ʻO ke kīpoki puʻuwai puʻuwai - hoʻokuʻu

Hoʻohana ʻia ke kīpoki puʻuwai e hoʻoponopono a hoʻololi i nā kiwikā o ka maʻi maʻi. Ua hana ʻia kāu ʻoki kino ma o kahi ʻoki nui (ʻoki) ma waena o kou umauma, ma o kahi ʻoki liʻiliʻi ma waena o kou iwi ʻaoʻao a i ʻole ma o 2 a 4 mau ʻoki liʻiliʻi.

Ua hana ʻoki ʻoe e hoʻoponopono a hoʻololi paha i kekahi o kou mau puʻuwai puʻuwai. Ua hana ʻia kāu ʻoki kino ma o kahi ʻoki nui (ʻoki) i ka waena o kou umauma, ma o kahi ʻoki liʻiliʻi ma waena o 2 o kou mau iwi ʻaoʻao, a i ʻole ma o 2 a 4 mau ʻoki liʻiliʻi.

Noho ka hapa nui o ka poʻe i 3 a 7 mau lā i ka haukapila. Malia paha ʻoe i loko o ke keʻena mālama mālama i kekahi o nā manawa, i ka haukapila, ua hoʻomaka paha ʻoe i ke aʻo ʻana i nā hana e kōkua ai iā ʻoe e ola wikiwiki hou aku.

He 4 a 6 mau pule a ʻoi paha e hoʻōla loa ai ma hope o ke kaha ʻana. I kēia manawa, he mea maʻamau ia:

• E loaʻa i kahi ʻeha ma kou umauma a puni kou lū.
• Loaʻa ka makemake maikaʻi ʻole no 2 a 4 mau pule.
• Loaʻa i ka loli a me ke kaumaha.
• ʻIke i ka ʻono, nū, a me ka tingly a puni kāu mau ʻokiʻoki. He 6 mau mahina paha kēia a ʻoi paha.
• E paʻa i nā lāʻau ʻeha.
• Loaʻa ka pilikia liʻiliʻi me ka hoʻomanaʻo pōkole a huikau paha.
• Manaʻo luhi a loaʻa iki paha ka ikaika.
• E pilikia i ka hiamoe. E hiamoe maʻamau ʻoe i loko o kekahi mau mahina.
• Loaʻa ka liʻiliʻi o ka hanu.
• Loaʻa ka nāwaliwali i kou mau lima no ka mahina mua.

Eia nā ʻōlelo aʻoaʻo laulaha. Loaʻa paha iā ʻoe nā ʻaoʻao kikoʻī mai kāu kime ʻoki lāʻau. E mālama pono i nā ʻōlelo aʻoaʻo a kāu mea mālama ola e hāʻawi iā ʻoe.

E loaʻa i kahi kanaka hiki iā ia ke kōkua iā ʻoe e noho i kou home no ka liʻiliʻi ma mua o ka 1 a 2 mau pule.

E noho mau i ka wā o kou ola ʻana. E mālama pono me ka lohi a hoʻonui i kāu hana ma ka liʻiliʻi.

• Mai kū a noho paha ma ka wahi like no ka lōʻihi. E neenee iki.
• ʻO ka hele wāwae kahi hoʻoikaika maikaʻi no nā māmā a me ka puʻuwai. Lawe mālie i ka mua.
• E piʻi pono i ke alapiʻi no ka mea he pilikia paha ke kaulike. Paʻa i ka pale. E hoʻomaha iki i kahi alapiʻi inā pono ʻoe. E hoʻomaka me kekahi e hele pū ana me ʻoe.
• He maikaʻi ke hana i nā hana maʻa mau ma ka hale, e like me ka hoʻonohonoho ʻana i ka pākaukau a me nā lole pelu.
• Kāohi i kāu hana inā ʻoe e noʻonoʻo i ka pōkole o ka hanu, ʻeha, a i ʻole loaʻa ʻeha i kou umauma.
• MAI hana i kekahi hana a hoʻoikaika kino paha e huki ai i ʻeha a ʻeha paha ma kou umauma, (e like me ka hoʻohana ʻana i kahi mīkini hoe, e wili ana, a i ʻole e hāpai ana i nā kaupaona.)

Mai kalaiwa ma kahi o 4 a 6 mau pule ma hope o kou ʻoki ʻana. ʻO nā neʻe wili e pono ai e hoʻohuli i ka huila e huki paha i kāu ʻokiʻoki.

Kuhi ʻia e lawe i 6 a 8 mau pule mai ka hana. E noi i kāu mea hāʻawi ke hoʻi ʻoe i ka hana.

Mai huakaʻi no 2 a 4 mau pule paha. E noi i kāu mea hāʻawi ke hiki iā ʻoe ke huakaʻi hou.

E hoʻi mālie i ka moekolohe. Kamaʻilio hāmama me kāu hoa pili e pili ana.

• ʻO ka hapanui o ka manawa, maikaʻi ke hoʻomaka i ka moekolohe ma hope o 4 mau pule, a i ʻole hiki ke piʻi maʻalahi i 2 mau alapiʻi a i ʻole hele wāwae i kahi mile mile (800 mika).
• E hoʻomanaʻo i ka hopohopo, a me kekahi mau lāʻau, hiki ke hoʻololi i ka pane moekolohe no nā kāne a me nā wahine.
• ʻAʻole pono nā kāne e hoʻohana i nā lāʻau no impotence (Viagra, Cialis, a i ʻole Levitra) a hiki i ka wā e ʻōlelo ai ka mea hāʻawi ua maikaʻi.

No nā pule he 6 ma hope o kou ʻoki kino ʻana, pono ʻoe e akahele i ka hoʻohana ʻana i kou mau lima a me ke kino kiʻekiʻe ke neʻe ʻoe.

MAI:

• Hiki i hope.
• E ʻae i kekahi e huki i kou mau lima no nā kumu (e like me ke kōkua ʻana iā ʻoe e neʻe a hele i waho o kahi moe).
• E hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o 5 a 7 mau paona (2 a 3 kilokilo) ma kahi o 3 mau mahina.
• Hana i nā hana ʻē aʻe e mālama i kou mau lima ma luna o kou poʻohiwi.

E hana pono i kēia mau mea:

• Palaki ʻana i kou mau niho.
• Ke hele nei i waho o kahi moe a i kahi noho paha. E hoʻopaʻa i kou mau lima i kou mau ʻaoʻao ke hoʻohana ʻoe iā lākou e hana i kēia.
• Ke kūlou nei i mua e nakinaki i kou kāmaʻa.

Kāohi i kekahi hana inā ʻoe e huki i kāu ʻokiʻoki a i ʻole ka umauma. Kū koke inā ʻoe e lohe a lohe paha i kahi popping, neʻe, a i ʻole hoʻololi ʻana i kou umauma a kāhea i kāu keʻena kauka.

E hoʻohana i ke kopa maʻalahi a me ka wai e hoʻomaʻemaʻe i kahi e puni ana i kāu ʻoki.

• E holoi i kou mau lima me ke kopa a me ka wai.
• E ʻānai mālie i luna a i lalo i ka ʻili me kou mau lima a i ʻole ka lole palupalu loa.
• E hoʻohana i kahi holoi holoi wale nō ke pau nā ʻōpala a hoʻōla ka ʻili.

Hiki iā ʻoe ke lawe i nā ua nui, akā he 10 mau minuke wale nō ka manawa. E ʻike pono i ka wai mehana. Mai hoʻohana i nā kalima, nā aila, a i ʻole nā ​​holoi kino ʻala. E noi i nā lole (bandages) i ke ala i hōʻike ai kāu mea hāʻawi iā ʻoe.

MAI ʻauʻau, hoʻomoʻa i loko o ka pahu wai wela, a ʻauʻau paha a hiki i ka wā e pau pono ai kāu ʻoki. E mālama i ka maloʻo maloʻo.

E aʻo pehea e nānā ai i kāu pulse, a nānā iā ia i kēlā me kēia lā. Hana i nā hana hanu āu i aʻo ai i ka haukapila no 4 a 6 mau pule.

E hāhai i ka papaʻai olakino naʻau.

Inā kaumaha ʻoe, e kamaʻilio me kou ʻohana a me nā hoaaloha. E noi i kāu mea hāʻawi e pili ana i ke kōkua ʻana mai kahi kākāʻōlelo.

E hoʻomau i ka lawe ʻana i kāu mau lāʻau āpau no kou puʻuwai, diabetes, ke koko kiʻekiʻe, a i ʻole nā ​​ʻano kumu ʻē aʻe āu i loaʻa. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka kamaʻilio ʻole ʻole ʻana me kāu mea hāʻawi.

Oe e Pono e lawe i ka antibiotic ma mua o kekahi 'inikua kaʻina hana a i ka wā e hele aku ai i ka dentist. E haʻi i kāu poʻe lawelawe a pau (kauka niho, kauka, kahu hānai, kōkua kauka, a i ʻole nā ​​mea lawelawe kahu maʻi) e pili ana i ka pilikia o kou puʻuwai. Makemake paha ʻoe e komo i kahi kūpeʻe lima mekala a me ka lei.

Pono paha ʻoe e lawe i nā lāʻau e hōʻemi ana i ke koko e kōkua i ka mālama ʻana i kou koko mai ka hana ʻana i nā clots. E ʻōlelo paha kāu mea hāʻawi i kekahi o kēia mau lāʻau:

• ʻO Aspirin a i ʻole clopidogrel (Plavix) a i ʻole mea lahilahi koko, e like me ticagrelor (Brilinta), prasugrel (Effient), apixaban (Eliquis), dabigatran (Xeralto), a me rivaroxaban (Pradaxa), edoxaban (Savaysa).
• Warfarin (Coumadin). Inā ʻoe e lawe ana i ka warfarin, pono ʻoe i nā hoʻokolohua koko maʻamau. Hiki paha iā ʻoe ke hoʻohana i kahi hāmeʻa e nānā i kou koko ma ka home.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu e hele ʻole ke hoʻomaha ʻoe.
• He ʻeha kou a ma kahi o kou incision i hoʻomau ʻole e hoʻomaikaʻi i ka home.
• Kuhi ʻole kāu pulse, lohi loa (ʻoi aku ma mua o 60 kani i hoʻokahi minuke) a wikiwiki paha (ma kahi o 100 a 120 mau kani i ka minuke).
• Ua luhi a maule paha ʻoe, a ua luhi loa ʻoe.
• He ʻeha ʻehaʻeha loa kou ke hele ʻole aku.
• He ʻūhū kāu hele ʻole.
• He ʻulaʻula, pehu, a ʻeha paha kāu keiki bipi.
• Ke ʻeha nei ʻoe i ke koko a i ʻole ka melemele melemele a ʻōmaʻomaʻo paha.
• Loaʻa iā ʻoe nā pilikia e lawe i kekahi o nā lāʻau o kou puʻuwai.
• Piʻi kou kaumaha ma mua o 2 paona (1 kilokilo) i ka lā no 2 mau lā i ka lālani.
• Loli kou ʻeha. ʻUlaʻula a pehu paha, ua wehe aʻe ia, a i ʻole he kahe kahe mai iā ia mai.
• Loaʻa iā ʻoe ke anuanu a i ʻole he kuni ma luna o 101 ° F (38.3 ° C).

Inā ʻoe e lawe i nā mea lahilahi o ke koko, e kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ka hāʻule koʻikoʻi, a i ʻole kuʻi ʻoe i kou poʻo
• Pain, hōʻoluʻolu, a huʻi paha ma kahi ʻoki a wahi ʻeha paha
• Nui ʻeha ma kou ʻili
• Ka nui o ke kahe ʻana o ke kahe, e like me ka nosebleeds a i ʻole ke kahe koko
• Ka mimi ʻeleʻele a ʻeleʻele paha a i ʻole ka noho
• Headache, dizziness, a nāwaliwali paha
• ʻO kahi maʻi a fiva paha, a i ʻole kahi maʻi e hoʻomaka ana i ka luaʻi a i ʻole ka palahī
• Hāpai ʻoe a i ʻole e hoʻolālā ana ʻoe e hāpai

Hoʻololi hou kiwikā Aortic - hoʻokuʻu; Aortic valvuloplasty - hoʻokuʻu; Hoʻoponopono hou kiwikā Aortic - hoʻokuʻu; Hoʻololi - aorta valve - hoʻokuʻu; Hoʻoponopono - aorta valve - hoʻokuʻu; Annuloplasty apo - hoʻokuʻu; Hoʻololi a hoʻoponopono hou paha ka kiwikā aorta kūkaʻa - hoʻokuʻu; Balloon valvuloplasty - hoʻokuʻu; Mini-thoracotomy aortic valve - hoʻokuʻu; Hoʻololi a hoʻoponopono hou paha ʻo Mini-aortic - hoʻokuʻu; ʻOki kino Cardiac - hoʻokuʻu; Mini-sternotomy - hoʻokuʻu; Hoʻomaopopo hou ʻia ka balota aorta endoscopic robotically - hoʻokuʻu; Ka pani pani pani pani - hamama - hoʻokuʻu; Hoʻoponopono i ka nohona kiwikā - wehe - hoʻokuʻu; Hoʻoponopono i ka nohona kiwikā - pono mini-thoracotomy - hoʻokuʻu; Hoʻoponopono i ka nohona kiwikā - sternotomy ma luna - hoʻokuʻu; Hoʻomaopopo hou ʻia ke kōkua mika robot endoscopic-Robototic - hoʻokuʻu; Percutaneous mitral valvuloplasty - hoʻokuʻu

ʻO Carabello BA. Maʻi maʻi valvular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 75.

Nishimura RA, Otto CM, Bonow RO, et al. ʻO 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me nā maʻi puʻuwai valvular: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force ma nā Kumu Alakaʻi. ʻO J Am Coll Cardiol. 2014; 63 (22): 2438-2488. PMID: 24603192 www.ncbi.nlm.nih.gov/pubmed/24603192.

Rosengart TK, Anand J. Loaʻa nā maʻi puʻuwai: valvular. I: Townsend CM JR, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 60.

• ʻOki kino Aortic - invasive minimally
• ʻOki kino Aortic - wehe
• ʻO ke kiwikā ākea Bicuspid
• Endocarditis
• ʻOki kino puʻuwai
• Hoʻopiʻi ka pahu puka Mitral
• ʻOki kino mitral - invasive minimally
• ʻOki kino Mitral - wehe
• ʻO ka stenosis valve pulmonary
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Lawe iā warfarin (Coumadin, Jantoven) - he aha e nīnau aku ai i kāu kauka
• Lawe iā warfarin (Coumadin)

• ʻOki kino naʻau
• Nā maʻi valve naʻau