Ke lohe mākou i ka huaʻōlelo maʻi puʻuwai a i ʻole ka poloka puʻuwai, nui ka poʻe o mākou e manaʻo koke i ka makaʻu. ʻO ka mea aʻe a mākou e noʻonoʻo ai, he hana nui e like me ke ʻoki bypass. ʻO ka manaʻo o ka hoʻolilo ʻana i nā lā ma ka haukapila, ka manawa hoʻōla, a me ka ʻeha e haʻalulu ai mākou, ʻeā? Akā ua ʻike anei ʻoe mahalo i ka ʻepekema lapaʻau holomua i kēia lā, hiki ke mālama ʻia nā maʻi puʻuwai he nui me ka ʻole o ka hana ʻana i kahi ʻoki nui, ma ke kau ʻana i kahi ʻōmole lahilahi (catheter) ma o kahi lua liʻiliʻi ma ka pulima a i ʻole ka ʻūhā? ʻO kēlā kaʻina hana lapaʻau kupaianaha a palekana loa ka mea a mākou e kapa nei he Interventional Cardiology . I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi, i hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Interventional Cardiology?
E noʻonoʻo ʻoe ua paʻa kahi paipu wai i loko o kou hale i ka lepo. I kēia manawa, ke kahe mālie nei ka wai. ʻElua ala e hoʻoponopono ai i kēia. ʻO kekahi, ʻo ia ka wāwahi ʻana i ka paia, ka lawe ʻana i ka paipu, a me ke kau ʻana i kahi paipu hou. He nui kēia hana, lepo, walaʻau, hoʻopau manawa, a pipiʻi hoʻi. ʻO kekahi ala, me ka ʻole o ka wāwahi ʻana i ka paia, hoʻokomo ʻoe i kahi mea lahilahi e like me ke kaula i loko o kekahi ʻaoʻao o ka paipu, wehe i ka lepo i paʻa, a hoʻomaʻemaʻe i ke ala. Pehea ka maʻalahi o kēia? ʻO ia ka mea e hana ʻia ma Interventional Cardiology.
ʻO ke ʻoki puʻuwai hāmama kuʻuna kahi ʻoki nui e pili ana i ka wāwahi ʻana i ka paia. ʻO ke Cardiology Interventional kahi hana ʻoki e pili ana i ka hoʻomaʻemaʻe ʻana i ka puʻuwai me kahi mea hana palupalu me ka ʻole o ka wāwahi ʻana i ka paia.
ʻO kēia kekahi lālā holomua o ke kahua lapaʻau i kapa ʻia ʻo Cardiology. Maanei, hoʻohana nā kauka, ʻo ia hoʻi nā Interventional Cardiologists , i nā ʻōmole lahilahi a palupalu i kapa ʻia ʻo catheters e ʻike a mālama i nā maʻi like ʻole o ka puʻuwai a me nā kīʻaha koko. ʻAʻole pono kēia i kahi ʻoki nui. Hoʻokomo ʻia kēia catheter i loko o ke kino ma o kahi nila liʻiliʻi i hoʻokomo ʻia i loko o kahi kīʻaha koko ma ka lima a i ʻole ka ʻūhā. No laila, ua kapa ʻia kēia ʻo "Minimally Invasive" treatment.
He aha nā pōmaikaʻi o kēia ʻano hana ma mua o ke ʻoki puʻuwai nui?
He nui nā pono o kēia ʻano hana ma mua o ke ʻoki hoʻonui umauma. He mea nui loa iā ʻoe e ʻike i kēia.
| Pōmaikaʻi | ʻO ia hoʻi... (ʻO ke ʻano o ia mea...) |
|---|---|
| Nā ʻoki liʻiliʻi loa (Nā ʻoki liʻiliʻi) | Ma kahi o kahi ʻoki nui, he puka kui wale nō. E ola loa ana kēlā i loko o kekahi mau lā. ʻAʻohe pono no nā humuhumu. |
| Ka emi ʻana o ka pilikia o ke kahe ʻana o ke koko (Ka emi ʻana o ka pilikia o ke kahe koko) | ʻOiai ʻaʻohe ʻoki nui, ʻaʻole nui ke koko e nalowale mai ke kino. No laila, he mea kākaʻikahi loa ka pono no ke kahe koko ʻana o waho. |
| E hoʻoikaika koke (Manawa ho'ōla wikiwiki) | Hiki ke hala nā pule, a i ʻole nā mahina, e hoʻi ai i ka maʻamau ma hope o ke ʻoki kino nui. Akā me kēia ʻano hana, hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o kekahi mau lā. |
| He pōkole ka manawa i hoʻolilo ʻia ma ka haukapila. (Noho pōkole ma ka haukapila) | ʻO ka hapa nui o ka manawa, hoʻokahi a ʻelua paha lā e noho ai ʻoe ma ka haukapila ma hope o kēia ʻano lapaʻau, a hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. |
He aha ka hana a kahi Interventional Cardiologist?
ʻO ka pahuhopu nui o kēia mau kauka, ʻo ia ka hōʻoia ʻana e hana pono ana nā kīʻaha koko i loko o kou kino, ʻoiai nā mea e pili ana i kou puʻuwai. E like me nā mākaʻi kaʻa ma ke alanui, ʻike lākou i nā mea e ālai ana i nā kīʻaha koko, ʻike i ke kumu, a laila wehe iā lākou e hoʻihoʻi i ke kahe koko maʻamau.
ʻO ka mea nui loa, ʻaʻole hana kēia mau kauka i nā ʻoki puʻuwai hāmama e like me nā kauka ʻoki cardiothoracic. Hana ʻia kā lākou hana āpau ma o kahi catheter.
ʻO ke ʻano hana maʻamau ka angioplasty a me ka stenting.
ʻO kēia ka lāʻau lapaʻau maʻamau ma kēia kahua. He lāʻau lapaʻau ulia pōpilikia ia e hoʻohana ʻia e hoʻopakele i nā ola, ʻoiai ke loaʻa kahi hōʻeha puʻuwai. E nānā kākou pehea e hana ai kēia.
1. Ke ʻike ʻana i ka ālai ʻana: ʻO ka mea mua, hana ʻia kahi hoʻāʻo X-ray i kapa ʻia ʻo angiogram e ʻike ai inā he ālai ʻia i loko o kekahi o nā aʻa coronary e hoʻolako ana i ke koko i kou puʻuwai.
2. Ke hoʻokomo ʻana i ka catheter:A laila, hoʻokomo ʻia kahi catheter lahilahi ma o kahi aʻa koko ma kou lima a i ʻole ka ʻūhā a i loko o kahi kīʻaha koko i loko o kou puʻuwai. ʻAʻole ʻoe e ʻike iki.
3. Angioplasty: Aia kahi pōpō liʻiliʻi ma ka hopena o ke catheter. Ke hiki ke kauka i kahi i paʻa ʻia, hoʻopiha ʻia ka pōpō. A laila e pipili ka papa cholesterol i paʻa ʻia i ka paia o ke aʻa, e wehe ana i ke ala no ke kahe hou ʻana o ke koko.
4. Ke kau ʻana i ka stenting e wehe i ke ala: ʻOiai hiki i ke ala i wehe ʻia me ka baluna ke pani hou, ua kau ʻia kahi ʻōmole mesh liʻiliʻi i kapa ʻia he stent ma kahi e pale aku ai. Ua like kēia me ke kākoʻo ʻana i kahi tunnel e kokoke ana e hiolo. Mālama kēia stent i ke kīʻaha koko e wehe.
Hiki ke hana koke ʻia kēia kaʻina hana ma luna o kekahi e loaʻa ana i ka hāʻule puʻuwai, e hōʻemi ana i ka pōʻino i ka puʻuwai a hoʻopakele i nā ola.
