He aha ka Coarctation o ka Aorta? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka coarctation o ka aorta kahi hemahema hānau kahi e lilo ai kekahi māhele o ke kīʻaha koko nui o kou kino i kahi ʻāpana pilikia. Hana kēia pilikia i kou naʻau e hana nui aku e hoʻopuka koko ma kou kino a pau. E noʻonoʻo e like me ka hose māla me kahi ʻāpana paʻa i waenakonu - e holo mau ana ka wai, akā me ka nui o ka mana ma hope o ka wahi pilikia.

Hoʻopili kēia kūlana ma kahi o 1 i 2,500 mau pēpē i hānau ʻia i kēlā me kēia makahiki. ʻOiai ke kani nui nei, hāʻawi ka lāʻau lapaʻau hou i nā koho lapaʻau maikaʻi loa e hiki ai ke kōkua i nā kānaka me kēia kūlana e ola i nā ola piha a olakino.

He aha ka Coarctation o ka Aorta?

Hana ʻia ka coarctation o ka aorta i ka wā e pilikia ai a i ʻole e lilo ai kahi ʻāpana o ka aorta - ke kīʻaha koko nui loa o kou kino - i kahi ʻāpana pilikia. Lawe ka aorta i ke koko momona oxygen mai kou naʻau a i ke koena o kou kino.

ʻO ka mea maʻamau, hana ʻia kēia pilikia kokoke i kahi e hoʻopili ai ka ductus arteriosus i ka aorta. ʻO ka ductus arteriosus kahi kīʻaha koko a pau nā pēpē ma mua o ka hānau ʻana, kahi e pani mau ai ma hope koke o ka hānau ʻana. Ke ulu mai ka coarctation ma kēia wahi, hiki ke hana i nā pilikia nui o ke kahe koko.

Hoʻoikaika ka pilikia i kou naʻau e hoʻopuka ikaika loa e kipaku i ke koko ma mua o ka wahi pilikia. Hiki i kēia hana nui ke hoʻonui i kou koko kiʻekiʻe ma kou kino ʻoi aku ma mua o ka hoʻemi ʻana i ke kahe koko i kou kino lalo.

He aha nā Hōʻailona o ka Coarctation o ka Aorta?

Hiki i nā hōʻailona ke ʻokoʻa nui ma muli o ka nui o ka pilikia a me ka wā e ulu ai. Loaʻa i kekahi poʻe nā hōʻailona maopopo i ka wā kamaliʻi, ʻoiai ʻaʻole paha e ʻike kekahi i nā pilikia a hiki i ka wā makua.

I nā pēpē hou a me nā pēpē, hiki iā ʻoe ke ʻike i kēia mau hōʻailona hopohopo:

• Paʻakikī ke hanu a i ʻole ka wikiwiki o ka hanu
• ʻAʻole maikaʻi ka hānai a i ʻole ka ʻai ʻana ma mua o ka maʻamau
• ʻIli keʻokeʻo a hina hina paha
• Ka luhi nui i ka wā e hānai ai
• Hoʻonāukiuki a i ʻole ka hoʻonāukiuki maʻamau ʻole
• Hōʻole i ka loaʻa ʻana o ke kaumaha maʻamau
• Anuanu nā lima a me nā wāwae

Hoʻomaka pinepine kēia mau hōʻailona i ka pani ʻana o ka ductus arteriosus i loko o nā lā mua a i ʻole nā pule o ke ola. Hiki i kēia pani ʻana ke hoʻopilikia i ka hoʻonui ʻana a hana i kahi pilikia olakino e pono ai ka nānā koke.

Hiki i nā keiki a me nā mākua me nā hihia māmā ke loaʻa nā hōʻailona ʻē aʻe:

• Ke koko kiʻekiʻe i nā lima
• Nā poʻo ʻeha e hele mai ana a hele aku
• Nāwaliwali o nā ʻiʻo i nā wāwae
• Anuanu nā wāwae a i ʻole nā ʻeha wāwae
• Nā kahe ihu e hana pinepine ana
• ʻEha umauma i ka wā e hana kino ai
• Pōkole o ka hanu me ka hoʻoikaika kino

Hoʻomohala kekahi poʻe i ka mea a nā kauka i kapa ai ʻo ka "kahe koko collateral" ma hope o kekahi manawa. ʻO ia hoʻi, hana kāu kino i nā ala hou no ke kahe koko a puni ka wahi ʻāpana, hiki ke hoʻemi i nā hōʻailona akā ʻaʻole e hoʻoponopono i ka pilikia kumu.

