Ua like ko kākou puʻuwai me kahi waiwai makamae, ʻeā? No laila, ua hana ke ʻano i kahi mea kupanaha e pale aku i kēlā waiwai. He ʻili lahilahi ia e hoʻopuni ana i ka puʻuwai. Akā i kekahi manawa hiki i kēia pale ke hoʻopilikia i ka puʻuwai. I kēlā mau manawa, pono e wehe ʻia kēia ʻili ma ke ʻoki ʻana. ʻO ia ka mea a kākou e kamaʻilio nei i kēia lā.
He aha maoli ka pericardiectomy?
I ka ʻōlelo maʻalahi, ʻo ka pericardiectomy ka wehe ʻoki ʻana i ka pericardium āpau a i ʻole kekahi hapa, ka membrane e hoʻopuni ana i kou puʻuwai. I kekahi manawa ua kapa ʻia kēia ʻo "pericardial stripping."
E noʻonoʻo e pili ana i ia mea, ua like kēia pericardium me kahi ʻeke ʻelua-membrane e noho ana ka puʻuwai. He liʻiliʻi loa ka wai ma waena o kēia mau membrane ʻelua. ʻO ia ka wai e kōkua ai i ka puʻuwai e kuʻi mālie a me ka ʻole o ka friction.
Hiki iā kākou ke ola me ka ʻole o kēia pericardium?
ʻAe, hiki nō ia. ʻAʻole pono ka pericardium ponoʻī no ka hana maʻamau o ka puʻuwai. Inā maikaʻi ke kūlana o kou mau māmā a me ka diaphragm, ka ʻiʻo e hoʻokaʻawale ana i kou umauma a me kou ʻōpū, ʻaʻohe pilikia me ka wehe ʻana i ka pericardium.
ʻO kaʻoiaʻiʻo, ke loaʻa i kekahi ka pericarditis, nalowale ka pericardium i kona laumania, ʻo ia hoʻi kona hiki ke hōʻemi i ka friction. No laila, ʻo ka wehe ʻana iā ia ʻaʻole ia e hoʻonui i ke kūlana.
He aha nā kumu e hana ai i kahi pericardiectomy?
ʻO ke kumu nui a maʻamau no kēia ʻoki kino ʻana he kūlana i kapa ʻia ʻo Constrictive Pericarditis . ʻO kēia ka wā e mānoanoa ai ka membrane e hoʻopuni ana i ka puʻuwai, ʻoʻoleʻa, a i kekahi manawa he mau waihona calcium e hoʻopaʻakikī ai e like me ka pōhaku.
E noʻonoʻo i ka mea e hana ʻia ke ʻūmiʻi koke ka ʻeke a puni ka puʻuwai.
- Huki paʻa ʻia ka puʻuwai a ʻaʻole hiki ke ʻaelike.
- No laila, ʻaʻole i piha nā keʻena o ka puʻuwai me ke koko lawa.
- ʻO ke koko e hele mai ana i ka puʻuwai e koi ʻia e hoʻi i nā māmā.
- ʻAʻole hiki i ka puʻuwai ke pamu i ke koko ma ke ʻano maʻamau.
- ʻO kēia ke kumu e pehu ai nā wāwae a me ka ʻōpū, kahi mea like me nā hōʻailona o ka hāʻule ʻana o ka puʻuwai.
ʻO kēia ʻoki kino ka hopena maikaʻi loa no nā hihia koʻikoʻi loa o ka Constrictive Pericarditis.
Nā kumu o ka Pericarditis Constrictive
- Idiopathic: I ka hapanui o nā hihia, ʻaʻole hiki ke loaʻa ke kumu kikoʻī.
- ʻO ke ʻoki puʻuwai ma mua: Ma muli paha o ke ʻoki mua ʻana.
- Lapaʻau radiation i ka umauma: Lapaʻau radiation i ka umauma no nā kūlana e like me ke kanesa.
- Nā maʻi e like me ka maʻi Tuberculosis: Hiki ke hana ʻia kēia e kekahi mau kūlana olakino.
- Nā maʻi viral a bacteria paha:Hiki nō hoʻi kēia ke hana ma muli o kekahi mau maʻi lele.
Eia kekahi, hana ʻia kēia hana ma kekahi mau hihia ʻē aʻe:
- ʻO ka Pericarditis Hoʻi Hou: Inā hoʻomau kēia ʻano me ka ʻole o ka lāʻau lapaʻau.
- Nā hopena ʻaoʻao o nā lāʻau anti-inflammatory: Inā loaʻa nā pilikia ma muli o nā lāʻau e like me nā steroid i hāʻawi ʻia e kāohi i ka paʻa ʻana o ka pericardial.
- ʻO ka Tamponade Cardiac: He mea kākaʻikahi loa, hana ʻia kēia i ka wā e hōʻiliʻili ai ka wai a puni ka puʻuwai a hoʻopaʻa iā ia.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma mua o ke ʻoki kino
E hoʻomākaukau kāu hui lapaʻau i nā lako pono āpau e hana palekana ai i ke ʻoki kino. I ka manawa pinepine, e hoʻohana ke kauka ʻoki kino i kahi mīkini bypass cardiopulmonary , i ʻike ʻia hoʻi he mīkini heart-lungs. Lawe kēia mīkini i ka hana o ka puʻuwai a me nā māmā i ka wā o ke ʻoki kino. ʻAe kēia i ke kauka e wehe palekana i ka pericardium mai nā ʻaoʻao ʻelua a ma hope o ka puʻuwai.
I ka wā o ke ʻoki kino
1. Ke ʻoki ʻana: Hana ke kauka i kahi ʻoki ma waenakonu o kou umauma, ma ka iwi umauma (sternum), e hiki ai i ka puʻuwai. Ua kapa ʻia kēia he Median Sternotomy .
2. Ka wehe ʻana o ka pericardium: Ua wehe pono ʻia ka membrane pericardial mai ka puʻuwai.
3. Hoʻopaʻa ʻana i ka sternum: Hoʻopaʻa hou ʻia ka sternum me ka hoʻohana ʻana i nā uea.
4. Ke humuhumu ʻana i ka ʻoki: ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu.
He ʻoki puʻuwai hāmama ka Pericardiectomy. ʻO ke kumu o kēia, no ka wehe ʻana i ka pericardium holoʻokoʻa, pono i ke kauka ke ʻike maopopo i ka puʻuwai. ʻO kēia ke ʻano hana maikaʻi loa no ia mea.
ʻO ka maʻamau, ma kahi o ʻelua a ʻekolu hola kēia hana ʻoki kino, akā ʻokoʻa paha kēia manawa inā hana ʻia nā kaʻina hana ʻē aʻe i ka manawa like.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
E ʻeha iki ʻoe ke ala ʻoe ma hope o ke ʻoki kino. E kau ʻia hoʻi kekahi mau ʻōmole (drains) i loko o kou umauma e hoʻokahe i ke kahe keu. E hiki iā ʻoe ke inu i nā wai mai ka lā ma hope o ke ʻoki kino a laila e ʻai mālie i ka meaʻai. Pono paha ʻoe e hoʻomau i ka lawe ʻana i nā diuretics, ʻoiai ma kahi haʻahaʻa ma mua o kāu i lawe ai ma mua o ke ʻoki kino.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino nui a pau, aia nā pono a me nā pilikia. ʻO ke koho ʻana i kahi kauka lapaʻau puʻuwai akamai hiki ke hōʻemi i nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| Hiki i nā kānaka he nui ke ola no nā makahiki me ka ʻole o nā hōʻailona a i ʻole me nā hōʻailona liʻiliʻi loa. | Nā pilikia koko a me ka pono e hāʻawi koko. |
| ʻOi aku ka hiki ke hoʻōla piha ʻia ma mua o ka lāʻau lapaʻau. | Nā ʻano kūpono ʻole o ka mele o ka puʻuwai, ʻoiai hoʻi ka Atrial Fibrillation . |
| Ke pale ʻana i ka hōʻino ʻana i ka ʻiʻo o ka puʻuwai ma muli o ka paʻa ʻana o ka pericardial. | Ka pōʻino o nā puʻupaʻa. |
| ʻAʻole pinepine loa, loaʻa ka hōʻino ʻana i ke aʻalolo e kōkua ai i ka hanu ʻana (aʻalolo phrenic). | |
| He liʻiliʻi loa ka pilikia o ka make i ka wā o ke ʻoki ʻana, ma waena o 1% a me 2%. |
ʻO ka poʻe i hana ʻia i ke ʻoki puʻuwai ma mua, loaʻa nā pilikia olakino koʻikoʻi ʻē aʻe, a i ʻole i loaʻa ka radiation therapy he ʻoi aku ka nui o ka pilikia o nā pilikia.
ʻEhia ka lōʻihi e hoʻōla ai?
Pono ʻoe e noho ma ka haukapila no kahi o ʻelima a ʻehiku mau lā. Ma hope o kou hoʻi ʻana i ka home, hiki iā ʻoe ke pale i ka hāpai ʻana i nā mea kaumaha a hoʻomaka mālie i nā hana maʻamau ʻē aʻe.
Ma waena o 6 a me 8 mau pule e ho'ōla piha ai. Hiki ke loli kēia manawa ma muli o ke ʻano ʻino o kou kūlana ma mua o ke ʻoki ʻana. Hiki ke lōʻihi ka manawa no ka poʻe i loko o ke kūlana ʻino loa. Eia nō naʻe, ʻike koke ka hapa nui o ka poʻe i ka hōʻoluʻolu ma hope o ke ʻoki ʻana.
Āhea ʻoe e ʻike hou ai i kāu kauka?
Pono ʻoe e ʻike i kāu kauka puʻuwai i loko o hoʻokahi a ʻelua paha pule ma hope o ka haʻalele ʻana i ka haukapila. Pono nō hoʻi ʻoe e loaʻa i kahi echocardiogram (ultrasound scan o ka puʻuwai) ʻeono pule ma hope o ke ʻoki ʻana.
E haʻi koke aku i kāu kauka inā loaʻa nā hōʻailona penei:
- ʻEha umauma
- kuni
- Inā ʻoi aku ka nui o ka wai ma mua o ka maʻamau e kahe ana mai ka ʻeha ʻoki
ʻO Pericardiectomy, Pericardiocentesis a me Pericardiotomy - He aha ka ʻokoʻa?
Ua like iki kēia mau inoa ʻekolu, no laila hiki ke huikau. E nānā kākou i ka ʻokoʻa.
| Kaʻina Hana | Wehewehe Maʻalahi |
|---|---|
| ʻO ka hoʻokaʻawale ʻana o ka puʻuwai | Ke wehe ʻana i ka ʻāpana a pau a i ʻole ka membrane e hoʻopuni ana i ka puʻuwai (pericardium) ma ke ʻoki kino. |
| ʻO ka Pericardiosentesis | E wehe i ka wai keu i hōʻiliʻili ʻia i loko o ka pericardium me ka hoʻohana ʻana i kahi nila. |
| ʻO ka pericardiotomy | He ʻoki liʻiliʻi wale nō i hana ʻia ma ka pericardium e wehe ai i ke wai. |
Leka Lawe-Home
- He holomua loa ka pericardiectomy, akā he hana nui ka hana ʻana no nā kūlana e like me ka Constrictive Pericarditis.
- Hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o ka pericardium, ka membrane a puni kou puʻuwai.
- He manawa iki ka lōʻihi e hoʻōla piha ai, no laila e hoʻomanawanui a e hahai i nā ʻōlelo a kāu kauka. He mea nui e pale i nā hana e like me ka hāpai kaumaha a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe.
- Inā he mau nīnau kāu, makaʻu, a kānalua paha e pili ana i kēia ʻoki kino, mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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