He hopena no ka maʻi e mānoanoa ai ka paia o ka puʻuwai: E kamaʻilio kākou e pili ana i ke ʻoki ʻana o ka Septal Myectomy

Ke manaʻo nei ʻoe i kekahi manawa ua paʻakikī iā ʻoe ke hanu, manaʻo e like me ka ʻūlū ʻana o kou umauma, a i ʻole ua nāwaliwali ke piʻi ʻoe i nā alapiʻi a hana paha i kahi mea e pono ai ka hoʻoikaika iki? Nui nā kumu no kēia mau hōʻailona. ʻO kekahi o nā kumu nui ka mānoanoa o ka ʻiʻo puʻuwai. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo 'Hypertrophic Cardiomyopathy'. No laila, i ka wā e paʻakikī ai ke kāohi i kēia kūlana me ka lāʻau lapaʻau, aia kahi ʻoki kūikawā a nā kauka e ʻōlelo nei. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki i kapa ʻia ʻo 'Septal Myectomy'.

I ka ʻōlelo maʻalahi, he aha ke ʻano o kēia mānoanoa o ka paia o ka puʻuwai?

He ʻōkana kupaianaha ko kākou puʻuwai. Ua like ia me kahi hale liʻiliʻi me ʻehā lumi. Aia ʻelua keʻena luna (atria) a me ʻelua keʻena haʻahaʻa (nā keʻena). ʻO nā keʻena nui ʻelua ma lalo o kēia mau mea, ʻo ia hoʻi nā keʻena ʻākau a me hema, ua hoʻokaʻawale ʻia e kahi paia mānoanoa ma waena. ʻO kēia paia i hana ʻia me nā ʻiʻo ka mea a mākou e kapa nei ʻo 'septum' .

Ma ke ʻano i kapa ʻia ʻo 'Hypertrophic Cardiomyopathy', mānoanoa nui ka ʻiʻo o kēia septum. E noʻonoʻo i ka mea e hana ʻia inā pehu koke ka paia e hoʻokaʻawale ana i ʻelua lumi i loko o kou hale a hoʻokuke i hoʻokahi lumi i loko. ʻO ia ka mea e hana nei ma ʻaneʻi. Pahu kēia paia mānoanoa i loko, ʻoi aku hoʻi i loko o ka ventricle hema, ke keʻena nui e hoʻomoe i ke koko i ke kino.

ʻO wai ka mea e pono ai ke ʻoki ʻana o ka Septal Myectomy?

ʻAʻole pono nā kānaka a pau me kēia maʻi i ke ʻoki kino. E hoʻāʻo mua kāu kauka e kāohi i nā hōʻailona me ka lāʻau lapaʻau. Eia nō naʻe, i kekahi mau hihia, ʻo ke ʻoki kino ka hopena maikaʻi loa.

• No ka poʻe hiki ʻole ke kaohi i nā hōʻailona me ka lāʻau lapaʻau: Inā ʻaʻole hiki ke kaohi ʻia nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a me ka poniuniu me ka lāʻau lapaʻau, e noʻonoʻo paha kāu kauka i kēia ʻoki kino.
• No ka poʻe me ka paia puʻuwai mānoanoa loa (septum): ʻOiai he emi iki nā hōʻailona o kekahi poʻe, ua ʻōlelo ʻia kēia ʻoki kino inā mānoanoa loa ka septum a ke kumu o ka ālai nui ʻana i ke kahe koko.
• No nā wahine e manaʻo nei e hāpai:Inā manaʻolana kahi wahine me kēia maʻi e hāpai, ʻoiai inā ʻaʻole koʻikoʻi loa nā hōʻailona, ​​​​​​i kekahi manawa ua ʻōlelo ʻia kēia ʻoki kino. Ma muli o ka piʻi ʻana o ke kaomi ma ka puʻuwai i ka wā hāpai, ʻoi aku ka palekana o ka wehe ʻana i kēia mea pale i ka wā mua.

He aha kāu e hana ai ma mua o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, e hana ke kauka i kekahi mau hoʻokolohua e nānā pono ai i ke kūlana o kou puʻuwai. ʻAʻohe mea e hopohopo ai. Hana ʻia kēia mau mea e loaʻa ai ka ʻike āpau e pono ai e hana i ke ʻoki ʻana me ka palekana a me ka holomua.

