He 'leaky' anei kou valve puʻuwai? (Leaky Heart Valve) - E ʻike kākou i nā mea āpau e pili ana i kēia!

Ke luhi nei ʻoe i kekahi manawa, he pōkole iki ka hanu, a i ʻole ke kuʻi wale ʻana i kou umauma? Hoʻopoina pinepine mākou i kēia mau mea, me ka manaʻo he mea maʻamau. Akā i kekahi manawa he mau hōʻailona liʻiliʻi kēia e hāʻawi mai ana ko mākou puʻuwai iā mākou. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana maʻamau loa e kū mai ana i loko o ka puʻuwai, akā ʻaʻole nui ka poʻe i ʻike e pili ana i ia mea. ʻO ia ka valve puʻuwai e kahe ana. Mai makaʻu, ʻoiai paha he mea nui ka inoa, e kamaʻilio maʻalahi kākou e pili ana i kēia.

ʻAe, he aha ke ʻano o ka wā e "liki" ai ka valve o ka puʻuwai?

I ka ʻōlelo maʻalahi, he ʻano maʻamau kēia o ka maʻi valve puʻuwai. Hana ʻia kēia ʻano ke pani pono ʻole kekahi o nā valve ʻehā o ko kākou puʻuwai. E noʻonoʻo i kahi puka i loko o kou hale i laka pono ʻole. A laila, e like me kou hiki ke neʻe i mua a i hope, ke pani pono ʻole ka valve puʻuwai, hoʻomaka kekahi koko e kahe hou i ke ala hewa. ʻO kēia ka mea a mākou e kapa nei he 'leaking' a i ʻole, ma nā ʻōlelo lapaʻau , ka regurgitation valve puʻuwai .

Ua like ko kākou mau kiwikā puʻuwai me nā puka e ʻae wale ana i ke koko e kahe i hoʻokahi ala. ʻO kā lākou hana nui ka hoʻomau ʻana i ke kahe ʻana o ke koko i ke ala kūpono a pale iā ia mai ke kahe ʻana i hope. Akā i kekahi manawa, hiki ke hōʻino ʻia kēia mau kiwikā ma muli o nā kīnā puʻuwai hānau a i ʻole nā ​​maʻi e ulu ana ma hope o ke ola. ʻO ia ka manawa e hana ʻia ai kēia ʻano leaka.

ʻO ke koʻikoʻi o kēia ʻano ma muli o ka nui o ke koko e kahe ana i hope. Inā he liʻiliʻi loa ka nui (ka nui liʻiliʻi) e kahe ana, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. ʻAʻole ia e loaʻa ka hopena koʻikoʻi i ka hana o ka puʻuwai. Eia nō naʻe, inā he kaulike a koʻikoʻi paha ka leakage, hiki ke loaʻa nā hōʻailona a pono paha ka lāʻau lapaʻau e hoʻōki i ka hōʻino ʻana i ka puʻuwai.

Hoʻohana nā kauka i nā inoa ʻē aʻe no kēia maʻi:

• Ka luaʻi ʻana o ka valve puʻuwai
• Ka lawa ʻole o ka valve puʻuwai
• Ka hemahema o ka valve puʻuwai

ʻO kēia mau inoa ʻekolu e pili ana i ke kūlana hoʻokahi.

He aha nā ʻano kiwikā o ka puʻuwai e hiki ke liki?

ʻEhā mau kiwikā nui i loko o ko kākou puʻuwai. No laila, hiki i kekahi o kēia mau ʻehā ke loaʻa kahi leaka. Ua kapa ʻia ke kūlana ma hope o ka kiwikā i hoʻopilikia ʻia. E nānā kākou i kēia e hoʻomaopopo pono ai.

ʻO ka mea maʻamau o kēia ka mitral valve regurgitation.

He aha nā hōʻailona o kēia maʻi?

E like me kaʻu i ʻōlelo ai ma mua, inā he palupalu loa ka leaka, ʻaʻohe ou hōʻailona. ʻAʻole ʻike ka nui o ka poʻe he loaʻa iā lākou kēia maʻi, a ua ʻike ʻia ia ma ke ʻano ulia i ka wā o kahi hoʻāʻo i hana ʻia no kekahi kumu ʻē aʻe. Eia nō naʻe, inā he palupalu a koʻikoʻi paha ka leaka, hiki ke ʻike ʻia nā hōʻailona ma lalo nei.

