Ke luhi nei ʻoe i kekahi manawa a i ʻole ka poniuniu i ka piʻi ʻana i nā alapiʻi? Manaʻo pinepine mākou he mau mea maʻamau kēia e hana ʻia i ko mākou wā ʻelemakule a i ʻole no ka mea ua hana nui mākou. Akā i kekahi manawa, ma hope o kēia mau hōʻailona liʻiliʻi, aia paha kahi pilikia olakino e pono ai mākou e makaʻala. ʻO kekahi o ia mau pilikia ka maʻi valve puʻuwai. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ka maʻi valve o ka puʻuwai?
I ka ʻōlelo maʻalahi, he kūlana kēia kahi e hana pono ʻole ai kekahi a ʻoi aku paha o nā valves i loko o ko kākou puʻuwai. E noʻonoʻo i ko kākou puʻuwai e like me kahi hale liʻiliʻi me ʻehā lumi. Ma waena o kēia mau lumi he ʻehā puka e kōkua ai i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. Ua kapa ʻia kēlā mau puka he valves .
Ke kuʻi ka puʻuwai, wehe a pani ʻia kēia kiwikā, e like me ka puka.
- Wehe kēia valve ke pono ke kahe o ke koko i mua.
- Pani ʻia kēia ke pono ke oki ke kahe ʻana o ke koko i hope.
Ke hana pono ʻole kēia kaʻina hana, pono ka puʻuwai e hana ikaika e pamu i ke koko. Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke lilo i mea koʻikoʻi i ka hala ʻana o ka manawa. Akā ʻo ka nūhou maikaʻi, he nui nā lāʻau lapaʻau maikaʻi i loaʻa i kēia lā. Hiki ke hoʻoponopono ʻia kēia mau valves me ke ʻoki kino a i ʻole nā ʻano hana hou ʻē aʻe, a i ʻole hiki ke hoʻokomo ʻia kahi mea hou.
ʻEhā mau kiwikā nui i loko o ko kākou puʻuwai:
- Valve Mitral: Ma waena o ka atrium hema a me ka ventricle hema.
- ʻO ka valve Tricuspid: Ma waena o ka atrium ʻākau a me ka ventricle ʻākau.
- Pākuʻi Aortic: Ma waena o ka ventricle hema a me ka aorta.
- ʻO ka valve pulmonary: Ma waena o ka ventricle ʻākau a me ke aʻa pulmonary.
He aha nā ʻano nui o nā maʻi valve?
Hiki ke hoʻokaʻawale ʻia nā pilikia valve i kekahi mau ʻano nui. I kekahi manawa hiki i ke kanaka hoʻokahi ke loaʻa i nā ʻano pilikia he nui. E nānā kākou i ke ʻano o ia mau mea.
| Inoa kūlana | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| Stenosis | Lilo nā lau valve i mānoanoa, ʻoʻoleʻa, a ʻaʻole e wehe pono. E like me ka puka ʻōpala. Hoʻohaiki kēia i ka puka e kahe ai ke koko. Pono ka puʻuwai e hana ikaika e hoʻokuke i ke koko i mua. |
| Regurgitation | ʻAʻole pani pono nā ʻāpana valve, e ʻae ana i ke koko e kahe i hope. Ua kapa ʻia hoʻi kēia he "valve leaky." Ua like ia me ka ea e hele mai ana ma ka puka i pani ʻole ʻia, a ke kahe nei ke koko i hope. ʻO kēia ke kumu o ka hana ʻana o ka puʻuwai i ʻelua manawa ka ikaika. |
| Prolapse | Hoʻopilikia nui kēia i ka valve mitral. Ma muli o ka palupalu loa o nā lau valve, pelu lākou i hope, i ka atrium hema, i ka wā e paʻi ai ka puʻuwai. He mea ʻino ʻole kēia no ka hapa nui o nā kānaka, akā no kekahi poʻe hiki ke hoʻoulu i ka regurgitation. |
| ʻAtresia | He maʻi hānau ʻia kēia. He kiwikā puʻuwai e hana ʻia me ka ʻole o kahi puka ʻoiai ke pēpē i loko o ka ʻōpū. ʻIke pinepine ʻia kēia e nā kauka i ka wā hānau. |
He aha nā hōʻailona o ka maʻi valve?
