Ua luhi iki anei kou puʻuwai? E aʻo kākou e pili ana i ka Congestive Heart Failure ma ke ʻano maʻalahi!

Ke manaʻo nei ʻoe i kekahi manawa ua pilikia ʻoe i ka hanu ʻana ʻoiai ʻoe e hele ana i kahi mamao pōkole a piʻi paha i nā alapiʻi? A i ʻole ke manaʻo nei ʻoe e pehu ana kou mau wāwae a i ʻole nā ​​kuʻekuʻe wāwae? ʻO kēia paha kou puʻuwai e haʻi aku ana iā ʻoe i kekahi mea. I kēia lā e kamaʻilio mākou e pili ana i ka Congestive Heart Failure , a i ʻole e like me ka kapa ʻana o kekahi, congestive heart failure . Mai hopohopo, inā maopopo iā ʻoe kēia a hoʻokele pono iā ia, hiki iā ʻoe ke maikaʻi.

He aha maoli ka Congestive Heart Failure?

I ka ʻōlelo maʻalahi, ʻo ka Congestive Heart Failure ka wā hiki ʻole i kou puʻuwai ke pamu i ke koko e like me ka mea e pono ai. E noʻonoʻo i kou puʻuwai e like me ke kikowaena hoʻolaha nui. Pono e hāʻawi ʻia kēlā me kēia pūʻolo e hele mai ana (ʻo ia hoʻi ke koko) i kahi kūpono (ʻo ia hoʻi nā ʻōpū) i ka manawa kūpono. Akā he aha ka mea e hana ai ke lilo kēia kikowaena i mea nāwaliwali iki a ʻaʻole hiki ke hāʻawi i nā pūʻolo āpau i ka manawa? Puʻu nā pūʻolo, ʻeā? ʻO ia ka mea e hana nei ma ʻaneʻi. Ke hiki ʻole i ka puʻuwai ke pamu pono i ke koko, hoʻihoʻi ke koko a hōʻiliʻili ma nā ʻāpana like ʻole o ke kino, ʻoi aku hoʻi ma nā māmā, nā wāwae, nā kuʻekuʻe wāwae, a me ka ʻōpū . ʻO kēia ka mea a mākou e kapa nei (Congestive), ʻo ia hoʻi he "hōʻiliʻili."

Aia kekahi mau ʻano nui o ka Congestive Heart Failure?

ʻAe, aia kekahi mau ʻano nui:

• ʻO ka hāʻule ʻana o ka puʻuwai hema: ʻO kēia ke ʻano maʻamau. ʻO kēia ka wā hiki ʻole i ka ʻaoʻao hema o ka puʻuwai (ka ventricle hema) ke pamu i ke koko ma ke kino holoʻokoʻa. Hiki i kēia ke kumu o ka hōʻiliʻili ʻana o ke koko i loko o nā māmā, e pilikia ai ka hanu ʻana.
• ʻO ka hāʻule ʻana o ka puʻuwai ʻākau: ʻO ka hapa nui o kēia ma muli o ka hāʻule ʻana o ka puʻuwai hema. Ke hiki ʻole i ka ʻaoʻao ʻākau o ka puʻuwai ke pamu i ke koko mai nā māmā me ke kūpono, hōʻiliʻili ke koko i loko o ka ʻōnaehana venous a hoʻoulu i ka pehu ʻana ma nā wahi e like me nā wāwae, nā kuʻekuʻe wāwae, a me ka ʻōpū.
• ʻO ka hāʻule ʻana o ka puʻuwai kiʻekiʻe: He ʻano kakaikahi kēia. I kēia kūlana, hoʻopuka maikaʻi ka puʻuwai i ke koko, akā ma muli o ke koi nui o ke kino (no ka laʻana, anemia koʻikoʻi, hyperthyroidism), ʻaʻole hiki i ka puʻuwai ke hoʻokō i kēlā koi.

Pehea ka maʻamau o kēia ʻano?

He miliona miliona ka poʻe a puni ka honua e ʻeha nei i kēia maʻi. He mea maʻamau ia i waena o ka poʻe ma luna o 65 mau makahiki , a ʻo ia ke kumu nui o ka hoʻokipa ʻia ʻana i ka haukapila i kēlā hui makahiki. No laila, he mea nui loa ka makaʻala i kēia maʻi.

He aha nā hōʻailona o ka Congestive Heart Failure?

Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, a ʻokoʻa nō hoʻi ma muli o ke koʻikoʻi o ke kūlana. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia:

• Pōkole o ka hanu: Manaʻo e like me ʻoe e hiolo ana i ka wā e hana ana i nā hana māmā, e hele wāwae iki ana, a e piʻi ana paha i kekahi mau alapiʻi. I nā hihia koʻikoʻi, hiki ke paʻakikī ke hanu ʻoiai ke kū mālie.
• Ke ala ʻana i ka pō me ka paʻakikī o ka hanu ʻana:Inā ala koke ʻoe i kou hiamoe ʻana a manaʻo ʻoe ua pōkole kou hanu, he hōʻailona nō hoʻi kēlā o kēia.
• ʻEha a ʻeha paha ka umauma: Hiki i kekahi poʻe ke manaʻo i ka paʻa a i ʻole ke kaumaha i loko o ko lākou umauma.
• Nā palpitations o ka puʻuwai: Manaʻo paha ka puʻuwai e like me ka paʻi nui ʻana, wikiwiki, a i ʻole ke ʻano ʻole.
• Manaʻo luhi loa i ka wā e hana ai: Manaʻo nui i ka luhi e hana i nā mea i maʻalahi ma mua.
• Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me ka ʻōpū: Hiki i nā kuʻekuʻe wāwae a me nā manamana wāwae ke pehu a hiki i kahi e paʻakikī ai ke kau i nā kāmaʻa a wehe paha i nā apo.
• Ka piʻi koke ʻana o ke kaumaha: Inā piʻi kekahi mau kilokani i loko o kekahi mau lā, ma muli paha ia o ka paʻa ʻana o ka wai.
• ʻO ka pono pinepine e mimi i ka pō.
• ʻO ka ʻū maloʻo a haʻihaʻi e hele mai me ke kumu ʻole: Hiki i kēia ʻū ke lilo i mea ʻino, ʻoiai ke ʻū nei ʻoe.
• Manaʻo o ka piha a i ʻole ka ʻūpā i loko o ka ʻōpū.
• Ka nalowale ʻana o ka makemake e ʻai a i ʻole ka maʻi (nausea).

E hoʻomanaʻo, i kekahi manawa hiki ke maʻalea loa kēia mau hōʻailona, ​​a ʻaʻole paha. Akā, ʻaʻole ia manaʻo ʻaʻohe ou puʻuwai. Hiki ke hele mai a hele aku nā hōʻailona. He mea maʻamau ka ʻino o ke kūlana i ka hala ʻana o ka manawa. No laila, inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, ​​he mea naʻauao ke ʻike i ke kauka.

He aha nā kumu o ka Congestive Heart Failure?

Nui nā kumu e nāwaliwali ai ka puʻuwai. ʻO kekahi o nā kumu nui:

• ʻO ka maʻi ʻaʻa coronary a/a i ʻole ka hōʻeha puʻuwai: Ka hōʻino ʻia o ka ʻiʻo o ka puʻuwai ma muli o ke ālai ʻia ʻana o nā ʻaʻa e hoʻolako koko i ka puʻuwai.
• Cardiomyopathy: Hiki ke hana ʻia kēia ma muli o nā kumu hoʻoilina, nā maʻi viral, a i ʻole nā ​​​​kumu ʻē aʻe, e hoʻonāwaliwali ai a mānoanoa paha ka puʻuwai puʻuwai.
• Maʻi puʻuwai hānau: ʻO ka hānau ʻia ʻana me kahi kīnā puʻuwai.
• Maʻi diabetes: Hiki i ka maʻi diabetes lōʻihi ke hoʻopilikia i ka puʻuwai.
• Ke koko kiʻekiʻe: ʻO ke koko kiʻekiʻe i kāohi ʻole ʻia e hoʻoikaika ai ka puʻuwai i ka hana.
• ʻO ke kū ʻole o ka puʻuwai (Arrhythmia): Hoʻemi ka puʻuwai kūpono ʻole i ka pono o ka puʻuwai.
• Maʻi puʻupaʻa: Ke hana pono ʻole nā ​​puʻupaʻa, piʻi ka nui o ka wai a me ka paʻakai i loko o ke kino, e kau ana i ke kaomi ma ka puʻuwai.
• ʻOi aku ka nui o ke kino (BMI) ma mua o 30 (momona).
• Ka paka a me ka hoʻohana ʻana i nā lāʻau lapaʻau kū ʻole i ke kānāwai.
• Ka hoʻohana nui ʻana i ka waiʻona.
• ʻO kekahi mau lāʻau lapaʻau: No ka laʻana, ʻo kekahi mau lāʻau chemotherapy i hoʻohana ʻia no ka maʻi kanesa hiki ke hōʻeha i ka puʻuwai.

