He aha nā aʻa koko Pulmonary? E hoʻomaopopo maʻalahi kākou.

Ua ʻike kākou a pau ʻo ka puʻuwai ke ʻenekini o ko kākou kino. He mea kupaianaha maoli kēia ʻōkana liʻiliʻi e hoʻopuka ana i ke koko ma ke kino a hāʻawi i ke ola i kēlā me kēia cell. Akā, ua lohe anei ʻoe e pili ana i ka ʻōnaehana kīʻaha koko koʻikoʻi e kōkua ana i ka hana o ka puʻuwai, ʻoiai ka mea e hoʻihoʻi mai ana i ke koko waiwai i ka oxygen i hoʻomaʻemaʻe ʻia i loko o nā māmā i ka puʻuwai? ʻO kēlā ʻōnaehana kīʻaha koko ka mea a mākou e kapa nei he mau veins pulmonary, a i ʻole nā ​​veins pulmonary . He mea nui loa ka ʻike e pili ana i kēia mau mea no ka hoʻomaopopo ʻana i ko kākou kino.

He aha ka ʻokoʻa ma waena o kēia mau aa koko pulmonary a me nā aʻa koko pulmonary?

I kēia manawa, he nīnau paha kāu: "Ke ʻōlelo mākou he mau aa koko, manaʻo pinepine mākou i nā aa koko e lawe ana i ke koko haumia, ʻo ia hoʻi, ke koko haʻahaʻa i ka oxygen. Lawe nā aʻa koko i ke koko maʻemaʻe a waiwai i ka oxygen. No laila he aha ka mea kūikawā e pili ana i kēia mau mea?"

ʻAe, pololei ʻoe. ʻO ia ka mea e hana ʻia ma nā wahi āpau o ko kākou kino. Lawe mai nā aa koko i ke koko nele i ka oxygen i ka puʻuwai, a lawe nā aʻa koko i ke koko waiwai i ka oxygen mai ka puʻuwai aku. Akā i loko o ke kaʻapuni pulmonary, kahi e hoʻololi ʻia ai ke koko ma waena o nā māmā a me ka puʻuwai, ua hoʻohuli loa ʻia ka moʻolelo. Eia ka mea kupaianaha loa e pili ana i ko kākou kino!

I ka ʻōlelo maʻalahi, ʻelua mau ʻokoʻa nui:

1. ʻAno koko i lawe ʻia:

• Nā ʻAʻa Pulmonary: Lawe kēia i ke koko nele i ka oxygen (ʻilihune) mai ka puʻuwai a i nā māmā.
• Nā aa koko puʻuwai: Lawe kēia i ke koko i piha i ka oxygen (maʻemaʻe) mai nā māmā a i ka puʻuwai.

2. Ke kuhikuhi o ke kahe koko:

• Nā ʻaʻa Pulmonary: Lawe i ke koko mai ka puʻuwai aku (i nā māmā).
• Nā aʻa koko puʻuwai: Lawe i ke koko mai nā māmā a i ka puʻuwai.

E nānā kākou i kēia papa e wehewehe hou aku i kēia.

He aha ka hana a nā aa koko pulmonary a ma hea lākou e loaʻa ai?

E noʻonoʻo e like me kahi lawelawe lawe leka. Ua like nā māmā me ke 'kikowaena hoʻomaʻemaʻe koko' i loko o ko kākou kino. Ke hanu kākou, hoʻohui ʻia ka oxygen a kākou e hanu ai i ke koko, a hoʻoneʻe ʻia ke kalapona ʻokikene i loko o ke koko mai ke koko ma o nā māmā. ʻO ka hana nui o kēia mau aa pulmonary, ʻo ia ka lawe ʻana mai i kēia 'ʻāpana makamae' o ke koko i hoʻomaʻemaʻe ʻia a hou i ka oxygen i ke 'kikowaena hoʻolaha nui' i kapa ʻia ʻo ka puʻuwai.

Aia kēia mau mea ma waena pono o ko kākou mau māmā a me ko kākou puʻuwai . Hoʻohui pū nā kīʻaha koko liʻiliʻi i loko o ko kākou mau māmā ʻākau a me ka hema a puka mai kēlā me kēia māmā ma ke ʻano he ʻelua mau aa koko pulmonary. A laila hui pū kēia mau aa koko ʻehā a hoʻopili i ka atrium hema o ka puʻuwai. ʻO ia hoʻi, ke keʻena ma ka ʻaoʻao hema o ka puʻuwai.

