ʻO ka puʻuwai puʻuwai? Hiki ke wehe ʻia me ke ʻoki kino? (ʻO ke ʻoki kino wehe puʻuwai) E makaʻala kākou

ʻO ka poʻe a pau e lohe ana i ka huaʻōlelo "puʻupuʻu puʻuwai" ua makaʻu iki lākou, ʻeā? He mea maʻamau ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā mau ʻōlelo. Akā, mai hopohopo. ʻO ka mea nui loa, ʻo ka hapa nui o kēia mau puʻupuʻu e ulu ana i loko o ka puʻuwai, ʻaʻole ia he maʻi kanesa. I kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā puʻupuʻu puʻuwai, nā ʻoki kino e wehe ai iā lākou, a e hoʻāʻo e ʻimi i nā pane i nā nīnau he nui āu e loaʻa ai.

He aha ke ʻano o ke ʻoki kino e wehe ai i ka puʻuwai?

I ka ʻōlelo maʻalahi, he hana lapaʻau paʻakikī loa kēia. Pili ia i ka wehe ʻana i kahi puʻupuʻu i loko o kou puʻuwai ma ke ʻoki ʻana. He mea nui loa kēia ʻoki ʻana inā he pilikia o nā pilikia ma muli o kahi puʻupuʻu ʻaʻole maʻi kanesa (benign).

I kekahi manawa, ma muli o ke ʻano o ka puʻupuʻu āu, pono paha ʻoe i ke ʻoki hana hou e hoʻoponopono i ka pōʻino i kou puʻuwai a i ʻole kekahi o kona mau valves. E wehewehe kāu kauka i kēia iā ʻoe.

He aha maoli ka puʻuwai puʻuwai?

He puʻupuʻu puʻuwai kahi ulu ʻana e kū mai ana i loko o kou puʻuwai. Hiki i kēia ke lilo i mau puʻupuʻu puʻuwai mua. ʻO ke ʻano kēia, ua hoʻomaka kēia mau puʻupuʻu i loko o ka puʻuwai ponoʻī a ʻaʻole i laha mai kahi ʻē aʻe o ke kino.

ʻO ʻelua o nā ʻano maʻamau o nā puʻuwai mua ʻo ia ka myxoma a me ka papillary fibroelastoma . ʻOiai he mau ulu ʻaʻole kēia no ka maʻi kanesa, hiki iā lākou ke hoʻopilikia i ka hana o nā valves puʻuwai. Eia kekahi, hoʻonui lākou i ka pilikia o ka hoʻokumu ʻana o kahi clot koko a me ka hele ʻana ma o kahi kīʻaha koko, e hana ana i kahi embolism a i ʻole ka hahau ʻana. No laila, hiki i kāu kauka ke ʻōlelo aku i ka wehe ʻana i ka puʻuwai.

He mea kakaikahi loa nā puʻupuʻu kanesa o ka puʻuwai, i kapa ʻia ʻo sarcomas , a ʻaʻole hoʻohana pinepine ʻia ke ʻoki ʻana ma ke ʻano he lāʻau lapaʻau.

Hiki maoli ke wehe ʻia kahi puʻupuʻu mai ka puʻuwai?

ʻAe, i ka hapanui o nā hihia, hiki i nā kauka lapaʻau ke wehe loa i kahi puʻupuʻu mai ka puʻuwai. ʻO ke ʻoki ʻana e wehe i nā puʻupuʻu ʻaʻole kanesa, e like me ka myxoma a me ka papillary fibroelastoma, he kūleʻa loa ia .

Eia nō naʻe, hiki ke paʻakikī ke wehe i kekahi mau puʻupuʻu paʻakikī ʻaʻole kanesa a me nā puʻupuʻu kanesa. I kēlā mau hihia, wehe nā kauka ʻoki i ka nui o ka puʻupuʻu e like me ka hiki (resection hapa). Hiki i kēia ke kōkua i ka hōʻoluʻolu i kāu mau hōʻailona a hoʻomaikaʻi i kou ʻano ola. I nā hihia ʻē aʻe, ʻaʻole hiki ke hana ʻoki. I kēlā hihia, hiki i kāu kauka ke paipai i nā lāʻau lapaʻau ʻē aʻe a i ʻole ka mālama palliative.

ʻO wai ka mea e pono ai kēia ʻoki kino?

