ʻO wai ke kauka Cardiologist Pediatric?
I ka ʻōlelo maʻalahi, he kauka cardiologist pediatric i loaʻa i ka hoʻomaʻamaʻa kūikawā e ʻike a mālama i nā maʻi puʻuwai a me nā pilikia e pili ana i ka puʻuwai i nā pēpē ʻōpio, nā keiki, a i kekahi manawa nā mākua ʻōpio. ʻIke pono lākou i ke ʻano o ka hana ʻana o ka puʻuwai o ke keiki, nā loli e hiki ke hana, a pehea e mālama ai iā lākou. E noʻonoʻo e pili ana i ia mea, ua hānau ʻia kekahi mau pēpē me kahi maʻi puʻuwai, a mākou e kapa nei he maʻi puʻuwai hānau . ʻO ia kahi e komo mai ai kēia mau loea. ʻAʻole wale ia, akā i kekahi manawa mālama pū kēia mau kauka i nā pākeke ma luna o 18 mau makahiki akā ua hānau ʻia me kahi maʻi puʻuwai hānau a pono i ka mālama lōʻihi. ʻIke kēia mau kauka pehea e hiki ai i kahi pilikia me ka puʻuwai o ke keiki ke hoʻopilikia i nā ʻano ʻē aʻe o ke olakino o ke keiki. Hoʻomaopopo pū lākou hiki ke loaʻa ka maʻi puʻuwai ma muli o nā pilikia ma kahi ʻē aʻe o ke kino o ke keiki, a i ʻole ma muli o kekahi mau syndromes genetic . No ka laʻana, ʻoi aku ka nui o ka loaʻa ʻana o nā pilikia puʻuwai a me nā kīʻaha koko i kahi keiki me kahi maʻi e like me Turner syndrome. No laila, inā loaʻa i kāu keiki nā hōʻailona e pili ana i ko lākou puʻuwai, ua mākaukau kēia mau loea e kōkua iā ʻoe e ʻike i ke kumu, hoʻomohala i kahi hoʻolālā lapaʻau e pono ai nou, a e noho pū me ʻoe i kēlā me kēia ʻanuʻu o ke ala. Ua kūpaʻa kēia mau kauka i ke kākoʻo ʻana i ke olakino o kāu keiki i ko lākou wā ʻelemakule.He aha ka ʻokoʻa ma waena o kahi cardiologist pediatric a me kahi cardiologist laulā?
He nīnau kēia a ka poʻe he nui. Nānā nui nā kauka puʻuwai pediatric i nā maʻi puʻuwai e hoʻopilikia i nā pēpē i ka wā hānau a i ʻole i ka wā ʻōpiopio o ke ola . He ʻokoʻa kā lākou ʻoihana kūikawā mai nā kauka puʻuwai , ka poʻe e mālama pinepine i nā maʻi puʻuwai i nā pākeke ma luna o 18 mau makahiki. No ka laʻana, mālama nā kauka puʻuwai i nā maʻi hou aʻe e ulu ana ma hope o ke ola. ʻO kahi laʻana, ʻo ka maʻi artery coronary (CAD) . Eia nō naʻe, mālama nā kauka puʻuwai pediatric i nā pilikia i loaʻa i ka wā hānau. No ka laʻana , nā lua i loko o nā paia ma waena o ka atria a i ʻole ventricles (Atrial and Ventricular Septal Defects) , a i ʻole hypoplastic left heart syndrome (HLHS).ʻIke pinepine lākou i nā kūlana e like me kēia. Hoʻōla pū lākou i nā pilikia o ka puʻuwai (`(Arrhythmias)`) a i ʻole nā pilikia o nā ʻiʻo puʻuwai (`(Cardiomyopathy)`) hiki ke loaʻa i nā keiki ma hope o ko lākou hānau ʻana.He aha ka hana a ke kauka cardiologist o nā keiki?
