He aha ka mea e hana ʻia i kou mau kiwikā puʻuwai? E kamaʻilio kākou e pili ana i ka maʻi kiwikā puʻuwai!

Ke luhi nei ʻoe i kekahi manawa? A i ʻole he paʻakikī iā ʻoe ke hanu ʻoiai ke hele mālie nei? Malia paha ke manaʻo nei ʻoe i kahi ʻūlū ʻē a ʻeha paha i kou umauma? He mau hōʻailona paha kēia o kahi pilikia me nā valves e hana ana e like me nā puka liʻiliʻi i loko o kou puʻuwai. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi valve puʻuwai . Mai hopohopo, he mea nui loa ka makaʻala i kēia.

He aha ka maʻi valve o ka puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka maʻi valve puʻuwai kahi kūlana kahi e hana pono ʻole ai kekahi a ʻoi aku paha o nā valve i loko o kou puʻuwai. Ua like kēia mau valve me nā puka. Kōkua lākou i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. Ke paʻi ko kākou puʻuwai, wehe ʻia nā ʻāpana palupalu e like me ka flap (i kapa ʻia ʻo 'leaflets') i loko o kēia mau valve a hoʻokuʻu i ke koko e kahe i mua. A laila, i ka hapalua ʻelua o ka paʻi ʻana o ka puʻuwai, pani ʻia kēia mau leaflets a hoʻōki i ke koko mai ke kahe ʻana i hope.

E noʻonoʻo i ka mea e hana ʻia inā ʻaʻole hana pono kēia mau valves? Hiki ke hoʻopilikia ʻia ke kahe koko, a pono ka puʻuwai e hana ikaika. Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke lilo i mea koʻikoʻi a hoʻoweliweli i ke ola. Akā aia ka nūhou maikaʻi. I ka hapa nui o nā hihia, hiki i kāu kauka ke hoʻoponopono a hoʻololi paha i kēia mau valves me kahi kaʻina hana minimally invasive. A laila hiki iā ʻoe ke hoʻi i ka maʻamau.

He aha nā kiwikā ʻehā i loko o kou puʻuwai?

ʻEhā mau kiwikā nui i loko o ko kākou puʻuwai. ʻO lākou kēia:

• ʻO ka valve Mitral: Aia kēia ma waena o ka atrium hema a me ka ventricle hema.
• ʻO ka valve Tricuspid: Aia kēia ma waena o ka atrium ʻākau a me ka ventricle ʻākau.
• ʻO ka valve Aortic: Aia kēia ma waena o ka ventricle hema a me ka aorta.
• ʻO ka valve pulmonary: Aia kēia ma waena o ka ventricle ʻākau a me ke aʻa pulmonary.

He mea nui loa e hana pono kēia mau kiwikā a pau, i hiki ai i ke koko ke holo pono ma loko o ko kākou kino.

He aha nā ʻano maʻi o ka valve puʻuwai?

Aia kekahi mau ʻano nui o ka maʻi kīwila puʻuwai. I kekahi manawa hiki ke hoʻopilikia ʻia ma mua o hoʻokahi kīwila.

Stenosis

ʻO kēia ka manawa e mānoanoa a paʻakikī ai nā lau o ka valve, e hoʻohaiki ana i ka puka e wehe ai ka valve. E noʻonoʻo iā ia e like me ka paipu wai i paʻa, e paʻakikī ai ke kahe ʻana o ka wai. ʻAʻole paha he hopena nui ka hoʻohaiki liʻiliʻi. Eia naʻe, inā lilo ka valve i mea haiki loa (ʻo ia ke kumu i kapa ʻia ai ʻo 'stenotic'), ua pilikia ka hana a ka puʻuwai, a pono ia e hana ikaika e pamu i ke koko. Hiki i kēia ke hōʻemi i ka nui o ke koko e hiki aku i ke kino holoʻokoʻa.

