Hopohopo e pili ana i kahi kīnā puʻuwai i kāu pēpē? E aʻo e pili ana i ka maʻi puʻuwai Acyanotic

I ka wā i hānau ʻia ai kāu keiki liʻiliʻi, ua ʻōlelo anei ke kauka he ʻōhumu puʻuwai kona? A i kona wā ʻelemakule, ua luhi koke ʻo ia ma mua o nā keiki ʻē aʻe i ka wā e holo ana a pāʻani ana? Hiki i kēia mau mea ke lilo i mau hōʻailona o ka maʻi puʻuwai hānau. Akā, mai hopohopo. ʻAʻole koʻikoʻi nā maʻi puʻuwai hānau āpau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano maʻi puʻuwai i maʻamau, akā ʻaʻole ia e hoʻoulu i nā maka polū.

He aha ka maʻi puʻuwai Acyanotic?

I ka ʻōlelo maʻalahi, ʻo ka maʻi puʻuwai hānau (CHD) kahi maʻi e kū mai ana i ka wā e ulu ai ka puʻuwai o kahi pēpē i ka wā hāpai. ʻO ke ʻano kēia he mau kīnā liʻiliʻi i ke ʻano a i ʻole ka hana o ka puʻuwai. Hiki ke hoʻokaʻawale ʻia kēia i ʻelua ʻano nui.

1. Maʻi Puʻuwai Cyanotic Congenital: Ma kēia ʻano, ma muli o kahi kīnā i loko o ka puʻuwai, emi ka nui o ka oxygen i loko o ke koko e hele ana i ke kino. A laila , hoʻomaka nā wahi e like me nā lehelehe, ke alelo, a me nā manamana lima e lilo i polū . Ua kapa ʻia kēia kala polū ʻo 'cyanosis'.

2. Maʻi Puʻuwai Hānau ʻAcyanotic: Ma kēia ʻano maʻi puʻuwai, ʻaʻohe hemahema o ka nui o ka oxygen i loko o ke koko e hele ana i ke kino, ʻoiai he kīnā i loko o ka puʻuwai. No laila, ʻaʻole e polū ke kino. Eia naʻe, ma muli o ke kīnā i loko o ka puʻuwai, aia kekahi ʻano ʻē i ke ʻano o ke kahe ʻana o ke koko ma ke kino holoʻokoʻa.

Pehea ka maʻamau o kēia ʻano?

Ma kahi o 8 o kēlā me kēia 1,000 mau pēpē hānau hou ma ka honua i loaʻa i kekahi ʻano maʻi puʻuwai hānau. Ma waena o kēia mau mea , 75%, a i ʻole ma kahi o ʻekolu hapahā, ʻo ia ke ʻano acyanotic o ka maʻi puʻuwai a mākou e kamaʻilio nei. No laila hiki iā ʻoe ke ʻike ʻaʻole kēia he maʻi laha ʻole.

He aha nā ʻano maʻi puʻuwai non-cyanotic maʻamau?

Aia kekahi mau ʻano maʻi puʻuwai i ʻike ʻia ma lalo o kēia. E hoʻomaopopo kākou i kēlā me kēia ma nā huaʻōlelo maʻalahi. E nānā i kēia papa.

He aha nā hōʻailona o kēia maʻi?

ʻAʻole paha e hōʻike kekahi mau pēpē me kēia maʻi i kekahi mau hōʻailona i ka wā hānau. ʻO ka hōʻailona wale nō paha he kani puʻuwai keu (heart murmur) a ke kauka e lohe ai me ka stethoscope.

Eia nō naʻe, i ka hala ʻana o ka manawa, i ka hoʻomau ʻana o ka puʻuwai i ka hana ikaika e pamu i ke koko, hiki ke kū mai kekahi mau pilikia. Hiki ke ulu aʻe ke koko kiʻekiʻe (hypertension) no ka mea pono ka puʻuwai e hana ikaika e pamu i ke koko. I kekahi manawa, hiki ke piʻi aʻe ke koko i loko o nā māmā (pulmonary hypertension). I ka hopena, hiki ke ulu ka hāʻule ʻana o ka puʻuwai, kahi kūlana i hiki ʻole ai i ka puʻuwai ke pamu i ke koko me ka maikaʻi. Hiki ke ʻike ʻia nā hōʻailona ma lalo nei me kēia mau kūlana:

• Pōkole o ka hanu: ʻOi aku hoʻi i ka wā e hoʻoikaika kino ai a hoʻoluhi paha.
• Pōniuniu: He manaʻo koke o ka wili ʻana.
• Manaʻo luhi koke: Manaʻo luhi loa ʻoiai ma hope o ka hana ʻana i ka hana maʻamau (Fatigue).
• Syncope: Hiki iā ʻoe ke nalowale koke i ka ʻike a hāʻule.

He aha ke kumu o kēia kūlana?

ʻAʻole hiki i nā kānaka ʻepekema ke ʻōlelo me ka maopopo 100% no ke aha e loaʻa ai kēia mau kīnā puʻuwai hānau, akā ua ʻike lākou he hiki i kekahi mau kumu ke kōkua i kēia.

• Nā chromosomes maʻamau ʻole: Aia kahi piʻi o ka pilikia o kēia mau kīnā puʻuwai me kekahi mau kūlana genetic.
• ʻIke Hoʻoilina: Inā loaʻa i kekahi o ka ʻohana ka maʻi puʻuwai hānau, ʻoi aku ka kiʻekiʻe o ka pilikia o ke loaʻa ʻana i kahi keiki.
• Hiki i kekahi mau kūlana olakino e ulu aʻe ai ka makuahine i ka wā hāpai ke hoʻopilikia i ka ʻōpū i loko o ka ʻōpū, e like me ka maʻi diabetes, nā maʻi viral e like me ka rubella, ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, a me ka hoʻohana ʻana i nā lāʻau lapaʻau.

Pehea e ʻike ai i ka maʻi?

Inā lohe kāu kauka i kahi kani puʻuwai keu i kāu keiki a hōʻike paha i nā hōʻailona i luna, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• X-ray o ka umauma: Hiki i kēia ke nānā i ka nui a me ke ʻano o ka puʻuwai a me ke kūlana o nā māmā.
• Electrocardiogram (ECG/EKG): He hoʻāʻo maʻalahi e ana i ka hana uila o ka puʻuwai.
• ʻEchocardiogram (Echo): ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ua like ia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke ʻike maopopo i nā mea āpau i loko o ka puʻuwai, me nā keʻena, nā valves, a me nā lua i loko o nā paia.
• Ka Hoʻokomo ʻana i ka Catheter o ka Puʻuwai: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o kahi kīʻaha koko ma ka lima a i ʻole ka wāwae i loko o ka puʻuwai e ana i nā mea e like me ke kaomi i loko o ka puʻuwai, nā pae oxygen, a me nā mea ʻē aʻe. I kekahi manawa ua hoʻokomo ʻia kahi dye e nānā i ke kahe o ke koko.

Pehea e mālama ʻia ai?

ʻO ke ʻano o ka mālama ʻana ma muli o nā mea e like me ke ʻano o ka kīnā o ka puʻuwai, kona koʻikoʻi, a me ka makahiki o ka mea maʻi.

Akā inā ʻike ʻia nā hōʻailona a i ʻole ua hoʻoholo ke kauka he hōʻino paha i ka puʻuwai, pono ka lāʻau lapaʻau.

• Nā lāʻau lapaʻau: Hāʻawi ʻia nā lāʻau lapaʻau e kōkua i ka puʻuwai e hana maʻalahi, kaohi i ke koko, a wehe paha i ke kahe nui mai ka puʻuwai.
• Nā kaʻina hana catheter: ʻO nā kaʻina hana ʻokiʻoki ʻole, e like me ke catheterization cardiac, e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi i loko o ka puʻuwai a me ka hoʻokomo ʻana i kahi plug/mea hana liʻiliʻi e pani ai i kahi lua, e like me ka ASD a i ʻole VSD.
• ʻOki kino: Pono paha ke ʻoki puʻuwai hāmama e hoʻoponopono ai i kekahi mau hemahema.

Pehea e ola ai me ke olakino maikaʻi me kēia maʻi?

He nui ka poʻe me ka maʻi puʻuwai ʻaʻole he puʻuwai e ola maʻamau a piha. Eia nō naʻe, he mea nui e hoʻomaopopo i kou kūlana a hahai i ka ʻōlelo aʻo a kāu kauka.

Inā loaʻa iā ʻoe a i ʻole kāu keiki kēia maʻi, he mea nui e hana i nā nānā mau ʻana me kahi kauka puʻuwai makua hānau . E alakaʻi ʻo ia iā ʻoe ma kēia mau mea:

• E hoʻoholo i ka pae o ka hoʻoikaika kino kūpono a palekana hoʻi iā ʻoe.
• E hahai i kahi papaʻai olakino no ka puʻuwai.
• E nānā pinepine i ke ʻano o ka loli ʻana o kou puʻuwai i kou wā ʻelemakule.
• Inā pono, e lawe i nā lāʻau lapaʻau, e like me nā lāʻau hoʻokiʻekiʻe koko, e hōʻemi i ke kaumaha ma ka puʻuwai.
• Inā hoʻoholo ʻoe e hāpai, he mea nui e kūkākūkā mua me kahi loea, no ka mea, hoʻokau ia i kahi kaumaha hou aʻe ma ka puʻuwai.
• E hoʻoholo pololei i ka wā e pono ai ke ʻoki kino a i ʻole kekahi lāʻau ʻē aʻe.