Ua like ko kākou mau puʻuwai me nā ʻenekini liʻiliʻi e hana mau ana, ʻeā? Akā, ʻaʻole mākou e noʻonoʻo nui i nā puka liʻiliʻi i loko o kēia ʻenekini, ʻo ia hoʻi nā 'valves'. Inā ʻaʻole hana pono kēia mau valves, hiki iā ia ke hoʻopilikia i ko mākou kino holoʻokoʻa. ʻO ia ka mea a mākou e kapa nei he maʻi valve puʻuwai. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi a me ke ʻano aloha.
I ka ʻōlelo maʻalahi, he aha ka valve puʻuwai?
E noʻonoʻo ʻoe aia kekahi mau puka i loko o kou hale e wehe wale ana i hoʻokahi ala. Pēlā nā kiwikā o kou puʻuwai. ʻEhā mau keʻena nui o ko kākou puʻuwai. Aia kēia mau kiwikā ma waena o kēia mau keʻena a ma waena o nā aʻa nui e lawe ana i ke koko mai loko mai o ka puʻuwai. I kēlā me kēia manawa e paʻi ai ka puʻuwai, wehe a pani kēia mau kiwikā, e kōkua ana i ke koko e kahe i ke ala like, pololei.
ʻEhā mau kiwikā nui i loko o ko kākou puʻuwai:
- Tricuspid Valve: Ma waena o ka atrium ʻākau a me ka ventricle ʻākau.
- Kiwikā pulmonary : Ma waena o ka ventricle ʻākau a me ke aʻa pulmonary .
- ʻO ka valve mitral: Ma waena o ka atrium hema a me ka ventricle hema .
- ʻO ka valve aortic: Ma waena o ka ventricle hema a me ke aʻa nui (aorta) e lawe ana i ke koko i ke kino.
Hoʻomaka nā pilikia ke wehe ʻole a pani pono ʻole nā laulā palupalu a i ʻole nā cusps i loko o kēia mau valves.
He aha nā ʻano nui o ka maʻi valve puʻuwai?
Hiki ke nīnau ʻia kēia mau nīnau ma nā ʻano nui ʻekolu.
1. Stenosis: He ʻano haiki a ʻano haiki paha kēia o ka valve. Ua like ia me ka puka i wehe ʻole ʻia. ʻO kēia ke kumu e pono ai ka puʻuwai e hana ikaika ma mua o ka maʻamau e pamu i ke koko i mua.
2. Regurgitation: ʻO kēia ka wā e liki ai ka valve . Ua like ia me ka puka i hiki ʻole ke pani pono a ua wehe iki ʻia. A laila, ua liki kekahi o ke koko e pono e hele i mua i hope. Hoʻoikaika pū kēia i ka puʻuwai e hana ikaika. ʻO ke kumu maʻamau o kēia he kūlana i kapa ʻia ʻo Mitral Valve Prolapse .
3. Atresia: He kūlana koʻikoʻi kēia. ʻO ia hoʻi , ʻaʻole i loaʻa kahi valve i ka wā hānau . He kīnā hānau pinepine kēia.
He aha paha ke kumu o kēia kūlana?
Hiki i nā kumu like ʻole ke kōkua i ka maʻi valve puʻuwai.
- Nā kīnā hānau:Ua hānau ʻia kekahi poʻe me kahi kīnā valve e like me kēia.
- Fiva Rheumatic : Inā ʻaʻole mālama pono ʻia ka ʻāʻī strep i ka wā kamaliʻi, hiki iā ia ke hōʻino i nā valves o ka puʻuwai ma hope. He kumu maʻamau kēia ma ko mākou ʻāina.
- Endocarditis: He maʻi koʻikoʻi e komo i loko o ke koko a hōʻino i ka uhi o ka puʻuwai a me kona mau valves. ʻO nā mea e like me ka hoʻohana ʻana i ka lāʻau lapaʻau intravenous e hoʻonui i ka pilikia o kēia.
- Nā maʻi puʻuwai ʻē aʻe: ʻO nā kūlana e like me ke koko kiʻekiʻe , ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, a me nā waihona momona i loko o nā kīʻaha koko nui (atherosclerosis) hiki ke hōʻino i nā valves.
- Ka ʻelemakule ʻana: I ko kākou wā ʻelemakule, hiki i nā waihona calcium ke kūkulu ʻia ma luna o nā valves, e hoʻopaʻa ai iā lākou a hana ʻole.
- Nā kūlana olakino ʻē aʻe: Hiki ke hoʻopilikia ʻia nā maʻi Autoimmune e like me ka lupus a me ka radiation therapy no ka maʻi ʻaʻai i kekahi manawa.
He aha nā hōʻailona o kēia maʻi?
I nā manawa he nui, ʻaʻohe paha he mau hōʻailona i nā pae mua. I kekahi manawa, ʻo nā hōʻailona e ʻike ʻia ana e like me ka ʻelemakule maʻamau. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona.
| Maʻi | Nā hōʻailona maʻamau |
|---|---|
| Nā mākua |
|
| Nā keiki hānau hou a me nā kamaliʻi ʻōpio |
ʻO ka mea nui, ʻo ka nele o nā hōʻailona ʻaʻole ia he manaʻo ʻaʻole koʻikoʻi ka maʻi. No laila, he mea naʻauao ke kiʻi i kahi hoʻokolokolo lapaʻau inā he mau mea pilikia.
