He puʻupuʻu e like me ka pōpō ma ka paia o ka puʻuwai? E kamaʻilio kākou e pili ana i kēia (Ventricular Aneurysm)!

Ua lohe paha ʻoe e hiki i kahi ʻāpana o ka paia o ka puʻuwai ke lilo i nāwaliwali a puʻupuʻu e like me ka pōpō? He kūlana kēia e hiki ke hana maoli i kekahi poʻe. Hiki ke hana ma hope o ka hōʻeha puʻuwai. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo `(Ventricular Aneurysm)` ma ke ʻano maʻalahi, i hiki iā ʻoe ke hoʻomaopopo.

He aha kēia `(Ventricular Aneurysm)`? I ka ʻōlelo maʻalahi loa...

ʻAe, e nānā mua kākou i kēia. Ua ʻike ʻoe he ʻehā mau keʻena nui o ko kākou puʻuwai. ʻO nā keʻena ʻelua ma lalo o kēia mau mea e pamu i ke koko i ke kino a me nā māmā. ʻO kēlā mau keʻena haʻahaʻa ka mea a mākou e kapa aku nei he `(Ventricles)` . No laila, i ka wā e nāwaliwali ai kahi o ka paia o kekahi o kēia mau `(Ventricle)`, ʻo ia hoʻi, kekahi o nā keʻena haʻahaʻa o ka puʻuwai, a puka i waho e like me ka pōpō, kapa wale mākou ia he `(Ventricular Aneurysm)`. E noʻonoʻo e like me ka paia ʻaoʻao o ka huila kaʻa e nāwaliwali a puka i waho e like me ka pehu. Ke pamu ka puʻuwai i ke koko, puka i waho kēlā wahi nāwaliwali.

Hiki ke lilo kēia i mea weliweli, no ka mea, i kekahi manawa hiki ke poha ka pehu. Inā hana ʻia kēia, he pilikia hoʻoweliweli ia i ke ola a pono koke ke kōkua lapaʻau.

Aia kekahi mau ʻano o ka ventricular aneurysm?

ʻAe, ʻike nā kauka i ʻelua ʻano nui o ka Ventricular Aneurysm.

1. ʻO ka Aneurysm Ventricular ʻoiaʻiʻo: Hana ʻia kēia i ka wā e make ai kahi ʻāpana o ka paia o ka puʻuwai, pinepine ma muli o ka hōʻeha puʻuwai (Myocardial Infarction), a nāwaliwali. A laila hiki i ka paia nāwaliwali ke puʻupuʻu i waho a hana i kahi ʻeke i piha i ke koko. ʻO kēia ke ʻano maʻamau o ka aneurysm.

2. ʻO ka Aneurysm Ventricular wahaheʻe a i ʻole Pseudoaneurysm: He ʻokoʻa iki kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ua hōʻino ʻia ka paia o ka puʻuwai, a ke kahe nei kekahi koko ma o ia mea a hōʻiliʻili i loko o ka membrane lahilahi a puni ka puʻuwai (ka pericardium). ʻO ke ʻano kēia, ʻaʻole e puʻupuʻu ka paia o ka puʻuwai ponoʻī, akā ua like ia me hoʻokahi.

Pehea ka maʻamau o kēia kūlana?

E nānā kākou i ke ʻano maʻamau o kēia. Hōʻike nā helu helu ma kahi o 5 a 7 o 100 mau kānaka i loaʻa i ka hōʻeha puʻuwai e loaʻa i kēia maʻi (Ventricular Aneurysm). ʻOi aku ka kiʻekiʻe o kēia pilikia inā ua hoʻopilikia ka hōʻeha puʻuwai i ka mānoanoa holoʻokoʻa o ka ʻiʻo puʻuwai (Transmural Myocardial Infarction).

He aha nā kumu o ka Ventricular Aneurysm?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui a maʻamau ka hōʻeha puʻuwai (`Myocardial Infarction`) . I ka hōʻeha puʻuwai, ua pau ke kahe koko i ka ʻiʻo puʻuwai, a make kēlā mau ʻāpana. A laila, hana ʻia nā ʻiʻo ʻeha (`Scar Tissue`) ma kēlā mau wahi make. I ka hala ʻana o ka manawa, hiki i kēia ʻiʻo ʻeha ke kīkoʻo, lahilahi, a nāwaliwali. ʻO ia ka manawa e hana ʻia ai kahi "Aneurysm".

Akā, he mea kākaʻikahi loa, hiki ke loaʻa kēia ʻano maʻi i ka wā hānau. Ua kapa ʻia kēlā he ʻano maʻi puʻuwai hānau.No laila, inā he hoʻokahi, ʻaʻole paha e ʻike ʻia a hiki i ka wā makua a hiki ke hoʻoulu i nā pilikia ma hope.

Ma waho aʻe o kēia kumu nui, aia kekahi mau kumu ʻē aʻe i ʻike pinepine ʻole ʻia:

• ʻO ka maʻi o ka uhi o loko o ka puʻuwai (endocarditis).
• ʻO ka hoʻohana nui ʻana i nā lāʻau ʻeha e like me nā steroids a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) no ka manawa lōʻihi.
• Fiva Rumatika.
• Nā maʻi laha ʻole e like me `(Sarcoidosis)`.
• Ma ke ʻano he pilikia o ke ʻoki puʻuwai hāmama.
• nā maʻi i laha ma ke ʻano moekolohe e like me syphilis.
• Nā ulia pōpilikia (nā ʻeha umauma)
• ʻO ka maʻi puʻupuʻu.
• `(Maʻi Chagas)` (He maʻi kēia i hoʻokumu ʻia e kahi parasite, ʻaʻole i maʻamau loa ma Sri Lanka).
• ʻO ke ʻano kūikawā o ka mānoanoa o ka ʻiʻo puʻuwai i kapa ʻia ʻo "Apical Hypertrophic Cardiomyopathy".

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Ventricular Aneurysm?

ʻOiai hiki ke ulu kēia ʻano i loko o kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe. ʻO kēia mau mea:

• Nā wahine ma luna o 65 mau makahiki.
• Inā loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai (ʻO ka maʻi Cardiovascular), ka maʻi coronary artery (ʻO ka maʻi Coronary Artery), a i ʻole ka mōʻaukala o nā hōʻeha puʻuwai. He mau mea hoʻoilina kēia.
• ʻO nā kānaka me ka puʻuwai i hoʻonui ʻia (Hypertrophic Cardiomyopathy). I kēia kūlana, lilo ka ʻiʻo puʻuwai i mānoanoa loa.

He aha nā hōʻailona o ka `(Ventricular Aneurysm)`?

ʻO ka mea kupaianaha , ʻo ka hapa nui o ka manawa, inā he liʻiliʻi kēia "(Ventricular Aneurysm)", hiki ke lilo i asymptomatic. ʻAʻole ʻike kekahi poʻe he loaʻa iā lākou kēia, a ʻike ʻia ia ma ka ulia pōpilikia i ka wā e hoʻāʻo ʻia ai lākou no kekahi kumu ʻē aʻe.

Akā hiki i kekahi poʻe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• ʻEha a ʻeha paha ka umauma, he manaʻo o ka ʻūmiʻi (ʻAngina). Hiki i kēia ke manaʻo e like me ka hāʻule puʻuwai.
• ʻEdema (pehu ʻana o ke kino), ʻoi aku hoʻi ma nā wāwae a me nā kuʻekuʻe wāwae.
• Manaʻo mau o ka luhi nui ('Fatigue'). Manaʻo luhi ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi.
• He puʻuwai wikiwiki a ʻano ʻē paha, a i ʻole he manaʻo o ke kuʻi ʻana i ka umauma ('Heart Palpitations').
• Pōkole o ka hanu. Manaʻo nei i ka pōkole o ka hanu ʻoiai ke hele wāwae a i ʻole ka hoʻoikaika kino ʻana.
• Hahau. Hana ʻia kēia inā e hana ʻia kahi ʻūpā koko i loko o ka aneurysm a haki a ālai i kahi kīʻaha koko i loko o ka lolo.

He aha nā pilikia e hiki mai ana o kēia `(Ventricular Aneurysm)`?

ʻO kēia ka mea e pono ai mākou e makaʻala nui. Inā he `(Ventricular Aneurysm)`, hiki iā ia ke hana i kekahi mau pilikia weliweli.

ʻO ka pilikia nui loa a weliweli loa ka haki ʻana o ka aneurysm.Inā hana ia, he pilikia hoʻoweliweli ia e ola ai a pono e mālama koke ʻia i ka haukapila a me ka mālama ʻia.

