Ua hana ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai i ke ʻoki pani ʻana i ka valve puʻuwai? Ma hope o kekahi manawa, hiki i nā ʻiʻo a puni ka valve hou ke hoʻomaka e kahe iki. ʻO kēia ka mea a mākou e kapa nei he 'Paravalvular Leak' a i ʻole PVL ma nā ʻōlelo lapaʻau. Hiki i kēia ʻano leak ke hana i nā hōʻailona e like me ka pōkole o ka hanu a me ka luhi. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau maʻalahi e hiki ke hoʻopaʻa i kahi leak e like me kēia me ka ʻole o ka hele hou ʻana i ke ʻoki nui.
He aha ka pani ʻana o ka Paravalvular Leak?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻoki ʻole kēia. E noʻonoʻo ua hoʻokomo ʻia kahi valve prosthetic i loko o kou puʻuwai, akā i kēia manawa ke kahe iki nei ka valve. I ka wā ma mua, no ka hoʻoponopono ʻana i kahi mea e like me kēia, pono ʻoe e wehe hou i kou umauma a hana i ke ʻoki puʻuwai hāmama. Akā, ʻaʻole hiki i nā mea āpau ke uku hou i ke ʻoki ʻana, he mea pilikia ia.
Eia kahi hopena no kēia, ua hoʻokumu ʻia kahi lāʻau i kapa ʻia ʻo Paravalvular Leak (PVL) Closure . Ma kēia, hoʻohana kahi cardiologist interventional i kahi ʻōmole lahilahi loa i kapa ʻia he catheter e hele i ka leak i loko o ka puʻuwai a pani i ka lua me kahi mea liʻiliʻi (closure device). Ua like ia me ke kau ʻana i kahi 'sila' ma kahi lua liʻiliʻi i loko o kahi paipu wai.
ʻOiai ʻaʻole kēia he ʻoki kino, he pōkole ka manawa hoʻōla, haʻahaʻa nā pilikia, a he pōkole loa ka noho ʻana ma ka haukapila.
ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?
ʻAʻole nā kānaka a pau me kahi valve prosthetic e loaʻa i kēia maʻi, a ʻaʻole nā kānaka a pau me ka leaka e pono ai kēia lāʻau lapaʻau. Manaʻo pinepine ʻia no ka poʻe me ka leaka nui i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau. Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe.
He kūpono paha kēia lāʻau lapaʻau no kekahi me nā kūlana penei:
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Kahe koko nui | Inā ke kahe ʻana o ke koko he nui i ke ala kūpono ʻole. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Inā pilikia ʻoe i ka hanu ʻana i ka wā o nā hana maʻamau. |
| Anemia Hemolytic | Hiki mai ka anemia ma muli o ka haki ʻana o nā hunaola koko ʻulaʻula i ka wā e hele ai ke koko ma o ka leaka. |
| Nā kānaka e mālama ʻia ana no ka endocarditis | Inā ʻoe e mālama ʻia nei no kahi maʻi o ka ʻili o loko o ka puʻuwai. |
| ʻO ka poʻe i pilikia nui i ke ʻoki hou ʻana | No ka poʻe i hana mua i kekahi mau ʻoki kino a ʻaʻole hiki ke uku i kekahi ʻoki kino ʻē aʻe. |
He aha kāu e hana ai ma mua o ka mālama ʻana?
Ma mua o ka hana ʻana i kēia lāʻau lapaʻau, e nānā pono kāu kauka i kou olakino. E hana ʻo ia i nā hoʻokolohua like ʻole e nānā i ka hana o kou puʻuwai.
- ECG (Electrocardiogram): Nānā i ka hana uila o ka puʻuwai.
- Echocardiogram: He scan o ka puʻuwai.
- Transesophageal Echocardiogram (TEE): He scan kūikawā kēia. Hoʻokomo ʻia kahi kāmela liʻiliʻi ma o ka esophagus e ʻike maopopo i nā valves o ka puʻuwai. He mea nui loa kēia no ka loaʻa ʻana o kahi kikoʻī o ka leaka.
- ʻO ke kiʻi CT Cardiac a i ʻole MRI: E kiʻi i nā kiʻi kikoʻī ʻekolu-dimensional (3D) o ka puʻuwai.
- Nā hoʻāʻo koko: E nānā no nā maʻi.
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā maʻi allergies āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei (ʻoiai nā lāʻau hoʻokahe koko).
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Hana pinepine ʻia kēia lāʻau lapaʻau ma ka hale hana hoʻokomo catheterization cardiac o ka haukapila. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau a me ka anesthesia e pale aku i ka ʻeha.
