Nā pilikia puʻuwai i ka wā hāpai a ma hope paha o ka hānau ʻana? E aʻo kākou e pili ana i ka Peripartum Cardiomyopathy (PPCM)!

He mea hauʻoli loa ka hāpai ʻana. Eia nō naʻe, i kekahi manawa hiki ke kū mai nā pilikia olakino i manaʻo ʻole ʻia. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi puʻuwai laha ʻole e hiki ke kū ma ka hopena o ka hāpai ʻana a i ʻole i loko o kekahi mau mahina ma hope o ka hānau ʻana. Ua kapa ʻia kēia maʻi ʻo Peripartum Cardiomyopathy.

He aha ka Peripartum Cardiomyopathy (PPCM)?

I ka ʻōlelo maʻalahi, ʻo Peripartum Cardiomyopathy (PPCM) kahi maʻi kakaikahi e hoʻonāwaliwali ai i kou ʻiʻo puʻuwai. ʻO kēia ke kumu o ka nalowale ʻana o kou puʻuwai i kona hiki ke pamu i ke koko i ke koena o kou kino. Hiki i kēia ke hoʻoweliweli i ke ola i kekahi manawa . Hoʻopilikia pinepine kēia ʻano i nā wahine i ka mahina hope o ka hāpai ʻana a i ʻole a hiki i ʻelima mau mahina ma hope o ka hānau ʻana. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe he "postpartum cardiomyopathy." ʻOiai hiki ke hana ʻia i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā wahine ma luna o 30 mau makahiki.

Hoʻopilikia ka Peripartum Cardiomyopathy i kahi keʻena i loko o kou puʻuwai, ʻo ia ka ventricle hema . Loaʻa i kēia ventricle hema ka hana koʻikoʻi o ka pamu ʻana i ke koko momona i ka oxygen ma loko o kou kino. No laila, ke nāwaliwali ia, ʻaʻole ia e hana pono i kāna hana.

Ua lohe paha ʻoe i kāu kauka e hoʻohana ana i ka huaʻōlelo 'left ventricular ejection fraction' a i ʻole 'left ventricular ejection fraction (LVEF)'. Hoʻohana pinepine ʻia kēia me kahi 'echocardiogram'. ʻO kēia LVEF kahi ana o ka maikaʻi o ka hiki i kou ventricle hema ke hoʻopuka i ke koko mai loko mai o kou puʻuwai. Hōʻike ʻia ia ma ke ʻano he pakeneka, no laila ʻo ke kiʻekiʻe o ka pakeneka, ʻoi aku ka maikaʻi. ʻO ka LVEF o ke kanaka olakino ma waena o 50% a me 70%. Eia nō naʻe, i kekahi me Peripartum Cardiomyopathy, hiki ke hāʻule ma lalo o 45% . ʻO ka haʻahaʻa o ka LVEF, ʻoi aku ka koʻikoʻi o ke kūlana.

He mea nui loa ka ʻike mua ʻana i kēia maʻi . A laila wale nō e hoʻonui ʻia ai ka manawa e loaʻa ai ka lāʻau kūpono a hoʻōla koke.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maʻamau loa ka Peripartum Cardiomyopathy. Akā, paʻakikī ke ʻōlelo pololei i kona kakaikahi. He ʻokoʻa nui nā helu e pili ana i kēia ʻaʻole wale ma ʻAmelika Hui Pū ʻIa, akā a puni ka honua. Ma ʻAmelika Hui Pū ʻIa, ua hōʻike ʻia ua loaʻa kēia maʻi ma kahi o hoʻokahi i loko o 1,000 a 4,000 mau hāpai keiki. Hōʻike kekahi mau noiʻi he ʻoi aku ka maʻamau ma nā ʻāpana hema o ʻAmelika Hui Pū ʻIa ma mua o nā ʻāpana ʻē aʻe.

He aha nā hōʻailona o ka Peripartum Cardiomyopathy?

