Hewa ka puʻuwai - nā ʻoki a me nā hāmeʻa

ʻO nā hana nui no ka hōʻino puʻuwai e hoʻololi nei i ka nohona a me ka lawe ʻana i kāu lāʻau. Eia nō naʻe, aia nā kaʻina hana a me nā ʻōkuhi e kōkua paha.

ʻO kahi mea hana puʻuwai puʻuwai kahi mea liʻiliʻi, hana uila e hoʻouna i kahi hōʻailona i kou puʻuwai. Hoʻopiʻi ka hōʻailona i kou puʻuwai i ka wikiwiki kūpono.

Hiki ke hoʻohana i nā pacemakers:

• E hoʻoponopono i nā puʻuwai puʻuwai abnormal. Pākuʻi paha ka puʻuwai me ka lohi, wikiwiki paha, a i ʻole kūlike ʻole.
• E hoʻohui maikaʻi aku i ka pā ʻana o ka puʻuwai i ka poʻe me ka puʻuwai puʻuwai. Kapa ʻia kēia mau mea he pacemakers biventricular.

Ke nāwaliwali kou puʻuwai, nui loa, a ʻaʻole maikaʻi ka pauma ʻana i ke koko, aia ʻoe i ka makaʻu nui no nā puʻuwai kūlohelohe e hiki ai i ka make o ka puʻuwai.

• ʻO kahi cardioverter-defibrillator implantable (ICD) kahi mea ʻike i nā mele puʻuwai. Hoʻouna wikiwiki ia i kahi haʻalulu uila i ka puʻuwai e hoʻololi i ka mele i ka maʻamau.
• Hiki i ka hapa nui o nā pacemaker biventricular ke hana ma ke ʻano he cardio-defibrillator implantable (ICD).

ʻO ke kumu maʻamau o ke kūpikipiki ʻole o ka maʻi o ke aʻa koko (CAD), kahi e hoʻopili ana i nā kīʻaha koko liʻiliʻi e hāʻawi i ke koko a me ka oxygen i ka puʻuwai. E lilo paha ʻo CAD i mea ʻoi aku ka paʻakikī a mālama i kāu ʻōuli.

Ma hope o ka hana ʻana i kekahi mau hoʻāʻo e manaʻo paha kāu mea mālama ola ʻo ka wehe ʻana i kahi kīʻaha koko a i ʻole ke ālai ʻia o ka moku e hoʻomaikaʻi ai i nā ʻōuli o kou puʻuwai Pili pū nā kaʻina hana i nā manaʻo:

• Hoʻonohonoho Angioplasty a me stent
• ʻOki kino bypass

ʻO ke kahe e kahe ana ma waena o nā keʻena o kou puʻuwai, a i ʻole i waho o kou puʻuwai i loko o ka aorta, pono e hele ma waena o ka puʻuwai puʻuwai. Wehe ʻia kēia mau vaʻa e ʻae i ke kahe o ke koko. Hoʻopili lākou a laila, mālama i ke kahe o ke koko i hope.

Ke holo pono ʻole kēia mau kiwikā (e hele a liʻikiʻi a liʻiliʻi loa paha), ʻaʻole holo pono ke koko ma o ka puʻuwai i ke kino. Hiki i kēia pilikia ke hōʻeha i ka puʻuwai a i ʻole ka hōʻino ʻana o ka puʻuwai.

Pono paha ka ʻoki ʻana o ka puʻuwai puʻuwai e hoʻoponopono a hoʻololi paha i kekahi o nā kiwikā.

Hana ʻia kekahi ʻano o ke kaha ʻana no ka maikaʻi ʻole o ka puʻuwai ke hana ʻole nā ​​lāʻau ʻē aʻe. Hoʻohana pinepine ʻia kēia mau kaʻina hana ke kali ana ke kanaka no ke kuʻi puʻuwai. Hoʻohana lōʻihi ʻia lākou i kekahi manawa inā ʻaʻole hoʻolālā ʻia a hiki ʻole paha ke transplant.

ʻO nā laʻana o kekahi o kēia mau hāmeʻa e pili ana i ka hāmeʻa kōkua ventricular hema (LVAD), nā hāmeʻe kōkua ventricular ʻākau (RVAD) a i ʻole nā ​​puʻuwai puʻuwai āpau. Manaʻo ʻia lākou no ka hoʻohana inā loaʻa ʻoe i kahi puʻuwai puʻuwai koʻikoʻi i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau a i ʻole kahi pacemaker kūikawā.

