He aha ka Atrial Septal Defect? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka atrial septal defect (ASD) kahi puka ma ka paia e hoʻokaʻawale ai i nā keʻena ʻelua o luna o kou naʻau. ʻO kēia paia, i kapa ʻia ʻo ka septum, e mālama mau ana i ke koko momona i ka oxygen ma ka ʻaoʻao hema mai ke koko haʻahaʻa i ka oxygen ma ka ʻaoʻao ʻākau.

Ke loaʻa iā ʻoe kahi ASD, e kahe kekahi koko mai ka atrium hema i ka atrium ʻākau ma o kēia puka. ʻO ia hoʻi, pono kāu naʻau e hana nui aʻe e hoʻopuʻi i ke koko i kou māmā a me kou kino. ʻO ka mea maikaʻi, nui nā kānaka me nā ASD liʻiliʻi e ola ana i nā ola maʻamau loa, a hiki ke mālama maikaʻi ʻia nā mea nui.

He aha ka atrial septal defect?

ʻO ka atrial septal defect kahi

• Secundum ASD: ʻO kēia ke ʻano maʻamau loa, aia ma ka waenakonu o ka septum. ʻO ia ka 70% o nā ASD a pau, a pinepine loa ka hopena maikaʻi loa.
• Primum ASD: Aia ma ka ʻaoʻao lalo o ka septum, ʻaʻole nui kēia ʻano akā hiki ke pili i nā pilikia i nā valve o ka naʻau.
• Sinus venosus ASD: Loaʻa ma ka ʻaoʻao luna o ka septum, he ʻano koʻikoʻi kēia a pili pinepine i nā pilina kūpono ʻole o nā veins e hoʻihoʻi ana i ke koko i ka naʻau.
• Coronary sinus ASD: ʻO ke ʻano koʻikoʻi loa, aia ma kahi e hui ai ka coronary sinus (kahi vein e hoʻokahe ana i ka ʻiʻo naʻau) i ka atrium ʻākau.

Hiki i kēlā me kēia ʻano ke pono i nā ʻano nānā a i ʻole lapaʻau like ʻole. E hoʻohana kāu kauka i nā hoʻokolohua kiʻi e hoʻoholo pono i ke ʻano āu i loaʻa ai a hana i ka papahana mālama kūpono loa.

He aha nā hōʻailona o ka atrial septal defect?

ʻAʻohe hōʻailona o ka nui o nā kānaka me nā ASD liʻiliʻi, a ʻaʻole paha lākou e ʻike i ko lākou kūlana a hiki i ka loaʻa ʻana ma kahi nānā maʻamau. Eia naʻe, hiki i nā hemahema nui a i ʻole nā ​​mea e loaʻa ai nā pilikia ma hope aku ke hana i nā hōʻailona i ʻike ʻia.

Hiki i nā hōʻailona āu e ʻike ai ke loli ma muli o ka nui o ka hemahema a me ka nui o ka hana hou a kou naʻau. Eia nā mea e nānā ai:

• Pōkole o ka hanu: ʻOi aku hoʻi i ka wā e hana kino ai a i ʻole e hoʻoikaika ai, ʻoiai ke paio nei kou puʻuwai e hoʻokō i nā koi oxygen o kou kino
• Luhi a luhi paha: Hiki iā ʻoe ke manaʻo hou aku i ka luhi ma mua o ka maʻamau, ʻoiai me nā hana o kēlā me kēia lā maʻamau
• Nā maʻi hanu pinepine: E like me ka pneumonia a i ʻole ka bronchitis, no ka mea, hiki i ke kahe koko hou aku i nā māmā ke hoʻolilo iā ʻoe i mea maʻalahi
• Nā palpitations o ka naʻau: Kahi manaʻo e holo wikiwiki ana kou puʻuwai, e lele ana, a i ʻole e kuʻi kūpono ʻole
• ʻEhu: ʻOi aku ma kou mau wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae, kahi e hana ai i ka wā hiki ʻole i kou puʻuwai ke pūpū koko me ka maikaʻi
• Ka ulu ʻino ʻana o nā keiki: Hiki i nā keiki me nā ASD nui ke loaʻa ʻole ke kaupaona a ulu ʻole e like me ka manaʻo

He mea nui e hoʻomaopopo ʻaʻole pinepine e ʻike ʻia nā hōʻailona a hiki i ka wā makua, ʻoiai me nā hemahema nui. ʻIke kekahi poʻe i nā hōʻailona ma ko lākou mau makahiki 30, 40, a ma hope paha i ka wā e hoʻomaka ai ka puʻuwai e hōʻike i nā hōʻailona o ka hana hou aʻe āna i halihali ai no nā makahiki.