Hiki ke maʻalahi ke ʻike ʻole ʻia nā hōʻailona o ka Peripartum Cardiomyopathy i kekahi manawa. Ua like ka nui o kēia mau hōʻailona me nā mea āu e ʻike mau ai i ka wā hāpai. Akā no ka mea he koʻikoʻi loa kēia maʻi, he mea nui e makaʻala pono i kēia mau hōʻailona:

• Paʻakikī ka hanu ʻana (dyspnea) - ʻoiai ke hoʻāʻo nei ʻoe e hiamoe, moe i lalo, a i ʻole e hana ana i kekahi hana kino.
• Luhi.
• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae (edema) .
• Ka manaʻo o nā palpitations o ka puʻuwai .
• ʻŪhū maloʻo .
• Nā aa koko ʻāʻī pehu .
• Manaʻo poniuniu ('Lightheadedness') .
• Ke koko haʻahaʻa (hypotension) , a i ʻole ka emi ʻana o ke koko ke kū koke ʻoe i luna.
• ʻEha ka umauma .

Hoʻomaka pinepine ka Peripartum Cardiomyopathy i ka mahina hope o ka hāpai ʻana a ma hope paha. Akā hiki ke hoʻomaka mua i kekahi manawa. Eia kekahi, hoʻokau ka hāpai ʻana i ke kaumaha hou aʻe ma ka puʻuwai a hiki ke hoʻonui i nā kūlana puʻuwai i ʻike ʻole ʻia ma mua. No laila, he mea nui e hoʻolohe i nā hōʻailona i ka wā hāpai , ʻaʻole wale i nā pule i hala iho nei.

He aha nā kumu o ka Cardiomyopathy Peripartum?

ʻAʻole i loaʻa i nā kānaka noiʻi kahi kumu kikoʻī no ka Peripartum Cardiomyopathy. Eia nō naʻe, manaʻoʻiʻo lākou he hiki i nā loli hormonal i ka wā hāpai a me nā kūlana ʻē aʻe, e like me ka preeclampsia, ke kuleana. He hiki paha i kekahi mau kumu ke hui pū e hoʻoulu ai i kēia kūlana.

Hiki paha i ka Peripartum Cardiomyopathy ke hoʻoilina, akā ʻaʻole i hōʻoia ʻia kēia loulou e ka noiʻi. Ua manaʻo ʻia aia ma waena o 15% a me 20% o nā wahine me ka peripartum cardiomyopathy he mau hoʻololi genetic e hiki ai ke hana i ka cardiomyopathy. Inā loaʻa iā ʻoe kekahi o kēia mau hoʻololi, hiki i ke kaumaha o ka hāpai ʻana a me ka hānau keiki ke hana i nā hōʻailona o ka cardiomyopathy. He mea nui iā ʻoe a me kāu kauka cardiologist e makaʻala i kekahi mōʻaukala ʻohana o ka maʻi puʻuwai, ʻoiai ka cardiomyopathy a i ʻole ka hāʻule ʻana o ka puʻuwai.

He aha nā kumu pilikia no ka Peripartum Cardiomyopathy?

Aia kekahi mau kumu pilikia e hiki ke hoʻopilikia i ka cardiomyopathy peripartum. ʻO ka nui o nā kumu pilikia i loaʻa iā ʻoe, ʻo ka nui o kou pilikia o ka loaʻa ʻana o ka cardiomyopathy peripartum. Hiki i kēia mau kumu pilikia ke hoʻohui i kahi pilikia nui aʻe ma mua o kekahi kumu hoʻokahi wale nō.

Nā kumu pilikia ma mua o ka hāpai ʻana

• Ke koko kiʻekiʻe (hypertension) .
• Maʻi diabetes .
• Ka momona nui .
• Ka nele o ka selenium a me ka zinc .
• Ka maʻi hoʻohana ʻona (SUD) .

Nā mea pilikia e pili ana i ka hāpai ʻana

• Ka hāpai ʻana no ka manawa mua .
• Ka loaʻa ʻana o nā māhoe a i ʻole nā ​​​​māhoe ʻekolu .
• Ma hope o ka ʻike mua ʻia ʻana me ka Peripartum Cardiomyopathy .
• Ke hoʻohana nei i nā ʻano hana e like me ka `IVF` (in vitro fertilization) e hoʻokō ai i ka hāpai ʻana.

