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CMO: he aha nā hōʻailona o ka cardiomyopathy obstructive?
ʻO CMO kahi malformation o ka puʻuwai puʻuwai e hiki ai ke alakaʻi i ka lawa ʻole, tachycardia, a ma ka hihia ʻoi loa, make koke. Eia nō naʻe, kakaʻikahi loa ia, a hiki ke nānā ʻia me ke kauka lāʻau.
He aha ka cardiomyopathy obstructive?
ʻO ka cardiomyopathy ākea e pili ana i kahi maʻi kikoʻī o ka puʻuwai. ʻO kahi cardiomyopathy, mai ka Greek "kardia" no "puʻuwai", "myo" no nā mākala a me nā "pathos" no ka ʻehaʻeha, no laila koho ʻia kahi pilikia me ka mākala o ka puʻuwai. Eia nō naʻe, aia kekahi mau ʻano like ʻole, e pili ana i ka hoʻoliʻiliʻi o kēia mākala a me kona hopena ma ke kino.
E hele mua mākou i kahi hoʻomanaʻo iki o ka puʻuwai kanaka: hana ia e like me ka hui kikoʻī o nā kiwikā a me nā lua, mālama mau ʻia ka mea āpau i ka hana e nā mākala. Hōʻea ke koko nele i ka oxygen e kekahi ala, ma mua o ka waiho ʻana iā ia e kekahi mea ʻē aʻe, i loko o kahi pōʻaiapuni nona ka hope ʻaʻohe mea ʻē aʻe o ka make (a i ʻole ka hāʻawi manawaleʻa).
ʻO nā cardiomyopathies ʻokoʻa
Hypertrophic, a i ʻole keakea, cardiomyopathy
ʻO ia ka mea makemake iā mākou i kēia ʻatikala a ʻo ka mea pinepine pinepine. I kēia hanana, e hoʻonui ʻia ka ventricle hema o ka puʻuwai. ʻO ia ka mea e ʻōlelo ʻia ʻo kekahi o nā keʻena o ka puʻuwai, kahi e hoʻi ai ke koko oxygenated i ke kino, e ālai ʻia e ke kū ʻana o nā "puʻupuʻu" e hōʻemi ana i ka wahi i loaʻa. I kekahi manawa hele pū kēia hypertrophy me kahi mea keakea o ka kahe ʻana o ke koko i ka kiwikā aortic. He aha ka mea e alakaʻi ai i kahi hāʻule o ke kiʻekiʻe o ka oxygen i loko o ke kino, pinepine i ka hihia o ka hoʻāʻo. ʻO kēia ke kumu holoʻokoʻa o CMO.
Hoʻoiho i ka cardiomyopathy
ʻO kēia manawa, ʻo nā ana i lahilahi a ākea loa ka pilikia. Pono ka puʻuwai e hoʻohana i ka ikaika hou aku e hoʻoulu i ka nui o ke koko, a luhi.
Pākaʻi ʻo Cardiomyopathie
Eʻoi aku ka paʻakikī o ka puʻuwai holoʻokoʻa, ka mea e ālai iā ia mai ka hoʻomaha maikaʻi ʻana a me ka hōʻoia ʻana i kahi pōʻaiapuni maikaʻi loa o ka hoʻolei ʻana / hōʻiliʻili o ke koko i loko o ke kino.
ʻO cardiomyopathy arrhythmogenic
Hoʻohui nui ʻia i ka ventricle ʻākau, pili kēia maʻi i kahi hoʻololi maikaʻi ʻole o nā hunaola o ka puʻuwai e nā cell adipic (momona).
Nā ʻōuli a me nā hopena o CMO
He ʻōuli akahai ko CMO (Cardiomyopathy Obstructive) akā hiki ke make i ka make koke i nā hihia ʻoi loa loa (laki loa).
- ʻO ka manawa pōkole
- ʻEha ma ka iwi iwi ʻaoʻao
- Nā hōʻoluʻolu
- Kuhi o ka naʻau
- Arrhythmias (me ka makaʻu o ka Cerebral Vascular Accident, AVC)
- kālīkīkī
- Nā hoʻopiʻi Cardiac
- Make make koke
ʻO CMO ke kumu nui o ka make i nā mea pāʻani. Kū ia i ka wā e ālai koke ʻia ka pahu i ke aorta i ka puʻuwai, e ʻoki koke ana i ka lako o ka oxygen i ka lolo, a keakea i ke kahe o ke koko.
ʻO ke kumu nui o kēia pathology cardiac
ʻO ke kumu nui o CMO kūpuna. ʻO ka hapanui pinepine, ke kumu he hoʻololi kūlohelohe. ʻO ke kikoʻī no ka ʻākeʻe. Hoʻopili ia ma kahi o 1 i 500 mau kānaka, akā ʻo nā hopena wale nō ka mānoanoa ʻole o ka paia o ka puʻuwai no kekahi mau milimita.
Nā hana kūpono a me nā hana
Kāohi
ʻO ka lapaʻau maikaʻi loa ka pale ʻana. A ma ke ʻano kikoʻī, ka ukali ʻana o ka ʻohana i kēia maʻi. ʻOiaʻiʻo, e like me nā koho hou loa, kokoke i ka hapalua o nā cardiomyopathies obstructive i hoʻopili ʻia i kahi pilikia genetical. No laila, ke ʻike ʻia kahi hihia i loko o kahi lālā o ka ʻohana, pono e ukali ʻia nā ʻohana ʻē aʻe āpau a hoʻāʻo ʻia e ka cardiologist, i mea e hōʻoia ai i ke kūlana ma kēlā me kēia hihia.
Ke ʻano nohona
Hiki ke ola me ka cardiomyopathy, ma ka mālama ʻana i kekahi mau lula. No laila, e hoʻonāwaliwali loa ʻia e hana i nā haʻuki kiʻekiʻe a i ʻole ka luʻu ʻana, no ka mea, ʻo kēlā me kēia kaʻina hana kahi e heihei ai ka naʻau. I ke ola o kēlā me kēia lā, no laila he mea pono e mālama, me ka hāʻawi ʻole i nā hoʻoikaika kino a pau: me kahi hoʻomehana mua maikaʻi, nā hana o ka "cardio" ʻano hiki ke hoʻoikaika i ka puʻuwai. Pono nō hoʻi e pāpā i ka waiʻona a me ka paka, nā mea hoʻoweliweli me ka ʻole o ka cardiomyopathy, a me ka hōʻalo ʻana i nā huakaʻi ma kahi kiʻekiʻe (mauna ma mua o 3km kiʻekiʻe).
Nānā Lapaʻau
E hōʻoia a ʻike paha i kahi CMO, pono ʻoe e hele i nā hoʻokolohua olakino like ʻole. Hoʻomaka ia me ka ka electrocardiogram, ka mea hiki ke ʻike i nā nāwaliwali i ka puʻuwai, ma mua o ka hōʻoia ʻana i ka hōʻailona me a Hoʻomaʻihoho, a i ole a MRI puʻuwai.
Nā hana ʻoki
I nā hihia koʻikoʻi loa, pono e hana. No ka hana ʻana i kēia, hoʻohana nā kaukōkō i nā ʻano hana like ʻole, koi wale kekahi i ka hoʻohana ʻana i nā wai ʻona ma nā aʻa i manaʻo ʻia e hōʻemi i ka nui o ka "bead" e ālai ana i ke ala, hele a mamao kekahi e wehe.
ʻO ka papa o ka maʻi i ka manawa
Hele lōʻihi paha ka maʻi i ʻike ʻole ʻia no ka manawa lōʻihi, me ka ʻaneʻane o ka hapakolu o nā maʻi asymptomat. Ke hōʻoia ʻia ka maʻi, ma hope o ka ʻeha, ka pōkole o ka hanu a me nā puʻuwai puʻuwai, e pono ia e hōʻoia i ka ukali ʻana me ka cardiologist. Mahalo i nā hoʻokolohua, hiki iā ia ke loiloi i nā makaʻu o ka ālai ʻana e lilo ana i mea ʻoi aku ka hewa, a hiki iā ia ke hāʻawi i kahi pane ʻoki inā pono.