Nā mea āpau e pili ana i ke ʻoki puʻuwai minimally invasive

He mea maʻamau ke manaʻo iki i ka makaʻu ke haʻi aku kāu kauka iā ʻoe e pono ʻoe i ke ʻoki puʻuwai. Manaʻo ka poʻe he nui he hana ʻeha loa ia e pili ana i ka hana ʻana i kahi ʻoki nui ma waenakonu o ka umauma a noho i ka haukapila no ka manawa lōʻihi. Akā i kēia lā, ua holomua nui ka ʻepekema lapaʻau. Aia nā ʻano hana e mālama ai i ka puʻuwai ma o kekahi mau lua liʻiliʻi ma kahi o ka hana ʻana i nā ʻoki nui e like me ma mua. ʻO kēlā ʻano hana ka mea a mākou e kapa nei he Minimally Invasive Heart Surgery . 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 Minimally Invasive Heart Surgery?

E noʻonoʻo, ma ke ʻoki puʻuwai hāmama kuʻuna, ʻoki ke kauka lapaʻau i ka iwi umauma holoʻokoʻa (sternum) ma waenakonu o kou umauma e hiki ai i kou puʻuwai. He lōʻihi ka manawa e ho'ōla ai kēia, he ʻeha loa, a waiho i kahi ʻeha nui.

Akā ma kēia ʻano hana hou, i kapa ʻia ʻo Minimally Invasive Surgery, ʻaʻohe ʻoki nui e like me ia. Akā, hoʻokahi a ʻoi aku paha nā ʻoki liʻiliʻi loa i hana ʻia ma ka ʻaoʻao o kou umauma, ma waena o kou mau iwi ʻaoʻao. A laila, hoʻokomo ʻia nā kāmela ʻenehana kiʻekiʻe, nā mea hana ʻokiʻoki palupalu loa, a i kekahi manawa nā lima robotic ma o kēia mau ʻoki liʻiliʻi e hana i ke ʻoki pono ma kou puʻuwai.

E nānā kākou i ka papa ma lalo nei e hoʻomālamalama hou aku i ka ʻokoʻa ma waena o kēia mau ʻano hana ʻelua.

He aha kēia mau ʻano hana ʻoki kino?

ʻElua ʻano nui o ke ʻoki puʻuwai minimally invasive.

1. ʻO ke ʻoki ʻana o ka ʻōpū: Ma kēia, hoʻokomo ke kauka ʻoki i kahi ʻōmole lōʻihi me kahi kāmela i kapa ʻia he thoracoscope ma o kahi lua liʻiliʻi ma ka ʻaoʻao o ka umauma. Hoʻohana ke kauka ʻoki i nā mea hana lōʻihi a lahilahi i hoʻokomo ʻia ma o nā lua ʻē aʻe e hana i ke ʻoki ʻana, me ka hoʻohana ʻana i nā kiʻi mai kēia kāmela.

2. ʻO ke ʻoki puʻuwai i kōkua ʻia e ka robot: ʻO kēia ka ʻoi loa o kēia mau ʻano hana. Maanei hoʻi, hana ʻia nā lua liʻiliʻi ma ka ʻaoʻao o ka umauma. Eia naʻe, ʻaʻole hana pololei ʻia ke ʻoki e ke kauka. Noho ʻo ia i mua o kahi ʻōnaehana hoʻomalu kamepiula (console) a hoʻomalu i nā lima robotic. Hiki i kēia mau lima robotic ke hana me ka akahele, pololei, a me ka neʻe ʻole ma mua o ka lima kanaka. Eia kekahi, ʻoiai ua loaʻa nā kiʻi ʻekolu-dimensional (3D), hiki ke hana ʻia ke ʻoki ʻana me ka nānā ʻana i kahi kiʻi maopopo loa o ka puʻuwai.

He aha nā ʻano maʻi puʻuwai e hoʻohana ʻia ai kēia ʻano hana?

ʻAʻole hiki ke hana ʻia nā ʻoki puʻuwai āpau me kēia ʻano hana. Eia nō naʻe, ua hana maikaʻi ʻia nā ʻoki maʻamau he nui me kēia ʻano hana. Na kāu kauka e hoʻoholo inā kūpono kēia ʻano hana iā ʻoe.

• Nā hoʻoponopono a hoʻololi paha i nā valve, ʻoiai nā ʻokiʻoki e pili ana i ka valve mitral.
• ʻO nā kūlana e like me ke kīnā septal atrial (ASD) , ka mea e pani ai nā lua i loko o ka puʻuwai.
• Ka wehe ʻana i ka puʻupuʻu puʻuwai.
• ʻO kekahi mau ʻokiʻoki bypass artery coronary .
• Nā lāʻau lapaʻau e like me ke kaʻina hana Maze no nā hewa o ka puʻuwai (arrhythmias).
• Ke hoʻokomo ʻana i kahi mea kōkua ventricular.