Nā pilikia o nā pilikia i ka wā hāpai

• ʻO ka Preeclampsia a me ka eclampsia .
• ʻAʻohe maʻi koko .
• Ka maʻi thyroid .
• Ka hoʻonui ʻia ʻana o ka hānō a i ʻole ka maʻi autoimmune .
• Inā loaʻa iā ʻoe nā ʻaelike mua, e hoʻohana lōʻihi i nā lāʻau lapaʻau e hoʻopaneʻe i ka hana .

Nā ʻoiaʻiʻo kūikawā no nā wahine ʻeleʻele (ma muli o ka noiʻi)

Ua hoʻokumu ʻia kēia ʻāpana ma ka noiʻi i hana kūikawā ʻia ma luna o nā wahine ʻeleʻele ʻAmelika. No laila:

• ʻOi aku ka maʻamau o ka ʻike ʻana o ka Peripartum Cardiomyopathy i waena o lākou.
• Hoʻoulu kēia kūlana i ka hōʻeha nui ʻana i ka puʻuwai a me ka emi ʻana o ka hiki o ka puʻuwai ke pamu.
• Aia kahi manawa kiʻekiʻe aʻe o nā pilikia koʻikoʻi .
• Hoʻomaopopo ʻia ka maʻi i ka wā ʻōpio (ma kahi o 27 mau makahiki, ʻo kekahi maʻamau i 31 mau makahiki) .
• Ua lilo paha ka pilikia i mea koʻikoʻi ma muli o ka lohi o ka ʻike ʻia ʻana o ka maʻi ma hope o ka hānau ʻana.
• Kiʻekiʻe ka pilikia o ka make mai kēia ʻano .

Ua hoʻokumu ʻia kēia ʻike ma ka noiʻi i hana ʻia ma ʻAmelika Hui Pū ʻIa, a e hoʻomanaʻo he ʻokoʻa paha nā kumu pilikia ma waena o nā heluna kanaka like ʻole. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kāu pilikia pilikino.

He aha nā pilikia e hiki mai ana o ka Peripartum Cardiomyopathy?

Ke nāwaliwali a luhi kou ventricle hema, ʻaʻole hiki iā ia ke pamu pono i ke koko, ʻoi aku hoʻi i nā ʻōpū e hilinaʻi nei iā ia, e like me nā māmā a me ke akepaʻa. Hoʻopilikia kēia lohi i ke kino holoʻokoʻa. Hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka puʻuwai , a me ka hoʻonui ʻana i ka pilikia o nā ʻōpū koko a me ka thrombosis .

ʻO nā pilikia e hoʻoweliweli ana i ke ola e komo pū me:

• Nā puʻuwai puʻuwai ʻano ʻē (arrhythmias) .
• Ka haʻalulu cardiogenic .
• Ka hāʻule nui o ka puʻuwai .
• Nā pilikia i hoʻokumu ʻia e ke koko ʻūlū .
• Ka pōʻino o ka lolo .

Pehea e ʻike ʻia ai ka Peripartum Cardiomyopathy?

E hoʻoholo kāu kauka he Peripartum Cardiomyopathy kou inā loaʻa iā ʻoe kēia mau kūlana ʻekolu :

• Pono ʻoe e loaʻa i ka hāʻule ʻana o ka puʻuwai ma ka hopena o kou hāpai ʻana a i ʻole i loko o ʻelima mau mahina o ka hānau ʻana o ke pēpē.
• ʻAʻole hiki i ke kauka ke loaʻa i kekahi kumu ʻē aʻe no kou hāʻule ʻana o ka puʻuwai. (ʻO ia hoʻi, pono e kāpae ʻia nā mea ʻē aʻe a pau e hiki ke hoʻoulu i kāu mau hōʻailona.)
• Pono kāu hapa hoʻokuʻu ventricular hema (`LVEF`) e emi iho ma mua o 45%.

No kēia hōʻailona, ​​e kamaʻilio ke kauka me ʻoe e pili ana i kou mōʻaukala olakino a me ka mōʻaukala olakino ʻohana.