Ma hope o kēlā, hana ka mea loea i kēia mau hana:
1. Hoʻokomo ʻia ʻana o ke catheter: Hoʻokomo ʻia kahi paipu lahilahi a palupalu (catheter) i loko o kahi kīʻaha koko nui (femoral artery) i loko o kou ʻūhā.
2. Ke ʻimi nei i ka liki: Me ka hoʻohana ʻana i ka ʻenehana scan (e like me TEE), hoʻokomo ʻia kahi uea ma o ka paipu a alakaʻi ʻia i kahi kikoʻī o ka liki i loko o ka puʻuwai.
3. Ke kau nei i ka hāmeʻa:Ke ʻike ʻia kahi kikoʻī o ka liki ʻana, e hoʻokomo ʻia kahi mea liʻiliʻi kūikawā (mea pani) hiki ke pani i ka lua ma o ke catheter, hoʻokomo ʻia, a pani ʻia.
4. Ke wehe ʻana i ke catheter: Ke pau ka hana, e wehe pono ʻia ke catheter a me nā uea.
ʻO ka maʻamau, ʻelua a ʻekolu hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. I ka hala ʻana o ka manawa, ulu aʻe nā ʻiʻo o kou puʻuwai a puni ka hāmeʻa i hoʻokomo hou ʻia, e lilo ia i ʻāpana o kou puʻuwai.
Ma hope o ka lāʻau lapaʻau a me kona mau pono
ʻO ka maʻamau, hoʻokahi wale nō pō e noho ai ʻoe ma ka haukapila ma hope o kēia lāʻau lapaʻau. Hiki iā ʻoe ke hoʻi i ka home i ka lā aʻe. E aʻo aku ke kauka iā ʻoe pehea e noho ai ma hope o kou hoʻi ʻana i ka home, nā mea e hana ai a me nā mea e hana ʻole ai. ʻO ka maʻamau, e nānā hou ʻia ʻoe ma kahi o ʻekolu mahina e ʻike ai inā ua pani pono ʻia ka leaka a inā e hana pono ana ka valve.
ʻO kekahi o nā pono o kēia ʻano hana i hoʻohālikelike ʻia me ke ʻoki kino hāmama:
- Hoʻōla wikiwiki: ʻOiai ʻaʻohe ʻoki nui, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau.
- Haʻahaʻa ka pilikia o ka maʻi: ʻOiai ʻaʻohe ʻeha nui, haʻahaʻa loa ka pilikia o ka maʻi.
- Noho pōkole ma ka haukapila: Hiki iā ʻoe ke hoʻi i ka home i ka pō.
- Nā ʻeha liʻiliʻi: He lua liʻiliʻi wale nō ma ka ʻūhā, ʻaʻohe ʻeha nui ma ka umauma.
Āhea ʻoe e makemake ai e ʻike hou i ke kauka?
Ma hope o ka lāʻau lapaʻau, he mea nui e hahai pololei i nā ʻōlelo a kāu kauka a hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia.
Inā loaʻa iā ʻoe kahi kuni i wehewehe ʻole ʻia, ʻeha a pehu paha ma ka ʻāpana groin, a i ʻole kekahi mau hōʻailona ʻē aʻe, e hoʻomaopopo koke i kāu kauka .
Inā ua loaʻa iā ʻoe kahi pani valve puʻuwai, he mea nui loa ia e hana i nā nānā maʻamau no ka mea i kekahi manawa hiki ke hana ʻia kēia ʻano leaka. Akā ʻo ka mea maikaʻi loa, hiki ke mālama ʻia kēia me ke ʻoki ʻole ʻana. E kamaʻilio me kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka Paravalvular Leak (PVL) ka liki ʻana o ke koko a puni kahi valve puʻuwai hana ma hope o ke kanu ʻia ʻana.
- ʻO ka PVL Closure kahi ʻano lapaʻau ʻoki ʻole e pani ai i kēia leaka me ka wehe ʻole ʻana i ka umauma, me ka hoʻohana ʻana i kahi mea liʻiliʻi i hoʻokomo ʻia ma o kahi catheter.
- He mea pono loa kēia ʻano hana no ka poʻe i pilikia nui i ke ʻoki kino hou a me ka poʻe me nā ʻōuli koʻikoʻi.
- He pōkole ka manawa ho'ōla o kēia lāʻau lapaʻau, haʻahaʻa nā pilikia, a he pōkole loa ka noho ʻana ma ka haukapila.
- E kamaʻilio me kāu cardiologist e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo