ʻO wai ke Kauka Lapaʻau Cardiothoracic? E ʻike kākou i nā mea āpau!

Ua noʻonoʻo paha ʻoe i ke ʻano o ke kauka āu e ʻike ai inā pono ʻoe e hana i ke ʻoki ʻana i nā ʻāpana koʻikoʻi i loko o kou umauma, e like me kou puʻuwai a i ʻole nā ​​māmā? A i ʻole inā pono ʻoe e hana i ke ʻoki ʻana ma muli o kahi pilikia me kou esophagus? ʻO ia ka manawa e hele mai ai kekahi kauka cardiothoracic e hoʻopakele iā mākou. ʻOiai paha e kani lōʻihi iki ka inoa, hana kēia poʻe i nā ʻoki paʻakikī loa a hoʻōla ola. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau loea, kā lākou hana, a me ka wā e pono ai ʻoe e ʻike iā lākou.

ʻO wai kēia Kauka Lapaʻau Cardiotoracic?

I ka ʻōlelo maʻalahi, he kauka lapaʻau cardiothoracic he kauka loea i nā ʻoki kino ma nā ʻōpū i loko o kou umauma . ʻO kēia mau ʻōpū e komo pū ana me kou puʻuwai, nā māmā, a me ka esophagus (paipu meaʻai). E noʻonoʻo e pili ana i ia mea, ʻo ka puʻuwai a me nā māmā ʻelua o nā ʻōpū koʻikoʻi loa i loko o ko mākou kino e mālama ai i ke ola . Hoʻopuka ka puʻuwai i ke koko ma ke kino holoʻokoʻa, a hāʻawi nā māmā i kēlā koko me ka oxygen. No laila, no ka hana ʻana i nā ʻoki kino ma ia mau ʻōpū koʻikoʻi, pono ʻoe i kekahi me ke aʻo kūikawā, ʻeā?

Hoʻolilo kēia mau kauka i ʻeono a ʻewalu mau makahiki o ke aʻo kūikawā ʻana i ke ʻoki kino ma hope o ka puka ʻana mai ke kula lapaʻau. I loko o kēia manawa, aʻo hohonu lākou e pili ana i ke ʻoki kino maʻamau a me ke ʻoki kino e pili ana i ka puʻuwai a me ka umauma. ʻOi aku ka lōʻihi o kekahi e loea ai i kahi kahua like, e like me ka maʻi puʻuwai hānau i nā pēpē.

He aha ka hana a kēia mau kauka?

Hoʻōla kekahi kauka cardiothoracic i nā kūlana e kū mai ana i loko o ka lua umauma ma muli o ka maʻi a i ʻole ka ʻeha. E ʻike mua lākou i ke kūlana , a laila e kūkākūkā me ʻoe i nā koho lapaʻau, hana i ke ʻoki inā pono, a hahai pū me ʻoe ma hope o ke ʻoki a hiki i kou olakino.

Hiki i kēia mau kauka ke mālama i nā ʻāpana o kou kino i kamaʻāina ka hapa nui o ka poʻe, a me nā ʻāpana āu i lohe ʻole ai ma mua. Eia kekahi o nā wahi nui a lākou e mālama ai:

• ʻO ka puʻuwai a me ka pericardium: Ua ʻike mākou a pau i ke ʻano o ka puʻuwai. He ʻeke lahilahi a pale ka pericardium e hoʻopuni ana i ka puʻuwai. Hana lākou i nā ʻoki kino ma kēia mau mea ʻelua.
• Nā aʻa koko: ʻO kēia nā aʻa koko liʻiliʻi e hoʻolako i ke koko i ka puʻuwai. Ke ālai ʻia kēia mau mea, hiki mai kahi hōʻeha puʻuwai.
• ʻEsophagus: ʻO kēia ka ʻōmole e lawe ai i ka meaʻai a mākou e ʻai ai mai ko mākou waha a i ko mākou ʻōpū.
• Paia o ka umauma: ʻO kēia nā ʻiʻo a me nā iwi o ka umauma.
• Mediastinum: ʻO kēia ka hakahaka ma waena o kou mau māmā. Loaʻa pū kekahi mau ʻōkana koʻikoʻi.
• Trachea: ʻO ka ʻōmole nui a mākou e hanu ai.
• Diaphragm:He ʻiʻo nui e hoʻokaʻawale ana i ka lua o ka umauma mai ka lua o ka ʻōpū. Kōkua nō hoʻi ia i ka hanu ʻana.
• ʻO nā māmā a me ka membrane e hoʻopuni ana iā lākou, ʻo ka pleura: ʻAʻohe pono e kamaʻilio e pili ana i nā māmā. He uhi pale ka pleura e hoʻopuni ana i nā māmā.

