He aha ka Hepatopulmonary Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka hepatopulmonary syndrome he pilikia nui o ka māmā e ulu ana i nā kānaka me ka maʻi ate. Hana ʻia kēia ke ākea loa nā kīʻaha koko liʻiliʻi i loko o kou mau māmā, e paʻakikī ai ka hele ʻana o ka oxygen mai kou mau māmā i loko o kou kahe koko.

Hoʻopili kēia maʻi ma kahi o 15-30% o nā kānaka me ka maʻi ate lōʻihi, ʻoiai hoʻi nā mea me ka cirrhosis. ʻOiai ke kani ʻino nei, hiki i ka hoʻomaopopo ʻana i nā mea e hana nei i loko o kou kino ke kōkua iā ʻoe e hana pū me kāu hui olakino e hoʻokele pono ai.

He aha ka Hepatopulmonary Syndrome?

Hana ʻia ka hepatopulmonary syndrome i ka wā e hoʻopili ai kou maʻi ate i nā loli kūikawā i nā kīʻaha koko o kou māmā. E ākea nā kīʻaha koko liʻiliʻi i loko o kou mau māmā, i kapa ʻia ʻo capillaries, a hana i nā pilina kūpono ʻole.

E noʻonoʻo i kēia: maʻamau, e kahe ana ke koko ma nā ala liʻiliʻi a pololei hoʻi i loko o kou mau māmā e kiʻi pono ai i ka oxygen. Me ka hepatopulmonary syndrome, e like kēia mau ala me nā alanui ākea kahi e hiki ai i ke koko ke holo wikiwiki loa e hopu i ka oxygen lawa.

Hana kēia i ka ʻokoʻa ma waena o ka ea āu e hanu ai a me ka oxygen e hiki maoli i kou kahe koko. Ke hana nei kou mau māmā, akā ʻaʻole hiki iā lākou ke hoʻoili i ka oxygen e like me ka mea e pono ai.

He aha nā Hōʻailona o ka Hepatopulmonary Syndrome?

E ulu mālie nā hōʻailona o ka hepatopulmonary syndrome a pinepine e hoʻopili pū me nā hōʻailona o ka maʻi ate. ʻO ka hōʻailona maʻamau loa ka pōkole o ka hanu, ʻoiai hoʻi ʻoe i ka hana a i ʻole ke hoʻoikaika ʻana.

Eia nā hōʻailona nui āu e ʻike ai:

• Pōkole o ka hanu i ka wā o ka hana kino a i ʻole i ka hoʻomaha pū
• Manaʻo hanu ʻole i ka wā e noho ai e hoʻomaikaʻi i ka wā e moe ai
• ʻO ka waihoʻoluʻu uliuli i kou mau lehelehe, nā kui, a i ʻole ka ʻili (i kapa ʻia ʻo cyanosis)
• Luhi a nāwaliwali e ʻoi aku ka nui ma mua o ka manawa
• Nāwaliwali a manaʻo māmā paha
• Clubbing o nā manamana lima (e puni a ākea nā manamana lima)
• Nā kīʻaha koko e like me ka ʻōpū e ʻike ʻia ma kou ʻili

ʻO kahi hōʻailona kūikawā i kapa ʻia ʻo "platypnea-orthodeoxia." ʻO ia hoʻi, ʻoi aku ka pōkole o kou hanu i ka wā e noho ai a hanu maʻalahi i ka wā e moe ai. Hana ʻia kēia no ka mea e hoʻopilikia ana ke kaumaha i ke kahe ʻana o ke koko ma o kēlā mau kīʻaha māmā ākea.

E ʻike pū kekahi poʻe i ka hoʻonui ʻia o kā lākou mau hōʻailona i kekahi mau kūlana a i ʻole ke neʻe ʻana mai ka moe ʻana a i ke kū ʻana. He mau ʻōlelo aʻoaʻo nui kēia mau loli i nā ʻano hanu e kōkua ai i nā kauka e ʻike i kēia maʻi.

He aha nā Kumu o ka Hepatopulmonary Syndrome?

