I ke kamaʻilio ʻana me kāu kauka e pili ana i kahi maʻi puʻuwai, ua lohe paha ʻoe, "Pono kēia i ke ʻoki kino, e kuhikuhi mākou iā ʻoe i kahi Kauka Hana Puʻuwai." I kēlā manawa, ua manaʻo paha ʻoe, "ʻO wai kēia Kauka Hana Puʻuwai? Pehea ʻo ia e ʻokoʻa ai mai kahi Kauka Hana Puʻuwai ?" ʻOiai ʻo lāua ʻelua e hana ana ma ka puʻuwai , he ʻokoʻa loa kā lāua kuleana. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka pololei, me ka maʻalahi.
He aha ka ʻokoʻa ma waena o ke Kauka Lapaʻau Puʻuwai a me ke Kauka Cardiologist?
ʻO kēia kahi e huikau ai ka poʻe he nui. I ka ʻōlelo maʻalahi, he kauka Cardiologist kahi kauka loea i ka ʻike ʻana a me ka mālama ʻana i nā maʻi puʻuwai me nā lāʻau lapaʻau a i ʻole nā hana liʻiliʻi. Eia nō naʻe, he kauka Cardiac Surgeon kahi kauka loea i ka hana ʻana i nā ʻokiʻoki ma ka puʻuwai a me nā kīʻaha koko nui e hoʻopili ai.
Ke loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka pōkole o ka hanu, ʻo ka mea mua āu e ʻike ai he Kauka Puʻuwai. E hana ʻo ia i nā hoʻokolohua e like me ka ECG a me ka Echo e hoʻoholo ai i ke ʻano pololei o kou kūlana. A laila, inā ʻaʻole hiki ke hoʻomalu ʻia ke kūlana me ka lāʻau lapaʻau, a inā pono ke ʻoki ʻana, e kuhikuhi ʻo ia iā ʻoe i kahi Kauka Puʻuwai.
E nānā kākou i kēia papa e hoʻomaopopo iki aʻe i kēia ʻokoʻa.
| Kauka Puʻuwai | Kauka Lapaʻau Puʻuwai |
|---|---|
| ʻO ka hana nui, ʻo ia ke ʻike a mālama i nā maʻi puʻuwai me nā lāʻau lapaʻau. | ʻO ka hana nui, ʻo ia ka hana ʻana i ke ʻoki puʻuwai hāmama a me nā ʻoki paʻakikī ʻē aʻe ma ka puʻuwai a me nā kīʻaha koko nui. |
| Hana ʻia nā hoʻokolohua e like me ECG, Echo, a me Stress Test. | Ke hoʻomākaukau ʻana i nā maʻi no ke ʻoki ʻana a me ka hana ʻana i nā ʻoki ʻana. |
| Hana ʻia nā hana ʻoki liʻiliʻi, e like me ke kau ʻana i nā stents i loko o nā kīʻaha koko. | Hana ʻia nā ʻoki kino nui e like me ke ʻoki bypass, ka hoʻoponopono ʻana a i ʻole ke pani ʻana i ka valve puʻuwai. |
| Ka mālama lōʻihi ʻana i nā kūlana e like me ke koko kiʻekiʻe a me ka cholesterol. | Nānā ʻia ke kūlana o ka mea maʻi i ko lākou noho ʻana ma ka haukapila ma hope o ke ʻoki ʻana. |
E hoʻomanaʻo, ʻaʻole maʻamau ka ʻoki ʻana o ke kauka lapaʻau naʻau i nā maʻi puʻuwai. Hana ʻia kēlā e kāu kauka lapaʻau naʻau . E ʻike wale ʻoe i kahi kauka lapaʻau naʻau ma hope o ka hoʻoholo ʻana o ka kauka lapaʻau naʻau he pono ke ʻoki ʻana.
ʻEhia ka lōʻihi o ke aʻo ʻana e lilo i Kauka Lapaʻau?
