Nā Hōʻailona ʻŌlelo Aʻo mai kou Puʻuwai: Ehia Hiki iā ʻoe ke ʻIke?

I loko o ke kaiāulu wikiwiki o kēia au, hana ko kākou kino e like me nā mīkini paʻakikī e holo mau ana, me ka puʻuwai e lawelawe ana ma ke ʻano he mīkini koʻikoʻi e hoʻomau i nā mea āpau. Eia nō naʻe, i waena o ka haunaele a me ka neʻe ʻana o ke ola o kēlā me kēia lā, nui ka poʻe e nānā ʻole i nā "hōʻailona pilikia" i hoʻouna ʻia e ko lākou mau puʻuwai. ʻO kēia mau hōʻailona kino maʻamau paha he mau ʻōlelo aʻo malū mai kou puʻuwai. ʻEhia o lākou āu e ʻike ai?

◉Pōkole o ka hanu i ka wā e moe ana
Inā loaʻa iā ʻoe ka pōkole o ka hanu i kekahi mau minuke ma hope o ka moe pālahalaha ʻana, kahi e hoʻomaha ai ke noho ʻoe i luna, hiki ke hōʻailona i ka hāʻule ʻana o ka puʻuwai. Hana ʻia kēia no ka mea ʻo ka moe pālahalaha e hoʻonui i ka hoʻihoʻi ʻana o ke koko i ka puʻuwai, e hoʻonui ana i ke kū'ē ʻana o ke ala ea a me ke kumu o ka hanu ʻole. I ia mau hihia, e ʻimi koke i ke kūkākūkā me kahi kauka cardiologist me ka hoʻoholo ʻana i nā kūlana e pili ana i ka pulmonary.

◉ Kaumaha o ka umauma, e like me ka pōhaku kaumaha
ʻO ka mea i kapa pinepine ʻia ʻo ka paʻa ʻana o ka umauma, hiki i kēia hōʻailona ke hōʻike i ka myocardial ischemia inā ʻaʻole i hoʻokaʻawale ʻia nā mea naʻau a me nā pilikia o ka ʻōnaehana hanu. Inā hoʻomau ka paʻa ʻana no kekahi mau minuke a piʻi aʻe paha i ka ʻeha nui o ka umauma, hiki iā ia ke hōʻailona i ka angina a i ʻole ka myocardial infarction acute (i ʻike nui ʻia ʻo ka "heart attack"). E kelepona 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.

◉ Ka nalowale o ka makemake e ʻai
ʻO nā maʻi me ka hana puʻuwai kīnā ʻole e ʻike paha ʻaʻole wale i ka nalowale o ka makemake akā ʻo ka pehu ʻana, ka nausea, ka luaʻi ʻana, ka paʻa ʻana o ka ʻōpū, a i ʻole ka ʻeha o ka ʻōpū o luna. Hoʻomaka pinepine kēia mau hōʻailona mai ka ʻōpū paʻa i hoʻokumu ʻia e ka hāʻule ʻana o ka puʻuwai ʻākau.

◉ ʻŪhū
He hōʻailona koʻikoʻi ka ʻū ʻana o ka puʻuwai akā ua kuhihewa pinepine ʻia no ka maʻi palū a i ʻole ke anu maʻamau. ʻAʻole e like me nā ʻū maʻamau e pili ana i ke anu, ʻaʻole pinepine ka ʻū ʻana i hoʻokumu ʻia e ka puʻuwai ma ka puʻu. Hiki iā ia ke hana i ka huʻa keʻokeʻo, ka phlegm mānoanoa, a i ʻole nā ​​​​​​kikokikona o ke koko. ʻOi aku ka maʻamau o ka ʻū maloʻo i ka puʻuwai a ʻoi aku ka ʻino i ka wā e moe ana a i ʻole e ala ana.

