Ua ālai ʻia kou valve puʻuwai? E kamaʻilio kākou e pili ana i ka (Aortic Stenosis)!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka poniuniu? A i ʻole ke manaʻo koke nei ʻoe i ka nāwaliwali a poniuniu paha? Hiki ke hana ʻia kēia ma muli o ka ʻūlū ʻana o kekahi o nā valves koʻikoʻi i loko o kou puʻuwai, ʻo ia hoʻi ka valve aortic. Ua kapa nā kauka i kēia ʻano he Aortic Stenosis. Ke hana ʻia kēia, lilo ia i mea paʻakikī no ka puʻuwai ke pamu i ke koko i ke koena o ke kino. ʻAʻole lawa ka oxygen i ke kino. ʻAʻole kēia he mea hiki iā ʻoe ke kali, no ka mea hiki ke hōʻino i ka puʻuwai, hoʻoulu i nā pilikia olakino koʻikoʻi, a i kekahi manawa he mea hoʻoweliweli i ke ola.

No laila he aha kēia `(Aortic Stenosis)`?

I ka ʻōlelo maʻalahi, ua like ko kākou puʻuwai me kahi hale liʻiliʻi, he ʻehā ona keʻena. Ma waena o kēia mau keʻena, kahi e kahe ai ke koko mai loko mai o ka puʻuwai, aia nā ʻāpana e like me nā puka. Kāhea mākou i kēia mau kiwikā puʻuwai. ʻO kekahi o kēia mau kiwikā ʻehā i kapa ʻia ʻo ka Aortic Valve. ʻO kēia ka puka hope loa e hele ai ke koko mai ka puʻuwai a i ke koena o ke kino. E like me ke kiaʻi puka, ʻae wale kēia puka i ke koko e kahe i hoʻokahi ʻaoʻao a kāohi iā ia mai ke kahe hou ʻana i loko o ka puʻuwai. ʻEkolu mau ʻāpana liʻiliʻi (leaflets) o kēia Aortic Valve. Inā ʻaʻole e wehe pono kēia mau ʻāpana a paʻa a haiki paha, a laila e kū mai kahi kūlana i kapa ʻia ʻo Aortic Stenosis.

E noʻonoʻo e like me ka paipu wai e paʻa ana i waenakonu a paʻakikī ke kahe. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i kahi pilikia me kēia puka komo. Akā i kēia manawa he nui nā ʻano holomua e mālama ai i kēia kūlana , no laila ʻaʻohe pono e hopohopo.

Pehea ka maʻamau o kēia ʻano (Aortic Stenosis)?

ʻO kēia ʻano i kapa ʻia ʻo `(Aortic Stenosis)` he mea maʻamau ia i waena o ka poʻe ma luna o 65 mau makahiki. Akā, ʻo ka mea kaumaha, ʻaʻole ʻike ka nui o ka poʻe he loaʻa iā lākou kēia ʻano a hiki i ka wā e koʻikoʻi ai nā hōʻailona. I kekahi manawa ʻike ʻia i ka wā o nā hoʻokolohua i hana ʻia no kekahi ʻano ʻē aʻe. Hiki i kekahi mau maʻi ke hana i kēia ʻano i ka wā waena, ma kahi o 40-50 mau makahiki. He mea kākaʻikahi loa, hiki ke loaʻa kēia `(Aortic Valve Stenosis)` i nā keiki ʻōpio ma ke ʻano he ``Congenital condition``.

He aha nā hōʻailona o kēia?

ʻAʻole e loaʻa koke nā hōʻailona i nā kānaka a pau me ka Aortic Stenosis. ʻAʻole paha e ʻike kekahi poʻe i kekahi mea no nā makahiki. Akā i ka wā e ʻoi aku ai ke koʻikoʻi o ke kūlana, hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Manaʻo luhi loa: Hiki iā ʻoe ke luhi loa a hiki ʻole iā ʻoe ke hana i kāu mau hana maʻamau.
• Nā Palpitations: E lohe paha ʻoe i kou puʻuwai e kuʻi ana, a i ʻole e manaʻo paha ʻoe e kuʻi wikiwiki ana, a i ʻole e like paha kou umauma me ke kuʻi ʻana. Kāhea mākou i kēia he "Palpitations".
• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae: Hiki ke pehu nā ʻaoʻao haʻahaʻa o nā wāwae a puni nā kuʻekuʻe wāwae.
• ʻEha umauma: ʻO kēia ka mea i kapa ʻia ʻo `(Angina)`. Hiki ke manaʻo ʻia e like me ka ʻūmiʻi ʻana, ka ʻūmiʻi ʻana, a i ʻole ke kaumaha ma ka umauma. I kekahi manawa hiki i kēia ʻeha ke pālahalaha i ka ʻāʻī, ka ʻauwae, ka lima hema, a i ʻole ka ʻaoʻao o ka ʻōpū.
• Paʻakikī ka hanu ʻana: Loaʻa paha iā ʻoe ka paʻakikī o ka hanu ʻana, ʻoiai ke luhi iki ʻoe, a i ʻole ke hoʻomaha wale nō ʻoe.
• Pōniuniu, māʻule: Hiki iā ʻoe ke manaʻo i ka pōniuniu, hiki i kou mau maka ke polū, a hiki paha iā ʻoe ke māʻule.

E hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he Aortic Stenosis kou. Akā inā hoʻomau ʻoe iā lākou, pono ʻoe e ʻike i ke kauka . Hiki i kāu mea mālama mua ke kuhikuhi iā ʻoe i kahi kauka cardiologist.

Pehea ka wikiwiki o ka lilo ʻana o kēia maʻi i mea koʻikoʻi?

He ʻokoʻa kēia no kēlā me kēia kanaka. No kekahi poʻe, e ʻoi aku ka ʻino o kēia `(Aortic Valve Stenosis)` i nā makahiki. No kekahi poʻe, hiki ke ʻoi aku ka ʻino me ka wikiwiki loa, a hiki i loko o kekahi mau mahina. ʻO ka mea nui, inā ʻoe e hoʻopaneʻe i ka loaʻa ʻana o ka lāʻau lapaʻau, ʻaʻole paha ʻoe e hiki ke hoʻoponopono i ka pōʻino i kou puʻuwai. Inā loaʻa iā ʻoe ka `(Aortic Stenosis)` koʻikoʻi, aia kahi pilikia o ka make koke ʻana o ka puʻuwai. ʻO ia ke kumu e haʻi aku ai kāu kauka iā ʻoe ʻaʻole e hoʻopaneʻe i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

No ke aha e hana ʻia ai kēia `(Aortic Stenosis)`? He aha nā kumu?

ʻEkolu mau kumu nui e ulu ai ka Aortic Stenosis i nā pākeke:

1. Ka hōʻino ʻana e pili ana i ka ʻelemakule: ʻO kēia ke kumu maʻamau. I ka hala ʻana o ka manawa, e like me ka limescale i loko o nā paipu wai, hiki i ka calcium ke hōʻiliʻili i loko o ka valve aortic o kou puʻuwai. ʻO kēia ke kumu o ka mānoanoa o ka valve a paʻa, e pale ana iā ia mai ka wehe ʻana a me ka pani pono ʻana. Hana pinepine ʻia kēia ma hope o 65 mau makahiki.

2. Ka pōʻino mai nā maʻi: Inā ʻaʻole mālama pono ʻia kekahi mau maʻi bacteria, hiki i nā bacteria ke komo i ke kahe koko a hele i nā valves o ka puʻuwai. A laila hiki i kā mākou ʻōnaehana pale ponoʻī ke hōʻino i kēia mau valves. No ka laʻana, inā ʻaʻole mālama pono ʻia kahi maʻi ʻāʻī (Strep throat) a i ʻole ka Scarlet fever, hiki i kahi maʻi i kapa ʻia ʻo Rheumatic fever ke ulu a hōʻino i nā valves o ka puʻuwai. Hiki i kēia pōʻino ke hala i nā makahiki, i kekahi manawa he mau makahiki, e ʻike ʻia. Hoʻopilikia pinepine kēia i nā poʻe ma luna o 50 mau makahiki.

3. Nā maʻi hoʻoilina a mau paha: ʻO nā maʻi laha ʻole e like me ka `(Paget's disease of the bone)` (kahi maʻi e pili ana i nā iwi), ka hāʻule ʻana o ka puʻupaʻa (`Kidney failure`) a me ka `(Familial hypercholesterolemia)` (kahi kūlana o ka cholesterol kiʻekiʻe i hoʻoilina ʻia) hiki ke hana i ka `(Aortic Valve Stenosis). Eia kekahi, ʻoi aku ka kiʻekiʻe o kēia pilikia i nā poʻe me nā maʻi autoimmune e like me `(Lupus)` a me `(Rheumatoid arthritis)`.

