Ua lohe paha ʻoe i nā ʻūpā koko e hele ana ma o nā kīʻaha koko i loko o ko kākou kino? ʻOiaʻiʻo, he mea nui loa nā ʻūpā koko e hoʻōki i ke kahe ʻana o ke koko ke hōʻeha ʻia ko kākou kino. Akā i kekahi manawa, me ke kumu ʻole, inā hana ʻia nā ʻūpā koko i loko o nā kīʻaha koko, hiki ke lilo i mea weliweli iki. No ka mea, hiki i kēia mau ʻūpā koko ke ālai i ke kahe koko a hoʻoulu i nā pilikia koʻikoʻi. I ia mau hihia, ua kapa ʻia kahi ʻoki kūikawā e wehe i kēlā mau ʻūpā koko he Embolectomy. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Embolectomy?
ʻO ka embolectomy ka wehe ʻoki ʻana i kahi ʻūpā koko i paʻa i loko o kahi kīʻaha koko (kīʻaha koko). I kekahi manawa ua kapa ʻia kēia he thrombectomy. Aia kahi ʻokoʻa iki ma waena o kēia mau inoa ʻelua. E hoʻomaopopo pū kākou i kēlā.
E noʻonoʻo i kahi ʻaʻa koko e hana ana i loko o kahi kīʻaha koko nui i kou wāwae. Inā noho kēia ʻaʻa koko ma kahi, kapa mākou ia he thrombus . I kēia manawa e noʻonoʻo i kahi ʻāpana liʻiliʻi o kēia ʻaʻa koko e haki ana, hele pū me ke koko, a hele i kou mau māmā a paʻa i loko o kahi kīʻaha koko liʻiliʻi ma laila. Pēlā nō, ʻo kahi ʻaʻa koko e hana ana ma kekahi wahi, hele i kahi ʻē aʻe a paʻa ua kapa ʻia he embolus .
No laila, ma nā huaʻōlelo maʻalahi, ʻo Thrombectomy ka wehe ʻana i kahi clot koko (`thrombus`) ma kahi o kona hoʻokumu ʻia ʻana. ʻO Embolectomy ka wehe ʻana i kahi clot koko (`embolus`) i hele a paʻa i kahi ʻē aʻe. Eia nō naʻe, i kēia mau lā, hoʻohana pinepine ʻia kēia mau huaʻōlelo ʻelua me ke ʻano like.
Hana ʻia kēia hana e ke kauka lapaʻau a i ʻole ke kauka i hoʻomaʻamaʻa ʻia i nā ʻano hana minimally invasive. Ma muli o kahi o ke koko i loko, hiki ke lilo i hana pilikia loa . Inā ālai ke koko i ka lako koko i kahi ʻōkana koʻikoʻi o ke kino, hiki ke hoʻoweliweli i ke ola.
ʻO wai ka mea e pono ai kēia ʻoki kino? Ma nā kūlana hea?
ʻO ka Deep Vein Thrombosis kahi kūlana e hana ʻia ai kahi ʻaʻa koko i loko o kahi aʻa koko hohonu i ka wāwae. Inā haki kēia ʻaʻa koko a hele i nā māmā, hiki iā ia ke hana i kahi kūlana koʻikoʻi i kapa ʻia ʻo Pulmonary Embolism . Inā ʻaʻole hiki ke kāohi ʻia kēia kūlana me ka lāʻau lapaʻau, hiki i ke kauka ke hoʻoholo e hana i kahi Embolectomy.
Ma keʻano laulā, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o nā ʻūpā koko ma mua o nā poʻe ʻē aʻe. Hiki ke hana ʻia kēia ma muli o kekahi mau kumu.
- No ka poʻe me ka maʻi puʻuwai
- No ka poʻe momona
- I ka wā hāpai
- I nā hihia maʻi kanesa
- No nā poʻe me kekahi mau maʻi genetic e hoʻopilikia ai i ke kāpili ʻana o ke koko
No ke aha e ʻōlelo ai ke kauka i kēia ʻoki kino?
ʻO ka hapa nui o ka poʻe me kahi ʻōpū koko e hāʻawi mua ʻia i nā lāʻau hoʻomāmā koko, akā pono paha ke ʻoki ʻana i nā hihia aʻe:
- Inā ʻaʻole hiki ke hāʻawi ʻia iā ʻoe nā anticoagulants a i ʻole thrombolytics no kekahi kumu.
- Inā, ʻoiai ke hāʻawi ʻana i kēlā mau lāʻau lapaʻau, ʻaʻole e heheʻe ke koko a ʻoi aku ka ʻino o ke kūlana.
