He aha nā hemahema o ka puʻuwai hānau, a i ka wā e hiki ai ke noho maoli me lākou?

ʻO ka hemahema o ka puʻuwai hānau, he ʻino ia o ka puʻuwai ma ka hānau ʻana. He mea liʻiliʻi loa kekahi mau maʻi ʻino o ka puʻuwai hānau a ʻaʻole e hoʻopilikia i ke olakino. ʻO nā mea ʻē aʻe he weliweli a paʻakikī. ʻIke pinepine ʻia kēia mau hemahema i ka wā kamaliʻi a i ʻole ka wā kamaliʻi ma muli o nā hōʻailona a hiki ke hoʻoponopono ʻia i kēlā manawa.

ʻO ka maʻi puʻuwai hānau makua maʻa mau kekahi o nā ʻano ʻelua: kahi kīnā asymptomatic i ka wā mua o ke ola e hele pū me nā hōʻailona ma hope, a i ʻole kahi kīnā paʻakikī i hoʻoponopono ʻia i ka wā kamaliʻi e pono ai ka hoʻoponopono hou ʻana a i ʻole ka mālama hou ʻana i ka wā makua. No ka mea hiki i nā hemahema o ka puʻuwai i hoʻoponopono ʻia ke hoʻoulu i nā pilikia ma hope aku, pono nā poʻe maʻi me kahi kīnā i hoʻoponopono ʻia i ka wā kamaliʻi e pono ai ka mālama puʻuwai maʻamau i ko lākou ola ʻana. I kekahi manawa e loaʻa i kahi kanaka makua nā hōʻailona o kahi kīnā paʻakikī no ka manawa mua ma ke ʻano he kanaka makua.

ʻO nā ʻano maʻamau maʻamau o nā hemahema naʻau congenital maʻalahi i ʻike ʻia i nā pākeke:

Era defects ("puka i loko o ka puʻuwai")

Hiki ke loaʻa kekahi defect septal ma waena o nā ventricles (keʻena pumping) i loko o ka puʻuwai, i kapa ʻia he ventricular septal defect, a i ʻole ma waena o ka atria (nā keʻena hoʻopiha), i kapa ʻia he defect septal atrial. Me kēlā me kēia ʻano, hui pū ke koko oxygen mai ka māmā me ke koko deoxygenated e hoʻi mai ana mai ke kino. ʻIke ʻia kahi hoʻopiʻi koʻikoʻi o nā hemahema septal i ka wā e hoʻokaʻawale ai ke koko mai ka puʻuwai mai ka oxygen ma mua o ka mea maʻamau (shunt, a i ʻole 'septal perforation', mai ka ʻākau a hema).

ʻO ka shunt, ʻo ka hema a i ka ʻākau a i ʻole ka ʻākau a i ka hema, ʻoi aku ka ikaika o ka puʻuwai e hāʻawi like i ka nui o ka oxygen i ke kino.

Nā hemahema o ka valve

ʻAʻole hiki i ka puʻuwai i loko o ka puʻuwai ke wehe piha a i ʻole hiki ke pani piha ʻia ma muli o kahi kīnā, a i ʻole ke ʻano hemahema. Hoʻoikaika kēia mau hemahema i ka puʻuwai e hana ikaika e hoʻoneʻe i ke koko maʻamau ma o ka puʻuwai i mea e hoʻokō ai i nā koi o ke kino.

nā kīʻaha koko haiki

ʻO nā kīʻaha koko i haiki loa i kekahi manawa e hoʻoikaika ikaika ka naʻau e paʻi i ke koko maʻamau. Hiki ke hoʻopili pololei ʻia nā kīʻaha koko, e hoʻouna ana i ke koko deoxygenated i ke kino a i ʻole ke koko oxygenated i ka māmā.

ʻO ka poʻe me ke kīnā o ka puʻuwai hānau, ʻoi aku ka nui o ka pilikia o nā pilikia naʻau ʻē aʻe, e like me ka hahau ʻana, pulmonary hypertension, heart failure, a me arrhythmia.