Ke paʻakikī nei ʻoe i kekahi manawa ke hanu ʻoe i ka wā e luhi iki ai ʻoe, a i ʻole ke piʻi ʻoe i kahi alapiʻi? Ke manaʻo nei ʻoe i ke kaumaha i loko o kou umauma, e like me ka hanu ʻana? ʻOiai he nui nā kumu no kēia mau hōʻailona, aia paha ke kumu āu e noʻonoʻo ʻole ai. ʻO ia ka mānoanoa pono ʻole o kahi ʻāpana o ka ʻiʻo puʻuwai. I kēia lā ke kamaʻilio nei mākou e pili ana i ka Alcohol Septal Ablation, kahi lāʻau lapaʻau maikaʻi loa ʻaʻole ia he ʻoki kino nui a hoʻohana ʻia e mālama i kēia ʻano.
He aha ka Alcohol Septal Ablation?
I ka ʻōlelo maʻalahi, he hana hoʻopilikia iki kēia i hoʻohana ʻia e mālama i kahi maʻi puʻuwai i kapa ʻia ʻo Hypertrophic Cardiomyopathy (HCM) . E noʻonoʻo, aia kahi paia i loko o ko kākou puʻuwai e hoʻokaʻawale ana i ʻelua mau keʻena. Kāhea mākou i kēia ʻo ka septum. I loko o ke kanaka me HCM, lilo kēia paia i mānoanoa a paʻakikī pono ʻole.
Ke mānoanoa ka pā ma kēia ʻano, ua ālai ʻia ke ala e hoʻokahe ʻia ai ke koko mai ka puʻuwai a i ke kino. E like me ke kaʻa nui i paʻa i ke alanui haiki e hana ai i nā kaʻa. Pale kēia i ka puʻuwai mai ka hoʻokahe pono ʻana i ke koko. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka pōkole o ka hanu a me ka luhi.
ʻO ka Alcohol Septal Ablation (ASA) e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu, i kapa ʻia he catheter , i loko o ke kīʻaha koko liʻiliʻi e hoʻolako ana i ke koko i ka ʻiʻo mānoanoa. A laila, hoʻokomo ʻia kahi liʻiliʻi loa o ka waiʻona ma o ia mea. Hoʻopau ka waiʻona i nā ʻāpana i mānoanoa pono ʻole a hoʻemi i ka wahi. A laila wehe hou ʻia ke kahe koko i ālai ʻia, a hoʻihoʻi ʻia ke kahe koko.
No ke aha e hana ʻia ai kēia lāʻau lapaʻau a no wai ka mea kūpono loa?
Hoʻohana nui ʻia kēia lāʻau lapaʻau no ke kūlana a mākou i kūkākūkā ai ma mua , ʻo ia hoʻi ka hypertrophic cardiomyopathy (HCM) . He kūlana genetic kēia i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna.
Paipai nā kauka cardiologists i kēia lāʻau lapaʻau no ka poʻe i loaʻa nā hōʻailona e like me ka pōkole o ka hanu a me ka luhi i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
ʻO kekahi lāʻau lapaʻau nui no HCM he ʻoki puʻuwai hāmama i kapa ʻia he septal myectomy . Ma kēia, ua wehe ʻia ka umauma a ua ʻoki ʻia a wehe ʻia ka ʻiʻo mānoanoa. Eia naʻe, ʻaʻole hiki i nā kānaka a pau ke hana i ke ʻoki nui. Kiʻekiʻe loa nā pilikia o ke ʻoki hāmama no ka poʻe ʻelemakule a i ʻole ka poʻe me nā maʻi ʻē aʻe.
No ka poʻe hiki ʻole ke ʻae i ia ʻano hana puʻuwai hāmama, he koho maikaʻi loa a palekana hoʻi ʻo Alcohol Septal Ablation (ASA).
| Hiʻona | ʻO ka hoʻopau ʻana i ka ʻona waiʻona (ASA) | ʻO ka myectomy Septal (ʻoki hāmama) |
|---|---|---|
| ʻAno lapaʻau | Minimally invasive (ma o kahi catheter) | ʻO ke ʻoki puʻuwai hāmama (wehe i ka umauma) |
| Ka manawa ho'ōla | Ka wā pōkole (ma kahi o hoʻokahi pule) | Ka wā lōʻihi (he mau pule a he mau mahina paha) |
| ʻO wai ka mea kūpono loa? | No ka poʻe hiki ʻole ke ʻae i ke ʻoki kino hāmama, he poʻe ʻelemakule, a i ʻole he mau maʻi ʻē aʻe | No nā poʻe ʻōpio olakino maʻamau e hiki ke ʻae i ke ʻoki kino |
He aha kaʻu e hana ai ma mua o ka mālama ʻana?
