He aha ke kumu e namunamu ai ka naʻau a pehea e mālama ai

Anter

• Nā hōʻailona nui
• He aha ka mea e namunamu ai ka naʻau
• ʻŌhumu ka puʻuwai ʻōpio
• ʻŌhumu ka puʻuwai i ka poʻe mākua
• Pehea e mālama ai
• Hoʻomaʻo me nā lāʻau
• Lapaʻau me ke ʻoki kino
• ʻ murhū ka naʻau i ka hāpai ʻana

ʻO ke ʻōhumu kahi kani o kahi kūpikipiki i ʻeha ʻia e ke koko i ka wā o ka hele ʻana ma waena o ka puʻuwai, ke keʻa ʻana i kāna mau kiʻikuhi a i ʻole ke kuʻi ʻana me kona mau mākala. ʻAʻole hōʻike kēlā me kēia ʻōhumu i nā maʻi puʻuwai, e like me ka mea e hana ʻia i nā poʻe olakino he nui, ʻo ia hoʻi, i kēia mau hihia, ua kapa ʻia kahi ʻōhumu physiological a i ʻole hana.

Eia nō naʻe, hiki i ka ʻōhumu ke hōʻike i kahi kīnā i loko o nā puʻuwai puʻuwai, i nā mākala puʻuwai a i ʻole kahi maʻi e hoʻololi i ka wikiwiki o ke kahe o ke koko, e like me ka fever rheumatic, anemia, mitral valve prolaps a i ʻole nā ​​maʻi hānau.

I kekahi mau hihia hiki i kēia mau hanana ke kumu i nā ʻōuli e like me ka pōkole o ka hanu, ka pehu ʻana i loko o ke kino a me nā palpitations a, i kēia mau hanana, pono e mālama ʻia i ka wā e hiki ai, e hoʻohana ana i nā lāʻau a i ʻole ke hana ʻana i ke kaha, ma lalo o ke alakaʻi a ka cardiologist.

Nā hōʻailona nui

ʻO ka maʻamau, ʻaʻole hele pū ka ʻōhumu o ka puʻuwai me nā ʻōuli a i ʻole nā ​​ʻōuli ʻē aʻe, a ʻaʻole koʻikoʻi ke alo wale. Eia nō naʻe, ke hana ʻia ka ʻōhumu e kahi maʻi e kumu i nā pilikia i ka hana o ka puʻuwai, ʻike ʻia nā hōʻailona e hōʻike i nā pilikia i ka pīpī ʻana i ke koko a me ka oxygenating i nā hunaola o ke kino.

ʻO kekahi o nā hōʻailona nui:

• Ka pōkole o ka hanu;
• Cough;
• Palpitations;
• Nawaliwali.

I nā pēpē, ʻike pinepine ka paʻakikī i ka hānai ʻana i ka waiū, nāwaliwali a me ke kū ʻana o ka waha a me nā lima purplish, a no ka paʻakikī i ka oxygenating ʻana i ke koko, ʻoiai ʻaʻole hana pono ka puʻuwai.

He aha ka mea e namunamu ai ka naʻau

ʻO ka ʻōhumu o ka puʻuwai kahi hōʻailona, ​​hiki ke physiological, akā hiki nō ke hōʻike i kekahi ʻano o ka loli a maʻi paha, no nā kumu like ʻole, ma nā mākua a me nā keiki.

ʻŌhumu ka puʻuwai ʻōpio

I nā pēpē a me nā keiki, ʻo ke kumu nui o ka namunamu he ʻano maikaʻi a nalo hoʻi i ka hala ʻana o ka manawa, ma muli o ka loaʻa ʻole o ka hoʻomohala ʻana o nā hanana puʻuwai, a he disproportionate paha ia.

Eia nō naʻe, hiki ke hana ʻia ma muli o ke kū ʻana o kahi maʻi hānau i ka hoʻokumu ʻana o ka puʻuwai, i hānau mua ʻia me ke keiki, ma muli o nā maʻi genetical a i ʻole intercurrences i ka wā hāpai, e like me ka maʻi rubella, ka hoʻohana ʻana i kekahi mau lāʻau, ka wai ʻona a i ʻole lāʻau hoʻohana e ka o ka hāpai keiki. Nui a hewahewa nā ʻano, akā ʻo nā kīnā maʻamau e hiki ke hoʻoulu i ka hanu.

• Nā kīnā ʻole i nā keʻena a i ʻole nā ​​kiʻikuhi puʻuwai, e like me ka mitral valve prolaps, bicuspid aortic valve, aortic stenosis a aortic coarctation paha, e laʻa me;
• ʻO ke kamaʻilio ma waena o nā keʻena o ka puʻuwai, hiki ke hana ma muli o ka lohi a hemahema paha i ka panina ʻana o nā mākala o nā keʻena puʻuwai, a ʻo kekahi mau laʻana ka hoʻomau ʻana o ka ductus arteriosus, interatrial a i ʻole interventricular kamaʻilio, nā kīnā ma ka atrioventricular septum a me ka tetralogy o Fallot.

Hiki ke nānā ʻia nā kūlana haʻahaʻa e ka psyatric cardiologist, a i ʻole hoʻomaikaʻi ʻia me ka hoʻohana ʻana i nā lāʻau, e like me nā lāʻau anti-inflammatory, hoʻohana ʻia i ka hoʻomau o ka ductus arteriosus. Eia nō naʻe, ke koʻikoʻi ka loli, a hiki i ke kumu o nā ʻōuli e like me ka waha a me nā lālā poni, he mea nui e hoʻonohonoho i ka ʻoki kino.

E aʻo hou e pili ana pehea e ʻike ai i nā maʻi puʻuwai congenital.

ʻŌhumu ka puʻuwai i ka poʻe mākua

ʻO ka ʻōhumu o ka puʻuwai i nā mākua ʻaʻole ia e hōʻike i ke kū ʻana o ka maʻi, a, i nā manawa he nui, hiki ke noho pū me ia maʻamau, a hiki nō hoʻi ke hoʻomaʻamaʻa i nā hoʻoikaika kino ma hope o ka hoʻokuʻu ʻia e ka cardiologist. Eia nō naʻe, hiki i ke alo o kēia hōʻailona ke hōʻike i ke ola o kahi loli, e like me:

• Pahu o hoʻokahi a ʻoi aku o nā puʻuwai puʻuwai, i kapa ʻia he stenosis, ma muli o nā maʻi e like me ka fumatika rumatika, ka helu ʻana ma muli o ka makahiki, ka huelo a i ʻole ka mumū ma muli o ka maʻi puʻuwai, no ka laʻana, ka mea e pale ai i ka hele manuahi o ke koko i ka wā o ka puʻuwai;
• Ka lawa ʻole o hoʻokahi a ʻoi paha nā kiwikā, ma muli o nā maʻi e like me ka prolaps o ka mitral valve, rheumatic fever, dilation a hypertrophy o ka puʻuwai a i ʻole kekahi ʻano hoʻololi e pale ai i ka pani pololei ʻana o nā kiwikā i ka wā o ka pauma ʻana o ka puʻuwai;
• Nā maʻi e hoʻololi ai i ke kahe o ke koko, e like me ka anemia a i ʻole ka hyperthyroidism, ka mea e hoʻohuli i ke koko i kona wā e hele ai.

ʻO ke kuhi o ka ʻōhumu o ka puʻuwai e hiki ke hana ʻia e ka mea hana maʻamau a i ʻole ka mea maʻi puʻuwai i ka wā o ka hoʻokolohua hoʻokolohua o ka auscultation o ka puʻuwai, a hōʻoia ʻia e ka hōʻike kiʻi ʻana, e like me ka echocardiography.

Pehea e mālama ai

I ka hapanui o nā hihia, ʻaʻole pono ka hoʻomaʻamaʻa ʻana i ka ʻōhumu o ka naʻau physiological, me ka ukali i kēlā me kēia 6 a i ʻole 12 mau mahina me ka cardiologist. Eia nō naʻe, inā aia kekahi mau hōʻailona a hōʻike ʻia paha o kahi maʻi, pono e mālama ʻia ka puʻuwai, e hoʻohana ana i nā lāʻau a i ʻole ke ʻoki kino.

Hoʻomaʻo me nā lāʻau

Hoʻopili ka mālama ʻana i nā lāʻau e kāohi i ke kaomi a hoʻoikaika i ka hana o ka puʻuwai, me nā lāʻau e kaohi ana i kona pinepine e like me propranolol, metoprolol, verapamil a i ʻole digoxin, ka mea e hoʻēmi i ka hōʻiliʻili o nā wai i nā akemāmā, e like me diuretics, a me ka mea e kaohi i ke kaomi a kōkua i ka hele ʻana o ke koko ma o nā moku, e like me hydralazine a me enalapril.

Lapaʻau me ke ʻoki kino

Hōʻike ʻia ke kīʻaha e ke kauka lāʻau a me ke kauka naʻau, ma hope o ka loiloi ʻana i nā mea e like me nā ʻōuli e hoʻomaikaʻi ʻole me ka lāʻau, ke koʻikoʻi o ka hemahema i ka puʻuwai a me ke kū ʻana o nā hōʻailona ʻē aʻe, e like me ka puʻuwai puʻuwai a arrhythmia paha.

ʻO nā koho ʻoki kino:

• Hoʻoponopono Balloon o ka nohona, hana ʻia me ka hoʻolauna ʻana o ka catheter a me ka insufflala o kahi pāluna, e hōʻike mau ʻia ana no nā hihia o ka hoeiki ʻana;
• Hoʻoponopono ma ke ʻoki kino, hana ʻia me ka wehe o ka umauma a me ka puʻuwai e hoʻoponopono i ka hemahema o ka nohona kiwikā a i ʻole nāʻiʻo;
• ʻOki pani pani kiwikā, kahi e hiki ai ke pani ʻia e ka pulupulu synthetic a metala paha.

Hoʻololi pū kekahi ke ʻano o ke ʻoki e like me kēlā me kēia hihia a me ka ʻōlelo a ke kauka lāʻau a me ka mea maʻi puʻuwai.

Hana pinepine ʻia ka hoʻōla mua mai ke kīpoki puʻuwai ma ka ICU ma kahi o 1 a 2 mau lā. A laila e hoʻokomo ʻia ke kanaka i ka haukapila, kahi e hana ai i nā loiloi cardiologist a hiki i kona hoʻi ʻana i ka home, kahi e noho ai ʻo ia i kekahi mau pule me ka hoʻoikaika ʻole.

I loko o ka wā hoʻōla, he mea nui e akahele me ka ʻai olakino a me ka hoʻōla kino. E ʻike i nā kikoʻī e pili ana i ka post-op o ke kīpoki puʻuwai.

ʻ murhū ka naʻau i ka hāpai ʻana

I nā wahine i loaʻa i kekahi ʻano kīnā ʻole o ka puʻuwai hāmau a i ʻole ka namunamu puʻuwai puʻuwai, hiki i ka hāpai ʻana ke kumu i ka decompensive maʻi, e hana ana i nā ʻōuli e like me ka pōkole o ka hanu a me nā palpitations. ʻO kēia no ka mea, i loko o kēia wā, aia ka hoʻonui ʻana i ka nui o ke koko a me ka nui o ke koko e pīpī ʻia e ka puʻuwai, kahi e koi ai i nā hana hou a ka meaola. E ʻike hou aʻe e pili ana i nā kumu kūpono o ka hanu ʻana i ka hāpai ʻana.

I kēia mau hihia, hiki ke hana i ka lāʻau me ka lāʻau e kāohi ai i nā ʻōuli, a inā ʻaʻohe hoʻomaikaʻi a pono ke kīʻaha, ʻoi aku ka maikaʻi ma hope o ka lua o ka trimester, ke ʻoi aku ka paʻa o ka hāpai ʻana.