Hana ʻia ka hepatopulmonary syndrome e ka maʻi ate, akā he paʻakikī ke kaʻina hana pololei. I ka wā ʻaʻole hana pono kou ate, ʻaʻole hiki iā ia ke kānana a hoʻomaʻemaʻe i nā mea i loko o kou koko e like me ka mea e pono ai.

He mau kumu e hana pū ana e hana i kēia maʻi:

• Ka hōʻiliʻili ʻana o nā mea e hoʻomaʻemaʻe ʻia e ka ate olakino
• Hoʻokuʻu ʻia o nā kemika e hoʻonui ai i nā kīʻaha koko
• Ke hana ʻana o nā pilina kīʻaha koko hou a kūpono ʻole hoʻi i loko o nā māmā
• Ka emi ʻana o ka hiki o ka ate ke hana i nā protein e kōkua ai i ka hoʻokele ʻana i ka hana o nā kīʻaha koko
• Ka piʻi ʻana o ke kaomi i loko o ka ʻōnaehana portal vein ma muli o ka ate scarring

ʻO nā kūlana ate maʻamau loa e alakaʻi ai i ka hepatopulmonary syndrome, ʻo ia ka cirrhosis mai kekahi kumu, ka hepatitis lōʻihi, a me ka portal hypertension. He mea hoihoi, ʻaʻole i wānana mau ka nui o kou maʻi ate inā e ulu kēia pilikia māmā.

I nā hihia kakaikahi, hiki ke ulu ka hepatopulmonary syndrome i nā kānaka me ka ate hāʻule koke a i ʻole kekahi mau kūlana ate non-cirrhotic. ʻO ke kumu nui ka hopena o ka maʻi ate i ka hana ʻana a me ka hoʻomaʻemaʻe ʻana o kekahi mau mea e hoʻokele ai i ka hana o nā kīʻaha koko.

I ka Wā e ʻIke ai i ke Kauka no ka Hepatopulmonary Syndrome?

Pono ʻoe e hoʻokaʻaʻike koke i kāu mea lawelawe olakino inā loaʻa iā ʻoe ka maʻi ate a ʻike i nā pilikia hanu hou a i ʻole ka hoʻonui ʻana. Hiki i ka ʻike mua ʻana a me ka lapaʻau ke hoʻomaikaʻi nui i kou ola a me nā hopena.

E ʻimi i ka mālama lapaʻau inā ʻike ʻoe i kēia mau mea:

• Pōkole hanu hou, ʻoiai hoʻi i nā hana āu i mālama maʻalahi ai
• Hanu e ʻoi aku ka ʻino i ka wā e noho ai a kū ai
• ʻO ka waihoʻoluʻu uliuli o kou mau lehelehe, nā kui, a i ʻole ka ʻili
• Ka hoʻonui ʻana o ka luhi e hoʻopilikia i nā hana o kēlā me kēia lā
• Nāwaliwali a i ʻole nā ​​manawa hāʻule
• ʻO ka pehu ʻana i kou mau wāwae a i ʻole ka ʻōpū me nā pilikia hanu

E kāhea no ka mālama pilikia inā loaʻa iā ʻoe ka pōkole hanu nui, ka ʻeha umauma, a i ʻole ke uliuli o kou mau lehelehe a i ʻole ka ʻili. Hiki i kēia ke hōʻike i ka emi ʻana o kou pae oxygen i nā pae weliweli.

ʻOiai inā he māmā kou mau hōʻailona, ​​he mea nui ia e haʻi i nā loli hanu i kāu kauka ate a i ʻole ke kauka mālama mua. Hiki iā lākou ke hana i nā hoʻokolohua maʻalahi e nānā i kou pae oxygen a hoʻoholo inā pono ke loiloi hou aku.

He aha nā Kumu Pōpilikia no ka Hepatopulmonary Syndrome?

Hoʻonui kekahi mau kumu i kou hiki ke loaʻa i ka hepatopulmonary syndrome inā loaʻa iā ʻoe ka maʻi ate. ʻO ke kumu pilikia nui loa ka loaʻa ʻana o ka cirrhosis, ʻaʻole pili i ka mea i hōʻino i kou ate.

