He aha ka pericardium? E aʻo hou kākou e pili ana i ia mea.

ʻO ka puʻuwai kekahi o nā ʻōkana koʻikoʻi loa i loko o ko kākou kino. Ua like ia me ka ʻenekini o ke kaʻa, ʻeā? Akā, ua ʻike anei ʻoe ʻaʻole hoʻokahi wale nō kēia puʻuwai, he uhi pale kūikawā nō hoʻi kona, a i ʻole, he ʻeke, a puni ia? I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia mea pale o ko kākou puʻuwai, a i ʻole ka mea i ʻike ʻia ma ke ʻano lapaʻau ʻo ka pericardium.

I ka ʻōlelo maʻalahi, he aha ka pericardium?

He ʻeke pale ka pericardium, piha i ka wai e hoʻopuni ana i kou puʻuwai. Kōkua ia i ka hana pono o ka puʻuwai. ʻAʻole wale kēia ʻeke e uhi ana i ka puʻuwai, akā, i nā hoʻomaka ʻana o nā kīʻaha koko nui (i kapa ʻia hoʻi he "kīʻaha koko nui") e alakaʻi ana mai ka puʻuwai mai.

ʻO ia hoʻi nā aʻa nui e like me kēia:

• ʻAorta
• ʻO ke aʻa pulmonary nui
• Nā aa koko puʻuwai
• ʻO ka vena cava kiʻekiʻe a me lalo

He aha nā hana nui o ka puʻuwai?

E noʻonoʻo wale i ka nui o ka hana a kēia ʻeke liʻiliʻi e hiki ai ke hana. Eia kekahi o kāna mau hana nui:

• Ke pale ʻana i ka puʻuwai: Hana kēia e like me kahi uluna e pale ai i ka puʻuwai mai nā haʻalulu a me nā hopena o waho, ʻoiai inā hāʻule mākou a paʻi paha i ko mākou umauma i kekahi wahi.
• Ke mālama ʻana i ka puʻuwai ma kahi hoʻokahi: Kōkua kēia i ka mālama ʻana i ka puʻuwai ma kona wahi kūpono i loko o ka umauma, me ka ʻole o ka neʻe ʻana a puni.
• Ke kāohi nei i ka puʻuwai mai ka nui loa: Ke piha ka puʻuwai i ke koko, kāohi kēia uhi i ka puʻuwai mai ka pehu nui ʻana a me ka hoʻopiha ʻana me ke koko nui loa.
• Ke pale ʻana i nā maʻi: Kōkua kēia i ka pale ʻana i nā maʻi mai ka laha ʻana i ka puʻuwai mai nā ʻiʻo a puni, no ka laʻana, nā māmā.
• Hoʻēmi i ka friction: Hāʻawi i ka lubrication e hōʻemi i ka friction e hana ʻia ana i ka wā e paʻi ai ka puʻuwai i nā ʻiʻo a puni.

Aia i hea kēia puʻuwai?

Aia ka pericardium i loko o ko kākou umauma, e hoʻopuni ana i ka puʻuwai. Ua ʻike ʻoe, aia ka puʻuwai ma ke alo o ka umauma, ma kahi hema iki o ka iwi waena (sternum). Akā, he mea kākaʻikahi loa, aia nā puʻuwai o kekahi poʻe ma ka ʻaoʻao ʻākau, a mākou e kapa nei he "dextrocardia". I loko o ia kanaka, aia pū ka pericardium ma ka ʻaoʻao ʻākau.

E aʻo kākou e pili ana i nā papa o ka pericardium.

ʻO kēia ʻeke i kapa ʻia ʻo ka pericardium ua hana ʻia me ʻelua papa nui. He mea paʻakikī iki kēia, akā e hoʻomaopopo maʻalahi kākou.

ʻO ka hakahaka liʻiliʻi ma waena o nā papa ʻelua o ka pericardium (lateral a me intercostal) ka mea a mākou e kapa nei ʻo ka lua pericardial . ʻO ka mea lubricating i ʻōlelo ʻia ma mua, ʻo ia hoʻi, ka wai pericardial, aia i loko o kēia lua.

He aha nā maʻi e hoʻopilikia ai i ka puʻuwai?

E like me ka puʻuwai, hiki ke hoʻopilikia ʻia kēia kiwikā puʻuwai e nā ʻano maʻi like ʻole. Eia kekahi o lākou:

He aha ka mea e hana inā ua hōʻino ʻia ka pericardium?

ʻO ka maʻamau, he palupalu a kīkoʻo ka pericardium, no laila hiki ke hoʻonui ʻia i ka wā e piha ai ka puʻuwai i ke koko a ʻaelike i ka wā e pamu ai i ke koko.

