He lāʻau lapaʻau no ka lua ma ka puʻuwai - E aʻo kākou e pili ana i ka Cardiac Closure Device ma nā ʻōlelo maʻalahi

I ka wā i haʻi aku ai ke kauka iā ʻoe he lua kou ma kou puʻuwai, ua makaʻu nui ʻoe a ua pūʻiwa hoʻi. Ua manaʻo paha ʻoe, "Auē kuʻu Akua, aia kahi lua ma koʻu puʻuwai?" Akā, mai hopohopo. ʻAʻole kēia he mea weliweli e like me kā mākou e manaʻo nei, a i kēia manawa aia nā lāʻau lapaʻau holomua a holomua no kēia. ʻO ka luhi āu e manaʻo ai, ka paʻakikī o ka hanu ʻana i ka wā e hoʻoikaika iki ai ʻoe iā ʻoe iho, ma muli paha o kēia ʻano. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau lua ma ka puʻuwai, a e pili ana i ka 'Cardiac Closure Device', kahi mea liʻiliʻi i hoʻohana ʻia e pani iā ​​lākou.

E nānā mua kākou, he aha kēia lua i loko o ka puʻuwai?

I ka ʻōlelo maʻalahi, ua like ko kākou puʻuwai me kahi hale me ʻehā lumi. ʻElua lumi ma luna a ʻelua lumi ma lalo. Kāhea mākou i kēia mau lumi ʻelua ma luna ʻo Atria. ʻO ka atrium ʻākau a me ka atrium hema. Aia kahi pā ma waena o kēia mau lumi ʻelua. Kāhea mākou i kēia pā ʻo 'Interatrial Septum'. I kekahi manawa, hiki ke hana ʻia kahi lua ma kēia pā i ka wā hānau. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Atrial Septal Defect (ASD) .

E noʻonoʻo, i ke kūkulu ʻana i hale, ua kūkulu ʻia kahi pā ma waena o nā lumi ʻelua, a ua waiho ʻia kahi wahi liʻiliʻi me ka ʻole o ka palaki ʻia. He maʻi hānau kēia.

Aia kekahi kūlana ʻē aʻe e like me kēia, akā ʻokoʻa iki. Ua kapa ʻia ʻo ia he Patent Foramen Ovale (PFO) . ʻAʻole kēia he lua maoli e like me ka ASD. I ko kākou noho ʻana i loko o ka ʻōpū, aia kahi puka liʻiliʻi ma waena o kēia mau atria ʻelua. No ka mea, ʻaʻole hana ko kākou mau māmā i kēlā manawa, he mea nui kēia puka no ke kahe ʻana o ke koko. Ma hope o ko kākou hānau ʻana, i ka wā e hoʻomaka ai kākou e hanu, pani koke kēia puka. Akā i kekahi poʻe, ʻaʻole kēia e pani piha, akā e like me kahi poʻi liʻiliʻi. Hiki iā ia ke wehe i ka wā e pono ai. Ua kapa ʻia kēia he PFO.

No ke aha he pilikia ka loaʻa ʻana o kēia mau lua?

ʻAe, i kēia manawa ke nīnau nei paha ʻoe, "No laila he aha ka mea e hana ai ke loaʻa kēlā lua?" Eia ka mea e hana nei.

Aia ma ka ʻaoʻao hema o ko kākou puʻuwai ke koko maʻemaʻe a waiwai i ka oxygen. Hoʻopuka ʻia kēia koko ma ke kino holoʻokoʻa. Aia ma ka ʻaoʻao ʻākau ke koko haumia i hoʻohana ʻia, nele i ka oxygen. Hoʻouna ʻia kēia koko i nā māmā e hoʻopiha hou ʻia me ka oxygen.

I kēia manawa, e noʻonoʻo, he aha ka mea e hana ʻia inā he lua ma ka paia ma waena o kēia mau ʻaoʻao ʻelua? Ua like ia me ka lua ma waena o kahi pahu wai maʻemaʻe i kānana maikaʻi ʻia a me kahi pahu wai i hoʻohana ʻia. Hoʻohui kekahi o ke koko oxygen maikaʻi me ke koko deoxygenated. A laila emi ka nui o ke koko oxygen e pono ai ke hele i ke kino.

Ma muli o kēia, e hana ʻoe:

• Manaʻo luhi a paupauaho hoʻi .
• Hoʻomaka ka paʻakikī o ka hanu ʻana .
• Hoʻomaka nā palpitations e like me ka helu puʻuwai maʻamau ʻole.

