Nā hōʻailona nui o ka hanu pulmonary, nā kumu a me pehea e mālama ai

Anter

• Nā hōʻailona nui
• Kānāwai o ka pulmonary hypertension
• He aha ke kumu o ke kiʻekiʻe o ka pulmonary
• Pehea e hana ai i ka lāʻau
• Pulmonary hypertension o ka hānau hou

ʻO ke kiʻekiʻe o ka pulmonary kahi hanana i hōʻike ʻia e ka hoʻonui ʻana o ka kaomi i nā aʻa pulmonary, kahi e alakaʻi ai i ke ʻano o nā ʻōnaehana hanu e like me ka hanu o ka hanu i ka wā o ka hoʻoikaika ʻana, ʻo ia hoʻi, me ka paʻakikī i ka hanu ʻana, nāwaliwali a me ka loli, no ka laʻana.

I ka hapanui o nā hihia, ʻaʻole ʻike ʻia ke kumu o ke kiʻekiʻe o ka pulmonary hypertension, akā pili paha ia i ka pulmonary, ka puʻuwai, nā maʻi inflammatory a ma muli paha o ka hoʻonui ʻia o ke kūpaʻa ʻana o nā moku i nā akemāmā. I nā kūlana āpau, he mea nui e ʻike ʻia a mālama ʻia ka hypertension pulmonary e ka pulmonologist a i ʻole ka mea hana maʻamau ma o ka hoʻohana ʻana i nā lāʻau e hana me ka hoʻomaha ʻana i nā kīʻaha koko.

Nā hōʻailona nui

ʻO nā ʻōuli a me nā ʻōuli o ke kiʻekiʻe o ka pulmonary hypertension ʻike pinepine ʻia i nā hanana holomua loa o ka maʻi, ʻo ka hōʻailona nui ka hanu o ka hanu i ka wā o ka hoʻoikaika. ʻO nā ʻōuli ʻē aʻe e hōʻike ana i ke kiʻekiʻe o ka pulmonary hypertension:

• Ka palu ʻana i ka wā o ka hoʻāʻo ʻana;
• Māluhiluhi;
• Puʻupuʻu;
• ʻEha o ka umauma;
• Hanu paʻakikī;
• Nāwaliwali, ʻoiai aia ka liʻiliʻi o ka oxygen e hiki aku ana i nā aʻa.

Kū ka hanu ʻana i ka manawa mua i ka wā o ka hoʻāʻo ʻana, akā ʻoiai e ʻāʻī ana ka maʻi a lilo i mea ʻoi aku ka hewa, hiki ke hana i ka wā hoʻomaha. Hoʻohui ʻia, e pili kokoke ana ka pulmonary hypertension i nā loli o ka puʻuwai, hiki ke ʻike ʻia nā ʻōuli e pili ana i ka puʻuwai, e like me ka pehu ʻana o nā wāwae a me nā palpitations.

Wahi a nā ʻōuli i hōʻike ʻia e ke kanaka, hiki ke hoʻokaʻawale ʻia ke kiʻekiʻe o ka pulmonary i mau papa:

• Papa I: Ke kū ʻana o ka hypertension pulmonary i nā hōʻike, akā ʻaʻole ia ke kumu o nā ʻōuli;
• Papa II: Ka hanu ʻana o ka hanu i ka wā hoʻoikaika kino, ka palena ʻana i nā hoʻoikaika kino ʻana;
• Papa III: Ka palena nui o ka hana kino, ka pōkole o ka hanu e hoʻi hou me ka hoʻomaha;
• Papa IV: Ka hanu ʻana o ka hanu a me ka luhi a i ka wā hoʻomaha, me ka paʻakikī no nā hoʻoikaika kino.

Kānāwai o ka pulmonary hypertension

ʻO ka hōʻailona o ka pulmonary hypertension i nā wā mua o ka maʻi he paʻakikī, ʻoiai ʻo nā loli i ʻike ʻia hiki ke hōʻike ʻia i nā maʻi ʻē aʻe. No laila, pono ke kuhi ʻia o ke kiʻekiʻe o ka pulmonary e ka loiloi ʻana i ka mōʻaukala olakino, ka hoʻokolo kino ʻana a me ka lawe ʻana i nā hoʻokolohua like ʻole, e like me ka X-ray umauma, electrocardiogram, hoʻāʻo ʻana i ka pulmonary function and tomography.