• ʻEha a ʻūmiʻi paha ka umauma: He manaʻo e like me ke ʻūmiʻi nei kekahi i kou umauma.
• Kuke: He kuke maloʻo, ʻoiai i ka wā e kuke ana.
• Manaʻo luhi a nāwaliwali koke paha: Manaʻo luhi loa ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi.
• Nā palpitations o ka puʻuwai: He manaʻo e kuʻi nui ana ka puʻuwai, wikiwiki, a i ʻole ke ʻano ʻē.
• Paʻakikī ka hanu ʻana i ka wā hoʻoikaika kino: Manaʻo i ka pōkole o ka hanu i ka wā e hele ana i kahi mamao pōkole a i ʻole e piʻi ana i ke alapiʻi.
• Ka pehu ʻana o nā wāwae a me nā wāwae (Edema):Ma muli o ka pauma pono ʻole o ke koko e ka puʻuwai, hōʻiliʻili ka wai i loko o ke kino a ke kumu o ka pehu ʻana ma nā wāwae a me nā kuʻekuʻe wāwae.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he pilikia kou no ka valve puʻuwai. Eia nō naʻe, ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻana i kēia mau hōʻailona. ʻOi aku ka maikaʻi o ke nīnau ʻana i kāu kauka no ka ʻōlelo aʻo.

No ke aha e liki ai nā kiwikā penei? He aha nā kumu?

Nui nā kumu e hiki ai i nā valves puʻuwai ke liki. ʻO kekahi ke kumu o ka ʻelemakule, aʻo kekahi ke kumu o nā maʻi ʻē aʻe. Eia kekahi o nā kumu nui:

• ʻO ka degeneration Myxomatous: He kūlana kēia e kū pinepine ana me ka ʻelemakule. E emi ana ka ikaika a me ka palupalu o nā valves.
• Cardiomyopathy: I ka nāwaliwali ʻana o ka ʻiʻo o ka puʻuwai a me ka hoʻonui ʻana o ka puʻuwai, hiki i nā valves i pili iā ia ke kīkoʻo a ʻaʻole e pani pono.
• Maʻi puʻuwai hānau: Hānau ʻia kekahi poʻe me kahi kīnā i loko o ko lākou puʻuwai a i ʻole nā ​​​​kīwae.
• Endocarditis: He maʻi o ka ʻili o loko o ka puʻuwai a me kona mau valves, i hoʻokumu ʻia e nā germs e like me ka bacteria. Hiki i kēia ke hōʻino mau loa i nā valves.
• Ka pōʻino mai kahi hāʻule puʻuwai ma mua: Ke ʻoki ʻia ke kahe koko i kahi ʻāpana o ka puʻuwai ma muli o kahi hāʻule puʻuwai, ua hōʻino ʻia ka ʻiʻo ma ia ʻāpana. Hiki i kēia ke hoʻopilikia i ka hana o nā valves.
• Nā puʻupuʻu puʻuwai: He mea kakaikahi loa kēia, akā hiki ke hoʻopilikia i ka hana o nā valves.
• Maʻi puʻuwai rumatika: ʻO ka fiva rumatika, kahi e kū mai ana ke mālama pono ʻole ʻia ka ʻāʻī strep i ka wā kamaliʻi, hiki ke hōʻino i nā kiwikā puʻuwai. He mea laha ʻole kēia maʻi i ko mākou ʻāina i kēia manawa.
• ʻAneurysm aortic thoracic: He pehu ʻana o ke aʻa nui e alakaʻi ana mai ka puʻuwai mai e hiki ke hoʻopilikia i ka valve aortic.

He aha nā pilikia e hiki mai ana o kahi valve e leaka ana?

Ke liki kahi valve, emi ka pono o ka puʻuwai. Ma muli o ke hele hewa ʻana o kekahi koko, pono ka puʻuwai e hana ikaika e pamu i ka nui o ke koko e pono ai ke kino. Hiki i kēia ukana keu ke alakaʻi i nā pilikia like ʻole i ka hala ʻana o ka manawa.

