He loli liʻiliʻi anei kou e like me kēia i loko o kou puʻuwai? E kamaʻilio kākou e pili ana i (Atrial Septal Aneurysm)!

I kekahi manawa, noho mākou me nā loli liʻiliʻi i loko o ko mākou kino me ka ʻike ʻole ʻia, ʻeā? I kekahi manawa, ʻike ʻia kēia mau mea ma ka manawa kūpono ke hana ke kauka i kahi mea e like me ka 'scan' no kekahi mea ʻē aʻe. ʻAe, ʻo kēia 'Atrial Septal Aneurysm' he maʻi puʻuwai hānau liʻiliʻi ia e hōʻike pinepine ʻole ana i nā hōʻailona nui. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā?

He aha ka 'Atrial Septal Aneurysm'? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he ʻano maʻi hānau kēia o kou puʻuwai . ʻO ka paia e hoʻokaʻawale ana i nā keʻena ʻelua o luna o ko kākou puʻuwai, ʻo ia hoʻi ka atria (i kapa ʻia hoʻi ʻo atria), he ʻano ʻiʻo keu i loko. I ka pololei, ua nāwaliwali kekahi hapa o kēlā paia a ua puʻupuʻu i waho. I kekahi manawa hiki i nā kauka ke ʻike i kēia i ka wā o kahi echocardiogram, kahi scan o ka puʻuwai. Kāhea pū nā kauka i kēia he aneurysm septal interatrial.

Loaʻa i ka hapa nui o nā kānaka kahi aneurysm septal atrial, akā ʻaʻole ia e hoʻopilikia i ke kahe o ke koko ma o ka puʻuwai a ʻaʻole pono kekahi lāʻau kūikawā. ʻOiai ʻaʻohe helu kikoʻī e pili ana i ka nui o ka poʻe i loaʻa i kēia maʻi, ua ʻōlelo ʻia he mea kakaikahi .

Aia kekahi mau ʻano o kēia?

ʻAe, ʻelima mau ʻano nui o ka 'Atrial Septal Aneurysm'. Ua hoʻokaʻawale ʻia kēia mau mea e like me ka ʻaoʻao o ka puʻuwai e puka nui aku ai ka ʻiʻo keu, a i ʻole ka mea i puka i waho. E noʻonoʻo e pili ana i ia mea, ʻo ka ʻaoʻao ʻākau o ka puʻuwai, ka ʻaoʻao hema, a i ʻole nā ​​ʻaoʻao ʻelua.

• ʻAno 1R: I kēia hihia, aia ka puka i waho i kou atrium ʻākau.
• ʻAno 2L: Maanei ke puka ʻana i waho i ka atrium hema.
• ʻAno 3RL: Aia ka hapa nui o ka puka ʻana ma ka ʻaoʻao ʻākau o ka atrium, akā aia kekahi wahi liʻiliʻi ma ka ʻaoʻao hema o ka atrium.
• ʻAno 4LR: I kēia hihia, aia ka hapa nui o ka puka ʻana ma ka ʻaoʻao hema o ka atrium, me kahi liʻiliʻi ma ka ʻaoʻao ʻākau pū kekahi.
• ʻAno 5: Maanei ua aneane like ka puka ʻana ma waho ma ka atrium ʻākau a me ka hema.

ʻOiai he mea nui kēia hoʻokaʻawale ʻana i nā kauka, ʻaʻole ia he mea āu e hopohopo ai. ʻO ka mea nui pehea ia e pili ai iā ʻoe.

He aha nā hōʻailona o ka "Atrial Septal Aneurysm"?

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka poʻe me ka aneurysm septal atrial ʻaʻohe o lākou hōʻailona . Hiki i kāu kauka ke ʻike iā ia ma ka ulia pōpilikia ke loaʻa iā ʻoe kahi echocardiogram no kekahi kumu ʻē aʻe.

