Lapaau Baluna Atrial Septostomy

He maʻi laha ʻole ka maʻi puʻuwai hānau, kahi e hoʻopilikia ai i nā miliona o nā pēpē ma ka honua. Hiki mai kēia pilikia ma muli o ka ulu pono ʻole o nā cell i loko o ka puʻuwai. Hoʻokumu ia i ka pilikia i ka hanu ʻana a hiki ke hoʻoulu i ke kahe koko maikaʻi ʻole i nā pēpē. ʻO kēia kūlana olakino ke alakaʻi nei i ka paʻa ʻana o ka umauma a i ʻole ka ʻōhumu ʻana o ka puʻuwai i loko o lākou. Inā waiho ʻole ʻia, lilo ia i mea weliweli no ke olakino o nā pēpē. Hiki ke mālama ʻia ka pilikia ma o ka septostomy atrial balloon. ʻO ka septostomy atrial balloon kahi hana ʻoki e hoʻomaikaʻi ai i ke kahe koko i nā pēpē. Hiki ke hana ʻia kēia ʻoki ma o kahi mea lahilahi a palupalu i kapa ʻia ʻo balloon-tipped catheter. ʻAʻole wale ia he mea pono no ke kahe koko kūpono akā hōʻoluʻolu pū i nā hōʻailona e like me nā pilikia hanu, ka ʻeha umauma, a me nā mea ʻē aʻe. Hana nui ʻia kēia hana ʻoki e kahi loea puʻuwai a i ʻole cardiologist. ʻO kona inoa ʻē aʻe ʻo Rashkind procedure. 

Nā ʻano o ka Baluna Atrial Septostomy

ʻElua ʻano kēia ʻoki. Aia kēia mau mea i lalo: 

• ʻO Miller Balloon Atrioseptostomy: Ke hana nei ke kanaka cardiologist i keia oki ana ma o ka catheter baluna kūikawā nona ka inoa o Miller balloon. Manaʻo ʻia no ka hoʻololi ʻana o nā aʻa nui i nā pēpē kāne a me nā wahine. 
• Z-5 Baluna Atrioseptostomy: Hiki ke hana ia ma ke kau ʻana i ka baluna Z-5 ma waena o nā keʻena luna o ka puʻuwai. 

Nā Pōmaikaʻi o ka Septostomy Atrial Balloon

ʻO nā mea maikaʻi o kēia ʻano hana ʻokiʻoki penei:

• He kaʻina hana palekana a maikaʻi no nā pēpē, e hoʻomaikaʻi ai i ko lākou ola. 
• Hoʻomaikaʻi kēia ʻano hana i ke kahe o ke koko a me ka pae o ka oxygen i nā pēpē. 
• Hāʻawi ia i ka hōʻoluʻolu mai nā hōʻailona pili i nā hemahema o ka puʻuwai hānau i nā pēpē. 

Nā pilikia a me nā hoʻopiʻi

Ke alakaʻi nei kēia ala lapaʻau i kekahi mau pilikia e like me nā ʻokiʻoki ʻē aʻe. Penei keia:

• Ka puʻuwai puʻuwai
• Hoʻopaʻa koko
• Poino i loko o ka puʻuwai puʻuwai a i ʻole ka ipu koko
• ʻO ka thrombus intracardiac mau loa
• Ke koko a me ka ma'i ma'i
• Autial flutter
• Sinus bradycardia
• Puka puʻuwai
• Tachycardia supraventricular
• Puuwai puuwai

Kaʻina Hana o ka Balloon Atrial Septostomy Treatment

E nānā i ke kaʻina hana o kēia hana ʻoki kino:

Ma mua o ke kaʻina hana

Hiki ke hana i kēia mau mea ma mua o ke kaʻina hana. Penei keia:

• Manaʻo ʻia ka makua a i ʻole kekahi lālā o ka ʻohana e kipa aku i kahi keʻena mālama ola me kā lākou keiki a kūkākūkā pū me ka cardiologist a me ka anesthesiologist e pili ana i ke kaʻina hana. 
• Pono e hāʻawi ʻia ka palapala ʻae i kahi kanaka, pono e kau inoa ʻia ma ke kikowaena olakino. 
• Manaʻo kekahi ʻoihana mālama ola i ka mōʻaukala olakino e nānā i ke olakino holoʻokoʻa o kahi pēpē. A laila e hana ʻo ia i kahi hoʻokolohua kino e ʻike ai i nā hōʻailona a me nā hōʻailona e pili ana i nā hemahema o ka naʻau. 
• Hana ʻia nā hoʻāʻo koko no ka loiloi ʻana i ke koko o ka mea maʻi a me ka hoʻomākaukau ʻana i nā huahana koko. Kōkua kēia i ka ʻike ʻana i ka palekana o ka mea maʻi i ka wā o ke kaʻina hana. 
• Hana ʻia kahi pahu X-ray no ka ʻike ʻana i nā mea ʻino o ka puʻuwai a me nā māmā. 
• Hana ʻia nā hoʻokolohua kiʻi no ka ʻike ʻana i ke ʻano, ka nui a me kahi o kahi kīnā i loko o ka puʻuwai. 
• Hana ʻia kahi hoʻāʻo electrocardiogram no ka ʻike ʻana i nā ʻano puʻuwai like ʻole. 
• Hoʻomaʻamaʻa kekahi ʻoihana mālama ola i kahi hoʻāʻo echocardiogram e nānā i ke kahe o ke koko i loko o ka puʻuwai. Hoʻomaopopo pū ʻia kēia kaʻina hana diagnostic e ʻike ai i ka hana pono ʻana o ka puʻuwai puʻuwai a ʻaʻole paha. 

I ka wā o ke kaʻina hana

ʻO nā ʻanuʻu i hiki ke hana ʻia i ka wā o ke kaʻina hana penei:

• Hāʻawi kahi mea mālama ola i ka maʻi maʻi maʻamau i kahi pēpē ma o ka hoʻokele intravenous. 
• ʻO ka mea liʻiliʻi a maʻalahi i kapa ʻia ʻo catheter e hoʻokomo ʻia i loko o ka puʻuwai o ka pēpē. Hiki ke hoʻohana ʻia kekahi ʻenehana kiʻi kiʻi e alakaʻi i kēia mea hana ma ke keʻena mālama ola kino.
• Hoʻokomo ʻia kahi baluna liʻiliʻi ma ka piko o ka catheter e hana i kahi ʻoki liʻiliʻi ma waena o nā keʻena luna o ka puʻuwai. He mea nui ia no ka holo pono o ke koko. 
• Hoʻomaka ka baluna e hoʻoulu a hana i kahi puka nui ma waena o nā keʻena. 
• Hoʻopau ke kauka lapaʻau i ka baluna a wehe i ka catheter mai ka puʻuwai. A laila pani ʻo ia i ka ʻokiʻoki ma o nā ʻokiʻoki a i ʻole nā ​​humuhumu. 

Ma hope o ke kaʻina hana

Pono ka makua a i ʻole kekahi lālā o ka ʻohana e noho ma ka haukapila me kā lākou keiki no kekahi mau lā. Pono e nānā ʻia ke koko, ka helu o ka puʻuwai a me ka pae oxygen o kahi pēpē i loko o kahi lumi hoʻōla. Pono ka lālā o ka ʻohana o ke keiki e hele i nā manawa hoʻopaʻa maʻamau ma hope o ke ʻoki ʻana. Pono ʻo ia e hoʻokaʻaʻike aku i ke kauka kūpono inā loaʻa i kā lākou keiki ke kuni a i ʻole nā ​​​​pilikia olakino ʻē aʻe ma hope o ke ʻoki ʻana. 

He aha nā maʻi e hiki ke mālama ʻia ma o kēia ʻoki ʻana?

Manaʻo kekahi limahana mālama ola i kēia kaʻina hana no ka mālama ʻana i kekahi mau kūlana olakino. Penei keia:

• Tricuspid atresia
• Defect septal atrial
• Dextro-transposition o nā aʻa nui
• Hypoplastic left heart syndrome

ʻAʻole ʻōlelo ʻia nā pēpē e loaʻa ana i ka hiki ʻole o ka ventricular akau a i ʻole nā ​​pēpē haʻahaʻa haʻahaʻa no kēia ʻoki. Pono ka makua a i ʻole kekahi lālā o ka ʻohana e kūkākūkā me ke kauka kūpono no ka mālama ʻana i kēia mau kūlana olakino.