He aha ka Patent Ductus Arteriosus? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka patent ductus arteriosus (PDA) kahi kūlana o ka naʻau kahi e waiho ai kahi kīʻaha koko e pono e pani ma hope o ka hānau ʻana. ʻO kēia wehe ʻana, i kapa ʻia ʻo ka ductus arteriosus, e hoʻohui mau ana i ʻelua mau kīʻaha koko nui kokoke i ka naʻau i ka wā hāpai e kōkua ai i ke koko e hala i nā māmā o ke pēpē. Ke pani ʻole ʻia ma hope o ka hānau ʻana, hiki iā ia ke hoʻopilikia i ke kahe ʻana o ke koko ma o kou naʻau a me kou mau māmā.

He aha ka Patent Ductus Arteriosus?

Hana ʻia ka patent ductus arteriosus i ka wā e pani ʻole ai kahi pilina kīʻaha koko maoli e like me ka mea e pono ai ma hope o ka hānau ʻana. I ka wā hāpai, ʻaʻole pono nā pēpē e hoʻohana i ko lākou mau māmā no ka oxygen, no laila, kōkua kēia kīʻaha i ke koko e lele i nā māmā.

Ke hānau ʻia ke pēpē a hoʻomaka e hanu, pono e pani kēia pilina i loko o nā lā mua o ke ola. Ke waiho ʻia, e kahe ke koko ma waena o ka aorta (ka artery nui o ke kino) a me ka pulmonary artery (ka mea e lawe ai i ke koko i nā māmā).

Hoʻokau kēia kahe koko keu i ka naʻau a me nā māmā i ka manawa lōʻihi. Hiki i ke kūlana ke hele mai nā hihia māmā loa e pilikia iki i ke ola o kēlā me kēia lā i nā kūlana koʻikoʻi e pono ai ka mālama lapaʻau.

He aha nā Hōʻailona o ka Patent Ductus Arteriosus?

ʻAʻole ʻike nui nā kānaka me nā PDA liʻiliʻi i kekahi hōʻailona, ​​​​ʻoi aku hoʻi i ka wā kamaliʻi. Ke ʻike ʻia nā hōʻailona, ​​hoʻomohala pinepine lākou i ka manawa e hana nui ai ka naʻau e pump i ke koko keu.

ʻO nā hōʻailona maʻamau āu e ʻike ai:

• Pōkole o ka hanu, ʻoi aku hoʻi i ka wā hana kino a i ʻole hoʻoikaika
• Luhi maʻalahi ma mua o ka maʻamau i ka wā hana o kēlā me kēia lā
• ʻO ka naʻau wikiwiki a i ʻole kūpono ʻole āu e hiki ai ke manaʻo
• ʻOi aku ka nui o ka hou, ʻoi aku hoʻi i ka wā hānai i nā pēpē
• Loaʻa ʻole ke kaupaona a i ʻole ulu mālie i nā keiki
• Nā maʻi hanu pinepine a i ʻole pneumonia

I nā hihia ʻoi aku ka nui, e hiki paha iā ʻoe ke ʻeha i ka umauma a i ʻole ke ʻike i kou puʻuwai e holo wikiwiki ana ʻoiai e hoʻomaha ana. Loaʻa i kekahi poʻe kahi kala uliuli i ko lākou ʻili, lehelehe, a i ʻole nā ​​kūpuna, kahi e hana ai ke nele i ka oxygen i ke koko.

Hoʻomaka pinepine kēia mau hōʻailona ke ʻoi aku ka nui o kou mau makahiki, ʻoiai ua hana nui ka puʻuwai no nā makahiki he nui. ʻO ka mea maikaʻi, ʻo ka ʻike koke ʻana i kēia mau hōʻailona e kōkua iā ʻoe e loaʻa ka mālama kūpono.

He aha ka mea e hoʻokumu ai i ka Patent Ductus Arteriosus?

