Hoʻoiho i ka cardiomyopathy

ʻO ka Cardiomyopathy kahi maʻi kahi e nāwaliwali ai ka puʻuwai o ka puʻuwai, hoʻolōʻihi ʻia, a i ʻole he pilikia kū hoʻokahi.

ʻO ka cardiomyopathy dilated kahi ʻano a nāwaliwali ka puʻuwai puʻuwai a hoʻonui ʻia. ʻO ka hopena, ʻaʻole hiki i ka puʻuwai ke paipū i ke koko i ke koena o ke kino.

Nui a hewahewa ke ʻano o ka cardiomyopathy. ʻO ka cardiomyopathy dilated ka ʻano maʻamau, akā ʻo ia paha ka hopena o nā ʻano kumu like ʻole. Hoʻohana kekahi mau mea lawelawe olakino i ka manawa e kuhikuhi i kahi kūlana kikoʻī, i kapa ʻia he idiopathic dilated cardiomyopathy. ʻAʻohe kumu i ʻike ʻia no kēia ʻano cardiomyopathy ākea.

ʻO nā kumu maʻamau o ka cardiomyopathy dilated ka:

• ʻO ka maʻi puʻuwai i hoʻokumu ʻia e ka hoʻopili ʻana a i ʻole ke ālai ʻana i nā aʻa coronary
• Kaohi koko kiʻekiʻe ka maikaʻi ʻole

Nui nā kumu ʻē aʻe o ka cardiomyopathy i hoʻonui ʻia, e like me:

• ʻAlekohola a cocaine paha (a i ʻole nā ​​lāʻau ʻino ʻē aʻe) hoʻomāinoino
• ʻO ka maʻi diabetes, ka maʻi thyroid, a ʻo ka hepatitis paha
• Nā lāʻau i hiki ke lilo i mea ʻawahia i ka puʻuwai, e like me nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai
• Nā ritme naʻau maʻamau ʻole kahi e wikiwiki ai ka puʻuwai no kahi manawa lōʻihi
• Nā maʻi maʻi autoimmune
• Nā kūlana e holo i loko o nā ʻohana
• Nā maʻi i hoʻopili i ka puʻuwai puʻuwai
• ʻO nā valves puʻuwai a ololi a liʻuliʻu paha
• I ka mahina hope o ka hāpai ʻana, a i ʻole ma waena o 5 mau mahina ma hope o ka hānau ʻana o ka pēpē.
• Hōʻike i nā metala kaumaha e like me kēpau, arsenic, cobalt, a i ʻole mercury

Hiki i kēia ʻano ke hoʻololi i kekahi me nā makahiki. Eia naʻe, he mea maʻamau ia i nā kāne makua.

ʻO nā ʻōuli o ka hake ʻole o ka puʻuwai ka mea maʻamau. Hoʻonui lohi lākou i ka holo ʻana o ka manawa. Eia naʻe, i kekahi manawa hoʻomaka koke nā ʻōuli a ikaika paha.

ʻO nā ʻōuli maʻamau ka:

• ʻEhaʻeha a ʻeha paha (ʻoi aku paha me ka hoʻoikaika kino)
• Cough
• Ka luhi, nāwaliwali, maʻule
• Pāleʻa maʻamau a wikiwiki paha
• Loaʻa ka ʻai ʻole
• Ka hanu ʻana o ka hanu me ka hana a i ʻole ma hope o ka moe ʻana (a i ʻole ke hiamoe ʻana) no kekahi manawa
• ʻO ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae

I ka wā o ka hoʻokolohua, hiki i ka mea mālama ola ke loaʻa:

• Hoʻonui ʻia ka puʻuwai.
• ʻ cracklelo ʻo Lung crackles (kahi hōʻailona o ka hoʻoulu wai), ʻōhumu o ka naʻau, a i ʻole nā ​​kani ʻē aʻe.
• Hoʻonui ʻia paha ke akepaʻa.
• Pāhū paha nā aʻa ʻāʻī.

Hiki paha ke hana i nā hoʻokolohua hoʻokolohua e hoʻoholo ai i ke kumu.

• Antinuclear antibody (ANA), erythrocyte sedimentation rate (ESR), a me nā hoʻokolohua e hōʻike i nā maʻi autoimmune.
• Hōʻike Antibody e ʻike i nā maʻi e like me ka maʻi Lyme a me ka maʻi HIV
• Nā hoʻāʻo hao o ke koko
• Serum TSH a me T4 hōʻoia e ʻike ai i nā pilikia thyroid
• Nā hoʻāʻo no ka amyloidosis (ke koko, mimi)

Hoʻonui ka puʻuwai a i ʻole nā ​​pilikia ʻē aʻe me ka hanana a me ka hana o ka puʻuwai (e like me ka ʻuwī palupalu ʻana) e hōʻike ʻia ma kēia mau hoʻāʻo. Hiki iā lākou ke kōkua i ke kuhi ʻana i ke kumu o ka pilikia.