He aha nā ʻAno o ka Coarctation o ka Aorta?

Hoʻokaʻawale nā kauka i ka coarctation ma muli o kahi e hana ai ka hoʻonui ʻana a pehea e pili ai i nā kīʻaha koko ʻē aʻe. Ke hoʻomaopopo ʻia kēia mau ʻano e kōkua i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa.

Hana ʻia ka coarctation preductal ma mua o kahi e pili ai ka ductus arteriosus i ka aorta. Hoʻokumu pinepine kēia ʻano i nā hōʻailona koʻikoʻi i nā pēpē no ka mea i ka pani ʻana o ka ductus arteriosus, emi loa ka kahe koko i ke kino lalo.

Hana ʻia ka coarctation postductal ma hope o kahi pili ʻana o ka ductus arteriosus. Hoʻomohala pinepine ʻia kēia ʻano me ka mālie a ʻaʻole paha e hoʻokumu i nā hōʻailona a hiki i ka wā ma hope i ke kamaliʻi a i ʻole ka wā makua.

Hoʻomohala ʻia ka coarctation juxtaductal ma kahi pili ʻana. ʻO kēia ka ʻano maʻamau loa a hiki ke hoʻokumu i nā hōʻailona i nā makahiki like ʻole ma muli o ka nui o ka hoʻonui ʻana.

He aha ka mea e hoʻoulu ai i ka Coarctation o ka Aorta?

Hoʻomohala ʻia ka coarctation o ka aorta i ka wā hāpai ke hoʻokumu ʻia nei ka naʻau a me nā kīʻaha koko o kāu pēpē. ʻAʻole maopopo loa ke kumu kikoʻī o kēia, akā ua ʻike nā mea noiʻi i kekahi mau kumu kōkua.

He kuleana nui nā kumu genetic i nā hihia he nui. Loaʻa i kekahi mau keiki nā gene e hoʻopilikia i ke ʻano o ka hoʻomohala ʻana o kā lākou mau kīʻaha koko, e hoʻonui ana i ka hiki ke loaʻa ka coarctation.

Hoʻonui kekahi mau kūlana genetic i ka pilikia o ka coarctation:

• Turner syndrome - kahi kūlana chromosomal e pili ana i nā kaikamāhine
• Bicuspid aortic valve - kahi i loaʻa ai i ka valve naʻau ʻelua mau leaflets ma mua o ʻekolu
• Hypoplastic left heart syndrome - ka hoʻomohala ʻana i ka ʻaoʻao hema o ka naʻau
• Nā hemahema o ka mitral valve
• Shone syndrome - ka hui ʻana o kekahi mau hemahema naʻau

Hiki i nā kumu kūlohelohe i ka wā hāpai ke kōkua pū, ʻoiai ʻaʻole maopopo loa ka hōʻike. Hōʻike kekahi mau haʻawina i ka manaʻo o kekahi mau lāʻau lapaʻau, nā maʻi, a i ʻole ka hōʻike ʻana i nā mea ʻino e hoʻonui i ka pilikia, akā pono nā noiʻi hou aku e hōʻoia i kēia mau pilina.

I nā hihia kakaikahi, hiki ke hoʻomohala ʻia ka coarctation ma hope i ke ola ma muli o nā kūlana e hoʻoulu ai i ka ʻili a i ʻole ka mumū o ka aorta, e like me ka Takayasu arteritis a i ʻole ka atherosclerosis nui.

I ka wā e ʻike ai i ke kauka no ka Coarctation o ka Aorta?