Hana ʻia ka Patent ductus arteriosus ke hana pono ʻole ka hana pani maʻamau ma hope o ka hānau ʻana, akā ʻaʻole maopopo mau i nā kauka ke kumu o kēia. Pono e pani kūlohelohe ka ductus arteriosus i loko o 2-3 mau lā ma hope o ka hānau ʻana i ka piʻi ʻana o ka oxygen a me ka loli ʻana o kekahi mau hormones.

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke ulu ʻana o ka PDA:

• Hānau mua - ʻoi aku ka nui o ka hiki ʻana o ka PDA i nā pēpē i hānau ʻia ma mua o 37 mau wiki
• Hānau ʻia ma nā wahi kiʻekiʻe kahi e haʻahaʻa ai ka oxygen
• Loaʻa i kekahi mau kūlana genetic e like me ka Down syndrome
• Mōʻaukala ʻohana o nā hemahema puʻuwai congenital
• Ka maʻi rubella o ka makuahine i ka wā hāpai
• Ka maʻi diabetes o ka makuahine a i ʻole ka mālama ʻole ʻana i ke kō koko i ka wā hāpai
• Kekahi mau lāʻau lapaʻau i lawe ʻia i ka wā hāpai

ʻOi aku ka nui o ka pilikia o nā pēpē hānau mua no ka mea ʻaʻohe manawa lawa o kā lākou ductus arteriosus e hoʻomohala i ka hiki ke pani pono. I kekahi mau hihia kakaikahi, hiki i ka paia o ka moku ke loaʻa nā pilikia kūkulu e pale aku i ka pani maʻamau.

ʻO ka hapa nui o ka manawa, hana ʻia ka PDA me ke kumu maopopo ʻole, a he mea nui e ʻike ʻaʻole ʻoe a i ʻole kou mau mākua i hana i kēia kūlana.

I ka wā e ʻike ai i ke kauka no ka Patent Ductus Arteriosus?

E pono ʻoe ke hoʻokaʻaʻike aku i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona e hōʻike ana e hana nui ana kou naʻau ma mua o ka maʻamau. He mea nui loa kēia inā loaʻa iā ʻoe ka hanu pōkole i ka wā o nā hana i maʻalahi ma mua.

E ʻimi koke i ka mālama lapaʻau inā loaʻa iā ʻoe:

• ʻEha umauma a i ʻole kaomi, ʻoi aku hoʻi me ka hana
• Hanu pōkole nui a i ʻole ka pilikia o ka hanu
• Hina a i ʻole ke manaʻo e hiki paha iā ʻoe ke hāʻule
• Hoʻonui koke ʻana o ke kaumaha a i ʻole ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a i ʻole ka ʻōpū
• ʻAno uliuli i kou mau lehelehe, nā kui, a i ʻole ka ʻili

No nā mākua, he mea nui ka nānā ʻana i nā hōʻailona i nā keiki e like me ka hānai maikaʻi ʻole, ka hou nui ʻana i ka wā e ʻai ai, a i ʻole ka loaʻa ʻole o ke kaumaha e like me ka manaʻo. Hiki nō hoʻi i nā maʻi hanu pinepine a i ʻole ka luhi nui ma mua o nā keiki ʻē aʻe i ka wā pāʻani ke lilo i mau hōʻailona hoʻomaopopo.

ʻOiai inā he māmā nā hōʻailona, ​​ʻo ka loiloi koke ʻana e kōkua i ka pale ʻana i nā pilikia ma hope. Hiki i kāu kauka ke hoʻoholo inā pili kāu mau hōʻailona i ka PDA a i ʻole kekahi mea ʻē aʻe.

He aha nā kumu pilikia no ka Patent Ductus Arteriosus?