He kuleana koʻikoʻi ko kēia mau kauka. ʻO lākou ke kumu nui o ka ʻike a me ka mālama ʻana i nā maʻi puʻuwai:- I ka wā o ka fetal (ma mua o ka hānau ʻana o ka pēpē): I kekahi manawa hiki i nā hoʻokolohua i hana ʻia i ka wā e noho ana ka pēpē i loko o ka ʻōpū ke ʻike i kahi pilikia puʻuwai.
- Nā pēpē (ma hope o ka hānau ʻana): Maʻi puʻuwai i nā pēpē hānau hou.
- Nā kamaliʻi: Maʻi puʻuwai i nā keiki ʻelemakule iki .
- Nā keiki ʻōpio a me nā mākua ʻōpio: Maʻi puʻuwai i nā ʻōpio a me nā mākua ʻōpio.
- Nā pākeke ma luna o 18 mau makahiki (i kekahi mau hihia): ʻO ka poʻe me ka maʻi puʻuwai hānau e pono ai ka mālama mau ʻana.
He aha kāu e manaʻo ai mai iā lākou?
Ke lawe ʻoe i kāu keiki e ʻike i kahi cardiologist pediatric, hiki iā ʻoe ke manaʻo i nā mea e like me:- Ke hoʻohana nei i nā lako hana diagnostics like ʻole a me nā hoʻokolohua e ʻike ai i ka pilikia pololei me ka puʻuwai o ke keiki.
- Ke hana ʻana i nā hoʻolālā lapaʻau. I kekahi manawa hiki ke hana ʻia kēia mau hoʻolālā ma mua o ka hānau ʻana o ka pēpē.
- Ke nānā pinepine ʻana me kāu keiki (nā hālāwai).
- Ke kauoha ʻana i nā hoʻokolohua e pono ai no kāu keiki a me ka wehewehe ʻana i kēlā mau hōʻike hoʻokolohua iā ʻoe.
- Ke kuhikuhi ʻana i nā loea ʻē aʻe (e like me nā kauka ʻokiʻoki) no kekahi mau lāʻau lapaʻau kikoʻī, e like me ke ʻoki ʻana.
- Nā ʻōlelo aʻoaʻo no ka pinepine o kāu keiki e ʻike hou i ke kauka a pehea e mālama ai iā ia.
- Ke hoʻonaʻauao nei iā ʻoe e pili ana i ke kūlana o ke keiki a me nā ʻoiaʻiʻo olakino ma hope ona.
- E aʻo iā ʻoe pehea e mālama ai i kāu pēpē ma ka home.
E hoʻomanaʻo, ʻoiai he loea kēia kauka i ka puʻuwai o kāu keiki, ʻike pū lākou e hiki i nā pilikia o ka puʻuwai ke hoʻopilikia i nā ʻano he nui o ke ola o kahi keiki. ʻO ia ke kumu e hana pū ai lākou me nā loea ʻē aʻe.
ʻO wai nā loea ʻē aʻe a lākou e hana pū ai?
Hiki i ke kauka puʻuwai pediatric o kāu keiki ke hana ma ke ʻano he hui, e kaʻana like ana i ka ʻike a me nā kumuwaiwai me nā loea ʻē aʻe e like me:- Nā Kauka Lapaʻau : Kauka lapaʻau laulā o kāu keiki.
- Nā Neonatologists: Nā kauka i loea i nā maʻi o nā pēpē hānau hou.
- Nā Kauka Lapaʻau Puʻuwai Keiki: Nā kauka e hana i ke ʻoki puʻuwai ma nā keiki.
- Anesthesiologists: Nā kauka e lawelawe i ka anesthesia i ka wā o ke ʻoki ʻana.
- Radiologists: Nā kauka e hana i nā mea e like me nā X-ray a me nā scans a nānā i kā lākou mau hōʻike.
- Nā kahu hānai keiki: Nā kahu hānai e mālama ana i nā keiki.
- Nā Kauka ʻŌlelo-ʻŌlelo (SLP): Nā poʻe e kōkua ana i nā pilikia ʻōlelo a me ka ʻōlelo.
- Nā Luna Hoʻōla Hana: Nā poʻe e kōkua ana i nā hana o kēlā me kēia lā.
Ma hea e hana ai nā kauka cardiologists pediatric?