Ka luaʻi ʻana a i ʻole ka liki ʻana o ka valve

Ua kapa ʻia kēia he "insufficient", a ua kapa kekahi poʻe he "leaky valve." ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole e pani pono nā lau valve. A laila e liki hou ke koko i loko. Ua like ia me ka wā e pani pono ʻole ai ka puka, e hoʻi hou mai ana ia ma ka ʻaoʻao pani. ʻO kēia ke kumu e pono ai ka puʻuwai e pamu ikaika me kēlā koko keu. Hiki iā ia ke hōʻemi i ka nui o ke koko e hele ana i ke koena o ke kino.

Prolapse

He ʻoiaʻiʻo loa kēia no ka valve mitral. ʻO kēia ka wā e lilo ai nā lau valve i palupalu loa, e hoʻoheheʻe ana iā lākou i loko o ka atrium hema i ka wā e paʻi ai ka puʻuwai. ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia, akā i kekahi poʻe, hiki iā ia ke hoʻoulu i ka regurgitation.

ʻAtresia

ʻO ka atresia Valvular kahi kūlana i hoʻokumu ʻole ʻia ai kahi valve puʻuwai a i ʻole ʻaʻole e wehe i ka wā hānau. ʻIke pinepine nā kauka i kēia i ka wā ʻōpiopio loa, i ka wā neonatal.

Pehea ka maʻamau o ka maʻi valve puʻuwai?

Ma ʻAmelika Hui Pū ʻIa, ma kahi o 2.5% o ka heluna kanaka, ʻo ia hoʻi he nui ka poʻe mākua, i loaʻa i kēia mau maʻi valve puʻuwai. Ua ʻōlelo ʻia ma kahi o 27,000 mau kānaka e make ana mai kēia i kēlā me kēia makahiki. ʻO ka mitral valve prolapse kekahi o nā maʻi maʻamau. Ke ʻike nui ʻia nei kēia maʻi ma Sri Lanka.

He aha nā hōʻailona mua o ka maʻi valve puʻuwai?

ʻAʻole hōʻike ka nui o ka poʻe me ka maʻi valve puʻuwai i kekahi mau hōʻailona i ka wā mua. Akā i ka wā e ʻoi aʻe ai ke ʻano i ka hala ʻana o ka manawa, hoʻomaka nā hōʻailona e ʻike ʻia i ka wā e pono ai ka puʻuwai e hana ikaika.

E nānā inā loaʻa iā ʻoe kekahi o kēia mau ʻano:

• Luhi: ʻO kēia paha ka hōʻailona mua āu e ʻike ai.
• Hoʻonui ʻia ka pōkole o ka hanu: ʻOi loa aku i ka wā e hana ai ʻoe i kekahi hana kino, e like me ka hele wāwae a piʻi paha i nā alapiʻi.
• Nā palpitations o ka puʻuwai: He kuʻi ʻana i ka umauma, he manaʻo e like me ka pau koke ʻana o ka puʻuwai a me ke kuʻi ʻana.
• Pehu (Edema): Pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole ka ʻōpū.
• Ka nāwaliwali a i ʻole ka poniuniu.
• Piʻi koke ke kaumaha.
• ʻEha umauma: ʻOi loa aku i ka wā e luhi ai ʻoe.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha nā kumu o ka maʻi valve puʻuwai?

Aia kekahi mau kumu like ʻole e hiki ke kōkua i ka maʻi valve puʻuwai. Eia kekahi o nā kumu nui:

• Fiva Rheumatic: He kūlana i hoʻokumu ʻia e ka ʻāʻī strep i mālama ʻole ʻia.
• Ka hōʻeha ʻana o ka puʻuwai ma muli o ka hāʻule puʻuwai .
• Ke koko kiʻekiʻe ( inā piʻi aʻe ke koko kiʻekiʻe).
• Nā pilikia hānau: No ka laʻana, ʻaʻole i ulu pono ka valve pulmonary a aortic paha.
• I ka hala ʻana o ka manawa, nāwaliwali ka ʻiʻo valve a lilo paha i mea hana ʻole ma muli o nā waihona calcium (calcification).
• ʻAneurysm aortic thoracic: He hoʻonui ʻia kēia o ka aorta. A laila hiki i nā lau valve aortic ke kīkoʻo a liki.
• Ka hāʻule ʻana o ka puʻuwai.
• Nā maʻi puʻuwai, no ka laʻana, ka endocarditis infective.
• Nā maʻi autoimmune e like me lupus .
• Nā kūlana genetic e like me ka Marfan syndrome .