Pono paha ʻoe i ke ʻoki kino inā manaʻo kāu kauka ʻoi aku ka maikaʻi o nā pono o ke ʻoki kino ma mua o nā pilikia. ʻOi aku ka nui o ka manaʻo o kāu kauka e ʻōlelo i ke ʻoki kino inā:

• Inā hōʻike ka puʻupuʻu i nā hōʻailona .
• Inā keakea ia i ka hana maʻamau o ka puʻuwai.
• Inā ʻoe e hoʻonui i kou pilikia o nā pilikia e like me ke koko a i ʻole ka hahau ʻana.
• Inā ulu wikiwiki ka puʻupuʻu.

Pehea e wehe ai nā kauka ʻoki i kahi puʻupuʻu mai ka puʻuwai?

ʻO ke ʻano kuʻuna no ka wehe ʻana i nā puʻupuʻu puʻuwai, ʻo ia ke ʻoki puʻuwai hāmama. Eia nō naʻe, me ka holomua o ka ʻepekema lapaʻau, ua loaʻa nā ʻano hana minimally invasive e pono ai ka manawa hoʻōla liʻiliʻi.

He mea kākaʻikahi loa nā puʻupuʻu puʻuwai. No laila, ʻaʻole maʻamau nā ʻokiʻoki e wehe iā lākou e like me nā ʻokiʻoki puʻuwai ʻē aʻe. No laila he mea nui loa ka ʻimi ʻana i ka lāʻau lapaʻau ma kahi haukapila nui i loaʻa ka ʻike i kēia ʻano ʻokiʻoki. E nānā kahi hui o nā kauka ʻokiʻoki i kou kūlana a hoʻoholo i ke ʻano o ke ʻokiʻoki i kūpono loa iā ʻoe.

ʻO ke ʻoki puʻuwai hāmama kuʻuna

ʻO kēia ʻano hana e hiki ai i ke kauka lapaʻau ke ʻike pololei i kou puʻuwai a me nā ʻōpū e pili ana i ka wā e hana ana i ke ʻoki ʻana. Pili kēia i ka hana ʻana i kahi ʻoki lōʻihi ma waenakonu o kou umauma. Ua kapa ʻia kēia he median sternotomy ma nā ʻōlelo lapaʻau.

E hoʻokomo ʻia ʻoe i loko o kahi hiamoe hohonu ma lalo o ka anesthesia i ʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki kino. E hoʻopili ʻia nō hoʻi ʻoe i kahi mīkini bypass cardiopulmonary . Lawe kēia mīkini i ka hana o kou puʻuwai a me kou māmā i ka wā o ke ʻoki kino. ʻAe kēia i ke kauka ʻoki kino e hana ma kahi puʻuwai paʻa a ʻaʻole e kuʻi.

Hoʻoneʻe ke kauka lapaʻau i ka puʻupuʻu a, inā pono, hana hou i nā ʻāpana i hōʻino ʻia o ka puʻuwai. Ma muli o ka nui o ka hopena o ka puʻupuʻu i ka puʻuwai, hiki i kēia hana hou ke komo pū me ka hoʻoponopono ʻana i ka valve a i ʻole ke pani ʻana i ka valve.

ʻO ke ʻoki puʻuwai minimally invasive

Hana ʻia nā ʻoki liʻiliʻi loa , ma mua o ka ʻoki lōʻihi ma waenakonu o ka umauma e like me ke ʻoki puʻuwai hāmama.ʻO kēia ʻano hana e pili ana i ka hoʻohana ʻana i kekahi mau ʻoki e hiki ai i ka puʻuwai a wehe i ka puʻupuʻu. Eia nō naʻe, pono pū kēia ʻano hana i ka anesthesia a me kahi mīkini puʻuwai-māmā.

ʻO ke ʻoki puʻuwai i kōkua ʻia e ka robot

He ʻano hana ʻoki kino minimally invasive nō hoʻi kēia. Hana nā kauka ʻoki i kēia hana ʻoki kino me ka hoʻohana ʻana i ka ʻenehana endoscopic a ʻaʻole lākou e wehe i ka umauma.