Eia kekahi, he mea kākaʻikahi loa, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo "Cardiogenic Shock" . I ka ʻōlelo maʻalahi, ʻo ia ka manawa hiki ʻole i ka puʻuwai ke pamu i ke koko lawa i ke kino. He pilikia olakino nō hoʻi kēia.

ʻO kekahi mea ʻē aʻe, hoʻonāwaliwali kēia aneurysm i ka ventricle hema o ka puʻuwai, e paʻakikī ai ke kaomi ʻana i ke koko i ke kino. Hiki i kēia ke alakaʻi i ka hāʻule ʻana o ka puʻuwai . ʻO ia hoʻi, e nāwaliwali mālie ana ka puʻuwai a ʻaʻole hiki ke hoʻokō i nā pono o ke kino.

Eia kekahi, hoʻonui pū ka Ventricular Aneurysm i nā pilikia e hiki mai ana:

• Nā ʻūpā koko a me nā hahau hopena.
• Hoʻemi ʻia ke kahe koko i ka ʻiʻo puʻuwai (`Myocardial Ischemia`). Hiki i kēia ke hoʻonui i ka ʻeha o ka umauma.
• He puʻuwai wikiwiki a weliweli hoʻi i kūpono ʻole ('Ventricular Tachycardia`). Hiki i kēia ke hoʻoweliweli i ke ola.

Pehea e ʻike ai nā kauka i kahi aneurysm ventricular?

E like me kā mākou i ʻōlelo ai ma mua, ʻoiai ʻaʻole lākou e hōʻike mau i nā hōʻailona, ​​​​inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua a i ʻole he mau kumu pilikia ʻē aʻe no ia mea, hiki i kāu kauka ke kauoha i nā hoʻokolohua like ʻole e nānā i kēia kūlana. Hoʻomaka pinepine kēia mau aneurysms e hana i loko o ʻekolu mahina o ka hōʻeha puʻuwai.

ʻO nā hoʻokolohua kiʻi nui i hoʻohana ʻia e ʻike i kēia mau aneurysms:

• Nā kukuna X-ray o ka umauma.
• Nā hoʻāʻo Angiogram. Hiki i kēia ke komo pū me kahi scan kūikawā i kapa ʻia ʻo Coronary Computed Tomography Angiogram (CCTA).
• Kiʻi CT.
• ʻEchocardiogram (`Echocardiogram`). ʻO kēia ka hoʻāʻo mua i hana ʻia, e like me ke kiʻi ultrasound o ka puʻuwai.
• He hoʻāʻo E.C.G. (`Electrocardiogram - ECG`). Nānā kēia i ka hana uila o ka puʻuwai.
• MRI scan. Hiki i kēia ke hana i nā kiʻi kikoʻī o ka puʻuwai.

He aha nā lāʻau lapaʻau no kēia `(Ventricular Aneurysm)`?

ʻĀ, e nānā kākou i ka mea hiki i kēia ke hana.

• Nā aneurysms liʻiliʻi, asymptomatic: ʻAʻole paha kēia e koi i ke ʻoki kino nui i kēia manawa. E nānā kāu kauka iā ʻoe. E hana pinepine lākou i nā hoʻokolohua kiʻi i ʻōlelo ʻia ma luna nei e ʻike inā e loli ana ka nui o ka aneurysm a i ʻole he mau hōʻailona o nā pilikia.
• Nā loli o ke ʻano o ka nohona a me ka hoʻoponopono hou ʻana o ka puʻuwai: Hoʻoponopono hou ʻana o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwaiHe nui ka poʻe e pōmaikaʻi mai ke komo ʻana i kahi papahana i kapa ʻia ʻo ka papahana hoʻololi nohona olakino puʻuwai, kahi e kōkua ai nā loea iā ʻoe e hana i nā hoʻololi nohona olakino puʻuwai (e like me ka ʻai a me ka hoʻoikaika kino). Hiki i kēia ke hoʻomaikaʻi i kou olakino puʻuwai a hōʻemi i kou pilikia o ka maʻi puʻuwai i ka wā e hiki mai ana.
• Nā lāʻau lapaʻau: No ka hōʻemi ʻana i ka pilikia o nā pilikia, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:
• ʻO ka Aspirin a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko (anticoagulants).
• Lāʻau hoʻomalu koko.
• Nā lāʻau hoʻohaʻahaʻa kolesterol, e like me "Statins".
• Nā lāʻau lapaʻau i hāʻawi ʻia no ka hāʻule ʻana o ka puʻuwai a me ka arrhythmia o ka puʻuwai.

