Kōkua no kou puʻuwai: He aha ka cardiology interventional?

Ua lohe paha ʻoe i ka huaʻōlelo "Interventional Cardiology"? Ua ʻōlelo paha kāu kauka iā ia, a ke nānā nei paha ʻoe iā ia no ka mea he pilikia kou i ka puʻuwai. Eia naʻe, he kahua koʻikoʻi loa kēia o ka lāʻau lapaʻau. E kamaʻilio pōkole kākou e pili ana i ia mea, ʻeā?

He aha ka Interventional Cardiology? He maʻalahi loa!

I ka ʻōlelo maʻalahi, ʻo ka cardiology interventional kahi hana kūikawā e hoʻohana ana i kahi ʻōmole liʻiliʻi a palupalu i kapa ʻia ʻo "catheter" e ʻike a mālama i nā maʻi o ka puʻuwai a me nā kīʻaha koko . E noʻonoʻo iā ia e like me kahi cannula liʻiliʻi a mākou e hoʻohana ai i ka wā e hoʻokomo ai mākou i ka saline i loko o ko mākou lima, akā ʻo kēia "catheter" he ʻōmole ʻoi aku ka maikaʻi. Hoʻokomo ʻia kēia ma o kekahi o kou mau kīʻaha koko. No laila, ʻaʻohe pono e hana i kahi ʻoki nui i ka ʻili a hana i ke ʻoki ʻana. ʻO kēia ka pōmaikaʻi nui o kēia ʻano hana.

Kōkua nā kauka ma kēia kahua (kapa mākou iā lākou he mau cardiologists interventional) i nā poʻe me nā maʻi puʻuwai vascular a me coronary. Hoʻōla pū lākou i nā pēpē, nā kamaliʻi ʻōpio, a me nā pākeke me nā kīnā puʻuwai, e like me nā kīnā valve puʻuwai a i ʻole nā ​​maʻi puʻuwai hānau, e like me nā kīnā septal.

He aha ka ʻokoʻa ma waena o ka Interventional Cardiology a me ke Cardiothoracic Surgery?

ʻOiai pili kēia mau mea ʻelua i ka puʻuwai, aia kahi ʻokoʻa iki.

Hana kekahi kauka puʻuwai interventional i ka lāʻau lapaʻau "Minimally Invasive", aʻu i ʻōlelo ai ma mua, me ka hoʻohana ʻana i kahi "(Catheter)", me ka ʻole o kahi ʻoki nui, ma o kahi lua liʻiliʻi. ʻO ia hoʻi, ʻaʻole lākou e hana i ka " ʻoki puʻuwai hāmama" , ʻo ia hoʻi ka hana ʻana i kahi ʻoki nui ma waenakonu o ka umauma ("Sternotomy".

Eia nō naʻe, he kauka cardiothoracic kekahi kanaka e hana ana i ke ʻoki ʻana ma nā ʻāpana o ka umauma, e like me ka puʻuwai, nā māmā, a me ka esophagus. Hana lākou i ke ʻoki puʻuwai hāmama. I kekahi manawa hoʻohana pū lākou i nā ʻoki liʻiliʻi he nui ma kahi o hoʻokahi ʻoki nui.

ʻO ka mea nui loa, i ka hapanui o nā hihia, e hana pū ana kēia mau loea ʻelua e hoʻoholo i ke ʻano lapaʻau e kūpono loa iā ʻoe.

He aha ka hana a ke kauka hana o ka cardiologist interventional?

He loea kēia mau kauka i ka hoʻohana ʻana i kēlā "(catheter)" no ka ʻike ʻana a me ka mālama ʻana i nā maʻi o ka puʻuwai a me nā kīʻaha koko. Hoʻohana ʻia kekahi mau ʻano hana e ʻike pono ai i ke ʻano o ka maʻi, aʻo kekahi e hoʻohana ʻia e mālama i ka maʻi.

He aha nā hoʻokolohua e kauoha ai kahi cardiologist interventional?

Ma kēia kahua nuiNānā ia inā e hana pono ana ke kahe koko i loko o kou kino. Nānā ia i nā pilikia e hoʻopilikia nei i ke kahe koko a hoʻāʻo e hoʻoponopono iā lākou. No ka laʻana, nānā ia i ke kahe koko a me ke kaomi i loko o nā kīʻaha koko e hoʻolako koko i kou puʻuwai (nā "Coronary Arteries") a i loko o nā keʻena puʻuwai.

