Palapala Sila Nui Ductus Arteriosus

Anter

• He aha ke kumu o Patent Ductus Arteriosus?
• He aha nā hōʻailona o ka Patent Ductus Arteriosus?
• Pehea e kuhikuhi ʻia ai ka Patent Ductus Arteriosus?
• ʻEchocardiogram
• Electrocardiogram (EKG)
• He aha nā koho lapaʻau no ka Patent Ductus Arteriosus?
• Laau Lapaʻau
• Nā Kaʻina Hana Catheter
• Lapaʻau ʻoki kino
• He aha nā pilikia e pili ana i ka Patent Ductus Arteriosus?
• He aha ka hiʻohiʻona lōʻihi?

He aha ia Patent Ductus Arteriosus?

ʻO Patent ductus arteriosus (PDA) kahi kīnā o ka naʻau hānau maʻamau e kū ma kahi o 3,000 mau keiki hānau hou i kēlā me kēia makahiki i United States, e like me ka Cleveland Clinic. Kū ʻia kahi ke kīʻaha koko kūlohelohe, i kapa ʻia ʻo ductus arteriosus, ʻaʻole kokoke koke ma hope o ka hānau ʻana. Hiki ke liʻiliʻi a koʻikoʻi paha nā ʻōuli. I nā hihia kakaikahi, hiki i ka hemahema ke ʻike ʻole a hiki ke noho i ka wā makua. ʻO ka hoʻoponopono ʻana o ka hemahema ke kūleʻa pinepine a hoʻihoʻi i ka puʻuwai i kāna hana maʻamau.

I loko o kahi puʻuwai e hana maʻamau, halihali ke aʻa pulmonary i ke koko i nā akemāmā e hōʻiliʻili i ka oxygen. Hele ke koko oxygenated ma waena o ka aorta (ka aʻa nui o ke kino) i ke koena o ke kino. I loko o ka ʻōpū, kahi kīʻaha koko i kapa ʻia ʻo ductus arteriosus e hoʻopili i ka aorta a me ke aʻa aʻa. Hāʻawi ia i ke koko e kahe mai ke aʻa o ka pulmonary i ke aorta a i waho i ke kino me ka hele ʻole ʻana i nā ake māmā. ʻO kēia no ka loaʻa ʻana o ke keiki oxygen i ke koko mai ka makuahine, ʻaʻole mai kā lākou ake māmā ponoʻī.

Ma hope koke o ka hānau ʻia ʻana o kahi pēpē, pono e pani ʻia ka ductus arteriosus e pale aku ai i ka hoʻohuihui ʻana i ke koko-ʻilihune mai ke aʻa pulmonary me ke koko momona o ka oxygen mai ke aorta. Ke hiki ʻole kēia, loaʻa i ka pēpē ductus arteriosus (PDA). Inā ʻaʻole ʻike ke kauka i ka hemahema, ulu paha ka pēpē i kanaka makua me PDA, ʻoiai he kākaʻikahi kēia.

He aha ke kumu o Patent Ductus Arteriosus?

ʻO PDA kahi kīnā o ka naʻau hānau maʻamau ma ʻAmelika Hui Pū ʻIa, akā ʻaʻole maopopo i nā kauka ke kumu o ke ʻano. Hiki i ka hānau mua ʻana ke waiho i kahi pēpē i ka makaʻu. ʻOi aku ka maʻamau o PDA i nā kaikamahine ma mua o nā keikikāne.

He aha nā hōʻailona o ka Patent Ductus Arteriosus?

Hiki ke wehe i ka ductus arteriosus mai ka liʻiliʻi a ka nui. ʻO kēia ke ʻano haʻahaʻa o nā ʻōuli a nui loa. Inā liʻiliʻi ka wehe, ʻaʻohe paha ʻōuli a ʻike wale paha kāu kauka i ke ʻano ma ka lohe ʻana i kahi ʻōhumu o ka puʻuwai.

ʻO ka mea maʻamau, e loaʻa i kahi pēpē a keiki paha me PDA nā hōʻailona aʻe:

• ka houʻu ʻana
• hanu wikiwiki a kaumaha hoʻi
• luhi
• loaʻa kaumaha kaumaha
• hoihoi iki i ka hānai ʻana

I ka hihia kakaikahi e ʻike ʻole ʻia ai ka PDA, hiki i kahi kanaka makua me ka kīnā ke ʻike i nā ʻōuli e pili pū me ka palpitations puʻuwai, ka hanu ʻana o ka hanu, a me nā pilikia e like me ke koko kiʻekiʻe ma nā akemāmā, kahi puʻuwai hoʻonui ʻia, a i ʻole nā ​​puʻuwai puʻuwai.

Pehea e kuhikuhi ʻia ai ka Patent Ductus Arteriosus?

Hoʻomaopopo pinepine ke kauka iā PDA ma hope o ka hoʻolohe ʻana i ka puʻuwai o kāu keiki. ʻO ka hapa nui o nā hihia o PDA ke kumu o ka ʻōhumu o ka puʻuwai (kahi keu a keu a kani ʻole paha o ka puʻuwai), i hiki i ke kauka ke lohe ma o kahi stethoscope. Pono pono paha kahi X-ray umauma e ʻike i ke ʻano o ka puʻuwai a me nā ake māmā.

ʻAʻole paha i loaʻa i nā pēpē premature nā hōʻailona like me nā hānau wā piha, a koi paha i nā hoʻokolohua hou e hōʻoia iā PDA.

