Aortic stenosis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau
• 1. I ka poʻe me ka ʻole o nā ʻōuli
• 2. I ka poʻe me nā ʻōuli
• Nā ʻano nohona pani pani
• Nā pilikia a me nā pilikia i hiki ke hana i ke ʻoki kino
• He aha ka hana inā ʻaʻole ʻoe e mālama i ka stenosis aortic
• Nā kumu nui

ʻO ka stortosis aortic kahi maʻi maʻi puʻuwai e hōʻike ʻia e ka hoʻopili ʻana o ka kiwikā aortic, kahi mea paʻakikī e pīpī i ke koko i ke kino, i ka hopena o ka hanu, ka ʻeha o ka umauma a me nā palpitations.

Hoʻokumu nui ʻia kēia maʻi e ka ʻelemakule a hiki i kona ʻano koʻikoʻi ke alakaʻi i ka make koke, akā, ke ʻike ʻia i ka wanaʻao, hiki ke mālama ʻia me ka hoʻohana ʻana i nā lāʻau a, i nā hihia koʻikoʻi, e ke ʻokiʻoki e hoʻololi i ka kiwikā aortic. E ʻike i ke ʻano o ka hoʻōla ma hope o ka ʻoki ʻana o ka naʻau.

ʻO ka stortosis aortic kahi maʻi o ka puʻuwai kahi i ʻoi aku ka pākiko aortic ma mua o ka maʻamau, e paʻakikī ana e pīpī i ke koko mai ka puʻuwai i ke kino. Hoʻokumu nui ʻia kēia maʻi e ka ʻelemakule a me kona ʻano koʻikoʻi loa hiki ke alakaʻi i ka make koke, akā ke ʻike ʻia i ka manawa hiki ke mālama ʻia ma o ke kaha ʻana e hoʻololi i ka kiwikā aorta.

Nā hōʻailona nui

Kū aʻe nā ʻōuli o nā stenosis aortic ma ke ʻano nui o ka maʻi a maʻa mau:

• Ka manaʻo o ka pōkole o ka hanu ke hana i nā hoʻoikaika kino;
• ʻO ka paʻa i ka umauma e ʻino ai i nā makahiki i hala;
• E ʻeha ka ʻeha o ka umauma ke hana i nā hana;
• Pāleʻele, nāwaliwali a i ʻole dizziness, keu hoʻi i ka hana ʻana i nā hoʻoikaika kino.
• Palpitations puʻuwai.

Hana ʻia ke kuhi o ka stortosis aortic ma o ka hoʻokolohua hoʻokolohua ʻana me ka cardiologist a me nā hoʻokolohua kōkua e like me ka X-ray umauma, echocardiogram a i ʻole catheterization puʻuwai. ʻO kēia mau hoʻāʻo, he ʻokoʻa i ka ʻike ʻana i nā loli i ka hana o ka puʻuwai, e hōʻike pū ana hoʻi i ke kumu a me ke koʻikoʻi o ka stenosis aortic.

Hana ʻia ka stenosis aortic ma o ke kaha ʻana, kahi i pani ʻia ai ka kiwikā hemahema e kahi kiwikā hou, i hiki ke hana ʻino a kūlohelohe paha, ke hana ʻia ia mai nā mea puaʻa a bovine paha. Ke kuapo nei i ka nohona kiwikā e hoʻoulu pono ʻia ke koko mai ka puʻuwai a i ke koena o ke kino, a e nalowale nā ​​ʻōuli o ka luhi a me ka ʻeha. Me ke kahakaha ʻole, nā mea maʻi me ka stenosis aortic koʻikoʻi a i ʻole he mau ʻōuli i ola i ka awelika o 2 mau makahiki.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i nā stenosis aortic ma muli o ke kahua o ka maʻi. Ke loaʻa ʻole nā ​​ʻōuli, a ʻike ʻia ka maʻi ma o ka hoʻāʻo ʻana, ʻaʻohe pono no ka lapaʻau kūikawā. Eia nō naʻe, ma hope o ke ʻano o nā ʻōuli, ʻo ke ʻano o ka mālama ʻana he ʻokiʻoki e hoʻololi i ka kiwikā aortic, kahi i pani ʻia ai ka kiwikā hemahema e kahi kiwikā hou, maʻamau i ka hoʻokaʻawale ʻana o ke koko ma loko o ke kino. Hōʻike nui ʻia kēia ʻoki no nā mea maʻi i loaʻa ka stenosis aortic koʻikoʻi, ʻoiai kiʻekiʻe ka helu make. Ma lalo nā koho lapaʻau:

