He pilikia anei kou me ka valve pulmonary o kou puʻuwai? E kamaʻilio kākou e pili ana i kēia! (Maʻi Valve Pulmonary)

Ke manaʻo nei ʻoe i kekahi manawa he ʻūmiʻi iki kou umauma, he paʻakikī ka hanu ʻana, a i ʻole he hoʻoikaika iki paha? He mau hōʻailona paha kēia o kahi pilikia me kāu valve pulmonary, ka mea e hana ana e like me kahi puka liʻiliʻi i loko o kou puʻuwai. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi loa i kēia lā. ʻO ka hoʻomaopopo ʻana i kēia e hāʻawi iā ʻoe i kahi manaʻo nui o ka hōʻoluʻolu.

He aha ka maʻi valve pulmonary?

I ka ʻōlelo maʻalahi, ʻo ka Maʻi Valve Pulmonary kekahi ʻano i hana pono ʻole ai ka Valve Pulmonary, kahi valve koʻikoʻi loa i loko o ko kākou puʻuwai. E noʻonoʻo iā ia e like me ke kiaʻi puka. ʻO ia ka mea e ʻae ai i ke koko e hele mai ke keʻena haʻahaʻa ma ka ʻaoʻao ʻākau o kou puʻuwai, ʻo ka Ventricle ʻākau , a i ke aʻa nui e lawe ana i ke koko i nā māmā, ʻo ka Pulmonary Artery . Ke hiki ke koko i nā māmā, lawe ia i ka oxygen hou. A laila, hoʻolaha ʻia kēlā koko i piha i ka oxygen ma ke kino holoʻokoʻa, e hāʻawi ana i ke ola i ko kākou mau cell.

No laila, inā he pilikia me kēia valve pulmonary, lilo ia i mea paʻakikī i kou koko ke hiki i kou mau māmā. He aha ka mea e hana ai? Loaʻa koke ka oxygen i nā ʻiʻo, nā cell, a me nā ʻōkana o ke kino. Ua like kēia me kahi paipu wai e paʻa ana a lohi ke kahe ʻana o ka wai. ʻO ia ke kumu e loaʻa ai iā mākou nā pilikia like ʻole.

He aha nā ʻano o ka maʻi valve pulmonary?

ʻEkolu mau ʻano nui o ka maʻi valve pulmonary. E nānā kākou i ke ʻano o lākou, me ka maʻalahi loa:

1. Ka Regurgitation o ka Valve Pulmonary: ʻO kēia ka manawa ʻaʻole e pani pono ka valve, a kahe kekahi koko i hope. E noʻonoʻo e like me kahi paipu wai i pani pono ʻole ʻia a hoʻokahe i ka wai i nā kulu ma o nā kulu. A laila pono ka puʻuwai e hana ikaika e hoʻokuke i kēlā koko i mua.

2. Ka Stenosis o ka Valve Pulmonary: ʻO kēia ka wā e haiki ai ka valve, a ʻoi aku ka pololei, ua ālai ʻia. Hoʻohaiki kēia i ke ala no ke kahe ʻana o ke koko. E noʻonoʻo e like me ke kaomi ʻana i kahi paipu wai, kahi e hoʻohaiki ai i ke ala no ke kahe ʻana o ka wai. ʻO kēia ke kumu e pono ai ka puʻuwai e hana ikaika e hoʻokuke i ke koko i mua.

3. Pulmonary Atresia: He kūlana koʻikoʻi kēia. ʻO kēia ka wā e hānau ʻia ai kahi pēpē me kahi valve i hana ʻole ʻia a i ʻole ʻaʻole i ulu pono ʻia . He maʻi puʻuwai hānau kēia.

Pehea ka maʻamau o ka maʻi valve pulmonary?

E nānā kākou i ka maʻamau o kēia mau maʻi.

ʻO ka regurgitation o ka valve pulmonary (ke kahe ʻana o ke koko i hope ma o ka valve) he mea maʻamau loa ia.Ua hānau ʻia kekahi poʻe me kahi ʻano valve ʻokoʻa iki. ʻOi aku ka nui o ka poʻe me kēia mau ʻokoʻa physiological e loaʻa i ka regurgitation valve pulmonary. Eia naʻe, i ka hapa nui o ka manawa, he akahai loa ia. ʻAʻole ia he manaʻo he mea ia e makaʻu ai a mālama ʻia paha. No ka hapa nui o ka poʻe, ʻaʻole ia e hoʻoulu i nā pilikia nui.