I ke kau ʻana i ka ʻike ʻana, hiki i kāu kauka ke hoʻokaʻawale i kou kūlana ma ke ʻano he Papa I, II, III, a i ʻole IV. ʻO ke kiʻekiʻe o ka helu, ʻoi aku ka koʻikoʻi o ke kūlana . Hiki i ka ʻike mua ʻana i ka cardiomyopathy peripartum ke hōʻemi i ka pilikia o ka make a hiki i ka hoʻomaka ʻana o ka lāʻau lapaʻau i ka wā hikiwawe loa. Inā ʻike ʻia ke kūlana ma hope o kona ʻino ʻana, ʻoi aku ka kiʻekiʻe o ka pilikia o nā pilikia koʻikoʻi, e like me nā pilikia puʻuwai e hoʻomau nei.

He aha nā hoʻokolohua diagnostics?

ʻAʻohe hoʻāʻo kikoʻī e ʻike ai i ka cardiomyopathy peripartum. Akā, e hoʻohana kāu kauka i nā hoʻokolohua ʻē aʻe me ka ʻike āu e hāʻawi ai. E hana ʻo ia i kahi hoʻokolohua kino e nānā i ka wai keu i loko o ke kino. Ma hope o kēlā, nā hoʻokolohua e like me:

• Nā hoʻāʻo koko .
• ʻElectrocardiogram (ECG/EKG) .
• X-ray o ka umauma .
• ʻEchocardiogram (`Echocardiogram - echo`) . Hiki i kēia ke nānā i kāu waiwai `LVEF`. He mea nui loa kēia i ka ʻike ʻana.
• Hoʻāʻo MRI puʻuwai (magnetic resonance imaging) .
• Ka hoʻokomo ʻana o ke catheter i loko o ka puʻuwai .
• ʻO ka biopsy myocardial (hana pinepine ʻole ʻia kēia) .

Hiki i kēia mau hoʻokolohua ke hōʻike inā loaʻa iā ʻoe kekahi mau pilikia puʻuwai ma mua o kou hāpai ʻana. Ua loaʻa i kekahi poʻe ka maʻi puʻuwai no nā makahiki akā ʻaʻole ʻike i nā hōʻailona a hiki i ko lākou hoʻomaka ʻana e hōʻike i ka wā hāpai. E kōkua nā hopena o kāu hoʻāʻo i kāu kauka e hana i kahi hōʻailona pololei.

He aha nā lāʻau lapaʻau no ka Peripartum Cardiomyopathy?

ʻO ka mālama ʻana o Peripartum Cardiomyopathy ke kumu o ka kaohi ʻana i nā hōʻailona o ka hāʻule ʻana o ka puʻuwai a me ke kōkua ʻana i kou puʻuwai e ho'ōla. ʻAʻole e hoʻomaikaʻi kēia ʻano ma kāna iho . Inā ʻike ʻia ke ʻano i ka wā hāpai, e hōʻoia kāu kauka he palekana nā lāʻau lapaʻau āu e lawe nei no kāu pēpē. E kamaʻilio lākou me ʻoe e pili ana i kāu mau koho lapaʻau a me nā hopena ʻaoʻao. E hana pū ʻoe me kahi hui o nā loea e hiki ke aʻo iā ʻoe e pili ana i nā hāpai kiʻekiʻe a pehea e hiki ai i ka maʻi puʻuwai ke hoʻopilikia i kāu hāpai ʻana.

E hāʻawi pinepine ʻia ʻoe i nā lāʻau lapaʻau like me nā mea i hoʻohana ʻia no nā ʻano ʻē aʻe o ka hāʻule ʻana o ka puʻuwai. Eia kekahi laʻana:

• Nā mea kāohi i ka enzyme hoʻololi-Angiotensin (ACE) .
• Nā mea pale i ka mea loaʻa Angiotensin II (ARBs) .
• ʻO nā mea hoʻopaneʻe Angiotensin / neprilysin inhibitors (ARNIs) .
• Nā mea pale beta .
• Nā lāʻau diuretic (nā lāʻau wai) .
• ʻO Hydralazine/nitrates.
• Nā mea kū'ē i ka mea loaʻa mineralocorticoid (MRAs) .
• Nā mea kāohi i ka sodium-glucose cotransporter-2 (SGLT2) .
• Nā lāʻau hoʻokahe koko (nā lāʻau hoʻokahe koko) .