ʻO kekahi o nā hoʻokolohua i hana ʻia no kēia:

• ʻO kahi scan CT o nā kīʻaha koko o ka puʻuwai (computed tomography (CT) o nā Coronary Arteries).
• ʻO kahi echocardiogram (kahi hoʻāʻo echo i hana ʻia i loko o ka puʻuwai).
• MRI o ka puʻuwai.
• Kiʻi X-ray o ka umauma .

He aha ke Kaʻina Hana Interventional Cardiac?

He ʻano hana kēia no ka mālama ʻana i ka puʻuwai me ka hoʻohana ʻana i kahi `(Catheter)` wale nō, me ka ʻole o ka ʻoki ʻana i ka ʻili a i ʻole ke hana ʻana i ke ʻoki kino. No ka laʻana, inā hana ʻia ke pani ʻana i kahi valve puʻuwai a i ʻole ka hoʻoponopono ʻana i kahi valve puʻuwai me ka hoʻohana ʻana i kahi `(Catheter)`, he lāʻau lapaʻau puʻuwai ia.

He aha nā lāʻau lapaʻau e hana ai kahi cardiologist interventional?

Nui nā lāʻau lapaʻau a kēia mau kauka e hana ai. Ua lohe paha ʻoe i kekahi o lākou.

• Catheterization cardiac: He hoʻokolokolo ʻana i ka puʻuwai ma ke hoʻokomo ʻana i kahi catheter i loko.
• Angiogram (`Angiogram` - `Peripheral` a i ʻole `Coronary`): Hoʻokomo ʻia kahi wai kūikawā i loko o nā kīʻaha koko a lawe ʻia nā kukuna X e ʻike i kahi o nā mea i ālai ʻia.
• Angioplasty: Ke wehe hou ʻana i kahi kīʻaha koko i paʻa ʻia ma ka hoʻopiha ʻana iā ia me kahi mea liʻiliʻi e like me ka pōpō.
• ʻO Coronary Atherectomy: Wehe ʻana i nā waihona momona (plaque) i loko o nā kīʻaha koko .
• Ana o ka Fractional Flow Reserve (FFR): He ana ia o ka nui o ke kahe o ke koko i ālai ʻia ma muli o kahi ālai ʻana i loko o kahi kīʻaha koko.
• Intravascular Ultrasound (IVUS): He kaʻina hana e hoʻokomo ʻia ai kahi mea ultrasound liʻiliʻi i loko o kahi kīʻaha koko.
• ʻO ka Optical Coherence Tomography (OCT): He ʻano hana e hoʻohana ana i ka mālamalama e ʻike maopopo i loko o nā kīʻaha koko.
• Ke Kau ʻana o Stent: He ʻōmole ʻupena liʻiliʻi i kau ʻia i loko o kahi kīʻaha koko i paʻa i wehe ʻia e ka angioplasty i ʻole e paʻa hou. Hana pinepine ʻia kēia me ka metala.
• Hoʻololi a me ka hoʻoponopono ʻana i ka valve puʻuwai: Hiki ke hana ʻia kēia me kahi catheter.
• Pani ʻia ʻana o ka Hoʻopili Atrial Hema.
• Ke pani ʻana i ka lua ma ka paia ma waena o ka atria ('Atrial Septal Defect Closure`).
• Ka Hoʻopau ʻana i ka Septal Alcohol.
• Pani ʻia ʻana o ka Foramen Ovale Palapala Sila Nui.
• Renal Denervation: He lāʻau lapaʻau e pili ana i nā aʻalolo i nā puʻupaʻa e hoʻēmi i ke koko kiʻekiʻe.
• Thrombolysis: Hoʻoheheʻe ʻia nā clots koko.

He aha ka lāʻau lapaʻau maʻamau i hana ʻia e nā cardiologists interventional?

