea kahiko?" Akā, mai hopohopo. ʻAʻole nā ʻeha umauma a pau he hāʻule puʻuwai ʻē aʻe. I kekahi manawa, hiki ke lilo i ʻano ʻē aʻe e ulu ana ma hope o ka hāʻule puʻuwai. ʻO ia kekahi o kēlā mau kūlana kakaʻikahi, akā he mea nui e makaʻala.
I ka ʻōlelo maʻalahi, he aha ka Dressler's Syndrome?
E noʻonoʻo i ko kākou puʻuwai he mea makamae i loko o kahi ʻeke lahilahi pale. Ua kapa ʻia kēia ʻeke pale a puni ka puʻuwai ʻo ka pericardium . ʻO ka Dressler's Syndrome kahi kūlana kahi, i kekahi mau pule ma hope o ka hōʻeha puʻuwai, e pehu a pehu ka ʻōnaehana pale o kou kino ponoʻī. Ua kapa ʻia kēia pehu ʻo pericarditis .
I ka ʻōlelo maʻalahi, ʻo ka Dressler's Syndrome kahi ʻano pericarditis e kū mai ana ma hope o ka hōʻeha puʻuwai. I ka wā ma mua, ua kū kēia ʻano ma kahi o 3-5 o kēlā me kēia 100 poʻe i loaʻa i ka hōʻeha puʻuwai . Akā i kēia manawa, mahalo i nā lāʻau lapaʻau holomua , ʻaʻole pinepine ia e kū mai i hoʻokahi o kēlā me kēia 100 poʻe i loaʻa i ka hōʻeha puʻuwai. He nūhou maikaʻi kēlā, ʻeā?
Hiki ke hiki koke mai kēia ʻano, me ka ʻole o nā hōʻailona no nā lā a i ʻole nā pule ma hope o ka hāʻule ʻana o ka puʻuwai . ʻO kēia pehu ke kumu o ka puʻuwai a me ka ʻeke a puni ia, ʻo ia hoʻi ka ʻeke pericardial, e kuʻi, ka mea e hōʻeha ai i ka umauma a mākou i ʻōlelo ai. I kekahi manawa hiki i kēia ʻeke ke piha me kahi wai wai. Ua kapa ʻia kēia he pericardial effusion . Inā hōʻiliʻili kēia wai, hiki iā ia ke kau i ke kaomi ma luna o ka puʻuwai.
No ke aha lā kēia e hana nei? Ke huli kūʻē mai nei anei ko kākou kino iā kākou?
ʻAʻole i ʻike maopopo ʻia ke kumu maoli o kēia, akā ʻo ka manaʻo nui, he kuhihewa liʻiliʻi ia o kā mākou ʻōnaehana pale kino e hoʻoulu ai iā ia e ʻōlelo i kahi mea ʻē aʻe.
E noʻonoʻo i kēia ʻano. ʻO ka hōʻeha puʻuwai ka hōʻino ʻana i ka ʻiʻo puʻuwai. Ke hana ʻia kēia hōʻino, ʻo kā mākou ʻōnaehana pale, e like me ka "koa" i loko o ko mākou kino, e hoʻouka i kēlā ʻeha.Hele mai ia e ho'ōla i kahi i loaʻa ai. Akā i kekahi manawa, i loko o kēia kaʻina hana, huikau iki kā mākou ʻōnaehana pale a kuhihewa i ka ʻiʻo puʻuwai i hōʻino ʻia no ka ʻenemi. A laila hoʻomaka ia e kaua kūʻē iā ia. Ma ke ʻano he hopena ʻaoʻao o kēia hakakā, pehu kēlā pericardium hala ʻole e hoʻopuni ana i ka puʻuwai.
No ka mea he pane pale kino kēia e kū mai ana ma hope o ka hōʻino ʻia ʻana o ka puʻuwai, hiki i kāu kauka ke kapa iā ia ʻo Post-Cardiac Injury Syndrome (PCIS) . He inoa maʻamau ia i hoʻohana ʻia no kekahi mau kūlana e like me kēia.
He aha nā hōʻailona o kēia maʻi? Pehea ʻoe e ʻike ai?
