Nā hōʻailona hōʻailona mai kou puʻuwai: ʻEhia hiki iā ʻoe ke ʻike?

I loko o ka nohona wikiwiki o kēia wā, hana ko mākou mau kino e like me nā mīkini paʻakikī e holo mau ana, me ka puʻuwai e lawelawe nei ma ke ʻano he ʻenekini koʻikoʻi e hoʻomau i nā mea a pau. Eia naʻe, ma waena o ka hustle a me ka puʻupuʻu o ke ola o kēlā me kēia lā, nui ka poʻe e nānā i nā "hōʻailona pilikia" i hoʻouna ʻia e ko lākou puʻuwai. ʻO kēia mau hōʻailona kino maʻamau paha he mau ʻōlelo aʻo maʻalahi mai kou puʻuwai. ʻEhia o lākou hiki iā ʻoe ke ʻike?

◉Pokole Hanu Ke Moe
Inā ʻike ʻoe i ka pōkole o ka hanu i kekahi mau minuke ma hope o ka moe ʻana, e maʻalahi ke noho ʻoe i luna, hiki ke hōʻike i ka hemahema o ka naʻau. Hiki kēia ma muli o ka ho'omoe palahalaha e ho'onui ai i ke koko i ka pu'uwai, e ho'oki'eki'e ana i ke ea a me ka hanu 'ole. Ma ia mau hihia, e ʻimi koke i ke kūkā kamaʻilio ʻana me ka cardiologist me ka hoʻoholo ʻana i nā pilikia pili i ka pulmonary.

◉ Ke kaumaha o ka umauma, Me he Pohaku Kaumaha
ʻO ka mea maʻamau i kapa ʻia ʻo ka paʻa o ka umauma, hiki i kēia hōʻailona ke hōʻike i ka myocardial ischemia inā ʻaʻole i hoʻokaʻawale ʻia nā kumu noʻonoʻo a me nā pilikia o ka hanu. Inā hoʻomau ka paʻakikī no kekahi mau minuke a piʻi aʻe paha i ka ʻeha o ka umauma nui, hiki iā ia ke hōʻailona i ka angina a i ʻole ka hōʻeha ʻana o ka myocardial acute (i ʻike mau ʻia he "hōʻeha puʻuwai"). Kāhea koke iā 120 a hele i ka haukapila kokoke loa. Inā loaʻa, e lawe i nā papa nitroglycerin a i ʻole nā lāʻau hoʻomaha puʻuwai wikiwiki e like me ke ana mua.

◉ Pau ka ʻai
ʻAʻole hiki i ka poʻe maʻi me ka puʻuwai impaired ʻaʻole wale ka nalowale o ka ʻai akā ʻo ka bloating, nausea, luaʻi, constipation, a i ʻole ka ʻeha o ka ʻōpū o luna. Loaʻa pinepine kēia mau hōʻailona mai ka ʻōpū o ka ʻōpū i hana ʻia e ka puʻuwai ʻaoʻao ʻākau.

◉ ʻAke
He hōʻailona koʻikoʻi ka ʻū ʻana o ka puʻuwai naʻau akā kuhi pinepine ʻia ka maʻi maʻi a i ʻole ke anu. ʻAʻole like me nā ʻuʻu maʻamau e pili ana i ke anu, ʻaʻole i loaʻa mai ka ʻū ʻana o ka puʻuwai i ka puʻu. Hiki iā ia ke hana i ka huʻa keʻokeʻo, ka mānoanoa, a i ʻole nā ʻāpana koko. ʻOi aku ka maʻamau o ka ʻuʻu maloʻo i ka hāʻule ʻana o ka naʻau a ʻoi aku ka ʻino i ka wā e moe ai i lalo a ala paha.

◉ Hoemi i ka mimi a me ka pehu o na lala o lalo
Hoʻemi pinepine ka poʻe maʻi ʻaʻole naʻau i ka mimi ma mua o 24 mau hola, me ka nui o ka mimi i ka pō. Hoʻohui ʻia, hoʻomaka pinepine ka edema pili i ka naʻau ma nā wahi hilinaʻi e like me nā kuʻekuʻe wāwae a me nā keiki bipi, e hōʻike ana he pitting edema. ʻO ka ʻokoʻa, ʻike mua ʻia ka edema renal ma ka maka. ʻO ka mea maʻamau, ʻo nā hoʻokolohua mimi no ka edema cardiac he mea maʻamau, akā ʻo ka edema renal e hōʻike pinepine ana i nā pae albumin kiʻekiʻe.

◉ Nā Palpitations a i ʻole ka Puʻuwai ʻAʻole maʻamau
ʻO ka puʻuwai wikiwiki, kū ʻole, a i ʻole ke kuʻi ʻana o ka puʻuwai he mau hōʻailona maʻamau o ka hāʻule ʻole o ka naʻau. Hiki i nā poʻe maʻi ke manaʻo i ko lākou puʻuwai e haʻalulu ikaika, i hele pinepine ʻia me ka hopohopo. ʻO nā maʻi ʻē aʻe, e like me ka atrial fibrillation a i ʻole atrial flutter, hiki ke pilikia like ke waiho ʻole ʻia.

◉ Poniuniu a Poʻo Māmā
ʻO ka noʻonoʻo a i ʻole ka wili ʻana he pilikia maʻamau i ka hāʻule ʻana o ka naʻau, i kekahi manawa hele pū ʻia me ka nausea a i ʻole nā ​​manaʻo e like me ke neʻe ʻana. Inā loaʻa kēia mau hōʻailona me ka palpitations a i ʻole ka puʻuwai maʻamau, e ʻimi koke i ke kauka.

◉ Ka hopohopo a i ʻole ka hoʻomaha
ʻO nā hōʻailona e like me ka hanu wikiwiki ʻana, nā manaʻo heihei, nā lima hū, a me ka wikiwiki o ka puʻuwai he mau hōʻailona maʻamau o ka hopohopo. Eia naʻe, hiki i kekahi poʻe maʻi ke kuhi hewa i kēia mau mea e pili ana i ke koʻikoʻi, me ka nānā ʻole i ka hiki ke kumu o ka puʻuwai.

Pehea e nānā ai no ka naʻau ʻaʻole i loaʻa a loiloi i kona koʻikoʻi?

Ke manaʻo ʻia nei ka hemahema o ka naʻau ma ke ʻano he maʻi holomua a paʻakikī ke ho'ōla akā hiki ke pale ʻia. ʻO ka2024 Nā alakaʻi alakaʻi Kina no ka ʻike a me ka mālama ʻana i ka pau ʻole o ka naʻaupaipai ʻia ke ana ʻana i ka peptide natriuretic (BNP a i ʻoleNT-proBNP) nā pae e nānā i ka heluna kanaka pilikia nui (NYHA Classification of heart failure staging as below).

NT-proBNPhe lōʻihi ka hapalua o ke ola ma kahi o 60-120 mau minuke a hōʻike i ke kūpaʻa maikaʻi loa i loko o ka vitro. Hoʻomaʻemaʻe mālie ia mai ke kahe koko, e ʻae iā ia e hōʻiliʻili i nā kiʻekiʻe kiʻekiʻe, e hoʻopili pololei me ke koʻikoʻi o ka hana ʻole o ka naʻau. Eia kekahi,NT-proBNPʻAʻole paʻa nā pae i ke kūlana, nā hana o kēlā me kēia lā, a i ʻole nā ʻano like ʻole o ka lā, e hōʻike ana i ka hiki ke hana hou. Ma ka hopena, NT-proBNPua manaʻo ʻia ʻo ia ka biomarker maʻamau gula no ka pau ʻole o ka naʻau.

Xiamen Baysen Medical'sNT-proBNP Hōʻike Kit(me ka hoʻohana ʻana i ka immunochromatography fluorescence) hiki ke ana i ka nui wikiwiki oNT-proBNPnā pae i loko o ka serum kanaka, plasma, a i ʻole nā hōʻailona koko holoʻokoʻa, e kōkua ana i ka hōʻoia ʻana o ka hāʻule ʻole o ka naʻau. Hiki ke loaʻa nā hopena i loko o 15 mau minuke