ʻAʻole hōʻike ka nui o ka poʻe me ka maʻi valve i kekahi mau hōʻailona i nā pae mua. Eia nō naʻe, i ka wā e ʻoi aku ai ka koʻikoʻi o ke kūlana i ka hala ʻana o ka manawa, hoʻomaka nā hōʻailona e ʻike ʻia i ka wā e hana ikaika ai ka puʻuwai.
ʻO ka mea nui, i nā manawa he nui, hiki i ka maʻi ke loaʻa i loko o ke kino me ka ʻole o nā hōʻailona. No laila, he mea nui loa nā hoʻokolohua lapaʻau maʻamau .
ʻO nā hōʻailona nui i ʻike ʻia:
- Luhi: ʻO kēia paha ka hōʻailona mua āu e ʻike ai. Hiki iā ʻoe ke luhi ma hope o ka hana ʻana i kahi hana liʻiliʻi.
- Pōkole o ka hanu (dyspnea): Hoʻonui ʻia ka dyspnea, ʻoiai i ka wā e hoʻoikaika kino ai, piʻi i nā alapiʻi, a i ʻole e hana i kekahi hana ikaika.
- Nā loli i ke ʻano o ka paʻi ʻana o kou puʻuwai (palpitations): Manaʻo paha ʻoe e paʻi wikiwiki ana kou puʻuwai, me kahi manaʻo "kuʻi" i loko o kou umauma, a i ʻole e manaʻo paha e paʻi ana i hoʻokahi manawa a laila kū.
- Pehu kino (Edema): Pehu ma nā kuʻekuʻe wāwae, nā wāwae, a i ʻole ka ʻōpū.
- Nāwaliwali a poniuniu paha: Hiki paha iā ʻoe ke poniuniu, me he mea lā ua kū koke ʻoe.
- Ka piʻi koke ʻana o ke kaumaha o ke kino.
- ʻEha umauma: E ʻike paha ʻoe i kahi manaʻo ʻūmiʻi i loko o kou umauma, ʻoiai ke hana nei ʻoe i kahi hana ikaika.
No ke aha e loaʻa ai kēia ʻano maʻi valve? He aha nā kumu?
Aia kekahi mau kumu e hiki ai ke hōʻino ʻia nā kiwikā o ka puʻuwai. ʻO kekahi mau mea hiki iā mākou ke kaohi, a ʻo kekahi ʻaʻole.
- Fiva Rheumatic: He ʻano e kū mai ana ke waiho ʻole ʻia ka maʻi ʻāʻī (strep throat) i ka wā kamaliʻi. Hiki i kēia ke hōʻino i nā valves o ka puʻuwai. He kumu maʻamau kēia ma ko mākou ʻāina.
- Hoʻouka puʻuwai: ʻO ka hōʻino ʻana i ka ʻiʻo puʻuwai i hana ʻia e ka hoʻouka puʻuwai hiki ke hoʻopilikia i ka hana o nā valves.
- Ke koko kiʻekiʻe: ʻO ke koko kiʻekiʻe i kāohi ʻole ʻia no ka manawa lōʻihi hiki ke hōʻino i ka puʻuwai.
- Nā pilikia hānau: Hānau ʻia kekahi poʻe me kahi kīnā valve.
- Ka nāwaliwali o ka valve me ka ʻelemakule: I ko kākou ʻelemakule ʻana, hiki i nā waihona calcium (calcification) i loko o nā ʻiʻo o nā valves ke mānoanoa a hoʻonāwaliwali iā lākou.
- ʻO ka endocarditis hoʻopili: He maʻi bacteria mai kahi ʻē aʻe o ke kino e hele ana ma ke kahe koko a hōʻino i nā valves o ka puʻuwai.
- Nā kūlana olakino ʻē aʻe: ʻO kekahi mau maʻi, e like me ka lupus a me ka Marfan syndrome, hiki ke hōʻino i nā valves.
Nā mea e hoʻonui ai i ka pilikia
- Ka hoʻohana ʻana i ka paka.
- ʻAi olakino ʻole.
- ʻAʻole e hoʻoikaika kino.
- Loaʻa nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau radiation no ka maʻi kanesa.
- Ka ʻelemakule ʻana.
Pehea e ʻike ai ke kauka i ka maʻi valve?
Ke hele ʻoe e ʻike i ke kauka, e nānā ʻo ia iā ʻoe. Ke hoʻolohe nei i kou umauma me ka stethoscope, inā lohe ʻoe i kahi leo ʻē aʻe ma waho aʻe o nā leo puʻuwai maʻamau, he "heart murmur," he hōʻailona paha ia o kahi pilikia valve. E nānā pū lākou i ka wai i loko o nā māmā a me ka pehu ʻana i nā wāwae.
Ma hope o kēlā, ua ʻōlelo ʻia e hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi a hoʻoholo i kona koʻikoʻi.
| Inoa o ka hoʻāʻo | He aha kēia e hana nei? |
|---|---|
| ʻEchocardiogram | He scan ultrasound kēia o ka puʻuwai. E like me ke scan ʻana i ka ʻōpū o ka makuahine hāpai, ua kau ʻia kahi hāmeʻa ma luna o ka umauma a kuʻi ka puʻuwai, wehe a pani nā valves, a kahe ke koko e like me ke wikiō. |
| ʻO ke kani ʻana o ka esophageal (TEE) | Ua like kēia me ka scan echo, akā ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi me kahi mea scan ma o ka esophagus a kau ʻia ma kahi kokoke loa i ka puʻuwai. Hiki i kēia ke hana i nā kiʻi maopopo loa o nā valves o ka puʻuwai. |
| ʻElectrocardiogram (ECG/EKG) | He hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai. Hana ʻia kēia ma ke kau ʻana i nā pepili liʻiliʻi ma ka umauma a me nā lālā. |
| X-ray umauma | Hiki i kahi X-ray umauma ke hōʻike inā ua hoʻonui ʻia ka puʻuwai a ua piha paha nā māmā i ka wai. |
| Ka hoʻokomo ʻana o ka catheter cardiac | Hoʻokomo ʻia kahi ʻōmole lahilahi loa ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae i ka puʻuwai, hoʻokomo ʻia kahi mea kūikawā, a nānā ʻia ka hana o nā aʻa coronary a me nā valves o ka puʻuwai me ka hoʻohana ʻana i ke wikiō X-ray. Ua kapa ʻia kēia he angiogram. |
He aha nā lāʻau lapaʻau?
Hoʻopili ʻia ka lāʻau lapaʻau i ke ʻano o ka maʻi valve āu e loaʻa ai, kona koʻikoʻi, kou mau makahiki, a me kou olakino holoʻokoʻa.
1. Nā lāʻau lapaʻau
ʻAʻole hiki i nā lāʻau lapaʻau ke hoʻihoʻi i ka pōʻino o ka valve. Eia nō naʻe, hiki iā lākou ke kōkua i ka kaohi ʻana i nā hōʻailona, hoʻēmi i ke kaumaha ma ka puʻuwai, a pale i nā pilikia e like me ke koko koko. E kuhikuhi kāu kauka i nā lāʻau lapaʻau e kaohi i nā mea e like me ke koko kiʻekiʻe, ka cholesterol, a me nā puʻuwai puʻuwai kūpono ʻole (arrhythmias).
2. ʻOki kino
Inā koʻikoʻi nā hōʻailona a inā paha e hōʻino ʻia ana ka puʻuwai, pono paha ke ʻoki kino. ʻElua mau ʻano hana nui.
- Hoʻoponopono Valve:I nā manawa hiki, ʻo ke koho mua a nā kauka, ʻo ia ka hoʻoponopono a kūkulu hou i kāu valve ponoʻī no ka mea e hōʻemi ana ia i ka pilikia o ka maʻi, hoʻopau i ka pono no nā lāʻau hoʻokahe koko no ke ola holoʻokoʻa, a mālama i ka hana o ka puʻuwai.
- Hoʻololi i ka Valve: Inā ua hōʻino ʻia ka valve ma kahi hiki ʻole ke hoʻoponopono hou ʻia, e wehe ʻia a hoʻokomo ʻia kahi valve hou. ʻElua ʻano o kēia mau valve hou:
- Nā Valves Mechanical: He mau loa kēia, akā i ka wā e hoʻokomo ʻia ai, pono ʻoe e lawe i nā lāʻau hoʻokahe koko no ke koena o kou ola.
