ʻO wai ke kauka e hana ana i ke ʻoki puʻuwai i kapa ʻia? (Cardiac Surgeon) E aʻo kākou e pili ana i kēia!

Ua noʻonoʻo paha ʻoe i ka mea e pono ai mākou e ʻike i ka wā e pono ai mākou e hana i kahi ʻoki no ka pilikia o ka puʻuwai? A i ʻole ʻo wai ke kauka e hana i ke ʻoki e hoʻopakele i ka puʻuwai i kahi pilikia, a he aha kāna hana? ʻO kekahi kanaka koʻikoʻi loa he kauka lapaʻau puʻuwai. I kēia lā, e kamaʻilio kākou e pili ana i kēia kauka lapaʻau puʻuwai a me kāna hana.

He aha ke ʻoki puʻuwai?

I ka ʻōlelo maʻalahi, ʻo kēlā me kēia hana i hana ʻia ma kou puʻuwai a i ʻole nā ​​​​​​kīʻaha koko nui e pili ana iā ia ua kapa ʻia ʻo ke ʻoki puʻuwai. I kekahi manawa, hiki ke pili pū me ke ʻoki ʻana ma nā ʻiʻo kokoke loa i ka puʻuwai a i ʻole nā ​​​​mea ʻē aʻe. E noʻonoʻo e pili ana i ia mea, ua like ka puʻuwai me kahi motika liʻiliʻi i loko o ko mākou kino, pehea ka nui o ka mālama ʻana iā ia e hana pono! No laila, pono e hana ʻia kēlā mau ʻoki me ka mālama nui a me ka ʻike loea.

Aia kekahi mau ʻano kauka lapaʻau puʻuwai like ʻole?

ʻAe, hiki iā mākou ke hoʻokaʻawale nui i nā kauka lapaʻau puʻuwai i ʻelua ʻano. ʻOiai he nui nā ʻano like i kā lākou hana, ua hoʻokaʻawale ʻia lākou ma kēia ʻano ma muli o kekahi mau ʻokoʻa nui.

Kauka Lapaʻau Puʻuwai

I kekahi manawa ua kapa ʻia kēia mau kauka he Cardiothoracic Surgeons a i ʻole General Thoracic Surgeons . ʻO ka huaʻōlelo Helene 'Thoracic' ʻo ia hoʻi 'umauma'. No laila, e like me ka inoa e hōʻike nei, hana kēia mau kauka i nā ʻoki kino ma nā ʻāpana he nui i loko o ka lua umauma. No ka laʻana, hana lākou i nā ʻoki kino ma ka puʻuwai a me kona mau kīʻaha koko nui, nā māmā, ka esophagus , ka mea e lawe ana i ka meaʻai mai kou waha a i kou ʻōpū, a me ka trachea .

Eia nō naʻe, hiki i kekahi mau kauka ʻoki thoracic ke kālele wale i nā maʻi e pili ana i ka puʻuwai, ka ʻeke a puni ka puʻuwai (pericardium), a me nā kīʻaha koko nui o ka puʻuwai. Hiki i kekahi ke loea wale i nā maʻi o ka umauma koe wale nō ka puʻuwai a me nā kīʻaha koko nui.

Kauka Lapaʻau Puʻuwai Hānau/Kamaliʻi

He loea kēia mau kauka i ka hoʻoponopono ʻana i nā pilikia kūkulu a i ʻole nā ​​kīnā i loko o ka puʻuwai i loaʻa i ka wā hānau. No ka laʻana, hānau ʻia kekahi mau pēpē me nā pilikia valve puʻuwai a i ʻole nā ​​​​lua i loko o nā paia ma waena o nā keʻena o ka puʻuwai (e like me ka Ventricular Septal Defect a i ʻole kahi Atrial Septal Defect) . ʻO kēia ka poʻe ma laila e hoʻoponopono i nā mea e like me ia.

Hana kekahi mau kauka i kēia mau ʻoki kino ma luna o nā pākeke - no ka mea, i kekahi manawa ʻike wale ʻia ka maʻi puʻuwai hānau i ka wā makua. Eia nō naʻe, ua hoʻomaʻamaʻa kūikawā ʻia kekahi e hana i kēia mau ʻoki kino ma nā keiki ʻōpio, nā pēpē, a me nā keiki hānau hou. He kūikawā loa kā lākou hana, a he kakaikahi loa nā kauka ʻoki kino puʻuwai pediatric i hoʻohālikelike ʻia me ka poʻe e hana wale ana ma luna o nā pākeke. No ka mea he hana palupalu kēia, pono ia i ka nui o ke aʻo kūikawā a me ka ʻike.

ʻEhia ka nui o ka ʻike a me ke aʻo ʻana e pono ai e lilo i kauka lapaʻau puʻuwai?

ʻO ka ʻoiaʻiʻo, he nui loa ka hoʻonaʻauao a me ke aʻo ʻana e pono ai e lilo i kauka lapaʻau puʻuwai. He 15 mau makahiki ka liʻiliʻi. Hiki i kekahi mau ʻoihana lapaʻau puʻuwai ke hala ma mua o 20 mau makahiki. E noʻonoʻo i ka hoʻolaʻa ʻana! Ua like ia me ka holo ʻana i ka marathon, akā i nā makahiki he nui.

Pono kēlā me kēia kauka lapaʻau puʻuwai e hoʻopau i kēia mau mea:

• Pono ʻoe e hoʻopau i ke kēkelē laepua ma kahi o ʻekolu a ʻehā mau makahiki.
• Ma hope o kēlā, pono ʻoe e aʻo no ʻehā mau makahiki ma ke kula lapaʻau a loaʻa i ke kēkelē lapaʻau (Kauka Lapaʻau a Kauka o Osteopathic Medicine kekelē) .

A laila, pono ʻoe e koho i kekahi o kēia mau mea ʻelua:

• He noho ʻoki kino laulā ʻelima makahiki i ukali ʻia e ʻelua a ʻekolu paha mau makahiki o ka noho ʻoki cardiothoracic.
• A i ʻole, he ʻeono makahiki Integrated Cardiothoracic Surgery Residency (ICTSR) .

I mea e lilo ai i Kauka Hana Puʻuwai Hānau, pono ʻoe e hoʻopau i hoʻokahi makahiki o ke aʻo kūikawā (Fellowship). ʻO ia hoʻi, hiki iā ʻoe ke noʻonoʻo i ka nui o ka manawa āu e hoʻolilo ai i ke aʻo ʻana, ka hoʻomaʻamaʻa ʻana, a me ka loaʻa ʻana o ka ʻike. Hana ʻia kēia mau mea a pau e lilo i kanaka maikaʻi loa e hiki ke mālama i kou puʻuwai.

He aha nā ʻano maʻi e mālama ai ke kauka lapaʻau puʻuwai?

Hiki i ke kauka lapaʻau puʻuwai ke mālama i kekahi maʻi, kūlana, a ʻeha paha e pono ai ke ʻoki ʻana e hoʻoponopono a hoʻoponopono paha . Hiki i kēia ke ʻano mai kahi ʻeha mai kahi ulia - e noʻonoʻo i kahi ulia kaʻa, kahi ʻeha hou, a i ʻole kahi ʻeha pū - a hiki i ka hoʻoponopono ʻana i ka pōʻino o ka puʻuwai mai kahi maʻi a i ʻole kahi kūlana hānau. ʻO kekahi o nā kūlana nui e pono ai ke kauka lapaʻau puʻuwai:

• Nā maʻi kīwila puʻuwai.
• Nā Maʻi ʻŌpū o ka Puʻuwai (Arrhythmias) .
• Ka hāʻule ʻana o ka puʻuwai ma muli o ka maʻi puʻuwai.
• Ka ʻoki ʻana o ke aorta .
• Nā kīnā puʻuwai hānau e like me nā lua ma waena o nā keʻena o ka puʻuwai - no ka laʻana , ʻo Ventricular Septal Defect a me Atrial Septal Defect .

He aha nā ʻoki kino a me nā kaʻina hana a nā kauka lapaʻau puʻuwai e hana ai?

Hana nā kauka puʻuwai i nā ʻano hana ʻoki kino like ʻole a me nā hana lapaʻau. ʻO kekahi o nā mea maʻamau :

• Kaʻina Hana Maze - Hana ʻia kēia no kekahi mau ʻano ʻē o ka puʻuwai.
• ʻO ke kāpili ʻana o ke aʻa coronary artery (CABG) - Kāhea pū mākou i kēia ʻo 'bypass'. Pili kēia i ka hana ʻana i nā ala hou ke ālai ʻia nā aʻa e hoʻolako ana i ke koko i ka puʻuwai.
• Nā ʻoki kino no ka maʻi puʻuwai hānau.
• ʻO ke ʻoki hoʻoponopono a me ke pani ʻana i ka valve puʻuwai.
• Ke hoʻokomo ʻana i nā mea hana i loko o ka puʻuwai - ma ke ʻano he laʻanaNā mea e like me (Pacemakers) a me (Implantable Cardioverter Defibrillators - ICDs) . Akā i kekahi manawa hiki ke hana ʻia kēia e ke kauka loea i ka hana uila o ka puʻuwai (Electrophysiology) .
• ʻO ke ʻoki kino no ka hypertrophic cardiomyopathy .
• Nā Hoʻoili Puʻuwai - He hana ʻoki kino paʻakikī loa kēia.

Ua hoʻomaʻamaʻa ʻia nā kauka lapaʻau ma nā ʻano like ʻole e hana i ke ʻano hana like. Hiki i kēia mau mea ke komo pū me:

• ʻO ke ʻoki kino liʻiliʻi loa: Ua like kēia me nā ʻoki kino hāmama maʻamau, akā hana ʻia ma o nā ʻoki liʻiliʻi loa a me nā mea hana kūikawā. ʻO ka hopena o nā ʻoki liʻiliʻi i ka ho'ōla wikiwiki ʻana, ka emi ʻana o ka ʻeha, ka emi ʻana o ke kahe ʻana o ke koko, a me ka emi ʻana o nā pilikia.
• ʻO ke ʻoki kino i kōkua ʻia e ka robot: Hiki i kahi kauka lapaʻau i aʻo kūikawā ʻia ke hana i ke ʻoki kino me ke kōkua o kahi robot. E noʻonoʻo e noho ana ma kahi papa hoʻomalu kokoke i ka papa hana, "hana" ke kauka i ka robot. Hana ʻia ke ʻoki kino me ka hoʻohana ʻana i nā mea hana i hoʻopili ʻia i nā lima o ka robot. Hoʻokomo ʻia kahi kāmela kūikawā ma ka robot i loko o ke kino ma o kahi ʻoki hoʻokahi, e ʻae ana i ke kauka e ʻike i loko o ke kino. ʻIke pinepine ʻia kēia ma nā ana ʻekolu (3-D) , e like me kā mākou ʻike ʻana i ke ao me ko mākou mau maka ponoʻī. ʻAʻole wale kēlā, hoʻomaʻalahi hoʻi ka robot i ke kauka e hoʻopunipuni i nā mea hana i loko o ke kino, a ʻoi aku ka nui o ka neʻe ʻana o ka lima (hiki i kekahi mau mea hana ke hoʻohuli i 360 ​​degere, ʻoi aku ka nui ma mua o ka lima o ke kauka). Ua hiki i kēia ʻenehana ke hana i nā ʻoki kino me ka pololei loa.

He aha nā kuleana o ke kauka lapaʻau puʻuwai ma waho aʻe o ka hana ʻana i nā ʻoki kino?

ʻAʻole wale ke kauka lapaʻau puʻuwai he kanaka e hana ana i nā hana. ʻO kāna mau kuleana kekahi (a ʻaʻole i kaupalena ʻia i) kēia mau mea:

• Mālama moʻolelo: Pono ʻoe e mālama i nā moʻolelo kikoʻī a me nā memo e pili ana i nā ʻoki kino i hana ʻia a me nā mea i hana ʻia i kēlā manawa. He mea nui loa kēia no nā kauka ʻē aʻe a no ka wā e hiki mai ana.
• Ke aʻo ʻana: He nui nā kauka lapaʻau puʻuwai e hana ana ma nā haukapila aʻo. ʻO ke ʻano kēia, ʻoiai lākou e ʻike ana i nā maʻi, ke aʻo aku nei lākou i nā kauka a me nā kauka lapaʻau e hiki mai ana e pili ana i ke ʻoki puʻuwai a pehea e pili ai i nā maʻi.
• Hoʻomaʻamaʻa: Hoʻomaʻamaʻa kēia mau kauka me nā kauka ʻē aʻe, nā kauka ʻokiʻoki, a me nā limahana o ka lumi hana, e like me nā mea hana keaka e hoʻomaʻamaʻa ana no kahi pāʻani, i hiki iā lākou ke hana i ka hana maoli me ka mālie a me ka palekana.
• Ka Hoʻonaʻauao Hoʻomau a me ke Aʻo ʻana: Pono kēlā me kēia kauka e hoʻomau i ke aʻo ʻana a me ka hoʻomaʻamaʻa ʻana i nā mea hou. I ka holomua ʻana o ka ʻepekema lapaʻau i kēlā me kēia lā, pono lākou e noho i ka ʻike hou me nā ʻano hana ʻoki kino hou a me nā lāʻau lapaʻau hou. Ma muli o nā kānāwai o ko lākou ʻāina a mokuʻāina paha, loaʻa paha iā lākou kekahi mau koi e pono ai lākou e hoʻokō. Inā ʻaʻole lākou e hoʻokō i kēia mau koi, e nalowale paha kā lākou laikini e hana i ka lāʻau lapaʻau. He mea nui loa kēia.Hoʻokomo pū kēia i ka hoʻonaʻauao hōʻoia papa koʻikoʻi a me nā hoʻokolohua. He mau hola kekahi mau hoʻokolohua, a he mau lā paha.

No ke aha e ʻike ai i ke kauka hana puʻuwai? He aha kāu e manaʻo ai?

He mea koʻikoʻi loa ke ʻoki puʻuwai. Hana pinepine ʻia ia i ka wā ʻaʻohe koho ʻoi aku ka maikaʻi - ʻo ia hoʻi, i ka wā ʻaʻohe ala palekana a ʻoi aku ka maikaʻi e kōkua iā ʻoe.

I ka hapanui o nā hihia, e loaʻa iā ʻoe ka manawa e aʻo ai e pili ana i ke ʻoki puʻuwai āu e hana ai, nā mea e manaʻo ai, a pehea e hoʻomākaukau ai. E wehewehe ke kauka i nā mea āpau iā ʻoe.

Akā i loko o kahi pilikia, pono paha ʻoe e hana i ke ʻoki puʻuwai me ka hoʻokaʻulua ʻole. I kēlā hihia, e kamaʻilio ke kauka ʻoki me kou ʻohana, nā mea aloha, a i ʻole kekahi mea hiki ke kamaʻilio nou a hana i nā hoʻoholo lapaʻau. E hana ke kauka ʻoki i kāna mea maikaʻi loa e kōkua iā ʻoe e hoʻomaopopo i ka mea e hana nei, no ke aha ʻoe e pono ai ke ʻoki ʻana, a me nā mea e manaʻo ai.

Pono ʻoe i kahi kuhikuhi e ʻike ai i ke kauka hana puʻuwai?

ʻAe, ʻoiaʻiʻo nō. No ka ʻike ʻana i kahi kauka lapaʻau puʻuwai, pono ʻoe i kahi kuhikuhi . ʻO kēlā kuhikuhi maʻamau mai kahi kauka lapaʻau puʻuwai a i ʻole kekahi loea ʻē aʻe. ʻO ke ʻano kēia, ʻo kekahi loea a kauka paha ka mea mua e ʻike i kahi kūlana a pilikia paha e pono ai ke ʻoki ʻana. I kahi pilikia, hiki i ke kauka a loea paha ma ke hana ke kūkākūkā i kou kūlana me ke kauka lapaʻau puʻuwai ma ke hana, e paipai i nā koho, a e hāʻawi i ka papa hana maikaʻi loa nāu.

Hiki i ka pono o ke ʻoki puʻuwai ke lilo i mea weliweli a hoʻoluhi hoʻi . ʻO ka mea pōmaikaʻi, ʻaʻole pono ʻoe e hele wale ma ia mea. Ma hope o kēlā me kēia mea maʻi e pono ai ke ʻoki puʻuwai he hui o nā mea lawelawe olakino a me nā loea, mai nā loea a me nā limahana kākoʻo a hiki i nā kahu maʻi, nā loea a me nā kauka ʻoki. He kuleana nui ka lilo ʻana i kauka ʻoki puʻuwai, he ʻoihana koi nui ia, a ʻo ka poʻe maikaʻi loa wale nō ke hiki i laila. ʻO ia hoʻi, he hui nui o nā loea lapaʻau akamai, hoʻomaʻamaʻa ʻia, hoʻonaʻauao a me ka makemake nui e hana ana i nā mea āpau e hiki ai iā lākou ke kōkua iā ʻoe e hoʻōla a hoʻi i kou ola.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

He kauka lapaʻau puʻuwai kahi kauka me ke aʻo kūikawā kiʻekiʻe e hana i nā ʻokiʻoki ma ka puʻuwai a me nā kīʻaha koko nui e pili ana me ia.

• Aia nā ʻano like ʻole o lākou, hana kekahi i nā ʻoki kino ma aneane nā ʻāpana āpau o ka umauma (Cardiothoracic Surgeon) , aʻo kekahi poʻe loea i nā maʻi puʻuwai hānau (Congenital/Pediatric Heart Surgeon) .
• ʻO ka lilo ʻana i kauka ʻoki puʻuwai e pono ai kahi manawa lōʻihi o ke aʻo ʻana a me ke aʻo ʻana, malia paha he 15-20 mau makahiki.ʻAe. Pono ia i ka nui o ka hoʻolaʻa ʻana.
• Hoʻōla lākou i nā maʻi he nui, me ka maʻi valve puʻuwai, nā arrhythmias , nā maʻi puʻuwai, a me nā kīnā puʻuwai hānau.
• Hana lākou i nā ʻoki bypass (CABG) , nā pani valve, a i kēia manawa hana pū kekahi i nā ʻoki minimally invasive a me nā ʻoki kōkua robot .
• Ma waho aʻe o ka hana ʻana i nā ʻoki kino, ʻo kā lākou mau kuleana ka mālama ʻana i nā moʻolelo, ke aʻo ʻana i nā poʻe ʻē aʻe, a me ka hoʻomau ʻana i ke aʻo ʻana i nā mea hou.
• ʻOiai he mea koʻikoʻi ke ʻoki puʻuwai, e hoʻomanaʻo he hui kauka akamai kāu e kōkua iā ʻoe. E loaʻa pinepine iā ʻoe kahi kuhikuhi e ʻike i kahi kauka ʻoki puʻuwai mai kahi kauka cardiologist .

No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i ke kauka! He mea nui loa ka mālama ʻana i kou puʻuwai.

Kauka Lapaʻau Puʻuwai, ʻOki Puʻuwai, Maʻi Puʻuwai, ʻOki Bypass, ʻOki Puʻuwai, Kauka Lapaʻau Cardiotoracic, ʻOki Puʻuwai Hānau, CABG, Pacemaker