He aha ka mea e hoʻokumu ai i ka atrial septal defect?

Hoʻomohala ʻia nā atrial septal defects i nā wā mua loa o ka hāpai ʻana i ka wā e hoʻokumu ana ka puʻuwai o kāu pēpē. ʻAʻole maopopo mau ke kumu pololei, akā hana ia i ka wā ʻaʻole e holo pono ke kaʻina hana maʻamau o ka hoʻomohala ʻana o ka puʻuwai.

I nā hebedoma 8 mua o ka hāpai ʻana, hoʻomaka ka puʻuwai ma ke ʻano he paipa maʻalahi a hoʻomohala mālie i loko o kahi ʻāpana ʻehā. Hoʻokumu ʻia ka septum i ka wā e ulu ai ka pūnaewele e hoʻokaʻawale i nā ʻaoʻao hema a me ka ʻākau. I kekahi manawa, ʻaʻole ulu piha kēia pūnaewele a i ʻole i ke ʻano kūpono, e waiho ana i kahi wehe.

Hiki i kekahi mau mea ke hoʻopili i kēia kaʻina hana, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o kēia mau pilikia e loaʻa i kāu pēpē kahi ASD:

• Nā kumu genetika: Hiki i nā ASD ke holo i loko o nā ʻohana, e hōʻike ana i kekahi ʻāpana genetika
• Nā kūlana o ka makuahine: Kekahi mau maʻi i ka wā hāpai, ka maʻi diabetes, a i ʻole ka lupus i loko o ka makuahine
• Nā lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau i lawe ʻia i ka wā hāpai mua, ʻoi aku hoʻi kekahi mau lāʻau lapaʻau no ka loaʻa ʻana o ka maʻi ʻeha
• Hoʻohana ʻana i ka waiʻona a i ʻole nā ​​lāʻau lapaʻau: Hiki i ka hoʻohana ʻana i nā mea ʻona i ka wā hāpai ke hoʻopilikia i ka hoʻomohala ʻana o ka naʻau
• Nā hemahema chromosomal: Hoʻopili ʻia nā kūlana e like me ka maʻi Down syndrome me nā kiʻekiʻe o nā hemahema naʻau

Akā naʻe, i ka hapanui o nā hihia, hana kūlohelohe nā ASD me ka ʻole o ke kumu i ʻike ʻia. ʻAʻole ia he mea āu i hana ai a i ʻole ʻaʻole i hana i ka wā hāpai - ʻo ia wale nō ke ʻano o ka hoʻomohala ʻana o ka naʻau i kēlā mau pule mua koʻikoʻi.

I ka wā e ʻike ai i ke kauka no ka atrial septal defect?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona e hōʻike ana i kahi pilikia naʻau, ʻoi aku hoʻi inā he mea hou a i ʻole e ʻoi aku ka maikaʻi. Hiki i ka loiloi mua ke kōkua i ka hoʻoholo ʻana inā loaʻa iā ʻoe kahi ASD a i ʻole kekahi kūlana ʻē aʻe e pono ai ka nānā.

E ʻimi i ka mālama lapaʻau inā ʻike ʻoe i ka pōkole o ka hanu ʻaʻole maʻamau iā ʻoe, ʻoi aku hoʻi inā hana ia i nā hana maʻamau āu i mālama maʻalahi ai. ʻO ka luhi mau loa ʻaʻole e hoʻomaikaʻi me ka hoʻomaha ʻana he hōʻailona nui ʻē aʻe e kūkākūkā me kāu mea hoʻolako mālama ola.

