Ke ʻeha nei anei kou umauma ma hope o ke kau ʻana o ka stent? E aʻo kākou e pili ana i ka Coronary Brachytherapy!

Ua kau ʻia anei kekahi o kou ʻohana a i ʻole kekahi āu i ʻike ai i kahi stent no ka hōʻeha puʻuwai? A i ʻole ua kau ʻia kahi stent ma ke ʻano he lāʻau lapaʻau no ka ʻeha umauma? Ua lilo kēia i mea maʻamau i kēia mau lā. Ma hope o ke kau ʻia ʻana o kahi stent, ʻoi aku ka maikaʻi o ka manaʻo o ka hapa nui o ka poʻe. Eia naʻe, i kekahi manawa, hiki i ke aʻa kahi i kau ʻia ai ka stent ke hoʻomaka hou e haiki. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā i hoʻohana ʻia i ia mau hihia.

I ka ʻōlelo maʻalahi, he aha ka Coronary Brachytherapy?

He mea paʻakikī paha kēia inoa. Akā e maʻalahi kākou. ʻO Coronary Brachytherapy kahi lāʻau lapaʻau kūikawā no nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai (Coronary Arteries). Hoʻohana kēia i ka radiation e pale ai i ka ʻūlū hou ʻana o nā kīʻaha puʻuwai.

E noʻonoʻo ua ālai ʻia kekahi kīʻaha koko i loko o kou puʻuwai e nā waihona cholesterol. Hoʻokomo nā kauka i kahi stent. He ʻōmole liʻiliʻi e like me ka ʻupena ka stent. Hoʻokomo ʻia ia i loko o ke kīʻaha koko i haiki a hoʻonui hou iā ia, e ʻae ana i ke koko e kahe manuahi.

Eia nō naʻe, i kekahi poʻe, hoʻomaka ka ulu ʻana o nā ʻiʻo ʻeha a puni ka stent. E like me ka hana ʻana o kahi ʻeha i ka wā e loaʻa ai iā mākou kahi ʻeha. ʻO kēia ʻiʻo ʻeha ke kumu o ka ākea o ka wahi i kau ʻia ai ka stent e lilo hou i mea haiki. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he in-stent restenosis (ISR) . ʻO ia ka manawa e noʻonoʻo ai nā kauka i ka Coronary Brachytherapy.

Ma kēia lāʻau lapaʻau, ua kuhikuhi ʻia kahi mahele liʻiliʻi loa o ka radiation i ka wahi e hana ʻia ai ka ʻiʻo scar no kekahi mau minuke. Hoʻopau ka radiation i nā cell e hana ana i ka ʻiʻo scar. No laila, ʻaʻole e emi hou ka wahi. Ua like ia me ka hoʻopili ʻana i ka lāʻau lapaʻau e pale ai i ka ulu hou ʻana o nā nāhelehele.

ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?

ʻAʻole no nā kānaka āpau ka Coronary Brachytherapy. Manaʻo pinepine ʻia no nā poʻe maʻi kūikawā wale nō i kau mua ʻia kahi stent a ua hoʻomohala i kahi reoccurrence (ISR) i loko, a no lākou ʻaʻole paha e like ka maikaʻi o nā lāʻau ʻē aʻe.

E nānā i ka ʻike ma lalo. E loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i kēia.

ʻO wai ka mea pono ʻole e hana i kēia lāʻau lapaʻau?

Eia kekahi, aia nā manawa i kūpono ʻole ai kēia lāʻau lapaʻau.

• Inā ua ālai ʻia ka stent no ka manawa mua .
• Inā ua loaʻa mua iā ʻoe ka lāʻau lapaʻau radiation ma ka umauma (e.g. no ka maʻi ʻaʻai umauma).
• ʻAʻole i hana ʻia ka ālai ʻana e ka ʻiʻo ʻōpala, akā, ma muli o kahi pilikia me ka balloon i hoʻohana ʻia i ka wā o ka angioplasty.

ʻO kēia wale nō anei ka lāʻau lapaʻau inā e emi hou ana kahi stent?

ʻAʻole. He lāʻau lapaʻau kēia i hoʻohana pinepine ʻole ʻia. Ke ālai hou ʻia kahi stent, i kapa ʻia ʻo in-stent restenosis (ISR), hoʻāʻo mua nā kauka i nā lāʻau lapaʻau ʻē aʻe.

• Ke kau ʻana i kahi stent ʻē aʻe: Ua kau ʻia kekahi stent ʻē aʻe i loko o ka stent i ālai ʻia.
• ʻO Balloon Angioplasty: Hoʻohana ʻia kahi pōpō e hoʻonui i ka wahi i haiki ʻia. I kekahi manawa hoʻohana ʻia kahi pōpō kūikawā (ʻoki pōpō) e ʻoki i nā ʻiʻo keu.
• ʻO ke ʻoki ʻana i ke aʻa coronary: Inā koʻikoʻi ka paʻa ʻana, hiki ke kuhikuhi ʻia ʻoe no ke ʻoki ʻana i ka bypass.
• Nā lāʻau lapaʻau: Ua kuhikuhi ʻia nā lāʻau lapaʻau e like me ka aspirin e pale ai i nā ʻūpā koko a me nā statins e hoʻohaʻahaʻa i ka cholesterol.

