Hoʻopili i ka cardiomyopathy: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono o ka cardiomyopathy dilated
• Pehea e hana ai i ka lāʻau
• 1. Nā lāʻau lapaʻau antihypertensive
• 2. Diuretics
• 3. ʻO Digitálico
• 4. Nā Anticoagulants
• 5. Pacemaker
• 6. Hoʻohui naʻau
• Nā pilikia i hiki
• Pehea e pale ai i ka cardiomyopathy ākea

ʻO ka cardiomyopathy dilated kahi maʻi e kumu i ka nui o ka dilation o ka puʻuwai puʻuwai, hana paʻakikī i ka pauma ʻana i ke koko i nā ʻāpana āpau o ke kino, i hiki ke alakaʻi i ka ulu ʻole o ka puʻuwai, arrhythmia, ke koko a me ka make koke.

ʻO kēia ʻano cardiomyopathy ka mea maʻamau i nā kāne ma waena o 20 a 50 mau makahiki, ʻoiai hiki ke hana i kēlā me kēia makahiki, me nā keiki, a ʻaʻole paha e hōʻike pinepine i nā ʻōuli i maʻalahi ke ʻike. Eia nō naʻe, no ka mea he pilikia ka puʻuwai e pīpī i ke koko, e luhi paha ke kanaka, nāwaliwali a pōkole paha o ka hanu, a ua ʻōlelo ʻia e hele i ke kauka lāʻau e hana i nā hoʻokolohua a hiki i kahi hopena diagnostic.

Hōʻike ʻia ka mālama ʻia ʻana o ka cardiomyopathy e ka cardiologist e pili ana i nā ʻōuli, nā kumu a me ke koʻikoʻi o ka maʻi, a pono paha e kau i kahi pacemaker i nā hihia ʻoi loa. ʻO ke ala ʻoi loa e pale aku ai i nā pilikia o ka cardiomyopathy i hoʻāla ʻia e loaʻa i ka manawa maʻamau me ka cardiologist.

Nā hōʻailona nui

ʻO nā ʻōuli o ka cardiomyopathy i hoʻonui ʻia e like like me nā ʻōuli o ka puʻuwai ʻole a i ʻole arrhythmia a hoʻopili pū ʻia:

• Mau luhi nui loa;
• Nāwaliwali;
• Ka hanu ʻana o ka hanu i ka hoʻoikaika kino ʻana, ma ka maha a i ʻole ke moe ʻana ma kou kua;
• Ka paʻakikī i ka hoʻoikaika kino ʻana a i ʻole nā ​​hana o kēlā me kēia lā;
• ʻO ka pehu i nā wāwae, nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae;
• Hoʻonui nui i ka ʻōpū;
• ʻEha o ka umauma;
• Kaha o ka puʻuwai kūlike ʻole;
• Kuhi o ka walaʻau i ka puʻuwai.

Eia kekahi, haʻahaʻa paha ke kahe o ke koko ma muli o ka paʻakikī o ka puʻuwai i ka paila ʻana i ke koko.

Pehea e hōʻoia ai i ke kuhi

ʻO ke kuhi ʻana o ka cardiomyopathy i hoʻolahalaha ʻia e pono e hana ʻia e ka cardiologist e pili ana i nā ʻōuli, ka nānā ʻana i ka mōʻaukala pilikino a me ka ʻohana, ka hoʻokolohua hoʻokolohua a me kekahi mau hoʻokolohua e like me ka X-ray umauma, hōʻike koko, electrocardiogram, Holter test, echocardiogram, hōʻike hoʻoikaika kino, helu tomography, ʻume mākenēki resonance, catheterization a me ka naʻau biopsy, no ka laʻana. E ʻike pehea e pau ai ka hōʻike Holter.

Noi paha ka cardiologist i kahi loiloi genetical e hoʻomaopopo inā paha ua hoʻokumu ʻia ka cardiomyopathy i hoʻonui ʻia e nā kumu genetics.