Eia nā kūlana kikoʻī e pono ai ʻoe e hoʻonohonoho i kahi manawa kūpono:

• Pōkole o ka hanu me ke kumu ʻike ʻole: ʻOi loa inā ʻoi aku ka nui o ka pilikia a i ʻole ke kū mai me ka liʻiliʻi o ka hana ma mua.
• ʻEha a i ʻole ka ʻoluʻolu ʻole o ka umauma: Pono e loiloi ʻia kekahi ʻeha umauma, ʻoi loa inā pili ia i ka hana.
• Ka holo koke ʻana o ka naʻau: Inā ʻike ʻoe i ka holo wikiwiki ʻana o kou naʻau, ka lele ʻana o nā haha, a i ʻole ka luliluli pinepine.
• Pūʻiwa: Pūʻiwa hou ma kou mau wāwae, kuʻekuʻe wāwae, kapuaʻi, a i ʻole ka ʻōpū.
• Nā maʻi hanu pinepine: Inā loaʻa iā ʻoe ka pneumonia a i ʻole ka bronchitis pinepine ma mua o ka maʻamau.
• Mōʻaukala ʻohana: Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o nā hemahema naʻau hānau a ʻaʻohe nānā ʻia.

Inā ʻike ʻoe i ka ʻeha nui o ka umauma, ka pōkole loa o ka hanu, a i ʻole ka hiolo ʻana, e ʻimi koke i ka mālama ola kino pilikia. Hiki i kēia mau mea ke hōʻailona o nā pilikia koʻikoʻi e pono ai ka nānā koke.

He aha nā mea pilikia no ka atrial septal defect?

ʻOiai he mau kūlana hānau nā ASD e ulu ma mua o ka hānau ʻana, pili nā mea pilikia nui i nā mea hiki ke hoʻopilikia i ka hoʻomohala ʻana o ka naʻau i ka wā hāpai. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua i ka wehewehe ʻana i ke kumu o ka hānau ʻana o kekahi mau pēpē me nā ASD, ʻoiai naʻe he nui nā hihia e kū mai me ka ʻole o kekahi mea pilikia i ʻike ʻia.

Hāʻule nā mea pilikia i loko o kekahi mau māhele, a ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha ʻaʻole ia he manaʻo e loaʻa maoli i kāu pēpē kahi ASD. Eia ka mea i ʻike ʻia e ka noiʻi:

• Mōʻaukala ʻohana: Ke loaʻa i ka makua a i ʻole ke kaikuaʻana he hemahema puʻuwai i hānau ʻia mai, e hoʻonui ana i ka pilikia
• Nā kūlana genetic: Hoʻopili ʻia ka maʻi Down a me nā ʻano ʻē aʻe o ka chromosomal i nā helu kiʻekiʻe o nā hemahema o ka naʻau
• Ka makahiki o ka makuahine: Loaʻa i nā wāhine ma luna o 40 mau makahiki kahi pilikia iki e loaʻa ai nā pēpē me nā hemahema o ka naʻau
• Nā kūlana olakino o ka makuahine: Ka maʻi diabetes, lupus, a i ʻole phenylketonuria (PKU) i loko o ka makuahine
• Nā maʻi i ka wā hāpai: Hiki i ka maʻi rubella (German measles) i ka trimester mua ke hoʻopilikia i ka hoʻomohala ʻana o ka naʻau
• Ka hoʻohana ʻana i nā lāʻau lapaʻau: Kekahi mau lāʻau anti-seizure, kekahi mau lāʻau lapaʻau acne, a me ka lithium i ka wā hāpai
• Ka hoʻohana ʻana i nā mea: Ka inu ʻawaʻawa a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau kūpono ʻole i ka wā hāpai

He mea kūpono ke hoʻomaopopo ʻia ʻoi aku ka nui o nā ASD i nā wahine ma mua o nā kāne, ʻoiai ʻaʻole maopopo loa i nā kauka ke kumu. Me he mea lā he ʻāpana genetic ke kūlana, ʻoiai hiki ke holo i nā ʻohana, akā ʻaʻole pololei ka ʻano hoʻoilina.

He aha nā pilikia hiki ke loaʻa i ka atrial septal defect?

ʻAʻole pinepine nā ASD liʻiliʻi i kekahi pilikia a ʻaʻole pono paha ke mālama. Eia naʻe, hiki i nā hemahema nui a i ʻole nā ​​mea i waiho ʻole ʻia no nā makahiki he nui ke alakaʻi i nā pilikia i ka wā e hana nui ai kou naʻau a me kou māmā i ka manawa.