E ʻimi koke i ka mālama lapaʻau inā hōʻike kāu pēpē hou i nā hōʻailona o nā pilikia naʻau. ʻO nā hōʻailona pilikia e komo pū ana ka pilikia o ka hanu, ka hānai maikaʻi ʻole, ka ʻili keʻokeʻo a uliuli paha, a i ʻole ka huhū nui ʻaʻole e hoʻomaikaʻi me nā hana hōʻoluʻolu maʻamau.

No nā keiki a me nā mākua kahiko, e hoʻonohonoho i kahi kipa kauka inā ʻike ʻoe i ke koko kiʻekiʻe mau, ʻoi aku inā kiʻekiʻe ma kou mau lima ma mua o kou mau wāwae. ʻO nā hōʻailona pilikia ʻē aʻe e komo pū ana nā poʻo ʻeha pinepine, ka nāwaliwali o nā wāwae i ka wā hoʻomaʻamaʻa, a i ʻole ka ʻeha umauma me ka hana kino.

Hoʻoikaika loa nā nānā maʻamau inā he mōʻaukala ʻohana kāu o nā hemahema o ka naʻau a i ʻole inā ua ʻike ʻia ʻoe me nā kūlana pili e like me ka Turner syndrome a i ʻole ka bicuspid aortic valve.

Mai kali inā ʻoi aku ka ʻino o nā hōʻailona a i ʻole ke ʻike ʻia nā mea hou. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia nui a hoʻomaikaʻi nui i nā hopena lōʻihi.

He aha nā kumu pilikia no ka Coarctation o ka Aorta?

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke loaʻa ka coarctation o ka aorta. Ke hoʻomaopopo nei i kēia mau kumu pilikia e kōkua i nā ʻohana a me nā kauka e makaʻala no nā hōʻailona hiki.

ʻO ka wahine ʻana e hoʻonui i kou pilikia, ʻoi aku inā loaʻa iā ʻoe ka Turner syndrome. Ma kahi o 10-30% o nā kaikamahine me ka Turner syndrome e loaʻa i ka coarctation, e hana ana i ka nānā naʻau maʻamau he mea nui no kēia heluna kanaka.

He kuleana nui ka mōʻaukala ʻohana i ka loiloi pilikia:

• Loaʻa i ka makua a i ʻole ke kaikuaʻana me ka coarctation
• Nā lālā ʻohana me nā hemahema naʻau ʻē aʻe i hānau ʻia
• Nā hoahānau me ka bicuspid aortic valve
• Nā syndrome genetic e hoʻopilikia i ka hoʻomohala ʻana o ka naʻau

Hiki i kekahi mau kumu hāpai ke hoʻopilikia i ka pilikia, ʻoiai ʻaʻole maopopo loa kēia mau mea. Ua aʻo ʻia ka makahiki makua kiʻekiʻe, ka maʻi diabetes i ka wā hāpai, a me ka hōʻike ʻia i kekahi mau lāʻau lapaʻau, akā ʻaʻole i hoʻokumu ʻia nā pilina maopopo.

ʻO ka loaʻa ʻana o nā hemahema naʻau ʻē aʻe e hoʻonui i kou manawa e loaʻa ai ka coarctation. Ma kahi o 85% o nā kānaka me ka coarctation loaʻa iā lākou ma kahi o hoʻokahi abnormality naʻau ʻē aʻe, me ka bicuspid aortic valve ka mea maʻamau loa.

He aha nā pilikia hiki ke loaʻa i ka Coarctation o ka Aorta?

Me ka ʻole o ka mālama kūpono, hiki i ka coarctation o ka aorta ke alakaʻi i nā pilikia olakino nui i ka manawa. ʻO ka mea maikaʻi, hiki ke pale ʻia ka hapa nui o nā pilikia me ka mālama lapaʻau kūpono.

ʻO ke koko kiʻekiʻe ka pilikia lōʻihi loa i ʻike pinepine ʻia. Ke hoʻoikaika nei ka aorta i hoʻonui ʻia i kou naʻau e hana nui aku, kahi e hiki ai ke hōʻino i kou ʻōnaehana cardiovascular i nā makahiki he nui.

Hiki ke ulu mālie nā pilikia pili i ka naʻau:

• Hoʻonui ʻia ka naʻau hema mai ka hana nui
• Hāʻule ka naʻau inā nāwaliwali loa ka ʻiʻo
• Maʻi artery coronary i kahi makahiki ʻōpio
• Nā leo naʻau kūpono ʻole
• Nā pilikia o ka valve aortic

Hiki nō hoʻi ke loaʻa nā pilikia o nā kīʻaha koko, ʻoiai inā ʻaʻole i kaohi maikaʻi ʻia ke koko kiʻekiʻe. ʻO kēia mau mea e komo pū ana me ka hahau, nā aneurysms i nā kīʻaha koko o ka lolo, a me ka paʻakikī koke ʻana o nā arteries ma kou kino holoʻokoʻa.

I nā hihia kakaikahi, hiki i ka coarctation koʻikoʻi i mālama ʻole ʻia ke hoʻoulu i nā pilikia o ka puʻupaʻa ma muli o ka emi ʻana o ke kahe koko, a i ʻole ka maʻi o nā valve naʻau i kapa ʻia ʻo endocarditis.

Hiki i ka hāpai ke hoʻokau i nā pilikia kūikawā no nā wāhine me ka coarctation, ʻoiai ʻo ka nui o ke koko a me nā koi o ka naʻau e hiki ke hoʻoikaika i ka naʻau i hana nui ʻia. Eia naʻe, me ka nānā pono ʻana o nā kauka, nui nā wāhine i hāpai holomua i nā hāpai.

Pehea ka hōʻoia ʻana o ka Coarctation o ka Aorta?

Hoʻomaka pinepine ka hōʻoia ʻana i ka wā e ʻike ai ke kauka i nā ʻike kūpono ʻole i ka wā o ka nānā kino maʻamau. ʻO ka ʻōlelo aʻoaʻo maʻamau ka murmur naʻau - kahi kani hou i lohe ʻia i ka hoʻolohe ʻana i kou naʻau me ka stethoscope.

E nānā kāu kauka i ke koko kiʻekiʻe ma kou mau lima ʻelua a me kou mau wāwae. I ka coarctation, ʻoi aku ka kiʻekiʻe o ke kaomi i kou mau lima ma mua o kou mau wāwae, kahi e hana ai i kahi ʻano kūikawā e hoʻāla ai i ka kānalua.

Hiki i kekahi mau hoʻokolohua kiʻi ke hōʻoia i ka hōʻoia a hōʻike pono i kahi a me ka nui o ka hoʻonui ʻana:

• Echocardiogram - hoʻohana i nā nalu leo e hana i nā kiʻi neʻe o kou naʻau
• CT scan - hāʻawi i nā kiʻi ʻāpana kikoʻī o kou aorta
• MRI - hāʻawi i ka ʻike maikaʻi loa me ka ʻole o ka hoʻolaha radiation
• Cardiac catheterization - komo i ka kaula ʻana i kahi paipu lahilahi ma o nā kīʻaha koko no ke ana pololei

Hiki i nā X-ray umauma ke hōʻike i nā loli ʻano i kou mau iwi ʻaoʻao i kapa ʻia ʻo "rib notching," kahi e ulu ai i ka wā e hoʻonui ai nā kīʻaha koko a puni kou mau iwi ʻaoʻao e lawe i ke koko keu a puni ka wahi kuʻi.

No nā pēpē hou me nā hōʻailona koʻikoʻi, pinepine ka ʻike koke ʻana ma ka haukapila. Hiki i ka Pulse oximetry, ka mea e ana i nā pae oxygen i loko o kou koko, ke kōkua i ka ʻike ʻana i nā pilikia ma mua o ka ʻike ʻia ʻana o nā hōʻailona.

He aha ka lāʻau lapaʻau no ka Coarctation o ka Aorta?

Aia ke lapaʻau ma ka nui o kou coarctation a me ka manawa i ʻike ʻia ai. ʻO ka pahuhopu mau loa ka hoʻomaha ʻana i ka kuʻi a me ka hoʻihoʻi ʻana i ke kahe koko maʻamau ma kou kino holoʻokoʻa.

