E noʻonoʻo ʻoe ua manaʻo koke ʻoe i kahi ʻeha nui i loko o kou umauma, me ka nausea . E ʻoi aku ka ʻino o kēia ʻeha ke hanu hohonu ʻoe a moe paha. Akā, he mea kupanaha, ke noho ʻoe i lalo a kūlou i mua, me he mea lā e emi iki ana. Makaʻu ka poʻe he nui he hōʻeha puʻuwai kēia i ka manawa e like me kēia. He mea kūpono kēlā makaʻu, akā he ʻokoʻa kēia mau hōʻailona mai ka hōʻeha puʻuwai, akā hiki iā lākou ke lilo i kūlana e pono ai ka nānā ʻana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana e pili ana i ko mākou puʻuwai. ʻO ia ka Pericarditis .
I ka ʻōlelo maʻalahi, he aha ka Pericarditis?
ʻAʻole wale ko kākou puʻuwai he ʻōkana. Ua hoʻopuni ʻia e kahi uhi lahilahi e like me ka ʻeke no ka pale ʻana. ʻO kēia ka mea a mākou e kapa nei i ka pericardium ma ke ʻano lapaʻau. ʻO ka hana nui o kēia ʻeke, ʻo ia ka hōʻemi ʻana i ka hakakā e kū mai ana i ka wā e paʻi ai ka puʻuwai a me ka pale ʻana i ka puʻuwai mai nā maʻi e hele mai ana mai waho.
No laila, ʻo Pericarditis kahi mumū o ka ʻeke pale e hoʻopuni ana i ka puʻuwai. Ke ʻōlelo mākou "ka mumū," e noʻonoʻo e like me ka wā e ʻeha ai mākou i kekahi wahi o ko mākou kino, lilo ka ʻāpana i ʻulaʻula, pehu, a ʻeha. He kūlana kēia e kū mai ana i loko o kēia ʻeke e hoʻopuni ana i ka puʻuwai. Hoʻomaka koke kēia a hiki ke mau no nā pule a i ʻole nā mahina.
ʻOiai hiki ke ulu kēia maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā kāne ma waena o 16 a me 65 mau makahiki. ʻO ka mea maikaʻi loa, ua mālama pinepine ʻia a ho'ōla ʻia.
He aha nā ʻano nui o ka pericarditis?
Hiki ke hoʻokaʻawale ʻia kēia ʻano i kekahi mau ʻano nui ma muli o ka lōʻihi a me ke kumu o kona ulu ʻana. He mea nui iā ʻoe e ʻike i kēia.
| ʻAno | He wehewehe maʻalahi |
|---|---|
| Ma muli o ka lōʻihi o ka maʻi | |
| ʻO ka Pericarditis ʻoi (hoʻomaka koke) | Hoʻomaka koke ia. ʻO ka maʻamau, ʻaʻole i hala ma mua o 4-6 mau pule ka mau ʻana o nā hōʻailona. |
| ʻO ka Pericarditis Subacute (e mau ana no kekahi manawa) | ʻOi aku ka mau o nā hōʻailona ma mua o 4-6 mau pule, akā nalo pinepine i loko o 3 mau mahina. |
| ʻO ka Pericarditis Mau Loa | Ke mau nei nā hōʻailona no nā mahina ʻekolu ma hope o ka hāʻule mua. |
| ʻO ka Pericarditis hou | Ma hope o ka mālama mua ʻana a me ka hoʻōla ʻana, hoʻi hou kēia ʻano. Hiki ke hana kēia i kahi 30% o nā maʻi. |
| Ma muli o ke kumu o ka maʻi | |
| ʻO ka Pericarditis Idiopathic | ʻAʻohe kumu kikoʻī no kēia. ʻO kēia ke ʻano i ʻike pinepine ʻia. |
| ʻO ka Pericarditis maʻi | Hoʻokumu ʻia ia e kahi maʻi e like me nā virus, bacteria, a fungi paha. |
| ʻO ka Pericarditis ʻino | Hiki ke hana ʻia e ka maʻi ʻaʻai ma nā wahi ʻē aʻe o ke kino. |
| ʻO ka Pericarditis Traumatic | Hiki ke hana ma hope o ka hōʻeha ʻana i ka umauma, no ka laʻana, kahi ulia kaʻa. |
| ʻO ka Pericarditis Uremic | He kūlana i hoʻokumu ʻia e ka hāʻule ʻana o nā puʻupaʻa. |
Eia kekahi, aia kahi pilikia koʻikoʻi i kapa ʻia ʻo Constrictive Pericarditis . ʻO kēia ka wā e mānoanoa ai nā membrane o ka ʻeke a puni ka puʻuwai, ʻeha, a pili pū kekahi. Hoʻopaʻa kēia i ka hakahaka no ka puʻuwai e kuʻi manuahi.
