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He aha ka valve mitral? Pehea kāna hana i loko o ka puʻuwai?
I ka ʻōlelo maʻalahi, he ʻōkana kupaianaha kou puʻuwai. He ʻehā ona keʻena nui. Ua like ia me nā lumi o kahi hale. I ka hele ʻana o ke koko ma waena o kēia mau keʻena, aia nā puka liʻiliʻi e hoʻomau i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. ʻO ia ka mea a mākou e kapa nei he mau valves . Aia ka valve mitral ma waena o ke keʻena luna ma ka ʻaoʻao hema o kou puʻuwai (ka atrium hema) a me ke keʻena haʻahaʻa (ka ventricle hema). Ua like ia me kahi puka liʻiliʻi. ʻO kāna hana nui, ʻo ia ka hoʻokuʻu ʻana i ke koko momona i ka oxygen mai nā māmā e hele mai ka atrium hema a i ka ventricle hema. A laila e pamu ka ventricle hema i ke koko ma ke kino holoʻokoʻa. Ua like ka valve mitral me kahi mākaʻi kaʻa , e hoʻokuʻu ana i ke koko e kahe i hoʻokahi ala wale nō a ʻaʻole e hoʻi i hope. No laila, inā ua hōʻino ʻia kekahi mea i loko o kēia valve mitral, a inā ʻaʻole ia e hana pono, a laila ua kapa ʻia ʻo ia he Mitral Valve Disease . Hiki ke hana koke ʻia kēia, a i ʻole hiki ke ulu i ka hala ʻana o ka manawa. Hiki i kekahi poʻe ke hānau ʻia me kēia maʻi (congenital).He aha nā ʻano nui o ka maʻi valve mitral?
ʻEkolu ʻano nui o ka maʻi mitral valve. E nānā kākou i ko lākou ʻano. E noʻonoʻo i kāu mitral valve e like me ka puka me ʻelua mau flaps (leaflets a i ʻole cusps). Pono kēia mau flaps e wehe a pani pono e hoʻokuʻu i ke koko. 1. Mitral Valve Stenosis: ʻO kēia ka wā e mānoanoa ai nā flaps, ʻoʻoleʻa, a ʻaʻole e wehe pono. Hoʻohaiki kēia i ke ala no ke koko mai ka atrium hema a i ka ventricle hema. Ua like ia me ka paipu wai i paʻa. Hoʻoikaika kēia i ka puʻuwai e hana ikaika e pamu i ke koko. 2. Mitral Valve Prolapse: ʻO kēia ka wā e lilo ai nā flaps i palupalu loa, a i ka wā e ʻūlū ai ka puʻuwai, puka lākou i loko o ka atrium hema. Kūlou lākou e like me ka lole kahiko. Hiki i kēia ke kumu i ka pani pono ʻole ʻana o ka valve. Inā hana ʻia kēia, i kekahi manawa hoʻomaka ke koko e kahe i hope (regurgitation). 3. Mitral Valve Regurgitation: ʻO ka mea maʻamau, ua kapa ʻia kēia he leaky valve a i ʻole mitral insufficiency.Ua kapa ʻia hoʻi. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole e pani pono nā ʻāpana o ka valve. A laila, hoʻihoʻi kekahi o ke koko i komo i loko o ka ventricle hema i loko o ka atrium hema. Ua like ia me ka ea e kahe ana mai kahi pōpō i puka. Hiki i kekahi poʻe ke loaʻa ma mua o hoʻokahi o kēia mau ʻano.ʻO wai ka mea i loaʻa i ka maʻi valve mitral? Pehea ka maʻamau?
Hiki ke ulu kēia maʻi i kēlā me kēia makahiki. Hānau ʻia kekahi mau pēpē me kēia pilikia. Hiki i kekahi mau pākeke ke ulu koke, ma muli o ka maʻi puʻuwai a i ʻole ka hōʻeha puʻuwai . Eia nō naʻe, ulu mālie ia i ka poʻe ʻelemakule i ka nāwaliwali o ka valve. ʻO ke ʻano i kapa ʻia ʻo 'Mitral Valve Prolapse' ʻoi aku ka maʻamau i nā wahine. Eia nō naʻe, hiki ke ʻoi aku ka weliweli inā ulu ia i nā kāne, no ka mea, ʻoi aku ka nui o ko lākou regurgitation koʻikoʻi.- ʻAʻole maʻamau iki ka Mitral Valve Stenosis ma nā ʻāina e like me ʻAmelika, akā ʻoi aku ka maʻamau ma nā ʻāina kahi i loaʻa pinepine ai ka fiva rumatika .
