Ke lohe kākou i ka huaʻōlelo "ʻoki puʻuwai," he mea maʻamau no ka hapa nui o kākou ke makaʻu iki a me ka hopohopo. No ka mea, ua ʻike kākou a pau he mea nui ia. Akā, he mea ia e hoʻōla mai ai i ka manaʻolana hou a hiki ke hoʻomaikaʻi i ka hana o ka puʻuwai. ʻO ia ke kumu i hoʻoholo ai mākou i kēia lā e kamaʻilio wale e pili ana i kēia mau ʻoki puʻuwai, e like me ke kamaʻilio ʻana me kahi hoaaloha, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ke ʻoki puʻuwai?
I ka ʻōlelo maʻalahi, ʻo ke ʻoki puʻuwai kekahi ʻoki e pili ana i kou puʻuwai a i ʻole nā kīʻaha koko e pili ana iā ia. No ka mea he hana paʻakikī ia, hana ʻia e nā kauka lapaʻau puʻuwai i loea i kēia ʻano ʻoki. ʻOiai he hanana nui ia i kou ola, ma hope o ke ʻoki ʻana, e hoʻomaikaʻi nui ʻia ka hana o kou puʻuwai a me ke kahe ʻana o ke koko, a manaʻo paha ʻoe ua loaʻa iā ʻoe kahi hoʻolimalima hou ma ke ola.
I kekahi manawa, hana ʻia kēia mau ʻoki kino e mālama i nā mea e like me ka maʻi puʻuwai hānau. Hoʻohana ʻia hoʻi lākou e mālama i nā maʻi puʻuwai e ulu aʻe ma hope o ke ola. ʻO ke ʻano o ke ʻoki kino āu e hana ai e pili ana i kou kūlana. Kapa kekahi poʻe i kēia he "ʻoki kino Cardiac" a i ʻole "ʻoki kino Cardiovascular".
I nā hihia hea e pono ai ke ʻoki puʻuwai?
ʻO ka maʻamau, pono ke ʻoki puʻuwai i nā hihia aʻe:
- Inā ua ālai ʻia kekahi a ʻoi aku paha o nā aʻa e lawe ana i ke koko i kou puʻuwai.
- Inā ʻaʻole hana pono nā valves i loko o ka puʻuwai (ʻaʻole lākou e wehe a pani pono paha).
- Inā he mau ʻano ʻē o ka puʻuwai (arrhythmias).
- I nā kūlana e like me ka hāʻule ʻana o ka puʻuwai , ʻo ia hoʻi, i ka wā hiki ʻole i ka puʻuwai ke pamu i ke koko kūpono i ke kino.
ʻO ka hapa nui o ka manawa, ma hope o ka ʻike ʻana o kāu kauka (ʻo ia hoʻi he kauka puʻuwai) he pilikia kou i ka puʻuwai, inā ʻo ke ʻoki ʻana ka hopena maikaʻi loa, e hoʻolālā mua ʻia.
Akā i kekahi manawa, pono paha ʻoe e hana i ke ʻoki puʻuwai ma ke ʻano he pilikia i ka wā āu i manaʻo ʻole ai. Eia kekahi laʻana, inā loaʻa i kekahi ka hōʻeha puʻuwai, a hōʻike paha nā hoʻokolohua ua paʻa loa ko lākou mau valves puʻuwai, pono paha lākou e hana koke i ke ʻoki ʻana.
Akā e hoʻomanaʻo, ʻaʻole pono nā maʻi puʻuwai āpau i ke ʻoki kino. Me ka ʻenehana holomua o kēia wā, aia nā lāʻau lapaʻau ʻole. No ka laʻana, hiki i nā kaʻina hana e like me ka "Percutaneous Coronary Intervention (PCI)" ke hōʻemi i ka noho ʻana ma ka haukapila a kōkua iā ʻoe e hoʻōla wikiwiki.
He aha nā ʻano nui o ke ʻoki puʻuwai?
Aia kekahi mau ʻano hana ʻoki puʻuwai. ʻO ke ʻano o ke ʻoki ʻana āu e hana ai e pili ana i kou kūlana olakino. E nānā kākou i nā ʻano nui o ke ʻoki ʻana.
| ʻAno o ke ʻoki kino | Ma nā huaʻōlelo maʻalahi ... |
|---|---|
| ʻO ke kāpili ʻana o ke aʻa coronary (CABG) (ʻoki ʻoki bypass) | Ke hana nei i ala hou no ke kahe ʻana o ke koko a puni kahi aʻa i paʻa i loko o ka puʻuwai. Pili kēia i ka hoʻohana ʻana i kahi aʻa olakino i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino. Ma muli o ka helu o nā aʻa i paʻa, ua kapa ʻia kēia he bypass "pālua" a "ʻekolu" paha. |
| ʻO ke ʻoki ʻana o ka valve puʻuwai (ʻO ke ʻoki ʻana i ka valve puʻuwai) | Inā ʻaʻole e hana pono ana kahi valve, e like me ka "puka" e kaohi ana i ke kahe o ke koko i loko o ka puʻuwai, pono e hoʻoponopono ʻia a i ʻole e hoʻokomo ʻia kahi mea hou. |
| Hoʻoponopono ʻana i ka Aneurysm (Hoʻoponopono ʻana i ka hoʻonui ʻana o ke kīʻaha koko) | Ke nāwaliwali kahi ʻāpana o ka paia o ke kīʻaha koko a puʻupuʻu e like me ka pōpō (aneurysm), e wehe ʻia kēlā ʻāpana a hoʻokomo ʻia kahi kīʻaha koko hana (graft) ma kona wahi. |
| Kaʻina Hana Maze | ʻO kahi lāʻau lapaʻau no ka atrial fibrillation (AFib), kahi puʻuwai puʻuwai kūpono ʻole, pili i ka hana ʻana i nā ʻiʻo ʻeha lahilahi e ālai i nā ala o nā hōʻailona uila ʻē o ka puʻuwai. |
| ʻO ke ʻoki kino e hoʻokomo i kahi mea hana puʻuwai (Ke hoʻokomo nei i kahi hāmeʻa) | Hoʻokomo ʻia nā mea hana like ʻole e hoʻoponopono i ke ʻano o ka puʻuwai a i ʻole e kōkua i ka hana a ka puʻuwai. Nā Laʻana: (Pacemaker) , (ICD) , (LVAD) . |
| Hoʻoili Puʻuwai (Hoʻoili puʻuwai) | ʻO kēia ke ala hope loa. Hoʻoili ʻia kahi kanaka me ka hāʻule puʻuwai hope loa me kahi puʻuwai olakino mai kahi mea hāʻawi i make. He hana paʻakikī loa kēia a he kakaikahi ka hana ʻia. |
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Hiki ke hala nā pule a i ʻole nā mahina e hoʻomākaukau ai no ke ʻoki kino. E nānā pono kāu mau kauka i kou kūlana ma mua o ka hoʻoholo ʻana e hana i ke ʻoki kino ma luna ou.
Nā hoʻokolohua hiki iā ʻoe ke hana
E hana ʻia kekahi mau hoʻokolohua e hoʻoholo ai inā pono ʻoe i ke ʻoki ʻana, a inā pēlā, he aha ke ʻano:
- ECG (Electrocardiogram)
- ʻEchocardiogram (Echo)
- Hoʻāʻo koʻikoʻi
- X-ray umauma
- ʻO ka angiography coronary
- ʻO ke kiʻi CT puʻuwai
- MRI o ka puʻuwai
Pehea ʻoe e hoʻomākaukau ai
Ke hoʻoholo ʻia e pono ʻoe e hana i ke ʻoki kino, e haʻi pololei aku ke kime lapaʻau iā ʻoe pehea e hoʻomākaukau ai.
- I ka manawa hea e hoʻōki ai i ka lawe ʻana i nā lāʻau lapaʻau: Ua ʻōlelo ʻia e hoʻōki i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki ʻana.
- Hoʻokē ʻai: E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea i ka pō ma mua o ke ʻoki ʻana.
- Ka puhipaka a me ka waiʻona: I mea e hōʻemi ai i ka pilikia o ke ʻoki kino, he mea nui e haʻalele i ka puhipaka a hōʻemi i ka inu ʻana i ka waiʻona.
