Hoʻohui Aortic

Anter

• He aha ka coarctation aorta?
• He aha nā hōʻailona o ka coarctation aortic?
• Nā ʻōuli ma nā pēpē hou
• Nā ʻōuli ma nā keiki makua a me nā mākua
• He aha ke kumu o ke kūkaʻa ʻaʻano?
• Pehea e ʻike ʻia ai ka pili ʻana o ke aortic?
• He aha nā koho lapaʻau no ka coarctation aortic?
• He aha ka manaʻo lōʻihi?

He aha ka coarctation aorta?

ʻO Coarctation o ka aorta (CoA) kahi hōʻino kūlohelohe o ka aorta.Hoʻomaopopo ʻia ke ʻano he coarctation ʻaʻano. Hōʻike kekahi inoa i kahi constriction o ka aorta.

ʻO ke aorta ka aʻa nui loa i kou kino. He anawaena kona e pili ana i ka nui o ke kaukini loloa. Haʻalele ka aorta i ka ventricle hema o ka puʻuwai a holo ma waena o kou kino, ma o ka umauma a i loko o ka wahi o ka ʻōpū. A laila lālā i waho e hāʻawi i ke koko i oxygen i kou mau lālā haʻahaʻa. ʻO kahi constrict a i ʻole kāiki ʻana i kēia aʻa koʻikoʻi hiki ke hopena i kahi kahe o ke kahe o ka oxygen.

ʻO ka ʻāpana paʻa o ka aorta kahi kokoke i ka piko o ka puʻuwai, kahi e puka ai ka aorta i ka puʻuwai. Hana ia e like me ke kink i ka paipa hose. Ke hoʻāʻo nei kou puʻuwai e pīpī i ke koko momona o ka oxygen i ke kino, pilikia ka koko ma o ka kink. ʻO kēia ke kumu o ke kiʻekiʻe o ke koko i nā ʻaoʻao kiʻekiʻe o kou kino a hoʻoliʻiliʻi i ke kahe o ke koko i nā ʻaoʻao haʻahaʻa o kou kino.

E hōʻoia ka kauka a mālama pono iā CoA ma hope koke o ka hānau ʻana. Ke ulu nei nā keiki me CoA e alakaʻi i ke ola maʻamau. Eia nō naʻe, makaʻu kāu keiki i ke kahe koko kiʻekiʻe a me nā pilikia o ka puʻuwai inā ʻaʻole mālama ʻia kā lākou CoA a ʻelemakule lākou. Pono paha lākou e nānā pono i ka lāʻau.

ʻO nā hihia i mālama ʻole ʻia o CoA he mea make pinepine ia, me nā poʻe i ko lākou 30 a 40 mau makahiki e make ana mai nā maʻi puʻuwai a i ʻole nā ​​pilikia o ke kahe koko kiʻekiʻe.

He aha nā hōʻailona o ka coarctation aortic?

Nā ʻōuli ma nā pēpē hou

Hoʻololi nā ʻōuli i nā pēpē hou me ke koʻikoʻi o ka constrict o ka aorta. Wahi a KidsHealth, ʻo ka hapanui o nā keiki hānau me CoA ʻaʻole hōʻike i kahi hōʻailona. Pilikia paha ke koena i ka hanu ʻana a me ka hānai ʻana. ʻO ka hou ka sweating, ke koko kiʻekiʻe, a me ka maikaʻi ʻole o ka puʻuwai.

Nā ʻōuli ma nā keiki makua a me nā mākua

I nā hihia maʻalahi, ʻaʻole hiki i nā keiki ke hōʻike i kahi hōʻailona a hiki i ka hope o ke ola. Ke hoʻomaka nei nā hōʻailona e hōʻike, hiki iā lākou ke hoʻopili:

• anu lima a me nā wāwae
• ihu ihu
• ʻeha ka umauma
• ʻeha poʻo
• pokole o ka hanu
• kahe koko kiʻekiʻe
• ʻūpā
• maule ana

He aha ke kumu o ke kūkaʻa ʻaʻano?

ʻO CoA kekahi o nā ʻano maʻamau o nā ʻano maʻi o ka naʻau hānau. Hiki wale nō ʻo CoA. Hiki iā ia ke hana me nā hanana ʻē aʻe i ka puʻuwai. ʻIke pinepine ʻo CoA i nā keikikāne ma mua o nā kaikamahine. Kū pū kekahi me nā kīnā o ka naʻau congenital, e like me Shone's complex a me DiGeorge Syndrome. Hoʻomaka ʻo CoA i ka wā o ka ulu ʻana o ka fetal, akā ʻaʻole maopopo maopopo i nā kauka kona kumu.