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Aia kekahi mau ʻoihana like ʻole o nā kauka lapaʻau puʻuwai a me ka thoracic?

ʻAe, aia kekahi mau ʻoihana kūikawā ʻē aʻe i loko o kēia kahua nui. ʻO ke ʻano kēia, ke kālele nui nei kekahi mau kauka i hoʻokahi a ʻoi aku paha o kēia mau mea.

• Nā kauka lapaʻau puʻuwai: Hana kēia poʻe i nā ʻoki kino ma ka puʻuwai a me nā kīʻaha koko nui e pili ana iā ia.
• Nā kauka hana puʻuwai hānau: Ua loaʻa i kēia poʻe ke aʻo kūikawā e hana i nā ʻoki kino ma nā pēpē liʻiliʻi no nā maʻi puʻuwai hānau.
• Nā kauka lapaʻau cardiovascular: Mālama kēia poʻe i nā ʻoki kino e pili ana i ka ʻōnaehana holoʻokoʻa holoʻokoʻa, ʻaʻole wale ka puʻuwai.
• Nā kauka ʻoki thoracic laulā: Hana kēia poʻe i nā ʻoki ma ka puʻuwai a me nā ʻāpana ʻē aʻe o ka umauma, e like me nā māmā a me ka esophagus.
• Nā kauka hana hoʻoili: ʻO kēia ka poʻe i loaʻa ka ʻike loea i ka hoʻoili ʻana i ka puʻuwai a i ʻole ka māmā.

He aha ke ʻano o nā maʻi a kēia poʻe loea e mālama ai?

Hoʻōla kēia mau kauka i nā ʻano maʻi like ʻole e pili ana i ka lua o ka umauma. ʻO kekahi o lākou:

• ʻO ka maʻi ʻaʻa coronary a me nā maʻi puʻuwai ʻē aʻe: Nā pilikia e like me ke ālai ʻana o nā aʻa e hoʻolako koko i ka puʻuwai.
• Atrial fibrillation: He puʻuwai puʻuwai kūpono ʻole.
• Nā pilikia Aorta (e.g., aneurysms): Nā hoʻonui a i ʻole nā ​​​​pilikia ʻē aʻe e kū mai ana i loko o ke kīʻaha koko nui loa o ke kino.
• Hoʻoili puʻuwai
• Hoʻoili ʻana o ka māmā
• Nā maʻi o ka māmā (e.g. Kanesa): Nā maʻi like ʻole e kū mai ana i loko o nā māmā, me nā maʻi kanesa.
• Nā maʻi o ka esophagus (e.g., kanesa): Nā maʻi a me nā kanesa e kū mai ana i loko o ka paipu meaʻai.
• ʻEmphysema : He maʻi e hōʻino ai i nā ʻeke ea i loko o nā māmā a hoʻoulu ai i ka paʻakikī o ka hanu ʻana.
• Ka hāʻule ʻana o ka puʻuwai: ʻAʻole hiki i ka puʻuwai ke pamu i ke koko me ka lawa pono.
• Paʻakikī ke ale ʻana
• Nā ʻeha umauma ulia pōpilikia
• Nā kīnā puʻuwai hānau: Hoʻopilikia kēia i ka hana o ka puʻuwai.
• ʻO nā hernias hiatal: Ke puka nei kekahi hapa o ka ʻōpū ma o ka diaphragm i loko o ka umauma.
• Nā pilikia me nā ʻiʻo a me nā iwi o ka paia o ka umauma
• Nā Aneurysms i loko o nā aʻa o ka umauma
• Ka hana ʻino ʻana o ka valve puʻuwai
• ʻO ka maʻi reflux Gastroesophageal (GERD): Kāhea mākou ia he ʻano gastritis koʻikoʻi, kahi e piʻi ai ka waikawa o ka ʻōpū.

He aha ka ʻokoʻa ma waena o ke Kauka Lapaʻau Puʻuwai a me ke Kauka Lapaʻau Cardiothoracic?

He mea kēia e huikau ai nā kānaka he nui. ʻO ke kauka lapaʻau puʻuwai kekahi kanaka i loea wale i nā ʻoki kino ma ka puʻuwai a me nā kīʻaha koko nui e pili pono ana i ka puʻuwai (e laʻa me ka aorta).