• ʻO ka fibrillation atrial: Hoʻomaka nā keʻena o luna o ka puʻuwai (atria) e hahau maʻamau ʻole a wikiwiki loa.
• Puʻuwai i hoʻonui ʻia (Cardiomegaly):Piʻi aʻe ka nui o ka ʻiʻo puʻuwai no ka mea ke hana mau nei ia me ka ikaika. E like me ka nui o ka ʻiʻo ke hoʻoikaika kino ʻoe. Akā, ʻaʻole maikaʻi kēia no ka puʻuwai.
• Ka hāʻule ʻana o ka puʻuwai: He kūlana kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko kūpono i ke kino ma muli o ka hoʻonui ʻia o ka ukana hana i ka hala ʻana o ka manawa.
• ʻO ke koko kiʻekiʻe o ka pulmonary: Hoʻonui ʻia ke kaomi i loko o nā kīʻaha koko e lawe ana i ke koko i nā māmā.
• Ka hopu koke ʻana o ka puʻuwai: Ka pau koke ʻana o ka hana a ka puʻuwai. He kūlana koʻikoʻi loa kēia a kakaʻikahi hoʻi.

Pehea e ʻike ai nā kauka i kēia maʻi?

Ke hele ʻoe i ke kauka e haʻi iā ia e pili ana i kāu mau hōʻailona, ​​ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono iā ʻoe.

• E nīnau lākou e pili ana i kāu mau hōʻailona a me nā kikoʻī e pili ana i kāu mau maʻi ʻē aʻe.
• Nānā lākou i nā mea e like me kou koko a me ka helu o ka pulse.
• E hoʻopā lākou i nā wahi e like me nā wāwae a me ka ʻōpū e ʻike ai inā he pehu.
• ʻO ka mea nui loa, ʻo ke kau ʻana i kahi stethoscope ma ka umauma a hoʻolohe i nā leo o ka puʻuwai. Inā he leaka i loko o kahi valve, lohe paha ʻoe i kahi leo ʻē (heart murmur) e like me "hr...r...r" ma waho aʻe o nā leo puʻuwai maʻamau.

Ma hope o kēia hoʻokolokolo mua ʻana, e hana ʻia kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona a hoʻoholo i ke koʻikoʻi o ka leaka.

Nā hoʻokolohua nui no ka hōʻoia ʻana

ʻO ka hoʻāʻo nui a koʻikoʻi loa e ʻike ai i kahi liki valve he echocardiogram. Kapa pinepine mākou iā ia ʻo "Echo test."

Ma waho aʻe o ka hoʻāʻo echo, pono paha kēia mau hoʻāʻo:

• Nā hoʻāʻo koko: E nānā i nā kūlana ʻē aʻe e hoʻopilikia ai i ka puʻuwai.
• Catheterization Cardiac: He hoʻāʻo e nānā i nā ālai ʻana i nā kīʻaha koko o ka puʻuwai.
• X-ray o ka umauma: No ka nānā ʻana i ka puʻuwai i hoʻonui ʻia a me ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
• Electrocardiogram (EKG/ECG): Hoʻāʻo i ka hana uila o ka puʻuwai e nānā i kekahi mau hewa i loko o ka puʻuwai.
• MRI o ka puʻuwai: E kiʻi i nā kiʻi kikoʻī hou aku o ka puʻuwai a me nā valves.

He aha nā lāʻau lapaʻau no ka liki ʻana o ka valve?

Aia ka lāʻau lapaʻau i kou kūlana. Inā liʻiliʻi ka leaka a ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. E haʻi aku kāu kauka iā ʻoe e hoʻi mai no nā nānā ʻana i nā manawa maʻamau. Ua kapa ʻia kēia ʻo "monitoring."

Eia nō naʻe, inā he mau hōʻailona a inā paha ke kumu o ka leaka i kahi kaumaha ma ka puʻuwai, pono ka lāʻau lapaʻau. ʻEkolu mau koho lapaʻau nui.

1. Nā lāʻau lapaʻau: ʻAʻole hiki i nā lāʻau lapaʻau ke hoʻoponopono i kahi valve leaky. Eia nō naʻe, hiki i nā lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā hōʻailona, ​​​​​​kāohi i nā pilikia, a hoʻemi i ka ukana hana ma ka puʻuwai. No ka laʻana, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e wehe i ka wai keu mai ke kino, kaohi i ke koko, a hoʻoponopono i ka helu o ka puʻuwai.

