Ua hoʻolohe anei ʻoe i ke kuʻi ʻana o kou puʻuwai? Hana ʻia kēlā leo mele "lub-dub...lub-dub..." ke wehe a pani ʻia nā ʻāpana liʻiliʻi e like me ka puka i loko o kou puʻuwai. Kāhea mākou i kēia mau puka he "valves." No laila i kēia lā e kamaʻilio mākou e pili ana i ka mea nui loa o kēia mau valves, ʻo ia ka "Mitral Valve," e hana ana e like me ka puka nui e hāʻawi ana i ke ola i ko mākou kino. He mea nui loa ka ʻike e pili ana i kēia no kou olakino a me ke olakino o kāu poʻe aloha.
I ka ʻōlelo maʻalahi, he aha ka Mitral Valve?
E noʻonoʻo i kou puʻuwai me he hale liʻiliʻi me ʻehā lumi. ʻElua lumi ma luna a ʻelua lumi ma lalo. Ke kahe nei ke koko ma waena o kēia mau lumi ma ke ala hoʻokahi. I mea e hiki ai kēlā, pono e wehe a pani ʻia nā puka ma waena o kēlā mau lumi i ka manawa kūpono. No ka laʻana, ʻo ka valve mitral ka puka ma waena o ke keʻena luna (atrium hema) a me ke keʻena haʻahaʻa (ventricle hema) ma ka ʻaoʻao hema o kou puʻuwai.
ʻO kāna hana nui, ʻo ia ke wehe i ka puka no ke koko i hoʻopiha ʻia me ka oxygen mai nā māmā e hele mai ka atrium hema a i ka ventricle hema. A laila, i ka wā e pamu ai ka ventricle hema i ke koko i ke koena o ke kino, pani paʻa kēia mau puka ʻelua e pale aku i ke koko mai ke kahe hou ʻana i loko o ke keʻena luna. ʻO kēia ke kumu e loaʻa ai i kēlā me kēia cell i loko o kou kino ka oxygen a me nā meaʻai e pono ai.
I ka ʻōlelo maʻalahi, ʻo ka valve mitral kahi puka palekana koʻikoʻi e hiki ai i ke koko ke kahe i hoʻokahi ala wale nō.
Pehea i hana ʻia ai kēia kiwikā?
He ʻano palupalu loa ka valve mitral, akā he ikaika loa. He nui nā ʻāpana nui o ia mea:
- Nā Pepa ʻAi: Loaʻa iā ia ʻelua mau pepa nui i hana ʻia me ka ʻiʻo lahilahi. Ua like kēia me nā ʻāpana ʻelua o ka puka e wehe a pani ana. ʻOi aku ka nui o kekahi, ʻoi aku ka liʻiliʻi o kekahi. Wehe a pani kēia mau pepa ʻelua me kēlā me kēia kuʻi o ka puʻuwai.
- ʻO Chordae Tendineae: E like me nā kaula o ka parachute, ua hoʻopili ʻia kēia mau lau ʻelua i nā ʻiʻo haʻahaʻa o ka puʻuwai e kahi pūnaewele o nā kaula ikaika a lahilahi. ʻO kēia ka mea a mākou e kapa nei he "(Chordae Tendineae)". Me ka ʻole o kēia mau kaula, hiki i nā lau o ka valve ke hāʻule i hope me ka hiki ʻole ke kāohi.
- Nā ʻiʻo Papillary: Hoʻopaʻa ʻia kēia mau kaula e ʻelua mau kolamu ʻiʻo liʻiliʻi ma ka paia o ka puʻuwai. I ka hui pū ʻana, hoʻomalu kēia mau ʻiʻo a me nā kaula i ka neʻe ʻana o nā lau valve.
- Anulus: Hoʻopili ʻia nā lau ʻelua o ka valve i kahi apo ikaika o ke kino D. ʻO kēia ka mea e hāʻawi ai i ka valve i kona ʻano paʻa.