Eia nō naʻe, ʻo ke Kauka Lapaʻau Cardiotoracic kekahi kanaka e hana ana ma kahi ʻoihana ākea. Hana ʻo ia i nā ʻokiʻoki ma aneane nā mea āpau i loko o ka lua umauma me ka puʻuwai. ʻO ia hoʻi, ʻo nā mea āpau mai nā māmā a i ka esophagus a i ka trachea e hāʻule ana ma lalo o kāna ʻoihana. I ka ʻōlelo maʻalahi, ʻo ke kauka lapaʻau cardiac kekahi subspecialty i loko o ke kahua o ke ʻokiʻoki cardiothoracic.

He aha ke ʻano o nā hoʻokolohua a kēia mau kauka e hana ai?

Hiki i kēia mau kauka ke kauoha i nā hoʻokolohua like ʻole e ʻike i kou kūlana. Hiki ke ʻokoʻa kēia mau hoʻokolohua ma muli o kāu mau hōʻailona. ʻO kekahi o nā hoʻokolohua maʻamau:

• X-ray o ka umauma: E nānā i ke kūlana maʻamau o nā ʻōkana o ka umauma.
• CT scan: Lawe i nā kiʻi ʻokiʻoki o loko o ke kino e ʻike i nā kikoʻī hou aku.
• MRI scan (magnetic resonance imaging): Hoʻohana i kahi kahua magnetic a me nā nalu lekiō e hana i nā kiʻi kikoʻī.
• Ultrasound: E hoʻohana i nā nalu kani e hana i nā kiʻi o nā ʻōpū (pinepine ka puʻuwai e like me ka echocardiogram).
• Electrocardiogram (ECG/EKG): Hoʻopaʻa i ka hana uila o ka puʻuwai.
• Echocardiogram: He scan ultrasound e nānā i ka hana o ka puʻuwai a me ke kūlana o kona mau valves.
• Catheterization Cardiac: He hoʻāʻo e nānā i nā mea e like me ke ālai ʻana i nā aʻa o ka puʻuwai.
• Multigated Acquisition Scan (MUGA scan): E nānā i ke ʻano o ka puʻuwai e pamu ana i ke koko.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino: E ʻike pehea e pane ai ka puʻuwai i ka hoʻoikaika kino.
• Nānā Holter: He mea hana e hoʻopaʻa mau ana i ka ECG o ka puʻuwai no 24 mau hola a ʻoi aʻe paha.
• Hoʻāʻo hana o ka puʻuwai: Nānā i ka maikaʻi o ka hana ʻana o nā puʻuwai.
• ʻO ka pulse oximetry: Nānā i ka pae oxygen i loko o ke koko.
• ʻO ka endoscopy luna: Ka nānā ʻana i ka esophagus a me ka ʻōpū me ka hoʻohana ʻana i kahi ʻōmole me kahi kāmela.
• Hoʻāʻo Biopsy:Ke lawe ʻana i kahi ʻāpana o nā ʻiʻo kānalua a nānā iā ia ma lalo o kahi microscope.
• Manometry esophageal: E ʻike pehea e hana ai nā ʻiʻo o ka esophagus.

I ka manawa hea e pono ai mākou e ʻike i ke kauka hana cardiothoracic?

I ka manawa pinepine, e kuhikuhi ʻia ʻoe i kahi loea e kekahi kauka ʻē aʻe. ʻO kēia paha kāu mea mālama mua. A i ʻole he pulmonologist a cardiologist paha. E kuhikuhi lākou iā ʻoe i kahi loea inā ʻaʻole i kāohi ʻia kou kūlana e ka lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe a manaʻo lākou he pono ke ʻoki ʻana. Eia kekahi, inā makemake ʻoe i ka manaʻo ʻelua mai kekahi kauka ʻē aʻe, hiki iā ʻoe ke hele e ʻike i kahi kauka cardiothoracic ʻelua iā ʻoe iho.

He aha kāu e manaʻo ai ke hele ʻoe e ʻike i kahi loea e like me kēia?

Ke hele ʻoe e ʻike i kahi loea e like me kēia, e nānā mua ʻo ia iā ʻoe ma ke kino. A laila e kamaʻilio pono ʻo ia me ʻoe e pili ana i kāu mau hōʻailona. He mea nui loa ka mōʻaukala olakino o kou ʻohana, ʻoiai i ka wā e pili ana i ka maʻi puʻuwai. No ka mea, hiki i kekahi mau maʻi puʻuwai ke holo i loko o nā ʻohana. No laila, e mākaukau e haʻi pololei iā ia inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai a me ke ʻano o ia maʻi.

