ʻO Cardiomegaly, a i ʻole hypertrophy cardiac, e pili ana i ka piʻi ʻana o ka pathological i ka nui o ka puʻuwai. I kekahi manawa ʻaʻohe hōʻailona o ka cardiomegaly. Ma ka ʻaoʻao ʻē aʻe, inā ʻaʻole hiki i ka puʻuwai ke hana hou i kāna hana pumping, ulu ka puʻuwai. Hiki ke ulu ka Cardiomegaly i kēlā me kēia makahiki, ʻoi aku hoʻi i ka wā ʻōpio a me ka wā ʻōpio. Hoʻokumu nui ʻia kāna hōʻailona ma ka umauma x-ray a me ka ultrasound cardiac.

Ka wehewehe o ka cardiomegaly

ʻO Cardiomegaly, a i ʻole hypertrophy cardiac, e pili ana i ka piʻi ʻana o ka pathological i ka nui o ka puʻuwai. ʻAʻole pono e huikau me ka puʻuwai muscular, no laila ʻoi aku ka voluminous, o ka mea haʻuki maʻamau ma kekahi ʻaoʻao he hōʻailona o ke olakino maikaʻi.

Nā ʻano o ka cardiomegaly

Ma waena o nā ʻano like ʻole o ka cardiomegaly, ʻike mākou:

• ʻO ka hypertrophic cardiomyopathy (CHM), hoʻoilina a me ke kumu genetic, pili me ka hoʻonui holoʻokoʻa o ka puʻuwai ma muli o kahi maʻi o ke ʻano o ka puʻuwai puʻuwai;
• Left ventricular hypertrophy (LVH), hōʻike ʻia e ka mānoanoa o ka ʻiʻo ventricular hema;
• ʻO ka peripartum cardiomyopathy, kakaʻikahi, e kū ana ma ka hopena o ka hāpai ʻana a i ʻole nā ​​mahina ma hope o ka hānau ʻana.

Nā kumu o ka cardiomegaly

He ʻokoʻa nā kumu o ka cardiomegaly:

• ʻO ka hanaʻole o nā valve;
• Ka nele i ka wai;
• ʻO ka maʻi o ka puʻuwai a i ʻole nā ​​​​pūnaʻi puʻuwai;
• ʻO ka loaʻa ʻana o kahi mea pale i ka hoʻokuʻu ʻia ʻana o ke koko mai ka puʻuwai - ke koko kiʻekiʻe, ke ʻoki paʻa o ka valve aortic;
• Pericardial effusions, ma muli o ka hōʻiliʻili ʻana o ka wai i loko o ka envelop o ka puʻuwai.

ʻO ka hōʻailona o ka cardiomegaly

Hoʻokumu mua ʻia ka hōʻike ʻana ma nā pahu x-ray a me ka ultrasound cardiac (echocardiography), kahi ʻenehana kiʻi lapaʻau e hiki ai iā ʻoe ke nānā i ke ʻano holoʻokoʻa o ka puʻuwai.

Hiki ke hana ʻia nā hoʻokolohua hou aʻe:

• ʻO kahi echocardiogram, me ka hoʻohana ʻana i nā hawewe kani (ultrasound) e hana i kahi kiʻi o ka puʻuwai, hiki iā ʻoe ke nānā i ke ʻano, ke ʻano a me ka neʻe ʻana o nā valves, a me ka nui a me ka hana o nā keʻena puʻuwai;
• Hiki i ka electrocardiogram (ECG / EKG) ke hoʻopaʻa i nā hanana uila o ka puʻuwai ola;
• Mākēneki resonance kiʻi (MRI).

He kumu genetic ka hypertrophic cardiomyopathy. No laila hiki i ke kauka ke ʻōlelo:

• He ho'āʻo molecular genetic analysis ma ke koko;
• He loiloi ʻohana.

ʻO nā kānaka i loaʻa i ka cardiomegaly

Hiki ke ulu ka Cardiomegaly i kēlā me kēia makahiki, ʻoi aku hoʻi i ka wā ʻōpio a me ka wā ʻōpio. Eia kekahi, hoʻokahi a ʻelua i kēlā me kēia tausani kānaka i hānau ʻia me ka hypertrophic cardiomyopathy (CHM).

ʻO nā mea e pili ana i ka cardiomegaly

ʻO nā kumu e makemake ai i ka cardiomegaly penei:

• ʻO ka maʻi puʻuwai hānau a hoʻoilina;
• Nā maʻi puʻuwai viral;
• Diabetes;
• Anemia;
• Hemochromatosis, he maʻi genetic i hoʻokumu ʻia e ka ʻai nui ʻana o ka ʻōpū o ka hao i hopena i ka waiho ʻana o kēia mea i loko o nā ʻano like ʻole e like me ke ake, naʻau a me ka ʻili;
• Arrhythmia;
• ʻO Amyloidosis, kahi maʻi kakaʻikahi i hōʻike ʻia e ka loaʻa ʻana o nā waihona protein insoluble i loko o nā ʻiʻo;
• Ka maʻi kiʻekiʻe;
• Nā maʻi thyroid;
• Ka hāpai keiki;
• Ke kaumaha nui ;
• ʻAʻole hana kino ;
• ʻO nā pilikia nui;
• Ka hana ʻino ʻana i ka wai ʻona a lāʻau lāʻau paha.

ʻAʻohe ʻōuli

I kekahi manawa ʻaʻohe hōʻailona o ka cardiomegaly a hiki i ka piʻi ʻana o ka pilikia. Hoʻomaka nā hōʻailona ke hiki ʻole i ka puʻuwai ke hana hou i kāna hana pahū.

Kuhi o ka naʻau

ʻO Cardiomegaly ke kumu o ka pau ʻole o ka naʻau i hōʻike pinepine ʻia e ka ʻike ʻana o ka pehu o nā lālā haʻahaʻa - edema - a me ka pōkole o ka hanu.

Make make koke

Hoʻonui ka Cardiomegaly i ka make koke o ka mea haʻuki i ka wā hoʻoikaika kino.

ʻO nā hōʻailona ʻē aʻe

• ʻEha ma ka umauma;
• ʻO ka puʻuwai palpitations: ka puʻuwai wikiwiki a i ʻole maʻamau;
• ʻO Dizziness;
• Nalo o ka ike ;
• ʻO ka luhi mua ma muli o ka hana kino;
• A he nui aku nā mea'ē aku

ʻO ka mālama ʻana i ka cardiomegaly ʻo ia ke kumu a e hoʻoponopono ʻia e ke kauka e like me ka ʻike.

Ma muli o ke koʻikoʻi o nā maʻi, ʻo ka lāʻau lapaʻau ka lāʻau, e ʻae ai i ka ʻoi aku ka maikaʻi o ka puʻuwai puʻuwai a i ʻole ka hoʻohaʻahaʻa ʻana i ke koko, a i ʻole ke ʻoki ʻana ke kiʻekiʻe nā pilikia. Hiki ke noʻonoʻo ʻia ka hoʻokomo ʻana o kahi cardioverting defibrillator (ICD) - kahi mea i hoʻopili ʻia e kāohi i ka puʻuwai irregular - implantable.

ʻO kekahi mau mea mālama e hoʻemi i nā pilikia e pili ana i ka cardiomegaly:

• E hōʻike i ka cardiomegaly i ka wā o ka hoʻomaʻamaʻa haʻuki ikaika;
• Aole puhi ;
• E hoʻomaʻamaʻa i ka hana kino mau;
• E ʻike a hoʻomalu i kou kahe koko;
• E koho i ka meaʻai olakino haʻahaʻa i ka momona, ʻoi aku ka momona a me ka momona trans;
• E mālama i ke kaumaha olakino;
• E hoʻomalu i kou maʻi diabetes;
• E kaupalena i ka inu ʻona;
• Hoʻoponopono i ke koʻikoʻi.