I ka wā i haʻi aku ai kāu kauka iā ʻoe e pili ana i kahi pacemaker, a i ʻole i kou nānā ʻana i kahi hōʻike scan puʻuwai, ua haʻi anei ʻo ia i ka inoa "Right Atrial Appendage"? Ua hopohopo iki paha ʻoe a huikau paha i kou lohe ʻana? Ua manaʻo anei ʻoe, "Auē kuʻu Akua, he aha kēia maʻi hou?" He mea maʻamau loa ke manaʻo pēlā. No ka mea, he inoa ia i lohe ʻole ʻia e kekahi o mākou. Akā, ʻaʻohe kumu e hopohopo ai. He mea maʻalahi loa ia. E kamaʻilio kākou e pili ana i kēia i kēia lā, me he mea lā e kamaʻilio ana ʻelua mau hoaaloha, me ke kaumaha ʻole.
I ka ʻōlelo maʻalahi, he aha kēia Right Atrial Appendage (RAA)?
E noʻonoʻo e like ko kākou puʻuwai me kahi hale liʻiliʻi me ʻehā lumi. ʻO nā lumi ʻelua ma ka papahele kiʻekiʻe o kēia hale ua kapa ʻia ʻo atria, a ʻo nā lumi ʻelua ma ka papahele lalo ua kapa ʻia ʻo ventricles. ʻO ka lumi ma ka ʻaoʻao ʻākau o kēia papahele kiʻekiʻe, ʻo ia hoʻi , ka atrium ʻākau, he ʻāpana liʻiliʻi e like me ka ʻeke e puka iki ana mai ka atrium ʻākau, a mākou e kapa nei ʻo ka Right Atrial Appendage (RAA). He ʻāpana kēia o ka puʻuwai ponoʻī, ʻaʻole he mea i hana hou ʻia.
"No ke aha lā e kamaʻilio nei nā kauka e pili ana i kēia?" e noʻonoʻo paha ʻoe. ʻO ke kumu nui, ʻoiai ke pono kekahi poʻe e hoʻokomo ʻia kahi pacemaker, ʻoi aku ka maʻalahi a me ka palekana o ke kau ʻana i kahi uea liʻiliʻi i kapa ʻia he lead i loko o ka RAA. ʻO kēia no ka mea kokoke loa ka RAA i ke kikowaena nui e hoʻouna ana i nā hōʻailona uila i ka puʻuwai, ʻo ia ka SA node (sinoatrial node) . No laila, ke kau ʻia ka uea pacemaker ma laila, hiki ke hoʻomalu pono ʻia ka hana o ka puʻuwai.
ʻAe, he aha ka lawelawe a kēia ʻāpana liʻiliʻi e hāʻawi ai?
He hana koʻikoʻi ko kēia ʻeke liʻiliʻi i kapa ʻia ʻo RAA i loko o ko kākou kino. Ke piʻi koke ka nui o ke koko i loko o ko kākou kino, piʻi pū ka nui o ke koko e hele mai ana i ka puʻuwai. A laila hoʻomaka nā paia o kēia RAA e kīkoʻo.
E noʻonoʻo e like me kahi pōpō i piha i ka wai. E like me ka hoʻonui ʻana o ka pōpō i ka piʻi ʻana o ka wai, e ʻuʻuku iki ana ka RAA i ka piʻi ʻana o ke koko.
Ke ʻūmiʻi nā paia ma kēia ʻano, hoʻopuka ka RAA i kahi ʻano protein kūikawā, i kapa ʻia ʻo Natriuretic Peptides . Hōʻailona kēia mau protein i ko mākou kino e ʻōlelo, "ʻAe, i kēia manawa ua nui loa ka wai i loko o ko mākou kino, pono mākou e hoʻēmi iki." A laila hoʻonui kēia mau protein i ko mākou mau kīʻaha koko, a hōʻailona pū lākou i nā puʻupaʻa e kōkua iā lākou e hoʻokuʻu i ka paʻakai a me ka wai keu ma o ka mimi. Hoʻihoʻi kēia kaʻina hana i ka nui o ke koko a me ke koko i hoʻonui ʻia o ke kino i ka maʻamau. I ka ʻōlelo maʻalahi, ua like kēia me kahi mea hoʻoponopono kaomi kūlohelohe i loko o ko mākou kino.
Pehea ke ʻano a me ke ʻano o kēia RAA?
