Nā Halemai a me nā Kauka27 Nowemapa 2025🔄 Updated: 14 Iul. 2026⏱ 13 min

Ke hopohopo nei ʻoe no ka puʻuwai o kāu keiki liʻiliʻi? E aʻo kākou e pili ana i kahi Kauka Puʻuwai Pediatric!

Creator: Dr. Priya Sammani
Published: 2025-11-27T04:44:45.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ke noʻonoʻo ʻoe inā olakino ka puʻuwai o kāu keiki liʻiliʻi, i kekahi manawa manaʻo ʻoe i ka makaʻu a me ka hopohopo, ʻeā? I ka wā e pili ana i ka maʻi puʻuwai i nā keiki ʻōpio, aia nā kauka i loaʻa ka hoʻomaʻamaʻa kūikawā a me ka ʻike hohonu ma kēia wahi. ʻO lākou ka mea a mākou e kapa nei he Pediatric Cardiologists . No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau loea, kā lākou hana, a me ke kōkua hiki iā lākou ke hāʻawi inā loaʻa i kāu keiki ka pilikia puʻuwai.

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.
Hoʻohana kekahi mau kauka puʻuwai keiki i ka hapa nui o ko lākou manawa e hana pololei me nā keiki a me ko lākou mau ʻohana. Hoʻohana pū kekahi i ka manawa e hana ana i ka noiʻi a me ke aʻo ʻana. ʻOkoʻa ia ma muli o ke ʻano o kā lākou hana.
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.
Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, hiki iā ʻoe ke kamaʻilio me kahi pediatrician e pili ana i ia mea a, inā pono, e kuhikuhi iā lākou i kahi cardiologist pediatric.
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.
I loko o kēia haʻawina, hiki iā ʻoe ke koho e loea i nā ʻano hana ʻē aʻe, e like me:
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.
ʻO nā kauka puʻuwai keiki ka poʻe e noho pū me ʻoe i nā manawa weliweli loa a me nā manawa hauʻoli loa i ke ola o kou ʻohana. Hiki iā lākou ke hāʻawi iā ʻoe i ka nūhou paʻakikī loa e lohe ai, akā e noho pū lākou ma laila e hoʻolauleʻa i kēlā me kēia hanana koʻikoʻi a me ka lanakila i ka hoʻōla ʻana o kāu keiki.
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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Nā Halemai a me nā Kauka27 Nowemapa 2025
Ke hopohopo nei ʻoe no ka puʻuwai o kāu keiki liʻiliʻi? E aʻo kākou e pili ana i kahi Kauka Puʻuwai Pediatric!
Dr. Priya SammaniMedical Verification
⏱ 13 min read
📋Table of Contents
1. ʻO wai ke kauka Cardiologist Pediatric?
2. He aha ka ʻokoʻa ma waena o kahi cardiologist pediatric a me kahi cardiologist laulā?
3. He aha ka hana a ke kauka cardiologist o nā keiki?
4. He aha kāu e manaʻo ai mai iā lākou?
5. ʻO wai nā loea ʻē aʻe a lākou e hana pū ai?
6. Ma hea e hana ai nā kauka cardiologists pediatric?
7. He aha nā maʻi nui a lākou e mālama ai?
8. He aha nā hōʻailona maʻamau e ʻike ʻia e nā kauka cardiologist pediatric i nā keiki?
9. Pehea ʻoe e lilo ai i cardiologist pediatric?
10. ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)
Ke noʻonoʻo ʻoe inā olakino ka puʻuwai o kāu keiki liʻiliʻi, i kekahi manawa manaʻo ʻoe i ka makaʻu a me ka hopohopo, ʻeā? I ka wā e pili ana i ka maʻi puʻuwai i nā keiki ʻōpio, aia nā kauka i loaʻa ka hoʻomaʻamaʻa kūikawā a me ka ʻike hohonu ma kēia wahi. ʻO lākou ka mea a mākou e kapa nei he Pediatric Cardiologists . No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau loea, kā lākou hana, a me ke kōkua hiki iā lākou ke hāʻawi inā loaʻa i kāu keiki ka pilikia puʻuwai.
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.
Hoʻohana kekahi mau kauka puʻuwai keiki i ka hapa nui o ko lākou manawa e hana pololei me nā keiki a me ko lākou mau ʻohana. Hoʻohana pū kekahi i ka manawa e hana ana i ka noiʻi a me ke aʻo ʻana. ʻOkoʻa ia ma muli o ke ʻano o kā lākou hana.
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.
Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, hiki iā ʻoe ke kamaʻilio me kahi pediatrician e pili ana i ia mea a, inā pono, e kuhikuhi iā lākou i kahi cardiologist pediatric.
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.
I loko o kēia haʻawina, hiki iā ʻoe ke koho e loea i nā ʻano hana ʻē aʻe, e like me:
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.
ʻO nā kauka puʻuwai keiki ka poʻe e noho pū me ʻoe i nā manawa weliweli loa a me nā manawa hauʻoli loa i ke ola o kou ʻohana. Hiki iā lākou ke hāʻawi iā ʻoe i ka nūhou paʻakikī loa e lohe ai, akā e noho pū lākou ma laila e hoʻolauleʻa i kēlā me kēia hanana koʻikoʻi a me ka lanakila i ka hoʻōla ʻana o kāu keiki.
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
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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