Ehia mau aa koko pulmonary i loaʻa iā kākou?

ʻO ka maʻamau, ʻo ka hapa nui o mākou (ma kahi o 60%-70%) he ʻehā o kēia mau aʻa koko pulmonary.

• ʻElua mai ka māmā ʻākau.
• ʻElua mai ka māmā hema.

Akā, ʻekolu a ʻelima paha ko kekahi poʻe. ʻAʻole kēia he maʻi o kēlā me kēia ʻano, ʻaʻole hoʻi he mea e makaʻu ai. He loli liʻiliʻi wale nō ia i ke ʻano o ka hana ʻia ʻana o ko kākou kino. I ka lāʻau lapaʻau, kapa mākou i kēia he "ʻano loli Anatomical". ʻAʻole kēia loli e hōʻeha i ka hana o ke kino.

ʻAno o nā aʻa pulmonary

Eia nā ʻaʻa pulmonary ʻehā maʻamau:

• ʻAʻa koko pulmonary luna ʻākau: Lawe mai i ke koko mai nā ʻāpana o luna a me waena o ka māmā ʻākau.
• ʻAa koko pulmonary lalo ʻākau: Lawe mai i ke koko mai ka ʻaoʻao lalo o ka māmā ʻākau.
• ʻAʻa koko pulmonary kiʻekiʻe hema: Lawe mai i ke koko mai ka ʻaoʻao o luna o ka māmā hema.
• ʻAa koko pulmonary lalo hema: Lawe i ke koko mai ka ʻaoʻao haʻahaʻa o ka māmā hema.

Wehe ʻokoʻa kēia mau aa koko ʻehā i loko o ka atrium hema o ka puʻuwai. Komo ke koko i hoʻopiha ʻia me ka oxygen i loko o ka atrium hema ma o kēia mau puka ʻehā. A laila hele ke koko i ka ventricle hema, mai kahi e pamu ʻia ai i ke kino holoʻokoʻa ma o ka aorta.

Nā ʻokoʻa o nā aʻa pulmonary

Loaʻa paha i kekahi poʻe nā loli liʻiliʻi i ke ʻano o ko lākou mau aa pulmonary. ʻAʻole pilikia a olakino kekahi o kēia mau loli. Akā hiki i kekahi ke lilo i mau kūlana koʻikoʻi e hoʻopilikia i ka hana o ka puʻuwai.

Nā loli ʻino ʻole

ʻAʻole kēia e hoʻopilikia i ke kino, no ka mea, ʻo ke koko waiwai i ka oxygen e hele pololei i ka atrium hema.

• ʻO ke kumu hema maʻamau: ʻO kēia ka wā e hui pū ai nā aʻa koko ʻelua e puka mai ana mai ka māmā hema a hui pū me ka atrium hema ma ke ʻano he paipu hoʻokahi. Ua like ia me ʻelua mau alanui e hui pū ana e hana i hoʻokahi.
• ʻO ke aʻa pulmonary ʻākau kōkua: I kēia hihia, aia paha kekahi aʻa hou aʻe ma waho aʻe o nā aʻa maʻamau ʻelua ma ka ʻaoʻao ʻākau, ʻo ia hoʻi he ʻekolu mau aʻa i ka huina.

Nā loli koʻikoʻi e pili ana i ka hana o ka puʻuwai

He mau kīnā puʻuwai hānau kēia. Hoʻokumu ʻia lākou e kahi ālai a i ʻole ka hoʻololi ʻana i ke ala e lawe ai ke koko waiwai oxygen i ka atrium hema.

• ʻO ka hoʻihoʻi ʻana o ka Venous Pulmonary Anomalous Total (TAPVR): He kūlana koʻikoʻi loa kēia. Ma kēia kūlana , ʻaʻohe o nā aʻa pulmonary e pili ana i ka atrium hema o ka puʻuwai. Akā, pili kēia mau aʻa āpau i ka atrium ʻākau o ka puʻuwai. Hoʻohui kēia i ke koko waiwai oxygen me ke koko nele oxygen. Pono nā pēpē me kēia kūlana e hana i ke ʻoki kino e ola ai.