Eia nō naʻe, hiki i kēia ʻano ke hele pū me nā ʻano puʻuwai ʻē aʻe, e like me nā puʻuwai puʻuwai kūpono ʻole (arrhythmias), nā ʻōpū koko, a i ʻole nā ​​patent foramen ovale (PFOs). Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻEha a ʻoluʻolu ʻole paha ka umauma.
• Ke manaʻo nei i kahi loli o ka wikiwiki a i ʻole ke ʻano o ka paʻi ʻana o kou puʻuwai, i ʻike ʻia ʻo 'palpitations'.
• Pōʻaiʻī.

No ke aha e hana ʻia ai kēia 'Atrial Septal Aneurysm'? He aha ke kumu?

ʻAʻole maopopo loa i nā kānaka noiʻi ke kumu o ka aneurysm septal interatrial. Manaʻo kekahi mau kauka a me nā kānaka noiʻi he kumu ia o ka genetics a i ʻole ka nāwaliwali o nā ʻiʻo pili i loko o ko kākou kino. Eia nō naʻe, ke noiʻi ʻia nei kēia.

Hiki i kēia ke hana i nā pilikia ʻē aʻe?

Inā hoʻokahi wale nō aneurysm septal atrial āu, ʻaʻole ia he pilikia nui. Eia nō naʻe, i kekahi manawa hiki i kēia kūlana ke hoʻonui i kou pilikia o nā pilikia olakino ʻē aʻe. ʻO kēia mau mea:

• Nā pilikia puʻuwai hānau ʻē aʻe.
• ʻO ka hahau ʻana kahi maʻi e hele ai kahi ʻūpā koko i ka lolo.
• Nā ʻano hewa o ka manawa o ka puʻuwai (arrhythmias).
• Nā ʻūpā koko.
• ʻO ke kūlana i kapa ʻia ʻo 'Patent foramen ovale (PFO)' (he lua liʻiliʻi nō hoʻi kēia ma waena o ka atria o ka puʻuwai).
• ʻO ke kūlana i kapa ʻia ʻo 'Atrial septal defect (ASD)' (he lua nō hoʻi kēia ma ka paia ma waena o ka atria).

He mea nui: ʻAʻole hiki kēia mau pilikia i nā kānaka a pau, akā no kēia pilikia ke hopohopo nei nā kauka e pili ana i ia mea.

Pehea e ʻike ai inā he "Atrial Septal Aneurysm" kou?

ʻO ka maʻamau, hiki i ke kauka ke hana i kahi `echocardiogram` e ʻike inā ʻo ia kēia. E like me kaʻu i ʻōlelo ai ma mua, inā e puka mai ana ka ʻiʻo keu mai ka paia ma waena o ka atria o ka puʻuwai ma mua o 10 millimeters (ʻōlelo kekahi mau kauka he 15 millimeters), e ʻike nā kauka he `Atrial Septal Aneurysm`.

I kekahi manawa, inā makemake kāu kauka e nānā pono i kēia, hiki iā ia ke paipai i kahi scan kūikawā i kapa ʻia he transesophageal echocardiogram (TEE). Pili kēia i ka hoʻouna ʻana i kahi mea liʻiliʻi e like me ke kāmela i lalo o kou esophagus (paipu meaʻai) e kiʻi i kahi ʻike piha o ka paia ma waena o ka atria o kou puʻuwai. Hiki i kēia ke kōkua i ka ʻike ʻana i kahi aneurysm septal atrial i hiki ke nalo me kahi echocardiogram maʻamau (transthoracic echocardiogram - TTE - hana ʻia kēia ma o ka umauma).

ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ka poʻe he aneurysm septal interatrial ko lākou. ʻIke pinepine ʻia ia i ka wā o kahi hoʻāʻo kiʻi o ka puʻuwai no kekahi kumu ʻē aʻe. ʻO kēia mau hoʻokolohua:

• ʻO kahi `CT scan` o ka puʻuwai (`Cardiac computed tomography (CT)`).
• ʻO kahi scan MRI o ka puʻuwai (Heart MRI).
• Hoʻāʻo angiogram.