I ka wā ma mua, ua manaʻo nā kauka he pinepine ka hana ʻana o CoA i ka poʻe keʻokeʻo ma mua o nā lāhui ʻē aʻe. Eia nō naʻe, ke hōʻike nei nā noiʻi hou loa i nā ʻokoʻa ma ka prevalence o CoA ma muli o nā helu like ʻole o ka ʻike. Hōʻike nā haʻawina e hānau like nā lāhui āpau me ka kīnā.

ʻO ka mea pōmaikaʻi, haʻahaʻa loa nā manawa kūpono o kāu keiki me CoA. Wahi a KidsHealth pili wale ka CoA ma kahi o 8 pākēneka o nā keiki āpau i hānau ʻia me nā puʻuwai puʻuwai. Wahi a ka, ma kahi o 4 o 10,000 mau keiki hānau hou i loaʻa iā CoA.

Pehea e ʻike ʻia ai ka pili ʻana o ke aortic?

ʻO ka hōʻike mua a kahi hānau hou e hōʻike pinepine ai iā CoA. Hiki i ke kauka o kāu pēpē ke ʻike i nā ʻokoʻa o ke kaomi koko ma waena o nā kiʻekiʻe o luna a me lalo o nā pēpē. A i ʻole lohe paha lākou i nā leo ʻano o ke kīnā ke hoʻolohe nei i ka puʻuwai o kāu pēpē.

Inā kānalua ke kauka o kāu pēpē iā CoA, kauoha paha lākou i nā hoʻokolohua hou aku, e like me kahi echocardiogram, MRI, a i ʻole catheterization puʻuwai (aortography) e loaʻa ai kahi hōʻoia ʻoi loa.

He aha nā koho lapaʻau no ka coarctation aortic?

ʻO nā mālama maʻamau no ka CoA ma hope o ka hānau ʻia ʻana me ka angioplasty balloon a i ʻole ke ʻoki ʻana.

Hoʻopili ka balloon angioplasty i ka hoʻokomo ʻana i kahi catheter i loko o ke aʻa paʻa a laila hoʻonui i kahi pāluna i loko o ke aʻa e hoʻonui ia.

Pili paha ka lāʻau lapaʻau me ka hemo ʻana a me ka hoʻololi ʻana i ka ʻāpana "crimped" o ka aorta. Koho paha kāu kauka lāʻau o kāu pēpē e kāpae i ka constriction ma o ka hoʻohana ʻana i kahi graft a i ʻole e hana ʻana i kahi pā ma luna o ka ʻāpana liʻiliʻi e hoʻonui ai.

ʻO nā mākua i loaʻa ka mālama ʻana i ka wā kamaliʻi e koi paha i kahi ʻoki hou aʻe ma hope o ke ola e mālama i kekahi reoccurrence o CoA. Pono paha nā hoʻoponopono hou i kahi nāwaliwali o ka paia aorta. Inā haʻalele ʻole ʻia ʻo CoA, make mau ka poʻe me CoA i ka 30 a 40 paha o ko lākou puʻuwai puʻuwai, ruptured aorta, hahau ʻana, a i ʻole nā ​​kūlana ʻē aʻe.

He aha ka manaʻo lōʻihi?

ʻO ke kaumaha kiʻekiʻe o ke koko e pili pū ana me CoA e hoʻonui i nā makaʻi o:

• poino puʻuwai
• he aneurysm
• he hahau
• maʻi maʻi ʻaʻano coronary premature

Hiki i ke kiʻekiʻe o ke koko kiʻekiʻe ke alakaʻi iā:

• hakuʻala ʻole
• hoka ʻole o ke ake
• kahi nalowale o nā maka ma o retinopathy

Pono paha ka poʻe me CoA e lawe i nā lāʻau, e like me ka angiotensin hoʻololi i nā mea hoʻopōʻaiapine (ACE) a me nā beta-blockers e kaohi i ke kahe kiʻekiʻe.

Inā loaʻa iā ʻoe ka CoA, pono ʻoe e mālama i kahi nohona olakino ma ka hana ʻana i kēia mau mea:

• Hana i ka hoʻoikaika kino aerobic i kēlā me kēia lā. He mea kōkua ia no ka mālama ʻana i ke kaupaona olakino a me ke olakino cardiovascular. Mālama pū kekahi ia i kāu kaomi koko.
• Hōʻalo i ka hoʻoikaika ikaika, e like me ka hāpai ʻana i ke kaupaona, no ka mea ke kau nei ke koʻikoʻi hou i kou puʻuwai.
• E hoʻohaʻahaʻa i kāu lawe ʻana i ka paʻakai a me ka momona.
• Mai puhi paka i kekahi huahana paka.