Ua ʻike anei ʻoe i kahi ʻeha ʻoi a ʻoi loa i waenakonu o kou umauma, e paʻakikī ai ka hanu ʻana? Hiki ke hana kēia ma hope o kou hoʻōla ʻana mai ke anu a i ʻole ka maʻi flu. Nui ka poʻe e makaʻu nei he maʻi puʻuwai kēia. ʻO ka ʻoiaʻiʻo, hiki ke lilo i mumū o ka ʻeke e hoʻopuni ana i ka puʻuwai. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo "pericarditis."
Ua ʻike anei ʻoe i ke ʻano o ka pericarditis?
I ka ʻōlelo maʻalahi, ʻo ka 'Pericarditis' kahi mumū a pehu paha o ka 'pericardium', kahi ʻeke lahilahi loa, ʻelua papa, piha i ka wai e hoʻopuni ana i ko mākou puʻuwai. Ua like ia me kahi ʻoki ma ko mākou ʻili e hoʻolilo ai i ka ʻili i ʻulaʻula a pehu. ʻO ka hana nui o kēia 'pericardium' ʻo ia ka pale ʻana i ka puʻuwai a hāʻawi iā ia i ka lubrication e pono ai ke kuʻi. Ma muli o kēia mumū, i kekahi manawa hiki ke hōʻiliʻili ka wai keu ma waena o nā papa o ka pericardium. Ua kapa ʻia kēia ʻo 'pericardial effusion'.
ʻO ka maʻamau, hiki koke mai ka pericarditis. Eia nō naʻe, hiki i kekahi manawa ke mau no nā pule a i nā mahina. ʻO ka maʻamau, hoʻopau ʻia ke kūlana i loko o ʻekolu mahina, akā i kekahi poʻe, hiki ke mau no nā makahiki.
Aia kekahi mau ʻano o ka pericarditis, ʻeā?
ʻAe, aia nā ʻano like ʻole o ka 'Pericarditis'. E nānā kākou i nā ʻano nui:
- ʻO ka Pericarditis ʻoi: ʻO kēia ke ʻano maʻamau. Hiki koke mai kēia mumū, me ka hoʻomaka ʻana o nā hōʻailona.
- ʻO ka Pericarditis Mau: ʻO kēia ka inoa i hāʻawi ʻia i ka mumū e hoʻomau nei no ʻekolu mahina a ʻoi aku paha ma hope o ka hanana mua.
- ʻO ka Pericarditis Constrictive: He ʻano koʻikoʻi kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka mānoanoa mālie ʻana o nā papa o ka pericardium i pehu ʻia, hana ʻia nā ʻiʻo ʻeha, a pili pū kekahi. Me he mea lā e ʻūlū ana ka puʻuwai. Hoʻopilikia nui kēia i ka hana maʻamau o ka puʻuwai. Hoʻomaka pinepine kēia ʻano ma hope o kahi manawa lōʻihi o ka 'Acute Pericarditis'.
- ʻO ka Pericarditis Pipili: Hiki ke hana ʻia kēia maʻi e kahi maʻi viral, bacterial, fungal, a parasitic paha.
- ʻO ka Pericarditis Idiopathic: I kekahi manawa ʻaʻole ʻike ʻia ke kumu o kēia . ʻO ia ke kumu i kapa ʻia ai kēia.
- ʻO Traumatic Pericarditis: Hiki ke hana ʻia kēia ʻano ma hope o kahi hōʻeha i ka umauma, no ka laʻana ma hope o kahi ulia kaʻa.
- Uremic Pericarditis: Hiki ke hana kēia i nā poʻe i hana pono ʻole ko lākou mau puʻupaʻa.
- ʻO ka Pericarditis ʻino:Hiki ke hiki mai kēia ʻano ma muli o ka ulu ʻana o ke kanesa ma nā wahi ʻē aʻe o ke kino.