Hana kēia mau loea i nā ʻano hana like ʻole. Eia kekahi laʻana:- Ma nā haukapila: Loaʻa paha i nā haukapila nui nā keʻena maʻi puʻuwai kūikawā no nā keiki.
- Nā keʻena lapaʻau ma waho: Nā wahi e hiki ai iā ʻoe ke ʻike i ke kauka, loaʻa ka lāʻau lapaʻau, a hoʻi i ka home.
- Ma nā keʻena hoʻokolohua noiʻi: Nā wahi e noiʻi ʻia ai nā lāʻau lapaʻau a me nā lāʻau lapaʻau hou.
- Ma nā kulanui a me nā kula lapaʻau: nā wahi e aʻo ʻia ai nā kauka e hiki mai ana.
He aha nā maʻi nui a lākou e mālama ai?
Ua mākaukau nā kauka puʻuwai keiki e ʻike a mālama i nā ʻano pilikia like ʻole e hiki ke hoʻopilikia i ka puʻuwai o kāu keiki. Eia kekahi o lākou:- ʻO ka maʻi puʻuwai hānau: He māhele nui kēia. Hoʻokomo pū ia i nā pilikia puʻuwai like ʻole i loaʻa i nā pēpē i ka wā hānau. He mau mea liʻiliʻi kekahi a hiki ke mālama maʻalahi ʻia. Akā ʻoi aku ka paʻakikī o kekahi a pono paha ke mālama ʻia i ka wā pilikia. ʻO ke kikoʻī, ʻo ia hoʻi nā lua i loko o nā paia o ka puʻuwai, nā pilikia valve, a me nā ʻāpana o ka puʻuwai i ulu pono ʻole.
- Nā maʻi puʻuwai (Arrhythmias): He mau ʻano puʻuwai ʻē kēia e kū mai ana i ka wā e hana pono ʻole ai ka ʻōnaehana uila o ka puʻuwai o kāu keiki. Hiki i ka puʻuwai o kāu keiki ke kuʻi wikiwiki loa, lohi loa, lele i kahi kuʻi, a i ʻole he mau kuʻi keu. ʻO ka hapa nui o ka manawa, ʻaʻole pilikia nui kēia mau arrhythmias i nā keiki. Akā i kekahi manawa pono lākou i ka lāʻau lapaʻau e pale aku i nā pilikia koʻikoʻi.
- Cardiomyopathy: He hui kēia o nā maʻi e hoʻopilikia ai i ka ʻiʻo puʻuwai o kāu keiki. Hiki ke paʻakikī, hoʻonui ʻia, a mānoanoa paha ka ʻiʻo. Hiki i kēia ke paʻakikī i ka puʻuwai o kāu keiki ke pamu pono i ke koko, e paʻakikī ai i ke kino ke loaʻa ke koko lawa.
- Ke koko kiʻekiʻe : ʻO kēia ka wā e kiʻekiʻe loa ai ke kaomi o ke koko e kahe ana ma nā aʻa o kāu keiki. Hiki i kēia kūlana ke hoʻopilikia i ke kino holoʻokoʻa ('Systemic Hypertension') a i ʻole kekahi mau wahi wale nō, e like me nā māmā (' Pulmonary Hypertension ').
He aha nā hōʻailona maʻamau e ʻike ʻia e nā kauka cardiologist pediatric i nā keiki?
Lawe pinepine ʻia nā keiki e ʻike i nā cardiologists pediatric me nā hōʻailona e pili ana i ka puʻuwai, e like me:- Nā ʻŌhūhū Puʻuwai: Nā leo keu a ke kauka e lohe ai i ka wā e hoʻolohe ai i ka puʻuwai me ka stethoscope. ʻAʻole pinepine kēia mau mea i mea ʻino, akā i kekahi manawa hiki iā lākou ke hōʻike i kahi pilikia kumu.
- ʻEha Umauma: ʻAʻole maʻamau ka ʻeha umauma i nā keiki ʻōpio ma muli o ka maʻi puʻuwai, akā he mea ia e makaʻala ai.
