He aha kāu e ʻike ai e pili ana i nā kumu o ka wai a puni ka puʻuwai
Anter
- Hōʻike Overview
- He aha ke kumu o ka wai a puni ka puʻuwai?
- Pericarditis
- Pericarditis koʻohune
- Virus pericarditis
- Pericarditis ʻIdiopathic
- Hoka puʻuwai Congestive
- Ka hōʻeha a i ʻole trauma
- Ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai
- Maʻi hohola
- Hewa ʻole nā hakuʻala
- Fluid a puni ka puʻuwai a me nā māmā
- ʻO ka wai a puni nā hōʻailona o ka puʻuwai
- Ke hōʻike nei i ka wai a puni ka puʻuwai
- Ka mālama ʻana i ka wai a puni ka puʻuwai
- ʻO ka lawe lawe ʻana
Hōʻike Overview
ʻO nā papa o kahi lahilahi, ʻeke e like me ke ʻano i kapa ʻia he pericardium e hoʻopuni i kou puʻuwai a pale i kāna hana. Ke hōʻeha a pā paha ka pericardium e ka maʻi a i ʻole ka maʻi, hiki i ka wai ke kūkulu aʻe ma waena o kāna mau papa lahilahi. Kapa ʻia kēia ʻano he effusion pericardial. Kau ka wai a puni ka puʻuwai i kahi kānana ma ka hiki o kēia ʻōpena ke pauma i ke koko me ka maikaʻi.
Hiki i kēia ʻano ke loaʻa nā pilikia koʻikoʻi, me ka make, inā ʻaʻole mālama ʻia. Maʻaneʻi, e uhi mākou i nā kumu, nā hōʻailona, a me nā mālama ʻana no ke kūkulu ʻana o ka wai a puni kou puʻuwai.
Kūlana olakino koʻikoʻiʻO kou manawa kūpono loa i ka mālama kūleʻa ʻana i ka wai a puni ka puʻuwai e loaʻa ana i kahi hōʻailona kakahiaka E kamaʻilio i ke kauka inā hopohopo ʻoe e loaʻa iā ʻoe kahi effic pericardial.
He aha ke kumu o ka wai a puni ka puʻuwai?
Hiki ke loli ākea nā kumu o ka wai a puni kou puʻuwai.
Pericarditis
ʻO kēia ʻano e pili ana i ka mumū o ka pericardium - ka ʻeke lahilahi e hoʻopuni ana i kou puʻuwai. Kū pinepine ia ma hope o kou loaʻa ʻana i kahi maʻi hanu. Ua kuhikuhi ka American Heart Association i nā kāne ma waena o nā makahiki 20 a 50 mau makahiki ke ʻike ʻia ka pericarditis.
Aia kekahi mau ʻano pericarditis.
Pericarditis koʻohune
Hiki i ke Staphylococcus, ka pneumococcus, ka streptococcus, a me nā ʻano bacteria ʻē aʻe ke komo i ka wai e hoʻopuni ana i ka pericardium a hoʻopuka i ka pericarditis koʻohuna.
Virus pericarditis
Hiki i ka Viric pericarditis ke lilo i pilikia o ka maʻi viral i kou kino. Hiki i nā maʻi maʻi Gastrointestinal a me HIV ke hana i kēia ʻano pericarditis.
Pericarditis ʻIdiopathic
ʻO ka pericarditis Idiopathic e pili ana i ka pericarditis me ke kumu ʻole e hiki ai i nā kauka ke hoʻoholo.
Hoka puʻuwai Congestive
Ma kahi kokoke i 5 miliona mau ʻAmelika e noho nei me ka puʻuwai puʻuwai. Kū kēia ʻano ke ʻole ka pauma pono ʻana o kou puʻuwai i ke koko. Hiki iā ia ke alakaʻi i ka wai a puni kou puʻuwai a me nā pilikia ʻē aʻe.
Ka hōʻeha a i ʻole trauma
Hiki i kahi ʻeha a trauma paha ke kuʻi i ka pericardium a hōʻeha paha i kou puʻuwai ponoʻī, e hoʻoulu ana i ka wai a puni kou puʻuwai.
Ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai
Hiki i kekahi mau maʻi maʻi maʻi ke hana i kahi effic pericardial. Hiki i ke kanulau maʻi, ka maʻi ʻaʻai umauma, melanoma, a me ka lymphoma ke hana i ka wai a puni kāu puʻuwai.
I kekahi mau hihia, hiki i nā lāʻau chemotherapy doxorubicin (Adriamycin) a me cyclophosphamide (Cytoxan) ke kumu i kahi effic pericardial. ʻO kēia pilikia.