He aha ka ʻokoʻa ma waena o ka myocarditis a me ka pericarditis?
He mau maʻi mumū o ka puʻuwai nā mea ʻelua, akā loaʻa lākou ma nā wahi ʻelua. ʻO ka myocarditis kahi mumū o ka ʻiʻo o ka puʻuwai. ʻO ka pericarditis kahi mumū o ka ʻeke a puni ka puʻuwai, i kapa ʻia ʻo pericardium. Hoʻokumu pinepine ʻia nā mea ʻelua e kahi maʻi. Hiki i nā mea ʻelua ke hōʻeha i ka umauma. Eia nō naʻe, me ka pericarditis, pono e hoʻomaha ʻia ka ʻeha o ka umauma ke kūlou ʻoe i mua. Me ka myocarditis, e ʻoi aku kou luhi a me kou nāwaliwali.
ʻO wai ka mea e loaʻa pinepine ai ka Pericarditis?
Hiki i kekahi ke loaʻa i ka pericarditis. Eia nō naʻe, ʻoi aku ka maʻamau o ia i nā kāne ma waena o 16 a me 65 mau makahiki. Wahi a nā helu helu, ʻike ʻia kēia ʻano ma kahi o 28 o 100,000 mau kānaka i kēlā me kēia makahiki.
He aha ka mea e hana ʻia i ke kino ke loaʻa ka pericarditis?
Ke loaʻa iā ʻoe ka pericarditis, lilo ka membrane a puni kou puʻuwai i ʻulaʻula a pehu. Ua like ia me ka ʻili a puni kahi ʻoki ma kou lima a wāwae paha e pehu ana. He mea nui loa kēia pericardium. Hoʻowali ia i ka puʻuwai, pale iā ia mai nā maʻi a me ke kanesa, a kōkua i ka mālama ʻana iā ia ma kahi o ka umauma. Hoʻōki pū ia i ka puʻuwai mai ka nui loa i ka wā e piʻi ai ka nui o ke koko. Kōkua kēia i ka puʻuwai e hana maikaʻi.
He aha nā hōʻailona o ka pericarditis? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona nui o ka pericarditis ka ʻeha o ka umauma. Loaʻa i kēia ʻeha kekahi mau ʻano kikoʻī:
- ʻEha ʻoi a hou (ʻo kēia ke kumu o ka hamo ʻana o ka puʻuwai i ka pericardium pehu).
- Hiki ke hoʻonui ʻia kēia ʻeha ke ʻū ʻoe, moni, hanu hohonu, a moe paha.
- Eia nō naʻe, ke noho ʻoe i lalo a kūlou i mua, pono ʻoe e ʻike i ka emi ʻana o ka ʻeha. He hōʻailona koʻikoʻi loa kēia.
I kekahi manawa e manaʻo paha ʻoe i ka pono e kūlou i mua a paʻa paha i kou umauma i maʻalahi ai ka hanu ʻana.
Aia kekahi mau hōʻailona ʻē aʻe:
- ʻEha ma kou kua, ʻāʻī, a i ʻole ka poʻohiwi hema.
- He paʻakikī ke hanu ke paʻa ʻoe.
- ʻO ka ʻū maloʻo.
- ʻO nā palpitations kahi manaʻo o ka puʻuwai wikiwiki a kūpono ʻole.
- Ke hopohopo mau nei a me ka luhi.
- Kuni.
- I nā hihia koʻikoʻi, pehu nā wāwae, nā kuʻekuʻe wāwae, a me nā kapuwaʻi.