He aha nā hōʻailona o ka pericarditis? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona nui a maʻamau o kēia ʻano, ʻo ia ka ʻeha o ka umauma . Akā, ʻaʻole kēia he ʻeha maʻamau o ka umauma.
- Ua like ia me ka ʻeha ʻoi a hou .
- Hoʻonui ʻia kēia ʻeha ke ʻū ʻoe, moni, hanu hohonu, a moe i lalo .
- E emi ana ka ʻeha ke noho ʻoe e kūlou ana i mua .
He mea nui loa kēia mau hōʻailona hope ʻelua (hoʻonui ʻia i ka wā e kūlou ana i lalo a emi iho i ka wā e kūlou ana i mua) i ka hoʻokaʻawale ʻana i ka pericarditis mai ka hāʻule puʻuwai.
Hiki i kēia ʻeha umauma ke pālahalaha i kekahi manawa i ke kua, ka ʻāʻī, a i ʻole ka poʻohiwi hema.
Ma waho aʻe o ka ʻeha o ka umauma, hiki iā ʻoe ke loaʻa nā hōʻailona ʻē aʻe e like me:
- Paʻakikī ka hanu ʻana i ka wā e moe ana
- ʻŪhū maloʻo ʻeha
- Nā Palpitations (manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi hewa ʻole)
- Luhi
- kuni
- ʻO ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae i nā hihia koʻikoʻi
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka . Inā manaʻo ʻoe ua koʻikoʻi kou mau hōʻailona, e hele i ka lumi pilikia haukapila kokoke loa (ETU) i ka hikiwawe loa. ʻAʻole maikaʻi ka hoʻopaneʻe ʻana i nā mea.
No ke aha e kū mai ai ka Pericarditis? He aha nā kumu nui?
Hiki i ka pericarditis ke loaʻa i kekahi mau kumu. Eia nō naʻe, ma nā ʻāina Komohana, ʻike pinepine ʻia ʻo ia he idiopathic a i ʻole i hoʻokumu ʻia e kahi maʻi viral. Ua hoʻokaʻawale nā kauka i kēia mau kumu i ʻelua mau māhele nui.
1. Nā kumu hoʻolaha:
- Nā maʻi: Nā maʻi e like me ka maʻi palū, COVID-19, adenovirus, HIV.
- Bacteria: Nā maʻi bacteria e like me ka maʻi puʻupuʻu.
- Nā haʻihaʻi a me nā mea kolo: He mea kākaʻikahi loa kēia mau mea.
2. Nā kumu ʻaʻole i hoʻopili ʻia:
- ʻO ke ʻoki umauma a i ʻole ka ulia .
- Ke kanesa e kū ana ma kahi ʻē aʻe o ke kino.
- Nā kūlana Autoimmune: E like me ka lupus a me ka rheumatoid arthritis, ʻo ia nā kūlana e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau cell ponoʻī.
- ʻO Uremia, kahi pilikia o ka hāʻule ʻole o ka puʻupaʻa i mālama ʻole ʻia.
- Ka hemahema nui o ka hormone thyroid (hypothyroidism nui) .
Nā mea e hoʻonui ai i ka pilikia
Aia ʻoe i ka pilikia nui o ka hoʻomohala ʻana i ka pericarditis ma hope o kekahi mau hanana.
- Ma hope o ka hāʻule puʻuwai:Ua kapa ʻia kēia ʻo ka maʻi Dressler.
- Ma hope o ke ʻoki puʻuwai hāmama: Ua kapa ʻia kēia ʻo postpericardiotomy syndrome.
- Ma hope o ka loaʻa ʻana o ka radiation therapy.
- Ma hope o nā lāʻau lapaʻau ʻē aʻe, e like me ka catheterization cardiac a i ʻole ka radiofrequency ablation (RFA) .