Ma muli o ka maikaʻi o ka hana ʻana o kou puʻuwai, pono paha ʻoe i nā lāʻau lapaʻau ʻē aʻe. ʻO kēia mau mea:

• Mea e like me kahi mea hana puʻuwai hiki ke komo a i hoʻokomo ʻia paha (cardiac defibrillator) .
• He mea kōkua ventricular hema (LVAD) .
• Hoʻoili puʻuwai . Hana pinepine ʻia kēia no ka poʻe i holomua loa ko lākou maʻi, nona ka LVEF haʻahaʻa loa, a ʻaʻole pane i ka lāʻau lapaʻau.

Nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau

ʻOkoʻa nā hopena ʻaoʻao o ka lāʻau lapaʻau ma muli o ka lāʻau lapaʻau a inā paha ʻoe e hāpai ana i ia manawa. ʻO ka lawe ʻana i nā beta-blockers i ka wā hāpai hiki ke hana i kāu pēpē i ke kaumaha hānau haʻahaʻa, hypoglycemia (haʻahaʻa ke kō koko), bradycardia (lohi ka puʻuwai), a i ʻole ka poloka puʻuwai.

ʻAʻole palekana kekahi mau lāʻau lapaʻau - e like me nā mea hoʻopaʻa ACE, ARB, ARNI, MRA a me nā mea hoʻopaʻa SGLT2 - e hoʻohana i ka wā hāpai. Eia nō naʻe, palekana lākou e lawe i ka wā e hānai waiū ana, no ka mea, he liʻiliʻi wale nō ka nui e komo i loko o ka waiū umauma. He mea nui e kamaʻilio me kāu kauka e pili ana i ka manawa, nā pilikia a me nā hopena ʻaoʻao o kēlā me kēia lāʻau lapaʻau.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

ʻOi aku ma mua o 50% o ka poʻe me ka cardiomyopathy peripartum e hoʻōla i ka hana puʻuwai maʻamau - pinepine i loko o ʻeono mahina o ka mālama ʻana. Hoʻōla kekahi i loko o kekahi mau lā a i ʻole mau pule. No kekahi, hiki ke hala nā makahiki e hoʻōla ai.

Eia nō naʻe, ʻoiai ma hope o ka hoʻi ʻana o ka hana o kou puʻuwai i ka maʻamau, pono ʻoe e lawe i ka lāʻau lapaʻau no hoʻokahi makahiki ma ka liʻiliʻi .

Pehea e hōʻemi ai i ka pilikia o ka cardiomyopathy peripartum?

ʻO ke ala maikaʻi loa e pale aku ai i ka cardiomyopathy peripartum, ʻo ia ke hana i nā mea āpau e hiki ai iā ʻoe ke mālama i ke olakino o kou puʻuwai. ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā mea pilikia āpau, hiki iā ʻoe ke kāohi i nā mea ʻē aʻe ma o:

• Ka ʻai ʻana i nā meaʻai olakino no ka puʻuwai .
• Ke komo ʻana i ka hoʻoikaika kino maʻamau .
• Ke pale ʻana i nā huahana paka a me ka waiʻona .
• E hana pū me kāu kauka e mālama i nā kūlana e like me ke kaumaha nui a momona paha .
• E nānā pinepine i kou koko a e ʻimi i ka lāʻau lapaʻau inā pono .

Inā ua loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai i ka hāpai mua ʻana, e kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia inā ʻoe e hoʻolālā nei e hāpai hou.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka Peripartum Cardiomyopathy?

Inā loaʻa iā ʻoe ka Peripartum Cardiomyopathy, pono ʻoe e hana pū me kāu kauka a me kahi hui o nā loea e nānā i kou olakino. Inā ʻoe e hāpai ana, e nānā pū kāu hui mālama ola i ke kūlana o kāu pēpē.