E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo a pau āu e pono ai ma mua o kēia lāʻau lapaʻau.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ka mālama ʻana.
- Pono ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu) no kekahi mau hola ma mua o ka lāʻau lapaʻau.
- Hiki iā ʻoe ke hana i kekahi mau hoʻokolohua e nānā i kou olakino:
- Echocardiogram: He scan e nānā i ka hana a me ke ʻano o ka puʻuwai.
- Electrocardiogram (EKG): He hoʻāʻo e nānā i ka hana uila o ka puʻuwai.
- Helu Koko Piha (CBC): He helu koko piha.
- X-ray o ka umauma: He nānā ʻana i ka umauma me ke kiʻi X-ray.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
He hana kēia i hana ʻia ma ka haukapila a he hola a ʻelua paha ka lōʻihi. E ʻike pono ʻoe, akā e hāʻawi ke kime lapaʻau iā ʻoe i ka lāʻau lapaʻau e hoʻomālielie a hoʻomaha iā ʻoe.
1. Mālie: ʻO ka mea mua, ua mālie ka wahi e hoʻokomo ʻia ai ke catheter (ʻo ka lima luna a i ʻole ka pulima lima paha).
2. Ke hoʻokomo ʻana i ka catheter:A laila, hoʻokomo ʻia ka ʻōmole lahilahi (catheter) i loko o kahi kīʻaha koko a alakaʻi ʻia i kahi kūpono i loko o ka puʻuwai me ka hoʻohana ʻana i nā kiʻi X-ray.
3. Hoʻokomo ʻana i ka waiʻona: Ke ʻike ʻia ke kīʻaha koko kūpono, e hoʻokomo ʻia kahi liʻiliʻi o ka waiʻona i hoʻomaʻemaʻe nui ʻia (`isopropyl alcohol`) ma o ia mea. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki ma kou umauma i kēia manawa.
4. Pacemaker Manawa Kuikahi: I loko o kēia kaʻina hana, hoʻokomo ʻia kahi uea pacemaker manawa kuikahi i loko o kou puʻuwai ma o kahi aʻa koko ma kou ʻāʻī. Hana ʻia kēia e nānā i ka helu o kou puʻuwai no 2-3 mau lā ma hope o ka mālama ʻana.
5. Hoʻopau ʻana: Ke pau ka hana, wehe ʻia ke catheter a kau ʻia kahi kāʻei ma luna o kahi i hoʻokomo ʻia ai.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, pono ʻoe e noho ma ka haukapila no ʻelua a ʻekolu paha lā. I loko o kēia manawa, e hoʻomau ka hui lapaʻau i ka nānā ʻana i kou olakino a me ka helu o ka puʻuwai. Inā ʻeha ʻoe, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha.
He mea nui e hoʻomau i ka nānā ʻana i ka helu o kou puʻuwai i kou wā e noho ai i ka haukapila ma hope o ka mālama ʻana, no ka mea, he kakaikahi loa ka poʻe e loaʻa i nā puʻuwai puʻuwai kūpono ʻole ma ke ʻano he hopena ʻaoʻao o kēia lāʻau lapaʻau a pono paha e hoʻokomo ʻia kahi pacemaker mau loa.
Inā ua hana ʻia ka lāʻau lapaʻau ma o kahi aʻa koko, e noi ʻia ʻoe e moe ma kahi moe me kou mau wāwae e hohola ʻia no kekahi mau hola e pale aku ai i ke kahe ʻana o ke koko. Inā ua hana ʻia ma o kahi ʻāpana lima, ʻaʻole pono ʻoe e moe ma kahi moe e like me kēlā.
He aha nā pilikia o kēia lāʻau lapaʻau?
E like me nā kaʻina hana lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi, akā he kakaikahi loa nā pilikia.
- Ke kahe koko a i ʻole ka maʻi ma kahi i hoʻokomo ʻia ai ka catheter.
- Ka hoʻokumu ʻia ʻana o nā ʻōpū koko i loko o nā kīʻaha koko.
- Ka pōʻino liʻiliʻi i nā paia o ka puʻuwai (pono paha e hoʻoponopono ʻia ma ke ʻoki ʻana).
- Pale Puʻuwai: He hoʻopilikia ʻana i nā hōʻailona uila o ka puʻuwai. Hiki i kēia ke hana i ka puʻuwai e kuʻi lohi a wikiwiki paha. Inā hana ʻia kēia, pono paha kahi pacemaker mau loa.
- ʻO ka Pericardial Effusion: Ka hōʻiliʻili ʻana o ka wai i loko o ka ʻeke a puni ka puʻuwai.