ʻO ka stenosis valve pulmonary (ka haiki ʻana o ka valve) e kū mai ana ma kahi o 7% o nā kānaka me ka maʻi puʻuwai hānau.

Ma ʻAmelika Hui Pū ʻIa, ma kahi o hoʻokahi i loko o 7,000 mau pēpē i hānau ʻia me ka pulmonary atresia (ka nele o ka valve i ka wā hānau). ʻOiai ʻaʻole pololei nā helu helu ma ko mākou ʻāina, he kūlana kēia e pono e noʻonoʻo ʻia.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona o ka maʻi valve pulmonary mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke ʻike i kēia mau hōʻailona:

• ʻEha umauma: Manaʻo ia e like me ke ʻū ʻia nei kou umauma, i kekahi manawa ʻoiai ʻoe e hanu ana.
• Luhi: Manaʻo wale i ka luhi, kahi manaʻo o ka nāwaliwali loa a ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
• Māmā ke poʻo: Manaʻo poniuniu, i kekahi manawa hiki ke nawaliwali.
• Pōkole o ka hanu: Paʻakikī i ka hanu ʻana, ʻūhū ʻana, ʻoiai ke hele iki a piʻi paha i ke alapiʻi.
• ʻAʻole hiki ke hoʻoikaika kino: ʻAʻole oʻu makemake e holo, lele, a hoʻoikaika kino paha e like me kaʻu i hana ai ma mua, a inā paha e hana wau, luhi koke wau.

Akā e hoʻomanaʻo, ʻaʻole paha e loaʻa i nā poʻe me ka stenosis iki a i ʻole ka regurgitation iki kekahi mau hōʻailona. ʻO ia ke kumu he mea nui nā hoʻokolohua lapaʻau.

Inā loaʻa i kahi pēpē ka Pulmonary Atresia, hiki iā lākou ke paʻakikī i ka hanu ʻana, paʻakikī i ka hānai ʻana, hiamoe pinepine, a i kekahi manawa he uliuli ko lākou ʻili (Cyanosis). He mea kēia āu e makaʻala pono ai. Ma ke ʻano he mau mākua, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike koke i ke kauka.

He aha nā kumu o ka maʻi valve pulmonary?

ʻOkoʻa nā kumu o kēia maʻi ma muli o ke ʻano o ka maʻi. E nānā kākou pehea e hana ai.

• Nā Kumu o ka Pulmonary Stenosis: I ka hapanui o nā hihia, he paʻakikī ke loaʻa i kahi kumu kikoʻī no kēia. Eia nō naʻe, hiki ke loaʻa kēia ʻano ma muli o kekahi mau maʻi genetic a i ʻole inā loaʻa i ka makuahine kahi maʻi e like me ka rubella i ka wā hāpai. He maʻi ʻo Rubella e hiki ke hoʻopilikia i ka fetus, no laila he mea nui e makaʻala i ka wā hāpai.
• Nā kumu o ka regurgitation valve pulmonary:Hiki i kēia ke loaʻa i kekahi mau kumu. No ka laʻana, ke koko kiʻekiʻe (ʻoi aku ka pulmonary hypertension), endocarditis, rheumatic fever, a pēlā aku. Hiki ke hana ʻia e kekahi mau pilikia puʻuwai hānau a i ʻole kā lākou mālama ʻana. He mea maʻamau kēia ʻano i ka poʻe i loaʻa i kahi maʻi puʻuwai i kapa ʻia ʻo Tetralogy of Fallot.
• Nā Kumu o ka Atresia Pulmonary: I nā hihia he nui, ʻaʻole ʻike ʻia ke kumu kikoʻī o kēia ʻano. Eia nō naʻe, ua manaʻo ʻia ua hana ʻia e nā loli i nā genes o ka fetus, ka ʻike ʻana i nā mea ʻawahia o ke kaiapuni i ka wā hāpai, a i ʻole kekahi mea a ka makuahine i lawe ai.

He aha nā pilikia e hiki mai ana o kēia maʻi?