E hoʻolālā pū lākou i kāu hānau ʻana. Inā paʻa kou puʻuwai, makemake paha kāu kauka e hānau ʻoe ma ke ʻano vaginal. Eia nō naʻe, pono paha ʻoe i kahi epidural, kahi episiotomy, a i ʻole ka hoʻohana ʻana i nā forceps e maʻalahi ai ka hānau ʻana.

Inā loaʻa iā ʻoe ka Peripartum Cardiomyopathy, ʻoi aku ka nui o kou loaʻa ʻana i kahi hānau cesarean (C-section) a i ʻole ka hānau mua ʻana . He mea nui e kamaʻilio me kāu kauka e pili ana i kāu mau koho a me nā pilikia.

Ma hope o kou hānau ʻana i kāu pēpē, pono ʻoe e hoʻomau i ka hana pū me kāu kauka e hoʻokele i kāu mālama a me ka lāʻau lapaʻau. ʻO kou manaʻo a me ka wikiwiki o kou hoʻōla ʻana e hilinaʻi ʻia i nā kumu he nui, akā ʻo ka mea nui loa ʻo kāu hapa ejection ventricular hema (LVEF) . Inā emi kāu LVEF ma mua o 30% i ka manawa o ka hōʻoia ʻana, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi.

He maʻi mau loa anei ka Peripartum Cardiomyopathy?

No kekahi poʻe, he maʻi mau loa ka cardiomyopathy peripartum. No kekahi poʻe, hiki i ka lāʻau lapaʻau ke kāohi i nā hōʻailona a hoʻihoʻi i ka hana o ka puʻuwai i ke kūlana maʻamau piha a hapa paha.

Inā ʻo kou LVEF ma ka liʻiliʻi he 50% a 55%, e manaʻo kāu kauka ua hoʻōla piha ʻoe mai ka cardiomyopathy peripartum. Nānā ka hapa nui o nā noiʻi i kēia helu i ʻeono mahina ma hope o ka hōʻailona. ʻOkoʻa loa nā helu hoʻōla mai kēlā ʻāina a i kēia ʻāina a mai kēlā lāhui a i kēia lāhui. Ma ʻAmelika Hui Pū ʻIa, ʻo ka helu hoʻōla ma hope o ʻeono mahina ma waena o 44% a me 63%, ʻoiai ma kekahi mau ʻāina he haʻahaʻa ia e like me 21% a 36%.

Ua ʻike ʻia kekahi noiʻi ʻaʻole i hoʻōla piha ʻia he 4 o 5 mau wahine ʻeleʻele me ka peripartum cardiomyopathy, a ʻaʻole ola he 1 o 10. (Eia hou, e hoʻomaopopo he noiʻi kēia no ʻAmelika Hui Pū ʻIa).

ʻOiai ma hope o ka hoʻi ʻana o ka hana o kou puʻuwai i ka maʻamau, pono ʻoe e nānā pono i kou olakino a hana pū me kāu kauka. ʻO kēia no ka mea, 1 i loko o 5 mau wahine e hoʻōla ana mai ka cardiomyopathy peripartum e loaʻa hou ana ka hāʻule ʻana o ka puʻuwai. Eia kekahi, ʻoiai ma hope o ka hoʻi ʻana o kāu LVEF i kahi pae olakino, hiki iā ʻoe ke ʻike i nā hopena lōʻihi, e like me ka emi ʻana o kou hiki ke hoʻoikaika kino.

He aha ke kūlana o ke ola o ka mea maʻi me ka Peripartum Cardiomyopathy?

ʻO ke ola o ke ola me ka cardiomyopathy peripartum e pili ana i kou kūlana, pehea ka maikaʻi o kāu hana lapaʻau, a me nā mea ʻē aʻe e pili ana i kou olakino holoʻokoʻa. ʻO ka haʻahaʻa o kāu hapa ejection ventricular hema (LVEF), ʻoi aku ka kiʻekiʻe o kou pilikia o ka make. Eia kekahi, ʻaʻole maikaʻi ka nānā ʻana no ka poʻe e pono ai nā mea lapaʻau e kōkua i ka hana o ko lākou puʻuwai.

