Puʻuwai nui (cardiomegaly): he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono o ka cardiomegaly
• Pehea e hana ai i ka lāʻau
• 1. Hoʻohana o nā lāʻau
• 2. Hoʻonoho Pacemaker
• 3. ʻoki kino Cardiac
• 4. ʻoki kino Coronary
• 5. Ka hoʻoneʻe naʻau
• Nā pilikia i hiki
• Mālama i ka wā o ka mālama ʻana

ʻO Cardiomegaly, ka mea i ʻike nui ʻia ʻo ka puʻuwai nui, ʻaʻole ia he maʻi, akā he hōʻailona ia no kekahi maʻi puʻuwai ʻē aʻe e like me ka maikaʻi ʻole o ka puʻuwai, nā maʻi o ke aʻa, nā pilikia me nā puʻuwai puʻuwai a arrhythmia paha, e laʻa me. Hiki i kēia mau maʻi ke hoʻonui i ka mānoanoa o ka puʻuwai a i ʻole nā ​​keʻena o ka puʻuwai e hoʻonui ʻia, e hoʻonui ana i ka puʻuwai.

ʻO kēia ʻano loli i ka puʻuwai e hana pinepine i nā ʻelemākule, akā hiki ke hana ʻia i nā ʻōpio ʻōpio a i nā keiki me nā pilikia puʻuwai a, i ka wā mua, ʻaʻole paha e hōʻike ʻia nā hōʻailona. Eia nō naʻe, ma muli o ka ulu ʻana o ka puʻuwai, hoʻopilikia ʻia ka pauma ʻana o ke koko i ke kino holoʻokoʻa, kahi e kumu ai ka luhi nui a me ka hanu ʻana, no ka laʻana.

ʻOiai ke ʻano koʻikoʻi e hiki ai i ka make, hiki ke mālama ʻia ka cardiomegaly e ke kauka lāʻau me ka lāʻau a i ʻole ke ʻoki kino, a hiki ke mālama ʻia ke ʻike ʻia i ka hoʻomaka.

Nā hōʻailona nui

I ka wā mua, ʻaʻole hōʻike ka cardiomegaly i nā ʻōuli, akā, me ka holomua o ka pilikia, hoʻomaka ka puʻuwai e ʻoi aku ka paʻakikī i ka pīpī ʻana i ke koko i ke kino.

Ma nā pae holomua, nā ʻōuli nui o ka cardiomegaly me:

• Ka hanu ʻana o ka hanu i ka hoʻoikaika kino ʻana, ma ka maha a i ʻole ke moe ʻana ma kou kua;
• Kaha o ka puʻuwai kūlike ʻole;
• ʻEha o ka umauma;
• Cough, keu hoʻi i ka wā e moe ana i lalo;
• Ka paupauaho a maule ʻana;
• Ka nāwaliwali a me ka luhi ke hana i nā hana liʻiliʻi;
• Mau luhi nui loa;
• Ka hanu ʻana o ka hanu i ka hoʻoikaika kino ʻana, ma ka maha a i ʻole ke moe ʻana ma kou kua;
• ʻO ka pehu i nā wāwae, nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae;
• Hoʻonui nui i ka ʻōpū.

He mea nui e nīnau aku i ka cardiologist ke hiki mai kēia mau ʻōuli, a i ʻole e ʻimi i kahi ʻoihana pōpilikia kokoke loa inā ʻike ʻoe i nā ʻōuli o ka puʻuwai puʻuwai e like me ka ʻeha o ka umauma a me ka pilikia o ka hanu ʻana. ʻIke pehea e ʻike ai i nā hōʻailona mua o nā pilikia puʻuwai.

Pehea e hōʻoia ai i ke kuhi

Hoʻokumu ʻia ke kuhi o ka cardiomegaly ma ka mōʻaukala olakino a ma o nā hoʻokolohua e like me nā x-ray, electrocardiograms, echocardiograms, tomography i helu ʻia a i ʻole resonance ʻume mākenēki e loiloi i ka hana o ka puʻuwai. Hoʻohui ʻia, kauoha ʻia paha nā hōʻike koko e ʻike i nā pae o kekahi mau mea i loko o ke koko e hoʻopilikia nei i ka naʻau.

ʻO nā ʻano hoʻokolohua ʻē aʻe a ka cardiologist e kauoha ai, ʻo ia ka catheterization, e ʻae ai iā ʻoe e ʻike i ka puʻuwai o loko a me ka biopsy o ka puʻuwai, i hiki ke hana ʻia i ka manawa o ka catheterization e nānā ai i ka hōʻino ʻia o nā hunaola puʻuwai. E ʻike pehea e hana ai ka catheterization puʻuwai.

Nā kumu kūpono o ka cardiomegaly

ʻO Cardiomegaly kahi hopena o kekahi mau maʻi e like me:

• Hypertension arterial ʻōnaehana;
• Nā pilikia o ke aʻa coronary e like me ka ālai coronary;
• Ka lawa ʻole o ka cardiac;
• ʻO Cardiac arrhythmia;
• Cardiomyopathy;
• Infarction;
• ʻO ka maʻi valve puʻuwai ma muli o ke kuni rumatika a i ʻole ka maʻi o ka puʻuwai e like me endocarditis;
• Diabetes;
• Pulmonary hypertension;
• Maʻi maʻi pulmonary ākea;
• Ka lawa ʻole o ke kōpaʻa;
• Anemia;
• Nā pilikia i ka pākana thyroid e like me hypo a i ʻole hyperthyroidism;
• Nā kiʻekiʻe kiʻekiʻe o ka hao i ke koko;
• Maʻi Chagas;
• ʻAlekohola.