ʻO ke kaʻina hana maʻamau a kēia mau kauka e hana ai, ʻo ia ka angioplasty a me ke kau ʻana o ka stent i loko o nā kīʻaha koko o ka puʻuwai. Pili kēia i ka hoʻohana ʻana i kahi catheter e ʻike ai i kahi paʻa i loko o kahi kīʻaha koko i loko o ka puʻuwai. A laila, me kahi mea hana liʻiliʻi e like me ka balloon, ua kaomi ʻia ka paʻa (ʻo ia hoʻi, ka plaque i hana ʻia e nā waihona cholesterol) i ka paia o ke kīʻaha, e hana ana i kahi ala no ke kahe ʻana o ke koko. A laila, inā pono, ua kau ʻia kahi ʻōmole mesh i kapa ʻia he stent ma laila e pale ai i ke ala mai ka pani hou ʻana. He lāʻau lapaʻau ola kēia no kekahi mea i loaʻa i ka hōʻeha puʻuwai.

He aha nā maʻi a me nā kūlana i mālama ʻia e ka cardiology interventional?

Hiki i kēia ʻano hana ke mālama i kekahi mau maʻi e hoʻopilikia ana i ka puʻuwai a me nā kīʻaha koko. Eia kekahi mau laʻana:

• Maʻi Valve Puʻuwai
• Atherosclerosis
• Maʻi hohola
• ʻO ka maʻi Carotid Artery (he kīʻaha koko nui kēia ma ka ʻāʻī)
• Maʻi ʻAʻa Coronary
• ʻO ka Hypertrophic Cardiomyopathy (mānoanoa o ka ʻiʻo puʻuwai)
• ʻO ka Fistula Artery Coronary (He pilina maʻamau ʻole ma waena o kahi kīʻaha koko i loko o ka puʻuwai a me kekahi kīʻaha koko ʻē aʻe a i ʻole kekahi ʻāpana o ka puʻuwai)
• ʻO ka maʻi ʻaʻa Peripheral (pale ʻana o ke kīʻaha koko i nā lālā)
• Ka maʻi ʻaʻa mau loa (Vein)
• ʻO ka Stenosis Valve Aortic
• Nā maʻi koko koko ('Maʻi Thromboembolic')
• ʻAneurysm
• Nā lua ma ka paia ma waena o ka atria (`Atrial Septal Defect`)
• Nā lua ma ka paia ma waena o nā ventricles (`Ventricular Septal Defect`)

Pono anei au i kahi kuhikuhi e ʻike ai i kahi cardiologist interventional?

ʻAe, pono pinepine ʻoe i kahi kuhikuhi mai kekahi kauka ʻē aʻe e ʻike i kahi cardiologist interventional. ʻO kēia no ka mea ua hoʻomaʻamaʻa ʻia kēia mau loea e hana i ka hoʻāʻo kikoʻī a i ʻole ka lāʻau lapaʻau āu e pono ai.

Ma hea e hana ai kēia mau kauka cardiologists interventional?

Hana nā kauka cardiologists interventional ma nā haukapila, nā kikowaena lapaʻau pilikino, a me nā kula lapaʻau. Hoʻokomo pū kekahi i ka noiʻi a me ke aʻo ʻana i nā haumāna lapaʻau me ka hāʻawi ʻana i ka lāʻau lapaʻau.

I ka manawa pinepine, ua mākaukau kēia mau kauka e mālama i kahi pilikia, no ka laʻana, kahi mea i loaʻa i ka hānō puʻuwai.

He aha ke aʻo e pono ai no ka cardiology interventional?

Pono ka hana ʻana ma kēia kahua i nā makahiki he nui o ke aʻo ʻana. Ma hope o ke kula lapaʻau (4 mau makahiki), hoʻopau ka poʻe e alualu ana i kēia subspeciality i ʻekolu mau makahiki o ke aʻo ʻana ma ka Lapaʻau Kūloko, a ukali ʻia e ʻekolu mau makahiki hou o ke aʻo kūikawā ma ka Cardiology Laulā.

Ma hope o kēlā, e loaʻa iā ʻoe ma ka liʻiliʻi he makahiki ʻē aʻe o ke aʻo ʻana i ka cardiology interventional kūikawā (`Fellowship`) ma nā ʻano hana i hoʻohana ʻia e hoʻohana i ka ``Catheter``. A laila wale nō e loaʻa iā ʻoe kahi ``Palapala Hōʻoia`` mai kahi papa lapaʻau.