No ka hōʻoia ʻana i nā hopena, hiki i ke kauka ke noi aku i kahi catheterization, kahi e ana pono ai i ke kaomi o loko o ke aʻa aʻa.

He aha ke kumu o ke kiʻekiʻe o ka pulmonary

Hiki i kēlā me kēia ke hoʻomohala i ka hanu pulmonary, akā ʻoi aku ka maʻamau o nā wahine ma mua o 30. ʻOiai ʻaʻole maopopo loa, pili nā hoʻololi i ka holo ʻana o ka pulmonary i ka hoʻonui ʻana o ka mumū, fibrosis a me ka hoʻopili ʻana o nā kīʻaha koko. No laila, ʻo nā kumu nui:

• Kumumua: pili ia ma muli o nā loli i ka hoʻokumu ʻia o nā moku pulmonary, no nā kumu i ʻike ʻole ʻia, no ka mea, i kēia hihia, i kapa ʻia idiopathic, a, no nā kumu hoʻoilina, a me nā maʻi, e like me nā maʻi thyroid, scleroderma, lupus, maʻi HIV a me nā maʻi o ke koko, ʻo kahi laʻana.
• ʻĀlua: i hoʻokumu ʻia e nā loli i ka puʻuwai, e like me ka maikaʻi ʻole o ka puʻuwai, a me nā maʻi o ke akemāmā, e like me ka emfysema, ka maʻi hiamoe, thrombosis pulmonary a i ʻole sarcoidosis, e laʻa me

ʻO kēia mau kumu āpau ke kumu o ka paʻakikī i ka holo o ke koko ma waena o ka māmā, kahi hiki ke hoʻonui i ka naʻau a hoʻonui i ka maʻi, e hoʻonui ana i ka pilikia o nā pilikia.

Pehea e hana ai i ka lāʻau

Hoʻopaʻa ka lāʻau no ka pulmonary hypertension e mālama i ke kumu a hoʻoliʻiliʻi i nā ʻōuli, a no laila ua ʻōlelo ʻia e ke kauka e hoʻohana i nā lāʻau e hoʻomaikaʻi i ke kahe a hoʻemi i ke kaomi o ka māmā, e like me nā anticoagulants, vasodilators, antihypertensives, diuretics a me oxygen mask therapy. Eia nō naʻe, i nā hihia ʻehaʻeha loa, ʻo ka hoʻoliʻiliʻi puʻuwai a i ʻole māmā wale nō ka hopena.

Nā hana hanu, alakaʻi ʻia e ka physiotherapist, hiki ke kōkua i ka hoʻihoʻi a me ka hoʻomaikaʻi ʻana o nā hōʻailona.

Pulmonary hypertension o ka hānau hou

Kū aʻe kēia ʻano ke loli ke kahe o ke koko i ka māmā o ka pēpē a me ka puʻuwai, kahi e pilikia ai i ka oxygenating ʻana i ke kino, a me nā ʻōuli e like me ka paʻakikī i ka hanu ʻana, nā lehelehe polū a me nā manamana lima a me ka ʻōhū o ke kīʻaha. Hana ʻia ka hypertension pulmonary o ka pēpē ma muli o ka asphyxia i loko o ka kōpū a i ʻole i ka wā hānau, pneumonia, hypothermia, hypoglycemia, a i ʻole ma muli o ka hoʻohana nui ʻia o nā lāʻau e ka makuahine, e like me indomethacin a i ʻole aspirin, no ka laʻana.

Hana ʻia ka lapaʻau me ka hoʻohana ʻana i ka oxygen therapy, me ka mask a i ʻole i ka incubator, e mālama ana i ka pēpē mehana a ʻaʻohe ʻeha, me ka hoʻohui ʻana i nā lāʻau a me nā kaʻina hana e hoʻoponopono i nā kīnā o ka puʻuwai. I ka pae mua a ʻoi aku ka paʻakikī, pono paha ia e hanu me ke kōkua o nā hāmeʻa, i hiki ke hemo ma hope o ka hoʻomaikaʻi ʻana o nā hōʻailona a me nā hōʻailona.