Ua ʻōlelo ʻia hoʻi ʻoe e pani i kahi valve puʻuwai? (ʻoki kino Aortic Valve Replacement) Mai makaʻu, e kamaʻilio kākou!

Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha ma kou umauma a i ʻole ka paʻakikī o ka hanu ʻana i kou luhi iki ʻana? A i ʻole ua haʻi aku kāu kauka iā ʻoe he pilikia kou me kahi valve i loko o kou puʻuwai a pono ʻoe e hoʻololi iā ia ma ke ʻoki ʻana? He mea maʻamau ka manaʻo makaʻu a hopohopo iki ke lohe ʻoe i kahi mea e like me kēia. Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻoki ʻana, i kapa ʻia ʻo 'Surgical Aortic Valve Replacement' (SAVR). E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ke ʻano o ka hoʻololi ʻana o ka valve aortic?

E noʻonoʻo i ko kākou puʻuwai e like me ka pamu wai. ʻO ke kīʻaha koko nui e pamu ana i ke koko mai kēia puʻuwai a i ke kino holoʻokoʻa ua kapa ʻia ʻo 'Aorta'. No laila, ʻo ka 'puka' ma waena o ka puʻuwai a me kēia kīʻaha koko nui ua kapa ʻia ʻo ka valve Aortic . I kēlā me kēia manawa e paʻi ai ka puʻuwai, wehe ʻia kēia puka a kahe ke koko i waho, a laila pani hou.

I kekahi manawa, ma muli o ka ʻelemakule a i ʻole nā ​​​​kūlana olakino ʻē aʻe, ua pau ka hana pono ʻana o kēia puka.

• ʻAʻole wehe pono ka puka: Ua kapa ʻia kēia ʻo Aortic Stenosis . Ua like ia me ka puka i wehe ʻole ʻia a pau, no laila ʻaʻohe wahi lawa no ke koko e kahe i waho o ka puʻuwai.
• ʻAʻole pani pono ka puka: Ua kapa ʻia kēia ʻo Aortic Regurgitation . E like me ka puka kahiko, ke pani pono ʻole ʻia, e hoʻihoʻi kekahi o ke koko i puka mai i ke kua.

I nā hihia ʻelua, pono ka puʻuwai e hana ikaika ma mua o ka maʻamau. Ua like ia me ka hoʻāʻo ʻana e wehe i kahi puka paʻa. I ka hala ʻana o ka manawa, hiki i kēia hana nui ke hōʻino i ka puʻuwai. Hiki iā ia ke hana i nā hōʻailona e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana. Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke hoʻoweliweli i ke ola.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

No ka mea he hana ʻoki kino nui kēia, e nānā pono ʻia ʻoe ma mua o ka hoʻomaka ʻana. E kōkua kēia mau hoʻokolohua iā mākou e koho i ka lāʻau lapaʻau e kūpono loa i kou olakino.

Nā hoʻokolohua maʻamau ma mua o ke ʻoki kino

ʻO ka maʻamau, pono ʻoe e hana i kekahi mau hoʻokolohua e like me kēia.

Eia kekahi, e aʻo aku ke kime lapaʻau iā ʻoe pehea e hoʻomākaukau ai no ke ʻoki kino.

• ʻEhia ka lōʻihi e pono ai ʻoe e hoʻokē ʻai (me ka ʻai ʻole a me ka inu ʻole) ma mua o ke ʻoki kino?
• Inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau āu e lawe nei.
• Ua hiki i ka manawa e hele mai ai i ka haukapila.
• Nā mea e lawe ʻia i ka haukapila a me nā mea ʻaʻole e lawe ʻia.

ʻO ka mea nui loa: Mai makaʻu e nīnau i kāu kauka e pili ana i nā mea āu e maopopo ʻole ai a i ʻole nā ​​nīnau āu. Inā ʻoe e puhipaka, ʻo ka haʻalele ʻana i ka puhipaka i ka wā hikiwawe ma mua o ke ʻoki ʻana hiki ke hōʻemi nui i ka pilikia o nā pilikia.

E koho kākou i kahi kaila lauoho hou e kūpono iā ʻoe.

ʻO ka hoʻoholo koʻikoʻi āu e hana ai ma mua o ke ʻoki ʻana, ʻo ia ke ʻano o ka valve hou āu e loaʻa ai. ʻElua ʻano nui.

E kūkākūkā kāu kauka lapaʻau me ʻoe i ka valve kūpono loa iā ʻoe ma muli o kou makahiki, olakino, a me ke ʻano o ka nohona. ʻO ka maʻamau, ua ʻōlelo ʻia nā valve mechanical no ka poʻe ma lalo o 50, a ua ʻōlelo ʻia nā valve biological no ka poʻe ma luna o 65.