Maʻi hohola
Hiki i kahi puʻuwai puʻuwai ke alakaʻi i kāu pericardium e hoʻā ʻia. Hiki i kēia mumū ke kumu i ka wai a puni kou puʻuwai.
Hewa ʻole nā hakuʻala
Hiki i ke kōpaʻa ʻole me ka uremia ke alakaʻi i kou puʻuwai e loaʻa ka pilikia e pīpī i ke koko. No kekahi poʻe, hopena kēia i ka effic pericardial.
Fluid a puni ka puʻuwai a me nā māmā
Kapa ʻia ka wai a puni kou mau māmā he pleural effusion. Aia kekahi mau kumu i hiki ke alakaʻi i ka wai a puni kou puʻuwai a me kou mau māmā. Pākuʻi ʻia kēia mau mea:
- puʻuwai puʻuwai kongestive
- he anu anuanu a he pneumonia paha
- maikaʻi ʻole o ke kino
- hōʻeha a hōʻeha paha
ʻO ka wai a puni nā hōʻailona o ka puʻuwai
Loaʻa paha iā ʻoe ka wai a puni kou puʻuwai a ʻaʻohe ou hōʻailona a hōʻailona paha. Inā hiki iā ʻoe ke ʻike i nā ʻōuli, pili pū paha lākou:
- ʻeha ka umauma
- kahi manaʻo o "piha" i kou umauma
- hōʻoluʻolu ke moe ʻoe i lalo
- ka hanu liʻiliʻi (dyspnea)
- paʻakikī i ka hanu ʻana
Ke hōʻike nei i ka wai a puni ka puʻuwai
Inā manaʻo kekahi kauka he wai kou a puni kou puʻuwai, e hoʻāʻo ʻia ʻoe ma mua o ka loaʻa ʻana o kahi hōʻailona. Nā ho'āʻo e pono ai ʻoe e kuhi i kēia ʻano me:
- umauma X-ray
- echocardiogram
- uila uila
Inā kuhi kāu kauka i ka wai a puni kou puʻuwai, pono paha lākou e hemo i kahi wai e hoʻāʻo iā ia no ka maʻi a me ke kanesa.
Ka mālama ʻana i ka wai a puni ka puʻuwai
ʻO ka mālama ʻana i ka wai a puni ka puʻuwai e kaukaʻi ʻia i ke kumu kumu, a me kou makahiki a me kou olakino maʻamau.
Inā koʻikoʻi ʻole kāu mau ʻōuli a ke kūpaʻa nei ʻoe, hiki ke hāʻawi ʻia iā ʻoe i nā lāʻau ʻalopika e mālama ai i kahi maʻi, aspirin (Bufferin) i hōʻoluʻolu ʻole ai ʻole ʻelua paha. Inā pili ka wai e pili ana i kou mau māmā me ka mumū, hāʻawi ʻia ʻoe i nā lāʻau nonsteroidal anti-inflammatory (NSAIDs) e like me ibuprofen (Advil).
Inā hoʻomau ka kūkulu ʻana o ka wai a puni kou puʻuwai, hiki i ka pericardium ke hoʻokau i ka kaomi i kou puʻuwai a lilo ia i mea weliweli. I kēia mau hihia, hiki i kāu kauka ke koi aku e hoʻokahe i ka wai ma o ka catheter i hoʻokomo ʻia i loko o kou umauma a i ʻole ke kīʻaha puʻuwai hamama e hoʻoponopono ai i kāu pericardium a me kou puʻuwai.
ʻO ka lawe lawe ʻana
ʻO ka wai a puni ka puʻuwai he nui nā kumu. ʻO kekahi o kēia mau kumu e hoʻokau i kou olakino ma kahi kiʻekiʻe ma mua o nā mea ʻē aʻe. I ka manawa i hoʻoholo ai kāu kauka iā ʻoe kēia ʻano, e kōkua lākou iā ʻoe e hoʻoholo i nā mea e pili ana i ka lāʻau.
Kaukaʻi ʻia i kou mau makahiki, kāu mau ʻōuli, a me kou olakino laulā, hiki paha iā ʻoe ke hoʻokele i kēia ʻano me ka lāʻau kūʻai aku a i ʻole ka lāʻau lapaʻau ke kali ʻoe i ka lawe ʻia ʻana o ka wai i kou kino.
I kekahi mau hihia, ʻoi aku ka nui o ka hana drastic - e like me ka hoʻokahe ʻana i ka wai a me ke kīʻaha puʻuwai puʻuwai - lilo pono. ʻO kou manawa kūpono loa i ka mālama kūleʻa ʻana i kēia ʻano ke loaʻa kahi hōʻailona mua. E kamaʻilio i ke kauka inā hopohopo ʻoe e loaʻa paha ka wai a puni kou puʻuwai.