He aha ka mea e hana ʻia ma mua a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki kino

E hāʻawi aku kāu kauka lapaʻau iā ʻoe i nā kuhikuhi no ke ʻano o ka hoʻomākaukau ʻana no ke ʻoki ʻana. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ke ʻoki ʻana. E hāʻawi ʻia ʻoe i ka anesthesia laulā i ʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana.

E hoʻopili ʻia ʻoe i kahi mīkini puʻuwai-māmā e mālama i ke kahe koko i loko o kou kino i ka wā o ke ʻoki kino.

I ka wā o ke ʻoki kino

E like me ka mea i ʻōlelo ʻia ma mua, hana ke kauka lapaʻau i hoʻokahi a ʻoi aku paha mau ʻoki liʻiliʻi ma ka ʻaoʻao o ka umauma. Ma o kēia mau mea, hoʻokomo ʻia kahi kāmela a me nā mea hana e hana i ka hoʻoponopono puʻuwai e pono ai, ka hoʻololi ʻana i ka valve, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe. Ke pau ka hana, humuhumu ʻia nā lua liʻiliʻi a pani ʻia. Hiki i kēia kaʻina hana holoʻokoʻa ke lawe ma waena o ʻelua a ʻeono hola .

Ma hope o ke ʻoki kino

Ma hope o ke ʻoki kino, e nānā ʻia ʻoe ma ka ʻāpana mālama koʻikoʻi (ICU) no hoʻokahi a ʻelua paha lā. Hiki iā ʻoe ke kau ʻia kekahi mau ʻōmole hoʻokahe liʻiliʻi ma waho o kou umauma e pale ai i ka hōʻiliʻili ʻana o ke wai a puni kou puʻuwai.

A laila e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻamau. ʻO ka mea kupanaha, e kōkua ʻia ʻoe e ala a hele i loko o hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. E aʻo ʻia hoʻi ʻoe i nā hoʻomaʻamaʻa hanu e pale aku i ka hōʻiliʻili ʻana o ka mucus i loko o kou mau māmā. Ma ke ʻano maʻamau, hiki iā ʻoe ke hoʻi i ka home i loko o kekahi mau lā.

He aha nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā i ka hoʻohālikelike ʻia me ke ʻoki kino hāmama, ʻoi aku ka haʻahaʻa o ka pilikia o nā pilikia.

Nā pilikia hiki ke loaʻa:

• Ke kahe ʻana o ke koko
• Nā maʻi
• Nā ʻano hewa o ka puʻuwai (arrhythmias)
• Hahau

He mea kākaʻikahi loa, inā i ka wā o ke kaʻina hana, manaʻo ke kauka ʻoki ʻaʻole palekana hou ke ʻano minimally invasive, hiki iā lākou ke hoʻololi koke i ke ʻoki wehe. He mea kākaʻikahi loa kēia, akā he mea nui e makaʻala i ia mea.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO kēia ka pōmaikaʻi nui loa o kēia ʻano hana. Ma hope o ke ʻoki kino hāmama, ʻaʻole hiki iā ʻoe ke hana i ka hana kaumaha a i ʻole ke kalaiwa no kekahi mau mahina. Eia nō naʻe, ma hope o ke ʻoki kino Minimally Invasive, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o ʻelua a ʻehā pule wale nō .

E manaʻo paha ʻoe ua luhi iki ʻoe ma mua o ka maʻamau no nā pule mua. He mea maʻamau kēia. ʻOi aku ka maikaʻi o ka hana ʻole ʻana i kekahi mea kaumaha, e like me ka hāpai ʻana i nā mea kaumaha, no kekahi mau pule. E haʻi aku kāu kauka iā ʻoe pehea e hoʻonui mālie ai i kāu pae hana e like me ke kūpono. Hiki ke kuhikuhi ʻia ʻoe i kahi papahana hoʻoponopono puʻuwai . E kōkua kēia iā ʻoe e aʻo pehea e hoʻoikaika kino palekana ai a ʻai i ka meaʻai olakino no ka puʻuwai.

He aha nā hōʻailona e pono ai ʻoe e ʻike i ke kauka ma hope o ke ʻoki ʻana?

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei ma hope o ka hoʻi ʻana i ka home, pono ʻoe e kāhea koke aku i kāu kauka .

• Ka pus a i ʻole ka wai e kahe ana mai nā ʻoki.
• Ka pehu nui a i ʻole ka ʻulaʻula a puni ka ʻeha.
• Kuni a i ʻole ke anu.
• Ke manaʻo nei i ka helu puʻuwai kūpono ʻole (palpitations puʻuwai).
• ʻO ka pehu ʻana o nā wāwae a i ʻole nā ​​​​wāwae (edema).
• Piʻi kaumaha ma mua o 1.5 kg (3 paona) i loko o hoʻokahi pule.

He mau hōʻailona paha kēia o kahi maʻi a i ʻole kekahi pilikia ʻē aʻe, no laila mai hoʻowahāwahā iā lākou.