ʻO kekahi mau kauka cardiologist interventional he mau lālā o nā hui e like me ka Society for Cardiovascular Angiography and Interventions (SCAI) a i ʻole he lālā kūikawā (he "Fellow"). ʻO ka "Fellow" he kanaka nāna i hana ma mua o 1,000 mau kaʻina hana. ʻO ke ʻano kēia e mālama ʻia nei ʻoe e kekahi mea i loaʻa i ka hoʻomaʻamaʻa kiʻekiʻe loa.

He aha kāu e manaʻo ai i ka wā o kahi manawa hoʻonohonoho cardiology interventional?

Inā ʻaʻole he pilikia, e kamaʻilio kekahi kauka puʻuwai interventional me ʻoe e pili ana i kou mau pilikia puʻuwai a i ʻole nā ​​​​​​pilikia o ke kīʻaha koko. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me ka lōʻihi o kou loaʻa ʻana iā lākou. He mea nui e lawe mai i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai aku ma luna o ke kauka, nā huaora, a me nā mea hoʻohui).

E hoʻolohe ke kauka i kou puʻuwai. E nīnau pū ʻo ia inā ʻoe e hoʻohana ana i nā huahana paka a inu paha i ka waiʻona. E nīnau pū ʻo ia inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai a i ʻole nā ​​pilikia o ke kīʻaha koko. Hiki iā ia ke hana i nā hoʻokolohua maʻalahi ma laila, e like me ka nānā ʻana i kou koko.

Inā makemake ʻoe i nā hoʻokolohua hōʻoia a/a i ʻole nā ​​​​lāʻau lapaʻau, pono ʻoe e hoʻonohonoho i kahi manawa ʻokoʻa no kēlā lā. E wehewehe kāu kauka i ka lāʻau lapaʻau a lākou e manaʻo ai he kūpono iā ʻoe, me nā pono a me nā pilikia. E haʻi pū lākou iā ʻoe pehea e hoʻomākaukau ai no ka lāʻau lapaʻau. No ka laʻana, e noi ʻia paha ʻoe ʻaʻole e ʻai a inu paha no ʻewalu hola ma mua o ka hoʻāʻo a i ʻole ka lāʻau lapaʻau.

He mea maʻamau ke hopohopo iki a me ka hopohopo ke haʻi ʻia aku iā ʻoe e hana ʻia ana ke ʻoki puʻuwai. Akā e hoʻomanaʻo, ke loaʻa iā ʻoe ke cardiology interventional, ke mālama ʻia nei ʻoe e kahi loea i aʻo nui ʻia. Hiki iā lākou ke hōʻiliʻili i ka ʻike e pono ai lākou e ʻike i ke kūlana a laila e mālama iā ia me ka ʻole o ka hana ʻana i ke ʻoki puʻuwai hāmama.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

No laila, he kahua lapaʻau holomua loa ka cardiology interventional a he kahua hoʻi e aloha ai i ka mea maʻi.

• ʻAʻohe ʻoki nui: ʻO ka pōmaikaʻi nui, hiki ke mālama ʻia nā pilikia o ka puʻuwai a me nā kīʻaha koko me ka hoʻohana ʻana i kahi catheter liʻiliʻi wale nō, me ka ʻole o ka hana ʻana i kekahi ʻoki nui.
• Hoʻōla koke: ʻOiai ʻaʻohe hana ʻoki nui i hana ʻia, he pōkole ka noho ʻana ma ka haukapila, a hiki iā ʻoe ke hoʻōla koke a hoʻi i kou ola maʻamau.
• ʻIke loea: Hana ʻia kēia lāʻau lapaʻau e nā kauka i loaʻa i ka hoʻomaʻamaʻa kūikawā no kēia kumu.
• Mai makaʻu: Inā ua kuhikuhi ʻia ʻoe i ia ʻano lāʻau lapaʻau, e kamaʻilio pono me kāu kauka e pili ana i ia mea a e ʻike i nā kikoʻī. ʻO ka ʻike ʻana i ka ʻike pololei e kōkua iā ʻoe e pale aku i nā makaʻu pono ʻole.

Inā he mau pilikia puʻuwai kou, mai poina e ʻike i ke kauka no ka ʻōlelo aʻo. ʻO ka puʻuwai olakino ke ʻano o ke ola olakino!

ʻO ka maʻi puʻuwai, ka cardiology interventional, catheter, angioplasty, stent, ʻoki puʻuwai, olakino puʻuwai