Ua ʻike kākou a pau i ke koʻikoʻi o nā ʻōpū e like me ka puʻuwai, nā māmā, a me nā kīʻaha koko nui i loko o ko kākou kino i ko kākou ola, ʻeā? No laila, inā he maʻi i loko o kēia mau ʻōpū koʻikoʻi loa, ʻoiai ke kūlana e pono ai ke ʻoki kino, aia nā kauka i loaʻa ka ʻike kūikawā a me ke aʻo ʻana no ia mea. ʻO ia ka hui o nā kauka loea a mākou e kamaʻilio ai ma kēia ʻatikala i kēia lā. Ua lohe paha ʻoe i kēia inoa ma mua, ʻo ia hoʻi ka "Thoracic Surgeon" a i ʻole 'Thoracic Surgeon'.
I ka ʻōlelo maʻalahi, ʻo wai ke kauka ʻoki umauma?
ʻO ke kauka ʻoki thoracic he kauka loea i ke ʻoki ʻana i nā ʻōpū a me nā ʻiʻo i loko o ko kākou umauma, a i ʻole ka lua thoracic . ʻO ka huaʻōlelo Pelekania "thoracic" ʻo ia hoʻi "e pili ana i ka umauma a i ʻole ka lua thoracic."
Ua lohe paha ʻoe i kahi "Cardiothoracic Surgeon." ʻO "Cardio" ke ʻano e pili ana i ka puʻuwai. No laila, loea kekahi mau kauka i ke ʻoki puʻuwai. Akā ma ke ʻano laulā, ʻo ke kauka ʻoki thoracic kekahi mea nāna e mālama i nā kūlana e pili ana i nā ʻōpū a me nā ʻiʻo:
- Puʻuwai: Nā pilikia e pili ana i nā kiwikā o ka puʻuwai, nā aʻa coronary, a me ka myocardium.
- Pericardium: ʻO ka membrane lahilahi e uhi ana i ka puʻuwai.
- Nā Māmā: Ka maʻi ʻaʻai a me nā maʻi ʻē aʻe e kū mai ana i loko o nā māmā.
- Pleura: ʻO nā membrane e uhi ana i nā māmā.
- Trachea: ʻO ko mākou ala ea nui.
- ʻEsophagus: ʻO ka ʻōmole e lawe ai i ka meaʻai mai ka puʻu a i ka ʻōpū.
- Mediastinum: ʻO ka hakahaka ma waena o nā māmā, kahi i loaʻa ai ka puʻuwai.
- ʻO ka paia o ka umauma a me ka diaphragm: ʻO nā iwi, nā ʻiʻo, a me ka diaphragm e hana ana i ka umauma a kōkua i ka hanu ʻana.
ʻAʻole wale kēia mau kauka e hana i ke ʻoki kino, akā na lākou nō hoʻi ke kuleana no ka nānā ʻana i ke kūlana o ka mea maʻi ma mua o ke ʻoki kino, ka hoʻolālā ʻana i ka lāʻau lapaʻau e pono ai, a me ka nānā ʻana i ka hoʻōla ʻana o ka mea maʻi ma hope o ke ʻoki kino.
He aha nā maʻi nui a nā kauka ʻokiʻoki thoracic e mālama ai?
He ākea loa ka laulā o nā maʻi a lākou e mālama ai. E nānā kākou i kekahi o lākou. E kōkua ka papa ma lalo nei iā ʻoe e hoʻomaopopo pono i kēia mau kūlana.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā maʻi puʻuwai | ʻO ka maʻi o ke aʻa coronary , nā pilikia o ka valve puʻuwai, a me nā hoʻoili puʻuwai . |
| Ka maʻi ʻaʻai māmā | Ka wehe ʻana i nā puʻupuʻu kanesa a me nā ʻōpū ʻaʻole kanesa (benign) i loko o nā māmā. |
| Nā maʻi ʻōpū | ʻO ke kanesa ʻōpū a me nā pilikia i hoʻokumu ʻia e ka waikawa o ka ʻōpū e kahe ana i luna o ka esophagus (Gastroesophageal Reflux Disease - GERD) . |
| ʻEmphysema | He kūlana kahi i hōʻino ʻia ai nā māmā a paʻakikī ka hanu ʻana ma muli o nā kumu e like me ka puhipaka. I kekahi mau hihia , hana ʻia nā hoʻoili māmā . |
| Ke kūkulu hou ʻana i ka paia o ka umauma | ʻO ke kūkulu hou ʻana i nā pōʻino o ka paia o ka umauma i hana ʻia e nā ulia a i ʻole nā kumu ʻē aʻe. |
He aha nā hōʻailona e pono ai ʻoe e ʻike i ke kauka lapaʻau thoracic?
ʻO ka maʻamau, inā nānā kāu kauka mālama mua iā ʻoe a hoʻoholo e pono ana ke ʻoki umauma i kou maʻi, e kuhikuhi ʻo ia iā ʻoe i kahi kauka ʻoki thoracic. Eia nō naʻe, he mea nui e makaʻala i nā hōʻailona ma lalo nei.
