E aʻo kākou e pili ana i ka hoʻololi ʻana o ka valve o ka puʻuwai ma nā ʻōlelo maʻalahi.

Ua haʻi aku anei ke kauka iā ʻoe he pilikia kou me ka valve puʻuwai a pono e hoʻololi ʻia? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kahi mea e like me kēia. ʻAʻole ia he mea kupanaha ke noʻonoʻo, "Auē, pono anei au e hana ʻia ke ʻoki ma koʻu puʻuwai?" Akā ʻo ka ʻoiaʻiʻo, he ʻoki kēia e hana ʻia nei me ka holomua nui ma ka honua a ma ko mākou ʻāina i kēia manawa, a kōkua ia i ka hoʻopakele ʻana i nā ola he nui. No laila, e ʻimi kākou i nā pane i nā nīnau a pau e pili ana i kēia i kēia lā. E kamaʻilio kākou e pili ana i kēia ʻoki ma ke ʻano maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, ʻae?

No ke aha ʻoe e pono ai e pani i ka valve o ka puʻuwai?

I ka ʻōlelo maʻalahi, he ʻāpana ʻiʻo kupaianaha ko kākou puʻuwai. Ua like ia me kahi pamu liʻiliʻi e pamu ana i ke koko ma o ko kākou kino. No ka hana ʻana i kēia hana, aia ʻehā mau ʻāpana i loko o ka puʻuwai e hana ana e like me nā puka ʻehā. Kāhea mākou i kēia mau kiwikā puʻuwai . Wehe wale kēia mau kiwikā a pani i hoʻokahi ʻaoʻao, no laila e kahe mau ana ke koko i ka ʻaoʻao hoʻokahi.

E noʻonoʻo i ka wai i loko o kou home e like me ka paipu. Inā ʻaʻole pani pono ka paipu, e liki ka wai. Inā ʻaʻole wehe pono, e ālai ʻia ke kahe ʻana o ka wai. Pēlā ka hana ke maʻi kēia mau kiwikā.

• Stenosis: I kekahi manawa ʻaʻole e wehe pono ka valve a lilo i mea haiki, e koi ana i ka puʻuwai e hana ikaika e pamu i ke koko.
• Ka Leakage Valve (Regurgitation): I kekahi manawa, ʻaʻole pani pono ka valve a kahe ke koko i hope. A laila pono ka puʻuwai e hana pālua i ka ikaika.

Ke lilo kēia ʻano i mea koʻikoʻi, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, a me ka nāwaliwali . ʻO ia ka manawa e hoʻoholo ai nā kauka e wehe i ka valve maʻi a hana hewa a hoʻololi iā ia me kahi mea hou e hana ana. Ua kapa ʻia kēia he pani valve puʻuwai .

He aha nā ʻano valves hou i loaʻa?

ʻElua ʻano nui o nā kiwikā pani, a i ʻole nā ​​kiwikā prosthetic. Loaʻa iā lāua nā pono a me nā hemahema. E kōkua kāu kauka iā ʻoe e koho i ke ʻano kūpono loa iā ʻoe.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻO wai kaʻu e koho ai?" Mai hopohopo. E noʻonoʻo kāu kauka i nā kumu he nui, me kou makahiki, ke olakino, nā pilikia o ka lawe ʻana i nā lāʻau hoʻokahe koko, a me kou hiki ke hana i ke ʻoki kino hou aʻe i ka wā e hiki mai ana , a e kūkākūkā pū me ʻoe i ka valve maikaʻi loa iā ʻoe. He hoʻoholo kēia na ʻoe a me kāu kauka e hana pū ai.

Pehea e hana ʻia ai ke ʻoki kino? He aha nā ʻano hana?

ʻElua mau ʻano nui no ke pani ʻana i ka valve puʻuwai. ʻO kēia ke ʻano hana ʻoki kino kuʻuna a me ke ʻano catheter hou. E koho kāu kauka i ke ʻano maikaʻi loa ma muli o kou kūlana olakino.

ʻO ke ʻoki puʻuwai hāmama

ʻO kēia ke ʻano hana kuʻuna i hoʻohana ʻia no ka manawa lōʻihi. Ma kēia ʻoki ʻana, hana ʻia kahi ʻoki ma waenakonu o ka umauma, hoʻōki ʻia ka puʻuwai, a hoʻoili ʻia ka hana o ka puʻuwai a me nā māmā i kahi mīkini puʻuwai-māmā . ʻO nā hiʻohiʻona o nā ʻoki ʻana i hana ʻia me ka hoʻohana ʻana i kēia ʻano hana ʻo SAVR (Surgical Aortic Valve Replacement) .

Nā Kaʻina Hana i Hoʻokomo ʻia i ka Catheter

ʻO kēia ke ʻano hana hou i hoʻohana pinepine ʻia, ʻaʻole ia he mea luhi loa i ke kino. Maanei, me ka wehe ʻole ʻana i ka umauma, hana ʻia kahi ʻoki liʻiliʻi loa ma kahi e like me ka ʻūhā, hoʻokomo ʻia kahi paipu lahilahi (catheter) ma loko, a hoʻouna ʻia ka valve hou ma kēlā paipu i ka puʻuwai a hoʻokomo ʻia.

ʻO nā hiʻohiʻona o nā hana ʻoki i hana ʻia me ka hoʻohana ʻana i kēia ʻano hana:ʻO TAVR (Transcatheter Aortic Valve Replacement) a me TMVR (Transcatheter Mitral Valve Replacement) .