- ʻOi aku ka maʻamau o ka Mitral Valve Prolapse . Ma kahi o 1 i loko o 33 mau kānaka ma ʻAmelika Hui Pū ʻIa e loaʻa paha iā ia. Akā, ʻaʻole e loaʻa i nā kānaka a pau ke kahe koko nui.
- He mea maʻamau nō hoʻi ka Mitral Valve Regurgitation . Ma kahi o hoʻokahi o 10 mau kānaka ma ʻAmelika Hui Pū ʻIa i ʻōlelo ʻia he leaka i loko o ko lākou valve puʻuwai. ʻO ke ʻano leaka maʻamau ka valve mitral.
He aha nā hōʻailona o ka maʻi valve mitral?
ʻO nā hōʻailona āu e ʻike ai e pili ana i ke ʻano o ka maʻi valve mitral āu e loaʻa ai a me kona koʻikoʻi. I kekahi manawa ʻaʻohe ou hōʻailona iki . A i ʻole e ʻike paha ʻoe i nā mea e like me:- ʻEha a ʻūmiʻi paha ka umauma.
- ʻŪhū , i kekahi manawa me ke koko iki.
- Ka poniuniu a i ʻole ka māʻule ʻana.
- Luhi a me ka luhi ( Fatigue ) .
- Nā palpitations o ka puʻuwai . E manaʻo paha ʻoe i ka wikiwiki o ka paʻi ʻana o kou puʻuwai a lohe paha i ke kani o ka paʻi ʻana o kou puʻuwai.
- Hiki i kekahi poʻe ke loaʻa i ka migraines .
- He kūlana i kapa ʻia ʻo "Mitral facies." ʻO kēia ka manawa e ʻike ʻia ai nā papālina he poni-ʻulaʻula.
- ʻO ke ʻano o ka "Orthostatic hypotension" ʻo ia hoʻi ka hāʻule koke ʻana o ke koko i ka wā e kū ana.Hoʻohaʻahaʻa i ke koko .
- Ka pōkole o ka hanu , ʻoiai ke luhi ʻoe a i ʻole ke moe ʻoe.
- Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā kapuwaʻi .
He aha nā kumu o ka maʻi valve mitral?
Aia paha he nui nā kumu no kēia. E nānā kākou i nā mea nui:- Nā kīnā puʻuwai hānau: Hānau ʻia kekahi poʻe me nā pilikia me ka valve mitral.
- Nā maʻi pili pili: ʻO nā hiʻohiʻona e pili ana i nā kūlana e like me ka Marfan syndrome a me ka Ehlers-Danlos syndrome .
- Nā maʻi puʻuwai (endocarditis): Hiki i nā maʻi i loko o ka puʻuwai ke hōʻino i nā valves.
- Ka hoʻonui ʻia ʻana o ka ventricular hema: Hiki ke hana pinepine ʻia kēia e ka hōʻeha puʻuwai a i ʻole kahi kūlana e like me ka cardiomyopathy (nāwaliwali o ka ʻiʻo o ka puʻuwai).
- Ka ʻelemakule ʻana: I kou wā ʻelemakule, hiki i ka calcium ke hōʻiliʻili i loko o kou mau kiwikā puʻuwai. Hiki i kēia ke hoʻomānoanoa i nā kiwikā a hana pono ʻole.
- Lapaʻau radiation: ʻO ka poʻe i loaʻa i ka radiation therapy ma ka umauma e loaʻa paha ka hōʻino ʻana o ka valve puʻuwai 10-20 mau makahiki ma hope.
- Fiva Rheumatic: He fiva kēia i hoʻokumu ʻia e kahi maʻi bacteria. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke hōʻino i nā valves o ka puʻuwai i nā makahiki. I ka wā ma mua, ʻo ia ke kumu nui o ka Mitral Valve Stenosis. I kēia manawa, ma muli o nā antibiotics, ua emi nui kēia.
Pehea e ʻike ʻia ai ka maʻi valve mitral?