No nā pēpē hou me ka coarctation koʻikoʻi, pono paha ka lapaʻau koke e hoʻopaʻa iā lākou ma mua o ka ʻoki kino. Hoʻopili pinepine kēia i nā lāʻau lapaʻau e mālama i ka ductus arteriosus i wehe, hiki ke hoʻomaikaʻi i ke kahe koko i ka manawa pōkole.

Ke noho nei ka hoʻoponopono ʻoki kino ma ke ʻano he lapaʻau maʻamau a maikaʻi loa:

• End-to-end anastomosis - wehe ʻana i ka ʻāpana kuʻi a hoʻohui hou i ka aorta
• Patch repair - hoʻohana ʻana i nā mea e hoʻonui ai i ka wahi kuʻi
• Bypass surgery - hana ʻana i kahi ala hou a puni ka ʻāpana kuʻi
• Extended end-to-end repair - no nā wahi lōʻihi o ka kuʻi

Hāʻawi ka Balloon angioplasty i kahi koho liʻiliʻi invasive no kekahi poʻe. I loko o kēia kaʻina hana, kaula ke kauka i kahi paipu lahilahi me ka piko balloon ma o kou mau kīʻaha koko i ka wahi kuʻi, a laila hoʻonui i ka balloon e hoʻonui i ka aorta.

Hiki ke ʻōlelo ʻia ka hoʻokomo ʻana o ka stent me ka angioplasty. He paipu metala liʻiliʻi ka stent e noho mau ana i kahi e kōkua ai e mālama i ka aorta e wehe ana ma hope o ka hoʻonui ʻana i ka balloon.

Aia ke koho ma waena o ka ʻoki kino a me nā lāʻau lapaʻau catheter i kou mau makahiki, kahi a me ka nui o ka hoʻonui ʻana, a inā paha he mau pilikia puʻuwai ʻē aʻe āu e pono ai ke hoʻoponopono.

Pehea e Lawe ai i ka Mālama Home i ka wā o ka Coarctation o ka Aorta?

ʻO ka hoʻokele ʻana i ka coarctation ma ka home e kau nui ana i ke kākoʻo ʻana i kou olakino cardiovascular holoʻokoʻa a me ka hahai ʻana i nā ʻōlelo kikoʻī a kāu kauka. E hilinaʻi kāu ala i ka loaʻa ʻana o ka mālama ʻana iā ʻoe a me ka maikaʻi o ka kaohi ʻana i kou kūlana.

Lilo ka nānā ʻana i ke koko i ʻāpana nui o kāu hana maʻamau. Hiki i kāu kauka ke ʻōlelo e nānā mau i kou koko ma ka home, ʻoi aku inā ʻoe e lawe ana i nā lāʻau lapaʻau e kaohi ai.

Pono ka mālama ʻana i nā lāʻau lapaʻau i ka nānā pono ʻana i ka manawa a me ka hoʻohana ʻana:

• E lawe i nā lāʻau lapaʻau koko e like me ke kauoha
• Mai haʻalele i nā doses inā ʻoe e manaʻo maikaʻi ana
• E mālama i ka papa inoa o nā lāʻau lapaʻau a pau no nā hālāwai lapaʻau
• E nīnau i kāu pharmacist e pili ana i nā pilina lāʻau
• E hōʻike koke i nā hopena ʻaoʻao i kāu kauka

Hiki ke pono nā hoʻololi hana, ʻoi aku no nā keiki a me nā ʻōpio. E hāʻawi kāu cardiologist i nā kuhikuhi kikoʻī e pili ana i nā haʻuki a me nā hana palekana ma muli o kou kūlana pilikino.

Hiki i nā koho ʻai a me ke ola ke hoʻopili nui i kou olakino lōʻihi. E kau i ka ʻai olakino puʻuwai me ka nui o nā hua, nā huaʻai, a me nā ʻōpala holoʻokoʻa ʻoiai e kaupalena ana i ka sodium a me nā meaʻai i hana ʻia.