ʻEchocardiogram

ʻO kahi echocardiogram kahi hoʻāʻo e hoʻohana i nā nalu kani e hana i kiʻi o ka puʻuwai o ka pēpē. He eha ʻole a ʻae i ke kauka e ʻike i ka nui o ka puʻuwai. Hoʻomaopopo pū ia i ke kauka inā ʻike ʻia kekahi ʻano ʻē ma ke kahe o ke koko. ʻO Echocardiogram ke ala maʻamau e ʻike pono ai iā PDA.

Electrocardiogram (EKG)

Hoʻopaʻa kahi EKG i ka hana uila o ka puʻuwai a ʻike i nā mele puʻuwai maʻamau. I nā pēpē, hiki i kēia hoʻokolohua ke hoʻomaopopo i ka puʻuwai hoʻonui.

He aha nā koho lapaʻau no ka Patent Ductus Arteriosus?

I nā hihia kahi liʻiliʻi loa ka wehe ʻana o ka ductus arteriosus, ʻaʻohe pono e pono ai. Hiki i ka wehe ke pani i ka wā e nui ai ka pēpē. I kēia hihia, makemake kāu kauka e nānā i ka PDA ke ulu aʻe ka pēpē. Inā ʻaʻole ia e pili pono iā ia iho, pono ka lāʻau a lāʻau paha e hōʻoki ai i nā pilikia.

Laau Lapaʻau

I kahi pēpē premature, hiki i kahi lāʻau i kapa ʻia indomethacin ke kōkua i ka pani ʻana i ka wehe ma PDA. Ke hāʻawi pinepine ʻia, hiki i kēia lāʻau ke kōkua i ka constrict i nā mākala a pani i ka ductus arteriosus. ʻO kēia ʻano lapaʻau maʻamau wale nō ka mana ma nā keiki hānau hou. I nā pēpē makua a me nā keiki, pono paha ka mālama hou ʻana.

Nā Kaʻina Hana Catheter

I loko o kahi pēpē a keiki paha me kahi PDA liʻiliʻi, hiki i kāu kauka ke koi aku i kahi kaʻina hana "trasmatheter closure", e like me ka. Hana ʻia kēia hana ma ke ʻano he mea maʻi ma waho a ʻaʻole pili i ka wehe ʻana i ka umauma o ke keiki. ʻO kahi catheter kahi paipu wīwī lahilahi e alakaʻi ʻia ma o kahi kīʻaha koko e hoʻomaka ana i ke aʻa a alakaʻi ʻia i ka puʻuwai o kāu keiki. Hoʻoholo ʻia kahi mea pale i waena o ka catheter a waiho ʻia i ka PDA. Paʻa ka mea i ke kahe o ke koko ma o ka ipu a ʻae i ke kahe o ke kahe maʻamau e hoʻi.

Lapaʻau ʻoki kino

Inā nui ka wehe a hili ʻole paha iā ia iho, pono paha ke ʻoki e hoʻoponopono i ka hemahema. ʻO kēia ʻano lapaʻau maʻamau wale nō no nā keiki ʻeono mahina a ʻoi paha. Eia nō naʻe, hiki i nā pēpē ʻōpio ke loaʻa i kēia lapaʻau inā loaʻa nā ʻōuli. No nā kaʻina hana, hiki i kāu kauka ke kauoha aku i nā lāʻau ʻaloʻalo e pale aku i ka maʻi bacteria ma hope o ka haʻalele ʻana i ka haukapila.

He aha nā pilikia e pili ana i ka Patent Ductus Arteriosus?

ʻO ka hapa nui o nā hihia o PDA ʻike ʻia a mālama ʻia ma hope koke o ka hānau ʻana. He mea ʻokoʻa loa ia no ka hele ʻole ʻana o PDA i ke ʻano makua. Inā hana ia, eia nō naʻe, hiki ke kumu i nā pilikia olakino. ʻO ka nui o ka wehe ʻana, ʻoi aku ka maikaʻi o nā pilikia. Eia nō naʻe, kākaʻikahi, makua makua PDA hiki ʻole ke alakaʻi i nā kūlana olakino ʻē aʻe i nā mākua, e like me:

• pōkole o ka hanu a me ka palpitations puʻuwai
• pulmonary hypertension, a i ʻole piʻi aʻe ke koko i nā akemāmā, kahi e hōʻino ai i nā ake māmā
• endocarditis, a i ʻole mumū o ka uhi o ka puʻuwai ma muli o kahi maʻi bacteria (ʻo ka poʻe me nā kīnā ʻole o ka naʻau i kahi kiʻekiʻe o ka maʻi)

I nā hihia koʻikoʻi loa o ka makua PDA i mālama ʻole ʻia, hiki i ke kahe o ke kahe ke hoʻonui i ka nui o ka puʻuwai, hoʻonāwaliwali i ka mākala a me kona hiki ke pauma i ke koko me ka maikaʻi. Hiki i kēia ke alakaʻi i ka puʻuwai puʻuwai a me ka make.

He aha ka hiʻohiʻona lōʻihi?

Maikaʻi loa ka nānā ke ʻike ʻia a mālama ʻia ʻo PDA. ʻO ka hoʻōla hou ʻana no nā pēpē maʻa mau e pili ana i ka hānau mua ʻana o ka pēpē a inā ʻaʻole loaʻa nā maʻi ʻē aʻe. ʻO ka hapa nui o nā pēpē e ola hou me ka ʻole o ka loaʻa ʻana o nā pilikia e pili ana i ka PDA.