Hiki ke hoʻoholo ʻia kēia e ke kauka e nānā ana iā ʻoe a hana i kekahi mau hoʻokolohua .Hoʻokolokolo kino
E kau ke kauka i kahi stethoscope ma kou umauma a hoʻolohe i nā leo o kou puʻuwai. A laila e nānā lākou i nā leo kikoʻī (murmurs) e pili ana i nā ʻano maʻi mitral valve like ʻole.- I ka Mitral Valve Stenosis : E lohe paha ʻoe i kahi kani i ka wā e hele ai ke koko ma o ka valve i haiki a me kahi kani snap i ka wā e wehe ai ka valve.
- I ka Mitral Valve Prolapse : Hiki ke lohe ʻia kahi leo click, a ukali ʻia e kahi murmur. Ua kapa ʻia hoʻi kēia ʻo click-murmur syndrome.
- I ka Mitral Valve Regurgitation : Lohe ʻia kahi murmur i ka wā e kahe ana ke koko i hope.
Nā hoʻokolohua diagnostics
ʻO ka echocardiogram (echo) ka hoʻāʻo maikaʻi loa no kēia. Hiki iā ia ke nānā i nā mea he nui, e like me ke kūlana o nā valves o ka puʻuwai, ka nui o ka puʻuwai, a pehea e hana ai. Ua like ia me kahi scan ultrasound. Eia kekahi, hiki iā ia ke hana i nā hoʻokolohua e like me:- Electrocardiography (ECG/EKG): Ke ana kēia i ka hana uila o ka puʻuwai.
- ʻO ke kiʻi X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i ka hoʻonui ʻia ʻana o ka ventricle hema a me ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
- Catheterization Cardiac: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o ka puʻuwai ma o kahi kīʻaha koko e ana i ke kaomi i loko o ka puʻuwai. Hiki i kēia ke kōkua i ka nānā ʻana i ka stenosis valve mitral. Hana ʻia kēia ma mua o ke ʻoki ʻana e nānā i nā pilikia me nā aʻa coronary.
Pehea e mālama ʻia ai ka maʻi valve mitral?
Inā ʻaʻohe ou hōʻailona, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. E nānā mau kāu kauka iā ʻoe a nānā i kou kūlana. Inā loaʻa iā ʻoe nā hōʻailona, pono lākou e mālama ʻia. Pili ka lāʻau lapaʻau i nā kumu he nui, e like me kou kūlana, ka makahiki, a inā he mau maʻi ʻē aʻe kāu. Aia kekahi mau koho lapaʻau nui:- Nā lāʻau lapaʻau:
- ʻO ka Baluna Valvotomy:
- ʻO ke ʻoki hoʻoponopono valve mitral:
- ʻO ke ʻoki hoʻololi valve mitral:
- ʻO ke ʻoki kino liʻiliʻi loa ('Hoʻoponopono valve mitral liʻiliʻi loa'):
- Nā hana komo ʻili:
- Hoʻololi i ka valve mitral percutaneous:
ʻO ka mea nui loa, ʻo ia ke kūkākūkā ʻana i ke ʻano lapaʻau kūpono loa iā ʻoe me kāu kauka.
Nā pilikia hiki ke loaʻa i ka wā o ka mālama ʻana
Ma keʻano laulā, ua holomua loa kēia mau ʻoki kino a me nā lāʻau lapaʻau. He haʻahaʻa ka pilikia o nā pilikia. Eia nō naʻe, e like me nā ʻoki kino puʻuwai āpau, hiki ke hana ʻia kēia mau mea:- Puʻuwai puʻuwai kūpono ʻole ('Arrhythmia')
- Ke kahe ʻana o ke koko
- Nā ʻūpā koko
- Maʻi hohola
- Poloka puʻuwai
- Maʻi
Hiki ke pale ʻia ka maʻi valve mitral?
He mea paʻakikī pinepine ka pale ʻana i kēia mau maʻi valve. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia i kou wā ʻelemakule:- E mālama i ke kaumaha olakino. He mea maikaʻi loa ia no kou puʻuwai a me nā kīʻaha koko.
- E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no nā mea e like me ka ʻāʻī strep a i ʻole ka fiva ʻulaʻula no ka manawa kūpono.
- E ʻike i ke kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā ʻana i ke olakino .
Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me ka maʻi valve mitral?