Ua kuhi nā kānaka noiʻi aia ka nui o ka make ma ka honua holoʻokoʻa ma waena o 2.5% a me 32%. Aia ʻo ʻAmelika Hui Pū ʻIa ma ka hopena haʻahaʻa loa o kēia pae, me ka nui o ka make ma waena o 6% a me 10%.

Pehea wau e mālama ai iaʻu iho?

ʻO ka mea nui loa āu e hiki ai ke hana e mālama iā ʻoe iho, ʻo ia ke ʻike pinepine i kāu kauka . E hahai i ka hoʻolālā a kāu kauka, a kamaʻilio me kāu kauka e pili ana i nā pilikia a i ʻole nā ​​​​loli āu e ʻike ai.

Eia kekahi mau hoʻololi maʻalahi hiki iā ʻoe ke hana i kēlā me kēia lā:

• E hōʻemi i ka nui o ka paʻakai āu e ʻai ai . E ʻimi i nā ala ʻē aʻe e hoʻāʻo ai i ka meaʻai me ka paʻakai ʻole.
• E kaupaona iā ʻoe iho i nā manawa a pau e nānā i ka paʻa ʻana o ka wai . Inā loaʻa iā ʻoe he 3-4 paona (ma kahi o 1.3 - 1.8 kg) ke kaumaha i loko o ʻelua a ʻekolu paha lā, e kamaʻilio me kāu kauka.
• Ke hoʻōki nei i ka puhipaka . E nīnau i kāu kauka e pili ana i nā kumuwaiwai e hiki ke kōkua.
• Ke hōʻemi ʻana i ka inu ʻana i ka waiʻona, a i ʻole ke hoʻōki loa ʻana .

Inā ʻoe e hānai waiū ana, e kamaʻilio me kāu kauka e pili ana i nā pilikia, e like me ka hāʻawi ʻana i ka lāʻau lapaʻau i kāu pēpē ma o kou waiū umauma. Ma keʻano laulā, ʻoi aku ka maikaʻi o nā pono o ka hānai waiū - e like me ka pilina me kāu pēpē - ma mua o nā pilikia. Makemake paha ʻoe e hana pū me kahi kākāʻōlelo ma hope o ka hāpai ʻana e kōkua iā ʻoe e hoʻoholo i ka mea maikaʻi loa iā ʻoe a me kāu pēpē.

ʻO ka Cardiomyopathy Peripartum a me ke olakino noʻonoʻo

Hiki i ka Peripartum Cardiomyopathy ke lilo i kahi hōʻailona e hoʻololi ai i ke ola. I kou mālama ʻana i kāu keiki hānau hou, hiki iā ʻoe ke manaʻo i nā manaʻo he nui i ka manawa hoʻokahi. Hiki ke kaumaha ke lawelawe i kēia mau mea āpau i ka manawa hoʻokahi.

Hiki i ke kaumaha i hoʻokumu ʻia e ka cardiomyopathy peripartum ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi naʻau. ʻOi aku ma mua o 50% o ka poʻe me ka cardiomyopathy peripartum e ʻike i ka hopohopo ākea a i ʻole ka hopohopo e pili ana i ko lākou kūlana puʻuwai.

Ma ʻAmelika Hui Pū ʻIa, ma kahi o hoʻokahi i loko o 10 mau wahine e loaʻa i ke kaumaha postpartum ma hope o ka hānau ʻana, a ma kahi o hoʻokahi i loko o 3 mau wahine e loaʻa i ke kaumaha ma hope o ka ʻike ʻia ʻana me ka Peripartum Cardiomyopathy.

Inā ʻoe e kaumaha ana, hopohopo, a kaumaha paha, ʻaʻole ʻoe hoʻokahi. Inā ʻaʻole ʻoe e hana pū ana me kahi kākāʻōlelo a mea hoʻoponopono paha, e noi i kāu kauka no kahi kuhikuhi.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka Peripartum Cardiomyopathy, e kāhea koke aku i kāu kauka.E loaʻa iā ʻoe nā manawa maʻamau i ka wā o ka mālama ʻana. Ke hana maikaʻi hou kou puʻuwai (me ka LVEF maʻamau), pono ʻoe e ʻike i ke kauka i hoʻokahi manawa i ka makahiki a ʻoi aku paha pinepine e nānā i kou puʻuwai. ʻO ia ka manawa e hiki ai iā ʻoe ke ʻike inā hoʻi mai ke ʻano. Inā hana ia, hiki i nā nānā maʻamau ke hopu koke.