No ka mea, hana pū kēia mau mea a pau a hoʻonohonoho pū i kahi ala kupaianaha e maʻalahi ai ke kahe ʻana o ke koko i loko o kou puʻuwai.
He aha nā kūlana maʻamau e hoʻopilikia ai i ka valve mitral?
I kekahi manawa, no nā kumu like ʻole, hiki i ka valve mitral ke lilo i hana pono ʻole. A laila pono kou puʻuwai e hana ikaika ma mua o ka maʻamau e pamu i ka nui o ke koko e pono ai kou kino. E nānā kākou i kēia mau kūlana.
| Inoa kūlana | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| ʻO ka Mitral Valve Prolapse | Ke pani ʻia ka valve, ʻaʻole e pani pono kona mau lau ʻelua, a neʻe iki lākou i ke keʻena o luna (atrium hema). Ua like ia me ka puka i pani pono ʻole ʻia i ka makani. I ka hala ʻana o ka manawa, hiki i kēia ke hoʻoheheʻe i ke koko mai ka valve. |
| Ka Regurgitation o ka Valve Mitral | No ka mea, ʻaʻole pani pono ka valve, ke kaomi ʻia ke koko mai ke keʻena haʻahaʻa (ka ventricle hema), e kahe hou ana kekahi o ia mea i loko o ke keʻena luna. Ua like kēia me ka wai e kahe ana mai kahi paipu e kahe ana. |
| ʻO ka Stenosis Valve Mitral | Lilo nā ʻāpana valve i mānoanoa a paʻakikī, a ʻaʻole e wehe pono. E like me ka ʻūlū puka ʻōpala. Pale kēia i ke koko mai ke kahe ʻana mai ke keʻena luna a i ke keʻena lalo. |
| Pālua-orifice Mitral Valve | He kīnā kūkulu hānau kēia. Ma kahi o hoʻokahi puka i loko o ka valve, ʻelua puka i hana ʻia. Hiki i kekahi a i ʻole nā puka ʻelua ke lilo i haiki a liki paha. |
No ke aha lā e hana ʻia ai nā mea e like me kēia?
Ke noʻonoʻo nei paha ʻoe, "No ke aha e hana nei kēia i kēia mau kiwikā?" Hiki ke loaʻa kekahi mau kumu no kēia.
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, e like me nā ʻāpana ʻē aʻe o ko kākou kino, hiki i nā valves o ka puʻuwai ke nāwaliwali mālie a mānoanoa me nā waihona calcium.
- Nā kīnā hānau: Hiki i kekahi poʻe ke hānau ʻia me kahi kīnā valve hānau.
- ʻO ka pōʻino i hana ʻia e ka hāʻule puʻuwai: Ke hōʻino ka hāʻule puʻuwai i ka ʻiʻo o ka puʻuwai, hiki iā ia ke hoʻopilikia i ka hana o ka valve.
- Nā maʻi a me nā maʻi ʻaleka: ʻO nā kūlana e like me ka fiva rumatika, kahi e kū mai ana ma hope o nā maʻi ʻāʻī i mālama ʻole ʻia, a me nā maʻi e pili ana i ka uhi o loko o ka puʻuwai, e like me ka endocarditis, hiki ke hōʻino i nā valves.
- Nā kūlana olakino ʻē aʻe: ʻO nā maʻi genetic e hoʻopilikia i nā ʻiʻo pili o ke kino, e like me Marfan Syndrome, hiki ke hana i ka nāwaliwali o ka valve.
- Lapaʻau radiation: Inā ua loaʻa iā ʻoe ka radiation therapy no ka maʻi ʻaʻai ma ka umauma i kou wā kamaliʻi, hiki iā ia ke hoʻopilikia i nā valves i ka wā e hiki mai ana.
Pehea ʻoe e ʻike ai inā he pilikia me ka valve? He aha nā hōʻailona?