Eia nā kumu pilikia nui e makaʻala ai:

• Cirrhosis mai kekahi kumu (waiʻona, hepatitis, maʻi ate momona, etc.)
• Portal hypertension (ka piʻi ʻana o ke kaomi i nā kīʻaha koko ate)
• Ke kau inoa ʻana ma ka papa kali hoʻololi ate
• Loaʻa ka hepatitis B a i ʻole C lōʻihi
• Nā maʻi ate autoimmune
• Primary biliary cholangitis
• Budd-Chiari syndrome (nā veins ate i pani ʻia)

He mea hoihoi, ʻaʻole i wānana pololei ka nui o kou maʻi ate i kou pilikia. E loaʻa i kekahi poʻe me nā pilikia ate māmā ka hepatopulmonary syndrome, ʻoiai ʻaʻole loaʻa i kekahi poʻe me ka cirrhosis nui.

ʻAʻole like ka makahiki a me ka wahine me nā kumu pilikia nui, ʻoiai ua ʻike pinepine ʻia ka maʻi i nā mākua. Inā loaʻa iā ʻoe kekahi ʻano o ka maʻi ate lōʻihi, pono kāu kauka e nānā iā ʻoe no nā hōʻailona o nā pilikia māmā i kāu mau nānā maʻamau.

He aha nā Pilikia Hiki o ka Hepatopulmonary Syndrome?

Hiki i ka hepatopulmonary syndrome ke alakaʻi i nā pilikia nui inā waiho ʻole ʻia. ʻO ka hopohopo nui loa ka hoʻonui ʻana o ka emi ʻana o ka oxygen i loko o kou koko, kahi e hoʻopilikia ai i ka hiki o kou kino holoʻokoʻa ke hana pono.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Hypoxemia nui (nā pae oxygen koko haʻahaʻa weliweli)
• Ka hoʻoikaika ʻana o ka naʻau ʻākau mai ka hana nui ʻana e hoʻopuka i ke koko ma o nā māmā i hoʻopilikia ʻia
• Ka hoʻonui ʻana o ka pilikia o ka hahau mai nā clots koko a i ʻole nā ​​pōpō ea
• Ka emi ʻana o ka hoʻomanawanui hoʻoikaika a me ka maikaʻi o ke ola
• Ka hoʻonui ʻana o ka pilikia o nā hāʻule ma muli o ka nāwaliwali a me ka nāwaliwali
• Nā pilikia hiamoe a me ka luhi
• Kaumaha a me ka hopohopo mai nā pilikia hanu

I nā hihia nui, hiki i ka maʻi ke lilo i mea weliweli i ka wā e hakakā ai kou kino e kiʻi i ka oxygen lawa. ʻO ia ke kumu e nui ai ka ʻike mua ʻana a me ka lapaʻau.

E loaʻa pū kekahi poʻe i nā pilikia kakaikahi e like me nā abscesses lolo a i ʻole nā ​​hahau. Hana ʻia kēia no ka mea hiki i nā kīʻaha koko māmā kūpono ʻole ke ʻae i nā bacteria a i ʻole nā ​​clots koko liʻiliʻi e hala i ka ʻōnaehana kānana maʻamau o nā māmā a hiki i ka lolo.

Pehea ka Hōʻike ʻana o ka Hepatopulmonary Syndrome?

Pono ka hōʻike ʻana i ka hepatopulmonary syndrome i nā hoʻokolohua he nui e hōʻoia i nā pilikia hanu a me nā loli o nā kīʻaha koko māmā. E hoʻomaka kāu kauka me ka nānā kino a me ka loiloi ʻana i kou mau hōʻailona.

ʻO ke kaʻina hana hōʻike maʻamau e komo pū ana:

• Pulse oximetry e ana i nā pae oxygen i loko o kou koko
• Hoʻokolohua kino koko arterial e nānā i nā pae oxygen a me ka carbon dioxide
• Contrast echocardiography e ʻimi i ke kahe koko kūpono ʻole i loko o nā māmā
• X-ray umauma e kāpae i nā pilikia māmā ʻē aʻe
• Nā hoʻokolohua hana māmā e nānā i ka hana o kou mau māmā
• Scan māmā lāʻau lapaʻau nuklea e ʻike i nā pilina kīʻaha koko kūpono ʻole

He mea nui loa ka contrast echocardiography. I ka wā o kēia hoʻokolohua, e hoʻokomo nā kauka i nā pōpō liʻiliʻi i loko o kou kahe koko a nānā i ke ʻano o ko lākou neʻe ʻana ma o kou naʻau a me kou mau māmā. I ka hepatopulmonary syndrome, e ʻike ʻia kēia mau pōpō ma ka ʻaoʻao hema o kou naʻau, e hōʻike ana i nā pilina kīʻaha koko māmā kūpono ʻole.

E helu pū kāu kauka i ka mea i kapa ʻia ʻo ka alveolar-arterial oxygen gradient. ʻO kēia huaʻōlelo maikaʻi wale nō ke ana nei lākou i ka maikaʻi o ka neʻe ʻana o ka oxygen mai kou mau māmā i loko o kou kahe koko. Hōʻike ka gradient kiʻekiʻe i ka hepatopulmonary syndrome.

He aha ka Lapaʻau no ka Hepatopulmonary Syndrome?

Ke nānā nei ka lapaʻau no ka hepatopulmonary syndrome i ka hoʻokele ʻana i nā hōʻailona a me ka hoʻoponopono ʻana i ka maʻi ate. ʻAʻole maikaʻi, ʻaʻohe lāʻau lapaʻau e hiki ke hoʻololi i nā loli o nā kīʻaha koko māmā i ka wā i ulu ai.

ʻO nā ala lapaʻau nui e komo pū ana:

• Oxygen therapy kōkua e hoʻomaikaʻi i nā pae oxygen koko
• Lapaʻau o ka maʻi ate e pale aku i ka holomua
• Hoʻololi ate no nā moho kūpono
• Nā lāʻau lapaʻau e kōkua ai i ka hanu a me ke kahe koko
• Hoʻomaʻamaʻa māmā e hoʻomaikaʻi i ka hoʻomanawanui hoʻoikaika
• Hoʻokele ʻana i nā pilikia e like me nā pilikia naʻau

ʻO ka hoʻololi ate pinepine ka lapaʻau maikaʻi loa no ka mea hiki ke hoʻololi i nā loli o nā kīʻaha koko māmā ma hope o ka manawa. E ʻike ka nui o nā kānaka i ka hoʻomaikaʻi nui ʻana i ko lākou hanu i loko o nā mahina ma hope o ka hoʻololi holomua.

No nā poʻe ʻaʻole he mau moho hoʻololi, e lilo ka oxygen therapy i ka lapaʻau nui. Hiki paha kēia ke manaʻo i ka hoʻohana ʻana i ka oxygen lawe lima i ka wā o nā hana a i ʻole ka oxygen mau inā haʻahaʻa loa kou mau pae.

Ke aʻo ʻia nei kekahi mau lapaʻau hoʻokolohua, e komo pū ana nā lāʻau lapaʻau e hoʻopilikia ai i ka hana o nā kīʻaha koko, akā ʻaʻole kēia mau mea he mālama maʻamau. E hana pū kāu hui olakino me ʻoe e ʻimi i ka hui maikaʻi loa o nā lapaʻau no kou kūlana kūikawā.

Pehea e Hoʻokele ai i ka Hepatopulmonary Syndrome ma ka Home?

Ke ola nei me ka hepatopulmonary syndrome e pono ai kekahi mau hoʻoponopono i kāu hana o kēlā me kēia lā, akā e mālama ka nui o nā kānaka i ka maikaʻi o ke ola me ka hoʻokele pono. ʻO ke kī ka aʻo ʻana e hoʻolōʻihi iā ʻoe iho a hoʻohana pono i kāu mau lapaʻau.

Eia pehea ʻoe e kōkua ai i ka hoʻokele ʻana i kou maʻi ma ka home:

• E hoʻohana i ka oxygen kōkua e like me ka mea i kauoha ʻia e kāu kauka
• E lawe i nā hoʻomaha pinepine i ka wā o nā hana
• E moe me kou poʻo i hoʻokiʻekiʻe ʻia e hoʻomaʻalahi i ka hanu
• E pale i ka puhipaka a me ka ua puhipaka
• E mālama i ka lāʻau lapaʻau hou, ʻoiai hoʻi nā pana flu a me ka pneumonia
• E mālama i ka meaʻai maikaʻi e kākoʻo i kou ate a me kou olakino holoʻokoʻa
• E nānā i kou mau hōʻailona a e hōʻike i nā loli i kāu hui olakino

Hiki i ka aʻo ʻana e hoʻohana pono i nā lako oxygen lawe lima ke hoʻomaikaʻi nui i kou neʻe ʻana a me kou kūʻokoʻa. E ʻike ka nui o nā kānaka hiki iā lākou ke hoʻomau i ka hana a me ka leʻaleʻa i nā hana me ke kākoʻo oxygen pono.

He mea nui nō hoʻi ke loaʻa i kahi hoʻolālā no ka hoʻokele ʻana i nā flare-ups a i ʻole ka hoʻonui ʻana o nā hōʻailona. E ʻike i ka wā e hoʻokaʻaʻike ai i kāu hui olakino a me ka wā e ʻimi ai i ka mālama pilikia. Hiki i kēia hoʻolālā ke hoʻemi i ka hopohopo a kōkua iā ʻoe e pane pono i ka wā e loli ai nā hōʻailona.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hālāwai Kauka?

Hiki i ka hoʻomākaukau ʻana no kāu kipa kauka ke kōkua iā ʻoe e kiʻi i ka mea nui loa mai kāu hālāwai a hōʻoia i ka pane ʻia o kāu mau hopohopo a pau. ʻOiai ke komo pū nei ka hepatopulmonary syndrome i nā pilikia ate a me nā māmā, hiki iā ʻoe ke ʻike i nā loea he nui.

Ma mua o kāu hālāwai, e hōʻiliʻili i kēia ʻike:

• Papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āpau
• ʻŌlelo o kou mau hōʻailona, ​​e komo pū ana i ka wā i hoʻomaka ai a me ka mea e hoʻomaikaʻi ai a i ʻole ka hoʻonui ʻana iā lākou
• Kou mau helu oxygen saturation inā nānā ʻoe iā lākou ma ka home
• Nā nīnau e pili ana i nā koho lapaʻau a me ka mea e manaʻo ai
• ʻIke e pili ana i kāu ʻōnaehana kākoʻo a me ke kūlana ola
• ʻIke ʻinikua a me nā koi ʻae mua

E kākau i nā nīnau kūikawā āu e makemake ai e nīnau, e like me ka mea inā he moho ʻoe no ka hoʻololi ate, he aha nā lapaʻau e kōkua ai i kou mau hōʻailona, ​​a i ʻole pehea e hoʻokele ai i nā hana o kēlā me kēia lā me nā pilikia hanu.

E lawe mai i kahi lālā ʻohana a hoaaloha paha inā hiki. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo i ka wā o nā kūkākūkā e pili ana i nā koho lapaʻau. Mai kānalua e noi i kāu hui olakino e wehewehe i nā mea ma nā huaʻōlelo maʻalahi inā lilo ka ʻōlelo lapaʻau i mea pohihihi.

He aha ka Laʻana Koʻikoʻi e pili ana i ka Hepatopulmonary Syndrome?

ʻO ka hepatopulmonary syndrome he pilikia koʻikoʻi akā hiki ke hoʻokele ʻia o ka maʻi ate e hoʻopilikia ana i ka hiki o kou mau māmā ke hoʻoili i ka oxygen i kou kahe koko. ʻOiai ʻaʻole hiki ke hoʻōla ʻia me nā lāʻau lapaʻau, loaʻa nā lapaʻau maikaʻi e kōkua i ka hoʻokele ʻana i nā hōʻailona a hoʻomaikaʻi i ke ola.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka ʻike mua ʻana a me ka lapaʻau e hana i kahi ʻokoʻa nui i nā hopena. Inā loaʻa iā ʻoe ka maʻi ate a ʻike i nā pilikia hanu, mai kali e ʻimi i ka mālama lapaʻau.

Ke ola nei ka nui o nā kānaka me ka hepatopulmonary syndrome i nā ola ʻano nui a hana nui me ka lapaʻau a me ke kākoʻo pono. Hiki i ka hoʻololi ate ke hoʻololi i ka maʻi i nā hihia he nui, e hāʻawi ana i ka manaʻolana no ka hoʻomaikaʻi lōʻihi.

Ke hana pū nei me kāu hui olakino, ke mālama nei i ka ʻike e pili ana i kou maʻi, a ke mālama nei i ka manaʻo maikaʻi hiki ke kōkua iā ʻoe e holo pono i kēia pilikia. E hoʻomanaʻo ʻaʻole ʻoe wale nō i kēia huakaʻi, a loaʻa ke kākoʻo.

Nā Nīnau Pinepine e pili ana i ka Hepatopulmonary Syndrome

Hiki ke pale ʻia ka hepatopulmonary syndrome?

ʻAʻole maikaʻi, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka hepatopulmonary syndrome inā loaʻa iā ʻoe ka maʻi ate. ʻO ke ala maikaʻi loa ka hoʻokele pono ʻana i kou kūlana ate a me ka loaʻa ʻana o nā nānā maʻamau e hopu koke i nā pilikia māmā. Hiki i ka pale ʻana i ka waiʻona, ka mālama ʻana i ke kaumaha olakino, a me ka hahai ʻana i nā ʻōlelo a kāu kauka ate ke kōkua i ka hoʻolohi ʻana i ka holomua o ka maʻi ate.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me ka hepatopulmonary syndrome?

He ʻokoʻa loa ka manaʻo ma muli o ka nui o kou kūlana a inā he moho ʻoe no ka hoʻololi ate. Ke ola nei kekahi poʻe no nā makahiki he nui me ka lapaʻau pono, ʻoiai paha he manaʻo palena iki kekahi poʻe. Hiki i kāu hui olakino ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi aʻe o ka mea e manaʻo ai ma muli o kou kūlana kūikawā a me kou olakino holoʻokoʻa.

Ke hoʻonui nei ka hepatopulmonary syndrome ma hope o ka manawa?

ʻAe, maʻamau ka holomua o ka hepatopulmonary syndrome inā waiho ʻole ʻia. Eia naʻe, he ʻokoʻa ka nui o ka holomua mai kahi kanaka i kekahi kanaka. E ʻike kekahi poʻe i nā loli mālie ma nā makahiki, ʻoiai paha e ʻike kekahi poʻe i ka hoʻonui wikiwiki ʻana. Hiki i ka nānā maʻamau a me ka lapaʻau kūpono ke kōkua i ka hoʻolohi ʻana i ka holomua a me ka hoʻokele pono ʻana i nā hōʻailona.

Hiki i ka hoʻoikaika kino ke kōkua i ka hepatopulmonary syndrome?

Hiki i ka hoʻoikaika kino māmā a me ka hoʻomaʻamaʻa māmā ke pōmaikaʻi no ka nui o nā kānaka me ka hepatopulmonary syndrome. Eia naʻe, pono ʻoe e hoʻololi i kāu mau hana ma muli o kou pae oxygen a me ka hiki ke hanu. Hiki i kāu hui olakino ke kōkua i ka hoʻolālā ʻana i kahi papahana hoʻoikaika kino palekana e komo pū paha me ka hele wāwae, nā hana hanu, a me ka hoʻoikaika ʻana me ke kākoʻo oxygen kūpono.

Pono anei iaʻu i ka oxygen therapy no ke koena o koʻu ola?

Ke hilinaʻi nei kēia i kou kūlana kūikawā a me nā koho lapaʻau. Inā loaʻa iā ʻoe kahi hoʻololi ate a holomua ia, hiki paha iā ʻoe ke hoʻemi a hoʻopau paha i ka oxygen therapy i ka wā e hoʻi hou ai kou mau kīʻaha koko māmā i ka maʻamau. No nā poʻe ʻaʻole he mau moho hoʻololi, pono pinepine ka oxygen therapy lōʻihi, akā e hoʻololi maikaʻi ka nui o nā kānaka a mālama i ka maikaʻi o ke ola me nā ʻōnaehana oxygen lawe lima.