Ua ʻike anei ʻoe e pili ana i kēia ʻāpana liʻiliʻi o kou puʻuwai? – ʻĀkau Atrial Appendage

Ua ʻike kākou a pau he ʻōkana kupaianaha ko kākou puʻuwai. Akā, ʻaʻole paha ʻoe i lohe nui e pili ana i kekahi o nā ʻāpana liʻiliʻi o kēia puʻuwai. No laila, i kēia lā e kamaʻilio kākou e pili ana i kahi ʻāpana liʻiliʻi o ka puʻuwai ʻaʻole i kamaʻilio nui ʻia e ka poʻe he nui, akā he kuleana koʻikoʻi loa ia. ʻO ia ka ʻaoʻao atrial ʻākau , a i ʻole ma ka ʻōlelo Pelekania `(Right Atrial Appendage)`, a i ʻole `(RAA)` no ka pōkole. Malia paha ʻo ʻoe ka lohe ʻana i kēia inoa no ka manawa mua. Akā, mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka ʻāpana atrial ʻākau?

I ka ʻōlelo maʻalahi, ʻo ka "Right Atrial Appendage" a i ʻole "RAA" he ʻāpana liʻiliʻi e like me ka ʻeke o kou puʻuwai e puka iki ana mai ke keʻena luna o kou puʻuwai, i kapa ʻia ʻo ka atrium ʻākau. Ua lohe paha ʻoe e pili ana i kēia ma mua, ʻoiai inā haʻi aku ke kauka iā ʻoe e hoʻokomo i kahi "pacemaker lead", kahi uea liʻiliʻi e hoʻopili ai i kahi pacemaker, i loko o kou atrium ʻākau.

E noʻonoʻo i kēia `(RAA)` me he ʻeke liʻiliʻi lā i loko o ko kākou pālule. He wahi liʻiliʻi ma waho o ka pālule nui. Aia kekahi kumu kikoʻī e makemake ai nā kauka e hoʻokomo i nā uea pacemaker i loko o kēia `(RAA)`. ʻO kekahi, he maʻalahi loa ka hiki ʻana aku i kēia `(RAA)`. ʻO kekahi mea, aia kēia `(RAA)` kokoke loa i ka `(SA node)`, a i ʻole `(sinoatrial node)`, ka mea e hoʻouna i nā hōʻailona uila e hoʻopaʻa ai i ko kākou puʻuwai. No laila, he mea nui loa ia no ka pono o ka pacemaker.

Hiki i kēia ʻāpana maʻamau ʻole o ka puʻuwai ke hoʻopilikia iā ʻoe i kekahi manawa. Akā ʻo ka nūhou maikaʻi, aia nā lāʻau lapaʻau no kēia `(RAA)`, e like me nā ʻāpana ʻē aʻe o ka puʻuwai.

He aha ka mea e hana ʻia me kēia RAA? (Hana RAA)

I kēia manawa, e nānā kākou i ka hana maoli a kēia `(RAA)` liʻiliʻi. ʻO kekahi o kāna mau hana nui, ʻo ia ka wā e piʻi ai ka nui o ke koko, ʻo ia hoʻi, i ka wā e piʻi ai ka nui o ke koko i loko o ke kino ma mua o ka mea e pono ai, hoʻomaka nā paia o kēia `(RAA)` e kīkoʻo. A laila, hoʻokuʻu kēia `(RAA)` i kahi ʻano protein kūikawā i kapa ʻia ʻo `natriuretic peptides` .

ʻO kēia mau kemika i kapa ʻia ʻo "natriuretic peptides" hana i kekahi mau mea koʻikoʻi loa:

• Hoʻonui iki ʻia kou mau kīʻaha koko.
• Kōkua ia i ka hoʻopau ʻana i ka paʻakai a me ka wai keu mai kou kino ma o ka mimi.

Kōkua kēia kaʻina hana i ka hoʻemi ʻana i ka nui o ke koko a me ke koko. E noʻonoʻo iā ia e like me kahi paipu liʻiliʻi e hoʻokuʻu ana i ka wai keu ke piha ka pahu wai i loko o kou home.

Aia i hea ka RAA? (Kahi o RAA)

Aia kou "Right Atrial Appendage" ma ka piko o ka atrium ʻākau o kou puʻuwai. I ka pololei, aia ia ma kahi kokoke i kou "superior vena cava", he kīʻaha koko nui. ʻO kēia "(RAA)" he ʻāpana e like me ke kahawai e hoʻolōʻihi ana i luna ma waena o ka atrium ʻākau a me ka ventricle ʻākau.

