E aʻo hou aʻe kākou e pili ana i nā aa koko pulmonary e hānai ana i kou puʻuwai.

Ua ʻike mākou a pau i ke koʻikoʻi o ko mākou puʻuwai . Akā, ke noʻonoʻo nui nei anei mākou i ka ʻōnaehana liʻiliʻi o nā aʻa koko e pili ana i ka puʻuwai a kōkua iā ia e hana pono? I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano aʻa koko e hana ana i kahi hana koʻikoʻi loa, e lawe mai ana i ke koko piha i ka oxygen mai ko mākou mau māmā i ka puʻuwai. Ua kapa ʻia kēia mau mea he mau aʻa koko pulmonary, a i ʻole ma ka ʻōlelo Pelekania ʻo '(Pulmonary Veins)'.

He aha nā aʻa Pulmonary?

I ka ʻōlelo maʻalahi, ʻo nā aʻa koko pulmonary nā aʻa koko e lawe ana i ke koko oxygen mai kou mau māmā a i ka ʻaoʻao hema o kou puʻuwai. ʻO ka hana nui o kēia mau aʻa koko, ʻo ia ke lawe i ke koko oxygen i hoʻihoʻi i kou puʻuwai ma hope o ka hoʻohui ʻia ʻana o ka oxygen e komo ana i kou mau māmā i kou hanu ʻana i kou koko.

No kēia mau aa koko pulmonary ke kaapuni pulmonary o ko kākou kino. He ʻōnaehana kūikawā loa kēia. ʻO kēia ka mea e lawe ai i ke koko i mua a i hope ma waena o ka puʻuwai a me nā māmā. Hoʻokomo pū kēia kaapuni i nā aa koko pulmonary a me nā aʻa koko pulmonary.

He aha ka ʻokoʻa ma waena o nā aʻa koko pulmonary a me nā aʻa koko pulmonary?

I kēia manawa, manaʻo paha ʻoe ua like kēia mau mea ʻelua, ʻeā? Akā, aia ʻelua ʻokoʻa nui ma waena o nā mea ʻelua.

1. ʻAno koko i lawe ʻia:

• Lawe nā ʻaʻa Pulmonary i ke koko haʻahaʻa i ka oxygen a kiʻekiʻe i ke kalapona ʻokikene. ʻO ke ʻano kēia, lawe ʻia ke koko mai ka puʻuwai a i nā māmā ma o kēia mau ʻaʻa, kahi e hoʻomaʻemaʻe ʻia ai.
• Lawe nā aa koko māmā i ke koko hou a waiwai i ka oxygen. ʻO ke ʻano kēia, ua hoʻihoʻi ʻia ke koko i hoʻomaʻemaʻe ʻia i loko o nā māmā i ka puʻuwai ma o kēia mau aa koko.

2. Ke kuhikuhi o ke kahe koko:

• Lawe ke aʻa pulmonary i ke koko mai ka puʻuwai a i nā māmā .
• Lawe nā aa koko pulmonary i ke koko mai nā māmā a i ka puʻuwai .

E noʻonoʻo e like me ke kikowaena hoʻomaʻemaʻe (nā māmā). ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka lawe ʻia ʻana o nā mea haumia (ke koko deoxygenated) ma kekahi ala (nā aʻa), hoʻomaʻemaʻe ʻia (oxygenated), a hoʻihoʻi ʻia i kahi nui (ka puʻuwai) ma kekahi ala ʻē aʻe (nā aʻa koko).

He aha ka mea kūikawā e pili ana i nā aa koko maʻamau i hoʻohālikelike ʻia me nā aa koko ʻē aʻe?

He mea nui loa kēia. ʻO ka maʻamau, lawe nā aʻa koko ʻē aʻe a pau o ko kākou kino i ke koko i nele i ka oxygen, a i ʻole ke koko i hoʻohana ʻia. Akā, ʻo ka aʻa koko pulmonary wale nō ke ʻano o ka aʻa koko i loko o ko kākou kino e lawe ana i ke koko maʻemaʻe a me ka oxygen.

Eia kekahi, ʻokoʻa nā aʻa pulmonary mai nā aʻa ʻē aʻe. ʻO ka maʻamau, lawe nā aʻa i ke koko waiwai i ka oxygen. Akā, ʻo nā aʻa pulmonary wale nō ka mea e lawe i ke koko nele i ka oxygen.