ʻO kekahi mea e ʻike ai, ʻo ka hāʻule ʻana o ka puʻuwai hema ke kumu nui o ka hāʻule ʻana o ka puʻuwai ʻākau. Ke hana pono ʻole ka ʻaoʻao hema, kahe ke koko i hope ma o nā māmā a hoʻopilikia pū i ka ʻaoʻao ʻākau.

ʻO wai ka mea i pilikia nui no kēia?

ʻOi aku ka nui o ka hiki i kekahi poʻe ke loaʻa i kēia maʻi. ʻO kēia mau mea pilikia:

• Ma luna o 65 mau makahiki.
• Ka hoʻohana ʻana i nā huahana paka, nā lāʻau lapaʻau e like me ka cocaine, a i ʻole ka waiʻona.
• He nohona noho wale me ka hana ʻole i ke kino.
• ʻO ka ʻai pinepine ʻana i nā meaʻai kiʻekiʻe i ka paʻakai a me ka momona.
• Loaʻa ke koko kiʻekiʻe.
• Loaʻa i ka maʻi ʻaʻa coronary.
• Ma hope o ka loaʻa ʻana o kahi hāʻule puʻuwai ma mua.
• Loaʻa kahi moʻolelo ʻohana o ka Congestive Heart Failure.

He aha nā pilikia e hiki mai ana o ka Congestive Heart Failure?

Inā ʻaʻole mālama pono ʻia kēia kūlana a i ʻole kaohi ʻia, hiki ke loaʻa nā pilikia hou aʻe.

• Puʻuwai kūpono ʻole.
• Hiki i ka hopu koke ʻana o ka puʻuwai ke alakaʻi i ka make.
• Nā pilikia o ka valve puʻuwai.
• Ka hōʻiliʻili ʻana o ka wai i loko o nā māmā (Pulmonary edema).
• Ke koko kiʻekiʻe o ka puʻuwai.
• Ka hōʻino ʻana o nā puʻupaʻa a i ʻole ka hāʻule ʻana o nā puʻupaʻa.
• Ka hōʻino ʻana o ke akepaʻa.
• Ka ʻai pono ʻole.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka Congestive Heart Failure?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe.

• Nā mea e like me nā hōʻailona āu i loaʻa ai a me ka lōʻihi o kou loaʻa ʻana iā lākou.
• Nā maʻi ʻē aʻe āu i loaʻa ai (e like me ka maʻi diabetes, ke koko kiʻekiʻe).
• Ua loaʻa anei i kekahi o kou ʻohana ka maʻi puʻuwai a i ʻole ka make koke?
• Ke hoʻohana nei ʻoe i nā huahana paka, ka waiʻona, a i ʻole nā ​​​​lāʻau lapaʻau?
• Inā paha ua loaʻa iā ʻoe ka chemotherapy a i ʻole ka radiation no ka maʻi kanesa ma mua.
• He aha nā lāʻau lapaʻau āu e hoʻohana ai?

A laila e nānā kino ke kauka iā ʻoe. E hoʻolohe lākou i kou puʻuwai, e nānā i kou mau māmā, a e nānā i kou mau wāwae no ka pehu.

He aha nā pae ʻehā o ka Congestive Heart Failure?

No ka mea, he maʻi kēia e lilo mālie ana i mea ʻino i ka hala ʻana o ka manawa, aia ʻehā mau pae. Ua kapa ʻia kēia mau pae ʻo A, B, C, a me D. ʻO ia hoʻi, he huakaʻi mai kahi pae haʻahaʻa i kahi pae kiʻekiʻe.

Pae A (Pae A - Ma mua o ka hāʻule ʻana o ka puʻuwai)

ʻO ke ʻano kēia, aia ʻoe i ka pilikia kiʻekiʻe o ka loaʻa ʻana o ka hāʻule ʻana o ka puʻuwai. Malia paha no ka mea ua loaʻa i kekahi o kou ʻohana ka maʻi. A i ʻole no ka mea he hoʻokahi a ʻoi aku paha o kēia mau kūlana iā ʻoe:

• Ke koko kiʻekiʻe (Hypertension).
• Ka maʻi diabetes.
• Maʻi ʻaʻa coronary.
• ʻO ka maʻi metabolic.
• He moʻolelo o ka maʻi hoʻohana waiʻona.
• Loaʻa i ka fiva rumatika.
• Loaʻa kahi moʻolelo ʻohana o ka cardiomyopathy.
• Ma ka hoʻohana ʻana i nā lāʻau lapaʻau e hiki ke hōʻino i ka puʻuwai (e laʻa, kekahi mau lāʻau anti-cancer).