1. I ka poʻe me ka ʻole o nā ʻōuli

ʻO ka mālama ʻana no ka poʻe hōʻike ʻole i nā hōʻailona ʻaʻole hana mau ʻia me ke kaha ʻana, a hiki ke hana ʻia me ka hoʻohana ʻana i nā lāʻau a me nā loli i ka nohona, e like me ka hōʻalo ʻana i nā haʻuki hoʻokūkū a me nā hana ʻoihana e koi ai i ka hoʻoikaika kino. ʻO nā lāʻau i hoʻohana ʻia i kēia kaʻina hiki:

• I mea e pale aku ai i ka endocarditis infectious;
• E mālama i nā maʻi e pili ana i ka stenosis aortic.

ʻO nā maʻi i loaʻa ʻole nā ​​ʻōuli e hiki ke hōʻike ʻia no ke ʻoki ʻana inā he pahu hoʻemi loa kā lākou, hoʻoliʻiliʻi holomua i ka hana puʻuwai a i ʻole hoʻonui i nā loli i ka hana puʻuwai.

2. I ka poʻe me nā ʻōuli

I ka mua, hiki ke lawe ʻia nā diuretics e like me Furosemide e kāohi ai i nā ʻōuli, akā ʻo ka lapaʻau kūpono wale nō no ka poʻe i loaʻa nā ʻōuli he ʻoki kino ia, no ka mea ʻaʻole lawa nā lāʻau i mea e kaohi ai i ka maʻi. ʻElua mau kaʻina hana no ka mālama ʻana i nā stenosis aortic, kaukaʻi ʻia i ke kūlana olakino o ka mea maʻi.

• Hoʻololi o ka nohona kiwikā no ke ʻoki kino: ʻO ke kaʻina hana ʻoki hamama maʻamau e hiki ai i ka lāʻau lapaʻau ke kiʻi i ka puʻuwai. Wehe ʻia ka pahu kīnā a kau ʻia kahi kiwikā hou.
• Ke hoʻololi nei i ka kiwikā me ka catheter: ʻike ʻia ʻo TAVI a i ʻole TAVR, i kēia kaʻina hana ʻaʻole lawe ʻia ka valve hemahema a hoʻokomo ʻia ka pahu hou ma luna o ka mea kahiko, mai kahi catheter i hoʻonoho ʻia i ke aʻa wahine, i ka ʻūhā, a i ʻole i kahi ʻoki i hoʻokokoke ʻia i ka puʻuwai.

Hana pinepine ʻia ka pani pani e ka catheter i nā mea maʻi me ka ʻoi loa o ka maʻi a me ka liʻiliʻi o ka hiki ke lanakila i ka ʻoki ʻana o ka pahu hāmama.

Nā ʻano nohona pani pani

Aia he ʻelua mau ʻano o ke kiwikā no ka pani ma ka ʻoki ʻana o ka umauma hāmama:

• Nā kiwikā mechanical: hana ʻia i nā mea synthetic a ʻoi aku ka lōʻihi o ka lōʻihi. Hoʻohana maʻamau lākou i nā mea maʻi ma lalo o 60 mau makahiki, a ma hope o ke kanu ʻana, pono ka mea e lawe i nā lāʻau anticoagulant i kēlā me kēia lā a hana i nā hoʻokolohua koko manawa no ke koena o ko lākou ola.
• ʻO nā valves biological: hana ʻia mai nā holoholona a holoholona paha, mau lākou mai 10 a 20 mau makahiki, a paipai pinepine ʻia no nā mea maʻi ma luna o 65 mau makahiki. Ma ka laulā, ʻaʻohe pono e lawe i nā anticoagulants, ke ʻole he pilikia ʻē aʻe a ke kanaka e pono ai kēia ʻano lāʻau.