ʻO ia hoʻi, he ʻōnaehana kūikawā loa kēia kaapuni pulmonary i loko o ko kākou kino! ʻOkoʻa iki ka hana ʻana o nā kīʻaha koko i loko ma mua o nā lula maʻamau.

Akā, hoʻokahi mea like i nā aʻa koko a pau a me nā aʻa koko a pau. ʻO ia ke kuhikuhi e kahe ai ke koko. ʻO nā aʻa koko pulmonary, e like me nā aʻa koko ʻē aʻe, e lawe i ke koko i ka puʻuwai. ʻO nā aʻa koko pulmonary, e like me nā aʻa koko ʻē aʻe, e lawe i ke koko mai ka puʻuwai aku . Ua maopopo iaʻu?

ʻEhia ka nui o nā aʻa koko pulmonary i loaʻa maʻamau?

ʻO ka hapa nui o nā kānaka (ma kahi o 60% a 70%) he ʻehā mau aa koko. ʻO kekahi poʻe he ʻekolu a ʻelima paha. ʻAʻole pilikia ke olakino i nā ʻokoʻa o kēia helu. He mau ʻokoʻa anatomical wale nō kēia, ʻo ia ke ʻano o ka hānau ʻana o kekahi poʻe me nā aa koko i ʻokoʻa iki mai ka mea a nā kānaka ʻepekema e manaʻo ai he "maʻamau."

He aha ka hana a nā aa koko pulmonary?

Hōʻiliʻili nā aa koko pulmonary i ke koko i piha i ka oxygen mai nā māmā a lawe iā ia i ka puʻuwai. A laila e pamu ka puʻuwai i kēlā koko i nā ʻōpū a me nā ʻiʻo ʻē aʻe.

E noʻonoʻo i kou kino holoʻokoʻa e like me ke kūlanakauhale nui. ʻO ka puʻuwai ke kikowaena mana nui o kēlā kūlanakauhale. A laila ua like kēia mau aa pulmonary me nā paipu nui e lawe mai i ka 'wahie' i hoʻomaʻemaʻe ʻia (oxygen) mai nā māmā a i kēlā kikowaena mana. Inā pau ka hana ʻana o kēia mau paipu no kekahi manawa pōkole, ʻaʻole e loaʻa i ka puʻuwai ka oxygen hou. A laila, ʻaʻole hiki i ka puʻuwai ke hāʻawi i ka ikehu e pono ai no ke kino holoʻokoʻa.

No laila, he ʻāpana koʻikoʻi o ka puʻuwai nā aʻa pulmonary, he mea nui ia no ka hana pono ʻana i kāna hana. A no ka mea e hana pono ana lākou, e ola kino ana ko kākou kino holoʻokoʻa.

Aia ma hea kēia aa koko maʻamau?

Aia nā aa koko pulmonary ma waena o kou mau māmā a me kou puʻuwai. Hoʻokumu ʻia nā aa koko pulmonary ma o ka hui ʻana o nā kīʻaha koko liʻiliʻi he nui mai kou mau māmā ʻākau a me kou mau māmā hema. Puka kēlā me kēia pālua o nā aa koko mai ka māmā ma kahi i kapa ʻia ʻo ka hilum, a i ʻole "aʻa," o ka māmā. Mai laila mai, hele kēia mau aa koko i ka puʻuwai a pili i ka atrium hema, ke keʻena luna o ka puʻuwai. ʻO ka atrium hema ke keʻena hema luna o ka puʻuwai.

He aha ke ʻano o nā aʻa koko pulmonary?

ʻEhā mau aa koko pulmonary o ka hapa nui o nā kānaka, ʻelua no kēlā me kēia māmā .

• ʻO ke aʻa pulmonary kiʻekiʻe ʻākau: Lawe kēia i ke koko mai ka ʻaoʻao o luna a me waena o kou māmā ʻākau.
• ʻAʻa koko pulmonary haʻahaʻa ʻākau: Lawe mai kēia i ke koko mai ka ʻaoʻao haʻahaʻa o kou māmā ʻākau.
• ʻAʻa koko pulmonary kiʻekiʻe hema: Lawe kēia i ke koko mai luna mai o kou māmā hema a me ka lingula (ka ʻāpana "alelo" o ka māmā hema).
• ʻAʻa koko pulmonary hema haʻahaʻa:Lawe mai kēia i ke koko mai ka ʻaoʻao haʻahaʻa o kou māmā hema.