He huakaʻi lōʻihi a hoʻolaʻa ʻia kēia. Ma hope o ke kēkelē kumu ʻehā makahiki ma ke kula lapaʻau, pono ʻoe e hoʻopau i kahi noho ʻelima a ʻehiku mau makahiki ma ke ʻano he kauka lapaʻau laulā. Ma hope o kēlā, pono ʻoe e hoʻopau i ʻelua a ʻehā mau makahiki o ke aʻo hou ʻana e loea i ke ʻoki puʻuwai . Ma hope wale nō o kēia aʻo lōʻihi e kūpono ai ke kanaka e hana ma ke ʻano he Kauka Lapaʻau Puʻuwai.
He aha nā kūlana olakino nui i mālama ʻia e ke Kauka Hana Puʻuwai?
Hoʻōla ke kauka lapaʻau puʻuwai i nā ʻano maʻi puʻuwai paʻakikī like ʻole ma o ke ʻoki ʻana. E nānā kākou i kekahi o lākou.
Ka Pale ʻana o ke Aʻa Coronary
He kūlana maʻamau loa kēia. Hoʻohaiki ʻia nā kīʻaha koko e hoʻolako ana i ke koko i ko kākou puʻuwai (nā ʻaʻa coronary) e ka hōʻiliʻili ʻana o ka cholesterol a me ka momona (plaque). Ke piʻi aʻe kēia ālai ʻana, emi iho ka nui o ke koko e hiki ana i ka puʻuwai, a hiki ke alakaʻi i ka hōʻeha puʻuwai .
I kekahi manawa hiki i kāu kauka ke ʻike i kēia mau mea e ālai ʻia ai ma mua o ka hiki ʻana mai o ka hōʻeha puʻuwai. Hiki iā ia ke kuhikuhi iā ʻoe i kahi kauka hana puʻuwai no kahi mea e like me ke ʻoki bypass.
Eia nō naʻe, ʻike wale kekahi poʻe i kēia maʻi ma hope o ka loaʻa ʻana o ka hāʻule puʻuwai. Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka ʻOihana Pilikia o ka haukapila (ETU).
| Nā hōʻailona hōʻike o ka hōʻeha puʻuwai | |
|---|---|
| - He ʻeha ʻūmiʻi a kaomi paha i waenakonu o ka umauma | - Paʻakikī ka hanu ʻana |
| - Puʻuwai puʻuwai kūpono ʻole | - Ka hou nui ʻana |
| - Pōʻino, poʻo māmā | - Ka luaʻi a me/a i ʻole ka ʻeha o ka umauma |
Maʻi Valve Puʻuwai
ʻO nā kiwikā ʻehā i loko o ko kākou puʻuwai e ʻae wale i ke koko e kahe i hoʻokahi ʻaoʻao. E like me ka puka. Akā, hiki i kēia mau kiwikā ke loaʻa nā kīnā like ʻole. He hānau ʻia kekahi. Hoʻomohala kekahi ma hope ma muli o nā maʻi a i ʻole nā kumu ʻē aʻe.
- Stenosis: ʻO kēia ka wā e mānoanoa a paʻakikī ai nā lau valve, e hoʻohaiki ana i ka valve. Hoʻopaʻa kēia i ke kahe koko .
- Prolapse a me Regurgitation: ʻO kēia ka manawa ʻaʻole e pani pono ka valve, e hoʻokahe ana i kekahi koko i hope. Ua kapa ʻia kēia he `(Regurgitation)`.
- ʻAtresia: He kīnā hānau kēia kahi i wehe ʻole ai ka valve, akā hana i kahi membrane hoʻomau.
I kēia mau kūlana, hiki i ke kauka hana puʻuwai ke hoʻoponopono i ka valve a pani paha me kahi mea hou.