Eia kekahi, inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko , e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki ʻana.Inā he mea puhi paka ʻoe, e kōkua nui ka haʻalele ʻana ma mua o ke ʻoki ʻana i kou ola hou ʻana.

Pehea e hana ʻia ai ke ʻoki kino?

He ʻoki puʻuwai hāmama kēia. Akā me ka ʻenehana o kēia wā, ua hana ʻia kēia me ka holomua a me ka palekana.

1. Anesthesia: ʻO ka mea mua, e hoʻomaʻemaʻe piha ʻia ʻoe. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana, a e hiamoe nui ana ʻoe.

2. ʻOki kino: Hana ke kauka ʻoki i kahi ʻoki ma waenakonu o ka umauma, e ʻoki ana ma ka iwi umauma (sternum) ma nā ʻaoʻao ʻelua e hiki ai i ka puʻuwai.

3. Mīkini Puʻuwai-Māmā: A laila, e hoʻopili ʻia ʻoe i kahi 'mīkini puʻuwai-māmā'. E hana kēia mīkini i ka hana o kou puʻuwai a me kou māmā i ka wā o ke ʻoki kino.

4. Ka wehe ʻana i nā ʻiʻo: A laila, ʻoki pono ke kauka lapaʻau a wehe i ka ʻāpana ʻiʻo o ka septum i mānoanoa pono ʻole. Hoʻāla hou kēia i ke kahe koko i ālai ʻia.

5. Ka hopena: A laila ua hoʻokaʻawale ʻia ʻoe mai ka mīkini puʻuwai-māmā, ua hoʻololi ʻia kou sternum, a ua pani ʻia ka ʻoki umauma me nā humuhumu hiki ke hoʻoheheʻe ʻia.

ʻO ka maʻamau, ma kahi o ʻekolu a ʻehā hola ka lōʻihi o kēia ʻoki kino holoʻokoʻa.

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

Ma hope o ke ʻoki kino, e hoʻokomo pololei ʻia ʻoe i ka Intensive Care Unit (ICU). Ma laila, e nānā pono nā kauka a me nā kahu maʻi i kou kūlana. Loaʻa paha iā ʻoe kahi catheter urinary a i ʻole ka wai hoʻokahe umauma no hoʻokahi a ʻelua paha lā, akā mai hopohopo no lākou.

I loko o ʻelua lā, me ke kōkua o kahi mea hoʻōla kino, pono ʻoe e ala aʻe mai kahi moe a hoʻomaka e hele wāwae iki. Noho ka hapa nui o ka poʻe ma ka haukapila no ka liʻiliʻi ma mua o ʻelima mau lā . He mea maʻamau ke manaʻo luhi no kekahi manawa ma hope o kou hoʻi ʻana i ka home. E loaʻa hou iā ʻoe kou ikaika maʻamau i loko o kekahi mau pule.

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

E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a he mau pōpilikia liʻiliʻi hoʻi.

ʻAʻole pili kēia mau pilikia i nā kānaka a pau. ʻO ka mea nui, hiki ke hoʻonui iki ʻia ka pilikia i ka poʻe me nā maʻi puʻuwai ʻē aʻe, nā mea puhi paka, a me ka poʻe ma luna o 65 mau makahiki. Akā ma ke ʻano holoʻokoʻa, ʻo Septal Myectomy kahi ʻoki kino me ka nui o ka holomua kiʻekiʻe loa (ma luna o 94%).

Āhea wau e ʻike ai i ke kauka ma hope o ke ʻoki ʻana?

Ma hope o kou hoʻi ʻana i ka home, he mea nui loa e kāhea koke aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona o nā pilikia.

• Nā pilikia e pili ana i ka ʻeha: Inā ʻulaʻula nui ka ʻāpana a puni ka ʻeha ʻoki, pehu, a i ʻole mehana paha.
• Kuni: Inā he kuni kou ma luna o 38 Celsius (100.4 Fahrenheit) ma ka thermometer.
• Piʻi ke kaumaha: Inā piʻi koke kou kaumaha ma mua o 2.5 kg (5 lbs) i loko o hoʻokahi pule (he hōʻailona paha kēia o ka paʻa ʻana o ka wai).

Inā loaʻa iā ʻoe kekahi mea e like me kēia, mai hopohopo, akā e hoʻomaopopo koke i kāu kauka.