I nā hihia he nui, ʻaʻohe paha he mau hōʻailona no nā makahiki ʻoiai inā he pilikia me ka mitral valve. Eia nō naʻe, i ka wā e ʻoi aʻe ai ke ʻano, hoʻomaka nā hōʻailona e ʻike ʻia.
| Nā hōʻailona maʻamau | |
|---|---|
| He kani puʻuwai ʻē aʻe (Heart Murmur) | He leo ʻē i lohe ʻia e ke kauka me ka stethoscope. ʻO kēia ka hōʻailona mua o ka maʻi valve. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Paʻakikī ka hanu ʻana, ʻoiai ke luhi ʻoe, ke piʻi ʻana i nā alapiʻi, a i ʻole ke hilinaʻi ʻana. |
| Luhi | Manaʻo luhi loa me ke kumu ʻole. |
| Pōʻino a i ʻole ka nawaliwali | Ka poniuniu koke a i ʻole ka nalowale ʻana o ka ʻike. |
| ʻEha umauma | Manaʻo o ka ʻūmiʻi a i ʻole ka ʻeha ma ka umauma. |
| Nā Palpitations | Manaʻo e like me ka wikiwiki o kou puʻuwai e kuʻi ana, e kuʻi ana, a i ʻole e hoʻololi ana i ka mele. |
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. He mea maʻamau paha ia, akā ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e hōʻoia.
He aha ka mea e hana ai inā lilo kēia mau kūlana i mea koʻikoʻi?
Inā ʻaʻole mālama pono ʻia nā maʻi valve, hiki iā lākou ke hana i nā pilikia koʻikoʻi e hiki ke hoʻoweliweli i ke ola .
- Nā maʻi ʻōuli o ka puʻuwai `(Arrhythmia)`
- ʻO ka wai e hoʻopiha ana i nā māmā
- Ka hāʻule ʻana o ka puʻuwai
- Ke koko kiʻekiʻe o ka puʻuwai
- Hahau
- Hoʻopaʻa ʻia ka puʻuwai
No laila, inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i kāu kauka. E hana ʻo ia i nā hoʻokolohua e pono ai a haʻi pololei iā ʻoe inā he pilikia kou a ʻaʻole paha.
He aha nā hoʻokolohua e nānā ai i ke olakino o ka valve mitral?
E nīnau kāu kauka e pili ana i kāu mau hōʻailona, e nānā iā ʻoe, a, inā pono, e kuhikuhi iā ʻoe no kekahi mau hoʻokolohua e like me kēia.
- Auscultation: ʻO kēia ka hoʻāʻo maʻalahi loa. Hiki i ke kauka ke lohe i kou puʻuwai e kuʻi ana e nānā i nā mea ʻē aʻe, e like me ka murmur puʻuwai.
- Echocardiogram: He scan kēia e lawe ana i kahi wikiō o ka puʻuwai. Hiki iā ia ke ʻike maopopo i ke ʻano o ka valve, kona neʻe ʻana, a inā paha e kahe ana ke koko a i ʻole e ʻūmiʻi ana.
- Electrocardiogram (EKG): He hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai. Kōkua kēia i ka ʻike ʻana i nā loli o ka puʻuwai.
- Hoʻāʻo Hoʻoikaika Kino: Nānā ʻia kahi EKG a me ke koko i kou wā e hele ana a holo paha ma luna o kahi treadmill. Kōkua kēia i ka ʻike ʻana i ke ʻano o ka hoʻoikaika kino ʻana o kou puʻuwai.
- X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i ka puʻuwai i hoʻonui ʻia a me ka wai i loko o nā māmā.
- Nā scan ʻē aʻe: I kekahi manawa pono paha nā hoʻokolohua e like me ka `(CT)` scan a i ʻole `(Heart MRI)`.
- Ka Catheterization Cardiac: Hoʻokomo ʻia kahi ʻōmole lahilahi 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 ka puʻuwai a nānā i kāna hana.
He aha nā lāʻau lapaʻau?
Inā ua ʻike ʻia ʻoe me ka maʻi valve mitral, mai hopohopo. I kēia lā, aia nā lāʻau lapaʻau kūpono loa no kēia. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa ma muli o ke koʻikoʻi o kou kūlana.
- Nā lāʻau lapaʻau: Hāʻawi ʻia nā lāʻau lapaʻau like ʻole e kāohi i nā hōʻailona a pale i nā pilikia. No ka laʻana, nā diuretics, nā mea e wehe ai i ka wai keu mai ke kino, nā lāʻau lapaʻau e kāohi i ke koko, a me nā lāʻau lapaʻau e hoʻoponopono ai i ka puʻuwai.
- ʻO ke ʻoki kino a me nā ʻano hana ʻē aʻe:
- Hoʻoponopono ʻana i ka Mitral Valve: I nā manawa hiki, e hoʻāʻo nā kauka e hoʻoponopono a hoʻoponopono i kāu valve ponoʻī. ʻO kēia ke koho maikaʻi loa.
- Hoʻololi i ka Valve Mitral: Inā ua hōʻino ʻia ka valve ma kahi hiki ʻole ke hoʻoponopono hou ʻia, e wehe ʻia a hoʻololi ʻia me kahi valve hana (i hana ʻia me ka metala a i ʻole nā ʻiʻo holoholona).
- Kaʻina hana baluna (Mitral Valve Commissurotomy): I nā hihia kahi i emi ai ka valve (stenosis), hoʻokomo ʻia kahi baluna ma o kahi aa koko e wehe i ka valve i emi ai.
I kēia mau lā, ua holomua ka ʻenehana i hiki ai ke hana ʻia kekahi o kēia mau ʻokiʻoki ma o nā ʻoki liʻiliʻi loa, me ka wehe ʻole ʻana i ka umauma. No laila, ʻoi aku ka wikiwiki o ka hoʻōla ʻana.
He aha kā mākou e hana ai e mālama i ke olakino o ko mākou mau kiwikā puʻuwai?
ʻOiai ʻaʻole hiki iā mākou ke pale aku i kekahi mau maʻi valve, hiki iā mākou ke mālama i ke olakino holoʻokoʻa o ka puʻuwai ma o ka hahai ʻana i kahi nohona olakino.
- E pale loa i ka puhipaka.
- E hōʻemi i ka hoʻohana ʻana i ka waiʻona a me ka caffeine.
- E hoʻokele i ke kaumaha. Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka yoga ke kōkua.
- E mālama i kou mau niho a me kou ʻili i ka maʻemaʻe. Hiki i nā maʻi e komo i ke kino ma o kēia mau mea ke hoʻopilikia i ka puʻuwai.
- E kāohi i ke koko a me nā pae cholesterol.
- E ʻai i ka meaʻai olakino no ka puʻuwai. E koho i nā meaʻai haʻahaʻa i ka momona saturated a me nā trans.
- E noho hana ikaika i ka hapa nui o nā lā o ka pule. E hana i kekahi mau hoʻoikaika kino, e like me ka hele wāwae, no ka liʻiliʻi he 30 mau minuke i ka lā.
Leka Lawe-Home
- ʻO ka valve mitral kahi puka liʻiliʻi i loko o kou puʻuwai e pono ai ke ola.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka pōkole o ka hanu, ka luhi nui, ka ʻeha o ka umauma, a i ʻole nā palpitations.
- Inā loaʻa iā ʻoe kahi maʻi valve, e hahai pololei i nā ʻōlelo a kāu kauka a hele i nā keʻena lapaʻau i ka manawa kūpono.
- Mai hopohopo! I kēia lā, aia nā lāʻau lapaʻau kūpono a palekana hoʻi no ka maʻi valve mitral.
- ʻO ke ola kino olakino ka makana maikaʻi loa hiki iā ʻoe ke hāʻawi i kou puʻuwai.











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