ʻO ka Aortic Aneurysm (nāwaliwali o ka paia o ka aorta)
ʻO ka aorta ke kīʻaha koko nui e lawe i ke koko mai ka puʻuwai a i ke koena o ke kino. ʻO ka aneurysm aortic ka wā e nāwaliwali ai ka paia o ka aorta a puʻupuʻu e like me ka pōpō. Ua like ia me ka paia ʻaoʻao nāwaliwali ma luna o ka huila kaʻa. He mea weliweli loa kēia no ka mea hiki i ka puʻupuʻu ke pahū. Inā hana ʻia kēlā, e hoʻomaka ke koko e kahe i loko o ke kino. He kūlana kēia e pono ai ke ʻoki kino ulia pōpilikia.
Ka hāʻule ʻana o ka puʻuwai
ʻO kēia ka manawa e nāwaliwali ai ka ʻiʻo o ka puʻuwai a ʻaʻole hiki ke hoʻokahe i ke koko i ke kino. Hiki ke hana ʻia kēia kūlana e nā kumu he nui, e like me ke koko kiʻekiʻe a me nā aʻa i ālai ʻia. I kekahi mau hihia, hiki ke hoʻomalu ʻia me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau. Eia nō naʻe, i nā hihia koʻikoʻi, pono ke komo ʻana o ke kauka hana puʻuwai, a hiki i ka hoʻoili ʻana o ka puʻuwai.
ʻArrhythmia o ka puʻuwai
Hiki ke loaʻa kahi puʻuwai kū ʻole ma muli o kahi pilikia me nā impulses uila i loko o ka puʻuwai. ʻO ke ʻano kēia, hiki i ka helu o ka puʻuwai ke lohi loa, wikiwiki loa, a i ʻole kūlike ʻole. ʻAʻole pono mau kēia i ke ʻoki kino. Eia nō naʻe, i kekahi mau hihia koʻikoʻi, pono paha e hoʻokomo ʻia kahi mea hana e like me ka pacemaker a i ʻole kahi defibrillator implantable e hoʻomau i ka puʻuwai e kuʻi ana i kahi rhythm maʻamau. Hana ʻia kēia e ke kauka lapaʻau puʻuwai.
No ke aha ʻoe e ʻike ai i kahi Kauka Hana Puʻuwai?
ʻO ka maʻamau, ʻaʻole ʻoe e ʻike pololei i kahi Kauka Hana Puʻuwai. E kuhikuhi ʻia ʻoe i kekahi e kāu Kauka Hana Puʻuwai. E hana ʻia kēia kuhikuhi ma hope o ka ʻike ʻia ʻana o kou maʻi a ua hoʻoholo ʻia he mea pono ke ʻoki ʻana.
I ka ʻōlelo maʻalahi, ʻike wale ʻoe i kahi Kauka Hana Puʻuwai ke kū mai ka pono no ke ʻoki puʻuwai. ʻO nā hana hoʻokele olakino puʻuwai ʻē aʻe, e like me ke kuhikuhi ʻana i nā lāʻau lapaʻau, ka hana ʻana i nā hoʻokolohua, a me ka hāʻawi ʻana i nā ʻōlelo aʻoaʻo no ke ʻano o ka nohona, e mālama ʻia e kāu Kauka Hana Puʻuwai.
Leka Lawe-Home
- He kauka cardiologist ka mea nāna e nānā a mālama i nā maʻi puʻuwai me ka lāʻau lapaʻau. He kauka lapaʻau puʻuwai ka mea nāna e hana i ke ʻoki puʻuwai.
- ʻIke pinepine ʻoe i kahi kauka hana puʻuwai ma hope o ka kuhikuhi ʻia ʻana e ke kauka hana puʻuwai.
- Hana kekahi Kauka Cardiac i nā hana ʻokiʻoki paʻakikī e like me ke ʻoki bypass, ka hoʻoponopono ʻana i ka valve puʻuwai, a me nā hoʻoili puʻuwai.
- Inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai, e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana, he mea nui e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā he mau hopohopo kāu e pili ana i ke olakino o kou puʻuwai, e nīnau mua i kāu kauka ʻohana a i ʻole ke kauka cardiologist no ka ʻōlelo aʻo.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo