Ua like kou puʻuwai me kahi motika kupaianaha e hana mau ana. ʻO ka hana nui o kēia motika, ʻo ia ke kaomi ʻana i ke koko ma kou kino holoʻokoʻa. E noʻonoʻo wale, no ka hana pono ʻana o kēia hana, pono ke kahe mau o ke koko ma ke ala like, pololei. ʻAʻole hiki ke kahe i hope. No ka hana pono ʻana i kēlā hana, aia kahi ʻōnaehana kupaianaha o nā puka i loko o ka puʻuwai. I ka lāʻau lapaʻau, kapa mākou i kēia mau puka he mau puka puʻuwai . I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia mau puka liʻiliʻi, akā he mea pono no kou ola.
Pehea e hana ai nā valves i loko o ka puʻuwai? He ʻano hana kupaianaha maoli!
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ka Aufbau, a i ʻole ke ʻano o ka puʻuwai. Ua like kou puʻuwai me kahi hale me ʻehā lumi. ʻElua lumi ma luna a ʻelua lumi ma lalo. Kāhea mākou i kēia mau mea ʻo Atria a me Ventricles.
- Lumi luna ma ka ʻaoʻao ʻākau: Atrium ʻākau
- Keʻena haʻahaʻa ma ka ʻaoʻao ʻākau: Ventricle ʻākau
- Keʻena luna ma ka hema: Atrium hema
- Keʻena haʻahaʻa ma ka ʻaoʻao hema: Ventricle hema
I kēia manawa, ma waena o kēia mau keʻena, a ma waena o nā kīʻaha koko nui e lawe ana i ke koko i waho o nā keʻena, aia nā valves, a i ʻole nā puka ʻehā. Hana ʻia kēia mau mea me nā ʻiʻo lahilahi akā ikaika loa. Kāhea pū mākou i kēia mau leaflets a i ʻole cusps.
E noʻonoʻo pehea e hele ai kahi kulu koko ma kou kino.
1. ʻO ka mea mua, ʻo ke koko i hoʻohana ʻia i loko o ke kino a ua pau ka oxygen (e kapa kākou he koko polū no ka maʻalahi o ka hoʻomaopopo ʻana), hele mai ia mai nā wahi a pau o ke kino a hōʻiliʻili i loko o ke keʻena luna ma ka ʻaoʻao ʻākau, ʻo ia hoʻi, ka atrium ʻākau .
2. A laila, wehe ʻia ka valve mua, ʻo ia hoʻi ka valve tricuspid . A laila, kahe ke koko ma ke keʻena luna i loko o ke keʻena haʻahaʻa, ʻo ia hoʻi ka ventricle ʻākau . Ma hope o ke komo ʻana o ke koko, pani paʻa kēia valve, ʻaʻole e ʻae i ke koko e kahe hou i luna.
3. I kēia manawa, ʻūlū ikaika ka ventricle ʻākau, ʻo ia hoʻi ke kaomi ʻana, a hoʻokuke i kēia koko nele i ka oxygen ma o ka lua o ka valve. ʻO ia ka valve pulmonary . Hele pololei kēia koko i nā māmā. No ke aha? No ka loaʻa ʻana o ka oxygen.
4. I loko o nā māmā, ua hoʻopiha maikaʻi ʻia kēia koko me ka oxygen . I kēia manawa, he koko ʻulaʻula hou kēia koko, ua hoʻopiha ʻia me ka oxygen. Hoʻi kēia koko i ka puʻuwai. Akā i kēia manawa, hele mai ia i ka ʻaoʻao hema.
5. Hōʻiliʻili kēia koko waiwai i ka oxygen ma ke keʻena luna ma ka ʻaoʻao hema, ʻo ia hoʻi, ka atrium hema .
6. A laila, wehe ʻia ke kolu o ka valve, ʻo ia hoʻi ka mitral valve . A laila, kahe ke koko momona i ka oxygen mai ke keʻena o luna i loko o ke keʻena o lalo, ʻo ia hoʻi ka ventricle hema . ʻO kēia ke keʻena ikaika loa i loko o ka puʻuwai.
7. ʻO ka hope loa, e pamu ikaika loa ka ventricle hema. A laila e wehe ʻia ka valve ʻehā a koʻikoʻi loa, ʻo ia hoʻi ka valve aortic.Ke wehe ʻia, e hoʻokuʻu ʻia kēia koko waiwai i ka oxygen i loko o ka aorta, ke kīʻaha koko nui loa o ke kino. Mai laila mai, e hoʻolaha ʻia ke koko ma kou kino holoʻokoʻa, mai kou poʻo a i kou mau manamana wāwae.
ʻO ke kani "lub-dub" āu e lohe ai i loko o kou puʻuwai, ʻo ia ke kani o kēia mau kīʻaha ʻehā e wehe ana a pani ana ma ke kaʻina. ʻAʻole anei he mea kupaianaha?
ʻO nā valves ʻehā i loko o ka puʻuwai a me kā lākou hana
E nānā kākou i kēia mau kiwikā ʻehā me nā kikoʻī hou aku. Loaʻa i kēlā me kēia o lākou kahi kūikawā, ke ʻano, a me ka hana.
| Inoa o ka valve | Kahi a me ka hana |
|---|---|
| Kiwikā Tricuspid | ʻEkolu ona mau kiwikā. Aia ia ma waena o ka atrium ʻākau (keʻena luna) a me ka ventricle ʻākau (keʻena lalo). ʻO kāna hana, ʻo ia ke ʻae i ke koko nele i ka oxygen mai ke kino e kahe mai luna a i lalo a pale iā ia mai ke kahe hou ʻana i luna. |
| Kiwikā Pulmonary | ʻEkolu hoʻi ona mau kiwikā. Aia ia ma waena o ka ventricle ʻākau (keʻena haʻahaʻa) a me ke aʻa pulmonary e lawe ana i ke koko i nā māmā. ʻO kāna hana, ʻo ia ke ʻae i ke koko e hoʻokuʻu ʻia mai ka ventricle ʻākau a i nā māmā a pale i ke koko mai ke kahe ʻana i loko o ka puʻuwai. |
| Kiwikā Mitral | ʻElua ona kiwikā. Aia ia ma waena o ka atrium hema (keʻena luna) a me ka ventricle hema (keʻena lalo). ʻO kāna hana ke pamu i ke koko waiwai oxygen mai nā māmā mai luna a i lalo, a e kāohi iā ia mai ka piʻi hou ʻana i luna. |
| Kiwikā Aorta | ʻEkolu ona mau kiwikā. ʻO kēia ka puka nui o ka puʻuwai. Aia ia ma waena o ka ventricle hema (keʻena haʻahaʻa) a me ka aorta, ke aʻa nui e lawe ana i ke koko i ke kino holoʻokoʻa. ʻO kāna hana koʻikoʻi loa, ʻo ia ka ʻae ʻana i ke koko e hoʻokuʻu ʻia mai ka puʻuwai a i ke kino holoʻokoʻa a e hoʻōki loa i kēlā koko mai ke kahe ʻana i loko o ka puʻuwai. |
He aha nā maʻi e hiki ke hoʻopilikia i nā valves o ka puʻuwai?
I kekahi manawa, ʻaʻole hana pono kēia mau kiwikā. ʻO ke ʻano kēia, pono ka puʻuwai e hana ikaika ma mua o ka maʻamau e pamu i ke koko e pono ai ke kino. I ka hala ʻana o ka manawa, hiki i ka puʻuwai ke lilo i mea kaumaha.
Aia kekahi mau kumu e pilikia ai ka valve:
- Ka ʻelemakule: I ko kākou wā ʻelemakule, hiki i kēia mau valves, e like me nā ʻāpana ʻē aʻe o ke kino, ke loli.
- Maʻi puʻuwai hānau: Hānau ʻia kekahi poʻe me kekahi mau kīnā valve (no ka laʻana, ka emi ʻana/ka piʻi ʻana o ka helu o nā valve, kahi loli i ko lākou ʻano). Kāhea mākou i kēia (Maʻi puʻuwai hānau) .
- Nā maʻi: Hiki i kekahi mau maʻi bacteria ke hōʻino pololei i nā valves o ka puʻuwai.
- Nā kūlana olakino ʻē aʻe: ʻO nā kūlana e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā maʻi puʻuwai ʻē aʻe hiki ke hōʻino i nā valves.
ʻEkolu mau ʻano nui o nā pilikia valve e hiki ke hoʻopilikia i kekahi valve.
| ʻO ke ʻano o ka pilikia | I ka ʻōlelo maʻalahi... |
|---|---|
| Leakage (Regurgitation) | Ua like kēia me ka puka i pani pono ʻole ʻia. ʻAʻole pani pono ka valve, no laila e kahe hou ana kekahi koko. Ua kapa ʻia hoʻi kēia he "leaking heart valve." ʻO ka mitral valve prolapse kahi hihia kūikawā o kēia maʻi. |
| Stenosis | Ua like kēia me ka puka i hiki ʻole ke wehe piha no ka mea ua popo nā hinges. Lilo nā ʻaoʻao o ka valve i mānoanoa, ʻoʻoleʻa, a i ʻole pili pū kekahi, no laila ʻaʻole e wehe piha ka valve. A laila lilo ka hakahaka no ke koko e kahe ma o lākou i haiki. Pono ka puʻuwai e hana ikaika e hoʻokuke i ke koko i waho. |
| ʻAtresia | He maʻi hānau ʻia kēia he mea laha ʻole loa. Ua kapa ʻia ia no ka ʻoiaʻiʻo ʻaʻole i hoʻokumu ʻia kahi kiwikā i ka wā hānau, e like me ka paia kahi e pono ai ke puka. |
Pehea ʻoe e ʻike ai inā he pilikia me kahi valve? He aha nā hōʻailona?
ʻO ka mea kupanaha, he pilikia paha kekahi poʻe me kekahi o ko lākou mau kiwikā puʻuwai akā ʻaʻole hōʻike i kekahi mau hōʻailona . Ma muli o ka holomua ʻana o ka maʻi kiwikā i ka hala ʻana o ka manawa, hoʻomaka wale nā hōʻailona e ʻike ʻia i ko lākou ʻelemakule ʻana.