Mai makaʻu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi. ʻOi aku ka maikaʻi o ka mākaukau me ka ʻike āpau āu e pono ai.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i ka ʻāpana mālama koʻikoʻi (ICU). E noho ʻoe ma laila no hoʻokahi lā ma ka liʻiliʻi. A laila e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻamau.
ʻO ka lōʻihi o kou noho ʻana ma ka haukapila e pili ana i ke ʻoki ʻana i loaʻa iā ʻoe a me ka wikiwiki o ka ho'ōla ʻana o kou kino. ʻO ka maʻamau, ma waena o 6 a me 12 mau pule e ho'ōla piha ai mai ke ʻoki puʻuwai hāmama.
Hiki iā ʻoe ke ʻike i kēia mau mea i ka wā o ke kaʻina hana ho'ōla. He mea maʻamau kēia:
- He leo "kaomi" ma ka umauma (e nalo aku kēia i hoʻokahi a ʻelua paha pule).
- He palapū liʻiliʻi a i ʻole he pehu a puni ka ʻoki.
- Ka paʻa ʻana o ka ʻōpū.
- Ka paʻakikī o ka hiamoe ʻana.
- ʻAʻohe ʻono o ka meaʻai.
- ʻEha ma nā poʻohiwi a me ke kua o luna.
- Kaumaha, hopohopo, a i ʻole ka loli o ke ʻano.
He aha nā pilikia a me nā pilikia?
Ma keʻano laulā, ua holomua loa nā hopena o ke ʻoki puʻuwai. Eia nō naʻe, e like me nā ʻoki puʻuwai āpau, aia kekahi mau pilikia.
| Nā pilikia hiki ke loaʻa |
|---|
| Ka maʻi ʻaleka i ka anesthesia. |
| Nā ʻano like ʻole o ka puʻuwai (Arrhythmias). |
| Ke kahe koko nui ʻana. |
| Maʻi i loko o ka ʻoki a i ʻole i loko o ka umauma. |
| Hahau. |
| Nā hopena ma nā puʻupaʻa. |
Inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes, ka maʻi pulmonary obstructive mau loa (COPD), ka maʻi puʻupaʻa, a i ʻole he mea puhi paka, ʻoi aku paha ke kiʻekiʻe o kou pilikia. ʻO ia ke kumu he mea nui e kaohi i kēia mau kūlana ma mua o ke ʻoki ʻana.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau hōʻailona o nā pilikia i kou wā e hoʻōla ai , e kāhea koke i kāu kauka. ʻOiai he mea maʻamau ka loaʻa ʻana o kekahi ʻeha, ʻaʻole maʻamau kēia mau mea.
- ʻEha umauma e mau ana ʻole ana i ka hala ʻana o ka manawa.
- Kuni .
- Ka luaʻi a me ka luaʻi .
- Paʻakikī ka hanu ʻana .
- Nā hōʻailona o ka maʻi, e like me ka pus e kahe ana mai ka ʻoki a me ka ʻulaʻula .
- Nā hōʻailona o ka hahau ʻana e like me ka paʻakikī o ka ʻōlelo ʻana .
Inā ʻaʻole ʻoe maopopo inā he ʻāpana maʻamau o ke kaʻina hana ho'ōla kahi hōʻailona a i ʻole he hōʻailona o kahi pilikia, e kāhea aku i kāu kauka me ke kānalua ʻole. ʻOi aku ka maikaʻi o ka palekana ma mua o ke kaumaha. I kahi pilikia, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He hana hoʻōla ola a hoʻololi ola ke ʻoki puʻuwai. Mai makaʻu i ia mea.
- He mea nui loa ka hoʻomākaukau pono ʻana no ke ʻoki kino. E hahai pono i nā ʻōlelo a kāu kauka.
- He manawa ka lōʻihi e ho'ōla ai. E hāʻawi i kou kino i ka manawa e pono ai e ho'ōla. E hoʻomanawanui.
- E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
- E makaʻala i nā hōʻailona e hiki mai ana ma hope o ke ʻoki kino. Inā ʻike ʻoe i kekahi o ia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
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