ʻIke pinepine ʻia nā hōʻailona i loko o ʻelua a ʻehā pule o ka hōʻeha puʻuwai. He ʻokoʻa iki kēia mai nā hōʻailona o ka hōʻeha puʻuwai. E nānā pono kākou i nā hōʻailona nui.
| Hōʻailona | ʻO ke ʻano o kona manaʻo |
|---|---|
| ʻEha umauma | ʻO kēia ka hōʻailona nui. He ʻeha ʻoi, e like me ka pahi e hou ana . Hoʻonui kēia ʻeha i ka wā e hanu hohonu ai ʻoe, moni, ʻū, a moe i lalo. ʻO ka mea kupanaha, emi ka ʻeha ke kūlou ʻoe i mua a noho i lalo . He hōʻailona kikoʻī loa kēia. |
| Paʻakikī ka hanu ʻana | E paʻakikī paha iā ʻoe ke hanu, ʻoiai ke kūlou ʻoe i lalo a moe paha. |
| Luhi | Manaʻo luhi a paupauaho ʻole me ke kumu ʻole. |
| kuni | He manaʻo wela, akā ʻaʻole ke kuni kiʻekiʻe. |
| ʻO ka ʻoluʻolu ʻole maʻamau | Manaʻo maikaʻi ʻole a ʻoluʻolu ʻole. |
ʻO ka mea nui loa, ʻaʻole pono e hoʻowahāwahā ʻia kekahi ʻano ʻeha o ka umauma ma hope o ka hāʻule ʻana o ka puʻuwai. He mea naʻauao ke kamaʻilio koke me kāu kauka.
Hiki i kēia ke hoʻoulu i nā pilikia weliweli?
ʻO ka maʻamau, hiki ke mālama ʻia ka maʻi ʻo Dressler inā mālama koke ʻia. Eia nō naʻe, i nā hihia kakaikahi, hiki ke loaʻa nā pilikia koʻikoʻi inā waiho ʻole ʻia. No laila he mea nui e ʻike i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona.
- ʻO ka Tamponade Cardiac: ʻO kēia ka pilikia weliweli loa. Piha loa ka ʻeke a puni ka puʻuwai (pericardium) i ka wai a ʻaʻole hiki ke pamu pono. He pilikia olakino kēia. ʻO nā hōʻailona e komo pū me ka puʻuwai wikiwiki a me ke koko haʻahaʻa.
- ʻO ka Pericarditis Constrictive: He kūlana kēia kahi e pehu ai ka pericardium, mānoanoa, a ʻoʻoleʻa i ka hala ʻana o ka manawa. Hoʻopaʻa kēia i ka hiki o ka puʻuwai ke kuʻi manuahi. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me ka hāʻule ʻana o ka puʻuwai.
Hiki ke hopohopo kēia mau mea ke lohe. Akā e hoʻomanaʻo, he mea kakaikahi loa lākou a hiki ke pale ʻia me ka mālama ʻana i ka manawa kūpono .
Pehea e hoʻomaopopo pono ai nā kauka i kēia?
Hiki paha i kāu kauka ke kānalua i kahi hōʻeha puʻuwai ma hope o ka lohe ʻana e pili ana i kāu mau hōʻailona, ʻoiai inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai i hala koke nei. Hiki paha iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i kāu mau kānalua.
ʻO ka mea mua a ke kauka e hana ai
ʻO ka mea mua āu e hana ai, ʻo ke kau ʻana i ka stethoscope ma kou umauma a hoʻolohe pono. A laila, e lohe ʻoe i ʻelua leo kikoʻī loa.
1. Ka Hakakā ʻana o ka Pericardial: He leo i hana ʻia i ka wā e hamo ai ka pericardium pehu i ka puʻuwai. Ua like ia me ʻelua ʻāpana ʻili maloʻo e hamo ana.
2. Ka ʻūlū ʻana o ka Pleural: I kekahi manawa hiki i kēia pehu ke hoʻopilikia i ka uhi a puni nā māmā (pleura). Hiki i kēia ke hana i kahi leo like i ka wā e hanu ana.
