Hiki i kou puʻuwai ke loaʻa i kahi maʻi? (Maʻi Puʻuwai) E kamaʻilio kākou e pili ana i kēia!

Ke loaʻa iā kākou ke anu a i ʻole ka maʻi palū, ʻōlelo mākou "he maʻi ʻāʻī." I kekahi manawa hiki i kahi ʻeha ke pala a lilo i maʻi. Akā ua manaʻo paha ʻoe e hiki i kekahi o nā ʻōpū koʻikoʻi loa i loko o ko kākou kino, ʻo ka puʻuwai, ke loaʻa pū kekahi maʻi e like me kēia? ʻAe, hiki nō. ʻOiai he mea weliweli iki kēia, he mea nui loa ka ʻike ʻana i kēia no ka pale ʻana i kou ola a me ke ola o kāu poʻe aloha. No laila e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo i kēia lā.

He aha maoli ka maʻi puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka maʻi puʻuwai ke komo nā germs (microbes) e like me ka bacteria, viruses, a i ʻole fungi i loko o kou puʻuwai a hōʻino i kona mau ʻāpana. Ke komo kēia mau germs i loko o ka puʻuwai, hoʻomaka kēlā mau ʻāpana o ka puʻuwai e pehu, ʻulaʻula, a hōʻino ʻia paha. E like me ka ʻeha ma ko kākou ʻili e pehu ana, hana ʻia kekahi mea like i loko o ka puʻuwai.

ʻO nā ʻāpana nui o ka puʻuwai i hiki ke hōʻino ʻia e kēia mau maʻi:

• Myocardium: ʻO kēia ka ʻiʻo nui o ka puʻuwai. Kōkua kēia ʻāpana i ka puʻuwai.
• Nā kiwikā puʻuwai: Nā ʻāpana e like me ka puka i loko o ka puʻuwai e kōkua ai i ke kahe ʻana o ke koko i hoʻokahi ala wale nō.
• Endocardium: ʻO ka membrane lahilahi e hoʻopaʻa ana i loko o nā keʻena puʻuwai.
• ʻO Pericardium: ʻO ka ʻāpana e like me ke ʻeke e hoʻopuni ana i ka puʻuwai mai waho a pale iā ia.

He aha nā ʻano maʻi puʻuwai?

ʻEkolu mau ʻano nui o nā maʻi puʻuwai. Hoʻopilikia kēlā me kēia i kahi ʻāpana ʻokoʻa o ka puʻuwai. No ka hoʻomaopopo pono ʻana i kēia mau mea, e nānā i ka papa ma lalo.

ʻO wai ka mea i ʻoi aku ka pilikia?

ʻAʻole paha e loaʻa i ke kanaka olakino maʻamau kahi maʻi puʻuwai koʻikoʻi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe ma mua o nā poʻe ʻē aʻe. ʻO kēia mau mea:

• ʻO nā kānaka ma luna o 65 mau makahiki.
• ʻO ka poʻe i hana mua ʻia i ke ʻoki puʻuwai.
• ʻO ka poʻe e hoʻokomo i nā lāʻau lapaʻau ma ke ʻano intravenous (i loko o nā aʻa).

He aha ke kumu o nā maʻi puʻuwai?

ʻO nā ʻano maʻi ʻekolu a mākou i kūkākūkā ai ma mua, ua hoʻokumu ʻia e nā mea like ʻole. E nānā kākou i kēlā me kēia.

Nā kumu o ka Endocarditis

ʻO ke kumu nui o kēia kūlana, ʻo ia ka wā e komo ai nā bacteria mai kahi ʻē aʻe o ke kino i ke kahe koko a hele i ka puʻuwai. E noʻonoʻo, komo nā bacteria i loko o ko kākou waha i loko o ke kahe koko a hele i ka puʻuwai. Eia kekahi mau hiʻohiʻona hiki ke hana ʻia:

• Ka hoʻomaʻemaʻe waha maikaʻi ʻole: Inā ʻaʻole ʻoe e palaki pono i kou mau niho, hiki i ka bacteria ke komo i ke kahe koko ma o ka maʻi ʻāʻī a me ke kahe ʻana o ke koko.
• Nā lāʻau lapaʻau niho: Ke unuhi ʻia kahi niho a hoʻomaʻemaʻe ʻia paha nā niho, ʻoki ʻia nā ʻāʻī, e ʻae ana i ka bacteria e komo i ke kahe koko.
• Ka hoʻohana ʻana i nā catheters: Hiki i nā bacteria ke komo i loko o ke kino ma o nā ʻōmole (catheters) i hoʻohana ʻia e wehe i nā wai mai ke kino a i ʻole e hoʻokomo i nā wai i loko.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau intravenous: Hiki i nā bacteria ke komo pololei i ke kahe koko, ʻoiai ke kaʻana like ʻana i nā nila a me nā syringe i maʻemaʻe ʻole.