Aia kekahi mau kumu pilikia ʻē aʻe no kēia?

ʻAe, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka `(Aortic Valve Stenosis):`

• ʻOiai he kāne.
• ʻOiai ma luna o 65 mau makahiki.
• Hoʻonui ʻia ka nui o ka cholesterol i loko o ke koko (Hyperlipidemia).
• Loaʻa ke koko kiʻekiʻe.
• Ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes, beedis).

He aha nā pilikia e hiki ke kū mai ma muli o kēia `(Aortic Stenosis)`?

Ke loaʻa iā ʻoe ka `(Aortic Stenosis)`, pono ka puʻuwai e hana ikaika loa e hoʻokuke i ke koko ma o kēlā puka haiki. Ua like ia me ka hoʻāʻo ʻana e wehe i kahi puka paʻa. Ke hana nui ka puʻuwai ma kēia ʻano, hiki iā ia ke nāwaliwali i ka hala ʻana o ka manawa. ʻO kēia ke kumu:

• Maʻi hohola
• Ka hāʻule ʻana o ka puʻuwai ( hiki ʻole i ka puʻuwai ke pamu i ke koko kūpono i ke kino)
• Make koke o ka puʻuwai
• Ke koko kiʻekiʻe o ka puʻuwai
• Ke kahe koko nui
• ʻO ka maʻi o ka ʻili o loko o ka puʻuwai ('Infective endocarditis')

Hiki ke loaʻa nā pilikia koʻikoʻi.

Pehea e ʻike ai nā kauka i kēia?

Inā kānalua ʻoe he Aortic Stenosis kou, e nānā ke kauka puʻuwai iā ʻoe. Hoʻomaopopo pinepine ʻia ke kūlana ma muli o kāu mau hōʻailona (inā he) a me hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• Hoʻokolokolo kino: E nānā ke kauka i kou mau wāwae a me nā kuʻekuʻe wāwae no ka pehu ʻana, a laila e hoʻolohe i kou puʻuwai me ka stethoscope. Inā loaʻa iā ʻoe ka stenosis aortic, he hōʻailona maʻamau ka murmur puʻuwai.
• Hoʻāʻo ECG (`Electrocardiogram - ECG a i ʻole EKG`): Ke ana kēia i ka hana uila o ka puʻuwai.
• ʻO X-ray o ka umauma, Angiography, a i ʻole Cardiac CT scan: Hoʻohana kēia mau mea āpau i nā X-ray a i ʻole nā ​​​​​​ʻano hana ʻē aʻe e nānā i loko o ke kino, ʻoi aku ka puʻuwai a me nā māmā.
• Echocardiogram: ʻO kēia ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana i ka stenosis aortic. Hoʻohana ia i nā nalu ultrasound e ʻike maopopo i ke ʻano o ka hana ʻana o nā valves o ka puʻuwai, inā ua ālai ʻia, a pehea ke kahe ʻana o ke koko.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino: Ana i nā mea e like me ke ʻano o ka hana ʻana o kou puʻuwai a me nā loli i kāu ECG ʻoiai ʻoe e holo ana ma luna o ka treadmill a holo paikikala paha.
• Catheterization Cardiac: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi a lahilahi (catheter) i loko o kahi aʻa i loko o kou lima a wāwae paha a hoʻokomo i loko o kou puʻuwai e ana i ke kaomi i loko o kāu mau valves a ʻike i ko lākou paʻa.
• MRI o ka puʻuwai (Magnetic Resonance Imaging): Hiki ke hoʻohana ʻia kahi kahua magnetic ikaika e kiʻi i nā kiʻi kikoʻī loa o ka puʻuwai.

Ma hope o kēia mau hoʻokolohua, e hoʻokaʻawale kāu kauka i kou kūlana ma muli o kāu mau hōʻailona a me ke ʻano o ka haiki o kāu valve aortic. ʻEhā mau pae maʻamau: A, B, C, a me D, ʻo D ka mea koʻikoʻi loa.

He aha nā lāʻau lapaʻau no ka `(Aortic Stenosis)`?