No kēia kaʻina hana, hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi ma kou mau iwi ʻaoʻao. Ma o kēia mau ʻoki, hoʻokomo ʻia nā mea hana i hoʻopili ʻia i nā lima robotic. Hoʻokele ʻia nā neʻe ʻana o kēia mau lima robotic e nā lima ponoʻī o ke kauka lapaʻau. ʻO ka ʻenehana kāmela kūikawā e hiki ai i ke kauka lapaʻau ke ʻike maopopo i loko o ka puʻuwai i ka wā o ke kaʻina hana.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

E hāʻawi aku kāu hui lapaʻau iā ʻoe i nā kuhikuhi no ke ʻano o ka hoʻomākaukau ʻana no ke ʻoki ʻana, a he mea nui loa ia e hahai pololei i kēlā mau kuhikuhi.

• Inā pono ʻoe e hana i kekahi hoʻololi i nā lāʻau lapaʻau āu e lawe ai.
• Pono ʻoe e hoʻokē ʻai (me ka ʻai ʻole a me ka mea inu ʻole) mai ka pō ma mua o ke ʻoki kino.
• Inā ʻoe e puhipaka, pono ʻoe e hoʻōki i ka puhipaka i kekahi mau pule ma mua o ke ʻoki kino. He mea nui kēia e hōʻemi i ka pilikia o nā pilikia.

Eia kekahi, e hana ke kime lapaʻau i hoʻokahi a ʻoi aku paha mau hoʻokolohua e loaʻa ai kahi kiʻi maopopo o ka puʻupuʻu a me kou puʻuwai. ʻO nā ʻano hoʻokolohua āu e pono ai:

• CT scan (Computered tomography - CT scan)
• ʻO ka angiogram coronary
• ʻEchocardiogram
• MRI scan (kiʻi resonance magnetic - MRI scan)

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, e mālama ʻia ʻoe i loko o ka ʻāpana mālama koʻikoʻi (ICU) no hoʻokahi lā a ʻoi aku paha, kahi e nānā pono ʻia ai ʻoe. Ma hope o kēlā, e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻamau. ʻO ka nui o nā lā āu e noho ai i ka haukapila e pili ana i ke ʻano o ke ʻoki kino āu i hana ai a me ka wikiwiki o kou hoʻōla ʻana. E ʻokoʻa ia mai kēlā kanaka a kēia kanaka. E hoʻomaopopo mau ka hui lapaʻau iā ʻoe e pili ana i kou kūlana a haʻi iā ʻoe i ka wā hiki iā ʻoe ke hoʻi i ka home.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia nā pono a me nā pilikia. He mea nui e kūkākūkā ākea i kēia mau mea me kāu kauka.

Pehea ka manawa ho'ōla?

ʻO kou manawa hoʻōla e pili ana i nā mea e like me ke ʻano o ke ʻoki ʻana āu i hana ai a me kou olakino holoʻokoʻa. E hāʻawi kāu kauka ʻoki iā ʻoe i nā kuhikuhi kikoʻī a haʻi iā ʻoe i ka mea e manaʻo ai. Ma keʻano laulā, hiki iā ʻoe ke hoʻōla koke ma hope o ke ʻoki robotic ma mua o ke ʻoki puʻuwai hāmama. Hiki i ka hapa nui o ka poʻe ke hoʻi i nā hana maʻamau a hana i ka wā e manaʻo ai lākou he ikaika.

Ma hope o kekahi ʻoki ʻana, he mea nui e hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka mea e hana ai a me ka mea e hana ʻole ai i ka wā e hoʻōla ai.

Āhea wau e ʻike hou ai i ke kauka?

E haʻi aku kāu kauka lapaʻau iā ʻoe i nā hōʻailona e makaʻala ai i kou wā e hoʻōla ai. ʻOiai he mea maʻamau ka manaʻo ʻole i kekahi ʻano ʻeha, he mea nui e makaʻala i nā hōʻailona e hōʻike ana i kahi pilikia, e like me ka maʻi.

Inā ʻoe e hana ʻia ana i ke ʻoki kino e wehe i kahi puʻuwai puʻuwai, nui paha kāu mau nīnau ma kou manaʻo. E noʻonoʻo paha ʻoe i ka mea e hana ʻia ma hope o ke ʻoki kino, he aha kou mau manawa ola lōʻihi, a pēlā aku. E hoʻomanaʻo, ʻokoʻa ka huakaʻi lapaʻau o kēlā me kēia kanaka. Hōʻike wale nā ​​​​helu i hoʻokahi ʻaoʻao o ka moʻolelo. Mai kānalua e kamaʻilio me kāu kauka ʻoki kino a i ʻole kekahi o kāu hui lapaʻau e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.