Cardiomyopathy

ʻO ka Cardiomyopathy ka maʻi o ka puʻuwai puʻuwai ʻole kahi e nāwaliwali ai ka naʻau, hohola ai, a i ʻole pilikia pilikia ʻē aʻe. Hāʻawi pinepine ia i ka hiki ʻole o ka puʻuwai ke pauma a hana maikaʻi paha.

Nui nā poʻe me ka cardiomyopathy i loaʻa ka puʻuwai puʻuwai.

Nui nā ʻano o ka cardiomyopathy, me nā kumu like ʻole. ʻO kekahi o nā mea maʻamau ʻo:

• ʻO ka cardiomyopathy dilated (i kapa ʻia he idiopathic dilated cardiomyopathy) kahi ʻano a nāwaliwali ka puʻuwai a nui nā keʻena. ʻO ka hopena, ʻaʻole hiki i ka puʻuwai ke paipū i ke koko i waho i ke kino. Hiki ke kumu ʻia e nā pilikia lapaʻau.
• ʻO ka hypertrophic cardiomyopathy (HCM) kahi ʻano a mānoanoa ka naʻau o ka puʻuwai. Hoʻonui kēia i ka paʻakikī no ka haʻalele ʻana o ke koko i ka puʻuwai. Hoʻohui pinepine ʻia kēia ʻano cardiomyopathy e nā ʻohana.

• Hoʻokumu ʻia ka Ischemic cardiomyopathy e ka hoʻopili ʻana o nā aʻa e hoʻolako i ka naʻau me ke koko. Mā lahilahi ka paia o ka puʻuwai no laila ʻaʻole maikaʻi ke pauma.
• ʻO ka cardiomyopathy kaohi ka hui o nā maʻi. ʻAʻole hiki i nā keʻena puʻuwai ke hoʻopiha i ke koko no ka mea ʻoʻoleʻa ka puʻuwai puʻuwai. ʻO nā kumu maʻamau o kēia ʻano cardiomyopathy ka amyloidosis a me ka scarring o ka puʻuwai mai kahi kumu ʻike ʻole ʻia.
• Hana ʻia ʻo Peripartum cardiomyopathy i ka wā hāpai a i ʻole 5 mau mahina ma hope.

Ke hiki, mālama ʻia ke kumu o ka cardiomyopathy. ʻO nā lāʻau a me nā loli nohona e pono ai e mālama pinepine i nā ʻōuli o ka puʻuwai ʻole, angina a me nā puʻuwai puʻuwai maikaʻi ʻole.

Hiki ke hoʻohana ʻia i nā kaʻina hana a i ʻole nā ​​ʻoki ʻana, me:

• ʻO kahi defibrillator e hoʻouna i kahi pulse uila e hoʻōki i nā ola puʻuwai hoʻoweliweli ola
• Kahi pacemaker nāna e mālama i ka helu o ka puʻuwai lohi a i ʻole e kōkua i ka puʻuwai e hoʻokuʻi i kahi ʻano hoʻohui like
• Coronary artery bypass (CABG) ʻoki a angioplasty paha e hoʻomaikaʻi i ke kahe o ke koko i ka nāwaliwali a nāwaliwali nā puʻuwai puʻuwai.
• Hoʻomaʻo ʻia ka hoʻoliʻiliʻi puʻuwai ke holo pono ʻole nā ​​lawelawe ʻē aʻe

Ua hoʻomohala ʻia nā ʻāpana puʻuwai mīkini ʻāpana hapa a piha pono hoʻi. Hoʻohana ʻia kēia mau mea no nā hihia koʻikoʻi loa. Eia naʻe, ʻaʻole pono ka poʻe āpau i kēia lapaʻau holomua.

Aia ka nānā i nā mea like ʻole, e like me:

• Kumu a me ke ʻano o ka cardiomyopathy
• ʻO ke koʻikoʻi o ka pilikia o ka puʻuwai
• Pehea ke ʻano o ka pane ʻana o ke ʻano i ka lāʻau

ʻO ka puʻuwai puʻuwai pinepine pinepine kahi maʻi lōʻihi (maʻi mau). E māhuahua paha ia i ka hala ʻana o ka manawa. Hoʻolālā kekahi poʻe i ka maikaʻi ʻole o ka puʻuwai. I kēia hihia, ʻaʻole kōkua hou nā lāʻau, lāʻau ʻoki, a me nā ʻano lāʻau ʻē aʻe.

Kūpono ka poʻe me kekahi ʻano o ka cardiomyopathy no nā pilikia puʻuwai puʻuwai weliweli.

• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Hoʻoiho i ka cardiomyopathy
• Hypertrophic cardiomyopathy
• Peripartum cardiomyopathy

ʻO Falk RH lāua ʻo 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: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 77.

McKenna WJ, Elliott PM. 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.

ʻO McMurray JJV, Pfeffer MA. Ka maikaʻi ʻole o ka puʻuwai: ka hoʻokele a me ka wānana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 53.

Rogers JG, O'Connor. CM. Hōʻino puʻuwai: pathophysiology a me kahi hōʻailona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 52.