ʻIke i ka maʻi e haʻalele i ka puʻuwai paʻakikī

Anter

• Nā ʻōuli
• Pehea e ʻike ai inā he amyloidosis naʻau ia
• Lapaʻau

ʻO ka amyloidosis Cardiac, ʻo ia hoʻi ka maʻi o ka puʻuwai ʻoʻoleʻa, he maʻi maʻamau ʻole ia e hoʻopili ai i ka puʻuwai puʻuwai ma muli o ka hōʻiliʻili ʻia o nā protein i kapa ʻia ʻo amyloids i nā paia o ka naʻau.

ʻOi aku ka maʻi o kēia maʻi i nā kāne ma mua o 40 a keu mau makahiki a kumu i nā ʻōuli o ka puʻuwai puʻuwai, e like me ka luhi maʻalahi a paʻakikī e piʻi i ke alapiʻi a i ʻole e hoʻāʻo iki.

Hiki ke hōʻiliʻili o nā protein i ka septum atrial wale nō, e like me ka mea maʻamau i ka poʻe ʻelemākule, a i ʻole i nā ventricle, i hiki ke hoʻonā i ka puʻuwai.

Nā ʻōuli

ʻO nā ʻōuli o ka amyloidosis puʻuwai hiki ke:

• Koi ikaika e mimi i ka pō;
• Ka hoʻonui ʻana i nā ʻāʻī o ka ʻāʻī, kapa ʻia ʻepekema i nā stasis jugular;
• Palpitations puʻuwai;
• Ka hōʻuluʻulu ʻana o ka wai i nā akemāmā;
• Hoʻonui ākea;
• Kaomi haʻahaʻa ke piʻi aʻe mai kahi noho, no ka laʻana;
• Māluhiluhi;
• Mū maloo mau;
• Ka hōʻemi kaumaha me ke kumu ʻole, me ka ʻole o ka papaʻai a hoʻonui paha i ka hoʻoikaika kino;
• ʻAno ʻole i ka hoʻoikaika kino;
• Pāleʻele;
• Ka pōkole o ka hanu;
• Nā wāwae pehu;
• ʻŌpū pehu.

Hoʻohālikelike ʻia ʻo Amyloidosis i ka puʻuwai e ka protein i loko o ka puʻuwai puʻuwai a hiki ke kumu ʻia e ka myeloma maha, no ka ʻohana a i ʻole hiki ke ala aʻe me ka ʻelemakule o ka makahiki.

Pehea e ʻike ai inā he amyloidosis naʻau ia

ʻO ka maʻamau, ʻaʻole kānalua kēia maʻi i ke kipa mua a, no laila, he mea maʻamau no nā kauka e noi i nā hoʻokolohua he nui e nānā no nā maʻi ʻē aʻe ma mua o ka hiki ʻana i ka diagnose o ka maʻi amyloidosis.

Hana ʻia ka hōʻailona ma o ka nānā ʻana i nā ʻōuli a ma o nā hoʻokolohua i noi ʻia e ka cardiologist, e like me electrocardiogram, echocardiogram a me nā kiʻi resonance ʻumeʻume, hiki ke ʻike i nā arrhythmia cardiac, nā loli i nā hana puʻuwai a me nā haunaele i ka lawe uila o ka puʻuwai, akā ʻo ka hōʻailona o ka amyloidosis puʻuwai hiki ke hōʻoia wale ʻia ma o kahi biopsy o ka puʻuwai puʻuwai.

Hiki ke kiʻi ʻia i kēia hōʻailona inā aia ka mānoanoa o ka paia ventricular ma luna o 12 mm a ke ʻole ke koko kiʻekiʻe o ke kanaka, akā aia kekahi o kēia mau ʻano: dilation of the atria, pericardial effusion or heart fail.

Lapaʻau

No ka mālama ʻana, hiki ke hoʻohana ʻia nā lāʻau diuretic a me vasodilator e hōʻoluʻolu i nā ʻōuli o ka maʻi. Hiki ke hoʻohana ʻia ka hoʻohana ʻana i nā pacemaker a me nā defibrillator akomi ma ke ʻano he koho ʻē aʻe e kāohi ai i ka maʻi a ma nā hihia ʻoi loa, ʻo ka lapaʻau kūpono loa ka hoʻoliʻiliʻi puʻuwai. E ʻike i nā pilikia a pehea e hoʻi ai mai kahi kuʻi puʻuwai ma ke kaomi ʻana ma aneʻi.

Ma muli o ke koʻikoʻi o ka maʻi, hiki ke hoʻohana i nā anticoagulants e pale ana i ka hoʻokumu ʻia ʻana o ke koko i loko o ka puʻuwai, e hoʻoliʻiliʻi ana i nā hahau. Hiki ke hoʻohana ʻia ʻo Chemotherapy ke ke kumu o ka maʻi amyloidosis cardiac ka maʻi ʻaʻai o nā ʻano myeloma he nui

Pono ke kanaka e hōʻalo i ka paʻakai, makemake i nā meaʻai diuretic a hōʻole i ka hoʻāʻo e mālama i ka puʻuwai. Pono nō hoʻi ka ʻohana e hōʻole i ka hāʻawi ʻana i nā lono maikaʻi ʻole no ka mea hiki i nā naʻau nui ke alakaʻi i nā loli nui i hiki ke alakaʻi i ka puʻuwai puʻuwai

E ʻike i nā ʻano a me nā ʻōuli i hoʻokumu ʻia e Amyloidosis.