ʻO wai ke kauka puʻuwai? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ua noʻonoʻo paha ʻoe i ke koʻikoʻi o kēia puʻuwai liʻiliʻi e kuʻi ana i loko o ko kākou umauma i ko kākou ola? Ua like ia me kahi ʻenekini liʻiliʻi e hana mau ana i loko o ko kākou kino. ʻO kēia puʻuwai ka mea e hoʻomaʻemaʻe i ke koko a hoʻouna i nā oxygen a me nā meaʻai a pau e pono ai kākou e ola i ko kākou kino holoʻokoʻa. No laila, inā he pilikia a maʻi paha i loko o ia ʻano kino waiwai nui, pono kākou i ke kauka i ʻike e pili ana i ia mea a hiki ke mālama iā ia, ʻeā? ʻO kēlā loea ka mea a mākou e kapa nei he cardiologist .

ʻO wai kēia kauka puʻuwai?

I ka ʻōlelo maʻalahi, he kauka cardiologist i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka ʻike ʻana, ka mālama ʻana, a me ka pale ʻana i nā maʻi o ka puʻuwai a me nā kīʻaha koko . ʻO ke kikoʻī, loaʻa iā ia ka ʻike nui e pili ana i ka hana ʻana o ko kākou puʻuwai, nā maʻi e hiki ke ulu, a me nā mea e hana ai e pili ana i kēlā mau maʻi.

E nānā, i ka wā e loaʻa ai i nā keiki ʻōpio nā pilikia puʻuwai, aia nā kauka kūikawā e mālama iā lākou. Kāhea mākou iā lākou he Pediatric Cardiologists . No ka mea, ʻokoʻa pinepine ka puʻuwai o nā keiki ʻōpio, a me nā pilikia puʻuwai a lākou e ulu ai, mai ko nā mākua. No laila, pono lākou i ka ʻike kūikawā.

Hoʻōla nā kauka puʻuwai i nā ʻano maʻi puʻuwai like ʻole. Ua lohe paha ʻoe i kahi murmur puʻuwai, a i ʻole kahi murmur puʻuwai . A i ʻole kahi ʻano puʻuwai e wikiwiki koke a lohi paha. Hoʻōla kēia mau kauka i nā mea āpau mai ka hāʻule ʻana o ka puʻuwai a hiki i nā kūlana koʻikoʻi e like me nā aʻa i ālai ʻia e hoʻolako i ke koko i ka puʻuwai.

I ka manawa hea e pono ai mākou e ʻike i kahi cardiologist?

Manaʻo ka poʻe he nui e loaʻa wale ka maʻi puʻuwai ke ʻelemakule kākou. Akā, ʻaʻole ia he ʻoiaʻiʻo. Hiki i nā keiki ʻōpio a me nā mākua ʻōpio ke loaʻa i ka maʻi puʻuwai. No laila, he mea nui e ʻike i nā hōʻailona e pono ai mākou e ʻike i kahi kauka puʻuwai inā loaʻa iā mākou.

Inā loaʻa i kahi keiki liʻiliʻi kēia mau hōʻailona ...

Inā ʻike ʻoe i kekahi o kēia mau mea me kāu keiki liʻiliʻi, pono ʻoe e ʻike i kahi cardiologist pediatric ma ke ʻōlelo aʻo a kāu pediatrician:

• ʻŌhūhū Puʻuwai: Ke lohe kāu kauka i kahi kani puʻuwai keu, he ʻōhūhū, ma o ka stethoscope. Akā e hoʻomanaʻo, ʻaʻole he mea weliweli nā ʻōhūhū puʻuwai a pau. Nalo wale kekahi ma o lākou iho.
• ʻEha Umauma: Inā ʻōhumu nā keiki ʻōpio e pili ana i ka ʻeha umauma, ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻana.
• Nā kuʻi puʻuwai kūpono ʻole (Palpitations): Inā manaʻo ke keiki e kuʻi wikiwiki ana ko lākou puʻuwai a i ʻole e lele ana nā kuʻi.
• Pōniuniu a nāwaliwali paha: Inā manaʻo kāu keiki he nāwaliwali, ʻoiai i ka wā e pāʻani ana a hoʻoikaika kino paha.
• Paʻakikī ka hanu ʻana a i ʻole ka luhi koke:Inā, ʻoiai ma hope o ka pāʻani ʻana no kekahi manawa, luhi koke ʻoe ma mua o nā keiki ʻē aʻe, a inā paha manaʻo ʻoe he paʻakikī kou hanu ʻana.
• ʻIli polū (Cyanosis): Inā polū nā lehelehe, ke alelo, a me nā manamana lima o ke keiki, ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke koko.
• Nā maʻi hanu pinepine: Hiki i kekahi mau kīnā puʻuwai hānau ke hoʻopilikia i nā māmā, e hoʻoulu ai i ke anu a me ke kuni pinepine.
• Inā he moʻolelo maʻi puʻuwai ko kekahi o ka ʻohana: Inā he maʻi puʻuwai hānau ko nā mākua a i ʻole nā ​​hoahānau, he mea maikaʻi e hoʻāʻo ʻia kāu keiki.
• Nā kūlana e like me ka maʻi Kawasaki: Hiki i kēia mau kūlana ke hoʻopilikia i ka puʻuwai, no laila pono ke aʻo loea.
• Ka Fiva Rheumatic: ʻO ka fiva Rheumatic, ma hope o ka maʻi ʻāʻī, hiki ke hōʻino i nā valves puʻuwai.

E noʻonoʻo, inā ʻōlelo koke kāu keiki liʻiliʻi, "Māmā, ʻeha koʻu umauma" ma hope o ka pāʻani ʻana, a inā paha e manaʻo lākou e pīhoihoi nui ana lākou i ka wā e holo ana a puni a pāʻani ana, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo, akā e ʻike i kahi kauka keiki a ʻimi i kāna ʻōlelo aʻo.

Inā loaʻa i kahi pākeke kēia mau hōʻailona ...

I ke ʻano o nā pākeke, he mea nui e ʻimi i ka ʻōlelo aʻo a ke kauka cardiologist inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole nā ​​​​​​mea pilikia:

• ʻEha a ʻeha paha o ka umauma: He ʻeha ʻūmiʻi a ʻūmiʻi paha, ʻoiai ma waenakonu o ka umauma. Hiki i kēia ʻeha ke pālahalaha i ka lima, ka ʻāʻī, a i ʻole ka ʻauwae.
• Pōkole o ka hanu: Inā manaʻo ʻoe he pilikia kou hanu ʻana, ʻaʻole wale i ka wā e luhi ai ʻoe, akā, i ka wā e kū mālie ana ʻoe.
• ʻO ka hou nui, ka nausea, a me ka luaʻi ʻana: Hiki i kēia ke lilo i mau hōʻailona o ka hōʻeha puʻuwai.
• Puʻuwai wikiwiki, kūpono ʻole, a lohi paha.
• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae.
• Hypertension: Inā kiʻekiʻe mau kou koko.
• ʻO ke Kolesterol Kiʻekiʻe: Inā kiʻekiʻe ka pae o ka cholesterol maikaʻi ʻole i loko o ke koko.
• ʻO ka maʻi diabetes: ʻO ka poʻe me ka maʻi diabetes he nui ka pilikia o ka loaʻa ʻana o ka maʻi puʻuwai.
• Inā puhipaka ʻoe.
• Inā ua loaʻa i kekahi o ka ʻohana ka maʻi puʻuwai i ka wā ʻōpiopio.

He aha ka mea e hana ai ke ʻike ʻoe i kahi cardiologist?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAe, he aha ka mea e hana inā hele wau i kahi kauka puʻuwai?" ʻAʻohe mea e hopohopo ai. ʻO ka maʻamau, eia ka mea e hana ʻia:

1. Mōʻaukala Lapaʻau: E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​pehea lākou i hoʻomaka ai, pehea ka lōʻihi o ko lākou ʻike ʻia ʻana, a pēlā aku. E nīnau pū lākou e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai, nā lāʻau lapaʻau āu e lawe nei, a inā he maʻi puʻuwai kekahi o kou ʻohana. Inā he keiki liʻiliʻi, he mea nui nō hoʻi nā pilikia i ka wā hāpai, pehea i hānau ʻia ai ke keiki, a pehea kona ulu ʻana.

2.Hoʻokolokolo Kino: A laila, e nānā ke kauka iā ʻoe. Hoʻokomo pū kēia i ka hoʻolohe ʻana i kou puʻuwai a me kou māmā me ka stethoscope, ka nānā ʻana i kou pulse, ka nānā ʻana i kou koko, a me ka nānā ʻana i kou mau wāwae no ka pehu.