Nā hoʻokolohua aʻe
Hiki i kēia mau hoʻokolohua ke hōʻoia hou i ka maʻi.
| Hoʻāʻo | He aha kāu e ʻimi nei i loko? |
|---|---|
| Nā hoʻāʻo koko | Ke nānā nei lākou i ka mumū i loko o ke kino, e nānā pono ana i ka protein C-reactive kiʻekiʻe (CRP) a me nā helu o nā keʻena koko keʻokeʻo. |
| ECG (Electrocardiogram) | ʻO kēia hoʻāʻo, e nānā ana i ka hana uila o ka puʻuwai, hiki ke ʻike i nā loli kikoʻī e pili ana i ka pehu ʻana o ka pericardium. |
| X-ray umauma | Inā he wai a puni ka puʻuwai, ʻike ʻia paha ka puʻuwai ua hoʻonui ʻia ma ke kiʻi X-ray. |
| ʻEchocardiogram (Echo) | He scan kēia o ka puʻuwai. Hiki iā ia ke nānā pono inā he wai a puni ka puʻuwai, pehea ka nui o ia mea, a inā e hoʻopilikia ana i ka puʻuwai. |
| MRI puʻuwai | Inā ʻaʻole hiki i nā hoʻokolohua ʻē aʻe ke hāʻawi i kahi kiʻi maopopo, hiki i kēia MRI scan ke hōʻike maopopo i ka pehu ʻana o ka puʻuwai a me ka pericardium. |
He aha ka lāʻau lapaʻau? Hiki ke ho'ōla ʻia kēia?
ʻAe, ʻoiaʻiʻo nō! He maʻalahi loa a he pono ka mālama ʻana no ka Dressler's Syndrome. I ka hapanui o nā hihia, hiki i ka lāʻau lapaʻau ke kāohi i ka pehu a hoʻopau i nā hōʻailona.
Hiki i kāu kauka ke kuhikuhi i kahi mahele nui o ka aspirin , akā hiki i kahi lāʻau i kapa ʻia ʻo colchicine ke kōkua i ka hōʻemi ʻana i ka pehu a pale i ka hoʻi hou ʻana.
He mea nui loa ka lawe ʻana i kēia mau lāʻau lapaʻau e like me ke kauoha a kāu kauka no kekahi mau pule, a i ʻole he mau mahina paha . Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i ka hapalua o ka manawa no ka mea ua emi ka ʻeha. ʻO ka hana ʻana pēlā e hoʻonui ai i ka manawa e hoʻi hou mai ai ka maʻi.
No laila, he aha kaʻu e hana ai?
Ke ho'ōla nei ʻoe mai kahi maʻi nui e like me ka hāʻule puʻuwai, he mea maʻamau ke makaʻu a me ka huhū ke hana hou ʻia kekahi mea e like me kēia. Akā ʻo ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana he kūlana hiki ke hoʻomalu ʻia kēia.
- E hahai pono i nā ʻōlelo a ke kauka: E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, no ka lōʻihi piha i kauoha ʻia.
- Mai poina i nā manawa hoʻopaʻa: ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, e hoʻi hou mai i ka lā a kāu kauka e ʻōlelo ai. He mea nui loa kēia e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau.
- E makaʻala i nā hōʻailona: Inā hoʻi hou a ʻoi aʻe paha ka ʻino o nā hōʻailona, e hoʻomaopopo koke i kāu kauka.
- E nīnau i nā nīnau: Inā he mau nīnau kāu e pili ana i kēia kūlana a i ʻole ka lāʻau lapaʻau, e noi i kāu kauka no ka wehewehe ʻana.
ʻO ka Dressler's Syndrome kahi maʻi i hiki ke hoʻi hou i kekahi manawa ma hope o ka mālama ʻia ʻana, ʻo ia ke kumu he mea nui e hoʻomau ʻia ma lalo o ka mākaʻikaʻi lapaʻau.
Leka Lawe-Home
- ʻO ka Dressler's Syndrome kahi maʻi e hiki ke hana i kekahi mau pule ma hope o ka hāʻule ʻana o ka puʻuwai, akā i kēia manawa ua kakaikahi loa ia .
- ʻO ke kumu o kēia, he pane mai ka ʻōnaehana pale ponoʻī o ke kino, ʻaʻole mai kahi hāʻule puʻuwai ʻē aʻe.
- ʻO ka hōʻailona nui ka ʻeha nui o ka umauma e emi iho ana ke kūlou ʻoe i mua.
- Hiki ke hoʻomalu pono ʻia kēia maʻi a ho'ōla loa ʻia me ka lāʻau lapaʻau.
- ʻO ka mea nui loa, ʻo ia ke hoʻomaopopo koke i kāu kauka e pili ana i kekahi ʻeha umauma e kū mai ana ma hope o ka hāʻule ʻana o ka puʻuwai. Ma ka hopohopo ʻole a me ka hana pololei ʻana, hiki iā ʻoe ke pale i kekahi pilikia.
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