Ke manaʻo nei ʻoe i kekahi manawa he pōkole ka hanu, ka wheezing, a i ʻole ka ʻū ʻana o ka umauma ʻoiai ke hele wāwae nei i kahi mamao pōkole? ʻOiai ke ʻano o kēia mau mea me he luhi maʻamau lā, aia paha he pilikia liʻiliʻi i loko o ko kākou puʻuwai ma hope o kēia. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, i kapa ʻia ʻo 'Mitral Valve Stenosis' a i ʻike ʻia ma ke ʻano lapaʻau ʻo "Mitral Valve Stenosis". Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha ka Mitral Valve Stenosis?
I ka ʻōlelo maʻalahi, he ʻano haiki a paʻa paha kēia o ka valve mitral i loko o ko kākou puʻuwai. E noʻonoʻo he puka ma waena o ʻelua lumi i loko o kou hale. Inā ʻaʻole hiki ke wehe piha ʻia kēlā puka, akā wehe iki wale nō, ʻaʻole anei he mea paʻakikī ke neʻe a puni? ʻO ia ka mea e hana ʻia ma ʻaneʻi.
ʻO ka valve mitral ka puka e kahe ai ke koko mai ke keʻena luna (atrium hema) a i ke keʻena haʻahaʻa (ventricle hema) ma ka ʻaoʻao hema o ko kākou puʻuwai. ʻO ke koko oxygenated mai nā māmā e komo mua i loko o kēia keʻena luna. Mai laila mai, hele ia i ke keʻena haʻahaʻa, kahi e pamu ai i ke koko oxygenated i ke kino holoʻokoʻa.
No laila, ke lilo kēia valve mitral i mea haiki, lilo ia i mea paʻakikī no ke kahe ʻana o ke koko mai ke keʻena o luna a i ke keʻena o lalo. Ua like ia me ka puka e wehe pono ʻole ai. Hoʻoikaika kēia i ka hana o ka puʻuwai. I ka hala ʻana o ka manawa, hiki i kēia ke hana i nā pilikia like ʻole me ka hana o ka puʻuwai.
Pehea ka maʻamau o kēia kūlana ma Sri Lanka?
ʻOiaʻiʻo, ʻaʻole kēia he maʻi maʻamau loa i hoʻohālikelike ʻia me nā ʻāina i hoʻomohala ʻia. ʻO ke kumu o kēia, no ka mea, i kēia manawa, loaʻa iā mākou nā lāʻau antibiotic maikaʻi no nā maʻi bacteria, ʻo ia ke kumu nui o kēia maʻi. Akā i ka wā ma mua, ua maʻamau loa kēia ʻano.
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā wahine ma mua o nā kāne. Ma nā ʻāina i hoʻomohala ʻia, ʻoi aku ka maʻamau i ka poʻe ma ko lākou mau makahiki 50 a me 60, akā ʻike ʻia nō hoʻi i ka poʻe ʻōpio ma nā ʻāina e ulu ana. I kekahi manawa, hiki ke hānau ʻia nā pēpē ʻōpio me kēia ʻano.
He aha nā hōʻailona o kēia?