Nā kumu o ka Pericarditis

Nui nā kumu no kēia kūlana. ʻO nā mea nui:

• Nā maʻi viral: Hiki ke hana ʻia e nā maʻi hanu e like me ke anu a me ka maʻi palū, a i ʻole nā ​​​​maʻi gastrointestinal.
• Nā maʻi bacteria: Hiki ke hana ʻia kēia e nā maʻi bacteria e like me ka maʻi puʻupuʻu.
• Nā maʻi fungal a me nā parasitic: He mea kākaʻikahi kēia.
• Nā maʻi autoimmune:Nā maʻi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino i kāna mau hunaola ponoʻī. ʻO nā laʻana e komo pū me nā maʻi e like me ka lupus, ka rheumatoid arthritis, a me ka scleroderma.
• Nā kumu ʻē aʻe: ʻEha i ka umauma (e.g., kahi ulia kaʻa), ka hāʻule ʻana o nā puʻupaʻa (uremic pericarditis), nā ʻōpū, a me kekahi mau maʻi hoʻoilina.

Nā kumu o ka Myocarditis

Hiki i nā kumu like ʻole ke kumu i ka pehu ʻana o ka ʻiʻo puʻuwai.

• Nā maʻi viral: ʻO nā mea nui ka maʻi e hoʻoulu ai i ka COVID-19, ka maʻi e hoʻoulu ai i ka coxsackievirus, parvovirus, adenovirus, a me ka hepatitis C.
• Nā maʻi bacteria: ʻO nā bacteria e like me Streptococcus, ka mea e hoʻoulu ai i nā maʻi ʻāʻī, Staphylococcus, ka mea e hoʻoulu ai i nā maʻi ʻili, a me nā bacteria i hoʻouna ʻia e nā ʻuku.
• Nā maʻi fungal: mai ka hū, ka ʻōpala, a me nā fungi i loaʻa i loko o nā ʻōpala manu.
• Nā hopena maʻi i nā lāʻau lapaʻau: He hopena maʻi i kekahi mau antibiotics, nā lāʻau hopu, a me nā lāʻau anti-cancer.
• Pāhawewe: Ma ke ʻano he hopena ʻaoʻao o ka lāʻau lapaʻau radiation no ka maʻi kanesa.

He aha nā hōʻailona o kēia mau maʻi?

Hiki ke ʻokoʻa nā hōʻailona o ka maʻi puʻuwai ma muli o ke ʻano o ka maʻi a mai kēlā kanaka a kēia kanaka. Eia nō naʻe, he nui nā hiʻohiʻona maʻamau o kēia mau maʻi.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, ​​e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a inā he maʻi puʻuwai kekahi o kou ʻohana. A laila e hoʻolohe ʻo ia i kou puʻuwai me kahi stethoscope e nānā i nā leo ʻē aʻe (nā murmurs puʻuwai).

ʻO kekahi o kēlā mau hoʻokolohua:

• Nā hoʻāʻo koko: Hiki i kēia ke nānā i kou koko no nā hōʻailona o ka maʻi (e laʻa, ka hoʻonui ʻia o ka helu o nā sela koko keʻokeʻo) a me nā pae kiʻekiʻe o nā protein mumū e hōʻike ana i ka mumū i loko o ka puʻuwai.
• X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i nā loli i ka nui a i ʻole ke ʻano o ka puʻuwai, a i ʻole no ka hōʻiliʻili ʻana o ka wai a puni ka puʻuwai.
• ʻO CT scan a i ʻole MRI scan: Hiki i kēia ke lawe i nā kiʻi 3D kikoʻī o ka puʻuwai a hōʻike maopopo i kekahi pehu, mānoanoa, a i ʻole nā ​​​​loli ʻē aʻe.
• ʻO ke catheterization cardiac/biopsy puʻuwai: I kekahi mau hihia koʻikoʻi, hiki i ke kauka ke hoʻokomo i kahi paipu liʻiliʻi loa (catheter) ma o kahi aa koko i loko o ka puʻuwai a lawe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo (biopsy) mai ka ʻiʻo puʻuwai e nānā ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu pololei o ka maʻi.