Loaʻa kekahi mau kumu e ʻoi aku ka nui o ka wehe ʻana o ka ductus arteriosus ma hope o ka hānau ʻana, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o kēia mau kumu pilikia e loaʻa iā ʻoe ka PDA. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua i ka wehewehe ʻana i ke kumu o ka nui o ka pilikia o kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā kumu pilikia nui loa e komo pū ana:

• Hānau mua (ʻoi aku ma mua o 28 mau pule o ka hāpai ʻana)
• Kaumaha hānau haʻahaʻa (ma lalo o 3.3 paona a i ʻole 1.5 kilokalama)
• Hānau ʻia ma nā kiʻekiʻe ma luna o 8,000 kapuaʻi
• Wahine - ʻelua ka nui o nā kaikamahine e loaʻa ai ka PDA ma mua o nā keikikāne
• Mōʻaukala ʻohana o nā hemahema naʻau congenital
• Nā syndrome genetic e like me ka Down syndrome a i ʻole DiGeorge syndrome
• Nā maʻi makuahine i ka wā hāpai, ʻoi aku hoʻi ka rubella
• Ka maʻi maʻi makuahine a i ʻole ka maʻi gestational diabetes

ʻO kekahi mau kumu pilikia ʻaʻole pinepine loa, ʻo ia ka hōʻike ʻia ʻana i kekahi mau kemika a i ʻole nā ​​lāʻau lapaʻau i ka wā hāpai, a me ka loaʻa ʻana o nā hemahema naʻau ʻē aʻe i ka wā hānau. Hiki nō hoʻi i nā makuahine e inu nui ana i ka waiʻona i ka wā hāpai ke loaʻa nā pēpē me ka pilikia kiʻekiʻe.

He mea kūpono ke hoʻomaopopo ʻaʻole ulu ka PDA i nā pēpē he nui me kēia mau kumu pilikia, ʻoiai ke ulu nei i nā mea ʻē aʻe me nā kumu pilikia ʻike ʻole ʻia. He paʻakikī ka pilina o nā kumu kūlohelohe a me nā kumu kūlohelohe a ke aʻo mau nei nā mea noiʻi.

He aha nā pilikia hiki ke loaʻa i ka Patent Ductus Arteriosus?

Ke liʻiliʻi ka PDA, nui ka poʻe e ola ana i ke ola maʻamau me ka ʻole o nā pilikia. Eia naʻe, hiki i nā puka nui ke alakaʻi i nā pilikia ma hope o ka manawa e hana nui ai ka naʻau a me nā māmā e mālama i ke kahe koko keu.

ʻO nā pilikia maʻamau loa āu e hālāwai ai, ʻo ia:

• Hāʻule o ka naʻau - ke nāwaliwali loa kou naʻau e pūpū pono i ke koko
• Ke kiʻekiʻe o ke koko i loko o nā māmā (pulmonary hypertension)
• Nā ʻano naʻau kūpono ʻole (arrhythmias)
• Hoʻonui ʻia ka pilikia o nā maʻi naʻau (endocarditis)
• Stroke mai nā clots koko
• Eisenmenger syndrome - kahi kūlana maʻamau ʻole akā koʻikoʻi kahi e hoʻololi ai ke kahe koko

ʻO ka hāʻule o ka naʻau, maʻamau, ulu mālie i nā makahiki he nui. Hiki iā ʻoe ke ʻike i ka luhi hou, ka pehu ʻana o kou mau wāwae a i ʻole kou ʻōpū, a i ʻole ka pilikia o ka hanu ke moe pālahalaha.

Loaʻa ka pulmonary hypertension i ka wā e hōʻino ai ke kahe koko keu i nā kīʻaha koko liʻiliʻi i loko o kou mau māmā. Hiki i kēia ke lilo i mea hiki ʻole ke hoʻololi ʻia ma hope, ʻo ia ke kumu e pono ai ka mālama koke no nā PDA nui.

ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke pale ʻia ka hapa nui o nā pilikia me ka mālama kūpono. ʻOiai ke loaʻa mai nā pilikia, hiki ke mālama pono ʻia ka nui me nā lāʻau lapaʻau a me nā hoʻololi ʻano ola.

Pehea ka hōʻoia ʻana o ka Patent Ductus Arteriosus?

Hoʻomaka pinepine ka ʻike ʻana i ka PDA i ka lohe ʻana o kāu kauka i kahi leo puʻuwai kūpono ʻole i kapa ʻia he murmur i ka wā o ka nānā maʻamau. He ʻano ʻano “e like me nā mīkini” kēia murmur hiki i nā kauka akamai ke ʻike.

E kauoha paha kāu kauka i kekahi mau hoʻokolohua e hōʻoia i ka ʻike a loiloi i ka nui o ke kūlana. ʻO ka echocardiogram ka hoʻokolohua mua a nui loa - hoʻohana ia i nā hawewe leo e hana i nā kiʻi neʻe o kou puʻuwai.

Hiki i nā hoʻokolohua hou ke komo pū:

• X-ray umauma e nānā i ka nui o ka puʻuwai a me ke kūlana o nā māmā
• Electrocardiogram (ECG) e ana i ka hana uila o kou puʻuwai
• Cardiac catheterization no nā ana kikoʻī o ke kaomi
• CT scan a i ʻole MRI no nā kiʻi puʻuwai kikoʻī hou aku
• Pulse oximetry e nānā i nā pae oxygen i loko o kou koko

Hiki i ka echocardiogram ke hōʻike pololei i kahi o ka wehe ʻana, pehea ka nui, a me ke kuhikuhi e kahe ana ke koko ma laila. Kōkua kēia ʻike i kāu kauka e hoʻoholo inā pono ka mālama a me ke ʻano e hana maikaʻi loa.

I kekahi manawa, ʻike ʻia ka PDA i ka wā hāpai ma o ka fetal echocardiography, ʻoi aku inā kānalua ʻia nā pilikia puʻuwai ʻē aʻe. I nā hihia ʻē aʻe, ʻaʻole paha ia e ʻike ʻia a hiki i ka wā makua ke ulu nā hōʻailona a i ʻole i ka wā o ka loiloi no nā pilikia olakino ʻē aʻe.

He aha ka mālama no ka Patent Ductus Arteriosus?

Aia ka mālama ʻana no ka PDA ma nā mea he nui, me ka nui o ka wehe ʻana, kou makahiki, a inā ʻoe e ʻike ana i nā hōʻailona. Hiki i nā PDA liʻiliʻi ʻaʻole e hoʻoulu i nā pilikia ke pono wale i ka nānā maʻamau me ka ʻole o ka hoʻopili ʻana.

No nā PDA e pono ai ka mālama, loaʻa iā ʻoe kekahi mau koho:

• Nā lāʻau lapaʻau e kōkua i ka pani ʻana i ka ductus, ʻoi aku hoʻi i nā pēpē hānau mua
• Transcatheter closure me kahi mea liʻiliʻi i hoʻokomo ʻia ma o kahi kīʻaha koko
• Surgical closure ma o kahi ʻoki liʻiliʻi i ka umauma
• Nā lāʻau lapaʻau e hoʻokele i nā hōʻailona e like me ka hāʻule ʻana o ka puʻuwai a i ʻole ke koko kiʻekiʻe

ʻO ka Indomethacin kahi lāʻau lapaʻau e hiki ke kōkua i ka pani ʻana o ka ductus ma ke ʻano kūlohelohe i nā pēpē ʻōpio loa. Hana maikaʻi loa kēia i loko o nā lā mua o ke ola a ʻoi aku ka maikaʻi i nā pēpē hānau mua.