Inā pehu kou mau wāwae, nā kapuaʻi, a me nā kuʻekuʻe wāwae, a i ʻole pilikia ʻoe i ka hanu ʻana ʻoiai ke hana nei i nā hana liʻiliʻi, he hōʻailona paha ia o kahi maʻi koʻikoʻi i kapa ʻia ʻo Constrictive Pericarditis. ʻO kēia ka manawa e mānoanoa ai ka pericardium a pale i ka puʻuwai mai ka hoʻonui pono ʻana. Pale kēia i ka puʻuwai mai ka pamu pono ʻana i ke koko. Hiki i kēia ke hoʻopiha i nā māmā, ka ʻōpū, a me nā wāwae i ke koko a pehu, e like me nā hōʻailona o ka Congestive Heart Failure. Hiki nō hoʻi ke loaʻa nā ʻano puʻuwai maʻamau ʻole.
Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka 'Acute Pericarditis', e ʻike koke i kāu kauka. Inā manaʻo ʻoe he pilikia kāu mau hōʻailona, e ʻimi i ka lāʻau lapaʻau ma ka haukapila kokoke loa.
No ke aha e kū mai ai ka Pericarditis? He aha nā kumu?
ʻO ka mea kupanaha, ma kahi o 90 o 100 mau hihia, ʻaʻohe kumu kikoʻī i loaʻa no kēia "pericarditis." Ua kapa ʻia kēia he "idiopathic pericarditis."
Eia nō naʻe, aia kekahi mau kumu ʻē aʻe e hiki ai ke hana i ka pericarditis:
- Ma ke ʻano he pilikia o kahi maʻi viral (pinepine he maʻi gastrointestinal).
- ʻO kahi maʻi bacteria, no ka laʻana, ka maʻi puʻupuʻu.
- He maʻi fungal.
- He maʻi i loaʻa mai i kahi parasite.
- Ma muli o kekahi mau 'Maʻi Autoimmune', no ka laʻana ʻo 'Lupus', 'Rheumatoid Arthritis', 'Scleroderma'.
- ʻO kahi ʻeha o ka umauma, e like me ma hope o kahi ulia kaʻa.
- Ma muli o ka `Kinney Failure`.
- Ma muli o nā maʻi ʻaʻai e like me ka 'Lymphoma'.
- Ma muli o nā maʻi hoʻoilina e like me ka `Familial Mediterranean Fever (FMF)`.
- Ma muli o kekahi mau lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale (he mea kākaʻikahi loa kēia).
Eia kekahi, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Pericarditis ma hope o kēia mau mea:
- Ma hope o ka `Hōʻeha Puʻuwai`.
- Ma hope o ke ʻoki puʻuwai hāmama (Open Heart Surgery / Postpericardiotomy Syndrome).
- Ma hope o ka radiation therapy.
- Ma hope o kekahi mau lāʻau lapaʻau e like me ka `Cardiac Catheterization` a i ʻole `Radiofrequency Ablation (RFA)`.
I kēia mau hihia, hiki ke kumu ʻia ka pericarditis e kahi pilikia me ke ʻano o ka pane ʻana o ke kino i ke ʻoki kino a i ʻole ke kūlana. I kekahi manawa, hiki ke hala i kekahi mau pule no ka ʻike ʻia ʻana o nā hōʻailona o ka pericarditis ma hope o ke ʻoki kino bypass. E kamaʻilio me kāu kauka ʻoki kino e pili ana i kēia.
E ke kauka, pehea ʻoe e ʻike ai i ka pericarditis?
ʻO ka ʻeha nui ma kou umauma a ma hope o kou mau ʻūhā poʻohiwi, ʻoiai ke kūlou ʻoe i mua, a me ka ʻeha o ka umauma ke hanu ʻoe i loko, ʻo ia nā hōʻailona nui ʻelua e loaʻa paha iā ʻoe ka pericarditis. Hiki i kēia ke kōkua iā ʻoe e ʻike inā ʻaʻole ia he hōʻeha puʻuwai. E nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona, inā ua maʻi ʻoe i kēia manawa, nā maʻi i hala, nā ʻoki kino āu i loaʻa ai, a me nā pilikia olakino ʻē aʻe e hoʻonui ai i kou pilikia o ka loaʻa ʻana o ka pericarditis.