He aha nā kumu pilikia?

Aia kekahi mau mea pilikia e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi valve puʻuwai. Eia kēia mau mea:

• Ka hoʻohana ʻana i nā huahana paka (puhipaka).
• Ka ʻai ʻana i nā meaʻai momona ʻole.
• Ka nele i ka hana kino.
• Loaʻa nā maʻi e like me ka maʻi diabetes mellitus a i ʻole ke koko kiʻekiʻe.
• Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau radiation no ka maʻi kanesa.
• Ke hoʻokomo ʻia nei kahi pacemaker a i ʻole defibrillator (ICD).
• ʻOiai he kāne (ʻoi aku ka nui o ka pilikia o nā kāne ma mua o nā wahine).
• Ka ʻelemakule ʻana.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama pono ʻia ka maʻi valve, hiki i nā pilikia e like me kēia ke ulu aʻe i ka hala ʻana o ka manawa:

• Ka hāʻule ʻana o ka puʻuwai.
• Nā ʻano like ʻole o ka puʻuwai (Arrhythmia).
• Nā ʻūpā koko.
• Ke koko kiʻekiʻe i loko o nā aʻa pulmonary (Pulmonary hypertension).
• Hahau.
• Make koke mai ka hāʻule puʻuwai (Cardiac arrest).

ʻO ia ke kumu he mea nui e ʻike koke i ke kauka inā loaʻa iā ʻoe nā hōʻailona a hoʻomaka i ka lāʻau lapaʻau e pono ai.

Pehea e ʻike ʻia ai ka maʻi valve puʻuwai?

Ke hele ʻoe e ʻike i ke kauka, hiki iā lākou ke ʻike i nā hōʻailona o ka maʻi valve puʻuwai i ka wā o ka hoʻokolokolo kino. Eia kekahi laʻana:

• Nānā lākou e ʻike inā he hōʻiliʻili ʻana o ka wai i loko o nā māmā.
• E nānā e ʻike inā ua hoʻonui ʻia ka puʻuwai.
• He leo ʻē ka murmur puʻuwai i lohe ʻia me ka stethoscope. Hiki iā ia ke hōʻike i ke kahe ʻana o ke koko ma o kahi valve i haiki a i ʻole e leaka ana.
• Pehu ke ʻano o nā kuʻekuʻe wāwae.

Eia kekahi, aia nā hoʻokolohua lapaʻau like ʻole e hiki ke hoʻohana ʻia e hoʻoholo ai inā he maʻi valve puʻuwai kou. Ma ka hana hou ʻana i kēia mau hoʻokolohua i ka hala ʻana o ka manawa, hiki i kāu kauka ke ʻike i ke ʻano o ka loli ʻana o kou kūlana a hoʻoholo i nā hoʻoholo e pili ana i ka lāʻau. No ka mea hiki i ka maʻi valve ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa, hāʻawi pinepine nā kauka iā ia i kahi kahua. Hoʻomaka ia me A a hoʻopau me D. ʻO D ke kahua koʻikoʻi loa.

He aha nā hoʻokolohua e hana ʻia nei?

Eia kekahi o nā hoʻokolohua nui i hoʻohana ʻia no ka ʻike ʻana i ka maʻi valve puʻuwai:

• Echocardiogram (Echocardiogram - ultrasound puʻuwai):ʻO kēia ke kau ʻana i kahi mea paʻa lima (he `wand`) ma luna o ka umauma a me ka hoʻohana ʻana i nā nalu kani e lawe i kahi kiʻi neʻe o ka puʻuwai. Ua like ia me kahi scan ultrasound o kahi pēpē.
• ʻO ka Transesophageal echocardiogram (TEE): He hoʻāʻo ultrasound nō hoʻi kēia o ka puʻuwai. Eia nō naʻe, pili kēia i ke kau ʻana i kahi mea liʻiliʻi e like me ke kāmela (he `probe me ka transducer`) i lalo o kou esophagus a nānā iā ia mai kahi kokoke loa i kou puʻuwai.
• Echocardiogram hoʻoikaika kino: Ma kēia hoʻokolohua, ua noi ʻia ʻoe e hele ma luna o ka treadmill a holo paha i kahi paikikala, a laila e nānā ʻia kāu mau valves a me ka puʻuwai no ka hana.
• X-ray umauma: He hoʻāʻo X-ray umauma wikiwiki kēia.
• Catheterization Cardiac (angiogram): Pili kēia i ka lawe ʻana i nā kiʻi X-ray o nā aʻa coronary o ka puʻuwai, nā keʻena puʻuwai, a me nā valves.
• Electrocardiogram (EKG a i ʻole ECG): Hoʻopili ʻia nā ʻāpana electrode liʻiliʻi i ka ʻili a hoʻopaʻa i ka hana uila o ka puʻuwai.
• ʻO ke kiʻi hoʻohālikelike Magnetic (MRI): ʻO ka hui pū ʻana o nā nalu lekiō a me kahi magnet e hana i nā kiʻi maopopo loa o ka puʻuwai.

Pehea e mālama ʻia ai nā maʻi valve puʻuwai?

ʻO ka lāʻau lapaʻau no ka maʻi valve puʻuwai e pili ana i ke kumu o ka maʻi a me kekahi mau kumu ʻē aʻe. ʻO nā mea nui e hana ʻia:

• Ke pale nei i kāu valve mai ka hōʻino hou aʻe.
• Ke hāʻawi nei i nā lāʻau lapaʻau.
• Inā pono, e hana i ke ʻoki kino a i ʻole nā ​​​​kaʻina hana ʻē aʻe ʻaʻole invasive.
• E ʻike pinepine i kāu cardiologist no ka ʻōlelo aʻo.

ʻOiai ʻaʻole hiki ke hoʻopau loa ʻia ka pōʻino i ka valve puʻuwai, hiki ke mālama ʻia ka pilikia. Inā paha e mālama ʻia me ka lāʻau lapaʻau, ka hoʻoponopono ʻoki kino, a i ʻole kahi valve hou, ua hoʻoholo ʻia ma muli o kekahi mau kumu. Eia kēia mau mea:

• ʻAno maʻi valve.
• Ka nui o ka pōʻino.
• kou mau makahiki.
• ʻO kāu mau maʻi ʻē aʻe a me ka mōʻaukala olakino.

Inā hāpai ʻoe a loaʻa iā ʻoe ka maʻi valve puʻuwai, pono paha ʻoe e hoʻomaha hou a/a i ʻole e lawe i kekahi mau lāʻau lapaʻau e palekana no kāu pēpē. Inā ʻike ʻoe e pili ana i kou maʻi valve ma mua o kou hāpai ʻana, he manaʻo maikaʻi e kamaʻilio me kāu kauka ma mua o ka hoʻāʻo ʻana e hāpai, e hoʻāʻo ʻia inā pono, a ʻike i kahi cardiologist. Ma kēlā ala, hiki iā ʻoe ke loaʻa ka lāʻau kūpono ma mua a i ka wā hāpai. Inā loaʻa iā ʻoe kahi pilikia valve koʻikoʻi, hiki i kāu kauka ke ʻōlelo aku e hoʻoponopono a hoʻololi paha i kāu valve ma mua o kou hāpai ʻana.

Nā lāʻau lapaʻau

ʻAʻole hiki i nā lāʻau lapaʻau ke ho'ōla loa i ka maʻi valve puʻuwai. Eia nō naʻe, hiki i nā lāʻau lapaʻau a me ke ʻano olakino ke kōkua i ka kaohi ʻana i nā hōʻailona a hōʻemi i ka pilikia o ka hahau ʻana a i ʻole ka hopu ʻana o ka puʻuwai. Hiki ke hoʻōki ʻia kekahi mau lāʻau lapaʻau ma hope o ke ʻoki valve, akā pono e lawe ʻia kekahi mau lāʻau lapaʻau no ke ola.