Inā ʻike ke kauka iā ʻoe me kahi aneurysm septal atrial, e nānā pū lākou no nā maʻi puʻuwai ʻē aʻe e pili ana me ia, no ka mea, e like me kaʻu i ʻōlelo ai ma mua, hiki i kekahi poʻe me kēia maʻi ke loaʻa i nā maʻi puʻuwai ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia?

Inā loaʻa iā ʻoe kahi aneurysm septal atrial, akā ʻaʻohe ou maʻi puʻuwai ʻē aʻe a i ʻole nā ​​​​kumu pilikia no nā ʻōpū koko a me ka hahau ʻana, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau . He ʻoiaʻiʻo kēia no ka hapa nui o nā kānaka.

Eia nō naʻe, no kekahi poʻe, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau. ʻO ka mālama ʻana no kahi aneurysm septal interatrial e komo pū me nā lāʻau hoʻokahe koko (e like me nā anticoagulants a i ʻole antiplatelets). Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale aku i nā ʻōpū koko, no ka mea, ʻo kekahi poʻe me kēia maʻi e pilikia iki ana i ka loaʻa ʻana o nā ʻōpū koko.

No kekahi poʻe, ʻoi aku hoʻi ka poʻe me ka patent foramen ovale (PFO) a me kahi aneurysm, hiki i kahi kaʻina hana minimally invasive i kapa ʻia ʻo patent foramen ovale (PFO) closure ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hahau ʻana. Ma hope o kēia kaʻina hana, pono paha ʻoe e lawe i nā lāʻau hoʻokahe koko i kapa ʻia ʻo antiplatelets no kekahi mau mahina, a i ʻole no ke koena o kou ola (ʻoi aku hoʻi inā ua loaʻa iā ʻoe kahi hahau ma mua).

He mea kākaʻikahi loa, ʻo ia hoʻi, i nā hihia palena loa, pono e wehe ʻia kēia 'Atrial Septal Aneurysm' me ke ʻoki ʻana.

Pehea ke koʻikoʻi o ka 'Atrial Septal Aneurysm'?

ʻAʻole ʻo ka loaʻa ʻana o kahi aneurysm septal atrial wale nō ke kumu e hopohopo ai . Kākaʻikahi ia e hoʻoulu i kahi pilikia nui ma kāna iho. Eia nō naʻe, inā he mau kumu pilikia ʻē aʻe kāu no ka hahau ʻana (e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka puhipaka, a i ʻole ka loaʻa ʻana o ka PFO), a laila pono ʻoe e hopohopo e pili ana i kahi aneurysm septal atrial. Hiki i kēia ke hoʻonui hou aku i kou pilikia o ka hahau ʻana.

E makaʻu anei kākou no ko kākou ola me kēia kūlana?

Ma keʻano laulā, ua like ke ola o ka poʻe me ka 'Atrial Septal Aneurysm' me ko nā poʻe olakino ʻē aʻe . ʻO ia hoʻi, ʻaʻohe pono e hopohopo e hoʻopōkole kēia i kou ola. ʻAʻole like ke kūlana o kēlā me kēia kanaka. Hiki ke ʻokoʻa kou kūlana pilikino ma muli o nā maʻi ʻē aʻe a i ʻole nā ​​kūlana olakino āu. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia.

He aha kāu e hana ai e mālama iā ʻoe iho?

Inā kuhikuhi kāu kauka i kahi lāʻau lapaʻau e kōkua i ka pale ʻana i ka hahau ʻana (e like me ka lāʻau hoʻokahe koko), he mea nui loa ia e lawe pololei e like me ke kauoha, ma ka nui i kauoha ʻia, a no ka manawa i kauoha ʻia . Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio ʻana me kāu kauka.

Inā loaʻa iā ʻoe kahi hana liʻiliʻi a ʻoki kino nui paha, e lawe kāu kauka iā ʻoe no nā manawa hoʻopaʻa maʻamau i nā manawa maʻamau . E hōʻoia e mālama i kēia mau manawa. Pono paha ʻoe e hana i nā hoʻokolohua kiʻi a i ʻole nā ​​​​scan.

