Ua ʻeha ka naʻau o ka puʻuwai?

Anter

• ʻReeshū o ka naʻau
• Nā kumu nui o ka namunamu
• Ke pono ka lapaʻau ʻana

ʻAʻole koʻikoʻi ka hapa nui o ka ʻōhumu o ka puʻuwai, a hana ʻia me ka ʻole o kekahi ʻano maʻi, kapa ʻia he physiological a hewa ʻole paha, e ala aʻe ana ma muli o ka haunaele kūlohelohe o ke koko i ka wā e hele ai i loko o ka puʻuwai.

ʻO kēia ʻano ʻōhumu i maʻa mau loa i nā pēpē a me nā keiki, a hiki ia no ka mea ke ulu nei nā ʻano o ka puʻuwai a hiki ke lilo i kaulike ʻole, no laila ua nalo ka hapa nui o lākou i nā makahiki, me ka ulu ʻana.

Eia nō naʻe, ke hele pū ka puʻuwai me nā ʻōuli, e like me ka pōkole o ka hanu, ka paʻakikī i ka ʻai ʻana, palpitations a i ʻole ka waha purplish a me nā lima, hiki ke kumu ʻia e kekahi maʻi, a i kēia mau hihia, pono e nīnau i kahi kauka lāʻau no e nānā i ke kumu, ma o nā hoʻokolohua e like me echocardiography, a hoʻomaka i ka lāʻau. Hiki ke ʻike ʻia kēia mau hihia i ka wā makua ke hana i nā hoʻokolohua maʻamau, no ka laʻana.

E ʻike i nā kikoʻī hou aʻe pehea e ʻike ai i nā ʻōhumu ʻōhumu o ka naʻau.

ʻReeshū o ka naʻau

Aia he 6 ʻano nui o ka ʻōhumu o ka puʻuwai, i like ʻole e like me ko lākou ikaika:

• Papa 1: ʻōhumu mālie loa i hiki ke lohe iki ʻia e ke kauka ke hoʻolohe nei;
• Papa 2: ʻike maʻalahi ia i ka hoʻolohe ʻana i kahi kikoʻī;
• Papa 3: he hanu kani haʻahaʻa ia;
• Papa 4: ʻōhumu nui i hiki ke lohe ʻia me ka stethoscope ma luna o kahi ākea nui;
• Papa 5: ʻōhumu nui e pili ana me ka sensation o ka haʻalulu i ka puʻuwai puʻuwai;
• Papa 6: hiki ke lohe ʻia me ka pepeiao kūʻē iki i ka umauma.

ʻO ka maʻamau, ʻo ka nui o ka nui a me ke kekelē o ka ʻōhumu, ʻo ka nui o nā manawa o ka pilikia o ka puʻuwai. I kēlā mau hihia, hiki i ke kauka ke kauoha i kekahi mau hoʻokolohua e loiloi i ka hana o ka puʻuwai a e nānā ai inā paha he mau hoʻololi e pono ai ka lāʻau.

Nā kumu nui o ka namunamu

ʻO nā kumu kūpono o ka ʻōhumu o ka puʻuwai e komo pū me nā loli o ke kino a hewa ʻole paha, kahi ʻaʻohe maʻi a hiki ke nalo me ka manawa, keu hoʻi i nā keiki; a i ʻole dnā hopena hānau ma ka puʻuwai, kahi e ulu pono ʻole ai ka puʻuwai, me nā kīnā ʻole i loko o kona mau kiʻikuhi a i ʻole nā ​​mākala, e like me ka hiki ke hana ʻia ma Down Syndrome, rubella a i ʻole ʻona ʻona e ka makuahine, no ka laʻana.

ʻO nā hiʻohiʻona ʻē aʻe o ka maʻi kūmaka ka hoʻomau ʻana o ka ductus arteriosus, ka mitral valve prolaps, valve stenosis, kamaʻilio interatrial, kamaʻilio intertrrial, nā hemahema septal atrioventricular a me nā tetralogy a Fallot.

I nā pēpē āpau, kū aʻe paha nā hihia o ka ʻōhumu o ka naʻau, no ka mea, hānau ʻia ke keiki me ka ʻole o ka ulu o ka puʻuwai. I kēia mau hihia, hana ʻia kekahi lapaʻau e like me ke ʻano o ka loli a me nā ʻōuli o ke keiki.

Ke pono ka lapaʻau ʻana

I nā hihia o ka ʻōhumu hala ʻole, ʻaʻole pono ka hoʻomaʻamaʻa, he ukali wale nō me ke kauka lapaʻau, e like me kāna i aʻo ai.

Eia nō naʻe, ke kumu mai ka ʻōhumu o ka puʻuwai e kahi maʻi puʻuwai, pono ia e hoʻomaka i ka lāʻau lapaʻau, e like me ke kumu, a alakaʻi ʻia e ka cardiologist. No laila, ʻo kekahi o nā koho he:

• Hoʻohana o nā lāʻau: hoʻohana ʻia kekahi mau lāʻau e mālama ai i kekahi mau kīnā o ka puʻuwai, e like me ka Ibuprofen i hoʻohana ʻia e mālama ai i ka ductus arteriosus hoʻomau mau, a i ʻole nā ​​mea ʻē aʻe o kahi ʻano diuretic, e like me furosemide, a me nā antihypertensives, e like me propranolol a me enalapril, hiki ke hoʻohana ʻia e mālama a kaohi i nā ʻōuli o ka hake ʻole o ka naʻau, no ka laʻana;
• ʻOki kino: hiki ke hōʻike ʻia e mālama i nā hihia ʻoi loa o nā kīnā o ka puʻuwai, nā mea e hoʻomaikaʻi ʻole me ka lapaʻau mua a i ʻole nā ​​mea ʻoi aku ka nui. No laila, ʻo nā mea hiki ke:
  • Hoʻoponopono Balloon o ka nohona, hana ʻia me ka hoʻokomo ʻana o ka catheter a me ka insufflala o kahi pāluna, e hōʻike mau ʻia ana no nā hihia o ka hoʻopili ʻana o nā kiwikā.
  • 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, i ka mākala a i ʻole e hoʻololi i ka nohona kīnā.

ʻO ka maʻamau, maʻalahi a wikiwiki ka hoʻōla ʻana mai ke ʻoki kino, e koi ana i kahi manawa o ka haukapila o kekahi mau lā, a hiki i ka hoʻokuʻu ʻana i ka home, ma hope o ka hoʻokuʻu ʻia mai ka pediatrician a i ʻole ka cardiologist.

Pono paha ia e hoʻokō i kahi hoʻoponopono hou me ka physiotherapy, me ka hoʻi ʻana me ke kauka no nā wahi hou. E ʻike ʻoi aku ka maikaʻi ke hōʻike ʻia ke ʻoki ʻōhumu naʻau.