Ke luhi nei ʻoe a palaualelo paha? A i ʻole ke pehu nei kou mau wāwae a me kou mau kuʻekuʻe wāwae? I kekahi manawa manaʻo mākou he mau mea maʻamau kēia, akā i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi pilikia liʻiliʻi i loko o ko mākou puʻuwai. I kēia lā e kamaʻilio mākou e pili ana i kēlā ʻano maʻi e kū mai ana i loko o kahi valve puʻuwai. Mai hopohopo, e hoʻomaopopo maʻalahi kākou i nā mea āpau e pili ana i kēia.
He aha ka maʻi valve Tricuspid?
I ka ʻōlelo maʻalahi, he kūlana kēia kahi e hana pono ʻole ai ka valve, a i ʻole ka puka, ma waena o nā keʻena ʻelua ma ka ʻaoʻao ʻākau o ko kākou puʻuwai.
E noʻonoʻo i ko kākou puʻuwai me he hale liʻiliʻi me nā keʻena ʻehā. ʻEhā puka ma waena o kēia mau keʻena e kōkua ai i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. Kāhea mākou i kēia mau mea ʻo nā Valves o ka Puʻuwai . ʻO ka Valve Tricuspid kekahi o kēia mau puka ʻehā.
Aia ia ma waena o ke keʻena luna ma ka ʻaoʻao ʻākau o ka puʻuwai (ka Atrium ʻĀkau) a me ke keʻena haʻahaʻa ma ka ʻaoʻao ʻākau (ka Ventricle ʻĀkau). Hoʻouna ke ventricle ʻākau i ke koko i nā māmā e kiʻi i ka oxygen. No laila, inā ʻaʻole hana pono kēia valve tricuspid, hiki iā ia ke hoʻopilikia i ka ʻōnaehana kahe koko holoʻokoʻa.
He aha nā ʻano nui o kēia maʻi?
Hiki ke hoʻokaʻawale ʻia nā pilikia o ka valve Tricuspid i ʻekolu ʻano nui. I mea e maʻalahi ai ke hoʻomaopopo ʻana, e nānā kākou iā lākou ma kēia ʻano.
| ʻAno maʻi | He aha kēia e hana nei? |
|---|---|
| ʻO ka hoʻokahe ʻana o Tricuspid | ʻO kēia ke ʻano maʻamau. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole pani pono ka valve. Ua like ia me ka puka i pani pono ʻole ʻia. A laila, i kēlā me kēia manawa e ʻūlū ai ka ventricle ʻākau, e kahe hou ana kekahi o ke koko i loko o ke keʻena luna (ka atrium). Hiki i kēia ke hoʻonui i ka atrium a hoʻololi i ke kaomi i loko o ka puʻuwai. |
| ʻO ka Stenosis Tricuspid | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka lilo ʻana o ka puka o ka valve i mea haiki. Me he mea lā ʻaʻole hiki i ka puka ke wehe loa. Lilo ka valve i mānoanoa a paʻakikī. Hoʻopaʻa kēia i ke kahe ʻana o ke koko mai ke keʻena luna a i ke keʻena haʻahaʻa. I ka hala ʻana o ka manawa, hiki ke hoʻonui ʻia ke keʻena luna (atrium). |
| ʻO ka Atresia Tricuspid | He maʻi hānau kēia e kū mai ana i ka wā hānau. Maanei, kahi e pono ai ke kīwila tricuspid, ua hana ʻia kahi papa mānoanoa o nā ʻiʻo. ʻO ia hoʻi, ʻaʻohe kīwila. Hoʻopaʻa loa kēia i ke kahe o ke koko. He maʻi koʻikoʻi kēia a pono pinepine ke ʻoki ʻana. |
ʻO ka mea nui, i kekahi manawa e kū mai nā pilikia o ka valve tricuspid me nā pilikia me nā valves ʻē aʻe i loko o ka puʻuwai, e like me ka mitral a i ʻole ka aortic.
He aha nā kumu o kēia maʻi?
Aia kekahi mau kumu hiki ke loaʻa i ka maʻi valve tricuspid.
- Ka hoʻonui ʻia ʻana o ka ventricle ʻākau o ka puʻuwai: Hiki ke hana ʻia kēia ʻano e nā maʻi puʻuwai ʻē aʻe.
- Nā maʻi: ʻO nā kūlana e like me ka fiva rumatika, kahi e kū mai ana ma hope o ka maʻi ʻāʻī, a i ʻole endocarditis, kahi maʻi o ka uhi o loko o ka puʻuwai.
- Nā kīnā hānau: No ka laʻana , kahi kūlana i kapa ʻia ʻo ka anomaly ʻo Ebstein .
- Ke koko kiʻekiʻe o ka puʻuwai: ʻO kēia ke kumu e hana ikaika ai ka ʻaoʻao ʻākau o ka puʻuwai.
- Nā ʻeha a hōʻino paha i ka umauma: ma muli o nā mea e like me ka hōʻeha puʻuwai, hoʻokomo ʻia kahi pacemaker, a pēlā aku.
- Nā kūlana olakino ʻē aʻe: Nā maʻi e like me ka lupus a me ka rheumatoid arthritis.
- Kekahi mau lāʻau lapaʻau: ʻOi aku kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka pohō kaumaha ma mua.
- Lapaʻau radiation i ka ʻāpana umauma a i ʻole nā pūpū maʻi ʻaʻai.
He aha nā hōʻailona āu e ʻike ai?
Hiki ke ʻokoʻa nā hōʻailona o kēia maʻi mai kēlā kanaka a kēia kanaka. I kekahi manawa, inā he akahai ka maʻi, ʻaʻohe paha he mau hōʻailona. Eia nō naʻe, hiki ke ʻike ʻia kēia mau hōʻailona i nā hihia kaulike a koʻikoʻi paha.
| Hōʻailona | Pehea kou manaʻo |
|---|---|
| Luhi a nāwaliwali paha | Manaʻo luhi a make ke ola i nā manawa a pau me ke kumu ʻole. |
| Pehu (Edema) | Pehu ʻana ma ka ʻōpū, nā wāwae, nā kuʻekuʻe wāwae, a i ʻole nā wāwae. Manaʻo paʻa i ke kau ʻana i nā kāmaʻa. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Ke manaʻo nei i ka hanu pōkole i ka hana ʻana i nā hana maʻamau, ke hele wāwae, a i ʻole ke kū wale ʻana. |
| Puʻuwai puʻuwai kūpono ʻole (Arrhythmia) | Ka manaʻo o ka ʻūmiʻi o ka umauma, ka puʻuwai holo wikiwiki, a i ʻole ke kani ʻana o ka ʻāʻī. |
| Hoʻonui ʻia ke akepaʻa | Ka manaʻo kaumaha a ʻoluʻolu ʻole paha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| ʻIli anu | Nā wahi anu ʻē aʻe e like me nā lima a me nā wāwae. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke kamaʻilio ʻoe e pili ana i nā hōʻailona e like me kēia, e nānā mua ke kauka iā ʻoe.
- E nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona, nā maʻi ʻē aʻe, a me nā lāʻau lapaʻau āu e lawe nei.
- Hoʻolohe ʻia ka puʻuwai me ka stethoscope e nānā i nā leo ʻē aʻe (nā murmurs o ka puʻuwai).
- E nānā lākou i kou mau aa koko ʻāʻī.
- Ke ana ʻia nei ke kaomi koko.
Inā kānalua ʻia kahi maʻi puʻuwai ma hope o kēia hoʻokolohua, hiki ke kuhikuhi ʻia ʻoe i kahi cardiologist a i ʻole e hana ʻia kekahi mau hoʻokolohua ʻē aʻe.
Nā hoʻokolohua e pono ai paha
- Ka helu ʻikepili o ke kaʻa:ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ua like ia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke ʻike maopopo i ke ʻano o ka hana ʻana o nā valves o ka puʻuwai a me ke kahe ʻana o ke koko.
- Electrocardiogram (EKG): He hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai.
- X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i ka puʻuwai i hoʻonui ʻia a me ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
- Hoʻāʻo koʻikoʻi hoʻoikaika kino: Nānā kēia i ke ʻano o ka hana ʻana o kou puʻuwai i kou wā e hoʻoikaika kino ai.
- Catheterization Cardiac: He hoʻāʻo e ana i ke kaomi i loko o ka puʻuwai a nānā i ke kūlana o nā valves puʻuwai.
Pehea e mālama ʻia ai?
Hoʻoholo ʻia ke ʻano lapaʻau ma muli o kāu mau hōʻailona a me nā hopena hoʻāʻo.
1. Nānā: Inā he akahai kou kūlana a ʻaʻohe hōʻailona nui, hiki i kāu kauka ke nānā i kou kūlana ma ka nānā ʻana iā ʻoe i nā manawa maʻamau (e laʻa me kēlā me kēia 6 mahina a i ʻole hoʻokahi manawa i ka makahiki) me ka ʻole o ka hāʻawi ʻana iā ʻoe i kekahi lāʻau lapaʻau.
2. Ka lāʻau lapaʻau: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau aʻe e kāohi i nā hōʻailona a pale i nā pilikia:
- Nā lāʻau diuretic: Kōkua kēia i ka hoʻohemo ʻana i ke kahe nui mai ke kino ma o ka mimi. Kāhea pū mākou i kēia mau "pila wai".
- Nā lāʻau lapaʻau anti-arrhythmic: Kaohi i ka puʻuwai kūpono ʻole.
- Nā mea hoʻopaʻa i ka enzyme hoʻololi-angiotensin (ACE inhibitors): Kōkua i ka puʻuwai e pamu koko me ka maʻalahi.
- Nā Anticoagulants: Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko.
3. ʻOki kino: Inā koʻikoʻi ka maʻi a ʻaʻole hiki ke kāohi ʻia me ka lāʻau lapaʻau, hiki ke ʻōlelo ʻia ke ʻoki kino e hoʻoponopono i ka valve a hoʻokomo paha i kahi valve hou.
Pehea ʻoe e mālama ai iā ʻoe iho?
ʻO ke kanaka me kēia ʻano maʻi valve e pilikia ana i ka loaʻa ʻana o nā maʻi puʻuwai (endocarditis). No laila, no kou palekana, e makaʻala i kēia mau mea.
- E makaʻala pono i ke olakino o kou mau niho a me kou mau ʻāʻī. Hiki i nā maʻi niho ke hele ma o ke kahe koko a hiki i nā kiwikā o ka puʻuwai. No laila e palaki pono i kou mau niho i kēlā me kēia lā a e ʻike pinepine i kāu kauka niho.
- E haʻi aku i kāu mau kauka a pau, me kou kauka niho, he maʻi valve kou.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi (kuni, ʻeha kino, ʻeha puʻu), e kāhea koke aku i kāu kauka.
- E nīnau i kāu kauka cardiologist inā pono ʻoe e lawe i nā antibiotics ma mua o nā kaʻina hana e hiki ai ke hoʻokahe i ke koko, e like me ka unuhi ʻana i nā niho a i ʻole ke ʻoki ʻana .
- E pono i ka wā pilikia,He hana maikaʻi ka lawe ʻana i kahi kāleka lapaʻau e hōʻike ana he maʻi valve kou.
Leka Lawe-Home
- ʻO ka maʻi valve Tricuspid kahi maʻi e hoʻopilikia ai i ka valve ma ka ʻaoʻao ʻākau o ka puʻuwai.
- Loaʻa paha i nā poʻe he nui nā maʻi maʻalahi a ʻaʻole hōʻike i kekahi mau hōʻailona.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi i wehewehe ʻole ʻia, nā wāwae pehu, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻike pono i ke kauka.
- Aia nā lāʻau lapaʻau kūpono loa no kēia. I kekahi manawa hiki ke hoʻoponopono ʻia me ka lāʻau lapaʻau a i ʻole, inā pono, ke ʻoki kino.
- Inā loaʻa iā ʻoe kēia maʻi, he mea nui loa ia ʻaʻole e hopohopo, e hahai i nā ʻōlelo a kāu kauka, a e hoʻāʻo ʻia i ka manawa.
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