I ka manawa hea e pono ai ʻoe e hele i ka haukapila i ka wā pilikia?

He mea nui loa kēia. Inā loaʻa iā ʻoe a i ʻole kekahi mea āu e hele pū ana me nā hōʻailona o ka hahau ʻana , pono ʻoe e hele koke i ka haukapila me ka hoʻokaʻulua ʻole . ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke pale i ka pōʻino koʻikoʻi mai ka hahau ʻana. E hoʻomanaʻo i kēia mau hōʻailona:

• Lilo i mea paʻakikī ke ʻōlelo aku, huikau nā huaʻōlelo.
• Ua manaʻo koke kekahi ʻaoʻao o ke kino (lima, wāwae, ʻaoʻao o ka maka) i ka maneʻo, ke ʻūlū, a i ʻole ka nāwaliwali.
• I ka manawa koke, hiki mai kahi poniuniu nui.
• Ua lilo koke ka ʻike i mea pohihihi, a nalowale paha ka ʻike i kekahi a i ʻole nā ​​maka ʻelua.
• I ka manawa koke, ua pau ka hana ʻana o kekahi a ʻoi aku paha o ko kākou mau manaʻo (e like me ka lohe ʻana, ka honi ʻana).
• I ka manawa koke, ua huikau loa ʻoe a me he mea lā e poina ana iā ʻoe kahi o ʻoe.
• He ʻeha poʻo koʻikoʻi loa a koke.

He aha nā nīnau āu e nīnau ai i kāu kauka?

Ke ʻike ʻoe he `Atrial Septal Aneurysm` kou, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui i loko o kou manaʻo. Mai makaʻu e nīnau i kāu kauka e pili ana i kēia mau mea:

• "E ke kauka, pono anei iaʻu kekahi lāʻau lapaʻau no kēia 'Atrial Septal Aneurysm'?"
• "Pehea ka wikiwiki e pono ai iaʻu e ʻike hou i ke kauka ('nā manawa hoʻopaʻa')?"
• "He mau maʻi puʻuwai ʻē aʻe koʻu e pili ana i kēia `Atrial Septal Aneurysm`?"
• "No koʻu kūlana i kēia manawa, pehea ka manaʻo o ke kauka no koʻu olakino i ka wā e hiki mai ana?"

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

E kahaha iki paha ʻoe ke haʻi aku ke kauka iā ʻoe he 'Atrial Septal Aneurysm' kou, ʻoiai inā ʻaʻole ʻoe i loaʻa i kekahi mau hōʻailona ma mua. Eia nō naʻe, i ka hapanui o nā hihia, ʻaʻole kēia he mea e hopohopo ai . Noho ka hapa nui o ka poʻe i nā ola maʻamau me kēia maʻi me ka ʻole o nā pilikia.

Eia nō naʻe, inā ʻōlelo kāu kauka ua pilikia ʻoe i ka loaʻa ʻana o ka hahau ma muli o kēia aneurysm, e kamaʻilio pono me ia a hana i kahi hoʻolālā maopopo e pili ana i nā hana āu e pono ai e hana e pale aku iā ʻoe iho. He mea nui hoʻi e kamaʻilio me kou ʻohana, nā hoaaloha ma ka hana, a me nā poʻe ʻē aʻe e pili ana i nā hōʻailona hōʻailona o ka hahau e kōkua i ka hōʻoluʻolu ʻana i kou mau makaʻu. ʻO ka ʻike ʻana i kēia mau hōʻailona hiki ke lilo i mea kōkua nui iā ʻoe a i ʻole kekahi āu i ʻike ai i ka wā e hiki mai ana. E hahai mau i ka ʻōlelo aʻo a kāu kauka. A laila hiki iā ʻoe ke noho olakino!

ʻatrial septal aneurysm, maʻi puʻuwai, puʻuwai, echocardiogram, echocardiogram, hahau ʻana, PFO, olakino puʻuwai