He aha nā hoʻokolohua a me nā lāʻau ʻē aʻe i hana ʻia me kēia ʻano hana?
Ma waho aʻe o ka angioplasty a me ke kau ʻana o ka stent, hoʻohana ʻia kēia ʻano hana no kekahi mau kūlana ʻē aʻe. Eia kekahi mau mea.
| Inoa o ka lāʻau lapaʻau/hoʻāʻo | He aha ka mea e hana ʻia me kēia? |
|---|---|
| Ka hoʻokomo ʻana o ka catheter cardiac | ʻO kēia ka hoʻāʻo maʻalahi loa. Hoʻokomo ʻia kahi catheter i loko o nā keʻena o ka puʻuwai a me nā kīʻaha koko e ana i nā mea e like me ke kaomi, ke kahe ʻana o ke koko, a me nā pae oxygen. |
| ʻO ke kāpae ʻana i ka hana ʻana o ka atherectomy | I kekahi manawa, inā mānoanoa loa ka papa cholesterol, he paʻakikī ke hoʻopaʻa me ka pōpō. I kēlā manawa, e ʻānai ʻia ka papa me kahi mea liʻiliʻi e like me ka pahi e hoʻokomo ʻia ma o ke catheter. |
| Pani ʻana o ka hemahema o ka atrial septal (ASD) | ʻAʻole pono kahi ʻōmole umauma no kahi lua i loko o ka puʻuwai i loaʻa i ka wā hānau (maʻi puʻuwai hānau). Hiki ke hoʻokomo ʻia kahi mea liʻiliʻi e like me ka "umbrella" ma o kahi catheter e pani ai i ka lua. |
| Hoʻololi a me ka Hoʻoponopono ʻana i ka Valve Puʻuwai | Hoʻohana ʻia kēia kaʻina hana e hoʻoponopono a pani paha i nā valves puʻuwai i haiki a i ʻole e liki ana. He lāʻau lapaʻau kaulana ʻo TAVI/TAVR no kēia maʻi. |
| ʻO ka thrombolysis | Inā paʻa kahi ʻōpū koko i loko o kahi kīʻaha koko, hiki ke hoʻohana ʻia kahi catheter e hele i kahi o ke koko a hoʻokomo i kahi lāʻau lapaʻau e hoʻoheheʻe iā ia. |
Ma lalo o nā kūlana hea e kuhikuhi ʻia ai ʻoe i kahi Interventional Cardiologist?
Inā kānalua kāu kauka ʻohana a kauka cardiologist paha he pilikia kou me kou puʻuwai a i ʻole nā kīʻaha koko, hiki iā lākou ke kuhikuhi iā ʻoe i kahi cardiologist interventional e ʻike pono i ke ʻano o ia mea a i ʻole e mālama iā ia.
ʻO ka maʻamau, pono kā lākou kōkua i nā kūlana olakino e hiki mai ana:
- Atherosclerosis: E like me kā mākou i kūkākūkā ai ma mua, ʻo ia hoʻi ke kūkulu ʻia nei ka cholesterol i loko o nā kīʻaha koko, e hoʻohaiki ana i ke ala.
- Maʻi ʻAʻa Coronary: Ke ālai ʻia ʻana o nā ʻaʻa e hoʻolako ana i ke koko i ka puʻuwai. ʻO kēia ke kumu o ka ʻeha o ka umauma (angina).
- Ka Maʻi Kiwikā Puʻuwai: ʻAʻole hana pono nā kiwikā puʻuwai.
- Nā Maʻi Puʻuwai Hānau: Nā kīnā puʻuwai i loaʻa i ka wā hānau (e like me nā lua i loko o ka puʻuwai).
- ʻO ka maʻi ʻaʻa Peripheral: Ka pale ʻana o nā ʻaʻa e lawe ana i ke koko i nā lima a me nā wāwae.