He aha nā pilikia e hiki ai i kēia ke hana?
Inā ʻaʻole mālama ʻia ka pericarditis i ka manawa, hiki mai nā pilikia weliweli.
ʻO ke kumu nui, ʻo ia ka Pericardial Effusion . I ka ʻōlelo maʻalahi, ʻo ia ka hōʻiliʻili ʻana o ka wai (wai) i loko o ka ʻeke a puni ka puʻuwai. ʻOiai ʻaʻole he mea nui ka wai liʻiliʻi, inā hōʻiliʻili koke kēia wai, hiki iā ia ke alakaʻi i kahi maʻi koʻikoʻi i kapa ʻia ʻo Cardiac Tamponade .
ʻO ka tamponade cardiac kahi kūlana kahi e hōʻiliʻili ai ka wai a puni ka puʻuwai, e pale ana iā ia mai ka pamu pono ʻana. He pilikia olakino kēia e hiki ke hoʻoweliweli i ke ola.
ʻO ia ke kumu he mea nui loa ke ʻike ʻana i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona o ka pericarditis. Inā hoʻomaka mua ʻoe i ka lāʻau, hiki iā ʻoe ke pale i kēia mau pilikia koʻikoʻi mai ka ulu ʻana.
E ke kauka, pehea ʻoe e ʻike ai i kēia?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau mua ʻo ia e pili ana i kāu mau hōʻailona a inā he mau maʻi hou kāu. A laila e kau ʻo ia i kahi stethoscope i kou umauma a nānā iā ia.
Me ka pericarditis, hamo pū nā membrane pehu i ka wā e kuʻi ai ka puʻuwai, e hana ana i kahi leo ʻūlū, e like me ʻelua lau e hamo pū ʻia ana. Ua kapa ʻia kēia e nā kauka he "hamo pericardial." Inā lohe ʻoe i kēia leo, he hōʻailona ikaika ia he pericarditis kou.
Eia kekahi, no ka hōʻoia ʻana i ka maʻi a me ka nānā ʻana i nā pilikia, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua e like me kēia.
| Hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| X-ray umauma | E nānā i nā mea e like me ka nui o ka puʻuwai a inā he wai i loko o nā māmā. |
| ʻElectrocardiogram (ECG) | E nānā i nā loli i ka hana uila o ka puʻuwai. Hiki ke ʻike ʻia nā ʻano kikoʻī i ka pericarditis ma ka ECG. |
| ʻEchocardiogram (Echo) | E nānā i ka hana ʻana o ka puʻuwai a inā ua piha ka ʻeke a puni ka puʻuwai i ka wai keu. |
| MRI puʻuwai | E nānā pono no ka mumū, ka mānoanoa, a i ʻole ka poloka puʻuwai i loko o ka ʻeke a puni ka puʻuwai. |
| Nānā CT | E nānā i ka ʻeke no nā waihona calcium a me nā nati. |
| Ka hoʻokomo ʻana o ka catheter cardiac | No ka hōʻoia ʻana i nā kūlana e like me ka constrictive pericarditis, e ana i ke kaomi i loko o ka puʻuwai. |
| Nā hoʻāʻo koko | Kōkua nā māka inflammatory i loko o ke kino e ʻike i ke kumu o ka maʻi. |
He aha nā lāʻau lapaʻau no ka pericarditis?
Hoʻomaʻamaʻa pinepine ʻia me nā lāʻau lapaʻau a me nā kapu hana kino, akā i nā hihia koʻikoʻi, pono paha ka maloʻo ʻana o ka wai a i ʻole ke ʻoki ʻana.
Lāʻau lapaʻau
He nui ka poʻe e hōʻoluʻolu mai kēia mau lāʻau lapaʻau.
- Nā NSAID: Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory, e like me ka ibuprofen a i ʻole aspirin kiʻekiʻe.
- Colchicine: He ʻano lāʻau lapaʻau kēia e hōʻemi ai i ka mumū. Hiki i kāu kauka ke kuhikuhi i kēia inā ua ʻoi aku kāu mau hōʻailona ma mua o ʻelua pule a i ʻole inā e hoʻi hou ana ke ʻano.