Hoʻomohala mālie nā pilikia, pinepine ma luna o nā makahiki he nui, ʻo ia ke kumu e ʻike ʻole ai kekahi poʻe i nā pilikia a hiki i ko lākou wā makua. Hiki i ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua iā ʻoe e hana pū me kāu kauka e pale a mālama pono iā lākou.

Eia nā pilikia nui e makaʻala ai:

• Hoʻonui ʻana o ka naʻau ʻākau: Ke hoʻonui nei ke kahe koko hou i ka hana o ka ʻaoʻao ʻākau o kou naʻau, e hoʻonui ana a hoʻonui aku iā ia
• Puʻe koko kiʻekiʻe ma nā māmā: Hiki i ke kahe koko nui i nā māmā ke hoʻokiʻekiʻe i ke kaomi i loko o nā kīʻaha koko o nā māmā
• Arrhythmias: Hoʻomaʻamaʻa ʻole nā ​​hana o ka naʻau, ʻo ka atrial fibrillation kekahi, e lilo ana i mea maʻamau i kou wā e ulu ai
• Hāʻule o ka naʻau: Ma hope o kekahi manawa, hiki i ka hana hou ke hoʻonāwaliwali i ka hiki o kou naʻau ke pūpū pono
• Pōpilikia o ka hahau: Hiki i nā ʻāpana koko ke hele ma o ka ASD a hele i ka lolo
• Eisenmenger syndrome: ʻO kahi kūlana maʻamau akā koʻikoʻi kahi e hoʻololi ai ke kaomi kiʻekiʻe o ka māmā i ke kahe koko ma o ka hemahema

ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke pale ʻia ka hapa nui o kēia mau pilikia me ka nānā pono a me ka mālama. Ke kōkua nei ka hahai mau ʻana me kāu cardiologist e hopu i nā loli koke, i ka wā e mālama maikaʻi ʻia ai.

Pehea e hiki ai ke pale ʻia ka atrial septal defect?

ʻOiai he mau hemahema naʻau congenital nā ASD i ulu i ka wā hāpai, ʻaʻohe ala i hōʻoia ʻia e pale aku ai iā lākou. Eia naʻe, aia nā hana āu e hiki ai ke hana ma mua a i ka wā hāpai e hoʻemi ai i ka pilikia o nā hemahema naʻau congenital ma ke ʻano holoʻokoʻa.

ʻO ka nānā nui ʻana i ka mālama ʻana i ke olakino maikaʻi i ka wā hāpai a me ka pale ʻana i nā kumu pilikia i ʻike ʻia ke hiki. Ke kākoʻo nei kēia mau ana i ka ulu ʻana o ka pēpē olakino, me ka hoʻokumu pono ʻana o ka naʻau i kēlā mau pule mua koʻikoʻi.

Eia nā hana pale e hiki ke kōkua:

• E inu i ka waikawa folic: E hoʻomaka e inu i ka 400 mau micrograms i kēlā me kēia lā ma kahi o hoʻokahi mahina ma mua o ka ho'āʻo ʻana e hāpai a hoʻomau i ka wā hāpai
• E mālama i nā kūlana maʻi lōʻihi: E mālama pono i ka maʻi diabetes, ke koko kiʻekiʻe, a me nā kūlana olakino ʻē aʻe ma mua a i ka wā hāpai
• E pale aku i nā mea ʻino: Mai puhi paka, inu waiʻona, a hoʻohana i nā lāʻau lapaʻau kūpono ʻole i ka wā hāpai
• E nānā i nā lāʻau lapaʻau: E kūkākūkā i nā lāʻau lapaʻau a pau a me nā mea hoʻohui me kāu kauka ma mua o ka hāpai ʻana
• E kiʻi i ka inikini: E mālama i ka inikini hou, ʻoiai no ka rubella, ma mua o ka hāpai ʻana
• E mālama i ka kaumaha olakino: ʻO ka loaʻa ʻana o ka kaumaha olakino ma mua o ka hāpai ʻana e hōʻemi i nā pilikia like ʻole
• Kūkākūkā genetical: E noʻonoʻo i ka kūkākūkā inā loaʻa iā ʻoe ka mōʻaukala ʻohana o nā hemahema o ka naʻau

Inā loaʻa mua iā ʻoe kahi ASD, ʻo ka pale ʻana e kau i ka pale ʻana i nā pilikia ma o ka mālama lapaʻau maʻamau, e noho ikaika e like me ka ʻōlelo a kāu kauka, a e mālama koke i nā kūlana pili.