- Aia kahi pilikia o kahi maʻi i kapa ʻia ʻo paradoxical embolism , ʻo ia hoʻi ka hiki ke hele kahi ʻaʻa koko ma kahi lua liʻiliʻi ma ka puʻuwai a hele i kahi ʻano koʻikoʻi e like me ka lolo.
ʻO ka maʻamau, ʻo kahi hoʻoholo e like me kēia e hana ʻia e kahi hui o nā kauka e hui pū ana a nānā pono i ke kūlana o ka mea maʻi.
E aʻo kākou i kēlā me kēia ʻanuʻu pehea e hana ʻia ai ke ʻoki kino.
Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻelua. E koho ke kauka i ke ʻano hana maikaʻi loa ma muli o ka nui a me kahi o ke koko i hoʻopili ʻia.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
ʻOiai e hoʻomākaukau ana iā ʻoe no ke ʻoki kino, e hoʻomākaukau ke kime lapaʻau i nā hoʻokolohua a me nā lako e pono ai.
- Inā hana ʻia kahi ʻoki kino hāmama (Surgical Embolectomy), e hana ʻia nā hoʻomākaukau no kahi scan i kapa ʻia he transesophageal echocardiogram e nānā i ka hana o ka puʻuwai i ka wā o ke ʻoki kino.
- Hoʻohana ka embolectomy catheter i kahi mīkini ultrasound e ʻimi i kahi kikoʻī o ke koko koko a me kahi ʻenehana X-ray i kapa ʻia he angiogram e alakaʻi i ka catheter.
ʻOiai ke ʻano o ke ʻoki ʻana e hana ʻia, e hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino
E kōkua ka papa ma lalo nei iā mākou e hoʻomaopopo pono i ka ʻokoʻa ma waena o kēia mau ʻano ʻelua a pehea e hana ʻia ai.
| ʻAno hana | Pehea i hana ʻia ai |
|---|---|
| ʻO ka Embolectomy Catheter | ʻAʻohe ʻoki nui i kēia.
|
| ʻO ke ʻoki kino hāmama (Embolectomy ʻoki kino) | Ma kēia, ua wehe ʻia ka umauma a hana ʻia ke ʻoki ʻana.
|
Loaʻa i kekahi mau maʻi kahi mea liʻiliʻi i kapa ʻia he kānana vena cava i hoʻokomo ʻia e pale aku i nā ʻōpū koko i ka wā e hiki mai ana mai ka hele ʻana i nā māmā.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ka pau ʻana o ke ʻoki ʻana, inā ua hana ʻia ke ʻoki hāmama, e humuhumu ʻia nā ʻoki i loko a i waho, a e wehe ʻia ʻoe mai ka mīkini puʻuwai-māmā. Inā he catheter kou, e hoʻopaʻa ʻia a kāʻei ʻia ka ʻoki liʻiliʻi.
Ma hope o ke ʻoki ʻana, e like paha ʻoe:
- Pono ʻoe e hoʻomau i ka lawe ʻana i nā anticoagulants e hoʻoheheʻe i kou koko.
- Pono ʻoe e hana i kekahi scan ʻē aʻe (Transthoracic echocardiogram) e nānā i ka hana o ka puʻuwai.
- Pono paha ʻoe e noho ma ka ʻāpana mālama koʻikoʻi (ICU) no kekahi mau lā.
E kamaʻilio pū kākou e pili ana i nā pōmaikaʻi a me nā pōʻino (nā pilikia)
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia lāʻau nā pono a me nā pilikia.
ʻAʻole no nā kānaka āpau kēia ʻoki kino, akā ʻo ia paha ke koho maikaʻi loa no ka poʻe hiki ʻole ke lawe i nā lāʻau hoʻokahe koko, ka poʻe i pane ʻole iā lākou, a me ka poʻe i loaʻa nā hōʻailona koʻikoʻi loa, e hoʻōla koke ai.
Eia nō naʻe, he mea nui e ʻike kākou i nā pilikia e pili ana me kēia ʻoki kino.