• ʻO nā hāmeʻa kōkua Ventricular (VAD) kōkua i kou puʻuwai e pīpī i ke koko mai nā keʻena pumping o kou puʻuwai i nā māmā a i ʻole ke koena o kou kino.
• Aia paha ʻoe ma ka papa inoa kali no kahi kuʻi naʻau. ʻO kekahi mau maʻi i loaʻa ka VAD he maʻi nui a aia paha ma kahi mīkini bypass puʻuwai puʻuwai.
• Ke hoʻomohala ʻia nei nā puʻuwai artipisyal, akā ʻaʻole i hoʻohana ākea ʻia.

Hoʻokomo ʻia nā hāmeʻa ma o ka catheter e like me nā pumps balloon intra-aortic (IABP) i kekahi manawa e hoʻohana ʻia.

• ʻO kahi IABP kahi baluna lahilahi i hoʻokomo ʻia i loko o ke aʻa (ʻo ka pinepine i ka wāwae) a hoʻopili ʻia i loko o ke aʻa nui e puka ana i ka puʻuwai (aorta).
• Hiki i kēia mau hāmeʻa ke kōkua i ka mālama ʻana i ka hana puʻuwai i ka wā pōkole. No ka hiki iā lākou ke hoʻokau koke, pono lākou no nā mea maʻi i loaʻa ka hāʻule nui a me ka nui o ka hana puʻuwai
• Hoʻohana ʻia lākou i ka poʻe e kali nei no ka hoʻōla a i ʻole no nā hāmeʻa kōkua holomua hou aku.

CHF - ʻoki kino; Hoka puʻuwai Congestive - ʻoki kino; Cardiomyopathy - ʻoki kino; HF - ʻoki kino; Nā pauma balloa Intra-aortic - holo pono ʻole o ka naʻau; IABP - puʻuwai puʻuwai; Mālama ʻo Catheter i nā hāmeʻa kōkua - puʻuwai puʻuwai

• Pāʻalāʻau

Aaronson KD, Pagani FD. Kākoʻo holo kaʻa mīkini. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 29.

Allen LA, Stevenson LW. Ka mālama ʻana i nā mea maʻi me ka maʻi maʻi ʻōpū i kokoke i ka hopena o ke ola. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 31.

Ewald GA, Milano CA, Rogers JG. Kōkua nā kaapuni i nā pono o ka puʻuwai. I: Felker GM, Mann DL, hoʻoponopono. Hewa Ka Puʻuwai: He Hoa i ka Maʻi Puʻuwai ʻo Braunwald. ʻEhā ed. Piladelapia, PA: Elsevier, 2020: chap 45.

ʻO Mann DL. Ka mālama ʻana i nā mea maʻi puʻuwai me ka hapa liʻiliʻi o ka eject. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 25.

ʻO Otto CM, Bonow RO. Hele i ka mea maʻi me nā maʻi puʻuwai valvular. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 67.

Rihal CS, Naidu SS, Givertz MM, et al; Ka Pūʻulu no ka Cardiovascular Angiography a me nā hana (SCAI); ʻAhahui Hewa ʻAmelika o ʻAmelika (HFSA); ʻO ka Society of Thoracic Surgeons (STS); ʻAhahui Puʻuwai ʻAmelika (AHA), a me ke Kulanui ʻAmelika o Cardiology (ACC). ʻO 2015 SCAI / ACC / HFSA / STS ʻōlelo aelike loea loea e pili ana i ka hoʻohana ʻana o nā mīkini lolo uila no ka mālama kino ʻana (i kākoʻo ʻia e ka American Heart Association, ka Cardiological Society of India, a me Sociedad Latino Americana de Cardiología Intervencionista; hōʻoia o ka waiwai e ka ʻAhahui Kanada o Cardiology Interventional-Association Canadienne de Cardiologie dʻintervention). ʻO J Am Coll Cardiol. 2015; 65 (19): e7-26. PMID: 25861963 www.ncbi.nlm.nih.gov/pubmed/25861963.

ʻO Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka puʻuwai puʻuwai: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Hoka Puʻuwai
• Nā Pacemakers a me nā Defibrillator Implantable