• Echocardiogram (ultrasound o ka puʻuwai)
• Nā hoʻāʻo koʻikoʻi Cardiac
• Pākuʻi x-ray
• Angiogram Coronary e nānā i ke kahe o ke koko i ka puʻuwai
• Kāleka Cardiac e ana i nā kaomi i loko a puni ka puʻuwai
  
• CT scan o ka puʻuwai
• MRI o ka puʻuwai
• Nānā puʻuwai nuklear (scintigraphy, MUGA, RNV)

ʻO ka biopsy puʻuwai, kahi e hemo ai kahi ʻāpana o ka puʻuwai puʻuwai, pono paha e pili ana i ke kumu. Eia naʻe, kākaʻikahi kēia hana.

Nā mea hiki iā ʻoe ke hana ma ka home e mālama i kāu kūlana me:

• E ʻike i kou kino, a kiaʻi i nā ʻōuli e hōʻeha loa ana kou puʻuwai.
• E nānā i nā loli i kāu mau hōʻailona, ​​ka helu o ka puʻuwai, ka lāʻau, ka pehu, a me ke kaupaona.
• Ka palena i ka nui o kāu inu a me ka nui o ka paʻakai (sodium) e loaʻa ai i kāu papaʻai.

ʻO ka hapa nui o ka poʻe i loaʻa ʻole ka puʻuwai e pono e ʻai i nā lāʻau. Mālama kekahi mau lāʻau i kāu hōʻailona. Hiki i nā mea ʻē aʻe ke pale aku i ka hōʻeha o kou puʻuwai mai ka lilo ʻana i mea ʻoi aku ka maikaʻi, a i ʻole pale paha i nā pilikia puʻuwai ʻē aʻe.

Nā kaʻina hana a me nā ʻoki ʻana āu e pono ai e hoʻopili:

• Kahi pacemaker e kōkua i ka mālama ʻana i nā helu puʻuwai lohi a i ʻole kōkua i kou puʻuwai puʻuwai e noho lōkahi
• ʻO kahi defibrillator e ʻike nei i nā puʻuwai puʻuwai hoʻoweliweli ola a hoʻouna i kahi pulse uila (haʻalulu) e kāohi iā lākou
• Hoʻopau ka naʻau (CABG) a i ʻole angioplasty e hoʻomaikaʻi i ke kahe o ke koko i nā puʻuwai puʻuwai nāwaliwali a nāwaliwali paha
• Hoʻololi a hoʻoponopono hou paha

No ka cardiomyopathy kiʻekiʻe:

• E paipai ʻia kahi hoʻoliʻiliʻi puʻuwai inā ʻaʻole i hana nā hana maʻamau a koʻikoʻi loa nā ʻōuli o ka puʻuwai.
• ʻO ke kau ʻana i kahi hāmeʻa kōkua ventricular a i ʻole puʻuwai puʻuwai paha e noʻonoʻo ʻia.

ʻOi aku ka maikaʻi ʻole o ka puʻuwai puʻuwai ma hope o ka manawa. ʻO ka poʻe he nui ka puʻuwai puʻuwai e make i ke ʻano. Ke noʻonoʻo nei e pili ana i ke ʻano o ka mālama āu e makemake ai i ka hopena o ke ola a ke kūkā nei i kēia mau pilikia me nā mea aloha a he mea nui kāu mea mālama ola.

ʻO ka puʻuwai puʻuwai pinepine pinepine i kahi maʻi maʻi, e ʻino paha i ka hala ʻana o ka manawa. Hoʻolālā kekahi poʻe i ka maikaʻi ʻole o ka puʻuwai, kahi i kōkua ʻole ai nā lāʻau, nā lāʻau ʻē aʻe, a me ke kaha ʻana. Kūpono ka nui o ka poʻe no ka haʻuki o ka puʻuwai make, a pono paha i nā lāʻau a i ʻole ka defibrillator.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka cardiomyopathy.

E kiʻi koke i ke kōkua olakino pilikia inā ʻeha kou umauma, palpitations a maʻule paha.

Cardiomyopathy - hoʻonui ʻia; ʻO ka cardiomyopathy mua; ʻO ka maʻi diabetic cardiomyopathy; Idiopathic cardiomyopathy; ʻO ka cardiomyopathy ʻalekohola

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Hoʻoiho i ka cardiomyopathy
• ʻO ka cardiomyopathy ʻalekohola

Falk RH, Hershberger RE. ʻO nā cardiomyopathies i hoʻonui ʻia, kaohi ʻia, a me nā infiltrative. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 77.

Mckenna WJ, Elliott P. Nā maʻi o ka myocardium a me ka endocardium. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 54.