Pehea ka hōʻoia ʻana o ka atrial septal defect?

Hoʻomaka pinepine ka hōʻoia ʻana i kahi ASD i ka wā e lohe ai kāu kauka i kahi kani ʻē aʻe i kapa ʻia he murmur o ka naʻau i ka wā o ka nānā kino maʻamau. Hoʻokumu ʻia kēia murmur e ke kahe koko haunaele ma o ka hemahema, ʻaʻole naʻe nā ASD a pau e hana i nā murmur e hiki ke lohe ʻia.

I kekahi manawa, ʻike ʻia nā ASD i ka wā e loiloi ʻia ai ʻoe no nā hōʻailona e like me ka hanu pōkole a i ʻole ka luhi. I nā hihia ʻē aʻe, loaʻa lākou ma ke ʻano he mea kūpono i nā hoʻokolohua i hana ʻia no nā kumu ʻē aʻe, e like me ka X-ray umauma a i ʻole echocardiogram i hana ʻia no kahi kūlana ʻē aʻe.

E hoʻohana kāu kauka i nā hoʻokolohua he nui e hōʻoia i ka hōʻoia a e hoʻomaopopo i nā kikoʻī o kou kūlana:

• Echocardiogram: ʻO kēia ultrasound o kou naʻau ka hoʻokolohua nui loa e hoʻohana ʻia ai e ʻike i nā ASD. Hōʻike ia i ka nui a me kahi o ka hemahema a me ka nui o ke koko e kahe ana ma ia wahi
• X-ray umauma: Hiki ke hōʻike inā nui loa kou naʻau a i ʻole inā he mau loli i kou māmā mai ka nui o ke kahe koko
• Electrocardiogram (ECG): Hoʻopaʻa ia i ka hana uila o kou naʻau e nānā i nā pilikia o ka rhythm a i ʻole nā ​​hōʻailona o ka nui o ka naʻau
• Cardiac catheterization: ʻAʻole pinepine e pono no ka ʻike ʻana, akā i kekahi manawa e hoʻohana ʻia e ana i nā kaomi i kou naʻau a me kou māmā
• CT a i ʻole MRI scan: Hiki ke hoʻohana ʻia e kiʻi i nā kiʻi kikoʻī o kou ʻano naʻau, ʻoiai inā e noʻonoʻo ʻia ka ʻoki kino
• Transesophageal echocardiogram: Hoʻokomo ʻia kahi probe ultrasound kūikawā i lalo i kou puʻu e kiʻi i nā kiʻi ʻoi aku ka maopopo o kou naʻau

ʻO ka hana ʻike maʻamau he pololei a ʻoluʻolu hoʻi. E hoʻohana kāu cardiologist i kēia mau hoʻokolohua e hoʻoholo ʻaʻole wale inā loaʻa iā ʻoe kahi ASD, akā ʻo kona nui, ʻano, a inā paha e hana ana i nā pilikia e pono ai ka mālama.

He aha ka lāʻau lapaʻau no ka atrial septal defect?

ʻO ka mālama ʻana no nā ASD e hilinaʻi ana i nā mea he nui, me ka nui o ka hemahema, inā loaʻa iā ʻoe nā hōʻailona, ​​a pehea ka pane ʻana o kou naʻau i ka hana hou. ʻAʻole pinepine nā ASD liʻiliʻi e hana ʻole ana i nā pilikia i ka mālama ʻana ma mua o ka nānā mau ʻana.

E hana pū kāu cardiologist me ʻoe e hoʻoholo i ke ala maikaʻi loa e pili ana i kou kūlana kūikawā. ʻO ka pahuhopu ke pale aku i nā pilikia ʻoiai e mālama ana i kou maikaʻi o ke ola, a nui nā kānaka me nā ASD e ola ana i nā ola maʻamau loa me ka mālama kūpono.