He aha nā hōʻailona o ka pilikia o ka valve puʻuwai?

ʻOiai ke ʻokoʻa nā hōʻailona ma muli o ke kūlana kumu, eia kekahi mau hōʻailona maʻamau:

• ʻEha umauma: Hiki i kēia ke ʻeha ʻoi a hou. Hiki nō hoʻi ke pālahalaha i ka lima, ke kua, a i ʻole ka ʻāʻī. Hiki ke ʻoi aku ka ʻino i ka wā e ʻū ai, e moni ai, e hanu hohonu ana, a i ʻole e kūlou ana.
• Ka poʻo hina a i ʻole ke poʻo māmā.
• ʻŪhū maloʻo.
• Ka wikiwiki o ka puʻuwai (tachycardia) a i ʻole kahi manaʻo kūpono ʻole o ka puʻuwai e kuʻi ana.
• Manaʻo luhi loa (Fatigue).
• Kuni.
• ʻEha kua, ʻāʻī, a i ʻole poʻohiwi.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• Ka pehu ʻana i ka ʻōpū a i ʻole nā ​​wāwae (edema).
• Ka paʻakikī i ke ale ʻana (dysphagia).

He aha nā hoʻokolohua e hana ʻia e ʻike ai i ia mau pilikia?

Ke kipa aku ʻoe i kāu kauka me nā hōʻailona e like me kēia, hiki iā lākou ke hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻāʻo e hōʻoia pololei i ke kūlana:

• Nā hoʻāʻo koko: E nānā no nā maʻi, nā maʻi o ka ʻōnaehana pale, a me ka mumū.
• X-Ray o ka umauma
• ʻO ka tomography i helu ʻia o ka puʻuwai (CT scan)
• Echocardiogram (Echocardiogram - echo): He scan ultrasound o ka puʻuwai.
• ʻElectrocardiogram (ECG/EKG)
• Ka hoʻokomo ʻana o ka catheter puʻuwai hema a me ka ʻākau

He aha nā lāʻau lapaʻau no ka maʻi ʻaʻa coronary?

Aia ka lāʻau lapaʻau i kou kūlana a me kona koʻikoʻi. E kūkākūkā kāu kauka i ke koho lapaʻau maikaʻi loa nāu. ʻO kekahi o nā lāʻau lapaʻau maʻamau:

• Nā lāʻau antibiotic a i ʻole nā ​​​​lāʻau antifungal: Inā he maʻi bacteria a fungal paha ke kumu o ka maʻi heartworm.
• Nā lāʻau lapaʻau Rheumatologic: Inā ʻo ke kumu o ka maʻi he maʻi olakino e like me lupus a i ʻole ka rheumatoid arthritis.
• Nā lāʻau lapaʻau anti-inflammatory: Hoʻēmi i ka pehu a me ka ʻeha.
• Diuretics: Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻoneʻe i ka wai keu mai ke kino.
• Pericardiocentesis: Ka wehe ʻana i ka wai keu i hōʻiliʻili ʻia i loko o ka ʻeke pericardial me ka hoʻohana ʻana i kahi nila.
• Pericardiectomy: Wehe ʻana i kahi hapa a i ʻole ka pericardium āpau ma ke ʻoki ʻana.
• ʻO ke ʻoki kino umauma i kōkua ʻia e ke wikiō (VATS): He ʻoki kino i hana ʻia ma o kahi ʻoki liʻiliʻi e wehe ai i ke kahe keu.

Pehea e hiki ai iaʻu ke mālama i koʻu puʻuwai i ke olakino?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hoʻohana i kahi nohona olakino no ka puʻuwai. Hiki i nā maʻi e like me ka maʻi puʻuwai ke hana i nā pilikia valve puʻuwai. No laila, ʻo ka hōʻemi ʻana i kēlā pilikia hiki ke kōkua i ka mālama ʻana i ke olakino o kou valve puʻuwai.

He mea nui kēia mau mea no kahi ola olakino no ka puʻuwai:

• E ʻai i ka meaʻai olakino no ka puʻuwai.
• E hoʻoikaika kino mau e like me ke kuhikuhi a kāu kauka.
• E mālama i nā kūlana olakino e like me ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a me ka maʻi diabetes.
• E hoʻohana i nā lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe e like me ke kauoha.
• E hana i nā hoʻokolohua lapaʻau makahiki.

Eia kekahi, inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ke kanesa, lupus, a i ʻole HIV, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ko lākou hopena i kou puʻuwai. Hiki i kekahi ʻoki puʻuwai a i ʻole ka radiation therapy ke hoʻopilikia i ka puʻuwai, no laila he mea nui e nīnau i kāu kauka e pili ana i kēlā.