I ka manawa pinepine, ʻo kāu kauka ka mea mua e ʻike i kahi pilikia valve. ʻO ka hōʻailona mua he leo ʻē aʻe āna e lohe ai i ka wā e kau ai ʻo ia i kahi stethoscope i kou umauma, i kapa ʻia he murmur puʻuwai . Eia naʻe, ʻo ka lohe ʻana i ka murmur puʻuwai ʻaʻole ia he manaʻo mau he pilikia. I kekahi manawa, aia nā "murmurs puʻuwai hala ʻole" ʻaʻole ia he mea ʻino.
Eia nō naʻe, inā loaʻa nā hōʻailona ma lalo nei, hiki ke lilo i pilikia valve:
- ʻEha umauma: He ʻeha e like me ka ʻūmiʻi a i ʻole ka ʻūmiʻi ʻana o ka umauma.
- Pōniuniu a me ka mae ʻana: He manaʻo koke o ka wili ʻana a i ʻole ka nalowale ʻana o ka ʻike.
- Luhi: Manaʻo nui i ka luhi, make, ʻoiai me ka hana ʻole ʻana i kekahi hana.
- Nā Palpitations: Manaʻo e like me ka wikiwiki o kou puʻuwai a ke neʻe nei kou umauma.
- Pōkole o ka hanu: Paʻakikī i ka hanu ʻana, ʻoiai i ka wā e hoʻoikaika kino ai, e hele wāwae ana i kahi mamao pōkole, e piʻi ana i nā alapiʻi, a i ʻole e moe ana ma kahi moe.
- Pehu: Pehu ma nā kuʻekuʻe wāwae, nā wāwae, nā wāwae, a i kekahi manawa ka ʻōpū.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hopohopo a e ʻike koke i ke kauka. ʻO ka hapa nui o ka manawa, hiki ke hana ʻia kēia mau mea e nā mea maʻalahi, akā ʻoi aku ka maikaʻi o ka nānā ʻana.
Pehea e mālama ai i ke olakino o ka puʻuwai me ka maʻi valve?
Inā hōʻoia kāu kauka he maʻi valve puʻuwai kou, nui nā mea hiki iā ʻoe ke hana e ola me ia a mālama i ke olakino o kou puʻuwai.
- E pale loa i ka puhipaka. ʻO ka puhipaka kekahi o nā ʻenemi nui loa o ka puʻuwai.
- E nānā mau i kou koko a me kou pae cholesterol a e kaohi iā lākou. E lawe i nā lāʻau lapaʻau a kāu kauka e kuhikuhi ai.
- E hoʻohana i kahi papaʻai olakino no ka puʻuwai . E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō. E hoʻokomo i nā mea kanu, nā huaʻai, nā greens, a me nā iʻa liʻiliʻi i kāu papaʻai.
- E hoʻoikaika kino i nā manawa a pau.Eia nō naʻe, he mea nui loa e nīnau i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe.
- E ʻike pinepine i kāu kauka no nā hoʻokolohua. Hiki iā ia ke nānā i kou kūlana puʻuwai a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
- Ma mua o ka mālama ʻana i nā niho a i ʻole nā ʻoki ʻana ʻē aʻe, e aʻo aku paha kāu kauka iā ʻoe e lawe i nā antibiotics . ʻO ke kumu o kēia, ʻo ka bacteria e komo i ke kino i loko o ia mau manawa hiki ke hōʻino i nā valves nāwaliwali.
- Mai poina e haʻi aku i nā kauka a pau e mālama iā ʻoe, me kou kauka niho pū kekahi, he pilikia kou no ka valve o ka puʻuwai.
I kēlā me kēia manawa āu e makemake ai e ʻike i ke kauka
Inā loaʻa iā ʻoe kahi pilikia valve puʻuwai, pono ʻoe e makaʻala loa e pili ana i ka maʻi puʻuwai (endocarditis) . No laila, inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi e like me ke kuni, nā ʻeha kino, a me ka ʻeha ʻāʻī, e kāhea koke i kāu kauka. Mai manaʻo wale he anu maʻamau.
Leka Lawe-Home
- Ua like nā kiwikā ʻehā i loko o kou puʻuwai me nā ʻīpuka liʻiliʻi e ʻae ai i ke koko e kahe i hoʻokahi wale nō ʻaoʻao.
- ʻO nā pilikia nui me kēia mau valves ka regurgitation a me ka stenosis.
- ʻO ke kani ʻano ʻē o ka puʻuwai (heart murmur) i lohe ʻia e ke kauka hiki ke lilo i hōʻailona mua o ka maʻi valve.
- He mea nui loa e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka luhi nui, a i ʻole ka pehu ʻana o nā wāwae.
- ʻOiai inā he maʻi valve kou, hiki iā ʻoe ke ola i kahi ola olakino me kahi nohona olakino a me ka mālama lapaʻau kūpono. He mea nui e ʻike pinepine i kāu kauka no nā nānā ʻana.











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