Eia nā koho mālama nui loa i loaʻa:

• Ke kali akahele: Ke nānā mau ʻana me nā echocardiogram inā he liʻiliʻi ka ASD a ʻaʻole e hoʻoulu i nā hōʻailona
• Nā lāʻau lapaʻau: Nā lāʻau e hoʻokele ai i nā hōʻailona e like me ka puʻuwai ʻole a i ʻole ka hāʻule o ka naʻau, ʻoiai ʻaʻole lākou e pani i ka hemahema
• Ka pani ʻana ma o ka catheter: He hana liʻiliʻi ka hoʻokomo ʻana i kahi mea pani ma o kahi kīʻaha koko e pani ai i ka hemahema
• Ka hoʻoponopono ʻana ma ke ʻoki: ʻO ka ʻoki naʻau ākea e pani ai i ka hemahema me kahi ʻāpana a i ʻole ma ke kāwili pololei ʻana
• Nā hana hui: Nā ʻano hui e hoʻohana ana i nā ʻenehana catheter a me nā ʻoki ʻelua

He mea nui ka manawa o ka mālama ʻana. Ua pani ʻia nā ASD he nui i kēia manawa ma mua o ka ulu ʻana o nā hōʻailona inā he waena a nui ko lākou nui, no ka mea hiki i kēia ke pale aku i nā pilikia i ka wā e hiki mai ana. E noʻonoʻo kāu kauka i nā mea e like me kou mau makahiki, kou olakino holoʻokoʻa, a me nā ʻano kūikawā o kāu hemahema i ka wā e ʻōlelo ai i ka mālama ʻana.

Pehea e hoʻokele ai i ka atrial septal defect ma ka home?

ʻO ka hoʻokele ʻana i ka ASD ma ka home e kau nui ana i ka mālama ʻana i ka olakino maikaʻi holoʻokoʻa a me ka hahai ʻana i nā ʻōlelo a kāu kauka. No nā poʻe he nui me nā ASD liʻiliʻi, ʻo ia paha ka manaʻo o ka noho ʻana i kahi ola maʻamau, ikaika me nā nānā maʻamau.

ʻO ke kī, ʻo ia ka hana pū ʻana me kāu hui olakino e hoʻomaopopo i nā hana palekana no ʻoe a me nā hōʻailona e nānā ai. Hiki i ka hapa nui o nā poʻe me nā ASD ke komo i ka hoʻoikaika kino maʻamau a me nā hana, ʻoiai paha he mau ʻōlelo kūikawā kā kāu kauka ma muli o kou kūlana.

Eia pehea ʻoe e mālama ai iā ʻoe iho ma ka home:

• E ola mau: Ke kōkua nei ka hoʻoikaika kino maʻamau i ʻāpono ʻia e kāu kauka e mālama i ke olakino o kou naʻau a me kou māmā
• E ʻai i ka ʻai olakino naʻau: E kau i ka hua, nā huaʻai, nā huaʻai holoʻokoʻa, a me nā protein liʻiliʻi, ʻoiai e kaupalena ana i ka paʻakai a me nā momona saturated
• E lawe i nā lāʻau lapaʻau e like me ke kauoha ʻia: Inā ʻoe ma luna o kekahi mau lāʻau naʻau, e lawe pono iā lākou e like me ke kuhikuhi ʻia
• E nānā i kou mau hōʻailona: E mālama i nā loli i kou ikehu, hanu, a i ʻole nā hōʻailona ʻē aʻe
• E pale aku i nā maʻi: E hoʻomaʻamaʻa i ka hoʻomaʻemaʻe maikaʻi a e mālama i ka lāʻau ʻana, ʻoi aku hoʻi no nā maʻi hanu
• E hoʻokele i ke kaumaha: E hoʻohana i nā ʻano hoʻomaha, hiamoe lawa, a me nā hoʻolālā hoʻokele kaumaha
• E pale aku i ka puhipaka: Mai puhi a pale aku i ka uahi puhipaka, no ka mea hiki iā ia ke hoʻopilikia i nā pilikia naʻau a me nā māmā

Pono kekahi poʻe me nā ASD e lawe i nā lāʻau antibiotic ma mua o kekahi mau hana niho a i ʻole hana lapaʻau e pale aku ai i nā maʻi. E haʻi aku kāu kauka iā ʻoe inā pili kēia iā ʻoe a e hāʻawi i nā kuhikuhi kikoʻī.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā kauka?