ʻO ke ʻoki kino no ka Aneurysm Ventricular ʻoiaʻiʻo

ʻO kahi aneurysm ventricular nui a ʻoiaʻiʻo e hoʻoulu ai i ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka hāʻule ʻana o ka puʻuwai e pono ai ke ʻoki kino. Hana nā kauka puʻuwai i kahi ʻoki puʻuwai hāmama i kapa ʻia ʻo ke ʻoki hana hou ventricular a i ʻole ka hana hou ventricular .

ʻO kēia ʻoki kino e pili ana i:

• Ua wehe ʻia ka ʻāpana nāwaliwali a puʻupuʻu o ka ʻiʻo puʻuwai (ka aneurysm).
• A laila, ua humuhumu ʻia nā ʻāpana olakino o ka puʻuwai, a i ʻole ua humuhumu ʻia kekahi mea e like me kahi ʻāpana synthetic e hoʻoikaika i ka ʻāpana nāwaliwali.

Inā he ʻano puʻuwai kūpono ʻole kou (`Arrhythmia`) a ʻaʻole hiki iā ʻoe ke kaohi iā ia, pono paha ʻoe e hana i ke ʻoki kino e hoʻokomo i kahi mea liʻiliʻi ma lalo o ka ʻili o kou umauma e hoʻoponopono ai i kou helu puʻuwai. Kāhea mākou i kēia mau mea ʻo `(Implantable Cardioverter Defibrillators - ICD)` a me `(Pacemakers)` .

ʻO ke ʻoki kino no ka "False Ventricular Aneurysm" a i ʻole "Pseudoaneurysm"

He ʻōlelo ʻino iki kēia, akā he mea maikaʻi ke ʻike. Inā ʻaʻole mālama ʻia, e make ana ma kahi o ka hapalua o ka poʻe e loaʻa ana i kēia mau aneurysms ventricular wahaheʻe, a i ʻole pseudoaneurysms. Pēlā ko lākou weliweli. No laila, e paipai paha kāu kauka i ka ʻoki puʻuwai hāmama e hoʻoponopono i ka pseudoaneurysm.

Hiki ke pale ʻia ka ulu ʻana o kēia `(Ventricular Aneurysm)`?

ʻO kaʻoiaʻiʻo, ʻo ke ala maikaʻi loa e pale aku ai i ka aneurysm ventricular, ʻo ia ka hoʻāʻo ʻana e pale i ke kumu nui, ʻo ia hoʻi ka maʻi puʻuwai. ʻO ia hoʻi ka mālama ʻana i ke olakino o kou puʻuwai. E kōkua kēia mau mea i kēlā:

• E ʻai i ka meaʻai olakino no ka puʻuwai. E ʻai i nā meaʻai haʻahaʻa i ka paʻakai, ka ʻaila, a me ke kō, a nui i nā huaʻai a me nā mea kanu.
• E hoʻoikaika kino mau. ʻOiai ka hele wāwae wale no 30 mau minuke i ka lā, he mea maikaʻi nō ia.
• E ʻimi i nā ala maikaʻi e hoʻokele ai i ke kaumaha. Nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ke komo ʻana i kahi hana leʻaleʻa.
• E hōʻemi i ka inu ʻana i ka waiʻona, a inā hiki, e hoʻōki loa.
• Inā ʻoe he momona loa, e hoʻēmi i ke kaumaha a mālama i ke kaumaha olakino.
• Inā loaʻa iā ʻoe nā maʻi e kau ai i ke kaomi ma kou puʻuwai, e like me ke koko kiʻekiʻe, ka maʻi diabetes, a i ʻole ke kolamu kiʻekiʻe, e kāohi pono iā lākou. E hahai i nā ʻōlelo a kāu kauka a lawe i kāu mau lāʻau lapaʻau e like me ke kuhikuhi ʻana.
• Inā ʻoe e puhipaka, e ʻimi koke i ke kōkua e haʻalele. He mea nui loa hoʻi e pale i ka uahi lua.

He aha ka manaʻolana no ka poʻe me kēia maʻi?