He aha nā ʻāpana o ka RAA? Pehea kona ʻano? (RAA Anatomy and Appearance)

Inā ʻoe e nānā i ke ʻano o loko o kēia `(RAA)`, ua like ia me kahi ʻeke me kahi puka e hiki ai i ke koko ke komo a puka i waho. He ʻano ʻino iki ka ʻili o loko o ka `(RAA)`. ʻO ke kumu o kēia, aia nā kualono ʻiʻo i kapa ʻia ʻo `terminal crest` a me `musculi pectinati` . Ua like kēia me nā kualono liʻiliʻi ma ka ʻili.

Ma ke ʻano o ka nui, ʻōlelo nā kānaka noiʻi ʻo ka ʻāpana o kēia `(RAA)` he 3 kenimika huinaha (ʻo ia hoʻi ma kahi o ka hapalua ʻīniha huinaha). ʻO ka wehe ʻana o ka `(RAA)` he 2 kenimika ka laulā (ʻoi aku ka liʻiliʻi ma mua o hoʻokahi ʻīniha).

ʻO ka mea kupaianaha maoli, hiki i kēia `(RAA)` ke loaʻa i hoʻokahi płatka (lobe) a i ʻole kekahi mau płatki, i kekahi manawa a hiki i ka ʻeono. ʻO ia hoʻi, ʻaʻole like ka `(RAA)` o kēlā me kēia kanaka.

He aha nā kinona e ʻike ʻia ma RAA? (Nā Kinona RAA)

Ua ʻike nā kānaka noiʻi i kekahi mau ʻano o ka `(RAA)`. Eia kekahi o lākou:

• ʻAno huinahā (ʻano nuku manu): ʻO kēia ke ʻano maʻamau. Ua like ia me ka nuku o kahi manu.
• ʻAno ʻehā: Ua like me ke ʻano o ke poʻo o ka lio.
• ʻAno trapezoid: Ua like ke ʻano me ke kua.
• ʻAno huinakolu: E like me ka peʻa ma luna o ka waʻa peʻa.
• ʻAno i wehewehe ʻole ʻia: He paʻakikī kekahi o lākou e wehewehe pololei.

Ma waho aʻe o kēia mau ʻano nui, ua ʻike nā kānaka noiʻi i kēia mau ʻano liʻiliʻi. ʻAʻole anei he mea kupanaha ka hiki i kēia ʻāpana liʻiliʻi o ko kākou puʻuwai ke ʻano like ʻole?

He aha nā kūlana a me nā maʻi maʻamau e hoʻopilikia nei i ka RAA?

E like me nā ʻāpana ʻē aʻe o ka puʻuwai, aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i ka RAA. ʻO kekahi o lākou:

• ʻO ka Atrial Fibrillation (Afib): He puʻuwai puʻuwai kūpono ʻole kēia. Hiki i kēia kūlana ke hana i nā ʻūpā koko i loko o ka RAA. Eia nō naʻe, ʻaʻole maʻamau kēia ma ka ʻaoʻao ʻākau i hoʻohālikelike ʻia me ka atrial appendage hema.
• Nā ʻeha mai kahi ulia kaʻa: I kahi ulia nui, hiki ke hōʻino ʻia ka RAA ma muli o ka hopena i ka umauma.
• Aneurysm: He kūlana kēia kahi e hoʻonui nui ʻia ai kahi aʻa a puʻupuʻu e like me ka pōpō. Hiki i ka RAA ke hoʻomohala i kēia ʻano aneurysm.

Mea nui: He mea nui loa ka ʻike mua ʻana i ia mau kūlana a loaʻa ka lāʻau kūpono.

He aha nā hōʻailona o nā maʻi RAA?

ʻO nā kūlana e pili ana i ka appendage atrial ʻākau (RAA) hiki ke hana iā ʻoe e ʻike i nā hōʻailona e like me:

• ʻEha umauma
• Luhi
• Ka pōkole o ka hanu a i ʻole ka `dyspnea`
• Pōʻino

ʻOiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he pilikia kou me kāu RAA. Hiki ke hana ʻia e nā maʻi puʻuwai ʻē aʻe a me nā pilikia olakino maʻamau. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

Pehea e nānā ai i ke kūlana olakino o ka RAA? (Nā hoʻāʻo maʻamau no ke olakino RAA)

Aia kekahi mau hoʻokolohua a nā kauka e hoʻohana ai e nānā i ke olakino o kāu appendage atrial ʻākau (RAA):

• Transesophageal Echocardiogram (TEE): He ʻano kūikawā kēia o ka echocardiogram. Ma kēia hoʻāʻo, ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi me ke kāmela (transducer probe) ma kou puʻu i loko o kou esophagus e kiʻi i nā kiʻi maopopo o kou puʻuwai. ʻAe kēia i kahi ʻike maikaʻi loa o ka RAA.
• ʻO ke scan Cardiac CT (Cardiac Computed Tomography): Hoʻohana kēia i nā kukuna X a me ka ʻenehana kamepiula e hana i nā kiʻi ʻokiʻoki o ka puʻuwai.
• ʻO ka Transthoracic Echocardiogram (TTE): ʻO kēia ke ʻano maʻamau o ka echocardiogram. Maanei, ua kau ʻia kahi transducer ma kou umauma e kiʻi i nā kiʻi o kou puʻuwai.

