E aʻo kākou e pili ana i ka hāmeʻa liʻiliʻi (Vena Cava Filter) e pale ai i nā ʻūpā koko mai ka hiki ʻana i nā māmā.

I kekahi manawa, hiki ke hana ʻia nā ʻūpā koko i loko o nā aʻa koko hohonu o ko kākou kino, ʻoiai hoʻi ma nā wāwae. Inā e haki kēia mau mea mai laila aku, e hele pū me ke koko, e hele ma ka puʻuwai, a paʻa i loko o kahi aʻa koko i loko o nā māmā, hiki ke lilo i kūlana weliweli loa a hiki ke hoʻoweliweli i ke ola. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi mea hana kūikawā liʻiliʻi i hoʻohana ʻia no ka poʻe i pilikia i kēia a ʻaʻole hiki ke lawe i nā anticoagulants.

I ka ʻōlelo maʻalahi, he aha kēia Kānana Vena Cava?

He mea hao liʻiliʻi kēia. E noʻonoʻo e like me ke kiʻikuhi o kahi umbrella, a i ʻole kahi ʻupena liʻiliʻi. Hoʻokomo ʻia i loko o kahi kīʻaha koko nui i loko o ko kākou kino. ʻO kāna hana nui ka hoʻōki ʻana i nā ʻōpū koko i hana ʻia ma nā ʻāpana haʻahaʻa o ke kino mai ka hele ʻana i luna me ke koko a hele i nā māmā. Ua like ia me kahi kānana i hoʻokomo ʻia i loko o kahi paipu wai e hoʻōki i ka lepo. ʻAe ia i ke koko e kahe me ka ʻole o ke keʻakeʻa, a hopu wale i nā ʻōpū koko.

ʻElua ʻano nui o kēia mau kānana:

• Kānana Vena Cava Haʻahaʻa (IVC): ʻO kēia ka mea i hoʻohana pinepine ʻia. ʻO ka Vena Cava Haʻahaʻa ke aʻa nui e lawe ana i ke koko mai ka ʻaoʻao haʻahaʻa o ko mākou kino (e like me nā wāwae a me ka ʻōpū) i ka puʻuwai. No laila, ua kau ʻia kēia kānana i loko o kēia aʻa e pale aku i ka hana ʻana o nā ʻōpū koko i nā wāwae.
• Kānana Vena Cava Kiʻekiʻe (SVC): Hoʻohana kākaʻikahi ʻia kēia. Hoʻohana ʻia inā he pilikia o nā ʻūpā koko i loko o ke aʻa e lawe ana i ke koko mai ka ʻaoʻao o luna o ke kino (e like me nā lima, ka ʻāʻī, a i ʻole ke poʻo) i ka puʻuwai.

ʻO wai ka mea e pono ai kēia Kānana IVC?

Hiki i ke kauka ke ʻōlelo aku i kahi kānana IVC no kekahi mau kumu kikoʻī. ʻAʻole pono nā mea a pau e loaʻa ana kahi ʻūpā koko i hoʻokahi. Makemake paha ʻoe e noʻonoʻo i hoʻokahi inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Inā loaʻa iā ʻoe kahi kūlana kahi e hana ai nā ʻōpū koko i loko o kou mau aa, i kapa ʻia ʻo Venous Thromboembolism (VTE) , a ...
• Inā ʻaʻole hiki iā ʻoe ke lawe i nā anticoagulants, no ka mea he maʻi ʻē aʻe kou e hoʻonui ai i kou pilikia o ke kahe ʻana o ke koko, a no ka mea he maʻi ʻoe i ka lāʻau lapaʻau.
• Inā loaʻa mau iā ʻoe nā ʻūpā koko , ʻoiai ʻoe e lawe nei i ka lāʻau hoʻomāmā koko.
• Inā ua loaʻa iā ʻoe ma mua a i ʻole he ʻūpē koko i loko o kahi aʻa koko hohonu i kou wāwae, ʻo ia hoʻi ʻo Deep Vein Thrombosis (DVT) .
• Inā ua loaʻa iā ʻoe kahi embolism pulmonary , kahi ʻōpū koko i loko o nā māmā, a he nui ka pilikia e hana hou ʻia.

Pehea e hana ʻia ai kēia ʻoki kino?

ʻAʻole kēia he hana ʻoki kino nui. Hiki ke hoʻopau ʻia i loko o hoʻokahi hola.