Aia kēia i nā kumu he nui, me ke ʻano o ka maʻi āu i loaʻa ai, kona koʻikoʻi, ka nui o ka pōʻino i hana ʻia i kou puʻuwai, a me ka wā e loaʻa ai iā ʻoe ka lāʻau lapaʻau. No laila, e kamaʻilio me kāu kauka e pili ana i kou kūlana.Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi valve mitral, e ʻike koke i ke kauka . Hiki i ka ʻike mua ʻana ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi ma hope. Inā he akahai kou kūlana, e noi paha kāu kauka iā ʻoe e hele pinepine mai e nānā i kou kūlana. Mai poina e hele no nā kipa hahai ma hope o ka mālama ʻana.Nā hihia e pono ai ka mālama ʻana i ka pilikia
Inā loaʻa kekahi mea e like me kēia, pono ʻoe e kāhea koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa:- ʻEha nui o ka umauma.
- Ka nalowale o ka ʻike, ka poniuniu, a i ʻole ka nāwaliwali loa.
- Inā paʻi wikiwiki a ʻano ʻē paha ka puʻuwai.
- Paʻakikī koke ka hanu ʻana.
- Inā loaʻa iā ʻoe kahi hopena ʻaoʻao i manaʻo ʻole ʻia mai kahi lāʻau āu e lawe nei.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
Ke ʻike ʻia ʻoe me ka maʻi valve mitral, he mea nui e aʻo hou e pili ana i ia mea. E nīnau i kāu kauka i nā nīnau e like me kēia:- Pehea ka ʻino o koʻu kūlana?
- Hiki paha i kēia ke lilo i mea ʻino aʻe i ka hala ʻana o ka manawa?
- Pono anei au i ke ʻoki kino? Inā pēlā, āhea?
- Hiki iaʻu ke hana i ke ʻoki kino minimally invasive a i ʻole ka lāʻau lapaʻau ma o kahi catheter?
- Hiki ke hoʻoponopono ʻia koʻu valve, a i ʻole pono wau e kiʻi i kahi valve hou?
- Pehea ke kaʻina hana lapaʻau?
- He aha nā pilikia a me nā pono o kēia lāʻau lapaʻau?
- ʻEhia ka lōʻihi e hoʻōla ai?
- ʻEhia pinepine e pono ai iaʻu e hele mai no ka nānā ʻana?
- Pono anei au e lawe i kekahi mau lāʻau lapaʻau i kēia manawa a i ʻole ma hope o ka mālama ʻana? No ka lōʻihi?
- He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?
Pehea e hiki ai iaʻu ke mālama iaʻu iho?
E aʻo aku kāu kauka iā ʻoe ma muli o kou kūlana. Ma keʻano laulā, he mea nui kēia mau mea:- E lawe i kāu lāʻau lapaʻau e like me ke kauoha.
- E mālama pono i kou mau niho a me kou mau ʻāʻī. (Hoʻopilikia pū ke olakino waha i ka puʻuwai)
- E hoʻoikaika kino e like me ka ʻōlelo a ke kauka.
- E hōʻalo i ka puhi paka, ka waiʻona, a me nā lāʻau lapaʻau.
- E kāohi i ke kaumaha .
- Hiamoe maikaʻi.
E hōʻano hou i kāu kāleka ʻike lapaʻau pilikia.
Inā loaʻa iā ʻoe kekahi maʻi valve, pono ʻoe e haʻi i kāu mau kauka a me nā kauka niho āpau. Pono paha ʻoe e lawe i nā antibiotics ma mua o kekahi mau kaʻina hana niho a lapaʻau paha. He mea nui loa hoʻi e mālama i kahi kāleka ʻike lapaʻau pilikia me ʻoe. Pono e loaʻa i loko kēia ʻike:- Kou inoa piha a me kou lā hānau.
- ʻO ka helu kelepona o kekahi e hoʻomaopopo ai i kahi pilikia.
- Nā kikoʻī o kāu kauka mālama mua.
- ʻO kou mau maʻi ʻaleka.
- ʻO kēlā me kēia lāʻau lapaʻau āu e lawe ai.
- Ke ʻano o ka maʻi valve i loaʻa iā ʻoe.
- Ua hoʻoponopono a pani paha ʻoe i ka valve?
- Inā ʻoe e lawe i nā lāʻau hoʻokahe koko.
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