Na ke kauka e hoʻoholo i ka mea e hana ai me kēia mau hoʻokolohua ma muli o kou kūlana.

He aha nā lāʻau lapaʻau no kēia? (Nā Lapaʻau Maʻamau)

Inā he pilikia me ka mea hana atrial ʻākau (RAA), aia kekahi mau lāʻau lapaʻau e hiki ai:

• Nā Anticoagulants: Inā pili kāu RAA i nā ʻūlū koko, e hāʻawi ʻia ʻoe i kēia mau lāʻau lapaʻau e pale aku i ke kāpili ʻana o ke koko.
• Lapaʻau ablation: Inā hoʻomaka kahi puʻuwai paʻakikī, e like me ka atrial fibrillation, me RAA, hiki ke hana ʻia kahi lāʻau i kapa ʻia ʻo ablation e luku i nā ʻiʻo ʻē.
• ʻOki kino: Inā ua hōʻino ʻia nā ʻiʻo o ka RAA i kahi ulia, pono paha ke ʻoki kino e hoʻoponopono a wehe paha i nā ʻāpana i hōʻino ʻia.

ʻO ka hoʻoholo ʻana i ka lāʻau kūpono iā ʻoe e hilinaʻi ʻia i nā kumu he nui, me kou kūlana olakino, ka makahiki, a me ke olakino holoʻokoʻa.

Pehea e mālama ai i koʻu ʻāʻī atrial ʻākau (RAA) i ke olakino? (Pehea e mālama ai i kāu RAA)

ʻAʻohe mea hiki iā ʻoe ke hana no kāu `(Right Atrial Appendage)`. ʻO nā mea like āu e hana ai e mālama i ke olakino o kou puʻuwai holoʻokoʻa he mea maikaʻi nō hoʻi ia no kāu `(RAA)`. No ka mālama ʻana i ke olakino o kou puʻuwai, e mālama i kēia mau mea:

• E hana kino no ka liʻiliʻi he 150 mau minuke i ka pule: e hana i nā hoʻoikaika kino e like me ka hele wāwae, ka holo ʻana, a me ka ʻauʻau ʻana paha.
• E ʻai i ka meaʻai olakino no ka puʻuwai: E ʻai i nā mea kanu, nā huaʻai, nā legumes, nā palaoa piha, nā ʻiʻo momona, a me ka iʻa. E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō.
• E hōʻalo i ka hoʻohana ʻana i nā huahana paka: He mea ʻino loa ka puhipaka i ka puʻuwai.
• E kāohi i kou kaumaha:E hana i nā mea e like me ka yoga, ka noʻonoʻo ʻana, a pēlā aku. E hoʻomaha.
• E kāohi i nā kūlana olakino e like me ke koko kiʻekiʻe a me ka maʻi diabetes: E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.

Ma ka hahai ʻana i kēia mau hana maʻalahi, hiki iā ʻoe ke mālama pono i kāu ʻōnaehana cardiovascular holoʻokoʻa.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

ʻAʻole i lohe ka poʻe he nui i ka huaʻōlelo "Right Atrial Appendage" a i ʻole "RAA". ʻO ka poʻe me "Afib" paha ua lohe lākou i ka Left Atrial Appendage, akā ʻaʻole i kamaʻilio nui ʻia ka mea ma ka ʻaoʻao ʻākau.

Inā ʻoe e heluhelu nei i kēia ʻatikala no ka mea e hoʻokomo ʻia ana kahi pacemaker iā ʻoe, hoʻokahi mea āu e ʻike ai, ʻo ke koho ʻana o nā kauka i ka RAA ma ke ʻano he wahi maikaʻi loa e kau ai i ke alakaʻi pacemaker. Ua kūkākūkā mua mākou i nā kumu no kēia.

No laila, inā he mau nīnau hou kāu e pili ana i kēia `(RAA)`, mai kānalua e kamaʻilio me kāu kauka. Hiki iā ia ke hāʻawi iā ʻoe i nā pane maopopo i kāu mau nīnau a pau. E hoʻomanaʻo, he kuleana koʻikoʻi ko kēlā me kēia ʻāpana liʻiliʻi o ko mākou kino, no laila he mea nui e makaʻala i ia mea.

Puʻuwai , ʻĀpana Atrial ʻĀkau, RAA, Maʻi Puʻuwai, Pacemaker, Fibrillation Atrial, Ola Kino Puʻuwai, ʻĀpana Atrial ʻĀkau