E nānā i nā hōʻailona hōʻailona e hōʻike ana i nā pilikia, e like me nā poʻo ʻeha hou a i ʻole ka ʻino, ka ʻeha umauma, ka pilikia hanu, a i ʻole ka pehu ʻana i kou mau wāwae a i ʻole nā ​​wāwae.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau maikaʻi e kōkua iā ʻoe e hoʻohana pono i kāu kūkā a e hōʻoia i loaʻa i kāu kauka nā ʻike āpau e pono ai e hāʻawi i ka mālama maikaʻi loa. E hoʻomaka ma ka hōʻiliʻili ʻana i kāu mau moʻolelo lapaʻau a me nā lāʻau lapaʻau i kēia manawa.

E hana i kahi moʻokāki hōʻailona ma mua o kāu kipa. E kākau i kekahi mau hōʻailona āu i ʻike ai, i ka wā e kū mai ai, a me ka mea e hoʻonāukiuki ai a hoʻomaha paha iā lākou. E hoʻokomo i nā kikoʻī e pili ana i nā poʻo ʻeha, ka ʻeha umauma, ka hanu pōkole, a i ʻole ka luhi.

E hoʻomākaukau i kahi papa inoa o nā nīnau e nīnau aku i kāu kauka:

• He aha ke ʻano a me ka nui o ka coarctation aʻu i loaʻa ai?
• He aha nā koho lapaʻau i loaʻa iaʻu?
• He aha nā pilikia a me nā pono o kēlā me kēia koho?
• Pehea ka pinepine o kaʻu mau kūkā hoʻomau?
• Aia kekahi mau hana e pono iaʻu ke pale aku?
• He aha nā hōʻailona e hoʻoulu i ka mālama koke?

E lawe mai i kahi lālā ʻohana a hoaaloha paha inā hiki, ʻoi aku hoʻi no nā kūkā koʻikoʻi e pili ana i nā hoʻoholo lapaʻau. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a hāʻawi i ke kākoʻo manaʻo.

E hōʻoia e lawe mai i kāu ʻike ʻinikua, ka papa inoa lāʻau lapaʻau i kēia manawa, a me nā hopena hoʻokolohua hou mai nā kauka ʻē aʻe. E kōkua kēia e pale aku i nā hoʻopaneʻe a e hōʻoia i ka hoʻomau ʻana o ka mālama.

He aha ka lawe nui e pili ana i ka Coarctation o ka Aorta?

ʻO ka coarctation o ka aorta kahi kūlana naʻau hiki ke mālama ʻia e hoʻopilikia i ka artery nui o ke kino. ʻOiai e pono ai ka nānā mau ʻana o nā kauka, hiki i ka hapa nui o nā kānaka me kēia kūlana ke ola i nā ola piha a hana nui me ka mālama kūpono a me ka mālama hoʻomau.

ʻO ka ʻike mua ʻana a me ka mālama ʻana e hana i kahi ʻokoʻa nui i nā hopena. Inā ʻike ʻia i ka wā kamaliʻi a i ʻole ka wā makua, nā lapaʻau ʻoki kino a me nā catheter hou e hāʻawi i nā hopena maikaʻi loa no ka hoʻomaha ʻana i ka hoʻonui ʻana a me ka hoʻihoʻi ʻana i ke kahe koko maʻamau.

ʻO ke kī i ka holomua lōʻihi ka mālama mau ʻana i ka mālama hoʻomau me kāu kauka naʻau, ka hoʻokele pono ʻana i ke koko kiʻekiʻe, a me ka makaʻala mau ʻana i nā hōʻailona hou. Me ka mālama lapaʻau kūpono, hiki pinepine ke pale aku ai a i ʻole e hoʻemi ʻia nā pilikia.

E hoʻomanaʻo ʻaʻole e hoʻoholo ka loaʻa ʻana o ka coarctation i nā palena o kou ola. He nui nā kānaka me kēia kūlana e komo i nā haʻuki, loaʻa nā ʻoihana holomua, hoʻomaka i nā ʻohana, a hahai i kā lākou mau moeʻuhane ʻoiai e hoʻokele pono ana i ko lākou olakino naʻau.

Nā Nīnau Pinepine e pili ana i ka Coarctation o ka Aorta

Hiki i nā kānaka me ka coarctation o ka aorta ke hoʻoikaika kino a pāʻani i nā haʻuki?

