Hoʻohālikelike nā ʻōhumu a me nā namunamu e nā leo "ʻano ʻē" i lohe ʻia i ka wā o ka auscultation me kahi stethoscope i ka wā o ka pā ʻana o ka puʻuwai. Hana ʻia lākou e ka turbulence i ke kahe o ke koko i ka puʻuwai a hiki ke kumu ʻia e nā pathology like ʻole.

Hiki i nā ʻōmaka puʻuwai ke lilo i congenital, ʻo ia hoʻi, mai ka wā hānau, a i ʻole hoʻomohala ma hope i ke ola. Hiki ke hoʻopili ʻia i kēlā me kēia mea: keiki, ʻōpio, mākua a me nā ʻelemākule.

ʻO ka pinepine, ʻino ʻole ka ʻōhumu o ka puʻuwai. ʻAʻole koi kekahi o lākou i ka lāʻau, pono e nānā ʻia nā poʻe ʻē aʻe e hōʻoia ʻaʻole lākou e hūnā i kahi maʻi ʻoi loa. Inā pili kekahi mau ʻōuli ʻē aʻe, me ka hanu ʻana o ka hanu, hoʻonui ʻia nā ʻāʻī o ka ʻāʻī, ka nele o ka makemake, a i ʻole ka ʻeha o ka umauma, hōʻike paha nā ʻōhumu i kahi pilikia puʻuwai koʻikoʻi.

ʻElua mau ʻano o ka ʻōhumu naʻau:

• ʻōhumu systolic, i ka wā e ʻaelike ai ka puʻuwai e kipaku i ke koko i nā lālā. Hōʻike paha ia i ka lawa ʻole o ka pani ʻana o ka kiwikā mitral, ka kiʻikuhi puʻuwai e hoʻokaʻawale i ka atrium hema mai ka ventricle hema.
• ʻōhumu diastolic, kahi i kū pinepine i ka hoʻopili ʻana o ka aorta. Pani maikaʻi ʻole nā ​​valves aortic a ke kumu nei e kahe hou ke koko i ka ventricle hema.

I mea e maopopo ai ke kumu o ka ʻōhumu o ka puʻuwai, e hana ke kauka i kahi ultrasound puʻuwai. ʻAe kēia iā ia e helu i ka nui o ka poino o nā puʻuwai puʻuwai a me nā hopena ma ka puʻuwai puʻuwai.

Inā pono, hiki i ke kauka ke kauoha i nā loiloi ʻē aʻe e like me ka coronary angiography, e ʻae iā ia e ʻike i nā ʻaʻa coronary.

Hiki ke hana ʻia ka ʻōhumu o ka puʻuwai (a i ʻole hewa ʻole), ʻo ia ka ʻōlelo ʻaʻole ia ka hopena mai nā malformation a ʻaʻole pono ka mālama kūikawā a i ʻole ka lapaʻau kūikawā. I nā keiki hānau a me nā keiki, ʻano maʻamau kēia ʻano ʻōhumu o ka puʻuwai a hele pinepine aku i ka wā ulu. Hiki iā ia ke hoʻomau no ke ola, akā ʻaʻole loa e pilikia i ke olakino.

Me kahi ʻōhumu o ka naʻau e holo nei, hiki ke kahe wikiwiki ke koko ma mua o ka maʻamau. I loko o ka nīnau:

• ka hāpai keiki
• fiva
• ka lawa ʻole o ke olakino ʻulaʻula ke olakino hiki ke lawe i ka oxygen i nā aʻa (anemia)
• pālahalaha
• kahi pae o ka ulu wikiwiki ʻana, e like me ka hihia i ka ʻōpio

Hewa ʻole paha ka puʻuwai. I nā keiki, hana pinepine ʻia kahi ʻōhumu ʻōlohelohe e ka maʻi puʻuwai congenital. I nā mākua, he pilikia pinepine me nā valves puʻuwai.

Hoʻopili kēia i nā kumu aʻe:

• maʻi maʻi kūlohelohe: kamaʻilio intertricular (VIC), ductus arteriosus hoʻomau mau, hoʻopili ʻana o ka aorta, tetralogy o Fallot, etc.
• kahi mea maʻamau o nā kiwikā o ka puʻuwai, e like me ka helu ʻana (paʻakikī a paʻakikī ʻana) ʻoi aku ka paʻakikī o ka hele ʻana o ke koko
• endocarditis: he maʻi kēia o ka pale o ka puʻuwai e hiki ke hōʻino nui i nā valves puʻuwai
• fever fever

E like me kā mākou i ʻike ai, ʻaʻohe hopena o ka ʻōhumu o ka puʻuwai i ke olakino. Hiki iā ia ke hōʻailona o kahi pilikia puʻuwai, hiki ke kumu i kekahi mau ʻōuli e like me ka hanu ʻole, ka nele o ka oxygenation o ke koko, a pēlā aku. kumu a hōʻoia i ka loaʻa ʻole o nā hopena ʻino.

ʻIke loa, ʻo ka lāʻau no ka ʻōhumu o ka puʻuwai e pili ana i kona kumu. Hiki i ke kauka ke kuhikuhi, i waena o nā mea ʻē aʻe:

• nā lāʻau: anticoagulants, diuretics, a beta-blockers paha e hoʻēmi i ka helu o ka puʻuwai a me ke kahe o ke koko
• kahi hana ʻoki: hoʻoponopono a i ʻole pani o ka puʻuwai puʻuwai, pani ʻana o kahi wehe kīnā ʻole i ka puʻuwai inā loaʻa ka maʻi puʻuwai, a pēlā aku.
• ka nānā mau ʻana