Pae B (Pae B - Ma mua o ka hāʻule ʻana o ka puʻuwai)

I kēia pae, ʻaʻole e hana pono ana kou ventricle hema (ke keʻena nui e hoʻopuka i ke koko ma ke kino holoʻokoʻa), a i ʻole aia kekahi loli i kona ʻano (e.g. mānoanoa). Akā, ʻaʻole ʻoe i loaʻa nā hōʻailona o ka hāʻule ʻana o ka puʻuwai.

Kahua C

Ua ʻike kūhelu ʻia ka poʻe i kēia pae me ka Congestive Heart Failure. Loaʻa paha iā lākou nā hōʻailona i kēia manawa, a i ʻole ua loaʻa mua iā lākou nā hōʻailona akā ʻaʻohe o lākou i kēia manawa.

Ka Papa Hana D a me ka Hoʻemi ʻia ʻana o ka Ejection Fraction (EF)

Loaʻa i kēia poʻe kahi maʻi holomua loa (Advanced) (Heart Failure) . ʻOiai me ka mālama ʻia ʻana, paʻakikī ke kāohi i nā hōʻailona. ʻO ka nui o ke koko i hoʻokuʻu ʻia mai ka puʻuwai i hoʻokahi manawa, ʻo ia hoʻi, `(Ejection fraction - EF)`, he haʻahaʻa loa ia a loaʻa paha iā `(HFrEF - heart failure with reduced ejection fraction)`. ʻO kēia ke kahua hope loa o (Heart Failure).

He aha nā hoʻokolohua diagnostics?

Hana nā kauka i kekahi mau hoʻokolohua e hoʻoholo ai inā loaʻa iā ʻoe ka puʻuwai puʻuwai congestive, i ke kahua hea ia, a he aha ke kumu maoli:

• Nā hoʻāʻo koko: Hiki i kēia ke ʻike i nā kūlana ʻē aʻe e hoʻopilikia ai i ka puʻuwai (e like me ka anemia, ka maʻi puʻupaʻa, nā pilikia thyroid) a inā ua hōʻino ʻia ka puʻuwai (ma ka nānā ʻana i kekahi mau pae enzyme).
• Catheterization Cardiac: Hana ʻia kēia e nānā i nā ālai ʻana i nā aʻa coronary o ka puʻuwai.
• X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i ka puʻuwai i hoʻonui ʻia a me ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
• ʻEchocardiogram (Echo): Ua like kēia me ke kiʻi ultrasound o ka puʻuwai. Hiki iā ia ke ʻike maopopo i nā mea he nui e like me nā keʻena o ka puʻuwai, nā valves, ka hana o nā ʻiʻo puʻuwai, a me ke ʻano o ka pamu ʻana i ke koko (ka "Ejection fraction - EF").
• MRI (Magnetic Resonance Imaging) o ka puʻuwai.
• ʻO ke kiʻi CT (Computed Tomography) o ka puʻuwai.
• Electrocardiogram (EKG a i ʻole ECG): Kōkua kēia i ka ʻike ʻana i nā mea e like me ka hana uila o ka puʻuwai a me ke ʻano o ka puʻuwai.
• ʻO ke scan MUGA (Multigated Acquisition Scan): Hiki ke hoʻohana ʻia kēia e ʻike i ke ʻano o ka pamu ʻana o ke koko i nā keʻena puʻuwai.
• Hoʻāʻo koʻikoʻi: Lawe ʻia kahi ECG i kou wā e hele ana ma luna o ka treadmill a holo paikikala paha e ʻike ai pehea e pane ai kou puʻuwai i ka hoʻoikaika kino.
• Ka hoʻāʻo ʻana i ka genetics: I kekahi manawa, ʻoiai inā he mōʻaukala ʻohana, hana ʻia kēia mau hoʻokolohua e ʻimi i nā kumu genetic.

Pehea e mālama ʻia ai ka Congestive Heart Failure?

