He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku ke kauka o kāu keiki iā ʻoe e ʻike i kahi kauka puʻuwai keiki. ʻAʻole ia he mea maʻamau ke noʻonoʻo, "Aia kekahi hewa i ka puʻuwai o kaʻu keiki?" Akā, mai hopohopo. He kauka kēia i aʻo a loaʻa iā ia ka ʻike kūikawā i nā puʻuwai o nā keiki. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kahi kauka puʻuwai keiki a he aha kāna kuleana.
ʻO wai ka mea he Pediatric Cardiologist?
I ka ʻōlelo maʻalahi, he kauka cardiologist pediatric i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka ʻike ʻana a me ka mālama ʻana i nā maʻi puʻuwai a me nā pilikia e pili ana i nā pēpē, nā keiki, a me nā mākua ʻōpio . I kekahi manawa, hoʻomau kēia mau kauka like i ka mālama ʻana i nā pākeke ma luna o 18 mau makahiki i hānau ʻia me ka maʻi puʻuwai hānau.
E noʻonoʻo wale, ʻokoʻa loa ka ulu ʻana o ke kino o ke keiki, kona mau ʻōkana, ʻoi aku hoʻi ka puʻuwai, ma mua o ka pākeke. No laila, ʻokoʻa paha nā pilikia e kū mai ana i loko o ka puʻuwai o ke keiki mai nā maʻi puʻuwai o kahi pākeke. Loaʻa i kēia mau kauka kahi ʻike hohonu i kēia mau loli i loko o ka puʻuwai o nā keiki a me nā maʻi e hoʻopilikia iā lākou.
Loaʻa iā lākou kahi ʻike maikaʻi i ke ʻano o ka pilikia me ka puʻuwai o ke keiki e hiki ai ke hoʻopilikia i nā ʻāpana ʻē aʻe o ko lākou kino, a i ʻole pehea e hiki ai i kahi pilikia ma kahi ʻē aʻe o ke kino ke hoʻopilikia i ka puʻuwai. No ka laʻana, hoʻonui kekahi mau kūlana genetic i ka pilikia o ke keiki i ka loaʻa ʻana o nā pilikia puʻuwai. Ua ʻike kēia mau loea i kēia mau mea āpau.
E kuhikuhi lākou i ke kumu o nā hōʻailona o kāu keiki, e hana i kahi hoʻolālā lapaʻau e kūpono loa iā ia, a e noho pū me ʻoe i kēlā me kēia ʻanuʻu o ke ala.
He aha ka ʻokoʻa ma waena o kahi cardiologist laulā a me kahi cardiologist pediatric?
He nīnau kēia a ka poʻe he nui. ʻOiai he poʻe akamai kēia mau kānaka ʻelua i ka naʻau, ʻelua mau wahi ko lākou e kālele ana.
- Kauka Puʻuwai: Hoʻomaʻamaʻa pinepine kēia mau kauka i nā pākeke ma luna o 18 mau makahiki. Hoʻoikaika lākou i nā kūlana puʻuwai i loaʻa i ka wā ma hope o ke ola, e like me ka maʻi ʻaʻa coronary i hoʻokumu ʻia e nā waihona cholesterol.
- Kauka Puʻuwai Keiki: He loea kēia mau kauka i nā maʻi puʻuwai e hoʻopilikia ana i nā keiki i ka wā hānau a i ʻole i ka wā kamaliʻi . No ka laʻana, nā kūlana i loaʻa i ka wā hānau, e like me nā kīnā septal atrial a me ventricular. Hoʻōla pū lākou i nā maʻi rhythm puʻuwai a me nā maʻi ʻiʻo puʻuwai e ulu ana i ka wā kamaliʻi.
I ka ʻōlelo maʻalahi, he loea ka loea puʻuwai o nā keiki i ka ulu ʻana a me ka ulu ʻana o ka puʻuwai o kahi keiki.
He aha ka hana a kēia mau kauka?
Ua like ke kauka puʻuwai keiki me ke kahu o ka puʻuwai o kāu keiki. Mālama lākou i ke olakino o ka puʻuwai o kāu keiki i nā makahiki like ʻole.
- ʻO ka pēpē i loko o ka ʻōpū (ʻoiai ke pēpē i loko o ka ʻōpū): I kekahi manawa, hiki i nā scan o ke pēpē i loko o ka ʻōpū ke ʻike i kahi pilikia puʻuwai i ka wā mua. A laila hiki i kēia mau kauka ke hoʻolālā i ka lāʻau lapaʻau ma mua o ka hānau ʻana.
- Nā pēpē (ma hope o ka hānau ʻana)
- Nā keiki ʻōpio
- Nā keiki ʻōpio
- ʻO kekahi mau mākua (nā poʻe me ka maʻi puʻuwai hānau)
Eia kekahi o nā mea nui a lākou e hana ai:
- Hoʻohana ʻia nā hoʻokolohua like ʻole (no ka laʻana, kahi echocardiogram, ʻo ia hoʻi kahi scan o ka puʻuwai) e hoʻoholo pono ai i ka pilikia o ka puʻuwai o ke keiki.
- Ke hoʻomohala ʻia nei ka hoʻolālā lapaʻau no ke keiki.
- Ua nānā ʻia ke keiki ma ke keʻena lapaʻau.
- E kauoha ʻia nā hoʻokolohua e pono ai a e wehewehe ʻia nā hōʻike iā ʻoe ma ke ʻano maʻalahi.
- I kekahi manawa, inā pono kahi mea e like me ke ʻoki ʻana, kuhikuhi lākou iā ʻoe i nā loea ʻē aʻe, e like me nā kauka hana puʻuwai pediatric.
- E haʻi ʻia aku iā ʻoe i ka manawa koke e pono ai ʻoe e hoʻihoʻi mai i kāu keiki no kekahi nānā kino ʻē aʻe.
- E hoʻomaopopo maikaʻi ʻia ʻoe e pili ana i ke kūlana olakino o kāu keiki a pehea e mālama ai i kāu keiki ma ka home.
He aha nā maʻi nui a lākou e mālama ai?
Hiki i kēia mau kauka ke mālama i nā ʻano maʻi like ʻole e hiki ke hoʻopilikia i ka puʻuwai o ke keiki. E nānā kākou i kekahi o nā mea nui.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Maʻi puʻuwai hānau | ʻAʻole kēia he maʻi hoʻokahi, akā he hui o nā maʻi e komo pū ana me nā mea he nui. I ka ʻōlelo maʻalahi, he hui ia o nā pilikia e kū mai ana i ka wā o ka ulu ʻana o ka puʻuwai ʻoiai ke pēpē i loko o ka ʻōpū. He mea liʻiliʻi loa kekahi o lākou a hiki ke mālama maʻalahi ʻia. ʻOi aku ka paʻakikī o kekahi a i ʻole pono ka mālama ʻana i ka pilikia. |
| Nā ʻano ʻino o ka puʻuwai (Arrhythmias) | He maʻi ʻōuli o ka puʻuwai i hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana uila o ka puʻuwai. Hiki i ka puʻuwai ke kuʻi wikiwiki loa a lohi paha. Hiki paha ke lele i kahi kuʻi. ʻAʻole weliweli ka hapa nui o kēia mau kūlana i nā keiki. Akā, pono kekahi i ka mālama ʻia. |
| Nā maʻi ʻiʻo puʻuwai (Cardiomyopathy) | Hoʻopilikia kēia i ka ʻiʻo puʻuwai o ke keiki. Hiki i ka ʻiʻo puʻuwai ke lilo i nāwaliwali, mānoanoa, a hoʻonui ʻia paha. ʻO kēia ka mea e hiki ʻole ai iā ia ke pamu i ke koko me ka pono. |
| Ke koko kiʻekiʻe (Hypertension) | Ua kiʻekiʻe loa ke kaomi o ke koko e kahe ana ma nā kīʻaha koko o ke keiki. Hiki i kēia ke hoʻopilikia i ke kino holoʻokoʻa (systemic hypertension) a i ʻole kahi wahi kikoʻī wale nō, e like me nā māmā (pulmonary hypertension). |
He aha nā hōʻailona e kuhikuhi pinepine ai i kahi keiki i kēia kauka?
Inā ʻike ke kauka o kāu keiki i nā hōʻailona aʻe, hiki iā lākou ke kuhikuhi iā ʻoe i kahi kauka puʻuwai keiki no ka hoʻokolokolo hou aku. ʻAʻole kēia mau hōʻailona wale nō ke manaʻo he maʻi koʻikoʻi kāu keiki. Eia nō naʻe, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka manaʻo loea.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Nā ʻŌhumu Puʻuwai | He leo "swoosh" a ke kauka e lohe ai ma waho aʻe o ke kani maʻamau "lub-dub" o ka puʻuwai i ka wā e hoʻolohe ai me ka stethoscope. ʻO ka hapa nui o kēia mau leo i nā keiki he mea ʻino ʻole (nā murmurs hala ʻole). Akā i kekahi manawa hiki iā lākou ke lilo i hōʻailona o ka pilikia o ka puʻuwai. |
| ʻEha umauma | Nui nā kumu o ka ʻeha o ka umauma i nā keiki. ʻAʻole pili ka hapa nui o lākou i ka puʻuwai. Eia nō naʻe, he mea nui e hōʻoia inā pili ia i ka puʻuwai a i ʻole. |
| Nā Palpitations o ka Puʻuwai | E manaʻo paha ke keiki me he mea lā e kuʻi nui ana a wikiwiki ana ko lākou puʻuwai. E manaʻo pū paha lākou me he mea lā e "kuʻi ʻia ana" ko lākou umauma. |
| Ka mae ʻana | Ka nalowale koke ʻana o ka ʻike. ʻOiai he nui nā kumu no kēia, he mea nui e noiʻi i kēia no ka mea i kekahi manawa hiki ke kumu ʻia e ka pilikia o ka puʻuwai. |
Hana hoʻokahi lākou a i ʻole me kahi hui?
ʻAʻole, ʻaʻole lākou e hana hoʻokahi. He lālā koʻikoʻi kahi kauka puʻuwai keiki o kahi hui nui aʻe. No ka hāʻawi ʻana i kāu keiki i ka mālama maikaʻi loa, hana pū lākou me nā poʻe ʻē aʻe he nui. Aia kekahi o lākou:
- Kauka lapaʻau maʻamau o kāu keiki
- Nā kauka hānau hou
- Nā kauka puʻuwai keiki
- Nā kauka hoʻomaʻamaʻa ʻeha
- Nā kauka radiology
- Nā limahana kahu hānai keiki
- Nā kauka ʻōlelo
- Nā mea lapaʻau hana
Ma ka hoʻohui ʻana i ka ʻike o kēia poʻe a pau e hiki ai iā mākou ke hāʻawi i ka mālama maikaʻi loa no kāu keiki.
Ke ʻike ʻia kahi keiki me kahi maʻi puʻuwai, hiki iā ia ke lilo i mea hoʻohoka nui a me ke kaumaha o ka naʻau no ka ʻohana holoʻokoʻa. ʻO kahi kauka puʻuwai pediatric kekahi kanaka e noho pū ana me kou ʻohana i ko lākou mau piʻi a me nā iho. ʻO lākou paha ka poʻe e lawe mai i nā nūhou paʻakikī loa āu e lohe ai. Akā aia pū lākou ma laila e kaʻana like i kou hauʻoli a me kou hauʻoli me kāu keiki.
Hiki i kēia huakaʻi ke like me ka holo ʻana i kahi roller coaster. Akā, ʻaʻole ʻoe hoʻokahi. Aia kāu kauka puʻuwai keiki ma laila e hoʻohana i kona ʻike a me kona ʻike e hāʻawi i ka mea maikaʻi loa no kāu keiki a e kōkua iā ʻoe e hoʻomaopopo i ka mea e hiki mai ana.
Leka Lawe-Home
- He kauka cardiologist pediatric kahi kauka i hoʻomaʻamaʻa kūikawā ʻia i nā maʻi puʻuwai i nā pēpē a me nā keiki.
- He ʻokoʻa ko lākou kūlana mai kahi kauka puʻuwai maʻamau e mālama ana i nā mākua. Hoʻoikaika lākou i nā maʻi puʻuwai kūikawā i nā keiki.
- Hoʻōla lākou i nā maʻi puʻuwai i nā keiki mai ka wā o lākou i loko o ka ʻōpū a hiki i ko lākou wā ʻōpiopio.
- He mea maʻamau ke makaʻu i ka wā e kuhikuhi ʻia ai kāu keiki i kekahi loea. Akā e hoʻomanaʻo, ʻo ia hoʻi ke hāʻawi ʻia nei kāu keiki i ka mālama loea maikaʻi loa.
- E hahai i nā kuhikuhi a ke kauka o kāu keiki. Inā he kānalua a nīnau paha kāu, mai kānalua e nīnau iā lākou.
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