He wahi liʻiliʻi loa kēia. Ma kahi o 3 kenimika kuea, ʻo ia hoʻi ka pālua o ka nui o ko mākou kui manamana nui. Akā, ʻo ka mea kupaianaha, ʻaʻole like ka RAA o kēlā me kēia kanaka. E like me ko mākou mau helehelena a me nā manamana lima, hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. Aia kekahi mau ʻano nui i ʻike ʻia e nā kauka.
- ʻAno nuku manu ʻīlio: ʻO kēia ke ʻano i ʻike pinepine ʻia.
- ʻAno o ke poʻo lio: Penei ke ʻano o ka RAA o kekahi poʻe.
- ʻAno e like me ke kua: Ua like me ke ʻano trapezoid.
- Waʻa peʻa: He ʻano huinakolu.
- ʻAno i wehewehe ʻole ʻia: I kekahi manawa hiki ke hoʻonoho ʻia kēia ma ke ʻano ʻaʻole no kekahi ʻano.
ʻOiai ke ʻano o ke kino, ʻaʻohe ona hopena nui. Eia nō naʻe, hopohopo nā kauka e pili ana i kēia ʻano i ka wā o kekahi mau ʻoki puʻuwai.
Nā kūlana a me nā hōʻailona e hiki ke hoʻopilikia i ka RAA
ʻAʻole maʻamau ka RAA he pilikia koʻikoʻi. Eia nō naʻe, hiki ke hoʻopilikia ʻia i kekahi manawa e kekahi mau kūlana olakino. Eia kekahi, ʻo nā hōʻailona a mākou e ʻike ai i kēia mau kūlana ua like loa ia me nā mea i ʻike ʻia i nā pilikia puʻuwai ʻē aʻe.
| Kūlana olakino hiki ke loaʻa | He wehewehe maʻalahi |
|---|---|
| ʻO ka Fibrillation Atrial (Afib) | ʻO kēia ka manawa e hoʻomaka ai nā keʻena o luna o ka puʻuwai (atria) e kuʻi wikiwiki, me he mea lā e lele ana. Hiki i kēia ke hana i ke kahe koko kūpono ʻole, a hiki ke hana ʻia nā ʻūpā koko i loko o ka RAA. Eia nō naʻe, ʻoi aku ka liʻiliʻi o ka hiki ke hana ʻia nā ʻūpā koko ma ʻaneʻi i hoʻohālikelike ʻia me ka appendage atrial hema. |
| Nā ʻeha ulia pōpilikia | I kekahi mea e like me kahi ulia kaʻa nui, hiki i kahi hahau nui i ka umauma ke hōʻino i ka RAA. |
| ʻAneurysm | ʻO ka mea e hana ʻia ma kēia, ʻo ia ka nāwaliwali o ka paia o ka RAA a puʻupuʻu i waho e like me ka pōpō. He mea kakaikahi loa nō hoʻi kēia. |
Nā hōʻailona e hiki ke ʻike ʻia ma ia ʻano kūlana
| Hōʻailona | Pehea kou manaʻo |
|---|---|
| ʻEha umauma | Ua like ka ʻeha me ka ʻeha e ʻūmiʻi ana a e ʻūmiʻi ana i ka umauma. |
| Luhi | He manaʻo o ka luhi loa ʻoiai me ka hana ʻole i kekahi mea. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Me he mea lā ua pau kou hanu ʻana, ua paʻakikī ke hanu. |
| Pōʻino | He manaʻo o ka poniuniu a me nā maka polū. |
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai manaʻo wale, "He pilikia kēia me RAA." ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka a ʻike i ke kumu pololei.
Pehea e hoʻāʻo ai ke kauka i ka RAA?
Inā kānalua kāu kauka iā RAA ma hope o ka lohe ʻana i kāu mau hōʻailona, aia kekahi mau hoʻokolohua kūikawā e nānā i kona kūlana.