Hiki i ka hapanui o nā kānaka me ka coarctation i mālama ʻia me ka holomua ke komo i ka hoʻoikaika kino maʻamau a me nā hana haʻuki he nui. E loiloi kāu kauka naʻau i kou kūlana kūikawā a hāʻawi i nā kuhikuhi pilikino ma muli o kāu kaohi koko kiʻekiʻe, hana naʻau, a me nā kūlana naʻau ʻē aʻe āu paha e loaʻa ana. Ma ke ʻano laulā, paipai ʻia nā hana aerobic waena e like me ka hele wāwae, ka ʻauʻau, a me ke kaʻa paikikala, ʻoiai nā haʻuki pilina kiʻekiʻe e pono ai ka noʻonoʻo akahele.

He mea hoʻoilina anei ka coarctation o ka aorta?

Hiki i ka coarctation ke holo i loko o nā ʻohana, akā ʻaʻole ia i hoʻoilina ʻia ma kahi ʻano maʻalahi a hiki ke wānana ʻia. Inā loaʻa iā ʻoe ka coarctation, loaʻa i kāu mau keiki ka pilikia iki o nā hemahema naʻau i hoʻohālikelike ʻia me ka heluna kanaka maʻamau, akā ʻo ka hapa nui o nā keiki i hānau ʻia i nā mākua me ka coarctation he naʻau maʻamau ko lākou. Hiki i ka ʻōlelo aʻo genetic ke kōkua iā ʻoe e hoʻomaopopo i nā kumu pilikia kūikawā o kou ʻohana a kūkākūkā i nā koho nānā no nā hāpai ʻana i ka wā e hiki mai ana.

E pono anei iaʻu ka ʻoki kino ma mua o hoʻokahi manawa no ka coarctation?

ʻO ka hapa nui o nā kānaka, hoʻokahi wale nō ka lāʻau lapaʻau e pono ai e hoʻoponopono mau i ko lākou coarctation. Eia naʻe, hiki i kekahi poʻe ke hoʻomohala hou i ka hoʻonui ʻana ma hope o kekahi manawa, ʻoi aku inā hana ʻia ka hoʻoponopono mua i ka wā kamaliʻi. Kūleʻa nā hālāwai kūkākūkā ma hope e ʻike koke i nā pilikia, a inā loaʻa ka hoʻonui hou ʻana, hiki pinepine ke mālama maikaʻi ʻia me ka balloon angioplasty ma mua o ka pono ʻana i kahi ʻoki nui ʻē aʻe.

Hiki i nā wāhine me ka coarctation ke loaʻa nā hāpai palekana?

He nui nā wāhine me ka coarctation i mālama maikaʻi ʻia i loaʻa nā hāpai holomua a me nā pēpē olakino. Eia naʻe, hoʻonui ka hāpai ʻana i ka hana ma luna o kou naʻau a me kou ʻōnaehana kahe koko, no laila he mea nui ka nānā pono ʻana e kou cardiologist a me kāu obstetrician. Kūleʻa ka ʻōlelo aʻo ma mua o ka hāpai ʻana e hōʻoia i ka mālama maikaʻi ʻia o kou koko a me ka ʻike ʻana i nā palekana hou aku e pono ai i ka wā hāpai a me ka hānau ʻana.

Pehea pinepine wau e pono ai i nā hālāwai kūkākūkā ma hope o ka mālama ʻana?

Hoʻololi nā papa hana ma hope e pili ana i kou makahiki, ke ʻano o ka mālama ʻana, a me ka maikaʻi o ka mālama ʻana i kou kūlana. I ka hoʻomaka, pono paha ʻoe i nā hālāwai i kēlā me kēia mahina 6-12, me ka hiki ke emi iho ka pinepine ma hope o kekahi manawa inā kūpaʻa nā mea a pau. E hana kāu cardiologist i kahi papa hana ma hope o ka hoʻopilikino ʻana e komo pū me nā hoʻokolohua kiʻi maʻamau e nānā i kou aorta a me ka loiloi ʻana i kou koko a me ka hana o kou naʻau.