Pehea e ʻike ai ke kauka i kēia maʻi?
E hahai ana kāu kauka i kekahi mau ʻanuʻu e ʻike ai i kēia maʻi.
1. Ke kamaʻilio ʻana e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino: Ke nīnau nei e pili ana i ka ʻoluʻolu ʻole āu e manaʻo nei a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like.
2. Hoʻokolokolo kino: E hoʻolohe ʻia kou puʻuwai me kahi stethoscope. Ke liki a paʻa paha nā valves, hiki ke lohe ʻia kahi leo ʻokoʻa i kapa ʻia ʻo 'murmur'.
3. Nā hoʻokolohua kūikawā:
- Echocardiogram (Echo): ʻO kēia ka hoʻāʻo koʻikoʻi a maʻamau. Ua like ia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke ʻike maopopo i ke ʻano o nā valves, kā lākou hana, a me ke ʻano o ke kahe ʻana o ke koko.
- ECG (Electrocardiogram): Hoʻāʻo kēia i ka hana uila o ka puʻuwai e nānā i nā ʻano ʻē i loko o ka puʻuwai.
- X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i ka puʻuwai i hoʻonui ʻia a me ka wai i loko o nā māmā.
- Hoʻāʻo Koʻikoʻi: Hoʻāʻo kēia i ka hana ʻana o kou puʻuwai i kou wā e hoʻoikaika kino ai (e hele ana ma luna o ka treadmill).
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka lāʻau lapaʻau e pili ana i ke ʻano a me ke koʻikoʻi o ka maʻi.
Nā loli o ke ʻano o ka nohona
ʻO ka mea mua, e aʻo aku ke kauka iā ʻoe e lawe i kahi nohona olakino.
- Ka ʻai ʻana i nā meaʻai olakino no ka puʻuwai.
- E hōʻole loa i ka puhipaka.
- Hoʻoikaika kino mau.
- Ka hoʻomalu ʻana i ke kaumaha.
- Ka hoʻokele pilikia.
Lāʻau lapaʻau
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau like ʻole e kāohi i nā hōʻailona a hōʻemi i ke kaumaha ma kou puʻuwai.
- Nā lāʻau diuretic: Kāhea mākou iā lākou he "nā pila wai." Hoʻopau lākou i ka wai keu mai ke kino a hōʻemi i ka pehu.
- Nā mea pale Beta:Hoʻomalu i ka helu o ka puʻuwai.
- Nā mea hoʻopaʻa i ka enzyme hoʻololi-angiotensin (ACE inhibitors): E hōʻemi i ka ukana hana ma ka puʻuwai.
- Nā Anticoagulants: ʻIke ʻia hoʻi he "nā mea hoʻomāmā koko," pale lākou i ke koko mai ka ʻaʻa ʻana.
ʻOki ʻana a me nā Kaʻina Hana
Inā ʻaʻole hiki ke kaohi ʻia ke kūlana me nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino.
1. Hoʻoponopono Valve: I nā manawa hiki, hoʻāʻo nā kauka e hoʻoponopono i ka valve e kū nei. Nui nā ʻano hana no kēia, e like me ka "Valvuloplasty".
2. Hoʻololi i ka Valve: Inā ʻaʻole hiki ke hoʻoponopono ʻia, wehe ʻia ka valve a hoʻokomo ʻia kahi valve hana ma kona wahi.
| ʻAno kiwikā | Nā Pōmaikaʻi a me nā Pōʻino |
|---|---|
| Kiwikā Mekanika (Hana ʻia me ka metala) | Pōmaikaʻi: Paʻa loa. Hiki ke hoʻohana ʻia no nā makahiki. ʻO ka hemahema: Pono ʻoe e lawe i nā anticoagulants no ke koena o kou ola. A i ʻole, hiki ke hana ʻia nā clots koko ma ka valve a hana i kahi stroke. |
| Kiwikā Olaola (Hana ʻia mai nā ʻiʻo holoholona) | Pōmaikaʻi: ʻAʻole pono ka hapa nui o ka poʻe e lawe i nā lāʻau hoʻokahe koko no ke koena o ko lākou ola. ʻO ka hemahema: ʻAʻole e mau e like me nā kiwikā mechanical. Pono paha e hoʻololi hou ʻia ma kahi o 10-15 mau makahiki. |
E kūkākūkā kāu kauka a me ke kauka ʻoki me ʻoe i ke ʻano hana kūpono loa iā ʻoe.
Leka Lawe-Home
- He maʻi koʻikoʻi ka maʻi kīwila puʻuwai, akā he maʻi i kāohi maikaʻi ʻia me ka mālama kūpono .
- Nā hōʻailona e like me ka hanu pōkole, ka ʻeha o ka umauma, ka luhi pinepine, a me ka pehu ʻana o ka wāwaeMai hoʻowahāwahā iā ia. E ʻike koke i kāu kauka.
- Inā loaʻa iā ʻoe ka maʻi valve puʻuwai, e hahai i nā ʻōlelo a kāu kauka a e hana i nā nānā maʻamau. Mai hōʻole i nā nānā ʻana inā ʻaʻohe ou hōʻailona.
- E lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka me ka pololei a me ka manawa kūpono.
- Ke ʻike ʻoe i kekahi kauka a kauka niho paha, e hoʻomaopopo pono iā lākou he maʻi valve puʻuwai kou.
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