A laila e hoʻolohe ke kauka i kou puʻuwai. Ke hamo pū nā papa pehu o ka pericardium, e lohe ʻoe i kahi leo e like me ʻelua lau e hamo pū ana, a i ʻole ʻelua ʻāpana ʻili maloʻo e hamo pū ana . Ua kapa ʻia kēia he "hamo pericardial." ʻOi aku ka maikaʻi o ka lohe ʻana i kēia leo ke kūlou ʻoe i mua, paʻa i kou hanu, a laila hanu mālie. Ma muli o ke koʻikoʻi o ka mumū, hiki iā ʻoe ke lohe i kekahi mau "crackles" i loko o nā māmā. ʻO ia hoʻi, aia ka wai i loko o ka hakahaka a puni nā māmā, a i ʻole he wai keu i loko o ka pericardium.
He aha nā hoʻokolohua e hana ʻia nei no kēia?
E hana nā kauka i nā hoʻokolohua like ʻole e nānā i ka pericarditis, a me nā pilikia e like me ka pericardial effusion a i ʻole ka constrictive pericarditis. Pono paha ʻoe e hana i hoʻokahi a ʻoi aku paha o kēia mau mea:
- X-ray o ka umauma: E nānā i ka nui o ka puʻuwai a ʻike inā he wai i loko o nā māmā.
- Electrocardiogram (ECG a i ʻole EKG): Nānā i nā loli i ke kuʻina o ka puʻuwai. Ma kahi o ka hapalua o ka poʻe me ka pericarditis e loaʻa kekahi mau loli i ʻike ʻia ma kā lākou ECG. ʻAʻole paha e loli iki kekahi poʻe.
- Echocardiogram (Echo): No ka ʻike ʻana i ke ʻano o ka hana ʻana o ka puʻuwai a inā he wai a puni ka puʻuwai (pericardial effusion). Hiki i kahi echo ke hōʻike i nā hōʻailona o ka constrictive pericarditis, ʻo ia hoʻi kahi ʻeke mānoanoa a paʻa a puni ka puʻuwai.
- MRI Puʻuwai: No ka nānā ʻana i ka wai keu, ka mumū, ka mānoanoa, a i ʻole nā mumumu puʻuwai i loko o ka pericardium . Hoʻokomo ʻia kahi mea kūikawā i kapa ʻia ʻo 'Gadolinium' i loko o ka puʻuwai.
- CT Scan: No ka ʻike ʻana inā he mau waihona calcium, wai, mumū, puʻupuʻu, a i ʻole nā maʻi ʻē aʻe i loko o ka pericardium. Hoʻohana kēia i kahi kala e loaʻa ana ka 'Iodine'. E aʻo hou e pili ana i ka mumū. He mea nui loa kēia hoʻāʻo inā pono ʻoe e hana ʻoki no ka 'Constrictive Pericarditis'.
- Catheterization Cardiac: Nānā i ke kaomi i loko o ka puʻuwai. Hiki i kēia ke hōʻoia inā he Constrictive Pericarditis kou.
- Nā Hoʻāʻo Koko: No ka hōʻoia ʻana ʻaʻole ʻoe e loaʻa i ka hōʻeha puʻuwai, e ʻike i ka maikaʻi o ka hana ʻana o kou puʻuwai, e nānā i ke kahe i loko o ka pericardium, a e kōkua i ka ʻike ʻana i ke kumu o ka pericarditis. Inā loaʻa iā ʻoe ka pericarditis, ʻoi aku ka kiʻekiʻe o kāu ESR (Erythrocyte Sedimentation Rate) a me ka ultra-sensitive C-reactive protein (CRP) ma mua o ka maʻamau. Hiki ke hana ʻia nā hoʻāʻo ʻē aʻe e nānā i nā maʻi autoimmune e like me ka lupus a me ka rheumatoid arthritis.
He aha nā lāʻau lapaʻau no ka pericarditis?