Āhea ʻoe e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka puʻuwai wikiwiki, ka nāwaliwali, a i ʻole kekahi mau hōʻailona hou, e kāhea koke i ka 911 (a i ʻole kāu helu pilikia kūloko), a i ʻole e hele i ka lumi pilikia (ER) .

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Hiki iaʻu ke mālama iā ia me ka lāʻau lapaʻau, a i ʻole makemake au i kahi mea lapaʻau?
• Pono anei au e hana i kahi ʻoki cesarean (C-section)?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā hālāwai hoʻomaʻamaʻa?

Hiki iaʻu ke hāpai hou inā loaʻa iaʻu ka Peripartum Cardiomyopathy?

He nui nā wāhine e loaʻa i ka cardiomyopathy peripartum ma mua o hoʻokahi manawa. Inā loaʻa iā ʻoe i hoʻokahi hāpai ʻana, ʻoi aku ka nui o kou loaʻa hou ʻana. Ma kahi o 1 i loko o 3 mau wāhine e loaʻa iā ia i ka hāpai ʻana ma hope.

Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka palekana o ka hāpai hou ʻana. Inā he mea weliweli loa ia, makemake paha ʻoe e noʻonoʻo i ka kaohi hānau. Makemake ʻoe i kahi ʻano kaohi hānau ʻaʻohe estrogen, no ka mea, hoʻonui ka lāʻau lapaʻau estrogen i ka pilikia o nā ʻōpū koko a me ka thrombosis.

Inā hāpai hou ʻoe, pono ʻoe e nānā pono a me nā nānā mau ʻana e ʻike i nā hōʻailona mua o ka hāʻule ʻana o ka puʻuwai.

Ke hoʻomākaukau nei ʻoe e loaʻa kahi pēpē, ʻaʻole ʻoe e manaʻo e loaʻa kahi maʻi puʻuwai. ʻO ka mālama ʻana i kahi maʻi puʻuwai hou i ka wā e mālama ana i kahi keiki hānau hou hiki ke hoʻoluhi. E kākoʻo kāu hui mālama ola iā ʻoe i kēlā me kēia ʻanuʻu o ke ala, e hana ana i nā mea āpau e hiki ai iā lākou ke hoʻoikaika i kou puʻuwai. Inā hāpai ʻoe a he mau kumu pilikia no ka cardiomyopathy peripartum, e kamaʻilio me kāu kauka. He mea nui e ʻike mua i ka maʻi e hōʻemi i ka pilikia o nā pilikia koʻikoʻi no ʻoe a me kāu pēpē, a e loaʻa ka lāʻau lapaʻau āu e pono ai .

He aha nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?

ʻO ka Peripartum Cardiomyopathy kahi maʻi e hoʻonāwaliwali ai i ka puʻuwai hiki ke hana ma ka hopena o ka hāpai ʻana a i ʻole i loko o kekahi mau mahina ma hope o ka hānau ʻana. Ua like nā hōʻailona me nā hōʻailona o ka hāpai ʻana maʻamau, no laila e makaʻala pono i nā mea e like me ka hanu pōkole, ka luhi ʻē, a me nā wāwae pehu . Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hoʻonui i nā manawa e hoʻōla ai. Inā he mau hopohopo kāu, e ʻike pono i ke kauka.He mea nui loa hoʻi ka mālama ʻana i kou olakino noʻonoʻo. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a he nui ka poʻe e hiki ke kōkua.

ʻO ka Peripartum Cardiomyopathy, ka maʻi puʻuwai o ka hāpai ʻana, ka hāʻule ʻana o ka puʻuwai, LVEF, nā pilikia o ka hāpai ʻana, nā hōʻailona o ka maʻi puʻuwai, ke olakino ma hope o ka hānau ʻana