ʻO ka stenosis valve pulmonary

ʻO ka stenosis pulmonary valve kahi maʻi puʻuwai puʻuwai e pili ana i ka valve pulmonary.

ʻO kēia ke kiwikā e hoʻokaʻawale ana i ka ventricle ʻākau (ʻo kekahi o nā keʻena i ka puʻuwai) a me ke aʻa puʻukū. Hāpai ke aʻa pulmonary i ke koko maikaʻi ʻole i oxygen i nā māmā.

Hana ʻia ka stenosis, a i ʻole ke hoʻopili ʻana, ke hiki ʻole i ka hāmole ke wehe ākea. ʻO ka hopena, emi ke kahe o ke koko i nā akemāmā.

ʻO ka hoʻoliʻiliʻi o ka pahu pulmonary kahi pinepine i ka wā hānau (congenital). Hoʻokumu ʻia ia e kahi pilikia e ulu ana i ka ulu ʻana o ka pēpē i loko o ka ʻōpū ma mua o ka hānau ʻana. ʻAʻole ʻike ʻia ke kumu, akā he kuleana nui paha nā genes.

ʻO ka hoʻopili liʻiliʻi e kū ana i loko o ka pahu iho i kapa ʻia ʻo stenosis pulmonary valve. Hiki paha i ka hoʻopili ʻana ma mua a ma hope paha o ka puka.

Hiki i ka hemahema ke kū hoʻokahi a i ʻole me nā kīnā o ka naʻau i kū i ka wā hānau. Hiki ke maʻalahi a paʻakikī paha ke ʻano.

ʻO ka stenosis valve pulmonary kahi maʻi maʻamau. I kekahi mau hihia, holo ka pilikia i loko o nā ʻohana.

ʻO nā hihia he nui o nā stenosis pulmonary valve he palupalu a ʻaʻole kumu ʻia nā ʻōuli. ʻIke pinepine ʻia ka pilikia i nā pēpē ke lohe ʻia ka ʻōhumu o ka puʻuwai i ka wā o ka hoʻokolohua naʻau maʻamau.

Ke kū waena ke kiwikā (stenosis) i ke kaumaha, hoʻokomo ʻia nā ʻōuli:

• Kuhi ʻōpū
• ʻO kaʻula Bluish i kaʻili (cyanosis) i kekahi poʻe
• Makemake maikaʻi ʻole
• ʻEha ʻeha
• Mauleʻa
• Ka luhi
• ʻO ka loaʻa ʻole o ke kaupaona maikaʻi a i ʻole hiki ʻole ke ulu pono i nā pēpē me kahi paʻa paʻa
• Pokole o ka hanu
• Make make koke

Eʻoi aku paha ka maikaʻi o nā hōʻailona me ka hoʻoikaika kino a hana paha.

Lohe paha ka mea mālama ola i kahi ʻōhumu o ka puʻuwai ke hoʻolohe i ka puʻuwai e hoʻohana ana i kahi stethoscope. Ke puhi nei ʻo Murmurs, whooshing, a i ʻole nā ​​kani kani i lohe ʻia i ka wā o ka puʻuwai.

Hoʻokomo ʻia paha nā hoʻāʻo e hōʻike i ka stenosis pulmonary:

• ʻO ka catheterization Cardiac
• Pākuʻi x-ray
• ECG
• ʻEchocardiogram
• MRI o ka puʻuwai

E hoʻonui ka mea hāʻawi i ka paʻakikī o ka stenosis valve e hoʻolālā i ka lāʻau.

I kekahi manawa, pono ʻole ke lapaʻau inā akahai ka maʻi.

Aia kekahi kīnā o ka naʻau, hoʻohana ʻia nā lāʻau i:

• Kōkua i ke kahe o ke koko ma o ka puʻuwai (prostaglandins)
• Kōkua i ka puʻuwai e hoʻokuʻi ikaika
• Kāohi i nā clots (nā mea lahilahi o ke koko)
• Wehe i ka nui o ka wai (nā pila wai)
• E mālama i nā puʻuwai a me nā mele e pono ʻole

Hiki ke hana ʻia ka pelanona balloon pulmonary dilation (valvuloplasty) ke loaʻa ʻole nā ​​kīnā puʻuwai ʻē aʻe.

• Hana ʻia kēia hana ma o ke aʻa o ke aʻa.
• Hoʻouna ke kauka i kahi paipu hikiwawe (catheter) me kahi pāluna i hoʻopili ʻia i ka hopena a i ka puʻuwai. Hoʻohana ʻia nā kukuna x kūikawā e kōkua i ke alakaʻi ʻana i ka catheter.
• Hoʻolahalaha ka baluna i ka wehe o ke kiwikā.

Pono paha i kekahi poʻe i ka ʻoki puʻuwai e hoʻoponopono a hoʻololi paha i ka valve pulmonary. Hiki ke hana i ka pahū hou mai nā mea like ʻole. Inā ʻaʻole hiki ke hoʻoponopono a pani hou ʻia ka kiwikā, pono paha i nā kaʻina hana ʻē aʻe.

ʻO ka poʻe me ka maʻi ʻoluʻolu ʻaʻole hele a paʻakikī. Eia nō naʻe, e ʻoi aku ka maikaʻi o ka poʻe me ka maʻi kaulike a paʻakikī. ʻOi aku ka maikaʻi o ka hopena ke kūleʻa ke kīpē a i ʻole ka balloon dilation. ʻO nā hemahema puʻuwai congenital paha kekahi mea i ka nānā.

ʻO ka pinepine, hiki i nā valves hou ke mau i mau makahiki. Eia nō naʻe, e weluwelu kekahi a pono e hoʻololi ʻia.

Komo pū nā pilikia:

• Nā puʻuwai puʻuwai maʻamau (arrhythmia)
• Make
• Hewa ka puʻuwai a hoʻonui i ka ʻaoʻao ʻākau o ka puʻuwai
• ʻO ke kahe ʻana o ke koko i loko o ka ventricle ʻākau (regurgitation pulmonary) ma hope o ka hoʻoponopono

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka stenosis pulmonary valve.
• Ua mālama ʻia ʻoe a i mālama ʻia paha i ka stenosis pulmonary valve a ua hoʻomohala i ka pehu (o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole ka ʻōpū), paʻakikī i ka hanu ʻana, a i ʻole nā ​​hōʻailona hou aʻe.

Valenular pulmonary stenosis; ʻO ka stenosis pulmonary valves naʻau; Pulmonary stenosis; Stenosis - pulmonary valve; Balloon valvuloplasty - pulmonary

• ʻO ke kīpoki puʻuwai puʻuwai - hoʻokuʻu

• Nā nohona puʻuwai

ʻO Carabello BA. Maʻi maʻi valvular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 66.

Pellikka PA. ʻO Tricuspid, pulmonic, a me nā maʻi multivalvular. 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 70.

ʻO Therrien J, Marelli AJ. ʻO ka maʻi puʻuwai Congenital i nā mākua. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 61.

Webb GD, Smallhorn JF, Therrien J, Redington AN. ʻO ka maʻi puʻuwai Congenital i ke kanaka makua a me ka mea maʻi pediatric. 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 75.