Mai hopohopo no kēia. E wehewehe pono ana kāu kauka i kēia mau pilikia iā ʻoe.
| Inā loaʻa iā ʻoe kēia mau hōʻailona ma hope o ka lāʻau lapaʻau, e ʻike koke i ke kauka! | |
|---|---|
| * ʻEha umauma | * Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu (dyspnea) |
| * Pōʻino a nāwaliwali paha | * Puʻuwai puʻuwai kūpono ʻole a i ʻole ka paʻa ʻana o ka umauma |
| * Luhi nui loa | * ʻUlaʻula, pehu, kahe koko, a i ʻole ke kuni ma kahi i hoʻokomo ʻia ai ke catheter |
| * Ka luaʻi a me ka luaʻi | |
Hiki i ka hapa nui o ka poʻe ke hoʻi i nā hana maʻamau i loko o hoʻokahi pule o ka lāʻau lapaʻau, a hoʻomaikaʻi koke nā hōʻailona.
Leka Lawe-Home
- He lāʻau lapaʻau holomua loa ka Alcohol Septal Ablation (ASA) no HCM me ke ʻoki ʻole ʻana, kahi kūlana e mānoanoa ai ka ʻiʻo o ka puʻuwai.
- He koho maikaʻi loa kēia, ʻoi aku hoʻi no ka poʻe ʻelemakule a i ʻole ka poʻe me nā maʻi ʻē aʻe e paʻakikī ke ʻae i ke ʻoki puʻuwai hāmama.
- ʻOiai ʻo kēia lāʻau lapaʻau e hopena i ka hoʻōla wikiwiki ʻana, aia kekahi mau pilikia liʻiliʻi, e like me ka poloka puʻuwai, e pono ai kahi pacemaker mau loa.
- E kūkākūkā a hoʻomaopopo i nā kikoʻī āpau me kāu cardiologist ma mua a ma hope o ka mālama ʻana.
- Inā loaʻa kekahi mau hōʻailona ʻē ma hope o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He maʻi māmā wale nō anei ka hanu ʻana/hānai? Hiki ke hana ʻia ka hanu ʻana me ka puʻuwai i hoʻonui ʻia?
Manaʻo ka poʻe he nui he loaʻa wale ka wheezing i ka 'Asthma'. Akā, ua hewa loa kēlā! 'Cardiomyopathy / Heart Failure' Ke hāʻule ka puʻuwai, piha nā māmā i ka wai (koko), e paʻakikī ai i ka mea maʻi ke hanu a hiki ke loaʻa ka 'wheezing'. Ua kapa ʻia kēia ʻo 'Cardiac Asthma' i ka ʻepekema lapaʻau. I kēia hihia, ʻaʻole e wehe ka umauma ʻoiai ke hoʻohana ʻia nā inhalers!
💬 Pehea e ʻike ai inā he hānō maʻamau koʻu hanu ʻana a i ʻole he hāʻule puʻuwai?
ʻO ka hānō maʻamau e kū mai ana i ka wā e loaʻa ai ka lepo/lepo, a i ʻole ke anu. Akā i ka wā e pili ana i nā 'pilikia o ka puʻuwai', 1) Ke moe ʻoe i lalo/hoʻopālahalaha ma kahi moe i ka pō a hoʻāʻo e hiamoe, manaʻo koke ʻoe i ka hanu pōkole a ala aʻe me ka uē (Orthopnea). 2) Me kēlā, pehu kou mau wāwae/kuʻekuʻe wāwae i ke ʻano ʻē (Edema). 3) Inā ʻoi aku ka paʻa o kou umauma ma mua o ka maʻamau i kou piʻi ʻana i nā alapiʻi, he maʻi puʻuwai maoli nō ia!
💬 Ke loaʻa iā ʻoe kahi hahau, pono ʻoe e kāhea koke i kahi kaʻa kaʻa, me ka noho ʻole ma ka home, me ka hoʻohana ʻana i kahi inhaler. He aha nā kūlana make/pilikia?
ʻO ka pōʻino nui loa ka hopu piha ʻana o ka puʻuwai! Inā, me ka hōʻeha puʻuwai, 1) he ʻeha hiki ʻole ke hoʻomanawanui ma waenakonu o ka umauma, me he mea lā he pōhaku (ʻEha umauma / Hōʻeha puʻuwai), 2) inā pālahalaha ka ʻeha ma ka lima hema a ma lalo o ka ʻāwae, 3) inā hou nui ka mea maʻi me he mea lā e ʻauʻau ana, lilo kona helehelena i ʻeleʻele/polū, a lilo ʻo ia i poniuniu a nalowale ka ʻike, hiki i ka mea maʻi ke make i kekona! Pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila!
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