ʻO ke ʻano o "Kiʻekiʻe" ʻo ia hoʻi ma luna. ʻO "Haʻahaʻa" ʻo ia hoʻi ma lalo. No laila, haʻi ka inoa o kēlā me kēia aa koko iā ʻoe i ka māmā e hoʻolako ai i ke koko a pehea e waiho ai.

ʻO ka maʻamau, pili pololei kēlā me kēia aa pulmonary i ka atrium hema. A laila he ʻehā mau puka o ka atrium hema i kapa ʻia ʻo ostia, hoʻokahi no kēlā me kēia aa. Komo ke koko oxygenated i ka atrium hema ma o kēia mau puka. Mai laila mai, hele ke koko i ka ventricle hema, mai kahi e pamu ʻia ai i ke koena o ke kino ma o ka aorta .

He aha nā ʻokoʻa anatomical i loaʻa i nā aa koko pulmonary?

Aia kekahi mau ʻano like ʻole i ke ʻano maʻamau o nā aʻa pulmonary i ʻike ʻia. Hoʻopilikia kekahi mau ʻano like ʻole i ka helu o nā aʻa pulmonary āu a me ke ʻano o ko lākou komo ʻana i ka atrium hema. He mau ʻano like ʻole olakino a ʻino ʻole kēia.

Eia nō naʻe, aia kekahi mau loli ʻē aʻe e pale ai i nā aʻa pulmonary mai ka lawe pono ʻana i ke koko i ka atrium hema. Hoʻopilikia kēia mau loli i ka hana maʻamau o ka puʻuwai a hiki ke hoʻoweliweli i ke ola.

Nā loli ʻino ʻole

Ma kahi o 38% o ka poʻe he mau loli liʻiliʻi a ʻino ʻole i ke ʻano o nā aʻa pulmonary. Hoʻopilikia kēia i ka nui o nā aʻa a me ke ʻano o ko lākou pili ʻana i ka atrium hema. Eia kekahi mau laʻana:

• ʻO ke kumu hema maʻamau: ʻO kēia ka manawa e hui pū ai nā aʻa pulmonary ʻelua ma ka ʻaoʻao hema e hana i hoʻokahi kumu maʻamau e pili ana i ka atrium hema. ʻO ia hoʻi, ma kahi o nā aʻa hema ʻelua e lawe ana i ke koko i ka atrium hema ma ke kaʻawale, hui pū lākou a lawe i ke koko ma o hoʻokahi puka. ʻO kēia ka ʻokoʻa maʻamau i ʻike ʻia.
• ʻAʻa koko pulmonary ʻākau kōkua: I kēia hihia, ma waho aʻe o nā aʻa koko maʻamau ʻelua ma ka ʻaoʻao ʻākau, ua hoʻokumu ʻia kekahi aʻa koko ʻē aʻe, kahi e pili pū ai i ka atrium hema. ʻO ke ʻano kēia he ʻekolu mau aʻa koko ma ka ʻaoʻao ʻākau.

ʻOiai kēia mau loli, hana pono nā aa koko i kā lākou hana. No ka mea, i loko o kēia mau loli a pau, hiki ke koko waiwai i ka oxygen i ka atrium hema. Mai laila mai, hele ia i ka ventricle hema ma ke ʻano maʻamau a hele i ke kino holoʻokoʻa. No laila, ʻaʻohe mea e hopohopo ai no kēia mau mea.

Nā loli e hoʻopilikia ai i ka hana a ka puʻuwai

Aia kekahi mau loli e pale ai i nā aa koko pulmonary mai ka lawe ʻana i ke koko oxygenated i ka atrium hema. Pale kēia i ka puʻuwai mai ka hana pono ʻana i kāna hana.

He mau kīnā puʻuwai hānau kēia. ʻO ka hapa pinepine, ʻike ʻia lākou i ka wā hānau, akā i kekahi manawa ʻike ʻia lākou i ka wā ʻōpiopio a i ʻole i ka wā makua.