- Nā Kiwikā Olaola/ʻIʻo: Hana ʻia kēia mau mea mai ka ʻiʻo puʻuwai holoholona (puaʻa a bipi paha). ʻAʻole pono lākou i nā lāʻau hoʻokahe koko no ka manawa lōʻihi, akā hiki iā lākou ke hōʻino ma hope o 10-15 mau makahiki, e koi ana i ke ʻoki hou ʻana.
I kēia mau lā, hiki ke hana ʻia kēia ʻoki ma o kahi ʻoki liʻiliʻi (ʻoki minimally invasive) me ka ʻole o ka wehe loa ʻana i ka umauma. E wehewehe kāu kauka iā ʻoe i ke ʻano hana kūpono loa iā ʻoe.
Nā mea e noʻonoʻo ai i ka wā e noho ana me ka maʻi valve
ʻO ka loaʻa ʻana o ka maʻi valve ʻo ia hoʻi pono ʻoe e mālama hou aku i kou olakino.
- E ʻike pinepine i kāu kauka: ʻOiai inā ʻaʻohe ou hōʻailona, e hele no nā nānā ʻana e like me ka mea i hoʻonohonoho ʻia e kāu kauka. He mea nui e nānā i ke kūlana o ka valve no kekahi mau loli.
- E pale iā ʻoe iho mai nā maʻi: ʻO kou pilikia nui loa he maʻi puʻuwai i kapa ʻia ʻo infective endocarditis . E pale i kēia ma o:
- E mālama pono i kou mau niho a me ke olakino o kou ʻāʻī. E palaki pono i kou mau niho i kēlā me kēia lā.
- E haʻi i kāu kauka niho a me kekahi kauka ʻē aʻe he maʻi valve puʻuwai kou.
- E nīnau i kāu kauka cardiologist inā pono ʻoe e lawe i nā lāʻau antibiotic ma mua o ka unuhi ʻana i ka niho a i ʻole ke ʻoki kino liʻiliʻi ʻē aʻe.
- He nohona olakino: E hōʻalo i ka puhipaka, e ʻai i ka meaʻai kaulike, a e hoʻoikaika kino e like me ke kuhikuhi a kāu kauka.
Āhea wau e ʻike ai i ke kauka i ka wā hikiwawe loa?
Inā ʻoi aku ka ʻino o kou mau hōʻailona (ke kuni, ka ʻeha o ka umauma, ka pehu ʻana o ka wāwae) a i ʻole e kū pinepine mai, e ʻike koke i kāu kauka.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā loaʻa kēia mau hōʻailona, ʻoiai ma hope o ke ʻoki ʻana o ka valve, e hele koke i ka ETU (Emergency Treatment Unit) a i ʻole e kelepona i ka 1990.
- Ka nalowale koke ʻana o ka ʻike.
- ʻEha nui o ka umauma.
- Ka pōkole nui o ka hanu ʻaʻole e emi iho me ka hoʻomaha ʻana.
- Piʻi ka helu o ka puʻuwai ma luna o 150 mau kuʻi i kēlā me kēia minuke.
- Kuni a i ʻole ke anu.
- Ke ʻū ʻana i ke koko.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka luhi, ka luhi ʻē, a me ka ʻeha o ka umauma e like me ka mea maʻamau. Hiki iā lākou ke lilo i hōʻailona o ka maʻi valvular.
- ʻO ka maʻi valve puʻuwai kahi maʻi i hiki ke mālama pono ʻia i kēia mau lā. ʻAʻohe pono e makaʻu.
- E hele i nā nānā kino a me nā hoʻokolohua maʻamau e like me ke kauoha a kāu kauka. ʻO ia ke ala maikaʻi loa e pale ai i kou puʻuwai.
- Hiki i nā hoʻololi liʻiliʻi o ke ʻano o ka nohona (ʻai maikaʻi, hoʻoikaika kino, haʻalele i ka puhipaka) ke hana i kahi ʻokoʻa nui i ke olakino o kou puʻuwai.
- Inā loaʻa iā ʻoe ka maʻi valvular, e haʻi i kāu mau kauka a pau, me kāu kauka niho, e pili ana i ia mea. He mea nui loa ia e pale aku i nā maʻi.
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