Ua lilo ka pani ʻana o ka transcatheter i ka mālama i makemake ʻia no ka hapa nui o nā PDA e pono ai ka hoʻoponopono. I loko o kēia kaʻina hana, ke alakaʻi nei kekahi cardiologist i kahi mea pani liʻiliʻi ma o kahi moku koko e pani i ka puka. Hana ʻia kēia ʻoiai ʻoe ma lalo o ka anesthesia, akā ʻaʻole pono ka ʻoki ʻana.

Hiki ke ʻōlelo ʻia ka pani ʻana o ka ʻoki kino inā nui loa ka PDA a i ʻole ke ʻano i kahi e paʻakikī ai ka pani ʻana o ka transcatheter. Hoʻopili ka ʻoki ʻana i ka hana ʻana i kahi ʻoki liʻiliʻi ma waena o kou mau iwi ʻaoʻao e hiki ai i ka naʻau a pani mau i ka puka.

Pehea e Mālama Ai iā ʻOe Iho ma ka Home me Patent Ductus Arteriosus?

Inā loaʻa iā ʻoe kahi PDA liʻiliʻi ʻaʻole pono i ka mālama koke, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e noho olakino ai a nānā i kou kūlana. ʻO ke kī ka mālama ʻana i ke olakino naʻau maikaʻi ma ke nānā ʻana i nā loli i kou mau hōʻailona.

Eia kekahi mau hana mālama ponoʻī koʻikoʻi:

• E noho ikaika me ka hoʻoikaika kino maʻamau, kūpono e like me ka ʻae ʻana o kāu kauka
• E ʻai i ka ʻai olakino naʻau momona i nā hua, nā huaʻai, a me nā huaola holoʻokoʻa
• E mālama i ka kaumaha olakino e hōʻemi i ka ukana ma kou naʻau
• E pale i ka puhipaka a e kaupalena i ka inu waiʻona
• E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi
• E hoʻomaʻamaʻa i ka mālama niho maikaʻi e pale aku i nā maʻi
• E kiʻi i nā lāʻau palekana i kuhikuhi ʻia, ʻoi aku hoʻi no ka pneumonia a me ka flu

He mea nui ka ʻike ʻana i kou mau palena i ka hana kino. ʻOiai he pono ka hoʻoikaika kino, pono ʻoe e hoʻōki a hoʻomaha inā manaʻo ʻoe he pōkole loa kou hanu, ʻāʻī, a i ʻole ʻeha umauma.

Mālama i ka helu ʻana o kekahi mau hōʻailona hou a i ʻole nā ​​hoʻololi i kou manaʻo i nā hana o kēlā me kēia lā. Loaʻa i kekahi poʻe ka mea kōkua e mālama i kahi moʻolelo maʻalahi e hoʻomaopopo ana i ko lākou pae ikehu, hanu, a me nā manaʻo kūikawā.

E hōʻoia e hele i nā hālāwai kūkā hope loa i hoʻonohonoho ʻia me kāu kauka naʻau, ʻoiai inā maikaʻi kou manaʻo. Ke kōkua nei ka nānā mau ʻana i ka hopu ʻana i nā loli koke a e hōʻoia i kūpono kāu papa hana lapaʻau.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Hiki i ka hoʻomākaukau maikaʻi ʻana no kāu hālāwai me ke kauka naʻau ke kōkua iā ʻoe e loaʻa ka mea nui loa mai kāu kipa 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 nā hopena hoʻokolohua mua a i ʻole nā ​​moʻolelo lapaʻau e pili ana i kou maʻi naʻau.

