Ke ʻano o ka maʻi puʻuwai i nā keiki

Anter

• Maʻi maʻi ʻōpū
• ʻO Atherosclerosis
• ʻO Arrhythmias
• Maʻi ʻo Kawasaki
• Ohumu naʻau
• Pericarditis
• Maʻi maʻi Rheumatic
• Nā maʻi viral

ʻO ka maʻi puʻuwai i nā keiki

Kūpilikiʻi ka maʻi puʻuwai ke hahau ia i ka poʻe mākua, akā hiki ke kaumaha loa i nā keiki.

Hiki i nā ʻano pilikia puʻuwai he nui ke hoʻopili i nā keiki. Hoʻopili lākou i nā kīnā o ka puʻuwai congenital, nā maʻi viral e hoʻopili i ka puʻuwai, a ʻo nā maʻi puʻuwai hoʻi i loaʻa ma hope i ke kamaliʻi ma muli o nā maʻi a me nā syndrome genetic.

ʻO ka nūhou maikaʻi me ka holomua o ka lāʻau lapaʻau a me ka ʻenehana, nui nā keiki me ka maʻi puʻuwai e hoʻomau i ke ola.

Maʻi maʻi ʻōpū

ʻO ka maʻi puʻuwai Congenital (CHD) kahi ʻano o ka maʻi puʻuwai i hānau ʻia ai nā keiki, ka mea maʻa mau i nā kīnā o ka puʻuwai e kū nei i ka wā hānau. Ma ka U.S., ua koho ʻia o nā pēpē i hānau ʻia i kēlā me kēia makahiki CHD.

Nā CHD e pili ana i nā keiki:

• nā maʻi puʻuwai puʻuwai e like me ka hoʻopili ʻana o ka kiwikā aortic, kahi e kaohi ai i ke kahe o ke koko
• hypoplastic hema puʻuwai puʻuwai, kahi o ka ʻaoʻao hema o ka puʻuwai e hoʻomohala ʻole ʻia
• nā maʻi e pili ana i nā lua i ka puʻuwai, maʻamau i nā paia ma waena o nā keʻena a ma waena o nā kīʻaha koko nui e waiho ana i ka puʻuwai, me:
  • nā kīnā septal ventricular
  • hemahema septial atrial
  • patent ductus arteriosus
• tetralogy o Fallot, kahi hui o nā kīnā ʻehā, e like me:
  • he puka ma ka septum ventricular
  • kahi ala i hoʻopili ʻia ma waena o ka ventricle ʻākau a me ke aʻa aʻa
  • kahi ʻaoʻao ʻākau mānoanoa o ka puʻuwai
  • he aorta neʻe aku

Hiki paha i nā kīnā o ka naʻau congenital nā hopena lōʻihi i ke olakino o ke keiki. Mālama pinepine ʻia lākou me ke kaha ʻana, nā kaʻina o ka catheter, nā lāʻau lapaʻau, a ma nā hihia koʻikoʻi, nā hoʻololi o ka naʻau.

E koi ana kekahi mau keiki i ka mālama ʻana i ke ola a me ka mālama ʻana.

ʻO Atherosclerosis

ʻO Atherosclerosis ka manawa i hoʻohana ʻia e wehewehe ai i ke kūkulu ʻia ʻana o nā momona a me nā kī piha o ka kolesterol i loko o nā aʻa. Ke piʻi aʻe nei ke kūkulu ʻana, ua ʻoʻoleʻa nā aʻa a kūiki hoʻi, kahi e hoʻonui ai i ka makaʻu o ke koko a me nā puʻuwai. ʻO ka maʻamau maʻamau he mau makahiki i ka atherosclerosis e hoʻomohala. He mea maʻamau ʻole ka ʻeha a nā keiki a i ʻole nā ​​ʻōpio iā ia.

Eia nō naʻe, ʻo ka momona, diabetes, hypertension, a me nā pilikia olakino ʻē aʻe e hoʻokau i nā keiki i ka makaʻu kiʻekiʻe. Paipai nā kauka i ka kānana ʻana no ka kiʻekiʻe kolesterol a me ke kiʻekiʻe o ke koko i nā keiki i loaʻa nā pilikia e like me ka mōʻaukala o ka maʻi puʻuwai a i ʻole ka maʻi kō.

Hoʻopili maʻamau ka mālama ʻana i nā loli nohona e like me ka hoʻonui ʻana i ka hoʻoikaika kino a me nā loli dietary.

ʻO Arrhythmias

ʻO kahi arrhythmia kahi ʻano maʻamau o ka puʻuwai. Hiki i kēia ke kumu i ka pauma ʻana o ka puʻuwai me ka maikaʻi ʻole.

Hiki ke ʻano he nui i nā ʻano o nā arrhythmia i nā keiki, me:

• kahi wikiwiki o ka puʻuwai (tachycardia), ka ʻano maʻamau i loaʻa i nā keiki he tachycardia supraventricular
• kahi lohi puʻuwai puʻuwai (bradycardia)
• lōʻihi Q-T Syndrome (LQTS)
• Wolff-Parkinson-White maʻi (WPW maʻi pale)

Pākuʻi ʻia paha nā ʻōuli:

• nāwaliwali
• luhi
• ʻūpā
• maule ana
• pilikia hānai ʻana

Pili ka mālama ʻana i ke ʻano o ka arrhythmia a pehea ka hopena o ke olakino o ke keiki.

Maʻi ʻo Kawasaki

ʻO ka maʻi ʻo Kawasaki kahi maʻi maʻamau e hoʻopili nui i nā keiki a hiki ke hoʻoulu i nā kīʻaha koko i ko lākou mau lima, ka wāwae, ka waha, ka lehelehe, a me ka ʻāʻī. Hoʻopuka pū kekahi ia i ke kuni a me ka pehu ʻana i nā lymph node. ʻAʻole maopopo i nā kānaka noiʻi nā kumu o ia mea.

Wahi a ka American Heart Association (AHA), ʻo ka maʻi kahi kumu nui o ke ʻano o ka puʻuwai ma kahi o 1 i nā keiki 4. Aia ka hapa nui ma lalo o ka makahiki 5.

Pili ka mālama ʻana i ka nui o ka maʻi, akā pili pinepine ka mālama ʻana me ka gamma globulin intravenous a i ʻole aspirin (Bufferin). Hiki i nā Corticosteroids ke hōʻemi i nā pilikia o ka wā e hiki mai ana. ʻO nā keiki e ʻeha i kēia maʻi e koi pinepine i nā wā e mālama ai i ke ola e kiaʻi i ka olakino puʻuwai.

Ohumu naʻau

ʻO ke ʻōhumu o ka puʻuwai kahi kani "whooshing" i hana ʻia e ke koko e kahe ana ma o nā keʻena o ka puʻuwai a i ʻole nā ​​kiwikā, a i ʻole ma o nā kīʻaha koko kokoke i ka puʻuwai. ʻO ka manawa pinepine ʻole ia. I nā manawa ʻē aʻe e hōʻailona paha ia i kahi pilikia o ka maʻi maʻi maʻi.

Hoʻokumu ʻia nā murmurs puʻuwai e CHDs, fever, a anemia paha. Inā lohe ke kauka i kahi ʻōhumu o ka puʻuwai maʻamau i ke keiki, hana lākou i nā hoʻokolohua hou aʻe e hōʻoia i ke olakino o ka puʻuwai. Hoʻoholo pinepine ka naʻau ʻōhumu "hewa ʻole" e lākou iho, akā inā ʻo ka namunamu o ka puʻuwai e hoʻokumu ʻia e kahi pilikia me ka puʻuwai, pono paha ia i kahi lāʻau hou aʻe.

Pericarditis

Hana ʻia kēia ʻano ke ʻā ʻia a maʻi ʻia paha ka ʻeke lahilahi a membrane paha e hoʻopuni ana i ka puʻuwai (pericardium). Hoʻonui ka nui o ka wai ma waena o kāna mau papa ʻelua, hoʻopilikia i ka naʻau o ka puʻuwai e pīpī i ke koko e like me ka mea e pono ai.

Hiki ke hana i ka Pericarditis ma hope o ke kaha ʻana e hoʻoponopono ai i kahi CHD, a i ʻole he kumu ʻia ia e nā maʻi bacteria, nā traumas o ka umauma, a i ʻole nā ​​maʻi maʻi like e like me ka lupus. Pili nā mālama i ke koʻikoʻi o ka maʻi, ka makahiki o ke keiki, a me ko lākou olakino holoʻokoʻa.

Maʻi maʻi Rheumatic

Ke waiho maikaʻi ʻole ʻia, ʻo ka bacteria bacteria e hiki ai i ka ʻāʻī strep a me ka fula ʻulaʻula ke kumu pū kekahi i ka maʻi puʻuwai rheumatic.

Hiki i kēia maʻi ke hōʻeha a paʻa mau i nā kiʻikuhi puʻuwai a me ka puʻuwai puʻuwai (e ke kumu o ka mumū o ka puʻuwai puʻuwai, i ʻike ʻia ʻo myocarditis). Wahi a ka Halemai Kamaliʻi o Seattle, ʻike pinepine ʻia ke kuni rumatika i nā keiki 5 a 15 mau makahiki, akā ʻaʻole ʻike ʻia nā ʻōuli o ka maʻi puʻuwai rheumatic no 10 a 20 mau makahiki ma hope o ka maʻi kumu. ʻAʻohe maʻamau ka U.S. Rheumatic fever a me nā maʻi puʻuwai rumatika ma hope i ka U.S.

Hiki ke pale ʻia kēia maʻi e ka mālama koke ʻana i ka ʻāʻī strep me nā antibiotics.

Nā maʻi viral

ʻO nā virus, i ka hoʻohui ʻana i ka maʻi hanu a i ʻole ka flu, hiki ke hoʻopili i ka olakino puʻuwai. Hiki i nā maʻi Viral ke kumu i ka myocarditis, ka mea e hoʻopili i ka puʻuwai e hiki ke pauma i ke koko ma loko o ke kino.

Kākaʻikahi nā maʻi Viral o ka puʻuwai a hōʻike paha i kekahi mau ʻōuli. Ke hōʻike ʻia nā ʻōuli, like lākou me nā ʻōuli e like me ka flu, me ka luhi, ka pōkole o ka hanu, a me ka maʻi o ka umauma. Hoʻopili ka hana i nā lāʻau a me nā lāʻau no nā ʻōuli o ka myocarditis.