3. Nā Hoʻāʻo Kūikawā: Ma muli o kou kūlana, hiki i kāu kauka ke paipai i kekahi mau hoʻāʻo kūikawā. ʻO kekahi o kēia mau mea:

• ECG/EKG - Electrocardiogram: Ke ana kēia i ka hana uila o kou puʻuwai, a i ʻole pehea e hana ai ke 'au o ka puʻuwai'. He hoʻāʻo ʻeha ʻole kēia e hiki ke hana ʻia i loko o kekahi mau minuke.
• Echocardiogram: Ua like kēia me kahi 'scan' o ka puʻuwai. Hoʻohana ia i nā nalu kani e nānā i ke ʻano a me ka nui o ka puʻuwai, pehea e hana ai nā ʻāpana o ka puʻuwai, a pehea e hana ai nā valves.
• Hoʻāʻo Koʻikoʻi / Hoʻoikaika Kino ECG: Pili kēia i ka nānā ʻana i kāu ECG a me ke koko i kou wā e hele ana ma luna o ka treadmill a holo paikikala paha. Hiki i kēia ke kōkua i ka hoʻoholo ʻana pehea e hiki ai i kou puʻuwai ke hoʻokele i ke kaumaha a inā he mau pilikia me nā aʻa e hoʻolako ana i ke koko i kou puʻuwai ke kaumaha ʻoe.
• Nānā Holter: I kekahi manawa, ʻaʻole ʻike mau ʻia nā ʻano ʻē o ka puʻuwai. I ia mau hihia, hiki ke hoʻokomo ʻia ʻoe me kahi mea liʻiliʻi e hoʻopaʻa i ka ECG o kou puʻuwai ma luna o 24 a 48 mau hola.
• Nā hoʻāʻo koko: Hiki i kēia ke nānā i nā mea e like me nā pae kolesterol, nā pae kō, a me nā enzymes e nānā no ka hōʻino ʻana o ka puʻuwai.
• ʻO ka Catheterization Cardiac a me ka Angiogram: He hoʻāʻo paʻakikī kēia. Hoʻohana ʻia ia e nānā i nā mea e ālai ana i nā aʻa coronary e hoʻolako ana i ke koko i ka puʻuwai. I kekahi manawa, i loko o kēia hoʻāʻo, hiki ke hoʻonui ʻia kahi aʻa i ālai ʻia (angioplasty) a i ʻole hiki ke hoʻokomo ʻia kahi stent .

Pehea e mālama ʻia ai nā maʻi puʻuwai?

Ke ʻike kāu kauka puʻuwai i kou kūlana, e hana lākou i kahi hoʻolālā lapaʻau i kūpono i kou mau pono. Hiki i kēia ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau mea:

• Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Hiki ke ʻōlelo ʻia iā ʻoe e haʻalele i ka puhipaka, ʻai i ka meaʻai olakino, hoʻoikaika kino mau , hoʻemi i ke kaumaha, a hoʻēmi i ke kaumaha. He mea nui loa kēia mau mea.
• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau like ʻole e kāohi i ke koko, hoʻohaʻahaʻa i ka cholesterol, hoʻoponopono i ka helu o ka puʻuwai, pale i nā ʻūpā koko, a hōʻemi i ka ʻeha o ka umauma.
• Nā Kaʻina Hana Lapaʻau: E like me ka mea i ʻōlelo ʻia ma mua, angioplasty, hoʻokomo stent, mālama ablation no kekahi mau puʻuwai puʻuwai kūpono ʻole, kahi pacemaker a i ʻole ICD (Implantable Cardioverter Defibrillator)He mea pono paha nā mea e like me ke kau ʻana i kahi hāmeʻa e like me kekahi.
• ʻO ke ʻoki puʻuwai: I kekahi mau hihia koʻikoʻi, no ka laʻana, ʻo ke ʻoki coronary artery bypass (CABG) a i ʻole ke ʻoki valve replacement, pono paha i kahi kauka puʻuwai ke hana i ke kaʻina hana. Eia nō naʻe, na kahi hui o nā kauka, me kahi kauka puʻuwai, kēia mau hoʻoholo e hana ai.