- Nā Palpitations o ka Puʻuwai: Ke manaʻo nei ke keiki i ka puʻuwai e kuʻi ana.
- Nāwaliwali: Poho koke ka ʻike.
Pehea ʻoe e lilo ai i cardiologist pediatric?
Malia paha ke heluhelu nei ʻoe i kēia ʻatikala me ka noʻonoʻo e lilo i kauka puʻuwai keiki. A i ʻole ua alakaʻi kekahi ʻike i kou ola iā ʻoe ma kēia ala. Malia paha he makemake nui ʻoe i kēia ʻepekema. ʻOiai ke kumu, ʻo ka lilo ʻana i kauka puʻuwai keiki he pahuhopu ola kūpono loa ia. Hiki iā ʻoe ke kōkua i nā keiki he nui, ko lākou mau ʻohana, a hāʻawi iā lākou i ka manaʻolana. Eia nō naʻe, pono ia i nā makahiki o ke aʻo ʻana a me ke aʻo ikaika. ʻO ka maʻamau, pono kēia huakaʻi e hoʻopau i kēia mau mea:- He kekelē laepua (ʻehā mau makahiki maʻamau).
- Kula lapaʻau (ma ka liʻiliʻi he ʻehā mau makahiki).
- Hoʻomaʻamaʻa noho ma ka pediatrics (ʻekolu makahiki).
- Fellowship ma Pediatric Cardiology (ʻekolu mau makahiki liʻiliʻi).
- Ma hope o kēlā, pono ʻoe e kiʻi i nā palapala hōʻoia mai nā papa kūpono.
- Ke ʻike ʻana i ka maʻi puʻuwai i loko o ka pēpē a me ka hoʻolālā ʻana i ka mālama ʻana ma hope o ka hānau ʻana (Fetal Cardiology).
- Ke hana nei i nā kaʻina hana catheterization puʻuwai.
- Ka mālama ʻana i nā keiki ma ka Cardiac ICU.
- Ke nānā ʻana a me ka mālama ʻana i nā pilikia o ka puʻuwai.
- Ke nānā ʻana a me ka mālama ʻana i nā maʻi puʻuwai me ka hoʻohana ʻana i nā ʻenehana holomua e like me MRI (Magnetic Resonance Imaging) a me CT (Computed Tomography).
- Ka Hoʻokele ʻana i ka Hāʻule ʻana o ka Puʻuwai a me ka Hoʻoili Puʻuwai.
- Ka Hoʻokele ʻana i ka Maʻi Puʻuwai Hānau ʻia o nā Pākeke, ka mea e hoʻopilikia ai i nā pākeke.
Ke loaʻa i kāu keiki ka maʻi puʻuwai, hiki iā ia ke manaʻo e like me ʻoe ma luna o kahi roller coaster o nā manaʻo. E noho pū ana kāu kauka puʻuwai pediatric me ʻoe i nā piʻi a me nā iho. E hoʻohana lākou i ko lākou ʻike a me ka ʻike e hāʻawi i ka mālama maikaʻi loa no kāu keiki, a kōkua iā ʻoe e hoʻomaopopo i ka mea e hiki mai ana.
ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)
No laila, inā he mau hopohopo a nīnau paha kāu e pili ana i ka puʻuwai o kāu keiki, he mea nui e ʻimi i ka ʻōlelo aʻo lapaʻau me ka makaʻu ʻole. He hui loea i hoʻolaʻa ʻia nā Pediatric Cardiologists e kōkua iā ʻoe a me kāu keiki ma kēia huakaʻi. E hana lākou i nā mea āpau e hiki ai iā lākou ke hōʻoia i ke olakino o ka puʻuwai o kāu keiki. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi! ʻO ka loaʻa ʻana o ka ʻike kūpono a me ka loaʻa ʻana o ka lāʻau lapaʻau kūpono ka mea nui loa.ʻO ke kauka puʻuwai o nā keiki, kauka puʻuwai, nā puʻuwai pēpē, nā maʻi puʻuwai o nā keiki, nā maʻi puʻuwai hānau, nā palpitations puʻuwai, ke ʻoki puʻuwai
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