ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ke ʻoki kino e pani ai i kahi lua i loko o ka puʻuwai (Atrial Septal Defect - ASD)

He mea maʻamau ka makaʻu a me ka haʻalulu ke haʻi aku ke kauka o kāu keiki iā ʻoe he lua i loko o ko lākou puʻuwai. Ke noʻonoʻo nei paha ʻoe, "Auē kuʻu Akua, he aha ka mea i hana ʻia i kaʻu keiki?" Akā, mai hopohopo. He mea maʻamau kēia maʻi i ka lāʻau lapaʻau. I kēia lā, e kamaʻilio mākou e pili ana i kēia lua i loko o ka puʻuwai, ʻo ia ka mea a mākou e kapa nei he `(Atrial Septal Defect - ASD)` i ka lāʻau lapaʻau, a me ka lāʻau lapaʻau i hoʻohana ʻia e ho'ōla iā ia, ʻo ia hoʻi `(ASD Closure)`.

I ka ʻōlelo maʻalahi, he aha ka ASD?

ʻEhā keʻena nui o ko kākou puʻuwai. Ua kapa ʻia nā keʻena ʻelua o luna ʻo ka atria. Aia kahi paia (septum) ma waena o kēia mau atria ʻelua. ʻO kahi Atrial Septal Defect (ASD) he lua kūpono ʻole ia ma kēia paia.

E noʻonoʻo e pili ana i ia mea, aneane kēlā me kēia pēpē i hānau ʻia me kahi lua liʻiliʻi ma kēia paia. He mea maʻamau kēlā. Pani ʻia kēia lua ma kona iho i loko o kekahi mau pule a i ʻole mau mahina ma hope o ka hānau ʻana o ke pēpē. Akā i kekahi manawa, hiki i kēia lua ke nui iki aʻe, a i ʻole hiki ʻole ke pani iā ​​ia iho. ʻO ia ka manawa a mākou e kapa ai iā ia he ASD.

Pono anei e pani ʻia kēia lua? ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?

Inā liʻiliʻi loa ka lua, ʻaʻole paha e pilikia. ʻAʻole paha e pono ka mālama ʻana. Akā inā nui ka lua, hiki ke lilo i pilikia.

ʻO ka mea e hana ʻia ana, ma muli o kēia lua, hoʻomaka ke koko mai kekahi keʻena o ka puʻuwai e kahe i loko o ke keʻena kūpono ʻole. A laila pono ka puʻuwai a me nā māmā e hana ikaika ma mua o ka mea maʻamau. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i nā pilikia like ʻole.

ʻO nā pilikia nui e hiki ke kū mai ma muli o kēia ʻano:

• Nā ʻano puʻuwai kūpono ʻole, i ʻike ʻia hoʻi ʻo nā kūlana `(Arrhythmia)`. No ka laʻana, `(Atrial Fibrillation)` a i ʻole `(Atrial Flutter)`.
• Ka hoʻonui ʻia ʻana o ka puʻuwai.
• Ka pilikia o ka hāʻule ʻana o ka puʻuwai.
• Ke koko kiʻekiʻe i loko o nā māmā (Pulmonary Hypertension).
• Paʻakikī ka hanu ʻana.
• Ka pilikia o ka hahau ʻana.

Inā ʻoe a i ʻole kāu keiki i ka pilikia o kēia mau pilikia, hiki i kāu kauka ke ʻōlelo aku e pani i ka lua (ASD Closure). Eia kekahi, inā ʻoe e hana ʻia ana i ke ʻoki no kekahi maʻi puʻuwai ʻē aʻe, hiki i kāu kauka ke hoʻoholo e pani i ka lua i ka manawa like. Hana pinepine ʻia kēia ʻoki ma nā keiki ʻōpio e pale aku i ka hōʻino ʻana o ka puʻuwai i ka wā e hiki mai ana.

Pehea e pani ai i ka lua? ʻElua mau ʻano nui!

ʻElua mau ʻano hana nui i hoʻohana ʻia e pani i kēia lua: ke ʻoki puʻuwai hāmama a me nā ʻano hana ʻoki ʻole me ka hoʻohana ʻana i kahi catheter. Na kāu kauka puʻuwai e hoʻoholo i ke ʻano hana kūpono loa no kou kūlana.

He mea hou aʻe e pili ana i ka pani ʻana o Transcatheter

Inā liʻiliʻi ka lua i loko o kou puʻuwai a ʻaʻohe ou maʻi puʻuwai ʻē aʻe, koho pinepine ʻia kēia ʻano hana. Ma kēia ʻano hana, ʻaʻole hiamoe loa ka mea maʻi. Hoʻohana ʻia ka hoʻomaha māmā. Hoʻohana ke kauka i kahi catheter i hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi ma ka ʻūhā, nā X-ray a me ka "(Echocardiogram)" e alakaʻi i ka catheter i loko o ka puʻuwai. A laila, ua kau pono ʻia ka mea e pani ana i ka lua a ua wehe ʻia ka catheter. He wikiwiki loa ka hoʻōla ʻana ma kēia ʻano hana.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?

Ma muli o ka lāʻau lapaʻau āu e loaʻa ai, pono paha ʻoe e noho ma ka haukapila no hoʻokahi lā a ʻoi aku paha. E nānā pono ke kime lapaʻau iā ʻoe.

• Inā ua hana ʻia ʻoe i ke ʻoki hāmama , pono ʻoe e pale i nā hana ikaika e like me ka hāpai kaumaha no kekahi mau pule.
• Inā ua loaʻa iā ʻoe ke kaʻina hana catheter , hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o hoʻokahi pule.

Ma hope o ka mālama ʻana, ka lāʻau lapaʻau e pale ai i nā ʻōpū koko no kahi o 6 mau mahinaPono ʻoe e lawe. Eia kekahi, ʻoiai inā ʻoe e mālama ana i nā niho, e aʻo aku kāu kauka iā ʻoe e lawe i nā antibiotics e pale aku i ka maʻi.

ʻO ka mea nui loa, ʻo ia ka hōʻoia ʻana e hele ʻoe i ke kauka i nā lā i hoʻonohonoho ʻia. Pono ʻoe e hana i kekahi mau hoʻokolohua, e like me ka "Echocardiogram" a me ka "Electrocardiogram - ECG", e ʻike ai inā ua holomua ka lāʻau lapaʻau.

Aia kekahi mau pilikia i kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi. Eia nō naʻe, he lāʻau palekana a maikaʻi loa ia. ʻO nā pilikia hiki ke loaʻa:

• Nā maʻi ʻaleka i nā mea i hoʻohana ʻia i ka lāʻau lapaʻau.
• Nā ʻano like ʻole o ka puʻuwai (Arrhythmia).
• Ke kahe ʻana o ke koko.
• Ka hōʻino ʻana i nā ʻiʻo puʻuwai a i ʻole nā ​​​​kīʻaha koko (he mea kākaʻikahi loa kēia).
• Ka maʻi a puni ka ʻoki a i ʻole ka mea hana i pani ai i ka lua.
• Hahau a i ʻole ka Hoʻouka Ischemic Kuikilana.

E kamaʻilio kāu kauka me ʻoe e pili ana i kēia mau pilikia. ʻAʻohe mea e hopohopo ai, ʻo ka hapa nui o ka manawa ʻaʻole kēia mau mea e hana ʻia.

I nā kūlana hea e pono ai ʻoe e ʻike koke i ke kauka?

Inā ʻike ʻoe i kekahi mau hōʻailona hōʻailona ma hope o kāu lāʻau lapaʻau, pono ʻoe e kāhea koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

I ka hopena, he lāʻau koʻikoʻi loa ka ASD Closure e pale ana i ke olakino o ka puʻuwai a me nā māmā, e kōkua ana iā ʻoe a i ʻole kāu keiki e ola i ke ola lōʻihi a olakino.