Ma mua o kāu hālāwai, e kākau i lalo:

• ʻO nā hōʻailona āpau āu i ʻike ai, ʻoiai inā he mea liʻiliʻi lākou
• Ke hōʻike ʻia nā hōʻailona a me ka mea e hoʻomaikaʻi ai a i ʻole e hoʻopōʻino ai iā lākou
• ʻO nā lāʻau lapaʻau a pau a me nā mea hoʻohui āu e lawe nei i kēia manawa
• Nā nīnau āu e makemake ai e nīnau i kāu kauka
• Kou mōʻaukala ʻohana o nā pilikia naʻau
• Kekahi mau hoʻololi hou i kou pae hana a i ʻole ka hana o kēlā me kēia lā

E noʻonoʻo e pili ana i nā hiʻohiʻona kūikawā o ke ʻano o nā hōʻailona i kou ola o kēlā me kēia lā. No ka laʻana, hiki iā ʻoe ke piʻi i nā alapiʻi me ka ʻole o ka luhi? Pono ʻoe e hoʻomaha i nā hana āu i hana maʻalahi ai ma mua?

E lawe mai i kahi papa inoa o kāu mau lāʻau lapaʻau āpau i kēia manawa, me nā inoa pololei, nā nui, a me ka pinepine o kāu lawe ʻana. Mai poina e hoʻokomo i nā lāʻau lapaʻau ma luna o ka pākaukau, nā wikamina, a me nā mea hoʻohui lāʻau.

E noʻonoʻo e lawe mai i kahi lālā ʻohana hilinaʻi a hoaaloha paha e hiki ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ka hālāwai. Hiki iā lākou ke noʻonoʻo i nā nīnau āu i noʻonoʻo ʻole ai.

He aha ka mea nui e pili ana i ka Patent Ductus Arteriosus?

ʻO ka patent ductus arteriosus he kūlana naʻau e hiki ke mālama ʻia, a ʻokoʻa ka hopena ma nā kānaka ma muli o ka nui o ka puka a me nā kumu pilikino. He nui nā kānaka me nā PDA liʻiliʻi e ola ana i nā ola maʻamau loa, ʻoiai ke loaʻa i kekahi poʻe ka pōmaikaʻi nui mai ka mālama ʻana e hiki pinepine ke hana ʻia me ka ʻole o ka ʻoki nui.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka mālama kūpono e hiki ke pale aku i ka hapa nui o nā pilikia. Inā loaʻa iā ʻoe nā hōʻailona e like me ka hanu pōkole a i ʻole ka luhi i wehe ʻole ʻia, mai kānalua e kūkākūkā me kāu kauka.

He nui ka hopena o nā lāʻau lapaʻau hou no ka PDA a ʻoi aku ka liʻiliʻi o ka hoʻopilikia ʻana ma mua o ka wā ma mua. ʻO ka hapa nui o nā kānaka e pono ai ka mālama ʻana e ola i nā ola ikaika a olakino me ka liʻiliʻi o nā palena.

E noho pili me kāu hui olakino, e hahai i kā lākou mau ʻōlelo aʻo, a mai hoʻokuʻu i ka hopohopo e pili ana i kou kūlana e pale aku iā ʻoe mai ka leʻaleʻa ʻana i ke ola. Me ka mālama kūpono a me ka nānā ʻana, ʻaʻole pono ka PDA e kaupalena nui i kou mau pahuhopu a i ʻole nā hana.

Nā Nīnau Pinepine e pili ana i ka Patent Ductus Arteriosus

Q1: Hiki i ka patent ductus arteriosus ke pani iā ia iho i nā mākua?

ʻAʻole maikaʻi, nā PDA e pani koke ʻole i nā mākua. ʻOiai hiki i ka ductus arteriosus ke pani maoli i nā mahina mua o ke ola, ʻoi aku hoʻi me ke kōkua o ka lāʻau lapaʻau i nā pēpē ma mua o ka manawa, e lilo kēia i mea ʻaʻole hiki ke hana ma hope o ka makahiki mua. Inā he mākua ʻoe me ka PDA, e noho paha ka puka ke pani ʻole ʻia me ka hoʻopili ʻana i ka lāʻau lapaʻau. Eia naʻe, he nui nā mākua me nā PDA liʻiliʻi e ola ana i nā ola maʻamau me ka ʻole o ka mālama ʻana.

