E aʻo kākou e pili ana i ka valve aortic i loko o kou puʻuwai. E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ua noʻonoʻo paha ʻoe inā he mau ʻāpana liʻiliʻi e like me ka puka i loko o kou puʻuwai e wehe a pani ana i ka manawa kūpono e kāohi ai i ke kahe ʻana o ke koko? ʻO kekahi ʻāpana koʻikoʻi ʻo ia ka valve aortic . I kēia lā e kamaʻilio mākou e pili ana i kēia ʻāpana liʻiliʻi akā ikaika loa o ko mākou puʻuwai. Mai hopohopo, e wehewehe wau iā ʻoe ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.

He aha nā kiwikā i loko o ko kākou puʻuwai?

ʻAe, e nānā mua kākou i ke ʻano o kēia mau kiwikā puʻuwai. E noʻonoʻo ua like kou puʻuwai me kahi hale me ʻehā lumi. ʻElua lumi ma luna a ʻelua lumi ma lalo.

• Kāhea mākou i kēia mau keʻena luna ʻelua he ' atria' .
• Kāhea mākou i nā keʻena ʻelua ma lalo o nā ventricles puʻuwai.

I kēia manawa, ma waena o kēia mau keʻena, ma waena o nā kīʻaha koko nui e lawe ana i ke koko i waho o ka puʻuwai, aia nā ʻāpana e hana ana e like me nā puka. ʻO ia ka mea a mākou e kapa nei he mau valves puʻuwai . Hana ʻia kēia mau valves me nā ʻāpana liʻiliʻi i kapa ʻia ʻo 'leaflets' a i ʻole 'cusps'. I kēlā me kēia manawa e paʻi ai ka puʻuwai, wehe a pani kēia mau ʻāpana i ka manawa kūpono. Kōkua kēia i ka hoʻomau ʻana i ke kahe ʻana o ke koko i hoʻokahi ʻaoʻao, e like me nā kaʻa ma ke alanui e hele ana i hoʻokahi ʻaoʻao.

No laila, he aha ka hana a kēia mea i kapa ʻia ʻo ka valve aortic?

ʻAe, ʻo kēia kīwila aortic a mākou e kamaʻilio nei i kēia manawa ʻo ia kekahi o nā kīwila nui ʻehā i loko o kou puʻuwai. He mea kūikawā loa ia. Ua ʻike anei ʻoe i ke ʻano o ia mea? ʻO ia ka pilina ma waena o ke keʻena pumping nui ma ka ʻaoʻao hema o kou puʻuwai, ka ventricle hema , a me ke kīʻaha koko nui loa e lawe ana i ke koko maʻemaʻe i kou kino holoʻokoʻa, ʻo ka aorta .

I ka ʻōlelo maʻalahi, ua like ka valve aortic me kahi ʻīlio kiaʻi akamai.

1. Wehe ia: e ʻae ana i ke koko oxygenated e hele mai ka ventricle hema i loko o ka aorta.

2. Pani ia: Ma hope o ke komo ʻana o ke koko i loko o ka aorta, pani koke ia. No ke aha e pani ai? I mea e pale ai i ke koko mai ke kahe hou ʻana i ke ala hewa, ʻo ia hoʻi, mai ka aorta a i loko o ka ventricle hema. Ua like ia me ka pani ʻana i ka piula wai.

ʻO kēia kīwila aortic kekahi o nā ʻano kīwila ʻelua i kapa ʻia ʻo " semilunar valves." Loaʻa ka inoa mai ke ʻano o nā lau valve, e like me ka mahina ʻokiʻoki. ʻAʻole anei he nani?

Pehea e hana ai ka valve aortic me nā ʻāpana ʻē aʻe o ka puʻuwai?

E noʻonoʻo i kēia ʻano: Ua like ke kahe ʻana o ke koko i loko o ko kākou kino me kahi ʻōnaehana paʻakikī o nā alanui. He kuleana nui ko ka valve aortic i ka mālama ʻana i kēia ʻōnaehana e holo pono ana. Eia ke ʻano o kāna hana, ma ke ʻano hoʻonohonoho pono loa:

• ʻAnuʻu mua: ʻO ka ʻaoʻao ʻākau o kou puʻuwai e hōʻiliʻili i ke koko nele i ka oxygen (i kapa ʻia hoʻi ʻo "koko lepo") e kaʻapuni ana i loko o kou kino a pamu iā ia i nā māmā.
• KaʻAnuʻu Hana ʻElua: A laila, hoʻohui kou mau māmā i ka oxygen hou i kēlā koko, hoʻolilo iā ia i "koko maʻemaʻe," a hoʻihoʻi iā ia i ka ʻaoʻao hema o ka puʻuwai.
• KaʻAnuʻu Hana ʻEkolu: I kēia manawa ke hele mai nei kā mākou protagonist, ʻo ka valve aortic.Hoʻomaka ia i ka hana. Wehe ia, e ʻae ana i kēia koko hou i piha i ka oxygen mai ka ʻaoʻao hema o ka puʻuwai (ʻo ia hoʻi, ka ventricle hema) e hele i loko o ka aorta.
• KaʻAnuʻu Hana ʻEhā: ʻO ka hope loa, hoʻopuka kou aorta i kēia koko waiwai i ka oxygen ma loko o kou kino, mai ke poʻo a ka wāwae. ʻO kēia ka manawa e loaʻa ai i kēlā me kēia cell i loko o kou kino ka oxygen e pono ai e ola.

Maopopo iā ʻoe ke kupaianaha o kēlā kaʻina hana?

Aia i hea ka valve aortic? Ma hea i hoʻokumu ʻia ai?

Aia kou valve aortic, e like me ka mea i ʻōlelo ʻia ma mua, ma waena o ka ventricle hema a me ka aorta . I ka pololei, inā ʻoe e nānā pololei i kou puʻuwai, aia ia ma waenakonu o ka puʻuwai.

Ua hana ʻia kēia valve me ʻekolu ʻāpana i hana ʻia me kahi mea ikaika akā palupalu i kapa ʻia ʻo collagen . Ua kapa ʻia kēia mau mea he leaflet a i ʻole cusps. I loko o ka puʻuwai olakino, hana kēia mau leaflet ʻekolu me ka hoʻonohonoho pono:

• E wehe maikaʻi ana ia ke pono e kahe ke koko.
• Pani paʻa ia i ka wā e pono ai e pale i ke kahe hou ʻana o ke koko.

He aha ka Bicuspid Aortic Valve?

ʻO ka maʻamau, loaʻa i nā kānaka a pau ʻekolu mau cusps i loko o ko lākou valve aortic. Eia nō naʻe, ua hānau ʻia kekahi poʻe me ʻelua wale nō cusps ma kahi o ʻekolu. ʻO ia ka mea a mākou e kapa nei he valve aortic bicuspid . ʻO ke ʻano o ka 'bi' ʻelua. ʻO ka loaʻa ʻana o ʻelua wale nō cusps hiki ke hoʻonui i ka pilikia o nā pilikia kahe koko a me nā pilikia puʻuwai ʻē aʻe. Akā, ʻaʻole hana nā kānaka a pau.

He aha nā kūlana e hoʻopilikia ai i ka valve aortic?

ʻO ka mea pōʻino, hiki i kekahi mau maʻi puʻuwai ke hoʻopilikia i kā mākou valve aortic koʻikoʻi. He congenital kekahi, ʻo ia hoʻi, aia lākou i ka wā hānau. Hiki i kekahi ke ulu ma hope, ma muli paha o ka maʻi, ka hōʻino ʻana i ka puʻuwai, e like me ka hōʻeha puʻuwai , a i ʻole nā ​​​​loli e kū mai ana me ka makahiki.

Eia kekahi o nā kūlana nui:

• ʻO ka luaʻi ʻana o ka valve aortic : ʻO kēia ka manawa ʻaʻole e pani pono ka valve, e hoʻihoʻi ana kekahi o ke koko i hoʻopili ʻia i loko o ka aorta i loko o ka ventricle hema. Ua like ia me ka wā e pani pono ʻole ai ka puka, e hoʻi hou mai ana kahi mea i paʻi ʻia i waho. Hoʻoikaika kēia i ka hana o ka puʻuwai.
• ʻO ka stenosis o ka valve aortic : ʻO kēia ka wā e haiki ai a mānoanoa paha ka valve aortic. ʻAʻole wehe pono ka valve, kahi e hōʻemi ai i ka nui o ke koko e hiki ke kahe ma o ia mea. E noʻonoʻo e like me ka paipu wai e ālai ʻia ana i waenakonu, e hōʻemi ana i ka nui o ka wai e hiki ke kahe. Hoʻokomo pū kēia i ka nui o ke kaomi ma ka puʻuwai.
• ʻO ka valve aortic bicuspid(`Bicuspid aortic valve`): E like me ka mea i ʻōlelo ʻia ma mua, ʻelua wale nō mau valves. ʻOi aku ka nui o kēia kūlana e hoʻoulu ai i ka `stenosis` a i ʻole ka `regurgitation` i ka hala ʻana o ka manawa.
• Endocarditis : He maʻi ʻoi aku ka koʻikoʻi o kēia. I loko o kēia, lilo ka uhi o nā kiwikā a me nā keʻena o ka puʻuwai (i kapa ʻia ʻo endocardium ) i pehu, ʻo ia hoʻi ke pehu a lilo i maʻi. Inā ʻaʻole e mālama koke ʻia kēia, hiki ke hōʻino ʻia nā kiwikā.