I ka hapanui o nā hihia, no ka poʻe me ka pericarditis, ua lawa ka lāʻau lapaʻau wale nō, ma muli o ke kumu i manaʻo ʻia. Eia nō naʻe, inā ua hōʻiliʻili ʻia ka wai i loko o kou pericardium, pono paha e wehe ʻia. Inā loaʻa iā ʻoe ka pericarditis constrictive, pono paha ke ʻoki ʻana.
Nā lāʻau lapaʻau no ka Pericarditis
Hoʻōla ʻia ka pericarditis koʻikoʻi me nā lāʻau ʻeha a me ka mumū, e like me ka ibuprofen a i ʻole ka aspirin kiʻekiʻe. Ma muli o ke kumu o ka pericarditis, pono paha ʻoe i nā lāʻau antibiotic a i ʻole nā lāʻau antifungal.
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi no nā pule ʻelua a ʻoi aku paha, a inā hoʻi mai lākou ma hope o kou olakino ʻana, hiki i kāu kauka ke kuhikuhi i kahi lāʻau anti-inflammatory i kapa ʻia ʻo Colchicine (Colcrys® a i ʻole Gloperba®). Hiki i ka Colchicine ke kōkua i ka hoʻomalu ʻana i ka mumū a pale i ka pericarditis mai ka hoʻi hou ʻana mai no nā pule a i ʻole nā mahina. Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, hiki i kāu kauka ke kuhikuhi i kahi steroid i kapa ʻia ʻo Prednisone, hiki ke paʻakikī i ka lawe ʻana i ka ibuprofen a me ka colchicine.
Inā pono ʻoe e lawe i nā lāʻau kiʻekiʻe o ka ʻIbuprofen, e kuhikuhi pū kāu kauka i nā lāʻau lapaʻau ʻē aʻe e hōʻemi i ka ʻeha o ka ʻōpū. Inā ʻoe e lawe ana i nā lāʻau kiʻekiʻe o ka ʻNSAID (Nonsteroidal Anti-inflammatory Drugs)`, pono ʻoe e loaʻa i nā hoʻokolohua `Follow-up` maʻamau e nānā i nā loli i ka hana o nā puʻupaʻa a me ke ake.
Inā loaʻa iā ʻoe ka Pericarditis 'Chronic' a i ʻole 'Recurrent', pono paha ʻoe e lawe i nā 'NSAID' a i ʻole 'Colchicine' no kekahi mau makahiki, ʻoiai inā olakino ʻoe. ʻO ka maʻamau, kōkua nā 'Diuretics' ("nā pila wai") i ka wehe ʻana i ke kahe keu e hōʻiliʻili ana ma muli o ka 'Constrictive Pericarditis'. Inā loaʻa iā ʻoe kahi pilikia o ka puʻuwai, e kamaʻilio kāu kauka me ʻoe e pili ana i ka lāʻau no ia mea.
Hiki i kāu kauka ke kamaʻilio pū me ʻoe e pili ana i ka mālama ʻana i kou kūlana me nā steroids a i ʻole nā lāʻau lapaʻau ʻē aʻe, e like me `Azathioprine (Azasan® a i ʻole Imuran®)`, `IV Human Immunoglobulins`, a i ʻole `Anakinra` a i ʻole `Rilonacept`.
Inā loaʻa kou pericarditis i kahi maʻi, e kuhikuhi kāu kauka i nā lāʻau lapaʻau kikoʻī e mālama ai i kēlā maʻi. Inā loaʻa ia i ke kanesa, ʻo ka lāʻau lapaʻau maikaʻi loa ka mālama ʻana i ke kanesa.