- ʻEha umauma: ʻEha e hoʻomaka ana ma waenakonu o ka umauma a pālahalaha aku i nā lima, nā poʻohiwi, ka ʻāʻī, a me ka ʻāʻī.
- Pōniuniu a me ka mae ʻana.
- Manaʻo o ka puʻuwai puʻuwai ʻē aʻe (Heart Palpitations).
- Pōkole o ka hanu.
- ʻO ka gastritis koʻikoʻi: He ʻano koʻikoʻi o ka gastritis ʻaʻole i hoʻomaikaʻi me ka lāʻau lapaʻau a hiki ke hōʻino i ka esophagus.
- Kuke:ʻOi aku hoʻi ka ʻū mau i loko o kekahi i ʻike ʻia he maʻi ʻaʻai māmā.
He mea nui loa: ʻO ka ʻeha nui koke o ka umauma, ka poniuniu, a me ka paʻakikī o ka hanu ʻana he mau hōʻailona ia o ka hōʻeha puʻuwai. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka Halemai Pilikia (ETU) kokoke loa a i ʻole e lawe i ka mea maʻi i ka haukapila kokoke loa.
He aha kāu e manaʻo ai ke ʻike ʻoe i ke kauka lapaʻau?
ʻAe, no laila e ʻōlelo kākou ua kuhikuhi kāu kauka iā ʻoe i kahi loea e like me kēia. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo e pili ana i ka mea e hiki mai ana ke hele ʻoe i laila. Akā inā ʻike ʻoe i kēia mau mea, hiki iā ʻoe ke hōʻemi i kēlā makaʻu.
ʻO kēia nā mea e hana pinepine ʻia i ka wā kūkākūkā mua.
- Ke nānā hou ʻana i kāu mau moʻolelo lapaʻau a me ka mōʻaukala lapaʻau: E nānā ke kauka i nā lāʻau lapaʻau āpau āu i lawe ai a e hoʻāʻo i nā hopena āu i loaʻa ai.
- Ke hana ʻana i kahi hoʻokolokolo kino: Ke hana ʻana i nā mea e like me ka nānā ʻana i kou koko a me ka hoʻolohe ʻana i kou puʻuwai a me kou mau māmā.
- Kuhikuhi no nā hoʻokolohua hou aʻe inā pono: Hiki ke kuhikuhi ʻia ʻoe no nā hoʻokolohua e like me ka X-ray umauma, kahi EKG (electrocardiogram) , a i ʻole kahi echocardiogram (kahi hoʻopaʻa wikiō o ka hana o ka puʻuwai) .
- Ke kūkākūkā ʻana i nā koho lapaʻau: E wehewehe mākou iā ʻoe i ka lāʻau lapaʻau kūpono loa no kou kūlana, pehea e hana ʻia ai ke ʻoki kino inā pono, a me nā pono a me nā pilikia.
- Ke wehewehe nei i nā koho ʻē aʻe: Inā he mau koho lapaʻau ʻē aʻe ma waho aʻe o ke ʻoki ʻana, e haʻi ʻia aku iā ʻoe e pili ana iā lākou.
- Nā kuhikuhi hoʻomākaukau: E hāʻawi ʻia ʻoe i nā kuhikuhi e hahai ai ma mua o ke ʻoki ʻana, i kou wā e noho ai i ka haukapila, a i kou wā e hoʻōla ai ma hope.
E hoʻomanaʻo, he mea maʻamau ka makaʻu i ka manaʻo o ke ʻoki kino. Akā, ua aʻo ʻia kēia mau kauka no ia mea. Ua kūpaʻa lākou i ka hāʻawi ʻana iā ʻoe a me kou ʻohana i ke alakaʻi a me ke kākoʻo āu e pono ai ma ke kaʻina holoʻokoʻa. No laila, mai kānalua e kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
Leka Lawe-Home
- He loea ke kauka ʻoki thoracic nāna e hana i nā ʻokiʻoki ma nā ʻōpū koʻikoʻi i loko o ko kākou umauma, e like me ka puʻuwai, nā māmā, a me ka esophagus.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ke kuni mau. E ʻike koke i kāu kauka no ka ʻōlelo aʻo.
- ʻO ka ʻeha koke a koʻikoʻi o ka umauma hiki ke lilo i hōʻailona o ka hāʻule puʻuwai. I ia hihia, ʻo ka hoʻouna koke ʻana i ka Emergency Department (ETU) o ka haukapila hiki ke hoʻōla i ke ola.
- Inā ua kuhikuhi ʻia ʻoe no ke ʻoki kino, mai makaʻu e kamaʻilio ākea me kāu kauka ʻoki kino. E hāʻawi lākou iā ʻoe i ka ʻike āpau āu e pono ai a hoʻomākaukau maikaʻi iā ʻoe no ia mea.
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