He aha kēia Transcatheter Aortic Valve Replacement (TAVR)?

I kēia manawa, e nānā, i kekahi manawa inā ua hōʻino ʻia ka valve aortic ma kahi hiki ʻole ke hoʻoponopono hou ʻia, a inā lilo ia i mea koʻikoʻi e like me ka stenosis, pono e hoʻololi ʻia ka valve. I ka wā ma mua, he ʻoki kino nui kēia, he ʻoki kino hāmama. He mea nui kēlā.

Akā i kēia manawa, me ka holomua o ka ʻepekema lapaʻau, aia kekahi kaʻina hana i kapa ʻia ʻo Transcatheter Aortic Valve Replacement (TAVR). I kekahi manawa ua kapa ʻia ʻo Transcatheter Aortic Valve Implantation (TAVI). He holomua kupaianaha maoli kēia.

ʻO kēia ke komo ʻana i ka pani ʻana i ka valve ma o kahi lua liʻiliʻi, me ka ʻole o ka hana ʻana i kahi ʻoki nui. He koho lapaʻau maikaʻi paha kēia inā loaʻa iā ʻoe ka stenosis valve aortic , ʻoiai inā ʻelemakule ʻoe a ʻaʻole hiki ke ʻae i ke ʻoki kino nui.

Eia pehea e hana ai i kēia, ma ka ʻōlelo maʻalahi:

• Hoʻokomo ke kauka i kahi catheter (he ʻōmole lahilahi, palupalu, hakahaka) i loko o kahi kīʻaha koko (he vein a artery paha) i kou wāwae (maʻamau i kou ʻūhā) a i ʻole ka umauma.
• ʻOiai e nānā ana i nā mīkini X-ray kūikawā, alakaʻi pono ʻia ke catheter i ka valve aortic o ka puʻuwai.
• Hoʻokomo ʻia ka kiwikā hana hou (he kiwikā ʻiʻo kēia i kau ʻia ma luna o kahi mōlina metala kūikawā) i loko o ka puʻuwai ma o kēlā catheter a hoʻopaʻa ʻia ma kahi o loko o ka kiwikā kahiko a maʻi.
• I kekahi manawa hoʻohana ʻia kahi pōpō liʻiliʻi e hoʻopiha i kēia kiwikā hou, a i ʻole ua hoʻolālā ʻia kekahi mau kiwikā e hoʻopiha iā lākou iho.
• Ke hoʻokomo ʻia ka valve hou, wehe ʻia ke catheter.

ʻO ke ʻano o kēia ʻano hana, ʻoi aku ka liʻiliʻi o ka noho ʻana ma ka haukapila, ka liʻiliʻi o ka manawa hoʻōla, a ʻaʻohe ʻeha nui. He mea maikaʻi loa kēia, ʻeā?

Pehea mākou e mālama ai i ke olakino o ko mākou valve aortic?

ʻĀ, nui nā mea hiki iā kākou ke hana e mālama i ko kākou puʻuwai holoʻokoʻa i ke olakino, ʻaʻole wale nā ​​​​kīwaha o ko kākou puʻuwai. He mau mea maʻalahi kēia, akā he mea nui loa hiki iā kākou ke hoʻokomo i loko o ko kākou ola o kēlā me kēia lā:

• E mālama i ke kaumaha olakino no kou ʻano kino, ke kāne, a me ka makahiki. He mea kaumaha ka momona nui ma ka puʻuwai.
• E ʻai i ka meaʻai olakino no ka puʻuwai. ʻO ia hoʻi:
• E hōʻemi i ka paʻakai (sodium).
• E hōʻemi i nā meaʻai kiʻekiʻe i ke kō a me ka momona.
• E hoʻohui i nā huaʻai hou, nā mea kanu, a me nā palaoa holoʻokoʻa (e like me ka laiki ʻeleʻele, buckwheat, a me ka oats) i kāu meaʻai.
• E ʻai i nā iʻa (ʻoi aku ka iʻa ʻaila e like me ka salmon a me ka mackerel) ʻelua a ʻekolu manawa i ka pule.
• Hoʻoikaika kino. E hoʻoikaika kino no ka liʻiliʻi he 30 mau minuke i ka lā, ʻelima a ʻehiku mau lā o ka pule. Hiki iā ʻoe ke hana i nā mea e like me ka hele wikiwiki, ka holo ʻana, ka ʻauʻau ʻana, a i ʻole ke kaʻa paikikala. E koho i kahi mea āu e makemake ai.
• E hoʻokele i ke kaumaha. ʻAʻole maikaʻi ka nui o ke kaumaha no ka puʻuwai. E hōʻemi i ke kaumaha ma nā ʻano olakino, e like me ka noʻonoʻo ʻana, ka hana yoga, ke komo ʻana i kahi hana leʻaleʻa āu e makemake ai, a me ka hoʻolilo manawa me nā hoaaloha a me ka ʻohana.
• Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO ka puhipaka kekahi o nā ʻenemi nui loa o ka puʻuwai.
• E kaupalena i ka inu ʻana i ka waiʻona.
• Inā loaʻa iā ʻoe kekahi mau maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e kaohi pono iā lākou. E hahai pono i nā ʻōlelo a kāu kauka.

He aha kaʻu e nīnau aku ai i kaʻu kauka e pili ana i kaʻu valve aortic?

Inā he mau hopohopo a pilikia paha kou me kou puʻuwai, ʻoiai kou valve aortic, a inā he mau hōʻailona kou e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka luhi pinepine, pono ʻoe e ʻike i kāu kauka a kamaʻilio e pili ana i ia mea. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Pehea e ʻike ai au inā e hana pono ana koʻu mau valves puʻuwai? He aha nā hoʻokolohua e hiki ke hana ʻia e nānā ai?
• Inā manaʻo wau he pilikia koʻu me kaʻu valve aortic, he aha ke kumu kūpono loa?
• Ma muli o koʻu mau hōʻailona, ​​​​he aha nā koho lapaʻau e loaʻa iaʻu?
• Pono anei iaʻu e hana i ke ʻoki ʻana i ka valve aortic a i ʻole kekahi mea e like me TAVR?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona e hoʻomaikaʻi ai i ke olakino o koʻu puʻuwai?
• Inā ua loaʻa i kekahi o koʻu ʻohana ka maʻi valve puʻuwai, aia anei au i ka pilikia?

Mai makaʻu, e nīnau i nā nīnau a pau āu e loaʻa nei. Eia ke kauka e kōkua iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, mai nā mea a mākou i kūkākūkā ai i kēia lā, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o ka valve aortic.

E hoʻomanaʻo, he ʻāpana koʻikoʻi loa ka valve aortic o kou puʻuwai. Inā hana pono ia, maikaʻi ke kahe ʻana o ke koko e hāʻawi ana i ke ola ma loko o kou kino.

He ʻoiaʻiʻo nō hiki i kekahi mau maʻi puʻuwai ke hoʻopilikia i ka valve aortic. Eia nō naʻe, me nā lāʻau lapaʻau holomua o kēia wā, hiki ke mālama pono ʻia kekahi o kēia mau maʻi. Inā koʻikoʻi kāu mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e hoʻoponopono a pani paha i ka valve aortic, a i ʻole kahi hana e like me TAVR.

Eia nō naʻe, he mea nui loa ka hahai ʻana i kahi nohona olakino e hoʻomaikaʻi ai i ke olakino o kou puʻuwai. Inā he mau nīnau kāu e pili ana i ke olakino o kou puʻuwai, mai makaʻu e kamaʻilio me kāu kauka, ʻeā? ʻO ka mālama ʻana i kou puʻuwai kekahi o nā makana nui loa hiki iā ʻoe ke hāʻawi iā ʻoe iho!

` Kiwikā aorta, kiwikā puʻuwai, puʻuwai, kahe koko, maʻi puʻuwai, TAVR, olakino puʻuwai