Ma ka awelika, 9 mai loko mai o 10 mau kānaka me kahi aneurysm ventricular ʻaʻole ia e hoʻoulu i nā pilikia nui e ola mau ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana. ʻO ia hoʻi, inā mālama pono ʻia, hiki iā ʻoe ke ola i kahi ola maikaʻi.

Eia nō naʻe, ke hoʻoulu kēia mau aneurysms i nā hōʻailona i hiki ʻole ke mālama ʻia, a i ʻole ke loaʻa nā pilikia, piʻi ka pilikia o nā pilikia e hoʻoweliweli i ke ola. ʻO ia ke kumu he mea nui e hoʻāʻo ʻia a mālama ʻia e like me ka ʻōlelo a nā kauka.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka, a i ʻole e hele i ka haukapila kokoke loa:

• ʻEha nui o ka umauma. Me he mea lā e ʻūmi ana kekahi i kou umauma, a i ʻole me he mea lā e kaumaha ana kekahi mea iā ʻoe.
• Paʻakikī nui ka hanu ʻana.
• Nā hōʻailona ʻē aʻe o ka hāʻule puʻuwai (e like me ka ʻeha e hoʻohele ana i lalo i ka lima hema, ka ʻeha o ka ʻāwae, ka hou ʻana, ka nausea)
• Inā manaʻo koke ʻoe e kuʻi wikiwiki ana kou puʻuwai a i ʻole ke kuʻi kūpono ʻole.

I loko o ia kūlana, mai hoʻonele i ka manawa. E kāhea aku i ka lawelawe ambulance 1990 (Suvaseriya) i ka hikiwawe loa.

He aha kāu e nīnau ai i ke kauka?

Inā haʻi aku kāu kauka iā ʻoe he "Ventricular Aneurysm" kou, he manaʻo maikaʻi ke nīnau i kekahi mau nīnau e like me kēia. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo maikaʻi i ke kūlana.

• No ke aha i loaʻa ai iaʻu kēia `(Ventricular Aneurysm)`?
• He aha ke ʻano o ka Ventricular Aneurysm i loaʻa iaʻu? (ʻOiaʻiʻo a wahaheʻe paha?)
• Pehea ka nui o koʻu aneurysm?
• He aha kaʻu e hana ai e hōʻemi i ka pilikia o ka pahū ʻana o kēia aneurysm?
• He aha ke ʻano lāʻau lapaʻau e pono iaʻu e lawe?
• He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēlā mau lāʻau lapaʻau?
• E pono anei iaʻu ke ʻoki kino?
• Inā hana ʻia ke ʻoki kino iaʻu, he aha nā pilikia?
• He aha nā hōʻailona o nā pilikia e pono iaʻu e hopohopo?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, ʻo ka "Ventricular Aneurysm" a mākou i kamaʻilio ai he puʻupuʻu ia e kū mai ana ma muli o ka nāwaliwali o ka paia o kekahi o nā keʻena haʻahaʻa o ka puʻuwai. ʻIke pinepine ʻia kēia ʻano i nā poʻe i loaʻa i ka hāʻule puʻuwai. ʻO ka mea maʻamau, loaʻa kēia mau mea ma ka ventricle hema.

ʻO ka mea nui, ʻoiai ʻaʻole kēia e hōʻike pinepine i nā hōʻailona, ​​​​inā loaʻa kēlā mau hōʻailona (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana), aia nā lāʻau lapaʻau a i ʻole nā ​​​​ʻoki kino e hiki ke hoʻohana ʻia e mālama iā lākou.Eia nō naʻe, inā pahū ka "Ventricular Aneurysm", hiki iā ia ke lilo i kūlana hoʻoweliweli loa i ke ola.

No laila, inā loaʻa iā ʻoe ka ʻeha nui o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe o ka hōʻeha puʻuwai, mai hoʻokaʻulua, e kelepona koke iā 1990 a hele i ka haukapila. He kōkua nui ia i ka hoʻopakele ʻana i kou ola.

E mālama i kou puʻuwai. E ola i kahi nohona olakino. A laila hiki iā ʻoe ke pale iā ʻoe iho mai nā pilikia he nui e like me kēia.

ʻAneurysm Ventricular , maʻi puʻuwai, hōʻeha puʻuwai, nāwaliwali o ka paia puʻuwai, ʻoki puʻuwai, olakino puʻuwai, ʻeha umauma