• ʻO ka Hoʻihoʻi Venous Pulmonary Anomalous Partial (PAPVR): Ma kēia kūlana, ua pili ka liʻiliʻi o hoʻokahi aa pulmonary i ka atrium hema, e ʻae ana i kekahi koko maʻemaʻe e kahe i ke kino. ʻOiai ʻaʻole kēia he koʻikoʻi e like me TAPVR, pono nō paha kēia poʻe i ka lāʻau lapaʻau. I kekahi manawa, ʻaʻole paha e ʻike ʻia ke kūlana a hiki i ka wā makua.

Nā kūlana ʻē aʻe e pili ana i nā veins pulmonary

Ma waho aʻe o nā kīnā hānau, aia kekahi mau pilikia olakino ʻē aʻe e hoʻopilikia ai i nā aʻa pulmonary.

• Ka pale ʻana o nā aʻa pulmonary:Hiki ke ālai ʻia kahi aa koko ma muli o kahi maʻi kanesa i loko o ka māmā a i ʻole ka puʻuwai.
• ʻO ka stenosis aʻa pulmonary: Ka hoʻohaiki ʻana o hoʻokahi a ʻoi aku paha o nā aʻa. I nā pākeke, hiki i kēia kūlana ke hana ʻia i kekahi manawa ma ke ʻano he hopena ʻaoʻao o ka catheter radiofrequency ablation, kahi lāʻau lapaʻau no nā puʻuwai puʻuwai kūpono ʻole.
• ʻO ka thrombosis aʻa pulmonary: He ʻūpā koko i loko o kahi aʻa. ʻO kēia ka mea maʻamau i nā poʻe me ka maʻi kanesa o ka māmā a i ʻole ka poʻe i loaʻa i kahi hoʻoili māmā.
• ʻO ke kiʻekiʻe o ke koko o loko o nā ʻaʻa pulmonary: Hoʻonui ʻia ke kaomi i loko o kēia mau aʻa koko ma muli o ka hana hemahema o ka ʻaoʻao hema o ka puʻuwai.

ʻO ka pilina ma waena o ka fibrillation atrial a me nā veins pulmonary

ʻO kēia mau aa koko pulmonary, ʻoiai ma kahi e pili ai lākou i ka atrium hema o ka puʻuwai, he wahi nui ia no ka hoʻomaka ʻana o ka atrial fibrillation , a i ʻole A-Fib, kahi kūlana e paʻi ai ka puʻuwai i ka manawa kūpono ʻole. ʻO ia ke kumu e hoʻohana ai nā kauka i nā lāʻau lapaʻau kūikawā no kēia mau aa koko pulmonary i ka wā e mālama ai iā A-Fib.

Pehea ʻoe e nānā ai i ko lākou kūlana olakino?

Inā kānalua kāu kauka i kahi pilikia me kou mau veins pulmonary, hiki iā ia ke ʻōlelo i kekahi mau hoʻokolohua, e like me:

• X-ray umauma
• Echocardiography (kahi nānā ʻana o ka puʻuwai)
• Nānā MRI
• Nānā CT

Pehea ʻoe e mālama ai i ke olakino o kou mau aa koko pulmonary?

Inā ua ʻike kāu kauka iā ʻoe me kahi maʻi aa pulmonary, he mea nui e hahai i kāna mau kuhikuhi. ʻO ka pinepine, ua hoʻokumu ʻia kēia mau pilikia e nā maʻi puʻuwai a māmā paha. No laila, he mea nui e mālama pono i ke kūlana kumu a e noho ma lalo o ka nānā mau ʻana o ke kauka.

E kamaʻilio ākea me kāu kauka e pili ana i kou mau hopohopo a me nā hōʻailona. E nīnau iā ia e pili ana i nā ala e hiki ai iā ʻoe ke mālama i kou kūlana ma ka home.

ʻO nā aʻa pulmonary kahi ʻāpana o ke kino e hūnā malū, akā he mea nui loa ia i ka mālama ʻana i ko kākou ola. ʻO ka ʻike ʻana iā lākou he kōkua nui ia i ka mālama ʻana i ko kākou olakino holoʻokoʻa.