◉ Hoʻemi ʻia ka puka ʻana o ka mimi a me nā lālā haʻahaʻa pehu
Hoʻemi pinepine ka mimi o nā maʻi puʻuwai i ka mimi ma mua o 24 mau hola, me ka hoʻonui ʻia o ka mimi i ka pō. Eia kekahi, hoʻomaka ka edema e pili ana i ka puʻuwai ma nā wahi hilinaʻi e like me nā kuʻekuʻe wāwae a me nā keiki bipi, e hōʻike ana me ka pitting edema. I ka hoʻohālikelike ʻana, ʻike mua ʻia ka edema renal ma ka maka. ʻIke ʻia, he maʻamau pinepine nā hoʻāʻo mimi no ka edema cardiac, ʻoiai ʻo ka edema renal e hōʻike pinepine i nā pae albumin kiʻekiʻe.

◉ Nā Palpitations a i ʻole ka Puʻuwai Kūpono ʻole
ʻO ka wikiwiki, ka ʻano ʻole, a i ʻole ke kuʻi ʻana o ka puʻuwai he mau hōʻailona maʻamau ia o ka hāʻule ʻana o ka puʻuwai. Hiki i nā mea maʻi ke manaʻo i ko lākou puʻuwai e holo wikiwiki ana, pinepine ʻia me ka manaʻo o ka makaʻu. ʻO nā maʻi ʻē aʻe, e like me ka atrial fibrillation a i ʻole ka atrial flutter, hiki ke like ka weliweli inā ʻaʻole mālama ʻia.

◉ Pōʻino a i ʻole ka poʻo māmā
He pilikia pinepine ka poniuniu a i ʻole ka manaʻo wili i ka hāʻule ʻana o ka puʻuwai, i kekahi manawa hele pū me ka nausea a i ʻole nā ​​​​manaʻo e like me ka maʻi neʻe. Inā kū mai kēia mau hōʻailona me ka palpitations a i ʻole ka puʻuwai puʻuwai kūpono ʻole, e ʻimi koke i ke kōkua lapaʻau.

◉ Hopohopo a hoʻomaha ʻole paha
ʻO nā hōʻailona e like me ka hanu wikiwiki ʻana, nā manaʻo holo wikiwiki, nā poho lima hou, a me ka wikiwiki o ka puʻuwai he mau hōʻailona maʻamau ia o ka hopohopo. Eia nō naʻe, hiki i kekahi mau maʻi ke kuhihewa i kēia mau mea me he mea pili i ke kaumaha, me ka nānā ʻole i ka hiki ke loaʻa ka hāʻule ʻana o ka puʻuwai.

Pehea e nānā ai no ka hāʻule ʻana o ka puʻuwai a loiloi i kona koʻikoʻi?

Ua manaʻo ʻia ka hāʻule ʻana o ka puʻuwai i kēia manawa he maʻi mau loa a holomua hoʻi e paʻakikī ke ho'ōla akā hiki ke pale ʻia.Nā Alakaʻi Kina 2024 no ka ʻike ʻana a me ka mālama ʻana i ka hāʻule ʻana o ka puʻuwaipaipai i ke ana ʻana i ka peptide natriuretic (BNP a i ʻoleNT-proBNP) nā pae e nānā i nā heluna kanaka pilikia kiʻekiʻe (NYHA Classification of heart failure staging like me lalo).

NT-proBNPhe hapalua ola lōʻihi 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 ana iā ia e hōʻiliʻili i nā ʻano kiʻekiʻe aʻe, kahi e pili pono ana me ke koʻikoʻi o ka hana ʻino o ka puʻuwai. Eia kekahi,NT-proBNPʻaʻole i hoʻopilikia ʻia nā pae e ke kūlana, nā hana o kēlā me kēia lā, a i ʻole nā ​​​​​​loli o ka diurnal, e hōʻike ana i ka hana hou ikaika. ʻO ka hopena, NT-proBNPua manaʻo ʻia ʻo ia ke kumu biomarker maʻamau gula no ka hāʻule ʻana o ka puʻuwai.

ʻO Xiamen Baysen Medical'sPahu Hoʻāʻo NT-proBNP(me ka hoʻohana ʻana i ka immunochromatography fluorescence) hiki ai ke ana wikiwiki i ka helu ʻana oNT-proBNPnā pae i loko o ke serum kanaka, plasma, a i ʻole nā ​​​​laʻana koko holoʻokoʻa, e kōkua ana i ka ʻike ʻana i ka hāʻule ʻana o ka puʻuwai. Hiki ke loaʻa nā hopena i loko o 15 mau minuke