Inā loaʻa iā ʻoe ka `(Aortic Stenosis)` akā ʻaʻohe hōʻailona, ​​ʻo ia hoʻi, ʻaʻole koʻikoʻi loa ke ʻano, e haʻi aku kāu kauka iā ʻoe e hele mai no nā nānā maʻamau a loaʻa nā hoʻokolohua `(Echocardiogram)`. Akā inā loaʻa iā ʻoe nā hōʻailona, ​​a laila pono ʻoe i ka lāʻau lapaʻau. Aia kekahi mau koho lapaʻau nui:

• Nā lāʻau lapaʻau: Inā ʻaʻole koʻikoʻi loa ke kūlana, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i nā hōʻailona. Hiki i kēia ke komo pū me nā lāʻau hoʻokahe koko, nā diuretics, a me nā lāʻau lapaʻau no nā maʻi puʻuwai, ke koko kiʻekiʻe, a me ka hāʻule ʻana o ka puʻuwai. Akā e hoʻomanaʻo, ʻo nā lāʻau lapaʻau wale nō ke kāohi i nā hōʻailona; ʻaʻole hiki iā lākou ke pale i ka valve mai ka ʻino ʻana.
• Hoʻoponopono Valve: Hiki ke hana ʻia kēia ma o ke ʻoki ʻana a i ʻole ke kaʻina hana i kapa ʻia ʻo balloon valvuloplasty.
• Hoʻoponopono ʻoki kino ('ʻoki valve Aortic'): Hana ke kauka ʻoki kino i kahi ʻoki ma kou umauma a hele pololei i ka valve puʻuwai, hoʻomaha i ka mea i ālai ʻia, a hoʻoponopono hou iā ia.
• ʻO ka valvuloplasty balloon: Ma kēia kaʻina hana, ua hoʻopiha ʻia kahi balloon me kahi paipu liʻiliʻi (catheter) i hoʻokomo ʻia i loko o ka puʻuwai i loko o ka valve i haiki ʻia, e hoʻonui ana i ka valve. Hiki i kēia ke hōʻoluʻolu i nā hōʻailona no kekahi manawa. Hana pinepine ʻia no ka poʻe hiki ʻole ke hana i ke ʻoki pani valve, a i ʻole he hōʻoluʻolu manawa ma mua o ke ʻoki ʻana.
• Hoʻololi i ka valve: Inā ua hōʻino loa ka valve no ka hoʻoponopono ʻana, pono e hoʻololi ʻia. Aia kekahi mau ʻano hana no kēia:
• ʻO ke ʻoki ʻana i ka valve aortic: Wehe ʻia ka valve i hōʻino ʻia a hoʻololi ʻia me kahi valve hou. Hiki i kēia valve hou ke lilo i mea hāʻawi kanaka (ʻo ka mea hāʻawi make paha), kahi valve bioprosthetic (ʻo ka pipi a puaʻa paha), a i ʻole kahi valve mechanical i hana ʻia me ka metala.
• Ke kaʻina hana Ross: He ʻoki kino kūikawā kēia. Ma kēia, lawe ʻia kou kiwikā pulmonary ponoʻī a hoʻoili ʻia i kahi i kū ai ka kiwikā aortic. A laila, hoʻokomo ʻia kahi kiwikā mai kahi mea hāʻawi ma kahi i kū ai ka kiwikā pulmonary.
• ʻO ka hoʻololi ʻana i ka valve aortic Transcatheter (TAVR a i ʻole TAVI): ʻO kēia ke kaʻina hana hou loa a holomua loa. He ʻoki kino nui ia, ʻo ia hoʻi, hiki ke hoʻololi ʻia ka valve me ka wehe ʻole ʻana i ka umauma. Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) ma o kahi aa nui ma ka wāwae a i ʻole ka lima, a hoʻouna ʻia kahi valve i pelu ʻia ma o ia mea i ka puʻuwai, kahi e hoʻopaʻa ʻia ai i loko o ka valve aortic i ālai ʻia. Hana pinepine ʻia kēia no ka poʻe ʻelemakule i hiki ʻole ke ʻae i ke ʻoki kino nui.

Pehea ka lōʻihi e hoʻōla ai ma hope o kēia mau lāʻau lapaʻau?

ʻOkoʻa kēia ma muli o ke ʻano lapaʻau i hoʻohana ʻia.

• Inā ʻoe e hana ʻia ana i ke ʻoki kino:He manawa iki ka lōʻihi e hoʻōla ai. Pono ʻoe e noho ma ka haukapila no kekahi mau lā. ʻOiai ma hope o kou hoʻi ʻana i ka home, hiki ke hala kekahi mau pule, malia paha he hoʻokahi a ʻelua paha mahina, ma mua o kou hoʻōla piha ʻana a hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau.
• Inā ua loaʻa iā ʻoe nā kaʻina hana e like me Balloon valvuloplasty a i ʻole TAVR: Pono kēia mau kaʻina hana i kahi manawa hoʻōla pōkole loa. I kekahi manawa hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a i ʻole ka lā aʻe ma hope o ke kaʻina hana. Hiki iā ʻoe ke hoʻi i kou ola maʻamau i loko o kekahi mau lā.