ʻO ke koho o ka kiwikā e hana ʻia ma waena o ke kauka a me ka mea maʻi, a kaukaʻi ʻia i ka makahiki, ka nohona a me ke kūlana olakino o kēlā me kēia.

Nā pilikia a me nā pilikia i hiki ke hana i ke ʻoki kino

ʻO nā pilikia i kau ʻia e ka aorta pani pani hou:

• Kaheʻe ʻana o ke koko;
• Maʻi kīnā;
• Ke hoʻokumu ʻana i ka thrombi i hiki ke kāpili i nā kīʻaha koko e hana ana, no ka laʻana, hahau ʻana;
• Infarction;
• Nā kīnā i ka nohona kiwikā hou i kau ʻia;
• Pono no kahi hana hou;
• Make.

Pili nā pilikia i nā kumu e like me ka makahiki, ke koʻikoʻi o ka puʻuwai puʻuwai a me ke kū ʻana o nā maʻi ʻē aʻe, e like me atherosclerosis. Eia hou, ʻo ka ʻoiaʻiʻo o ka noho ʻana i kahi haukapila e halihali pū kekahi i nā makaʻu o nā pilikia, e like me ka maʻi ʻaʻai a me ka maʻi nosocomial. Hoʻomaopopo he aha ka maʻi maʻi ma ka haukapila.

ʻO ke kaʻina hana o ka catheter replacement, ma ka laulā, lawe i ka liʻiliʻi o ka makaʻu ma mua o ke kīpoki maʻamau, akā ʻoi aku ka nui o ka manawa o ka cerebral embolism, kekahi o nā kumu o ka hahau.

He aha ka hana inā ʻaʻole ʻoe e mālama i ka stenosis aortic

Hiki i ka stenosis aortic i hoʻomaʻamaʻa ʻole ʻia ke ulu me ka ʻoi aku ka nui o ka hana puʻuwai a me nā ʻōuli o ka luhi nui, ʻeha, ʻūlū, maʻule a make koke. Mai ke ʻano o nā ʻōuli mua, hiki ke like ka lōʻihi o ke ola me 2 mau makahiki, i kekahi mau manawa, no laila he mea nui e nīnau i ka cardiologist e hōʻoia i ka pono no ke kaha ʻana a me ka hana ma hope. E ʻike i ke ʻano o ka hoʻōla ma hope o ke pani ʻana i ka kiwikā aorta.

Nā kumu nui

ʻO ke kumu nui o ka stortosis aortic ka makahiki: i nā makahiki i hala, hoʻololi ka valve aortic i kāna hanana, a ukali ʻia e ka hōʻiliʻili calcium a me ka hana kūpono ʻole. Ma ka laulā, hoʻomaka ka hoʻomaka ʻana o nā ʻōuli ma hope o ka makahiki 65, akā ʻaʻole manaʻo paha ke kanaka i kekahi mea a make paha me ka ʻike ʻole he stenosis aortic kā lākou.

I ka poʻe ʻōpio, ʻo ke kumu maʻamau ka maʻi rumatika, kahi e hana ai ka helu ʻana o ka kiwikā aortic, a hoʻomaka nā ʻōuli ma kahi o 50 mau makahiki. ʻO nā kumu rarer ʻē aʻe nā kīnā o ka hānau ʻana e like me ka valve aicic bicuspid, systemic lupus erythematosus, kolesterol kiʻekiʻe a me nā maʻi rheumatoid. Hoʻomaopopo i ke ʻano o ka rumatika.