E wehewehe kāu kauka i nā ʻano hana ʻelua iā ʻoe a e hoʻoholo i ka mea palekana a maikaʻi loa no kou kūlana.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

E hāʻawi aku ka haukapila iā ʻoe i kekahi mau kuhikuhi i hoʻokahi a ʻelua paha lā ma mua o ke ʻoki kino.

• E haʻi pololei lākou iā ʻoe i ka manawa e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana.
• E aʻo aku lākou iā ʻoe inā pono ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau āu e lawe mau ai (ʻoi aku hoʻi nā lāʻau lapaʻau no ka maʻi diabetes a me ke koko koko).
• Aia paha he nui nā hoʻokolohua e pono e hana ʻia ma mua o ke ʻoki ʻana.
• Ke hiki ʻoe i ka haukapila, e ʻaʻahu i nā lole ʻoluʻolu a maʻalahi hoʻi e ʻaʻahu.
• He mea nui hoʻi e hoʻonohonoho mua i kahi e lawe iā ʻoe i ka haukapila a mai laila mai.

He aha ka mea e hana maoli ana i ka wā o ke ʻoki kino?

ʻO ka maʻamau, ma kahi o hoʻokahi a ʻehā hola ka lōʻihi o ke ʻoki kino. Eia ka mea e hana ʻia i loko o kēia manawa, ma ke kaʻina hana:

1. Anesthesia: ʻO ka mea mua, e hoʻohiamoe loa ʻia ʻoe. No laila, ʻaʻole ʻoe e ʻeha. ʻAʻole ʻoe e hoʻomanaʻo i kekahi mea.

2. ʻOki ʻana: Ma muli o ke ʻano o ke ʻoki ʻana e hana ʻia ana, hana ʻia kahi ʻoki ma ka umauma a i ʻole ka ʻāpana groin ma kahi kūpono.

3. Mīkini Puʻuwai-Māmā: I ke ʻoki kino hāmama, hoʻoili ʻia ka hana o ka puʻuwai i kēia mīkini no kekahi manawa. ʻAʻole pono kēia no ke ʻano catheter.

4. Ke Hoʻololi ʻana i ka Valve: Wehe pono ke kauka i ka valve maʻi a hoʻololi iā ia me kahi valve olaola a mechanical paha. I kekahi mau kaʻina hana hou, kau ʻia ka valve hou i loko o ka valve kahiko.

5. Ke Pani ʻana i ka ʻoki: Ma hope o ka hōʻoia ʻana e hana pono ana ka valve hou, e humuhumu ʻia ka ʻoki a pani ʻia. A laila e lawe ʻia ʻoe i ka Intensive Care Unit (ICU).

Pehea ka manawa ho'ōla ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, e hoʻokomo mua ʻia ʻoe i loko o ka Intensive Care Unit (ICU). Ma laila, e nānā pono nā kauka a me nā kahu maʻi i kou kūlana. Ke hoʻōla iki ʻoe, e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻamau.

ʻOkoʻa ka manawa hoʻōla mai kēlā me kēia kanaka a i kēia kanaka, akā maʻamau ma waena o hoʻokahi a ʻekolu mahina e hoʻōla piha ai. Inā ua hana ʻia ke ʻoki ʻana ma o kahi catheter, ʻoi aku ka pōkole o ka manawa hoʻōla.

• E luhi koke paha ʻoe i nā pule mua. He mea maʻamau kēlā.
• Ua ʻōlelo mai ke kauka ʻaʻole ʻoe e kalaiwa no kekahi mau pule.
• Pono ʻoe e noho mamao mai nā hana ikaika e like me ka hāpai ʻana i nā mea kaumaha no kekahi manawa.
• Pono paha ʻoe e hoʻomaha no kekahi mau pule a i ʻole mau mahina ma mua o ka hoʻi ʻana i ka hana.
• Hiki ke kuhikuhi ʻia ʻoe i kahi papahana hoʻoponopono puʻuwai , kahi e kōkua iā ʻoe e hoʻihoʻi i kou ikaika.

Āhea wau e kāhea aku ai i ke kauka?

Ma hope o kou hoʻi ʻana i ka home, e makaʻala pono i kou kino. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

• Inā manaʻo ʻoe he kuni a he anu paha
• Inā manaʻo ʻē kou pulse
• Inā pehu ka ʻeha ʻoki, ʻulaʻula, ʻeha, a i ʻole e kahe ana ka pus
• ʻEha, ʻulaʻula, a pehu paha ma ka wāwae lalo (hiki ke hōʻailona kēia o ke koko koko)
• Inā piʻi koke kou kaumaha a pehu paha kou mau wāwae a kuʻekuʻe wāwae paha.

I kou hoʻomaka ʻana i kou ola hou me kahi valve hou, hiki iā ʻoe ke ʻike i nā ʻano manaʻo like ʻole. He mea maʻamau ka ʻike ʻana i ka hui pū ʻana o ka makaʻu, ka hauʻoli, a me ka hōʻoluʻolu. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Ua holomua loa kēia mau ʻoki kino i kēia manawa. Me ka holomua o ka ʻenehana, ke palekana nei lākou i kēlā me kēia lā. E hāʻawi kāu hui lapaʻau iā ʻoe i nā alakaʻi āpau āu e pono ai ma kēia huakaʻi.