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia ʻano i nā hōʻailona nui a hiki i ka wā e ʻoi aku ka koʻikoʻi. Akā i ka wā e ʻike ʻia ai nā hōʻailona, hiki iā ʻoe ke ʻike i nā mea e like me kēia.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka paʻakikī o ka hanu ʻana (dyspnea) | ʻO kēia ka hōʻailona maʻamau. Loaʻa paha iā ʻoe ka pilikia o ka hanu ʻana ʻaʻole wale i ka wā e hoʻoikaika kino ai a hana paha, akā, i ka wā e moe ana ma kahi moe. |
| Luhi | ʻAʻole kēia he luhi wale nō. He manaʻo luhi loa ia e hiki ʻole ai iā ʻoe ke hana i ka hana o ka lā. Manaʻo ʻoe me he mea lā ʻaʻohe ola o kou kino. |
| Nā maʻi umauma pinepine (bronchitis) | Hiki i ka hāʻule ʻana o ka puʻuwai ke hoʻopilikia i nā māmā a alakaʻi i nā maʻi umauma pinepine. |
| Nā Palpitations | Ma muli o ke kaomi nui ma ke keʻena o luna o ka puʻuwai, hiki i ka puʻuwai ke kuʻi kūpono ʻole. Ua kapa ʻia kēia he atrial fibrillation . A laila manaʻo ʻoe e kuʻi wikiwiki ana kou puʻuwai a ʻano ʻē. |
| Hahau | No ka mea, ʻaʻole e pamu pono ka puʻuwai i ke koko, hiki ke hana ʻia kahi ʻūpā koko a hele i ka lolo a paʻa. He kūlana weliweli kēia. |
| Ke ʻū ʻana i ke koko | Hiki i ke kaomi mai ka puʻuwai ke hoʻopilikia i nā aʻa koko i loko o nā māmā, a i kekahi manawa hiki ke puka mai kahi koko liʻiliʻi me ka mucus ke ʻū ʻoe. |
| Ka loli ʻana o ka leo (Hoarseness) | Hele kahi aʻalolo e kaohi ana i ko kākou leo ma kahi kokoke i ka puʻuwai. Inā e hoʻonui ʻia ke keʻena o luna o ka puʻuwai a ua ʻomi ʻia kēia aʻalolo, hiki i ka leo ke lilo i leo haʻalulu. |
| Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole ka ʻōpū | Ke hiki ʻole i ka puʻuwai ke pamu pono i ke koko, hōʻiliʻili ka wai i loko o ke kino a hoʻomaka nā wahi e like me nā wāwae a me ka ʻōpū e pehu. |
Nā hōʻailona i ʻike ʻia i nā keiki ʻōpio ke kū mai kēia ʻano
Hiki i nā keiki i hānau ʻia me kēia maʻi ke hōʻike i nā hōʻailona e like me:
- Paʻakikī i ka hānai waiū a i ʻole ka hou ʻana i ka wā e hānai waiū ana.
- ʻŪhū a me ke anu.
- ʻAʻole hōʻike i ka ulu kūpono ʻole no ka makahiki.
- Nā maʻi hanu pinepine.
- Luhi koke a paʻakikī ke hanu ʻoiai ma hope o ka holo ʻana a me ka pāʻani ʻana no kekahi manawa.
ʻO ka mea nui, ʻaʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona ʻoiai ua loaʻa iā lākou kēia maʻi. Ua ʻike ʻia ka nui o nā wahine me ia, ʻoiai i ka wā hāpai. ʻO kēia no ka mea pono ka puʻuwai e hana ikaika e pamu i ke koko i ka pēpē i ka wā hāpai.
No ke aha lā kēia e hana nei? He aha nā kumu nui?
Aia kekahi mau kumu nui no kēia.
- ʻO ka pōʻino i hoʻokumu ʻia e ka maʻi: ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka fiva rumatika . Inā ʻaʻole mālama pono ʻia kahi maʻi bacteria o ka puʻu (strep throat) i ka wā kamaliʻi, hiki i ka ʻōnaehana pale o ke kino ke pane ma ka hōʻino ʻana i nā valves o ka puʻuwai. Hiki i kēia pōʻino ke hala i 20 a 30 mau makahiki ma mua o ka ʻike ʻia ʻana o nā hōʻailona. ʻO ia ke kumu e loaʻa ʻole ai nā hōʻailona i nā poʻe he nui a hiki i ko lākou wā waena.
- Nā loli e kū mai ana me ka makahiki: I ko kākou ʻelemakule ʻana, hiki i nā waihona calcium ke hōʻiliʻili ma luna o nā valves, e hoʻomānoanoa a hoʻohāiki ai iā lākou. Eia nō naʻe, ʻaʻole koʻikoʻi kēia ʻano hāiki a ʻaʻole pono paha e mālama ʻia.