- Aneurysms: He puʻupuʻu e like me ka pōpō i loko o kahi kīʻaha koko.
- Nā ʻūpā koko: Nā ʻūpā koko.
Akā e hoʻomanaʻo, ʻaʻole kūpono kēia ʻano hana no kēlā me kēia maʻi. Ma muli o kou kūlana, ʻo ke ʻoki kino nui paha ka hopena maikaʻi loa. Na ke kauka nāna ʻoe e nānā e hana i kēlā hoʻoholo.
Eia kekahi, inā loaʻa iā ʻoe kekahi mea e like me ka hāʻule puʻuwai koke, hiki ke hoʻokomo pololei ʻia ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila, kahi e mālama ʻia ai ʻoe e kahi Interventional Cardiologist.
He aha kāu e manaʻo ai ke hele ʻoe e ʻike i ke kauka?
He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i ka wā e hele ai e ʻike i kahi loea e like me kēia. Akā, mai makaʻu i ia mea.
ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona. I ka manawa hea i hoʻomaka ai ka ʻeha o ka umauma, pehea kona manaʻo, a pehea ka lōʻihi o kona hele ʻana? A laila, e nīnau lākou inā he maʻi puʻuwai kekahi o kou ʻohana.
ʻO ka mea nui loa, ʻo ia ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.ʻO ia hoʻi, ʻaʻole wale ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia, akā, ʻo nā lāʻau ʻeha hoʻi i kūʻai ʻia ma ke kūʻai aku, nā huaora, a me nā lāʻau lapaʻau kuʻuna (lāʻau Sinhala) āu e hoʻohana ai ma ka hale kūʻai lāʻau lapaʻau, a pono ʻoe e haʻi iā lākou a pau. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kākau iā lākou a pau i lalo.
A laila e nānā ke kauka iā ʻoe. E hana ʻo ia i nā hoʻokolohua maʻalahi e like me ka hoʻolohe ʻana i kou puʻuwai me kahi stethoscope a me ke ana ʻana i kou koko.
Inā makemake ʻoe i kahi catheterization a i ʻole ka lāʻau lapaʻau, e hana ʻia ia ma kahi lā ʻokoʻa (ke ʻole he pilikia). Ma mua o kēlā, e wehewehe kāu kauka i ke kaʻina hana iā ʻoe, me nā pono a me nā pilikia liʻiliʻi, a pehea e hoʻomākaukau ai no ia.
Leka Lawe-Home
- He ʻano hana holomua ka Interventional Cardiology no ka mālama ʻana i nā maʻi puʻuwai. Ma kahi o ke ʻoki puʻuwai nui, hana ʻia ka mālama ʻana me ka hoʻohana ʻana i kahi ʻōmole lahilahi loa (catheter).
- ʻO nā pōmaikaʻi o kēia ʻano hana, ʻo ia ka emi ʻana o ka ʻeha, ka hoʻōla wikiwiki ʻana, ka emi ʻana o ka noho haukapila, a me ka ʻole o nā ʻeha nui.
- Hiki ke mālama pono ʻia nā ʻano he nui, e like me nā hōʻeha puʻuwai, nā kīʻaha koko i ālai ʻia, nā pilikia valve puʻuwai, a me nā kīnā puʻuwai hānau ʻia, me kēia ʻano hana.
- Inā loaʻa iā ʻoe ka maʻi puʻuwai, e kamaʻilio me kāu kauka e pili ana i ka kūpono o kēia lāʻau lapaʻau iā ʻoe. Mai makaʻu e nīnau i kāu mau nīnau.
- Ma kahi o ka makaʻu i ka lohe ʻana e pili ana i ka maʻi puʻuwai, ʻo ka ʻike ʻana i nā lāʻau lapaʻau holomua i loaʻa i kēia lā e hāʻawi iā ʻoe i ka ikaika noʻonoʻo nui.
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