• ʻO ka hoʻihoʻi ʻana o ke koko pulmonary anomalous āpau (TAPVR):I nā pēpē me kēia maʻi, ʻaʻole pili nā aʻa koko pulmonary i ka atrium hema. Akā, pili lākou i ka atrium ʻākau. ʻO ka mea e hana ʻia ana, ʻo ke koko waiwai i ka oxygen e pono e hele i ka ʻaoʻao hema e hui pū me ke koko nele i ka oxygen ma ka ʻaoʻao ʻākau. He maʻi koʻikoʻi loa kēia e pono ai ke ʻoki ʻana.
• ʻO ka hoʻihoʻi ʻana o ka venous pulmonary anomalous hapa (PAPVR): Loaʻa i nā pēpē me kēia maʻi ma ka liʻiliʻi hoʻokahi aa pulmonary i pili i ka atrium hema. ʻAe kēia i kekahi koko waiwai oxygen e kahe i ke kino. Pono paha kēia mau pēpē i ka lāʻau lapaʻau, akā ʻaʻole ia he mea koʻikoʻi e like me TAPVR.

ʻO nā pēpē me ka `(TAPVR)` a i ʻole `(PAPVR)` he pinepine ka loaʻa ʻana o kahi lua ma ka puʻuwai i kapa ʻia ʻo `(Atrial Septal Defect).` He mea hoʻōla ola kēia lua. No ka mea, hana ia i ala no ke koko e kahe mai ka atrium ʻākau o ka pēpē i ka atrium hema. ʻOiai he haʻahaʻa ka nui o ka oxygen o kēia koko, ua lawa ia e mālama i ke ola o ka pēpē a hiki i ka loaʻa ʻana o ka lāʻau lapaʻau.

ʻEhia ka nui o ke aʻa pulmonary? He aha ka mea i hana ʻia ai?

ʻO ke anawaena (ka laulā ʻāpana) o kahi aa pulmonary olakino ma waena o 9 a me 13 millimeters. Hoʻololi ka laulā o kēia mau aa i ko lākou hele ʻana mai nā māmā a i ka puʻuwai. ʻO ka maʻamau, hoʻonui ka aa i kona hoʻokokoke ʻana aku i ka puʻuwai. ʻO ka aa pulmonary hema haʻahaʻa he ʻokoʻa iki ia i kēia. Hoʻonui ia i kona haʻalele ʻana i nā māmā, akā hoʻohaiki iki i kona hoʻokokoke ʻana aku i ka puʻuwai.

E like me ko kākou mau aa koko ʻē aʻe, ua hana ʻia ka aa koko pulmonary i ʻekolu papa o nā ʻiʻo a me nā olonā :

• ʻO Tunica adventitia (papa waho): Hāʻawi kēia i ka aa i kona ʻano a me kona ʻano.
• ʻO Tunica media (papa waena): Loaʻa i loko nā pūnaewele ʻiʻo laumania. Kōkua kēia mau pūnaewele i ka hoʻonui ʻana a me ka ʻaelike ʻana o ke aʻa koko i ke kahe ʻana o ke koko ma o ia mea.
• ʻO Tunica intima (papa o loko loa): He uhi kēia i hana ʻia me nā pūnaewele endothelial laumania. ʻAe kēia i ke koko e kahe ma o ke aʻa me ke keakea ʻole.

ʻAʻole e like me nā aʻa koko ʻē aʻe, ua uhi hapa ʻia nā aʻa koko pulmonary e kahi papa o ka ʻiʻo puʻuwai i kapa ʻia ʻo ka papa myocardial . Ua like kēia me kahi "ʻaʻahu lima" i hana ʻia me nā ʻiʻo puʻuwai. Aia ia ma kahi kokoke i kahi e hui ai ke aʻa koko me ka atrium hema. ʻOi aku ka lōʻihi o kēia ʻaʻahu lima ma nā aʻa koko pulmonary kiʻekiʻe ma mua o nā aʻa koko haʻahaʻa.

He aha nā kūlana maʻamau e hoʻopilikia ai i nā aa koko pulmonary?

Aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i nā aa koko pulmonary. E nānā kākou i ke ʻano o lākou:

• ʻO ka Partial Anomaly Pulmonary Venous Inflow (PAPVR): E like me kā mākou i kūkākūkā ai ma mua, ʻaʻole pili kekahi a ʻoi aku paha o nā aa koko pulmonary i ka atrium hema.
• Ka pale ʻana o nā aʻa pulmonary:He paʻa ʻana i loko o kahi aʻa koko. Hana pinepine kēia i ka wā e laha ai kahi puʻupuʻu, e like me kekahi ma ka puʻuwai a i ʻole nā ​​māmā, i kahi aʻa koko.
• ʻO ka stenosis aʻa pulmonary: Ka hoʻohaiki ʻana o hoʻokahi a ʻoi aku paha o nā aʻa. I nā pēpē, hana pinepine ʻia kēia e nā kīnā puʻuwai hānau. I nā pākeke, hiki ke hana ʻia i kekahi manawa ma ke ʻano he hopena ʻaoʻao o ka catheter radiofrequency ablation, kahi lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo atrial fibrillation .
• ʻO ka thrombosis aʻa pulmonary: ʻO ke kūkulu ʻia ʻana o kahi clot koko i loko o kahi aʻa. ʻIke pinepine ʻia kēia i nā poʻe me ka maʻi kanesa o ka māmā a i ʻole ka poʻe i loaʻa i kahi hoʻoili māmā.
• ʻO ke koko kiʻekiʻe o nā ʻaʻa pulmonary: Ke koko kiʻekiʻe i loko o nā aʻa pulmonary. ʻO ke kumu nui o kēia, ʻo ia ka hāʻule ʻana o ka puʻuwai ma ka ʻaoʻao hema. ʻO nā kumu ʻē aʻe e pili ana i nā puʻupuʻu cardiac a me ka stenosis mitral valve.
• ʻO ka hoʻihoʻi ʻana o ke koko pulmonary anomalous loa (TAPVR): ʻAʻohe aa pulmonary e pili ana i ka atrium hema. Ua ʻike ʻia kēia i ka wā hānau.

He aha ka pilina ma waena o ka atrial fibrillation a me nā aa koko pulmonary?

ʻO ka atrial fibrillation, a i ʻole `(Atrial Fibrillation - A-Fib)` he ʻano puʻuwai ʻē. Hoʻomaka ia ma nā aa pulmonary, a i ʻole kahi e pili ai lākou i ka atrium hema. ʻOiai hiki i ka `(A-Fib)` ke hoʻomaka i loko o kekahi aa pulmonary, pili pinepine ia i ka aa pulmonary superior hema.

Hoʻohana nā kauka i kahi kaʻina hana i kapa ʻia ʻo ka pulmonary vein isolation e mālama iā A-Fib, ʻo ia hoʻi ka hoʻohana ʻana i kahi catheter.

Pehea e nānā ai i ke olakino o nā aʻa pulmonary?

Hoʻohana nā kauka i kekahi mau hoʻokolohua kiʻi like ʻole e nānā i ke olakino o kou mau aa pulmonary. ʻO kekahi o lākou:

• X-ray umauma
• Kaʻikepili Echocardiography
• Kiʻi Hoʻohui Magnetika (MRI)
• ʻO ke kiʻi ʻana o ka Tomography Computed (CT scan)

No laila, pehea lā e mālama ai i ko kākou mau aa koko?

Ua like nā aa koko me nā mea hana leo ʻole o ko mākou kino. Hana pono lākou, ʻo ia ke kumu e olakino a ikaika ai ko mākou kino holoʻokoʻa.

ʻO ka mea nui loa, inā ua ʻike ke kauka iā ʻoe me kahi maʻi aa pulmonary, e hoʻokō pono i kā lākou mau ʻōlelo aʻo.

He nui nā pilikia o nā aʻa varicose e pili ana me nā kūlana olakino ʻē aʻe. No laila, he mea nui e mālama i ke kūlana kumu a mālama iā ia ma lalo o ka nānā mau ʻana o ke kauka. E nīnau i kāu kauka e pili ana i nā mea hiki iā ʻoe ke hana ma ka home e mālama i kou kūlana a hōʻemi i nā hōʻailona.

E hoʻomanaʻo, he ʻāpana waiwai nui kou mau aa pulmonary o kou kino e lawe mai ana i ke ola hou i kou puʻuwai a me kou kino holoʻokoʻa. No laila he mea nui loa ka mālama ʻana iā lākou.

ʻO nā aʻa lolo, ka puʻuwai, nā māmā, ka ʻokikene, ke kaʻa koko, nā aʻa lolo, nā aʻa koko, nā maʻi puʻuwai