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau no nā mea e like me:

• E pale i nā ʻano hewa o ka puʻuwai (arrhythmias) a i ʻole nā ​​​​​​ʻaʻa koko.
• E hoʻohaʻahaʻa i kou koko koko a i ʻole nā ​​​​pae cholesterol.
• E mālama i ka hāʻule ʻana o ka puʻuwai a i ʻole ka maʻi coronary artery.

Hoʻoponopono a hoʻololi paha i ke ʻoki kino

ʻO ka maʻi valve puʻuwai kahi pilikia me ka wehe ʻana a i ʻole ka pani ʻana o nā ʻāpana valve, a pono paha ʻoe i ke ʻoki ʻana e hoʻoponopono a hoʻololi paha i kāu valve. Pono kekahi mau pēpē me nā pilikia valve hānau ʻia i ke ʻoki ʻana i ka wā ʻōpiopio.

ʻO ka maʻamau, ʻike ke kauka lapaʻau a me ke kauka puʻuwai i ka lāʻau lapaʻau maikaʻi loa ma mua o ka lā o ke ʻoki ʻana. Akā i kekahi manawa, hoʻoholo ke kauka lapaʻau i ka wā o ke ʻoki ʻana, ma hope o ka ʻike maoli ʻana i ka valve.

I ka manawa pinepine, hana nā kauka i ke ʻoki valve me nā ʻoki ʻē aʻe (no ka laʻana, ke ʻoki bypass a i ʻole ke ʻoki no ka atrial fibrillation) e mālama piha i ka maʻi puʻuwai.

ʻO ka hoʻoponopono ʻana i ka valve puʻuwai e hiki ai i kāu kauka lapaʻau ke hoʻoponopono i kāu valve hewa, pinepine me ka hoʻohana ʻole ʻana i nā ʻāpana hana. I kekahi mau hihia, no ka laʻana, inā ua haiki kāu valve mitral, hiki i kāu kauka ke hoʻohana i kahi balloon ma kahi catheter e hoʻonui i ka valve ( valvuloplasty ). A i ʻole e hana paha lākou i kahi mea i kapa ʻia he annuloplasty e hoʻoponopono a hoʻoikaika paha i ke apo a puni ka valve i hiki ai i ka valve ke pani pono.

Nā pono o ka hoʻoponopono ʻana i ka valve:

• Haʻahaʻa ka pilikia o ka maʻi.
• Ua emi ka pono e lawe i ka lāʻau hoʻokahe koko no ke ola a pau.
• Mālama ʻia ka ikaika a me ka hana o ka ʻiʻo puʻuwai.

Inā ʻaʻole hiki ke hoʻoponopono ʻia ka valve, pono nā kauka ʻokiʻoki e pani iā ​​ia. ʻO ke pani ʻana i kou valve puʻuwai ʻo ia hoʻi ka wehe ʻana i kāu valve kahiko a me ka humuhumu ʻana i kahi mea hou ma kahi o ka valve kahiko. Hiki i ka valve hou ke mechanical a biological paha (i hana ʻia mai ke kanaka, ka bipi wahine, a i ʻole ka puaʻa). Inā ʻaʻole hiki ke hoʻoponopono ʻia, hiki i kēia mau valve hou ke hana i ka hana. Eia nō naʻe, ma muli o ke ʻano o ka valve āu, pono paha ʻoe e lawe i nā lāʻau lapaʻau e pale aku i nā ʻōpū koko a i ʻole e hoʻokomo ʻia kahi valve hou i kēlā me kēia 10 a 15 mau makahiki.

Ma muli o ke ʻano o ka pilikia valve a me kou mau kūlana olakino ʻē aʻe, hiki paha iā ʻoe keHiki paha ke hana i kahi hoʻoponopono a hoʻololi paha i ka valve minimally invasive.

Nā pilikia o ka mālama ʻana

ʻOi aku ka nui o ka pilikia o ka poʻe ʻelemakule a me ka poʻe me nā maʻi olakino i nā pilikia mai ke ʻoki pani valve.