Q2: Ua palekana anei ke hoʻoikaika inā loaʻa iaʻu ka patent ductus arteriosus?

ʻO ka hapa nui o nā kānaka me ka PDA hiki ke hoʻoikaika kino me ka palekana, akā, ʻo ke ʻano a me ka ikaika e hilinaʻi ana i kou kūlana kūikawā. Inā loaʻa iā ʻoe kahi PDA liʻiliʻi me ka ʻole o nā hōʻailona, ​​hiki pinepine iā ʻoe ke komo i nā hana maʻamau a pau, me nā haʻuki hoʻokūkū. Eia naʻe, inā loaʻa iā ʻoe kahi PDA nui a i ʻole nā ​​hōʻailona e like me ka hanu pōkole, hiki i kāu kauka ke ʻōlelo aku e pale aku i nā hana ikaika loa. E kūkākūkā mau i kāu mau hoʻolālā hoʻoikaika kino me kāu cardiologist e kiʻi i nā ʻōlelo aʻoaʻo pilikino ma muli o kou kūlana.

Q3: Hiki i nā wāhine me ka patent ductus arteriosus ke loaʻa nā hāpai palekana?

He nui nā wāhine me ka PDA hiki ke loaʻa nā hāpai palekana a olakino, akā, e hilinaʻi ana kēia i ka nui o kāu PDA a inā loaʻa iā ʻoe kekahi mau pilikia. ʻAʻole pinepine nā PDA liʻiliʻi e hoʻoulu i nā pilikia i ka wā hāpai. Eia naʻe, hiki i nā PDA nui a i ʻole nā ​​mea e hoʻoulu ai i ka hypertension pulmonary ke hoʻoliʻiliʻi i ka hāpai. Inā ʻoe e hoʻolālā e hāpai, e kūkākūkā me kāu cardiologist a me kāu obstetrician ma mua e hana i kahi hoʻolālā mālama palekana.

Q4: E hoʻoilina anei kaʻu keiki i ka patent ductus arteriosus inā loaʻa iaʻu?

ʻOiai hiki i ka PDA ke holo i nā ʻohana i kekahi manawa, ʻaʻole ka hapa nui o nā keiki o nā mākua me ka PDA e loaʻa iā lākou iho ke kūlana. ʻOi aku ka nui o ka pilikia ma mua o ka heluna kanaka maʻamau, akā he haʻahaʻa loa ia. Inā loaʻa iā ʻoe ka PDA a ke hoʻolālā nei ʻoe e loaʻa nā keiki, hiki i kāu kauka ke ʻōlelo aku i ka fetal echocardiography i ka wā hāpai e nānā i ka hoʻomohala ʻana o ka naʻau o kāu pēpē. Hiki i ka ʻōlelo aʻo genetic ke kōkua iā ʻoe e hoʻomaopopo i nā kumu pilikia kūikawā o kou ʻohana.

Q5: Pehea ka lōʻihi o ka hoʻōla ma hope o nā kaʻina hana pani PDA?

ʻO ka lōʻihi o ka hoʻōla e pili ana i ke ʻano o ka hana i hana ʻia iā ʻoe. Ma hope o ka pani ʻana o ka transcatheter (ka hana ma o ka catheter), hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau i loko o kekahi mau lā a i hoʻokahi pule paha. Malia paha he ʻeha ʻili ma kahi i hoʻokomo ʻia ai ka catheter, akā e hoʻōla koke kēia. ʻO ka pani ʻana ma ke ʻano ʻoki kino e koi pinepine i ka hoʻōla lōʻihi - maʻamau he 2-4 mau pule ma mua o ka hoʻi ʻana i nā hana maʻamau a me 6-8 mau pule ma mua o ka hāpai kaumaha a i ʻole ka hoʻoikaika nui. E hāʻawi mai kāu kauka i nā kuhikuhi kikoʻī e pili ana i kāu hana a me ke kaʻina hoʻōla pilikino.