Ua lohe paha ʻoe i ka huaʻōlelo 'aneurysm'? Malia paha ua ʻōlelo kāu kauka iā ia, a i ʻole he maʻi paha kēia i loaʻa i kekahi o kou ʻohana. ʻOiai he mea weliweli iki paha ia, he mea nui e makaʻala iā ia. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻoki kino kuʻuna no kahi aneurysm, ʻo ia hoʻi, 'ʻoki kino kuʻuna'.
He aha ke ʻano o ke ʻoki ʻana o ka aneurysm?
I ka ʻōlelo maʻalahi, ʻo ke ʻoki ʻana o ka aneurysm he lāʻau lapaʻau no ka aneurysm i loko o ka aorta, ke kīʻaha koko nui i loko o ko kākou kino. Ua like ka aorta me ka paipu wai nui i loko o ko kākou kino. Ke nāwaliwali kekahi o kona mau paia a puʻupuʻu e like me ka pōpō, kapa mākou ia he "Aortic Aneurysm". He mea weliweli loa kēia, no ka mea, hiki i ka puʻupuʻu ke pahū (rupture) a haehae paha (dissection). Inā hana ʻia kēlā, hiki nō ke hoʻoweliweli i ke ola.
No laila, ma kēia hana, wehe ke kauka lapaʻau i ka ʻāpana i hōʻino ʻia a pehu o ka aorta a hoʻololi iā ia me kahi ʻano paipu i hana ʻia me nā ʻiʻo hana. Kāhea mākou i kēia he graft. Hana kēia graft e like me ke kīʻaha koko hou, e ʻae ana i ke koko e kahe palekana a me ke keʻakeʻa ʻole.
He hana nui kēia. Pono ke kauka ʻoki e hana i kahi ʻoki nui ma kou umauma a i ʻole ka ʻōpū e komo ai i ka aneurysm. Inā aia i loko o kou umauma, kapa mākou ia he `(thoracic aortic aneurysm)`, a inā he haʻahaʻa iki ia i loko o kou ʻōpū, kapa mākou ia he `(abdominal aortic aneurysm)`.
He mea hoʻōla ola kēia ʻoki kino. ʻOiai aia kekahi mau pilikia e pili ana, ʻoi aku ka nui o nā pono ma mua o lākou. E kūkākūkā kāu kauka i ka lāʻau lapaʻau maikaʻi loa nāu me ʻoe.
ʻO wai ka mea e pono ai kēia ʻoki kino?
Pono kēia ʻoki kino ma nā ʻāpana nui ʻelua. ʻO kekahi he pilikia, a ʻo kekahi ua hoʻolālā ʻia a hana ʻia ma mua o ka hiki ʻana mai o kahi pilikia.
1. Ma ke ʻano he pilikia (inā pahū a haki paha ka aneurysm)
ʻO kēia ke kūlana weliweli loa. Inā haki ka aneurysm, he kūlana ola a make paha ia. Inā loaʻa koke iā ʻoe nā hōʻailona ma lalo nei, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila .
| Nā hōʻailona e hiki ke kū mai i kahi pilikia | |
|---|---|
| ʻEha koke, hiki ʻole ke hoʻomanawanui, e haehae ana i ka umauma a i ʻole ke kua. | ʻEha koke a nui ma ka ʻōpū, ke kua, a i ʻole nā wāwae. |
| ʻIli pipili a hou. | Pōniuniu a me ka mae ʻana. |
| Ka puʻuwai wikiwiki loa. | Ka luaʻi a me ka luaʻi. |
| Paʻakikī ka hanu ʻana. | |
2. Ma mua o ka hiki ʻana mai o kahi pilikia (e like me kahi hana ʻoki kino i hoʻolālā ʻia)
Inā ua ʻike kāu kauka he aneurysm kou, e nānā mau ʻo ia iā ia. Inā loaʻa kekahi o kēia mau mea, ʻoi aku ka nui o ka pilikia o ka pahū ʻana o ka aneurysm. I ia mau hihia, hiki i kāu kauka ke hoʻoholo e hana i ke ʻoki kino.
- Inā ʻoe e ʻeha i kou ʻōpū, kua, umauma, ʻūhā, a i ʻole ka ʻūhā o loko.
- Inā manaʻo ia he ʻeha ʻōpū.
- Inā he ʻū, he leo honi, a he paʻakikī paha ka hanu ʻana.
- Inā ʻoi aku ka nui o ka aneurysm ma mua o 5 kenimika .
- Inā e ulu wikiwiki ana ka aneurysm (ʻoi aku ma mua o 1 kenimika i kēlā me kēia makahiki).
E noʻonoʻo kāu kauka i nā kumu he nui, me kou olakino holoʻokoʻa, ka nui o ka aneurysm, a me kona wahi, e hana i ka hoʻoholo maikaʻi loa. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi e like me Marfan syndrome, hiki i kahi aneurysm liʻiliʻi ke lilo i mea weliweli. No laila, pono koke ke ʻoki ʻana.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Inā he hana ʻoki i hoʻolālā ʻia, hoʻomaka nā hoʻomākaukau i nā hebedoma ma mua.
- Nā hoʻokolohua lapaʻau: E nānā ke kauka iā ʻoe a hana i kekahi mau hoʻokolohua e ʻike ai inā ua mākaukau kou kino no ke ʻoki kino.
- Ke kamaʻilio ʻana e pili ana i nā lāʻau lapaʻau: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (ma luna o ke kauka, nā mea kanu, nā huaora). Pono paha kekahi mau lāʻau lapaʻau iā ʻoe e hoʻōki i ka lawe ʻana iā lākou ma mua o ke ʻoki ʻana.
- Kaohi i nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ke koko kiʻekiʻe, pono e kaohi maikaʻi ʻia ma mua o ke ʻoki ʻana.
- Ka haʻalele ʻana i ka puhipaka: He mea nui loa e hoʻōki loa i ka puhipaka ma ka liʻiliʻi he hoʻokahi mahina ma mua o ke ʻoki ʻana.
- Nā maʻi: Inā loaʻa iā ʻoe kekahi maʻi, e like me ke anu a i ʻole ke kuni, e haʻi i kāu kauka .
E hāʻawi ke kauka iā ʻoe i kekahi mau ʻōlelo kūikawā, e like me ka inu ʻole ʻana i ka wai ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki kino. E hoʻomoe ʻia ʻoe ma lalo o ka anesthesia laulā. ʻO ka maʻamau, he 3-4 mau hola ka lōʻihi o ke ʻoki kino. Eia nā hana nui.
1. ʻOki ʻana: Hana ke kauka lapaʻau i kahi ʻoki lōʻihi ma ka umauma a i ʻole ka ʻōpū e hiki ai i ka aneurysm.
2. Ke kāohi ʻana: Pani nā mea hana kūikawā i nā kīʻaha koko ma luna a ma lalo o ka aneurysm no kekahi manawa. I kēia manawa, hiki ke hoʻohana ʻia kahi mīkini puʻuwai-māmā e pamu i ke koko i nā ʻāpana ʻē aʻe o ke kino.
3. Hoʻokomo ʻana i ke kāpili: Wehe ʻia ka ʻāpana pehu a hōʻino ʻia a hoʻololi ʻia me kahi ʻōmole hana, i kapa ʻia he "graft", kahi i humuhumu ʻia a hoʻopaʻa ʻia.
4. Pani ʻana: ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu a i ʻole nā staples.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e hoʻoneʻe ʻia ʻoe i ka ʻāpana mālama koʻikoʻi (ICU). Ma laila e pono ai ʻoe e noho ma lalo o ka nānā ʻana o ke kauka no kekahi mau lā. ʻO ka lōʻihi o ka noho ʻana ma ka haukapila ma waena o 3 a me 10 mau lā. Ma ka haukapila, e hana ʻoe:
- Hoʻokomo ʻia kahi catheter urinary.
- Hoʻokomo ʻia kahi ʻōmole ma o ka ihu.
- Hoʻohana ʻia nā anti-coagulants e pale i ke kāpili ʻana o ke koko.