Aia kekahi ala e pale aku ai i ka ulu ʻana o kēia `(Aortic Stenosis)`?

Hiki ke pale ʻia ka Aortic Stenosis no kekahi mau kumu. ʻO ka mea nui loa, he mea nui loa ka mālama wikiwiki a me ke kūpono ʻana i nā maʻi bacteria. No ka laʻana, inā loaʻa iā ʻoe ka maʻi strep throat, pono ʻoe e lawe i nā antibiotics e like me ke kauoha a kāu kauka. ʻAʻole ia he manaʻo maikaʻi e hoʻōki i ka lawe ʻana iā lākou no ka mea ua emi ka ʻeha. ʻO ka hana ʻana pēlā e hiki ai ke pale i ka ulu ʻana o ka fiva rheumatic a me ka hōʻino ʻana i nā valves puʻuwai.

Eia nō naʻe, he mea paʻakikī pinepine ka pale ʻana i ka "Aortic Valve Stenosis", hiki ke hana ʻia e ka ʻelemakule, nā maʻi hoʻoilina, a i ʻole kekahi mau maʻi mau. Eia nō naʻe, ʻo ka hahai ʻana i kahi nohona olakino puʻuwai (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) hiki ke kōkua i ka kaohi ʻana i ka ʻino o ke kūlana.

Inā loaʻa iaʻu ka `(Aortic Stenosis)`, he aha kaʻu e manaʻo ai?

ʻO ka wā e hiki mai ana o kou maʻi Aortic Stenosis, ʻo ia hoʻi, pehea ʻoe e ola ai, e hilinaʻi nui ʻia i ka wikiwiki a me ke kūpono o ka loaʻa ʻana o ka lāʻau lapaʻau iā ʻoe.

• Inā ʻaʻole mālama ʻia: ʻO ka Aortic Stenosis, ʻoiai inā he koʻikoʻi, hiki ke hoʻoweliweli i ke ola. ʻAʻole ola ka hapa nui o ka poʻe ma mua o kekahi mau makahiki me ka ʻole o ka mālama ʻia.
• Lapaʻau Hoʻopaneʻe: Inā hoʻopaneʻe ʻia ka lapaʻau ʻana, ua hui pū ʻia nā hopena. Aia ia i ka hōʻino mau loa ʻana o ka puʻuwai. ʻO ka nui o ka hōʻino ʻana, ʻoi aku ka ʻino o ke kūlana. E hoʻōla ʻia ʻoe i kekahi ʻano, akā he paʻakikī ke manaʻo i ka hoʻōla piha ʻana.
• Inā mālama koke ʻia a i ʻole koke: Inā mālama koke ʻia a kūpono hoʻi, maikaʻi loa ka nānā ʻana no ka `(Aortic Stenosis)`. Pono ʻoe e hele no nā nānā maʻamau ma lalo o ka nānā ʻana o ke kauka no ke koena o kou ola, akā inā ʻaʻole hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau a ola i kahi ola maikaʻi.

Pehea wau e mālama ai iaʻu iho?

• Inā ʻoluʻolu kou stenosis aortic a ʻaʻohe ou hōʻailona, ​​​​ʻo ka mea wale nō āu e hana ai, ʻo ia ke loaʻa i nā echocardiograms maʻamau a ʻike i kāu kauka.
• Inā he Aortic Valve Stenosis kaulike kou, pono paha ʻoe e nānā i kāu mau hōʻailona, ​​​​e hana i nā echocardiograms maʻamau, e kaupalena i kāu mau hana (e like me ke kuhikuhi a kāu kauka), a lawe i kekahi mau lāʻau lapaʻau.
• Inā loaʻa iā ʻoe ka stenosis valve aortic koʻikoʻi, pono ʻoe e hoʻomau i ka ʻike ʻana i kāu kauka ma hope o ka hoʻoponopono ʻana a i ʻole ke pani ʻana i ka valve. Pono paha e lawe ʻia kekahi mau lāʻau lapaʻau no ke koena o kou ola.
• Ma nā pae āpau, e haʻi aku kāu kauka iā ʻoe e ʻai i kahi meaʻai haʻahaʻa i ka paʻakai a me ka momona, a e hoʻoikaika kino mau. Akā, pono ʻoe e nīnau i kāu kauka i ke ʻano o ka hoʻoikaika kino kūpono iā ʻoe.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ua hoʻoholo ʻoe ʻaʻole e ʻimi i ka lāʻau lapaʻau a i ʻole ʻaʻole i loaʻa ka lāʻau lapaʻau, pono ʻoe e kamaʻilio koke me kāu kauka inā loaʻa kekahi o kēia mau mea:

• Inā paha e ʻike ʻia kahi hōʻailona hou o `(Aortic Stenosis)`, a inā paha e ʻoi koke aʻe ka ʻino o nā hōʻailona e kū nei.
• Inā hoʻomaka kāu mau hōʻailona e hoʻopilikia i kou ola o kēlā me kēia lā.

Āhea wau e hele ai i ka lumi pilikia (ER)?

Ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e hele i ka lumi pilikia inā loaʻa kekahi o kēia mau mea:

• Inā loaʻa iā ʻoe kahi hopena ʻaoʻao koʻikoʻi a i manaʻo ʻole ʻia mai kahi lāʻau lapaʻau (e haʻi aku kāu kauka iā ʻoe i nā hopena ʻaoʻao e pono ai ke kōkua koke ʻia e ke kauka).
• Inā ʻoe e maule a hiamoe ʻole paha no kekahi kumu, ua maikaʻi.
• Inā ʻoe e lawe i nā lāʻau hoʻokahe koko a hāʻule, ʻoi aku ka nui o ka pilikia o ke kahe ʻana o ke koko i loko - ʻoiai ma hope o ka hāʻule ʻana a i ʻole kekahi ʻeha ʻē aʻe.

Inā ma hope o ke ʻoki ʻana a i ʻole ke kaʻina hana catheter, e hele i ka lumi pilikia inā loaʻa kekahi o kēia mau mea:

• Inā ʻulaʻula kou ʻoki, pehu, a wela paha ke pā, he mau hōʻailona kēia o kahi maʻi e pono ai ka mālama koke ʻia.
• Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o ka Aortic Stenosis, e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka wikiwiki o ka puʻuwai, a i ʻole ka nāwaliwali.
• Inā ʻoe e lawe i nā lāʻau hoʻokahe koko a hāʻule, no ke kumu hoʻokahi i ʻōlelo ʻia ma luna.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, mai kānalua e nīnau i nā nīnau e like me kēia:

• E ke kauka, ke manaʻo nei ʻoe e ʻoi aku ka ʻino o koʻu mau hōʻailona?
• Pono anei au e pani i kahi valve?
• He aha ke ʻano o ka valve maikaʻi loa iaʻu e pani ai?
• Āhea ka manawa kūpono loa noʻu e hana ai i ke ʻoki kino?
• He aha nā lāʻau lapaʻau hou loa no kēia?

Leka Lawe-Home

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ke kūlana a mākou i kamaʻilio ai i kapa ʻia ʻo `(Aortic Stenosis)`. ʻAe, he mea weliweli maoli ka loaʻa ʻana o kahi ʻāpana o kou puʻuwai, ʻo ia hoʻi, kahi puka koʻikoʻi loa, ʻaʻole e hana pono. Eia naʻe, ʻo ka mea nui loa, ʻaʻole e hopohopo a ʻimi koke i ke aʻo lapaʻau.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​a inā he maʻi puʻuwai ko kekahi o kou ʻohana, e ʻike pono i ke kauka a e nānā i kou puʻuwai.

ʻOiai he maʻi paʻakikī ka `(Aortic Stenosis)`, ua holomua nui ka lāʻau lapaʻau i kēia mau lā. Me ke ʻoki kino a me nā lāʻau lapaʻau hou e pili ana i ka catheter e like me `(TAVR)` a mākou i kamaʻilio ai, ʻaʻole i ʻoi aku ka maikaʻi o ka hiki ke mālama iā ia. No laila, mai makaʻu. Inā ʻike mua ʻoe i ka maʻi a loaʻa ka lāʻau kūpono, hiki iā ʻoe ke ola hou i kahi ola olakino a hauʻoli. E mālama i kou puʻuwai, ʻae?

ʻO ka Stenosis Aortic, Valve Heart, Maʻi Heart, ʻEha Umauma, Paʻakikī Hanu, ʻOki Puʻuwai, TAVR