Nā kumu kūpono o ka cardiomyopathy dilated

ʻO ke kumu o ka cardiomyopathy i hoʻonui ʻia, maʻamau, ʻaʻole hiki ke ʻike ʻia, i kapa ʻia ʻo idiopathic dilated cardiomyopathy. Eia nō naʻe, ʻo kekahi mau kumu e alakaʻi i ka hoʻomaka ʻana o ka maʻi.

• ʻO Cardiac arrhythmia;
• Ka lawa ʻole o ka cardiac;
• Diabetes;
• Kaʻaihue;
• Hypertension;
• ʻAlekohola;
• Hoʻohana i nā lāʻau e like me ka cocaine a i ʻole ka amphetamine;
• Hoʻohana mau o nā lāʻau e like me corticosteroids;
• ʻO Chemotherapy me nā lāʻau e like me doxorubicin, epirubicin, daunorubicin a i ʻole cyclophosphamide;
• Maʻi Chagas a i ʻole toxoplasmosis;
• Nā maʻi Autoimmune e like me rheumatoid arthritis a i ʻole systemic lupus erythematosus;
• Nā maʻi ʻino i hoʻokumu ʻia e nā bacteria ʻO Streptococcus, Staphylococcus, Salmonella, Mycoplasma a i ʻole Chlamydia;
• ʻO nā maʻi me nā maʻi e like me adenovirus, parvovirus, herpes virus, hepatitis C virus a i ʻole Covid-19;
• Hōʻike i nā toxins e like me kēpau, mercury a i ʻole cobalt;
• Nā pilikia i ka hopena o ka hāpai ʻana;
• Hiki mai nā kīnā hānau i ka wā hānau o ka pēpē.

Hiki ke ʻike ʻia ʻo cardiomyopathy dilated ma muli o nā pilikia kūlohelohe a, no laila, ʻoi aku ka maʻamau o nā mea maʻi me ka moʻolelo ʻohana o ka maʻi, keu hoʻi ka hopena i kekahi makua.

Pehea e hana ai i ka lāʻau

Pono e hoʻomaka i ka mālama ʻana no ka cardiomyopathy dilated i ka wā hiki wawe, ma lalo o ke alakaʻi ʻana a ka cardiologist, e hōʻalo ai i nā pilikia e like me ka pulmonary embolism a i ʻole ka hopu ʻia ʻana o ka naʻau, e laʻa me.

Hiki ke hana i ka mālama ʻana me:

1. Nā lāʻau lapaʻau antihypertensive

Hiki ke hoʻohana ʻia kekahi mau antihypertensives no ka mālama ʻana i ka cardiomyopathy ākea i ko lākou kōkua ʻana e hoʻomaikaʻi i ka dilation o nā kīʻaha a hoʻonui i ke kahe o ke koko, i mea e kōkua ai i ka hana o ka puʻuwai. ʻO nā papa antihypertensive i hoʻohana ʻia ʻo:

• ʻO nā mea kūpale enzyme hoʻohuli Angiotensin ma ke ʻano he captopril, enalapril a i ʻole lisinopril;
• Nā poloka Angiotensin e like me losartan, valsartan or candesartan;
• Nā mea pale Beta e like me carvedilol a i ʻole bisoprolol.

Hiki i kēia mau lāʻau ke kōkua i ka mālama ʻana a pale ʻana i ka hoʻomaka ʻana o nā arrhythmia.

2. Diuretics

ʻO nā diuretics, e like me ka furosemide a i ʻole indapamide, hiki ke hoʻohana ʻia e mālama ai i ka cardiomyopathy ākea e lawe i nā wai kahe mai ke kino, e pale ana iā lākou mai ka hōʻiliʻili ʻana i nā uaua a paʻakikī e paʻi i ka puʻuwai.