- Hiki iā lākou ke ʻōlelo aku e ʻaʻahu i nā kāmaʻa kūikawā e pale aku i nā ʻūpā koko ma nā wāwae.
- Hāʻawi ʻia nā lāʻau hoʻopau ʻeha.
Pono ʻoe e hoʻomaka e hele mālie a loaʻa hou kou ikaika. Akā e hoʻomanaʻo, he hana ʻoki kino nui kēia. No laila, pono ʻoe e hāʻawi i kou kino i ka manawa e ho'ōla ai. E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home. ʻAʻole hiki iā ʻoe ke hoʻokele a hiki i ka wā e ʻae ai kāu kauka iā ʻoe.
Ka manawa hoʻōla a me nā mea e pono ai ke hoʻomaopopo
ʻO ka maʻamau, he 4-6 pule e ho'ōla piha ai, akā no kekahi poʻe hiki ke hala he 2-3 mahina.
Nā kapu e mālama ʻia i ka wā e hoʻōla ai
- Mai hoʻokele a hiki i ka wā e ʻōlelo aku ai kāu kauka.
- Mai ʻauʻau i loko o kahi pahu wai a hiki i ka wā e ho'ōla ʻia ai ka ʻoki. Hiki iā ʻoe ke ʻauʻau.
- Mai hāpai i nā mea kaumaha ma mua o 4.5 kg (10 lbs).
- Mai hoʻoikaika kino a pau kou hanu.
Ka mālama ʻana i ka ʻeha i ʻoki ʻia
Ke ʻū a ʻū paha ʻoe, e kau i kahi uluna ma luna o ka ʻoki a kaomi i lalo. E hōʻemi kēia i ka ʻeha a pale i ka ʻeha. E mālama i ka maʻemaʻe o ka ʻeha e like me ka ʻōlelo a kāu kauka iā ʻoe.
I ka manawa e ʻike koke ai i kāu kauka
E makaʻala pono i kou kino i kou wā e hoʻōla ai. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
| Nā pilikia ʻeha ʻoki | |
|---|---|
| ʻUlaʻula, ʻeha, pehu, a mehana paha a puni ka ʻeha. | Ke kahe nei ke koko a i ʻole ka wai moakaka mai loko mai o ka ʻeha. |
| Ka hoʻokuʻu ʻana o ka pus melemele a ʻōmaʻomaʻo paha. | Ke neʻe kaʻawale nei nā kihi o ka ʻeha. |
| Nā pilikia koʻikoʻi ʻē aʻe | |
| ʻEha nui a mau paha ke kua a i ʻole ka ʻōpū. | Ka pehu ʻana o nā wāwae a i ʻole ka hiki ʻole ke hoʻoneʻe i nā wāwae. |
| ʻEha ka umauma a i ʻole ka pōkole o ka hanu ʻoiai ke hoʻomaha nei. | Ka poniuniu, ka māʻule ʻana, a i ʻole ka luhi nui. |
| He kahe koko me ka huʻa, a i ʻole ka huʻa melemele/ʻōmaʻomaʻo. | Ke anu nei a i ʻole ke kuni. |
Leka Lawe-Home
- He hana koʻikoʻi loa ke ʻoki ʻana i ka aneurysm a he hana hoʻōla ola. He mea nui e hoʻomaopopo pololei iā ia, me ka makaʻu ʻole.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha nui o ka umauma/kua, ka maule ʻana, a me nā mea ʻē aʻe. E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- I ka hanana o kahi ʻoki kino i hoʻolālā ʻia, e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ke ʻoki kino. He mea nui loa ka pale ʻana i ka puhipaka.
- He manawa ka lōʻihi e hoʻōla ai. I loko o ia manawa, e hoʻomanawanui, e hoʻomaha, a e ʻimi i ke kākoʻo mai ka ʻohana a me nā hoaaloha.
- ʻO ka mālama ʻana i kahi nohona olakino ma hope o ke ʻoki ʻana, me ka ʻai maikaʻi, ka hoʻoikaika kino, a me ka mālama ʻana i nā maʻi ʻē aʻe, he mea nui ia no ka hoʻōla lōʻihi.
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