Pehea e mālama ʻia ai?

ʻO ka lāʻau lapaʻau no ka maʻi puʻuwai e pili ana i ke kumu o ka maʻi a me ke koʻikoʻi o nā hōʻailona. I ka hapanui o nā hihia, hiki ke hoʻomalu ʻia kēia mau kūlana me ka lāʻau lapaʻau.

Nā ʻano lāʻau i hoʻohana ʻia no ka mālama ʻana:

• Nā lāʻau antibiotic no nā maʻi bacteria.
• Nā lāʻau antifungal no nā maʻi fungal.
• ʻO Colchicine a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAIDs) e hōʻemi i ka pehu.
• ʻO Corticosteroids inā he pehu nui.
• Nā lāʻau lapaʻau no ka maʻi puʻuwai a me nā lāʻau lapaʻau no ke koko kiʻekiʻe e kōkua ai i ka hana a ka puʻuwai.

I kekahi mau hihia koʻikoʻi, inā ʻaʻole hiki i ka lāʻau lapaʻau wale nō ke hōʻoluʻolu, pono paha ke ʻoki kino . Inā ua hōʻino nui ka maʻi i nā kiwikā o ka puʻuwai, pono paha ke ʻoki kino o ka kiwikā o ka puʻuwai , a inā ua hōʻino nui ʻia ka puʻuwai ponoʻī , pono paha ke hoʻoili puʻuwai .

He aha nā kūlana koʻikoʻi e hiki ke hana inā ʻaʻole mālama ʻia?

ʻAʻole he mea hoʻohenehene ka maʻi puʻuwai. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e hoʻoweliweli ana i ke ola.

• ʻO ka embolism pulmonary kahi ʻaʻa koko i loko o kahi aʻa i loko o nā māmā.
• Ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.
• Ka hāʻule ʻana o ka puʻuwai.
• Ka hāʻule ʻana o nā puʻupaʻa.
• Ka helu puʻuwai kūpono ʻole (arrhythmias).
• Make koke ʻana o ka puʻuwai.

No laila, he mea nui loa e ʻimi koke i ke kōkua lapaʻau inā loaʻa nā hōʻailona.

Pehea ʻoe e pale ai iā ʻoe iho mai ia mau maʻi?

ʻOiai ʻaʻole hiki iā mākou ke pale aku i kekahi mau maʻi, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• E holoi pinepine i kou mau lima me ke kopa: ʻO kēia ke ala maikaʻi loa a maʻalahi hoʻi e pale aku ai iā ʻoe iho mai nā germs.
• E mālama i kou maʻemaʻe waha a me kou niho: E palaki pono i kou mau niho i kēlā me kēia lā. E ʻike pinepine i ke kauka niho no ka nānā ʻana i kou mau niho.
• E kiʻi i nā lāʻau pale i ʻōlelo ʻia: ʻO ka loaʻa ʻana o nā lāʻau pale i ʻōlelo ʻia no nā maʻi e like me ka maʻi flū a me COVID-19 hiki ke pale iā ʻoe mai nā maʻi viral.
• E hōʻalo i ka hoʻohana ʻana i nā lāʻau lapaʻau: E hoʻōki loa i ka hoʻohana ʻana i nā lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau intravenous.
• E noho mamao aku mai nā poʻe me nā maʻi viral: E akahele iki inā aia kekahi me ka maʻi e like me ke kuni a i ʻole ke anu.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​e ʻike koke i kāu kauka. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hoʻokaʻulua a e ʻimi koke i ke kōkua lapaʻau. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Inā ʻoe e paʻakikī ana i ka hanu ʻana a i ʻole ka pōkole o ka hanu.
• Inā ʻoe e manaʻo nei i ka luhi hiki ʻole ke hoʻomanawanui .
• Inā nalowale kou ʻike a i ʻole he maule.
• Inā ʻaʻole e ho'ōla ʻia kahi ʻoki a ʻeha paha ma ka ʻili .

I kēlā me kēia manawa āu e ʻike ai i ke kauka a kauka niho hou paha, mai poina e haʻi iā lākou inā ua loaʻa iā ʻoe kahi maʻi puʻuwai. E kōkua kēia iā lākou e mālama maikaʻi i kou olakino.