Ke kōkua nei ka hoʻomākaukau ʻana no kāu kūkā e hōʻoiaʻiʻo ʻoe e loaʻa ka mea nui loa mai kou manawa me kāu kauka naʻau. E lawe mai i ka papa inoa o kāu mau hōʻailona o kēia manawa, nā lāʻau lapaʻau, a me nā nīnau āu e loaʻa ai e pili ana i kou kūlana a i ʻole nā koho mālama.

He mea kōkua ke noʻonoʻo i kou mau hōʻailona ma mua a e mākaukau e wehewehe pono iā lākou. E makemake kāu kauka e ʻike i ka manawa i hoʻomaka ai lākou, he aha ka mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi, a pehea lākou e hoʻopilikia ai i kou ola i kēlā me kēia lā.

Eia ka mea e hoʻomākaukau ai ma mua o kāu kipa:

• Mokuna hōʻailona: E kākau i kekahi mau hōʻailona āu i ʻike ai, i ka wā e loaʻa ai, a me kāu hana i kēlā manawa.
• Papa lāʻau lapaʻau: E lawe mai i kāu mau lāʻau lapaʻau āpau, me nā lāʻau lapaʻau maʻamau a me nā mea hoʻohui.
• Mōʻaukala ʻohana: ʻIke e pili ana i nā pilikia naʻau a i ʻole nā ​​kūlana olakino ʻē aʻe i loko o kou ʻohana.
• Nā hopena ho'āʻo ma mua: Kekahi mau ho'āʻo naʻau, nā X-ray, a i ʻole nā ​​moʻolelo lapaʻau pili.
• ʻIke inikua: Kāu mau kāleka inikua a me nā pepa kuhikuhi.
• Papa nīnau: E kākau i nā nīnau e pili ana i kou kūlana, nā koho mālama, a i ʻole nā ​​manaʻo no ke ola.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ka ʻaha kūkā. Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu i ʻike ʻole ai - makemake lākou e hōʻoia iā ʻoe ua ʻike piha ʻoe i kou kūlana a me ka hoʻolālā mālama.

He aha ka mea nui e pili ana i ka hemahema atrial septal?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i nā ASD, ʻo ia ka hiki ke mālama maikaʻi ʻia, a nui nā kānaka me lākou e ola ana i ke ola maʻamau a olakino hoʻi. ʻOiai paha ke kani weliweli ka manaʻo o ka puka ma kou naʻau, loaʻa i ka lāʻau lapaʻau hou nā ala maikaʻi e nānā a mālama i kēia mau hemahema i ka wā e pono ai.

ʻAʻole pinepine nā ASD liʻiliʻi i ka mālama ʻana a ʻaʻole paha e hoʻokumu i nā hōʻailona i loko o kou ola. Hiki ke hoʻoponopono maikaʻi ʻia nā mea nui me nā kaʻina hana liʻiliʻi a i ʻole ka ʻoki kino, e ʻae ana iā ʻoe e hoʻi i nā hana piha ma hope.

ʻO ke kī i ka mālama ʻana i ka ASD me ka holomua, ʻo ia ka hana pili me kāu hui olakino a hahai i kā lākou mau manaʻo no ka nānā ʻana a me ka mālama ʻana. Kōkua nā nānā maʻamau e hōʻoia i ka hopu ʻia ʻana o nā loli i ka wā mua, a hiki ke pale ʻia ka hapa nui o nā pilikia me ka mālama kūpono.

E hoʻomanaʻo ʻaʻole ke ʻano ASD kou ola a i ʻole ka palena o kou hiki. Me ka mālama lapaʻau kūpono, hiki iā ʻoe ke alualu i kou mau pahuhopu, noho ikaika, a hauʻoli i ke olakino maikaʻi no nā makahiki e hiki mai ana.

Nā nīnau pinepine e pili ana i ka hemahema atrial septal

Hiki iā ʻoe ke ola i kahi ola maʻamau me ka hemahema atrial septal?

ʻAe, ʻo ka hapa nui o nā kānaka me nā ASD e ola ana i nā ola maʻamau loa. ʻAʻole pinepine nā hemahema liʻiliʻi e hoʻokumu i nā hōʻailona a i ʻole nā ​​palena, a hiki ke mālama holomua ʻia nā mea nui loa. He nui nā kānaka e komo i ka hoʻoikaika kino maʻamau, loaʻa nā ʻoihana, a hānai i nā ʻohana me ka ʻole o nā palena e pili ana i kā lākou ASD.