- Hānau ʻia: Hiki ke hānau ʻia kekahi mau keiki me kahi valve haiki. ʻIke pinepine ʻia kēia maʻi ma mua o ka piha ʻana o 2 makahiki.
Nā pilikia ʻē aʻe e kū mai ana mai kēia ʻano
Inā ʻaʻole mālama ʻia ka stenosis valve mitral i ka manawa, hiki i nā pilikia olakino ʻē aʻe ke kū mai, e like me:
- Ke koko kiʻekiʻe o ka puʻuwai
- ʻEdema Pulmonary
- Ka hāʻule ʻana o ka puʻuwai
- Nā ʻūpā koko a me ka hahau ʻana
- Ka puʻuwai puʻuwai kūpono ʻole `(Atrial Fibrillation)`
- Ka maʻi ʻana o nā kiwikā o ka puʻuwai (Infective Endocarditis)
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe ʻo ia i kou umauma me kahi stethoscope i ka wā e nānā ana iā ʻoe. A laila, inā lohe ʻoe i kahi leo ʻē aʻe e puka mai ana mai ka puʻuwai, kapa mākou ia he 'Heart Murmur' , kānalua paha ʻoe. A laila, e kuhikuhi ʻo ia iā ʻoe no nā hoʻokolohua e like me kēia e hōʻoia i ka maʻi.
| Hoʻāʻo | He aha kāu e aʻo ai mai kēia? |
|---|---|
| ʻEchocardiogram | ʻO kēia ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana i kēia maʻi. Hoʻohana ʻia nā nalu ultrasound e lawe i kahi wikiō o ka puʻuwai, e hōʻike ana i ke ʻano o ka haiki o ka valve a me ke ʻano o ka hana ʻana o ka puʻuwai. |
| Hoʻāʻo ECG (Electrocardiogram) | Ana kēia i ka hana uila o ka puʻuwai. Hiki iā ia ke nānā i nā puʻuwai puʻuwai kūpono ʻole, e like me ka atrial fibrillation. |
| Ka hoʻokolokolo ʻana o ka umauma X-ray | Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua loli ke ʻano a i ʻole ka nui o ka puʻuwai ma muli o kēia maʻi. |
| Ka hoʻokomo ʻana o ka catheter cardiac | I kekahi mau hihia koʻikoʻi, hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae i loko o ka puʻuwai e ana i ke kaomi i loko o nā keʻena puʻuwai. |
He aha nā lāʻau lapaʻau no kēia?
Aia nā lāʻau lapaʻau no kēia. Akā, hoʻomalu wale kēia mau lāʻau lapaʻau i nā hōʻailona a hoʻōki i ka ʻino ʻana o ke kūlana. He mea nui loa e hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe ma hope o ka hoʻomaka ʻana o nā hōʻailona.
Nā lāʻau lapaʻau
E kuhikuhi ke kauka i nā lāʻau lapaʻau like ʻole e kāohi i kou mau hōʻailona.
- E kāohi i ke koko kiʻekiʻe.
- E hoʻemi i ka paʻa ʻana o ka wai a kāohi i ka pehu.
- E kāohi i kou puʻuwai.
- E hōʻemi i ka pilikia o ka hahau ʻana ma ka pale ʻana i nā ʻaʻa koko.
Ka mālama ʻana i ka catheter
He mau kaʻina hana maʻalahi kēia ma mua o ke ʻoki kino. Hana ʻia lākou ma ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae i ka puʻuwai.
- ʻO ka Valvuloplasty Balloon:Hoʻonoho ʻia kahi pōpō ma kahi kokoke i ka valve i ālai ʻia a hoʻopiha ʻia, e hoʻonui ana i ka valve.
- Hoʻololi i ka valve Transcatheter (TMVR): I kekahi mau hihia, hiki i kēia kaʻina hana ke pani i ka valve kahiko me kahi mea hou.
Hoʻoponopono ʻoki kino a hoʻololi paha i ka valve
Inā koʻikoʻi ke kūlana, pono paha ke ʻoki kino. Maanei, hiki i ke kauka lapaʻau ke:
- E hoʻoponopono i ka valve: Hiki iā ʻoe ke hoʻokaʻawale i nā valve o kahi valve i hoʻopaʻa ʻia a hoʻohana hou iā ia e hana.
- Hoʻololi piha i ka valve: Hiki ke wehe ʻia ka valve i hōʻino ʻia a hoʻololi ʻia me kahi valve hana a i ʻole kahi valve i hana ʻia mai nā ʻiʻo holoholona. E wehewehe kāu kauka i ke ʻano hana kūpono loa iā ʻoe.
Hiki ke pale ʻia ka stenosis valve mitral?
ʻAe, hiki loa ia. ʻOiai ʻo ka fiva rumatika ke kumu nui o kēia, ʻoi aku ka maikaʻi o ka mālama ʻana i nā maʻi bacteria (ʻoi aku hoʻi nā maʻi ʻāʻī) me ka wikiwiki a me ke kūpono. Inā kuhikuhi ke kauka i nā antibiotics, pono ʻoe e lawe iā lākou no ka manawa piha i kuhikuhi ʻia, ʻoiai inā e emi ana ka ʻeha.
ʻOiai ʻaʻole hiki iā mākou ke hoʻōki loa i nā mea e hana ʻia ana i ko mākou wā ʻelemakule, hiki iā mākou ke hoʻopaneʻe iā lākou me kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, kaumaha olakino).
Āhea wau e hele ai i ka ETU (Emergency Treatment Unit)?
Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau, i ia mau hihia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau ...
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe mai ka lāʻau lapaʻau (e nīnau i kāu kauka ma mua e ʻike i ke ʻano o ia mau mea).
- Inā nalowale koke kou ʻike.
- Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, ʻoi aku ka nui o ka pilikia o ke kahe ʻana o ke koko i loko inā hāʻule ʻoe.
- Inā piʻi koke ka paʻakikī o ka hanu ʻana.
Ma hope o ke ʻoki kino a i ʻole kekahi lāʻau lapaʻau ʻē aʻe ...
- Inā ʻulaʻula ka ʻeha ʻoki, pehu, a mehana paha (he mau hōʻailona kēia o ka maʻi).
- Inā ʻike ʻoe i ka nāwaliwali, ka ʻeha o ka umauma, a i ʻole ka wikiwiki o ka puʻuwai.
- Inā ʻoe e lawe ana i ka lāʻau hoʻokahe koko, hāʻule ʻoe, a ʻike paha i ke kahe koko hiki ʻole ke kaohi ʻia, e like me ke kahe ʻana o ka ihu, ke koko i loko o ka luaʻi, a i ʻole ke koko i loko o ka ʻōpala.
Leka Lawe-Home
- ʻO ka stenosis valve mitral kahi ālai ʻana o kahi valve koʻikoʻi i loko o kou puʻuwai.
- ʻO ka paʻakikī o ka hanu ʻana a me ka luhi maʻalahi ʻo ia kekahi o nā hōʻailona nui.
- ʻO ke kumu nui o kēia, ʻaʻole mālama pono ʻia nā maʻi ʻāʻī i ka wā kamaliʻi. No laila, inā ʻeha kou ʻāʻī, e ʻike i ke kauka a loaʻa i ka lāʻau lapaʻau kūpono.
- ʻO ka ʻike mua ʻana a me ka mālama ʻana i kēia maʻi i ka manawa kūpono e hiki ke pale i nā pilikia koʻikoʻi.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu e ʻike i ke kauka a ʻimi i ka ʻōlelo aʻo. E hāʻawi ʻo ia iā ʻoe i ke alakaʻi āu e pono ai.
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