Nā ʻoki kino a me nā kaʻina hana no ka pericarditis
Ke hōʻiliʻili ka wai ma waena o nā papa o ka pericardium, hana ia i kahi kūlana i kapa ʻia ʻo 'Pericardial Effusion.' Inā hōʻiliʻili koke kēia wai, hiki iā ia ke hana i ka 'Cardiac Tamponade', kahi kūlana koʻikoʻi e kau ana i ke kaomi ma luna o ka puʻuwai a hoʻopilikia i kāna hana. ʻO ka 'Cardiac Tamponade' kahi pilikia olakino e hoʻoweliweli ana i ke ola e pono ai ka mālama koke ʻana.
ʻO kēia hōʻiliʻili koke ʻana o ka wai ma waena o nā papa o ka puʻuwai e hiki ke pale i ka puʻuwai mai ka hana pono ʻana a hiki i ka emi ʻana o ke koko. He mea hoʻoweliweli kēia i ke ola, no laila pono i ke kauka ke wehe koke i ka wai.
Inā he wai kou i loko o kou pericardial effusion, ka mea e hoʻoulu ai i ke kaomi ma kou puʻuwai, pono paha ʻoe e hana i kahi kaʻina hana i kapa ʻia ʻo pericardiocentesis. Pili kēia i ke kauka e hoʻohana ana i kahi ʻōmole lōʻihi a lahilahi i kapa ʻia he catheter e wehe i ke kahe keu. Alakaʻi ʻia kēia ʻōmole a me ka nila i loko o ka ʻeke pericardial me ka hoʻohana ʻana i kahi echocardiogram a i ʻole kahi CT scan.
Inā ʻaʻole hiki ke wehe ʻia ka wai me kahi nila, e hana ke kauka i kahi hana ʻoki liʻiliʻi i kapa ʻia ʻo "pericardial window." ʻO kēia ke ʻoki ʻana i kahi ʻoki liʻiliʻi ma ka umauma a me ka hana ʻana i puka ma ka pericardium e wehe ai i ka wai.
Inā loaʻa iā ʻoe ka pericarditis constrictive, pono paha e wehe ʻia kekahi hapa o kāu ʻeke puʻuwai. Ua kapa ʻia kēia ʻoki ʻana he pericardiectomy. Hana ʻia ia no ka poʻe i loaʻa ka ʻiʻo ʻeha i loko o ka ʻeke puʻuwai. ʻAʻole hana pinepine ʻia ia no ka poʻe i loaʻa ka mumū ikaika a me ka ʻeha umauma mai ka pericarditis.
ʻAʻole hoʻohana pinepine ʻia ke ʻoki ʻana ma ke ʻano he lāʻau lapaʻau no ka poʻe me ka pericarditis hou, no ka mea, hiki i ka mumū ke paʻakikī i ka hoʻōla ʻana ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki i kāu kauka ke kūkākūkā i kēia me ʻoe inā ʻaʻole i holo pono nā lāʻau lapaʻau ʻē aʻe.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?
Pono ʻoe e pane i ka lāʻau lapaʻau i loko o hoʻokahi pule, akā pono ʻoe e lawe i ka lāʻau lapaʻau no kahi o ʻelua pule. ʻOi aku ka lōʻihi o ka ho'ōla ʻana mai ke ʻoki ʻana. Hiki ke hala i nā hebedoma a i ʻole nā mahina e ho'ōla piha ai mai ka pericarditis. He mea nui loa ka loaʻa ʻana o ka nui o ka hoʻomaha i loko o ia manawa.
Hiki ke hoʻemi ʻia ka hoʻi hou ʻana o ka pericarditis?
ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i kahi hanana o ka 'Acute Pericarditis', hiki iā ʻoe ke hōʻemi i ka pilikia o ka hoʻi hou ʻana ma ka loaʻa ʻana o ka lāʻau lapaʻau koke a me ka hahai pololei ʻana i ka lāʻau lapaʻau. Eia kekahi, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka wā e hoʻomaka ai i ka hoʻoikaika kino. ʻO ka hoʻoikaika kino ikaika i ka wā o ka 'Pericarditis' ikaika hiki ke hoʻonui i ke kūlana.