I ke ʻano o ka PFO, hiki ke ʻoi aku ka weliweli. ʻO nā ʻūpā koko liʻiliʻi e hana ʻia i loko o ko mākou kino, ʻoi aku hoʻi i ko mākou mau wāwae, i kekahi manawa e hele i ka puʻuwai. ʻO ka maʻamau, hele lākou i nā māmā a lawe ʻia mai laila. Akā i loko o kekahi kanaka me ka lua PFO, hiki i kēia ʻūpā koko ke lele mai ka ʻaoʻao ʻākau a i ka ʻaoʻao hema a hele pololei i nā kīʻaha koko e hele ana i ka lolo. Inā hana ʻia kēlā, ʻoi aku ka kiʻekiʻe o ka pilikia o ka hahau ʻana .

Pehea ʻoe e pani ai i kēia lua? - Ka hana o ka mea pani puʻuwai

I ka wā ma mua, no ka pani ʻana i kahi lua e like me kēia, pono ʻoe e hana i kahi ʻoki puʻuwai nui. Akā i kēia manawa, ma muli o ka ʻenehana holomua, hana ʻia kēia ma ke ʻano maʻalahi loa ma mua o 80% o nā hihia. ʻO ia ke kumu e hoʻohana ʻia ai kēia mea liʻiliʻi i kapa ʻia ʻo Cardiac Closure Device .

Ua like ia me ʻelua mau umbrellas liʻiliʻi i hoʻopili ʻia kekahi i kekahi, a i ʻole he mea pihi. Hana ʻia ia me kahi ʻupena uea i hana ʻia me kahi metala i kapa ʻia ʻo Nitinol, a ua uhi ʻia i kahi lole polyester.

He maʻalahi loa ke ʻano o ka mālama ʻana.

Hana ʻia kēia e kahi cardiologist.

1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻomāinoino ai iā ʻoe a i ʻole e ʻona ai.

2. A laila, hoʻokomo ʻia kahi ʻōmole liʻiliʻi i kapa ʻia he catheter i loko o kahi kīʻaha koko nui i loko o kou wāwae.

3. Hoʻokomo ʻia kēia catheter ma o ke kīʻaha koko a hiki i ka puʻuwai. Hana ʻia kēia mau mea a pau ma lalo o ke alakaʻi ʻana o ka ʻenehana e like me X-ray a me ka ultrasound.

4. Ke hoʻokokoke aku ka catheter i ka lua i loko o ka puʻuwai, hoʻokomo mua lākou i kahi mea e like me ka pōpō liʻiliʻi e ana i ka nui pololei o ka lua.

5. A laila, hoʻokomo ʻia ka mea pani, ʻo ia ka nui kūpono, ma o ke catheter ma ke kūlana pelu ʻia a hiki i kahi o ka lua.

6. Ke kau ʻia ma kahi kūpono, wehe ʻia ke catheter. A laila wehe ʻia nā ʻāpana ʻelua e like me ka umbrella i pelu ʻia ma nā ʻaoʻao ʻelua o ka lua, e pani loa ana i ka lua. Hoʻopili ʻia ia i ka paia ma nā ʻaoʻao ʻelua, e like me ka sandwich.

7. Ma hope o ka hōʻoia ʻana ua paʻa pono ka hāmeʻa, wehe ʻia ke catheter.

ʻO ia wale nō. ʻAʻohe pono e uhi i kou umauma. ʻAʻohe ʻoki nui.

He aha nā pōmaikaʻi a me nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau a pau, aia nā pono a me kekahi mau pilikia kakaikahi loa.

Nā pono nui

• Ka nui o ka holomua: Ua ʻike ʻia nā noiʻi ua ʻoi aku ka holomua o kēia lāʻau ma mua o 93%.
• Hoʻōla wikiwiki: Me ke ʻoki kino e pili ana i ka catheter, hoʻokahi wale nō pō e pono ai ʻoe e noho ma ka haukapila. Hiki iā ʻoe ke hoʻi i kou ola maʻamau i loko o ʻelua pule. Hoʻōla wikiwiki ʻoe ma mua o ke ʻoki kino hāmama.
• ʻEha iki: He kakaikahi loa ka ʻeha no ka mea ʻaʻohe ʻoki nui.
• Ka hōʻemi ʻana i ka pilikia o ka hahau ʻana: ʻOi loa no ka poʻe me PFO, hiki i kēia ʻano hana ke hōʻemi i ka pilikia o ka hahau ʻana ma mua o ka lawe ʻana i ka lāʻau lapaʻau.