Aia kekahi mau ʻano stent hou e puka mai ana i kēia mau lā.Ua kapa ʻia kēia mau stent drug-eluting. Hoʻokuʻu mālie kēia i kahi lāʻau lapaʻau, e pale ai i ke kūkulu ʻia ʻana o nā ʻiʻo scar. No laila, i kēia manawa, ʻoi aku ka liʻiliʻi o ka hiki ke ālai hou ʻia nā stent o ka hapa nui o ka poʻe. ʻO ia ke kumu i hoʻohana ʻole ʻia ai ka Coronary Brachytherapy e like me ka mea maʻamau.

Pehea e hana ai ka lāʻau lapaʻau - ma kēlā me kēia ʻanuʻu

ʻAʻole kēia he ʻoki kino nui. Hana ʻia kēia lāʻau lapaʻau e kahi hui o kahi Interventional Cardiologist a me kahi Radiation Oncologist. ʻO ke kaʻina hana holoʻokoʻa e lawe ma kahi o 10 mau minuke. Eia nō naʻe, pono ʻoe e noho i ka haukapila no kekahi mau hola.

Ma mua o ka mālama ʻana

Hiki i kāu kauka ke hana i kahi ultrasound intravascular scan e ʻike pono ai i loko o kou mau kīʻaha puʻuwai. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i kahi a me ka lōʻihi o ka lāʻau lapaʻau.

I ka wā o ka mālama ʻana

He hana maʻalahi loa kēia. ʻAʻole ʻoe e ʻeha nui.

Ma hope o ka mālama ʻana

Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi. Hiki ke noi ʻia ʻoe e noho i ka haukapila i ka pō. Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomaha a ʻaʻole e hoʻoikaika no kekahi mau lā. Pono hoʻi ʻoe e lawe i ka lāʻau lapaʻau a kāu kauka e hāʻawi ai iā ʻoe e pale aku i nā ʻōpū koko.

He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pōʻino liʻiliʻi.

ʻO ka pōmaikaʻi nui , he hopena maikaʻi ia no ka poʻe i loaʻa nā stents he nui a loaʻa nā poloka hou, a i ʻole ʻaʻole hiki ke hana i ke ʻoki kino nui ma muli o nā kūlana ʻē aʻe. Hoʻemi kēia lāʻau lapaʻau i ka pilikia o ka hōʻeha puʻuwai a me ka hāʻule ʻana o ka puʻuwai. Pale pū ia i ka hoʻi hou ʻana o nā hōʻailona e like me ka ʻeha o ka umauma (angina), ka pōkole o ka hanu (dyspnea), a me ka dizziness.

I ke kamaʻilio ʻana e pili ana i nā pilikia , eia nā pilikia maʻamau e hiki ke hana me kekahi catheterization cardiac.

• Nā hewa o ka puʻuwai (Arrhythmia)
• Nā ʻūpā koko
• Ka pōʻino i nā kīʻaha koko
• Nā maʻi
• ʻEha a kahe koko paha ma kahi i hoʻokomo ʻia ai ka catheter

He mea kākaʻikahi loa kēia mau pilikia. Na kāu kauka e hoʻomaopopo iā ʻoe e pili ana i kēia mau mea āpau.

I ka manawa hea e ʻike ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home ma hope o ka mālama ʻana, pono ʻoe e kāhea koke i kāu kauka .

• Inā loaʻa iā ʻoe ke kuni kiʻekiʻe.
• Inā he ʻeha nui kou ma kou umauma, ʻauwae, lima, a poʻohiwi paha.
• Inā pilikia ʻoe i ka hanu ʻana.
• Inā he pus e puka mai ana mai kahi i hoʻokomo ʻia ai ke catheter, he ʻala maikaʻi ʻole, a i ʻole ka ʻulaʻula a me ka pehu (nā hōʻailona o ka maʻi).

Ma hope o ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, ʻaʻole ia he manaʻo maikaʻi e manaʻo ua pau nā mea āpau ma muli wale nō o kou loaʻa ʻana o kēia lāʻau lapaʻau. I mea e ola ai kou puʻuwai, he mea nui e hahai i kahi nohona maikaʻi .

• E ʻai i ka ʻai haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō.
• E hoʻōki loa i ka puhipaka.
• E kaupalena i ka inu ʻana i ka waiʻona.
• E hoʻoikaika kino mau e like me ke kuhikuhi a kāu kauka.