ʻO kēia mau pilikia, ʻoiai ʻaʻole pinepine e make, ʻaʻole ia he mea make. ʻO lākou kēia:

• Nā maʻi.
• ʻO ka fibrillation atrial a i ʻole kekahi ʻano mele puʻuwai ʻē aʻe.
• Ke kahe ʻana o ke koko.
• Ke kāpili ʻana o ke koko.
• Ka hāʻule ʻana o nā puʻupaʻa.
• Hahau a i ʻole ka hoʻouka ischemic kuikilana (TIA).

Pehea ka lōʻihi e ho'ōla ai mai ke ʻoki ʻana i ka valve o ka puʻuwai?

Ma hope o ke ʻoki ʻana i ka valve o ka puʻuwai, pono ʻoe e noho ma ka haukapila no kahi o ʻelima a ʻehiku mau lā. Ma hope o kēlā, hiki ke hala ma kahi o ʻehā a ʻewalu pule e hoʻōla piha ai. Hiki i kāu kauka ke kuhikuhi iā ʻoe i ka cardiac rehab , kahi papahana i nānā pono ʻia e kōkua iā ʻoe e hoʻōla.

Pehea e hōʻemi ai i ka pilikia o ka maʻi valve puʻuwai?

ʻOiai ʻaʻole hiki ke hoʻololi ʻia kekahi mau mea pilikia, e like me ka ʻelemakule, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi valve puʻuwai. ʻO kēia mau mea:

• E mālama koke i nā maʻi.
• Ke hana kino ʻana.
• Ka ʻai ʻana i nā meaʻai olakino no ka puʻuwai.
• Ka mālama ʻana i ke kaumaha olakino nou.
• Inā he koko kiʻekiʻe kou a/a i ʻole ka cholesterol kiʻekiʻe, e hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau i kuhikuhi ʻia.
• ʻAʻole hoʻohana i nā huahana paka.
• Ke pale ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau leʻaleʻa, ʻoiai nā lāʻau lapaʻau intravenous ('IV drugs'), e hoʻonui ai i ka pilikia o ka maʻi valve puʻuwai.

Pehea e hiki ai iā ʻoe ke pale i kāu valve mai ka hōʻino hou aʻe?

Inā loaʻa iā ʻoe ka maʻi valve puʻuwai, e nīnau i kāu kauka e pili ana i kou pilikia nui o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo infective endocarditis . Hiki i kēia maʻi ke hōʻino a luku paha i kāu mau valve puʻuwai, a hiki ke make. Aia kēia pilikia ʻoiai inā ua hana ʻia ʻoe i ke ʻoki ʻana e hoʻoponopono a pani paha i kāu valve. Eia kekahi mau mea hiki iā ʻoe ke hana e pale aku i ka infective endocarditis:

• E haʻi i kāu mau kauka a me nā niho he maʻi valve kou.
• E kāhea i kāu kauka inā loaʻa iā ʻoe nā hōʻailona o ka maʻi.
• E mālama pono i kou mau niho a me kou mau ʻāʻī.
• E nīnau i kāu kauka cardiologist inā pono ʻoe e lawe i nā lāʻau antibiotic ma mua o kekahi mālama niho, ʻoki kino nui a liʻiliʻi paha, a i ʻole nā ​​​​hoʻokolohua invasive.

He aha kāu e manaʻo ai i ka wā e noho ana me ka maʻi valve puʻuwai?

Inā loaʻa iā ʻoe ka maʻi valve puʻuwai, e mau nō ia me ʻoe no ke koena o kou ola. Akā, ʻo ke ʻano o kou ʻike ʻana i ka maʻi, pili ia i ka valve i hoʻopilikia ʻia a me ke koʻikoʻi o ka pilikia.

Loaʻa paha i kekahi poʻe ka maʻi valve akā ʻaʻole loaʻa nā hōʻailona. Loaʻa paha i kekahi poʻe he nui nā hōʻailona a pono paha e hoʻoponopono ʻia a hoʻololi ʻia paha kā lākou valve. ʻOiai inā hoʻoponopono a hoʻololi paha kāu kauka i kāu valve, pono paha ʻoe e hoʻomau i ka lawe ʻana i nā lāʻau lapaʻau a hiki paha ke hoʻokomo hou ʻia kahi valve hou i loko o 10 a 15 mau makahiki.