| Inoa o ka hoʻāʻo | I ka ʻōlelo maʻalahi, he aha kāu e hana ai me kēia? |
|---|---|
| ʻO ka Echocardiogram Transesophageal (TEE) | He scan echo nō hoʻi kēia. Akā, ʻaʻole hana ʻia kēia ma ka umauma. Hoʻokomo ʻia kahi mea liʻiliʻi e like me ke kāmela ma o ka waha, hoʻoili ʻia i lalo o ka ʻāʻī, a lawe ʻia nā kiʻi kokoke loa i ka puʻuwai. Hiki i kēia ʻano hana ke ʻike maopopo i nā ʻāpana liʻiliʻi e like me ka RAA. |
| CT Cardiac (Tomography i hoʻopili ʻia) | He scan kūikawā kēia e hoʻohana ana i nā kukuna X. Hiki iā ia ke hana i kahi kiʻi ʻekolu-dimensional (3D) o ka puʻuwai. He mea kōkua nui kēia i ka ʻike ʻana i ke ʻano a me ka nui o ka RAA, a inā he mau ʻūpē koko ma laila. |
| ʻO ka Echocardiogram Transthoracic (TTE) | ʻO kēia ka mea a mākou i ʻike pinepine ai he scan echo. Hana ʻia ia ma ke kau ʻana i kahi hāmeʻa ma ka ʻili o ka umauma. Hiki iā ia ke hāʻawi i kahi manaʻo maikaʻi o ka hana holoʻokoʻa o ka puʻuwai. |
He aha nā lāʻau lapaʻau no nā pilikia e pili ana i ka RAA?
ʻO ka nūhou maikaʻi, ʻoiai inā he pilikia me ka RAA, hiki ke mālama ʻia. Na kāu kauka e hoʻoholo i ka lāʻau kūpono loa e pili ana i kou kūlana.
- Nā Anticoagulants: Inā ua hana ʻia nā ʻōpū koko i loko o ka RAA, hāʻawi ʻia kēia mau lāʻau lapaʻau e hoʻoheheʻe i kēlā mau ʻōpū a pale i nā ʻōpū hou mai ke kūkulu ʻana.
- Lapaʻau Ablation: Inā ʻo ke kumu o ka Atrial Fibrillation (Afib) he ʻiʻo e pili ana me ka RAA, hiki i kahi kaʻina hana kūikawā ke hoʻopau i kēlā ʻiʻo a hoʻihoʻi i ka puʻuwai puʻuwai maʻamau.
- ʻOki kino: Inā ua hōʻino ʻia ka RAA ma muli o kahi ulia, pono paha ke ʻoki kino e hoʻoponopono i ka ʻāpana i hōʻino ʻia.
Pehea e hiki ai iaʻu ke mālama i koʻu puʻuwai a me koʻu RAA i ke olakino?
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻAʻohe mea kūikawā e hana ai no ka RAA. Ke mālama pono kākou i ko kākou puʻuwai holoʻokoʻa, e ola kino ana kēlā me kēia ʻāpana o ka puʻuwai, me ka RAA pū kekahi. No laila he aha kā kākou e hana ai?
- E hoʻoikaika kino no ka liʻiliʻi he 150 mau minuke i ka pule: E hana i kahi mea āu e makemake ai, e like me ka hele wikiwiki, ka holo ʻana, a i ʻole ka ʻauʻau ʻana.
- E ʻai i nā meaʻai olakino no ka puʻuwai: E hoʻokomo i nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, a me ka iʻa i kāu papaʻai. E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō i ka hiki.
- E pale loa i ka puhipaka: He mea koʻikoʻi loa ka pōʻino o ka puhipaka i ka puʻuwai.
- E hoʻokele i ke kaumaha: E hoʻomaha i kou manaʻo ma ka hana ʻana i nā mea e like me ka noʻonoʻo ʻana, yoga, a i ʻole ke komo ʻana i kahi leʻaleʻa āu e makemake ai.
- E kāohi i nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e hahai i nā ʻōlelo a kāu kauka a kāohi pono iā lākou.
Ke hoʻohui ʻoe i kēia mau mea maʻalahi i kou ola, e hoʻomaikaʻi aku kou puʻuwai iā ʻoe.
Leka Lawe-Home
- He ʻāpana maʻamau a olakino hoʻi o kou puʻuwai ka Right Atrial Appendage (RAA). ʻAʻole ia he maʻi hou.
- Kūkākūkā pinepine ʻia kēia ma nā hihia kūikawā, e like me ke kau ʻia ʻana o kahi pacemaker.
- He mea kākaʻikahi nā pilikia me RAA, akā aia nā lāʻau lapaʻau kūpono no lākou.
- ʻO ke ala maikaʻi loa e pale aku ai i kāu RAA, ʻo ia ka mālama ʻana i kou puʻuwai holoʻokoʻa i ke olakino. ʻO ia hoʻi ka ʻai pono ʻana, ka hoʻoikaika kino ʻana, a me ka pale ʻana i nā ʻano maikaʻi ʻole.
- Inā he mau nīnau kāu, kānalua, a makaʻu paha e pili ana i kou puʻuwai, mai noʻonoʻo wale no ia mea, e kamaʻilio ākea me kāu kauka . E wehewehe ʻo ia i nā mea āpau iā ʻoe.
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