Pono maoli anei kāu keiki i kahi Valve Replacement? Eia nā mea a nā mākua e nīnau ai

ʻEhā mau kiwikā o ka puʻuwai - mitral, aortic, tricuspid, a me pulmonary. Aia nā kiwikā mitral a me aortic ma ka ʻaoʻao hema o ka puʻuwai, ʻoiai ʻo nā kiwikā tricuspid a me pulmonary ma ka ʻaoʻao ʻākau.

Ma ke ʻano he mau kauka puʻuwai keiki, hana mākou me nā keiki liʻiliʻi, i kekahi manawa nā pēpē, nona ka valve e leaka ana, kahi valve haiki, a i ʻole kahi valve me ka hui pū ʻana o nā mea ʻelua, me nā kīnā ʻē aʻe i loko o ka puʻuwai e like me nā "lua." Lilo kēia mau kūlana i mea paʻakikī, no ka mea, ʻo ka hoʻololi ʻana i ka valve he ʻoki maʻalahi ia. Loaʻa ma ke ʻano laulā ʻelua ʻano o nā valves pani - mechanical a me bioprosthetic.

Inā hoʻokomo ʻia kahi kiwikā mechanical, e mau nā pilikia no ke keiki i ke ola holoʻokoʻa. Pono lākou e kau ʻia ma nā lāʻau hoʻokahe koko ikaika. Inā nui ka lawe ʻia ʻana, hiki i ke keiki ke loaʻa nā ʻano kahe koko; inā liʻiliʻi loa, hiki ke hana ʻia nā clots ma ka kiwikā, e alakaʻi ana i nā hopena pōʻino. ʻAʻole kūpono nā kiwikā bioprosthetic (mai ka pipi a puaʻa paha), no ka mea, ʻaʻole lākou e lōʻihi a pono e hana hou i nā ʻoki puʻuwai wehe.

ʻO kahi ʻoki kino paʻakikī ʻoi aku ka ʻenehana, ʻo ia ka hoʻoponopono ʻana i ka valve. Pono kēia i ka mākaukau nui, ka noʻonoʻo, ka noʻonoʻo, a me ka ʻike e hana pono ai. Ma ka hana ʻana i kēia, hiki i ke keiki ke pale aku i ka hoʻololi ʻana i ka valve i ka wā kamaliʻi, a ʻo ka loaʻa ʻana o 10-15 mau makahiki hou o ka hana mai ka valve ponoʻī o ka mea maʻi e kūpono loa ia. Ke ulu ke keiki i kanaka makua, a laila hiki iā lākou ke hoʻokomo i kahi valve nui aʻe e like me ka nui o ka pākeke inā pono.

Hiki i nā hemahema o ka valve mitral a me ka aortic ke hānau ʻia mai ka wā hānau - ʻo ia hoʻi, ua hānau ʻia ka pēpē me lākou - a i ʻole, ma ko mākou ʻāina, hiki ke hōʻino ʻia e ka maʻi rheumatic. Ma muli o ke kaʻina hana maʻi a me nā kumu anatomical a me nā pathological like ʻole, hoʻohana kekahi kauka ʻike i hoʻokahi a ʻoi aku paha nā ʻano hana e hoʻihoʻi i ka valve i kahi kūlana hana, kūpono i ke ʻano anatomical.

I ke ʻano o ka valve tricuspid, ʻo ka Ebstein anomaly kahi maʻi hānau mua kahi e hana ai mākou i kahi ʻoki kino paʻakikī i kapa ʻia ʻo Cone repair, e manaʻo ana e hoʻokokoke i ka valve i ka maʻamau e like me ka hiki.

Aia kekahi mau pilikia e pili ana i ka valve e pili ana i nā kūlana paʻakikī e like me nā hemahema canal atrioventricular maʻamau a me nā hemahema canal AV hapa, kahi e pili ai nā valves maʻamau ʻole me hoʻokahi a ʻoi aku paha mau lua i loko o ka puʻuwai. Hiki i ka hemahema valve ke lilo i ʻāpana o kahi syndrome e like me ka Shone's complex.

E hōʻuluʻulu:

1. ʻAʻole maʻamau nā pilikia valve i nā keiki, ʻoiai i nā pēpē.
2. Pono e hōʻalo ʻia ke pani ʻana o ka valve, inā hiki, i nā hui ʻōpio, no ka mea, hiki ke pani ʻia kekahi kaʻina maʻi me kekahi.
3. E loiloi mau inā hiki i ke keiki ke kali no ke ʻoki kino. He mea nui ka manawa. ʻO ke kali ʻana no ka lōʻihi loa e hiki ai ke hōʻino nui ʻia ka valve no ka hoʻoponopono ʻana a i ʻole ka puʻuwai i hōʻino nui ʻia e hoʻōla. Eia nō naʻe, he mea kūpono paha ke kali ʻana inā ʻaʻole i hoʻopilikia nui ʻia ka valve, paʻa ka hana o ka puʻuwai, a liʻiliʻi loa ke keiki.
4. ʻOi aku ka maikaʻi o ka hana ʻana i nā ʻokiʻoki valve ma nā kikowaena i ʻike i ka hoʻoponopono ʻana i nā valve o nā keiki.
5. He mea nui ka hahai pono ʻana ma hope o ke ʻoki ʻana, me ka mālama pono ʻana i nā ʻōlelo aʻoaʻo lapaʻau, nā kaʻina hana lapaʻau, a me nā papa hana hahai.
6. ʻO ka pahuhopu o ka hui lapaʻau multidisciplinary ka hōʻoia ʻana i ke ola maʻamau no ke keiki, me ke ʻano maikaʻi loa o ke ola a me ka liʻiliʻi o nā pilikia a i ʻole nā ​​​​hopena ʻaoʻao.
7. Aia ke kī i ka loaʻa ʻana o ka noʻonoʻo, ke ahonui, a me ka ʻike loea i ka hui ʻoki kino e mālama i ka valve ponoʻī o ke keiki.

Ke hōʻike nei i nā ʻike mai Kauka Neville Solomon, Luna Kūkākūkā Kiʻekiʻe, Kauka Lapaʻau Puʻuwai Hānau no nā Keiki a me nā Mākua, Nā Halemai Keiki ʻo Apollo, Chennai

No nā nīnau a i ʻole nā ​​​​hoʻonohonoho manawa: + 91 80629 72804.