Ma mua o ke ʻoki kino

E nīnau kāu kauka e pili ana i kou mōʻaukala olakino. Pono ʻoe e haʻi iā lākou e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. E noi paha lākou iā ʻoe e hoʻōki i ka lawe ʻana i ka aspirin a i ʻole nā ​​​​​​mea hoʻokahe koko no kekahi mau lā. E aʻo pū lākou iā ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ke ʻoki ʻana. Hiki iā lākou ke hana i nā hoʻokolohua koko, kahi ECG, a me kahi echocardiogram.

I ka wā o ke ʻoki kino

1. ʻO ka mea mua, e kau ʻia kahi saline (IV) i loko o kahi aa koko ma kou lima.

2. E hāʻawi aku wau iā ʻoe i kahi lāʻau lapaʻau e hōʻoluʻolu iā ʻoe a e hoʻomālielie iki iā ʻoe.

3. Hoʻokomo ʻia kahi lāʻau hoʻomānoino i loko o kahi e hoʻokomo ʻia ai ke kānana (ma ka ʻāʻī a i ʻole ka ʻūhā).

4. A laila, hana ʻia kahi ʻoki liʻiliʻi loa, a hoʻokomo ʻia kahi ʻōmole lahilahi i kapa ʻia he catheter ma loko ma ke aʻa koko a hiki i kahi o ka Vena Cava.

5. E hoʻohana ke kauka i kahi ʻano hana X-ray kūikawā (fluoroscopy) e nānā i kahi kūpono o ka ʻōmole. Hiki iā ia ke hoʻokomo i kahi wai kūikawā (mea hoʻohālikelike) e ʻike nui ʻia ai ke aʻa.

6. Ke kau ʻia ma kahi kūpono, hoʻokomo ʻia ke kānana ma o ke catheter a waiho ʻia ma laila. Wehe ʻia ke kānana i loko a hoʻopili ʻia i nā paia o ke aʻa.

7. Ke pau ka hana, wehe ʻia ke catheter a pani ʻia ka ʻoki me kahi bandage.

He aha nā pilikia a me ka mālama ʻana ma hope o ke ʻoki ʻana?

Ma hope o ke ʻoki ʻana, pono ʻoe e noho i ka haukapila no kekahi mau hola. Inā loaʻa iā ʻoe kekahi ʻeha, e hāʻawi ʻia ʻoe i nā lāʻau hoʻomaha ʻeha. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Akā, pono ʻoe i kekahi e lawe iā ʻoe i ka home.

ʻOiai he hana ʻoki kino palekana loa kēia, aia kekahi mau pilikia e hiki ʻole ke hana pinepine ʻia.

• He maʻi ʻaleka i ka wai kūikawā (contrast) i hoʻokomo ʻia.
• Ke kahe ʻana o ke koko a i ʻole ka maʻi ma kahi i ʻoki ʻia.
• Ka hōʻino ʻana o nā kīʻaha koko.
• Ke neʻe aku nei mai kahi hoʻokomo ʻana o ke kānana a i loko o ka puʻuwai a i ʻole nā ​​māmā.
• Haʻihaʻi kānana .
• Ka pale ʻana o ke aʻa koko kahi i waiho ʻia ai ke kānana (IVC thrombosis) .

He haʻahaʻa loa kēia mau pilikia, akā he mea nui e ʻike iā lākou.

Hoʻōla hou ʻana

Hoʻomaka koke ka hana o ke kānana ma hope o ke kau ʻana. Aia paha kekahi mau palapū a me ka ʻoluʻolu ʻole ma kahi i ʻoki ʻia no kekahi mau lā. Inā ua hoʻokomo ʻia ma o ka ʻāʻī, hiki iā ʻoe ke hoʻi hou i nā hana maʻamau ma kahi o 24 mau hola. Inā ua hoʻokomo ʻia ma o ka ʻūhā, ʻōlelo aʻo ke kauka iā ʻoe e pale i nā hana e like me ke piʻi ʻana i nā alapiʻi, ka hoʻokele kaʻa, a me ka hāpai ʻana i nā mea kaumaha no kahi o ʻelua lā.

Inā he kānana manawa pōkole (hiki ke kiʻi ʻia), he mea nui loa ia e wehe koke iā ia, ke emi ka pilikia o nā ʻūpā koko, a i ʻole ke hiki ke hoʻomaka ʻia nā lāʻau hoʻokahe koko. No ka mea, inā waiho ʻia ke kānana i loko o ke kino no ka lōʻihi loa, e piʻi aʻe ka pilikia o nā pilikia a mākou i kūkākūkā ai ma mua.