| Nā Pōʻino o ke ʻoki ʻana o ka Embolectomy | |
|---|---|
| Nā Pōʻino o ke ʻAno Catheter (Minimally Invasive) | |
| Ke kahe ʻana o ke koko | Hiki ke kahe koko ma muli o ka hōʻino ʻia ʻana o kahi kīʻaha koko. |
| Ka pōʻino o ka puʻuwai | Hiki ke hōʻeha ka puʻuwai a i ʻole ka puʻuwai kūpono ʻole (arrhythmia). |
| Ke koena o ke koko | ʻAʻole paha e hiki ke wehe loa i ke koko. |
| Nā pilikia o ke ʻoki kino hāmama | |
| Kahe nui ʻana o ke koko | Ke kahe koko nui ʻana i ka wā a ma hope paha o ke ʻoki kino. |
| Maʻi puʻuwai | Hiki paha ke piʻi wikiwiki ka puʻuwai (supraventricular tachycardia - SVT) a me ka hāʻule ʻana o ka puʻuwai. |
| Nā pilikia ʻē aʻe | Hiki ke hana ʻole ʻia ka puʻupaʻa, ka maʻi, a he mea kākaʻikahi loa ka make. |
Hoʻōla hou a me ka wā e ʻike hou ai i ke kauka
Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki kino. E ʻae ʻia ʻoe e hoʻi i ka home ke hoʻi hou kou hanu ʻana a me ka hana o ka puʻuwai i ka maʻamau. ʻOi aku ka wikiwiki o ka hoʻōla ʻana ma hope o ke kaʻina hana catheter ma mua o ka hana ʻoki kino hāmama.
I ka wā ma mua, ua make ka nui o ka poʻe i hana ʻia i kēia ʻoki kino. Eia nō naʻe, me ka holomua o ka ʻepekema lapaʻau, ua loli nui kēlā kūlana . I kēia lā, ua emi ka pilikia o ka make mai kēia ʻoki kino i waena o 5% a me 16%. Ua ʻike ʻia kahi noiʻi he 73% o ka poʻe i hana ʻia i kēia ʻoki kino e ola mau ana a maikaʻi ma hope o ʻelima mau makahiki.
E hoʻolohe i kēia mau hōʻailona!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home, pono ʻoe e hoʻomaopopo koke i kāu kauka .
- Paʻakikī ka hanu ʻana
- Nā hōʻailona o ka maʻi ma ka ʻoki (pehu ʻana, ʻulaʻula, kahe ʻana o ka pus)
- ʻEha umauma
- Nā palpitations o ka puʻuwai
- Ke kahe koko ʻano ʻē
Ua like ko lākou ʻano, akā, ua ʻokoʻa lākou! (Nā lāʻau lapaʻau ʻē aʻe)
Aia kekahi mau huaʻōlelo ʻē aʻe e like ke kani me ka embolectomy. E nānā kākou i nā ʻokoʻa ma waena o lākou.
ʻO ka Embolectomy a me ka Endarterectomy
ʻO ka embolectomy ka wehe ʻana i kahi clot koko. ʻO ka endarterectomy ka wehe ʻoki ʻana i nā waihona momona (plaque) e hōʻiliʻili ana i loko o kahi kīʻaha koko. Hana ʻia kēia e pale aku i ka paʻa ʻana o nā kīʻaha koko.
ʻO ka Embolectomy a me ka lāʻau Thrombolytic
ʻO ka Embolectomy kahi hana kino e pili ana i ka wehe ʻana i ke koko i loko o ke ʻoki kino. ʻO ka lāʻau thrombolytic e pili ana i ka hoʻokomo ʻana i ka lāʻau lapaʻau i loko o kahi aʻa e hoʻoheheʻe i ke koko i loko o ke kino. I kekahi manawa hiki i kēia lāʻau lapaʻau ke hoʻoulu i ke kahe koko ma nā wahi ʻē aʻe, e like me ka lolo.
E like me kāu e ʻike ai, he nui nā ʻano like ʻole e mālama ai i nā ʻūpā koko. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa iā ʻoe a ʻo ka mea palekana loa iā ʻoe. Inā ʻoe a i ʻole kekahi āu i ʻike ai ua hoʻonohonoho ʻia e hana i kēia ʻano ʻoki kino, mai makaʻu e nīnau i kāu kauka i nā nīnau āu e pili ana i ia mea.
Leka Lawe-Home
- ʻO ka embolectomy ka wehe ʻana i kahi ʻoki koko weliweli i paʻa i loko o kahi kīʻaha koko.
- Hana ʻia kēia ma nā ʻano nui ʻelua: ma o kahi catheter (kahi ʻōmole lahilahi) a ma o ke ʻoki ʻana i ka umauma hāmama.
- Hiki i kēia ʻoki kino ke hoʻōla i ke ola o nā poʻe maʻi i pane ʻole a i ʻole hiki ʻole ke lawe i nā lāʻau hoʻokahe koko.
- E like me nā ʻoki kino āpau, he mau pilikia ko kēia, akā mahalo i ka ʻenehana lapaʻau hou, ua kiʻekiʻe loa ka nui o ka holomua.
- Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha o ka umauma ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka.
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