Ka lawe ʻana i ka naʻau: pehea e hana ʻia ai, nā pilikia a me ka hoʻōla ʻana
Anter
- Pehea e hana ai ke ʻoki
- Nā hōʻailona no ke kanu ʻana
- Contraindications no ke transplantation
- Nā pilikia o ke kuʻi naʻau
- Kumukuai hoʻoili naʻau
- Loaʻa hou ma hope o ke kuʻi puʻuwai
Hoʻohui ka naʻau i ka hoʻololi ʻana i ka puʻuwai me kekahi mea ʻē aʻe, e hele mai ana mai kahi kanaka i make ka lolo a kūlike me ka mea maʻi i loaʻa i ka puʻuwai puʻuwai make loa.
No laila, hana wale ʻia ke kaha ʻana ma nā hihia o ka maʻi puʻuwai koʻikoʻi a, kahi e hoʻoweliweli ai i ke ola o ka mea maʻi, a hana ʻia i ka haukapila, e koi ana i ka haukapila no 1 mahina a me ka mālama ʻana ma hope o ka hoʻokuʻu ʻia ʻana i ʻole e hiki ke hōʻole ʻia nā meaola.
Pehea e hana ai ke ʻoki
Hana ʻia ke kuʻi puʻuwai e kahi hui olakino loea i loko o kahi haukapila i lako pono, no ka mea, he ʻoki paʻakikī a maʻalahi ia, kahi e hemo ai ka puʻuwai a pani ʻia me kahi mea kūpono, akā naʻe, mau kekahi hapa o ka puʻuwai o ka mea maʻi puʻuwai. .
Hana ʻia ke kaha ma hope o ke kaʻina hana:
- Anesthetize ka mea hoʻomanawanui i ka lumi hana;
- E hana i kahi ʻoki ma ka umauma o ka mea hoʻomanawanui, e hoʻopili ana iā ia i a puʻuwai puʻuwai, i ka wā o ke kaha e kōkua i ka pauma koko;
- Wehe i ka puʻuwai nāwaliwali a kau ana i ka puʻuwai o ka mea hāʻawi i kahi, suturing ia;
- Pani i ka umauma, e hana ana i kahi ʻili.
Lawe ke kuʻi naʻau i mau hola a ma hope o ke transplant ua hoʻoneʻe ʻia ke kanaka i ka keʻena mālama maʻi nui a pono e noho i ka haukapila ma kahi o 1 mau mahina e ola ai a pale i nā maʻi.
Nā hōʻailona no ke kanu ʻana
Aia kahi hōʻailona no ka hoʻoliʻi o ka puʻuwai inā loaʻa nā maʻi maʻi maʻi nui i nā pae holomua, ʻaʻole hiki ke hoʻonā ʻia me ke komo ʻana o nā lāʻau a i ʻole nā ʻoki lāʻau ʻē aʻe, a kahi mea e hoʻopilikia i ke ola o kēlā me kēia, e like me:
- Maʻi coronary nui;
- Cardiomyopathy;
- Maʻi maʻi ʻōpū
- ʻO nā valves puʻuwai me nā loli koʻikoʻi.
Hiki ke hoʻololi i ke transplant i kēlā me kēia kanaka o nā makahiki āpau, mai nā keiki hānau hou a hiki i ka poʻe ʻelemākule, akā naʻe, pili ka hōʻailona no ka hoʻoliʻi o ka puʻuwai i ka mokuʻāina o nā meaola ʻē aʻe, e like me ka lolo, ka ate a me nā puʻupaʻa, no ka mea inā pilikia nui lākou. ʻaʻole paha ʻoe e pōmaikaʻi i ke transplant.
Contraindications no ke transplantation
Hoʻopili pū me nā contra contactation i ka hoʻoliʻiliʻi puʻuwai:
ʻO ka maʻi AIDS, hepatitis B a C paha | Kūlike ʻole ke koko ma waena o ka mea e loaʻa a me ka mea hāʻawi | ʻO ka maʻi diabetes pili i ka insulin a i ʻole ka pilikia e kaohi ʻia i ka maʻi diabetes, momona momona |
ʻO ke akepaʻa kīnā ʻole a kī ʻole o ka hakuʻala | Maʻi maʻi psychiatric koʻikoʻi | Maʻi maʻi māmā |
Maʻi maʻi | Peptic ulcer i ka hana | ʻO ka embolism pulmonary ma lalo o ʻekolu mau pule |
Kanesa | ʻO Amyloidosis, sarcoidosis a i ʻole hemochromatosis | Makahiki ma mua o 70 mau makahiki. |
ʻOiai aia he mau contraindications, loiloi mau ke kauka i nā pilikia a me nā pōmaikaʻi o ke kaha a, me ka mea hoʻomanawanui, hoʻoholo inā pono e hana i ke ʻoki a ʻaʻole.
Nā pilikia o ke kuʻi naʻau
Pili nā pilikia o ka lawe ʻana o ka naʻau:
- Maʻi kīnā;
- ʻO ka hōʻole ʻana i ka mea kanu i kanu ʻia, ʻo ia hoʻi i nā makahiki he 5 i hala;
- Hoʻomohala o atherosclerosis, ʻo ia ka clogging o nā naʻau naʻau;
- Hoʻonui i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai.
ʻOiai kēia mau pilikia, ka ola o nā mea kanu i kanu ʻia he mea nui a ola ʻoi aku ma mua o 10 mau makahiki ma hope o ke kanu ʻana.
Kumukuai hoʻoili naʻau
Hiki ke hana i ka hoʻoliʻiliʻi puʻuwai i nā haukapila i pili me SUS, i kekahi mau kūlanakauhale, e like me Recife a me São Paulo, a ʻo ka lohi e pili ana i ka nui o nā mea hāʻawi a me ka lālani o ka poʻe me ka pono e loaʻa kēia ʻōpala.
Loaʻa hou ma hope o ke kuʻi puʻuwai
ʻO kekahi mau hana pono e pono ai i ka mea lawe transplant ma hope o ka loli ʻana o ka naʻau:
- Lawe ʻia i nā lāʻau hoʻomākino, e like me ka mea i hōʻike ʻia e ke kauka;
- Hōʻalo i ka launa ʻana me ka poʻe maʻi, haumia a anuanu paha nā wahi, no ka mea he virus ka mea e hoʻonāukiuki ai i kahi maʻi a alakaʻi i ka hōʻole ʻana o nā meaola;
- ʻAi i ka papaʻai kaulike, hoʻopau i nā meaʻai maka āpau mai ka papaʻai a, ke koho ʻana i nā meaʻai i kuke wale ʻia e hōʻemi i ka makaʻu o ka maʻi.
Pono e mālama i kēia mau akahele no ke ola holoʻokoʻa, a hiki i ke kanaka transplanted ke loaʻa kahi ola maʻamau, a hana pū i ka hana kino. E aʻo hou aʻe ma: Post Operative Cardiac Surgery.