Aia ka lāʻau lapaʻau i ke ʻano o ka hāʻule ʻana o ka puʻuwai āu i loaʻa ai, kona kumu, a me ke kahua āu e noho nei. He ʻāpana koʻikoʻi nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona o kēlā me kēia hoʻolālā lapaʻau. E kamaʻilio kāu kauka me ʻoe e pili ana i ka hoʻolālā lapaʻau maikaʻi loa nāu.

ʻO ka mea nui, ʻaʻole ia he maʻi hiki ke ho'ōla loa ʻia (ʻo ka Heart Failure). I ka wā e ʻoi aku ka ʻino, emi iho ka nui o ke koko e hoʻopuka ʻia e ka puʻuwai i nā ʻōpū, a neʻe ʻoe i ke kahua aʻe. ʻAʻole hiki iā ʻoe ke hoʻi i hope mai kēia mau kahua. No laila, ʻo ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kāohi iā ʻoe mai ka hele ʻana i ke kahua aʻe, e hoʻopaneʻe iā ia, e kāohi i nā hōʻailona a hoʻomaikaʻi i kou ʻano ola.

E nānā kākou pehea e loli ai ka lāʻau lapaʻau mai ke kahua a i ke kahua:

Lapaʻau no ke kahua A:

ʻAʻole i loaʻa i kēia poʻe ka maʻi puʻuwai, akā kiʻekiʻe ka pilikia. ʻO ia ke kumu e hana ai lākou i nā mea e hōʻemi ai i ka pilikia.

• Hoʻoikaika kino mau, e like me ka hele wāwae i kēlā me kēia lā.
• Ke hōʻole loa ʻana i nā huahana paka.
• Ka mālama ʻana i ke koko kiʻekiʻe (lāʻau lapaʻau, ʻai paʻakai haʻahaʻa, nohona hana).
• Ka mālama ʻana i nā pae cholesterol kiʻekiʻe.
• Ke pale ʻana i ka waiʻona a me nā lāʻau lapaʻau ʻole.
• Inā loaʻa iā ʻoe nā maʻi olakino ʻē aʻe e like me ka maʻi ʻaʻai coronary, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe, hiki ke kuhikuhi ʻia ʻoe i kahi Angiotensin-converting enzyme inhibitor (ACE-I) a i ʻole Angiotensin II receptor blocker (ARB).

Lapaʻau no ke kahua B:

He pilikia puʻuwai ko kēia poʻe, akā, ʻaʻohe hōʻailona.

• ʻO nā lāʻau lapaʻau a pau i ʻōlelo ʻia ma ka Māhele A.
• Inā he 40% a emi mai paha kāu `(Ejection fraction - EF)`, ʻo `(ACE-I)` a i ʻole `(ARB)` ka lāʻau lapaʻau kūpono.
• Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua a ʻo kāu EF he 40% a emi mai paha (inā ʻaʻole ʻoe e lawe nei), pono ʻoe e lawe i kahi lāʻau i kapa ʻia he beta-blocker.
• Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua a inā he 35% a emi mai paha kāu EF, pono paha ʻoe i kahi lāʻau i kapa ʻia he antagonist Aldosterone.
• I kekahi manawa, pono paha ke ʻoki kino a i ʻole nā ​​​​​​mea hana ʻē aʻe no nā kūlana e like me ka maʻi artery coronary, ka hāʻule ʻana o ka puʻuwai, ka maʻi valve (hoʻoponopono a hoʻololi paha i ka valve), a i ʻole ka maʻi puʻuwai hānau.

Lapaʻau no ke kahua C (HFrEF - no ka poʻe me ka hiki ke hoʻemi i ke kahe koko):

Loaʻa i kēia poʻe (Heart Failure) a loaʻa iā lākou nā hōʻailona.

• Nā lāʻau lapaʻau i ʻōlelo ʻia ma nā pae A a me B.
• Nā lāʻau lapaʻau (Beta-blocker) a me nā lāʻau lapaʻau (Aldosterone antagonist).
• He papa lāʻau i kapa ʻia ʻo `(Sodium-glucose transport 2 inhibitors - SGLT2i)`.
• Hoʻohana ʻia kahi lāʻau lapaʻau i hui pū ʻia i kapa ʻia ʻo "(Hydralazine/nitrate)" inā ʻaʻole nā ​​​​lāʻau ʻē aʻe e kāohi i nā hōʻailona, ​​​​ʻoi aku hoʻi i ka poʻe o ka moʻokūʻauhau ʻApelika ʻAmelika.
• Inā ʻoi aku ka nui o ka puʻuwai ma mua o 70 mau kuʻi i kēlā me kēia minuke a hoʻomau nā hōʻailona, ​​​​​​e kuhikuhi i ka lāʻau lapaʻau e hoʻohaʻahaʻa i ka helu o ka puʻuwai.
• Inā hoʻomau nā hōʻailona (ʻoiai ka pehu ʻana a me ka paʻakikī o ka hanu), hāʻawi ʻia kahi diuretic (ka mea a mākou e kapa nei he mau pila wai).
• Ke kaupalena nei i ka nui o ka paʻakai (sodium) i ka meaʻai.
• E kaupaona iā ʻoe iho i kēlā me kēia lā. Inā loaʻa a emi paha kou kaumaha ma mua o 2 kilokani (4 paona) i hoʻokahi a ʻelua paha lā, e hoʻomaopopo koke i kāu kauka .
• Pono paha ʻoe e kaupalena i ka nui o ka wai āu e inu ai i kēlā me kēia lā.
• Pono kekahi poʻe e hoʻokomo i kahi mea pacemaker kūikawā i kapa ʻia ʻo "Cardiac resynchronization therapy - CRT", a i ʻole "biventricular pacemaker".
• Ua hoʻokomo ʻia kahi mea i kapa ʻia ʻo implantable cardiac defibrillator (ICD) i loko o ka poʻe i pilikia o ka hoʻomohala ʻana i nā ʻano hewa o ka puʻuwai e hoʻoweliweli ana i ke ola.
• ʻOiai inā e hoʻomaikaʻi aʻe nā hōʻailona me ka lāʻau lapaʻau, he mea nui loa ia e hoʻomau i ka lāʻau lapaʻau e hoʻopaneʻe i ke kūlana mai ka holomua ʻana i ke kahua D.

Lapaʻau no ke kahua D:

He maʻi koʻikoʻi ko kēia poʻe (Heart Failure).

• ʻO nā lāʻau lapaʻau a pau i ʻōlelo ʻia ma nā pae A, B, a me C. Eia kekahi, ke noʻonoʻo ʻia nei nā lāʻau lapaʻau holomua hou aʻe:
• Hoʻoili puʻuwai.
• Nā mea hana mīkini e kākoʻo ana i ka puʻuwai (nā mea kōkua Ventricular - VADs)
• Nā ʻoki puʻuwai kūikawā `(ʻoki puʻuwai)`.
• Nā lāʻau inotropic intravenous hoʻomau (nā lāʻau lapaʻau e hoʻonui ai i ka ikaika o nā ʻūlū puʻuwai).
• Mālama hoʻomaha a mālama hospice paha.

Nā Pae C a me D (HFpEF - no ka poʻe me ka pilikia ʻole o ka hoʻokuʻu ʻana i ke koko mai ka puʻuwai):

I kēia hihia, ʻoiai he mea maʻamau ka hiki o ka puʻuwai ke ʻūlū (ejection fraction), aia kahi pilikia me ka puʻuwai e hoʻopiha ana me ke koko (hana diastolic) e hopena ana i ka hāʻule ʻana o ka puʻuwai.

• Nā lāʻau lapaʻau i ʻōlelo ʻia ma nā pae A a me B.
• Ke mālama ʻana i nā maʻi ʻē aʻe e hiki ai ke hoʻoulu a hoʻonui paha i ka hāʻule ʻana o ka puʻuwai (e like me ka fibrillation atrial, ke koko kiʻekiʻe, ka maʻi diabetes, ka momona, ka maʻi coronary artery, ka maʻi māmā mau loa, ka cholesterol kiʻekiʻe, ka maʻi puʻupaʻa).
• ʻO nā diuretics (nā pila wai) e hōʻemi a hōʻoluʻolu paha i nā hōʻailona.

Mai poina i ka mālama ʻana i kāu mau maʻi ʻē aʻe (diabetes, maʻi puʻupaʻa, anemia, koko kiʻekiʻe, maʻi thyroid, hānō, maʻi māmā mau) he mea nui loa ia no ka kaohi ʻana i kēia maʻi (Heart Failure) .

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

Hiki i kekahi mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao liʻiliʻi.

• Ke koko haʻahaʻa (Hypotension).
• Nā hopena ma ka hana o nā puʻupaʻa (Ka hāʻule ʻana o nā puʻupaʻa).
• ʻO ka hoʻokipa pinepine ʻana i nā haukapila, ʻoiai me nā lāʻau lapaʻau intravenous (IVs waena), hoʻonui i ka pilikia o ka maʻi.

E kamaʻilio me kāu kauka e pili ana i kēia a e hoʻomaopopo ʻia.

Pehea e hōʻemi ai i ka pilikia o (Congestive Heart Failure)?

ʻOiai ʻaʻole hiki iā mākou ke hoʻololi i nā mea e like me ka makahiki a me ka mōʻaukala ʻohana, hiki iā mākou ke hōʻemi i ko mākou pilikia o ka loaʻa ʻana o kēia maʻi (Heart Failure) ma ka hoʻololi ʻana i ko mākou nohona.

• Ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe.
• ʻAi ʻana i ka meaʻai olakino no ka puʻuwai (emi ka paʻakai, ke kō, ka ʻaila, ʻoi aku ka nui o nā mea kanu a me nā huaʻai).
• Hoʻoikaika kino mau.
• Ka mālama pono ʻana i ke kaumaha.
• Ka hoʻōki loa ʻana i ka hoʻohana ʻana i nā huahana paka.
• ʻAʻole inu waiʻona a inu iki paha.
• ʻAʻole hoʻohana i nā lāʻau lapaʻau kū ʻole i ke kānāwai.
• Inā loaʻa iā ʻoe nā maʻi olakino ʻē aʻe e hoʻonui ai i kou pilikia (e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol kiʻekiʻe), e mālama pono a kaohi iā lākou.

He aha ke ʻano o ka wā e hiki mai ana e hiki i kekahi me ka Congestive Heart Failure ke manaʻo?

Me ka mālama kūpono, nā loli o ke ʻano o ka nohona, a me ka mālama ʻana i nā ʻōlelo a kāu kauka, hiki i nā poʻe he nui ke ola i kahi ola hauʻoli ʻoiai ua loaʻa iā lākou ka Congestive Heart Failure. Aia kou wā e hiki mai ana ma luna o kēia mau mea:

• Aia ia i ka maikaʻi o ka hana ʻana o kou ʻiʻo puʻuwai.
• Ma muli o ke ʻano a me ke koʻikoʻi o kou mau hōʻailona.
• Aia ia i ka maikaʻi o kāu pane ʻana i ka hoʻolālā lapaʻau.
• Aia ia i ke ʻano o kou hahai ʻana i kāu hoʻolālā lapaʻau (lāʻau lapaʻau, ʻai, hoʻoikaika kino).

Manaʻo kekahi mau noiʻi e ola ana ka poʻe me ka puʻuwai palupalu a hiki i ka 10 mau makahiki ma lalo o ka poʻe me ka ʻole o ia mea. Akā, ʻokoʻa loa kēia mai kēlā kanaka a i kēia kanaka. No laila, ʻoi aku ka maikaʻi o ka wehe a me ka ʻoiaʻiʻo e pili ana i kou kūlana me kāu kauka. He maʻi mau ka puʻuwai palupalu a no ke ola holoʻokoʻa. Pono ia i ka mālama ʻana a me ka hoʻokele ʻana no ke ola holoʻokoʻa.

Pehea e mālama ai iaʻu iho? (Mālama ponoʻī)

I ka wā e noho ana me ka Puʻuwai Pōʻino, he mea nui loa ia e mālama iā ʻoe iho.

• E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai poina i hoʻokahi lā.
• E noho ikaika e like me ka hiki. E nīnau i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe.
• E hahai i ka papaʻai haʻahaʻa paʻakai. He kiʻekiʻe ka paʻakai i nā meaʻai i hoʻopaʻa ʻia, nā meaʻai i loko o ka pahu, a me nā meaʻai wikiwiki.
• E nānā i kou kaumaha i kēlā me kēia lā. Inā ʻike ʻoe i ka piʻi koke ʻana o ke kaumaha (e laʻa, 1-2 paona i hoʻokahi a ʻelua paha lā), e haʻi i kāu kauka .
• Inā ʻike ʻia nā hōʻailona hou, a inā ʻoi aʻe ka ʻino o nā hōʻailona e kū nei, e hoʻomaopopo koke i kāu kauka .
• E hōʻoia e hele i ke kauka i nā manawa hoʻopaʻa i hoʻonohonoho ʻia.
• No ka mea, he maʻi kēia e hiki ke make, he manaʻo maikaʻi e hoʻomaopopo i kāu kauka a me kou ʻohana i kāu mau makemake e pili ana i kāu mālama olakino (e laʻa, inā makemake ʻoe i ka mālama ola/hoʻokipa ʻia). Hiki ke hana ʻia kēia ma ka hoʻopiha ʻana i kahi "kuhikuhi mua" a i ʻole "palapala kauoha ola". He mea naʻauao ke hoʻomākaukau i kēia ʻoiai ʻoe e noʻonoʻo pono ana inā ʻaʻole hiki iā ʻoe ke hana i kēia mau hoʻoholo ma kahi lā ma hope.