ʻO ka maʻi valve pulmonary ke kumu o ka hana ikaika ʻana o ka ventricle ʻākau o kou puʻuwai e pamu i ke koko i kou mau māmā. Hiki i kēia ke hōʻino i kou puʻuwai a hoʻonui iā ia. ʻOiai he mea kakaikahi, inā lilo kēia ʻano i mea koʻikoʻi, hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka puʻuwai . ʻO ia hoʻi, ʻaʻole hiki i kou puʻuwai ke pamu i ke koko lawa i kou kino.

Hiki i nā keiki me ka Pulmonary Atresia ke loaʻa i nā maʻi akepaʻa a me nā ʻano puʻuwai ʻē, no laila he mea nui ka mālama koke ʻana.

Pehea e ʻike ʻia ai kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, inā lohe ʻo ia i kahi leo ʻē i ka wā e hoʻolohe ana i kou puʻuwai (me ka stethoscope ) , he hōʻailona paha ia o ka Pulmonary Regurgitation a i ʻole Pulmonary Stenosis. He leo ʻē kēia murmur i hana ʻia e ke koko e kahe ana ma o nā valves.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?

Hiki i ke kauka ke hana i nā hoʻokolohua aʻe e hōʻoia i ka maʻi valve pulmonary:

• ʻEchocardiogram Fetal: Kōkua kēia i ka ʻike ʻana i nā kūlana e like me ka Pulmonary Atresia ma mua o ka hānau ʻana o ke pēpē.
• ʻEchocardiogram (Echo): Hiki i kēia ke nānā i nā mea he nui, e like me ka hana o ka puʻuwai a me ke kūlana o nā valves. Hoʻohana ʻia ia e ʻike i ka 'Atresia', 'Stenosis' a i ʻole 'Regurgitation'. Ua like ia me ke kiʻi ʻana i ka puʻuwai me ka hoʻohana ʻana i ke kani.
• ʻO ka Pulse Oximetry: Hoʻohana ʻia kēia e nānā i ka pae oxygen i loko o ke koko i nā hihia o ka 'atresia'. He hoʻāʻo maʻalahi ia e hana ʻia ma ke kau ʻana i kahi clip ma ka manamana lima.
• ʻO ke Catheterization Cardiac: Hana ʻia kēia i nā hihia o 'Atresia' a i ʻole 'Stenosis'. He ʻano hana e hoʻokomo ʻia ai kahi ʻōmole liʻiliʻi ma o kahi kīʻaha koko i loko o ka puʻuwai e ana i ke kaomi a, inā pono, e mālama iā ia.
• Electrocardiogram (EKG/ECG): Hana ʻia kēia e nānā i ka hana uila o ka puʻuwai i nā hihia o 'Atresia' a i ʻole 'Regurgitation'.
• MRI o ka puʻuwai (Magnetic Resonance Imaging): Kōkua kēia i ka lawe ʻana i nā kiʻi kikoʻī o ka puʻuwai i nā hihia o 'Stenosis' a i ʻole 'Regurgitation'.
• X-ray o ka umauma: Kōkua kēia i ka ʻike ʻana i ka nui o ka puʻuwai a me ke kūlana o nā māmā i ka wā o ka 'regurgitation'.

Pehea e mālama ʻia ai ka maʻi valve pulmonary?

ʻOkoʻa ka mālama ʻana no kēia ma muli o ke kūlana āu e loaʻa nei. I kekahi manawa hiki ke hoʻomalu ʻia me ka lāʻau lapaʻau, i kekahi manawa hiki ke komo pū me ke ʻoki kino.

Nā lāʻau lapaʻau a me nā lāʻau lapaʻau kikoʻī

Aia kekahi mau lāʻau lapaʻau no ka maʻi valve pulmonary:

• ʻO Balloon Valvuloplasty: Hana ʻia kēia e hoʻonui i kahi valve pulmonary i haiki. Hana ʻia kēia ma ke komo ʻana i kahi mea liʻiliʻi e like me ka pōpō i loko o ka valve a hoʻopiha iā ia.
• Ke kau ʻana i ka lāʻau lapaʻau a i ʻole ke kau ʻana o ka stent (no ka "Atresia"): Hana ʻia kēia e mālama i ka "Ductus Arteriosus", kahi kīʻaha koko e pani koke ana ma hope o ka hānau ʻana o kahi pēpē, e wehe. ʻO ka mālama ʻana i kēia ʻōmole e wehe ana e kōkua i ke kahe ʻana o ke koko i nā māmā.
• Diuretics: Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale i ka paʻa ʻana o ka wai i loko o ke kino ma muli o ka hāʻule ʻana o ka puʻuwai i hoʻokumu ʻia e ke kahe ʻana o ke koko mai nā valves. Hoʻoulu lākou i ke kino e hoʻokuʻu i ka wai keu ma o ka mimi.
• Nā lāʻau lapaʻau no ke koko kiʻekiʻe o ka puʻuwai (ke koko kiʻekiʻe i loko o nā māmā) a i ʻole Endocarditis (ka maʻi puʻuwai) (no ka Regurgitation): Hāʻawi ʻia nā lāʻau lapaʻau e kāohi i kēia mau kūlana.
• Ke kaʻina hana Transcatheter a i ʻole ke ʻoki puʻuwai hāmama: Hoʻohana ʻia kēia mau kaʻina hana e hoʻoponopono i kahi valve e leaka ana a i ʻole e hoʻokomo i kahi valve hou.

Nā pilikia/nā hopena ʻaoʻao o ka lāʻau lapaʻau

Hiki i kekahi mau pēpē ke paʻakikī i ka ʻai ʻana ma hope o ke ʻoki ʻana, a pono paha e hānai ʻia ma o kahi ʻōmole liʻiliʻi ma ko lākou ihu (ʻai ʻana i ka ʻōmole).

Ma hope o ke pani ʻana i ka valve, pono kāu keiki e lawe i nā antibiotics ke hana niho lākou. Hoʻemi kēia mau lāʻau lapaʻau i ka pilikia o ka loaʻa ʻana o kahi maʻi puʻuwai i kapa ʻia ʻo endocarditis.

Ma hope o ka hoʻoponopono ʻana i ka valve pulmonary, hiki ke liki hou, a pono paha ke kauka e hoʻonui a hoʻololi paha.

E like me nā ʻoki kino āpau, aia kahi manawa liʻiliʻi o ka maʻi a i ʻole ke kahe ʻana o ke koko, akā makaʻala loa nā kauka i kēlā.

ʻEhia ka lōʻihi e ho'ōla ai mai ka lāʻau lapaʻau?

Ma hope o ke ʻoki ʻana no ka 'Pulmonary Atresia', e noho ana kāu keiki ma ka haukapila no hoʻokahi a ʻelua paha pule. Ma hope o ke ʻoki ʻana no ka 'Pulmonary Valve Regurgitation', hiki ke hala nā pule, a hiki i nā mahina ke hoʻōla. Ma hope o ka 'Valvuloplasty' no ka 'Pulmonary Stenosis', pono ʻoe e hōʻalo i nā hana ikaika no hoʻokahi pule.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka maʻi valve Pulmonary?

ʻOkoʻa paha kou ʻike me kēia maʻi mai ko kekahi. He kakaikahi loa nā hōʻailona o kekahi poʻe a ʻaʻole paha e pono ke ʻoki kino. Pono paha kekahi i ʻoi aku ma mua o hoʻokahi ʻoki kino valve pulmonary i ko lākou ola.

Nānā no ka maʻi valve pulmonary

He maikaʻi loa ka nānā ʻana no nā keiki i loaʻa i ka valvuloplasty no ka stenosis valve pulmonary. ʻAʻole lākou e pono i kekahi mea ʻē aʻe ma mua o nā nānā maʻamau me kahi kauka cardiologist pediatric. Pono paha kekahi poʻe e wehe hou ʻia kā lākou valve ma hope o 15 mau makahiki.

Hiki ke make ka atresia pulmonary inā ʻaʻole mālama ʻia, akā nui nā keiki e ola a hiki i ka wā makua ma hope o ke ʻoki ʻana.

He maikaʻi ka nānā ʻana no ka poʻe me ka regurgitation valve pulmonary akahai a kaulike paha. No ka poʻe me ka maʻi koʻikoʻi, pili ka nānā ʻana i ka wikiwiki o ka loaʻa ʻana o ka lāʻau lapaʻau.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia?