Hoʻohui ʻia, hoʻomaha nā diuretics i ka pehu ʻana i nā wāwae a me nā wāwae i hoʻokumu ʻia e ka maʻi a me nā akemāmā, kōkua i ka hanu maikaʻi ʻana.

3. ʻO Digitálico

Hoʻohana ʻia ka digitalis e mālama i ka cardiomyopathy ākea ʻo digoxin e hana nei e ka hoʻoikaika ʻana i ka puʻuwai puʻuwai, e kōkua ana i ka hoʻoliʻliʻi a me ka ʻae ʻana i ka paipu koko maikaʻi aʻe.

Kōkua kēia lāʻau i ka hōʻemi i nā hōʻailona o ka puʻuwai puʻuwai, kahi e kōkua ai e hoʻomaikaʻi i ka maikaʻi o ke ola.

Eia nō naʻe, he lāʻauʻawaʻawa ka digoxin a koi ʻia i ka ukali pinepine ʻana o ka lāʻau.

4. Nā Anticoagulants

ʻO nā anticoagulants e like me warfarin a i ʻole aspirin hana ma ka hoʻohaʻahaʻa ʻana i ke viscosity o ke koko, ka hoʻomaʻamaʻa ʻana i ka pauma ʻana a me ka pale ʻana i nā hiʻohiʻona o nā clots i hiki ke hana i nā embolism a i ʻole nā ​​hahau, no ka laʻana.

5. Pacemaker

I nā hihia koʻikoʻi loa, kahi i hana ʻole ʻia ai ka lāʻau lapaʻau a ʻike ʻia paha ka maʻi ma hope, hiki i ke kauka ke koi aku i ka ʻokiʻoki e hoʻonoho i kahi pacemaker i ka puʻuwai e hoʻohui i nā manaʻo uila o ka puʻuwai, e hoʻomaʻamaʻa i kāna hana a me ka hoʻoponopono ʻana i ka puʻuwai puʻuwai puʻuwai. .

6. Hoʻohui naʻau

Hoʻomaopopo ʻia paha ka hoʻoliʻiliʻi puʻuwai e kāu kauka inā ʻaʻohe pono nā koho lapaʻau ʻē aʻe, e like me ka hoʻohana ʻana i nā lāʻau a i ʻole kahi pacemaker. E ʻike pehea e hana ai i ke kuʻi puʻuwai.

Nā pilikia i hiki

Hiki i nā pilikia i hoʻonui i ka cardiomyopathy ke kumu:

• Ka lawa ʻole o ka cardiac;
• ʻO Cardiac arrhythmia;
• Pilikia kiwikā puʻuwai;
• ʻO ka hōʻuluʻulu ʻana o nā wai i nā akemāmā, ʻōpū, nā wāwae a me nā wāwae;
• Hopu Cardiac.

Hoʻohui ʻia, hoʻonui paha ka cardiomyopathy i ka makaʻu o ke kahe o ke koko a me ka hoʻomohala ʻana i ka embolism pulmonary, infarction a i ʻole ka hahau ʻana.

Pehea e pale ai i ka cardiomyopathy ākea

Hiki i kekahi mau ana ke kōkua i ka pale ʻana a i ʻole hōʻemi i ka hōʻino ʻana o ka cardiomyopathy ākea e like me:

• Mai puhi;
• Mai inu i ka ʻalekohola a inu ʻole i ke kaulike;
• Mai hoʻohana i nā lāʻau e like me ka cocaine a i ʻole nā ​​amphetamines;
• Mālama i ke kaupaona olakino;
• Hana i nā hana i koi ʻia e ke kauka;
• E hiamoe ma kahi o 8 a 9 mau hola i ka pō.

He mea nui e hāhai i nā ʻōlelo a ke kauka a ʻai i ka papaʻai kaulike haʻahaʻa i ka momona, kō a me ka paʻakai. E hōʻoia i ka papa inoa o nā meaʻai maikaʻi no ka puʻuwai.