Eia kekahi, ʻo kekahi mau lāʻau e mālama ai i ka maʻi ʻaʻai, e like me doxorubicin, epirubicin, daunorubicin a i ʻole cyclophosphamide, hiki ke hana i ka helehelena o ka cardiomegaly.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia kahi lāʻau no ka cardiomegaly e kahi cardiologist a maʻamau pū me:

1. Hoʻohana o nā lāʻau

ʻO nā lāʻau i hiki i ka cardiologist ke kauoha e mālama i ka cardiomegaly:

• ʻO Diuretics e like me ka furosemide a i ʻole indapamide: kōkua lākou i ka hemo ʻana i ka nui o nā wai mai ke kino, e pale ana iā lākou mai ka hōʻiliʻili ʻana i nā aa a me ka hoʻopilikia ʻana i ka puʻuwai puʻuwai, me ka hoʻoliʻiliʻi o ka ʻōpū i ka ʻōpū a me nā wāwae, nā wāwae a me nā kuʻekuʻe wāwae.
• Nā lāʻau lapaʻau antihypertensive e like me captopril, enalapril, losartan, valsartan, carvedilol a i ʻole bisoprolol: kōkua lākou e hoʻomaikaʻi i ka dilation o nā moku, hoʻonui i ke kahe o ke koko a hoʻoikaika i ka hana o ka puʻuwai;
• Nā Anticoagulants e like me warfarin a i ʻole aspirin: hoʻemi i ka viscosity koko, pale ʻana i ke ʻano o nā clots i hiki ke hana i nā embolism a i ʻole nā ​​hahau ʻana;
• Antiarrhythmic e like me digoxin: hoʻoikaika i ka puʻuwai puʻuwai, kōkua i ka hoʻoliʻiliʻi a ʻae i ka paipū ʻana o ke koko i kūpono.

ʻO ka hoʻohana ʻana i kēia mau lāʻau e pono e hana ʻia ma lalo o ka nānā ʻana a ka cardiologist a me nā lāʻau kikoʻī no kēlā me kēia kanaka.

2. Hoʻonoho Pacemaker

I kekahi mau hihia o ka cardiomegaly, keu hoʻi i nā pae holomua, hiki i ka cardiologist hōʻike i ke kau ʻana o kahi pacemaker e hoʻohui i nā impulses uila a me ka hōʻemi ʻana o ka puʻuwai puʻuwai, hoʻomaikaʻi i kāna hana a hoʻoikaika i ka hana o ka puʻuwai.

3. ʻoki kino Cardiac

Hiki ke hoʻokō ʻia ke kīʻaha Cardiac e ka mea maʻi maʻi inā ʻo ke kumu o ka cardiomegaly kahi kīnā a i ʻole hoʻololi i nā valves naʻau. Hāʻawi ke ʻoki iā ʻoe e hoʻoponopono a hoʻololi paha i ka kiwikā i hoʻopili ʻia.

4. ʻoki kino Coronary

Hōʻike ʻia ke ʻōpala by coronary e ke kauka inā loaʻa ka cardiomegaly e nā pilikia me nā aʻa coronary nāna e mālama i ka naʻau.

ʻAe kēia ʻoki e hoʻoponopono a hoʻohuli hou i ke kahe o ke aʻa o ke aʻa a me ke kōkua e kaohi i nā ʻōuli o ka ʻeha o ka umauma a me ka paʻakikī i ka hanu ʻana.

5. Ka hoʻoneʻe naʻau

Hiki ke hana i ka hoʻoliʻiliʻi puʻuwai inā ʻaʻole maikaʻi nā koho lapaʻau ʻē aʻe i ka kaohi ʻana i nā ʻōuli o ka cardiomegaly, ʻo ia ke koho lapaʻau hope loa. E ʻike pehea e hana ai i ke kuʻi puʻuwai.

Nā pilikia i hiki

ʻO nā pilikia i hiki i ka cardiomegaly ke kumu:

• Infarction;
• Ke hoʻokumu ʻia ʻana o nā huʻa koko;
• Hopu ʻo Cardiac;
• Make make koke.

Pili kēia mau pilikia i ka ʻāpana o ka puʻuwai e hoʻonui ai a me ke kumu o ka cardiomegaly. No laila, ke kānalua ʻia kahi pilikia puʻuwai, he mea nui ia e ʻimi i ke kōkua lapaʻau.

Mālama i ka wā o ka mālama ʻana

ʻO kekahi mau hana koʻikoʻi i ka wā o ka mālama ʻana i ka cardiomegaly:

• Mai puhi;
• Mālama i ke kaupaona olakino;
• Mālama i kou mau pae glucose koko ma lalo o ka kaohi a lawe i ka lāʻau maʻi diabetes i paipai ʻia e kāu kauka;
• Hana i ka lāʻau lapaʻau e kāohi i ke kahe kiʻekiʻe;
• Hōʻalo i nā mea inu ʻona a me ka caffeine;
• Mai hoʻohana i nā lāʻau e like me ka cocaine a i ʻole nā ​​amphetamines;
• Hana i nā hoʻoikaika kino i paipai ʻia e ke kauka;
• E hiamoe ma kahi o 8 a 9 mau hola i ka pō.

He mea nui nō hoʻi e alualu me ka cardiologist nāna e alakaʻi i nā loli i ka papaʻai a ʻai i ka papaʻai kaulike haʻahaʻa i ka momona, kō a me ka paʻakai. E nānā i ka papa inoa piha o nā meaʻai maikaʻi no ka puʻuwai.