ʻO ka ʻoihana kūikawā o nā kauka Cardiologists Pediatric

Ua ʻōlelo mua mākou he ʻokoʻa ka maʻi puʻuwai i nā keiki ʻōpio mai ko nā mākua. ʻO ke kauka puʻuwai pediatric he kauka i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka maʻi puʻuwai i nā keiki mai ka hānau ʻana a hiki i ka wā ʻōpio (ma kahi o 18-21 mau makahiki).

• Nā Kīnā Puʻuwai Hānau: Hoʻomaʻamaʻa pinepine nā kauka puʻuwai keiki i kēia mau kūlana. Hiki i kekahi o kēia mau mea ke maʻalahi, aʻo kekahi e pono paha ke ʻoki kino paʻakikī.
• Ka mālama ʻana i nā keiki: I ka hāʻawi ʻana i ka lāʻau lapaʻau a me ka hana ʻana i nā hoʻokolohua ma kahi keiki ʻōpio, pono e noʻonoʻo ʻia nā mea he nui, e like me ka makahiki o ke keiki, ke kaumaha, a me ka ulu ʻana. He mea nui hoʻi e hana i kahi ʻano e hiki ai i nā keiki ke hana i kēia mau mea me ka makaʻu ʻole a me ka maʻalahi. Ua aʻo kūikawā ʻia nā kauka puʻuwai keiki i kēia.

ʻAʻole hiki ke wehewehe ʻia ka hopohopo a me ka makaʻu a nā mākua i ka wā e aʻo ai lākou e pili ana i kahi maʻi puʻuwai i loko o kahi keiki ʻōpiopio. Akā e hoʻomanaʻo, ua holomua loa ka ʻepekema lapaʻau i kēia mau lā. Me ka lāʻau kūpono i ka manawa kūpono, me ke kauka loea kūpono, hiki ke mālama pono ʻia nā maʻi puʻuwai he nui.

E hoʻomanaʻo i kēia mau mea ma mua o ke kipa ʻana i kahi cardiologist

Inā ʻoe e hele ana e ʻike i kahi cardiologist, e hoʻomanaʻo i kēia mau mea:

• Nā moʻolelo lapaʻau: E lawe mai i kāu mau moʻolelo lapaʻau kahiko, nā hōʻike hoʻāʻo, a me kahi papa inoa o nā lāʻau lapaʻau āu e lawe nei.
• He papa inoa o nā nīnau: E kākau i lalo i kekahi mau nīnau āu e makemake ai e nīnau i ke kauka ma mua. Ma kēlā ala, ʻaʻole ʻoe e poina i kekahi mea.
• E wehe: E kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona, ​​​​kou mau manaʻo, kou mau makaʻu, a me kou mau hopohopo. Mai hūnā i kekahi mea.
• E hele pū me kekahi: Inā hiki, e lawe mai i kahi lālā o ka ʻohana a i ʻole hoaaloha me ʻoe. E kōkua kēia iā ʻoe e hoʻomaopopo a hoʻomanaʻo i ka mea a ke kauka e ʻōlelo nei.

ʻO ka mea hope loa, leka lawe i ka home

Ua like ka kauka puʻuwai me kahi hoaaloha koʻikoʻi a mākou e mālama ai i ke olakino o ko mākou puʻuwai.

• Inā manaʻo ʻoe he pilikia a he hōʻailona paha kou a kāu keiki paha i ka puʻuwai, mai hopohopo a e ʻimi i ke kōkua lapaʻau.
• ʻAʻole hiki ke pale ʻia ka maʻi puʻuwai. Me ke ʻano ola kino olakinoHiki iā ia ke hōʻemi i ka pilikia o nā maʻi puʻuwai he nui.
• Mai makaʻu i nā hoʻokolohua a me nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka puʻuwai. No kou pono ponoʻī lākou.
• Aia nā kauka puʻuwai keiki ma laila e pale i nā puʻuwai o kā mākou mau keiki. E hilinaʻi iā lākou.

He ʻōkana kupaianaha ko kākou puʻuwai. ʻO ko kākou kuleana ke mālama i kona olakino. Ua mākaukau mau nā kauka puʻuwai e hāʻawi i ke kākoʻo ʻoihana e pono ai. No laila, e mālama kākou i ko kākou puʻuwai a ola olakino!

Kauka Puʻuwai, Maʻi Puʻuwai, Maʻi Puʻuwai o nā Keiki, ʻŌhūhū Puʻuwai, ECG, Echocardiogram