Pehea e hana ʻia ai ke ʻoki ʻana i kēlā me kēia ʻanuʻu

ʻO ka maʻamau, ʻelua a ʻehā hola ka lōʻihi o kēia hana ʻoki kino, a i loko o ia manawa ke hiamoe nui nei ʻoe a ʻaʻole ʻoe e manaʻo i kekahi mea.

1. ʻO ka mea mua, e nalowale loa ʻoe i ka ʻike ('Anesthesia`) .

2. A laila, e hoʻopili ʻia ʻoe i kahi mīkini puʻuwai-māmā . E lawe kēia mīkini i ka hana o kou puʻuwai a me kou māmā i ka wā o ke ʻoki kino. E hoʻohana ʻia nō hoʻi ia e hoʻōki i kou puʻuwai (cardioplegia) no kekahi manawa. E ʻae kēia i ke kauka ʻoki kino e hana palekana i ke ʻoki kino me ka ʻole o ka paʻi ʻana o kou puʻuwai.

3. Hana ke kauka lapaʻau i kahi ʻoki ma kahi o 6 ʻīniha ka lōʻihi ma waenakonu o kou umauma e wehe i ka iwi umauma (`Sternum`) a komo i ka puʻuwai. Ua kapa ʻia kēia he `Sternotomy`.

4. Ua wehe ʻia ka valve aortic kahiko i hōʻino ʻia a ua pani ʻia me kahi valve hou i humuhumu ʻia i kona wahi.

5. A laila, hoʻopili hou ʻia ka sternum i wehe ʻia me ka hoʻohana ʻana i nā uea. ʻO ka maʻamau, waiho ʻia kēia mau uea i loko o ke kino no ke ola.

6. ʻO ka hope loa, ua humuhumu ʻia ka ʻoki ʻili a pani ʻia.

Ka manawa ho'ōla ma hope o ke ʻoki kino

Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kahi o 5 mau lā. I loko o kēia manawa, e nānā mau ana ke kime lapaʻau i kou kūlana. E kōkua lākou iā ʻoe e hele mālie a hana i nā hana maʻamau.

ʻO ka maʻamau, he ʻehā a ʻewalu pule e hoʻōla piha ai.A hiki i hoʻokahi makahiki ka lōʻihi. He mea maʻamau ka luhi i kēia manawa. No ka mea ke ho'ōla nei kou kino. Ma hope o kou hoʻi ʻana i ka home, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hele i kahi papahana hoʻoponopono puʻuwai. E kōkua kēia iā ʻoe e aʻo i nā mea he nui, e like me ka hoʻomaʻamaʻa ʻana i ka hoʻoikaika kino a me ka lawe ʻana i kahi meaʻai olakino no ka puʻuwai.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ʻo ia ka hiki ke hoʻōla i nā ola . Hiki i ka maʻi valve aortic ke make inā ʻaʻole mālama ʻia. Kiʻekiʻe loa ka helu holomua. No ka hapa nui o nā kānaka, haʻahaʻa loa ka pilikia o ka make a i ʻole nā ​​​​pilikia koʻikoʻi e like me ka hahau ʻana, ma kahi o 1% - 2%.

Akā e like me nā ʻoki kino āpau, aia kekahi mau pilikia.

• Nā ʻano ʻē o ka puʻuwai ('Arrhythmia')
• Pono no kahi pacemaker mau loa
• Ke kahe ʻana o ke koko
• Nā maʻi
• Hahau
• Make

ʻAʻole like kēia pilikia no kēlā me kēia kanaka. ʻOkoʻa ia ma muli o nā mea e like me kou makahiki a me nā kūlana olakino ʻē aʻe. E wehewehe kāu kauka lapaʻau i kou pae pilikia pilikino iā ʻoe.

Aia kekahi koho ʻē aʻe i ke ʻoki kino SAVR?

ʻAe, no kekahi mau maʻi, ʻoiai ka poʻe i ʻelemakule a i ʻole ka poʻe i ʻoi aku ka nui o ka pilikia no ke ʻoki kino nui ma muli o nā kūlana ʻē aʻe, ʻoi aku ka kūpono o kahi kaʻina hana i kapa ʻia ʻo Transcatheter Aortic Valve Replacement (TAVR) . Pili kēia i ke kau ʻana i kahi valve hou i loko o ka valve kahiko ma o kahi ʻoki liʻiliʻi ma ka umauma, me ka wehe ʻole ʻana. He kaʻina hana maʻalahi kēia a ʻoi aku ka liʻiliʻi o ka manawa hoʻōla. Na kāu hui lapaʻau e hoʻoholo inā ʻo SAVR a i ʻole TAVR ka mea maikaʻi loa iā ʻoe.