ʻO ke kī ka hana pū ʻana me kāu cardiologist e hoʻomaopopo i kou kūlana kikoʻī a hahai i kā lākou mau ʻōlelo aʻo no ka nānā ʻana a i ʻole ka mālama ʻana. Me ka mālama lapaʻau kūpono, ʻaʻole pono ka ASD e hoʻopilikia i kou maikaʻi o ke ola a i ʻole ka lōʻihi o ke ola.

E pani anei koʻu ASD iā ia iho?

Hiki i kekahi mau ASD liʻiliʻi ke pani maoli i ka wā kamaliʻi, ʻo nā mea liʻiliʻi ma mua o 3-4 milimita. Eia naʻe, ʻaʻole paha e pani nā ASD e noho mau ana ma hope o 2-3 mau makahiki iā lākou iho a e noho paha i ka nui like a i ʻole e ulu nui paha i ka manawa.

E nānā kāu kauka i kāu ASD me nā echocardiograms maʻamau e ʻike inā ke loli nei ia i ka nui. ʻOiai inā ʻaʻole ia e pani maoli, ʻaʻole pono ka nui o nā ASD liʻiliʻi i ka mālama ma mua o ka nānā ʻana.

Ua palekana anei ka hoʻoikaika kino inā loaʻa iaʻu ka hemahema atrial septal?

Hiki i ka hapa nui o nā kānaka me nā ASD ke hoʻoikaika kino me ka palekana a paipai ʻia e noho ikaika kino. ʻO ka hoʻoikaika kino maʻamau he pono maoli ia no kou olakino naʻau a me kou olakino holoʻokoʻa. Eia naʻe, ʻo nā hana kikoʻī e palekana no ʻoe e hilinaʻi ana i ka nui o kāu ASD a inā ke hoʻokumu nei ia i nā hōʻailona.

Hiki i kāu kauka naʻau ke ʻōlelo aku i kahi hoʻokolohua hoʻoikaika kino e loiloi i ke ʻano o ka pane ʻana o kou naʻau i ka hana kino. Ma muli o nā hopena, hiki iā lākou ke hāʻawi i nā kuhikuhi pilikino e pili ana i nā hana palekana a inā pono ʻoe i kekahi mau palena.

Pono anei au i nā lāʻau ʻalopona ma mua o nā kaʻina hana niho?

ʻAʻole pono ka hapa nui o nā kānaka me nā ASD i nā lāʻau ʻalopona ma mua o nā kaʻina hana niho. ʻO nā kuhikuhi i kēia manawa e ʻōlelo wale aku nei i ka prophylaxis antibiotic no nā kānaka i loaʻa ka pilikia nui loa o nā maʻi koʻikoʻi, kahi e komo pinepine ai nā poʻe me kekahi mau ʻano o nā valve naʻau hana a i ʻole nā ​​maʻi naʻau ma mua.

Eia naʻe, hiki ke loli nā ʻōlelo aʻo, a hiki ke ʻokoʻa kou kūlana kikoʻī. E nīnau mau i kāu kauka naʻau inā pono ʻoe i nā lāʻau ʻalopona ma mua o ka hana niho a i ʻole nā ​​kaʻina hana lapaʻau ʻē aʻe.

Hiki i nā wāhine me nā ASD ke loaʻa nā keiki me ka palekana?

Hiki i nā wāhine he nui me nā ASD ke loaʻa nā hāpai a me nā hānau palekana. Eia naʻe, hoʻonui ka hāpai ʻana i nā koi ma luna o kou naʻau, no laila he mea nui ke kūkākūkā i kāu mau hoʻolālā me kāu kauka naʻau a me kāu kauka hāpai ma mua o ka hāpai ʻana.

Hiki i kāu mau kauka ke ʻōlelo aku e pani i kahi ASD nui aʻe ma mua o ka hāpai ʻana inā ke kumu ia i nā hōʻailona a i ʻole ka hoʻonui ʻana o ka naʻau. Makemake nō hoʻi lākou e nānā pono iā ʻoe i ka wā hāpai e hōʻoia ai e olakino ʻoe a me kāu pēpē i ka wā holoʻokoʻa.