- Prednisone: He ʻano steroid kēia. Hiki ke hāʻawi ʻia kēia inā ʻaʻole hana nā lāʻau lapaʻau ʻē aʻe iā ʻoe.
- Lāʻau antibiotic a antifungal paha: Inā loaʻa kou maʻi i kahi maʻi bacteria a fungal paha, e hāʻawi ʻia iā ʻoe ka lāʻau antibiotic kūpono.
Ka palena o ka hana kino a me ka hoʻomaha
He mea nui ka hoʻomaha i ka wā e hoʻōla ana mai ka pericarditis. Inā ʻoe e hoʻoikaika kino, holo, a hana paha i nā hana ikaika ʻē aʻe, hiki iā lākou ke hoʻonui i ka mumū. No laila, e haʻi pololei kāu kauka iā ʻoe i ka lōʻihi a me ka nui o kāu e kaupalena ai i ka hana kino. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.
Ka hoʻokahe wai
Inā kū mai kahi kūlana e like me ka Cardiac Tamponade, a mākou i kamaʻilio ai ma mua, ʻo ia hoʻi, inā piha ka puʻuwai i ka wai a ua ālai ʻia ka puʻuwai, pono e wehe ʻia kēlā wai keu.
- Pericardiocentesis: ʻO kēia ke komo ʻana i kahi ʻōmole lōʻihi a lahilahi (catheter) ma o ka umauma a me ka wehe ʻana i ka wai i hōʻiliʻili ʻia i loko o ka ʻeke a puni ka puʻuwai.
- ʻO ka puka makani Pericardial: Inā ʻaʻole hiki ke wehe ʻia ka wai me ka nila, hana ʻia kahi ʻoki liʻiliʻi ma ka umauma, hana ʻia kahi puka liʻiliʻi i loko o ka ʻeke a puni ka puʻuwai, a ʻae ʻia ka wai e kahe ma loko.
ʻoki kino
Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi e like me ka Constrictive Pericarditis, pono paha ʻoe e hana i kahi ʻoki kino i kapa ʻia ʻo Pericardiectomy , ʻo ia hoʻi ka wehe ʻana i kahi ʻāpana o ka ʻeke mānoanoa e hoʻopuni ana i ka puʻuwai.
He aha ka mea e hiki mai ana? He aha kā kākou e manaʻo ai?
Pono ʻoe e hoʻomaha no kekahi manawa aʻo ʻoe e hoʻōla hou mai ka pericarditis. Ke hoʻōla piha ʻia ʻoe, hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau. Akā, mai hoʻi hou i ka hoʻoikaika kino a hiki i ka ʻōlelo ʻana a kāu kauka, "ʻAe, ua maikaʻi i kēia manawa."
ʻO ka nūhou maikaʻi, me ka mālama ʻana i ka manawa kūpono, hoʻōla loa ka hapa nui o ka poʻe . Hiki i kekahi mau hihia liʻiliʻi ke hoʻomaikaʻi me ka hoʻomaha. Akā inā ʻaʻole mālama ʻia, hiki ke lilo i mea maʻi.
Ma waena o 15% a me 30% o ka poʻe me ka pericarditis e loaʻa hou nā hanana i nā makahiki. No laila, he mea nui loa ia e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai a e mālama i nā manawa hoʻopaʻa.
Leka Lawe-Home
- ʻAʻole nā ʻeha umauma a pau āu e ʻike ai he hōʻeha puʻuwai, akā pono e noʻonoʻo pono ʻia nā ʻeha umauma a pau .
- He mau ʻano kikoʻī ko ka ʻeha o ka pericarditis: he ʻeha ʻoi e hoʻonui ana i ka wā e moe ana a emi iho i ka wā e kūlou ana i mua .
- Inā ʻike ʻoe i ke kauka i ka manawa kūpono a loaʻa ka lāʻau lapaʻau, hiki ke ho'ōla loa ʻia kēia.
- E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai i ka manawa kūpono. Mai kū i ka hapalua. Inā ʻōlelo ʻo ia iā ʻoe e hoʻomaha, e hahai pono i kāna mau kuhikuhi.
- ʻOiai ma hope o ka ho'ōla ʻia ʻana o ka maʻi, ʻo ka hana ʻana i nā nānā lapaʻau maʻamau e kōkua i ka pale ʻana i ka hoʻi hou ʻana mai o ka maʻi.
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