He aha kāu e hoʻomanaʻo ai i kou wā e noho ana me ka pericarditis?
Ke ho'ōla ʻia ʻoe mai ka pericarditis, pono ʻoe e hoʻi i kāu mau hana maʻamau me ka hopohopo ʻole. Eia naʻe, mai hoʻomau i ka hoʻoikaika kino a hiki i ka wā e ʻae ai kāu kauka iā ʻoe. E haʻi hou aku kāu kauka iā ʻoe e pili ana i kēia.
Pehea ka lōʻihi o ka lōʻihi o ka pericarditis?
- ʻO ka Pericarditis ʻākī ke mau ma waena o ʻehā a me ʻeono pule.
- ʻOi aku ka lōʻihi o ka `Incessant Pericarditis` (hoʻomau) ma mua o kēlā, akā ʻaʻole i ʻoi aku ma mua o ʻekolu mahina.
- Ua hala ʻekolu mahina ma mua o ka pericarditis mau.
- Ma waena o 15% a me 30% o ka poʻe me ka pericarditis e loaʻa i nā hanana e hana hou ʻia ana i nā makahiki.
Inā mālama ʻia, loaʻa i ka poʻe me ka 'Acute Pericarditis' kahi manawa kūpono e hoʻōla ai. Hoʻōla loa ka hapa nui o ka poʻe. Inā loaʻa iā ʻoe kahi hihia palupalu, hiki ke hoʻopau ʻia me ka hoʻomaha. Eia nō naʻe, inā waiho ʻole ʻia, hiki i kekahi poʻe ke loaʻa i ka 'Chronic Pericarditis'.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i nā lāʻau lapaʻau e like me ke kauoha a ke kauka a e ʻike i ke kauka i nā lā i hoʻonohonoho ʻia.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka 'Constrictive Pericarditis', e ʻike koke i ke kauka. ʻO kēia mau hōʻailona:
- Paʻakikī ka hanu ʻana.
- Ka pehu ʻana o nā wāwae a me nā wāwae.
- Ka paʻa ʻana o ka wai i loko o ke kino.
- Nā Palpitations.
- Pehu nui o ka ʻōpū.
ʻOiai ʻo ka ʻeha o ka umauma kahi hōʻailona maʻamau o ka pericarditis, hiki nō hoʻi ke lilo i hōʻailona o ka hōʻeha puʻuwai. No laila, inā ʻike ʻoe i ka ʻeha o ka umauma, hiki ke lilo i hōʻeha puʻuwai, no laila e hele koke i ka lumi pilikia.
ʻO ka mea hope loa, kekahi mau mea nui
Ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i kēia maʻi i kapa ʻia ʻo 'Pericarditis'. E hoʻomanaʻo,Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ʻoiai ke kūlou ʻana i mua a me ka hanu ʻana, me nā hōʻailona e like me ke kuni a me ka luhi, hiki ke lilo i pericarditis. Inā hana ʻia kēia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau me ka hopohopo ʻole.
Inā loaʻa iā ʻoe ka lāʻau lapaʻau i ka wā mua, hiki iā ʻoe ke hoʻōla piha. Inā ʻoe e hahai pono i ka lāʻau lapaʻau, hiki iā ia ke kōkua i ka pale ʻana i ka hoʻi hou ʻana o ke ʻano. No laila, he mea nui loa ka hoʻohana ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi pololei ai a e hele pinepine no nā kipa hahai. E makaʻala i nā hōʻailona o ka pericarditis, i hiki iā ʻoe ke loaʻa koke ka lāʻau lapaʻau inā loaʻa hou ia. Makemake au iā ʻoe e ola maikaʻi!
ʻO ka pericarditis, pericarditis, ʻeha umauma, pōkole o ka hanu, maʻi puʻuwai, hōʻeha puʻuwai, Colchicine











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