ʻAʻole hiki iā ʻoe ke hōʻemi i ka pilikia o kāu pēpē e loaʻa ana i ka maʻi valve Pulmonary, kahi kūlana e kū mai me ke kumu ʻole i ʻike ʻia. Akā inā ʻoe e hoʻolālā ana e hāpai, e hōʻoia ua loaʻa iā ʻoe ka lāʻau pale Rubella.

Hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka Pulmonary Valve Regurgitation ma ka pale ʻana i nā kūlana e hoʻoulu ai ia, e like me Pulmonary Hypertension, Endocarditis, a me Rheumatic Fever.

Pehea wau e mālama ai iaʻu iho?

E hoʻokele i nā mea hiki iā ʻoe ke kaohi a mālama i ke olakino o kou puʻuwai.

• E kāohi i kou koko a me nā pae cholesterol.
• E hōʻalo loa i nā huahana paka.
• E hoʻoikaika kino mau. ʻOiai ka hele wāwae wale no 30 mau minuke i ka lā, he mea maikaʻi nō ia.
• E ʻai i nā huaʻai, nā mea kanu, a me nā meaʻai haʻahaʻa a i ʻole ka momona paʻa ʻole. He kūpono loa kā mākou ʻai kūloko no kēia.

Āhea wau e ʻike ai i kaʻu kauka?

Mai poina i kāu mau hālāwai hoʻomaʻamaʻa me kāu kauka puʻuwai. Hiki iā ia ke nānā inā e hana pono ana kāu valve. Makemake paha ʻo ia e hana hou i kekahi o nā hoʻokolohua i hoʻohana ʻia e ʻike iā ʻoe ma kahi mua. Eia kekahi laʻana:

• ʻEchocardiogram (Echo)
• CT scan (Computed Tomography - CT scan)
• MRI o ka puʻuwai
• EKG (Electrocardiogram - EKG)

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia:

• Nā hanana pinepine o ka hiolo ʻana.
• Paʻakikī nui ka hanu ʻana.
• Manaʻo e like me ka wikiwiki o ka puʻuwai (Heart Palpitations).
• Nā hōʻailona o ka maʻi a i ʻole ke kahe ʻana o ke koko, e like me ke kuni a me ke koko i loko o ka ʻōpala, ma hope o ke ʻoki ʻana.

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

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:

• He aha ka lāʻau lapaʻau maikaʻi loa noʻu (a i ʻole kaʻu keiki)?
• Ua ʻike anei ʻoe i ke kumu o kaʻu (a i ʻole kaʻu keiki) Pulmonary Valve Disease?
• ʻEhia pinepine e pono ai iaʻu (a i ʻole kaʻu keiki) e hele mai e ʻike iā ʻoe?
• Aia kekahi mau hui kākoʻo no nā mākua o nā keiki me ka maʻi puʻuwai?

ʻO ka mea hope loa, leka lawe i ka home

He mea maʻamau ke manaʻo iki ʻoe i ka hopohopo ke lohe ʻoe ua loaʻa i kāu keiki (a i ʻole kou puʻuwai) ka maʻi valve Pulmonary. Akā, mai hopohopo. Hoʻoponopono mau nā kauka cardiologists i kēia ʻano pilikia valve. Hiki iā lākou ke hoʻohana i ko lākou ʻike e hoʻoholo ai i ka lāʻau lapaʻau maikaʻi loa nāu a i ʻole kāu keiki.

Mai makaʻu e nīnau i nā nīnau e pili ana i nā mea āu e maopopo ʻole ai. E hele i nā hoʻokolohua a pau a kāu kauka e kauoha ai, a e lawe i nā lāʻau lapaʻau a pau i hāʻawi ʻia iā ʻoe i ka manawa kūpono. ʻAʻole ʻoe hoʻokahi, a aia nā kauka, nā kahu maʻi, a me kou ʻohana e kōkua iā ʻoe ma kēia huakaʻi. He mea nui loa hoʻi ka noho maikaʻi no ka hoʻōla wikiwiki ʻana.

ʻO ka maʻi valve puʻuwai, valve puʻuwai, maʻi puʻuwai, paʻakikī i ka hanu ʻana, ʻeha umauma, maʻi puʻuwai hānau, pilikia valve puʻuwai, stenosis pulmonary, regurgitation pulmonary, atresia pulmonary