ʻO ka mea nui loa, ʻo ia ke ʻike pinepine ʻana i ke kauka e nānā i ka holomua o kāu maʻi valve i ka hala ʻana o ka manawa.

Pehea wau e mālama ai iaʻu iho?

E hoʻomau i ka lawe ʻana i nā lāʻau lapaʻau a pau i kuhikuhi ʻia e kāu kauka. A e hele i nā manawa hoʻopaʻa a pau. He mea nui loa hoʻi ka mālama ʻana i kahi nohona olakino.

Āhea wau e ʻike ai i ke kauka?

Pono ʻoe e ʻike pinepine i kāu kauka puʻuwai e hōʻoia i ka hana pono ʻana o kāu mau valves puʻuwai. E nīnau i kāu kauka i ka pinepine o kāu hana ʻana i kēia mau manawa. Pono paha ʻoe e hana hou i nā hoʻokolohua, e like me ka echocardiogram.

Inā e ʻoi aku ka ʻino o kāu mau hōʻailona a i ʻole e kū pinepine mai, e ʻike mua i kāu kauka. Pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe ka infective endocarditis.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana o ka valve puʻuwai, pono ʻoe e kāhea i 911 a i ʻole kāu helu pilikia kūloko:

• Syncope - nalowale o ka ʻike.
• Kuni a i ʻole ke anu.
• ʻŌpū ʻeha a i ʻole ka maʻi pākī.
• ʻEha ka umauma.
• ʻOi aku ka nui o ka puʻuwai ma mua o 150 mau kuʻi i kēlā me kēia minuke.
• ʻO ke poʻo ʻeha nui, nāwaliwali, a i ʻole ka mae ʻole o ka lima a i ʻole ka wāwae me ka ʻole o ka hōʻike ʻana.
• Ka paʻakikī o ka hanu ʻana ʻaʻole e emi iho ʻoiai me ka hoʻomaha ʻana.
• Ke ʻū ʻana i ke koko (ʻulaʻula māmā).
• Nā ʻōpala ʻeleʻele ʻeleʻele a i ʻole ke koko ʻulaʻula ʻālohilohi me nā ʻōpala.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• E kōkua mai anei nā loli o koʻu nohona iaʻu?
• He aha nā hana kino e palekana iaʻu e hana?
• I ka manawa hea e hiki ai iaʻu ke hoʻoikaika kino ma hope o ke ʻoki kino?

ʻO ka hope loa, e hoʻomanaʻo

He mea hōʻoluʻolu paha ka ʻike ʻana ʻaʻole wale kou luhi a me ka pōkole o ka hanu he ʻāpana maʻamau o ka ʻelemakule, akā he pilikia paha ia me kou valve puʻuwai. ʻO ka nūhou maikaʻi e pili ana i nā pilikia valve puʻuwai, hiki ke mālama ʻia me ka lāʻau lapaʻau a/a i ʻole ke ʻoki kino. E kamaʻilio kāu kauka me ʻoe e pili ana i nā koho maikaʻi loa nāu. Me ka nānā ʻole i ka lāʻau lapaʻau a kāu kauka e ʻōlelo ai, hiki iā ʻoe ke kōkua iā ʻoe iho ma ka noho kino ʻana, ka ʻai ʻana i ka meaʻai olakino no ka puʻuwai, a me ka pale ʻana i nā huahana paka. E hōʻoia e lawe i kāu mau lāʻau lapaʻau āpau i kuhikuhi ʻia a mālama i kāu mau manawa a pau. ʻAʻole ʻoe hoʻokahi, a aia nā kauka a me nā mea aloha e hiki ke kōkua iā ʻoe ma kēia huakaʻi.

`Maʻi kīwila puʻuwai, nā kīwila puʻuwai, nā hōʻailona maʻi puʻuwai, ʻoki puʻuwai, olakino puʻuwai, hoʻoponopono kīwila, hoʻololi kīwila