Makemake ʻo ia e ʻike i kāu mau hopena hoʻāʻo ma mua. Inā ua hala kekahi manawa mai kou loaʻa ʻana o kēlā mau hoʻāʻo, e noi paha ʻo ia iā ʻoe e hana hou. Pono ʻoe e haʻi iā ia e pili ana i nā lāʻau lapaʻau āu e lawe nei.

Ma hope o ka nānā ʻana iā ʻoe a me ka nānā ʻana i nā ʻike āpau āu e hāʻawi ai, hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau nāu. A i ʻole, hiki iā ia ke ʻōlelo he pono ʻo ia i nā hoʻokolohua hou aʻe ma mua o ka hoʻoholo ʻana i ka mea e hana ai. Ke loaʻa iā ia nā ʻike āpau e pono ai e hoʻomaopopo piha i kou kūlana, e kūkākūkā ʻo ia i kāu mau koho lapaʻau me ʻoe me nā kikoʻī, me ke ʻoki kino inā pono. Mai makaʻu e nīnau i nā nīnau āu e loaʻa ai.

E hoʻomanaʻo, inā ʻaʻole ʻoe e maopopo i kekahi mea ke wehewehe ke kauka iā ʻoe, mai hilahila e nīnau hou. He mea nui loa e loaʻa iā ʻoe kahi ʻike maikaʻi o kou kūlana.

Pono anei au i kahi kuhikuhi e ʻike ai i kahi kauka lapaʻau cardiothoracic?

Hiki ke loli kēia ma muli o kāu hoʻolālā ʻinikua. He manaʻo maikaʻi e nānā me kāu ʻoihana ʻinikua. Eia nō naʻe, pono paha ʻoe i kahi kuhikuhi. Mai ke kauka kēia i ʻike mua i kou kūlana akā ʻaʻole hiki iā ia ke mālama iā ia me ka lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. ʻO nā kauka e hiki ke kuhikuhi iā ʻoe i kahi kauka cardiothoracic:

• ʻO kāu kauka puʻuwai
• ʻO kāu kauka Pulmonologist
• Kou kauka ʻohana (mea lawelawe mālama mua)
• ʻO kāu gastroenterologist (no ka laʻana, no nā pilikia esophageal)

Hiki ke hoʻokomo ʻia nā kānaka e like me ia.

He aha nā hana kūikawā o nā kauka lapaʻau puʻuwai a me ka thoracic?

E like me kā mākou i kamaʻilio ai ma mua iki, he mau ʻoihana kūikawā ʻē aʻe ko kēia mau kauka. ʻO ia hoʻi, ke kālele nui nei lākou i kekahi mau ʻāpana a i ʻole nā ​​maʻi o ka lua umauma. ʻO kekahi o nā ʻoihana kūikawā nui:

• ʻO ke ʻoki puʻuwai
• ʻO ke ʻoki hoʻoili puʻuwai a me ka māmā
• ʻO ke ʻoki puʻuwai hānau
• ʻO ke ʻoki ʻana i ka ʻōpū (ʻoki ʻana e pili ana i nā ʻāpana ʻē aʻe ma mua o ka puʻuwai)

Ma hea kahi e hana ai kēia mau kauka?

ʻO ka maʻamau, hana nā kauka lapaʻau puʻuwai a me ka umauma i nā haukapila. Hana pū kekahi i nā kikowaena lapaʻau pilikino. Eia kekahi, hana kekahi mau kauka i ka noiʻi lapaʻau a aʻo paha i nā haumāna lapaʻau.

E hoʻomanaʻo i kekahi mau mea nui (Leka Lawe-Home)

ʻO nā kauka ʻoki Cardiothoracic he poʻe e hana ana i nā ʻoki ma kekahi o nā ʻāpana koʻikoʻi loa o ko kākou kino. He paʻakikī pinepine nā ʻoki a lākou e hana ai. No laila, inā e hāʻawi ʻia ana ke ʻoki ʻana iā ʻoe, e ʻoluʻolu e nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai. Pono ʻoe e maopopo i ke kumu e pono ai ʻoe i ke ʻoki ʻana a pehea e kōkua ai i kou kūlana.

Ma hope o ke ʻoki ʻana, e lawe i nā lāʻau lapaʻau a pau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono. E hahai i nā kuhikuhi i hāʻawi ʻia e mālama iā ʻoe iho a i ʻole kāu mea aloha. Mai poina i nā manawa hoʻopaʻa ma hope o ke ʻoki ʻana. ʻO ia nā mea e ʻae ai i ke kauka e ʻike i kou maikaʻi e hoʻōla nei. E noho maikaʻi mau a makemake iā ʻoe e hoʻōla koke!

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