He aha nā mea hiki ʻole iā ʻoe ke ʻai a inu pū me (Congestive Heart Failure)?

Pono ka nui o ka poʻe me ka puʻuwai hāʻule e kaupalena i kā lākou ʻai paʻakai i kēlā me kēia lā. Pono paha kekahi poʻe e kaupalena i kā lākou ʻai wai (e like me ka wai, ke kī, ka sopa). E aʻo aku kāu kauka a meaʻai meaʻai paha iā ʻoe ma kēia.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa e haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona o ka hāʻule ʻana o ka puʻuwai. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā pilikia ʻoe i ka hanu ʻana ʻoiai i ka wā e hoʻomaha ai.
• Inā piʻi ka pehu ma nā wāwae, nā kuʻekuʻe wāwae, a i ʻole ka ʻōpū.
• Inā piʻi koke kou kaumaha (ʻoi aku ma mua o 1-2 kg i hoʻokahi a ʻelua paha lā).
• Inā ʻoe e luhi mau a hiamoe hoʻi.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā e ʻoi aku ka ʻino o kou puʻuwai (e laʻa me ka pōkole nui o ka hanu, ka ʻeha nui o ka umauma), pono ʻoe i ka mālama koke. Ua kapa ʻia kēia e nā kauka he acute decompensated heart failure . I kēia hihia, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau a me ka oxygen e kōkua i ka hoʻomaikaʻi ʻana i kou kūlana. ʻO ka hiki koke ʻana i ka haukapila me ka hoʻonele ʻole i ka manawa hiki ke hoʻōla i ke ola.

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

Ke hele ʻoe e ʻike i ke kauka, mai makaʻu e nīnau i nā nīnau e pili ana i kou manaʻo.

• "He aha ke kahua o (Congestive Heart Failure) i loaʻa iaʻu?"
• "He aha ka lāʻau lapaʻau maikaʻi loa noʻu i kēia wā?"
• "He aha kekahi mau hoʻoikaika kino palekana hiki iaʻu ke hana? Pehea ka lōʻihi e pono ai iaʻu ke hana?"
• "He aha nā hoʻololi e pono iaʻu e hana i kaʻu meaʻai?"
• "Aia kekahi mau hui kākoʻo no ka poʻe me (Congestive Heart Failure)?"
• "He aha kaʻu e hana ai inā e ʻoi aku ka ʻino o koʻu mau hōʻailona?"

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAʻohe mea e makaʻu ai i ka Congestive Heart Failure, akā ʻaʻole hoʻi ia he mea e lawe māmā ʻia. Inā loaʻa iā ʻoe kēia maʻi, nui nā mea hiki iā ʻoe ke hana e hoʻomaikaʻi ai i ke olakino o kou puʻuwai.

• E lawe i kāu lāʻau lapaʻau me ka pololei a me ka manawa kūpono.
• E ʻai i nā meaʻai haʻahaʻa ka paʻakai a olakino hoʻi no ka puʻuwai.
• E noho hana e like me ka hiki.
• E nānā i kou kaumaha i kēlā me kēia lā a e makaʻala i nā loli koke.
• E hōʻoia e hele i ke kauka i nā lā i hoʻonohonoho ʻia.
• E mālama i kahi moʻolelo o kāu mau hōʻailona a haʻi i kāu kauka inā e ʻoi aku ka ʻino.

Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu lāʻau lapaʻau, nā loli o ke ʻano o ka nohona, a i ʻole kekahi mea ʻē aʻe i kāu hoʻolālā lapaʻau, e kamaʻilio ākea me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe e hoʻokele i kēia kūlana a ola i ke ola maikaʻi loa. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi!

`Hoʻouka puʻuwai, hoʻouka puʻuwai, maʻi puʻuwai, ʻeha umauma, paʻakikī ka hanu ʻana, hāʻule ʻana o ka puʻuwai paʻa, hana naʻau nāwaliwali, pehu o nā wāwae