2. ʻO ke ʻoki ʻana i ka valve o ka puʻuwai: Hana ʻia ke ʻoki ʻana e hoʻoponopono a hoʻololi paha i kahi valve i hōʻino ʻia. I nā manawa hiki, hoʻāʻo nā kauka e hoʻoponopono i kāu valve ponoʻī. Inā ʻaʻole hiki kēlā, hoʻokomo ʻia kahi valve hana (mechanical a tissue valve paha). I kēia manawa, aia nā ʻano hana minimally invasive ʻaʻole pono kahi ʻoki nui ma ka umauma e like me ka wā ma mua.

3. Nā kaʻina hana e pili ana i ka catheter: He kaʻina hana maʻalahi kēia ma mua o ke ʻoki kino. Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) i loko o kahi kīʻaha koko ma ka wāwae a lima paha a hoʻokomo ʻia i loko o ka puʻuwai e pani i kahi valve a hoʻoponopono paha i kahi valve e kū nei. ʻAʻole kūpono kēia kaʻina hana no nā mea āpau, a ua hoʻoholo ʻia e kāu kauka.

E kūkākūkā kāu kauka me ʻoe i ke ʻano o ka lāʻau lapaʻau kūpono loa iā ʻoe a wehewehe i nā pono a me nā pōʻino o kēlā me kēia koho ma mua o ka hoʻoholo ʻana.

Hiki iā kākou ke pale aku i kēia kūlana?

ʻAʻole hiki iā mākou ke pale aku i kekahi mau kumu, e like me nā kīnā hānau a i ʻole ka ʻelemakule. Eia nō naʻe, nui nā mea hiki iā mākou ke hana e mālama i ko mākou puʻuwai a me nā valves olakino.

• E pale loa i ka puhipaka. He mea ʻino loa ka puhipaka i ka puʻuwai a me nā kīʻaha koko.
• E hoʻoikaika kino mau. ʻOiai kekahi mea maʻalahi e like me ka hele wikiwiki ʻana no 30 mau minuke i ka lā, 5 mau lā o ka pule.
• E hahai i kahi papaʻai olakino no ka puʻuwai. E hōʻemi i nā meaʻai kiʻekiʻe i ka paʻakai, ke kō, a me ka momona. E ʻai i nā huaʻai, nā mea kanu, nā legumes, a me nā palaoa piha.
• E mālama i ke kaumaha olakino. He kaumaha nui ka momona ma ka puʻuwai.
• Mai hoʻowahāwahā i ka ʻeha ʻāʻī e like me ka strep throat, akā e ʻike koke i ke kauka a loaʻa nā lāʻau antibiotic. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia e like me ka rheumatic fever.

Nā nīnau āu e nīnau ai i kāu kauka

Ke ʻike ʻoe ua loaʻa iā ʻoe kēia maʻi, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui i loko o kou manaʻo. Mai makaʻu a hopohopo paha, akā e nīnau pono i kāu kauka e pili ana i kēia mau mea.

• "E ke kauka, ʻo wai ka valve i loko o koʻu puʻuwai e liki ana?"
• "Pehea ke koʻikoʻi o kēia liki? (ʻoluʻolu, waena, a koʻikoʻi paha?)"
• "He aha ka hoʻolālā lapaʻau maikaʻi loa noʻu?"
• "He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?"
• "ʻEhia pinepine e pono ai iaʻu ke hoʻi hou mai no ka nānā ʻana?"

Āhea e pono ai ka mālama ʻana i ka pilikia?

ʻAʻole maʻamau he pilikia ka puka ʻana o ka valve puʻuwai. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana , he mea hoʻoweliweli ia i ke ola. E kelepona koke i ka 911 a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).

Nā hōʻailona o ka hāʻule puʻuwai: ʻEha nui a kaomi paha ma waenakonu o ka umauma (hiki ke pālahalaha kēia ʻeha i nā lima, nā poʻohiwi, ka ʻauwae, a i ʻole ke kua), ka hou nui ʻana, ka paʻakikī o ka hanu ʻana, a me ka nāwaliwali.

Nā hōʻailona o ka hahau ʻana: ke kūlou ʻana o kekahi ʻaoʻao o ka maka, ka mae ʻana o kekahi lima a wāwae paha, ka paʻakikī o ka ʻōlelo ʻana.