Nā hopena ʻaoʻao hiki ke loaʻa (he mea kākaʻikahi loa kēia mau mea)

• Nā ʻūpē koko: Hiki ke hana ʻia nā ʻūpē koko a puni ka hāmeʻa.
• Lūlū hāmeʻa: He mea kākaʻikahi loa, hiki ke neʻe iki ka hāmeʻa mai kahi i kau ʻia ai.
• Nā ʻano kuʻina o ka puʻuwai: Hiki ke loli ke ʻano o ka puʻuwai no kekahi manawa pōkole.
• Ka pilikia o ka Endocarditis: He maʻi bacteria kēia o ka uhi o loko o ka puʻuwai.
• Ka ʻino ʻana o ka hāmeʻa: He mea kākaʻikahi loa kēia (ma kahi o 0.04% - 0.3%). Hiki i ka hāmeʻa ke paʻa i ka paia o ka puʻuwai a hōʻino i ka paia i ka hala ʻana o ka manawa.

He aha kā mākou e hana ai e pale aku i nā hopena ʻaoʻao?

Ma hope o ka mālama ʻana, aia kekahi mau mea e pono ai ʻoe e hana ma kāu ʻaoʻao. Ma ka hahai pono ʻana i kēia mau mea, hiki iā ʻoe ke pale aku i kēlā mau hopena ʻaoʻao kakaʻikahi.

1. No ka pale ʻana i nā ʻūpā koko

E haʻi aku kāu kauka iā ʻoe e lawe i ka lāʻau anticoagulant a i ʻole antiplatelet, e like me ka aspirin, i kēlā me kēia lā no kahi o 6 mau mahina ma hope o kāu mālama ʻana. He mea nui loa ia e lawe i kēia lāʻau i ka manawa kūpono a mai poina e lawe .

2. No ka pale ʻana i ka maʻi endocarditis (he mea nui loa kēia!)

Ma hope o ke hoʻokomo ʻia ʻana o ka hāmeʻa, e hala ana ma kahi o 6 mau mahina no nā ʻiʻo o kou kino e ulu a uhi piha iā ia. I loko o kēia manawa, inā komo ka bacteria mai kahi ʻē aʻe o kou kino i loko o kou koko, hiki iā ia ke hele i ka hāmeʻa a hoʻoulu i kahi maʻi. No ka pale ʻana i kēia:

• E mālama pono i kou mau niho a me kou mau ʻāʻī. E palaki pono i kou mau niho i kēlā me kēia lā.
• Ma mua o kekahi mālama niho (e like me ka unuhi ʻana i ka niho, ka hoʻomaʻemaʻe ʻana, ka hoʻopihapiha ʻana), pono ʻoe e haʻi i ke kauka niho he mea like kāu i loko o kou puʻuwai.
• Ma mua o kekahi hoʻokolohua lapaʻau a ʻoki kino paha e hiki ai ke hoʻokahe i ke koko , pono ʻoe e lawe i nā lāʻau antibiotic . ʻO kēia ke pale aku i ka maʻi.
• Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi, e like me ke kuni, ka ʻeha kino, a i ʻole ka ʻeha puʻu, e kāhea koke aku i kāu kauka.

E hāʻawi ke kauka iā ʻoe i kahi kāleka me ka ʻike e pili ana i kēia. E mālama mau me ʻoe i nā manawa a pau.

Hoʻi i ke ola maʻamau ma hope o ka mālama ʻana ...

Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau ma o kahi catheter, hiki iā ʻoe ke noho i ka haukapila i ka pō a hoʻi i ka home i ka lā aʻe. ʻOiai hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o ʻelua a ʻekolu mau lā, ʻoi aku ka maikaʻi o ka pale ʻana i ka hāpai kaumaha a i ʻole nā ​​​​hana ikaika no kahi o ʻelua pule.

I ka hala ʻana o ka manawa, e ulu aʻe ana kou ʻiʻo puʻuwai a uhi piha i kēia mea hana. A laila lilo ia i ʻāpana o kou puʻuwai. ʻAʻole ʻoe e manaʻo aia ia ma laila. E loaʻa iā ʻoe ke kūʻokoʻa piha e ola i kahi ola maʻamau, hoʻoikaika kino, a hana i nā mea āu e makemake ai.

Inā pono ʻoe e hana i kahi scan MRI, aia paha kekahi mau kapu. No laila, ma mua o ka hana ʻana i kekahi mea, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka puʻuwai a loaʻa ka ʻōlelo aʻoaʻo.