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huahana

Nā maʻi puʻuwai puʻuwai maʻamau


Huahana Huahana

Huahana Huahana

ʻO ka maʻi puʻuwai puʻuwai

1 、 Congenital : nā hemahema hānau

2. Ka hope:

1)Maʻi puʻuwai Rheumatic

Ke kumu nui

Mitral stenosis / Mitral incompetence

Aortic senosis / Aortic incompetence

Ka hāʻule ʻana o ka mitral

2)Maʻi puʻuwai rumatika ʻole

E like me ka ma'i ma'i ma'i 'elemakule ;Ma'i pu'uwai coronary myocardial infarction ; ʻeha nui ; maʻi bacteria o ka valve

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Nā hemahema o ka laina hoʻololi valve maʻamau

-ʻO ka mana hoʻomalu transverse o ka suture ponoʻī ma luna o ka ʻōlelo hoʻohiki ʻaʻole maoli.

- He mau kuhikuhi maikaʻi a maikaʻi ʻole ka ʻōlelo hoʻohiki

- ʻO ke kaula humuhumu maʻalahi

- Hoʻohuli maʻalahi ka hoʻohiki

- He palupalu ka ʻōlelo hoʻohiki, a maʻalahi hoʻi e hoʻopaʻa a hoʻololi i ka wā e hoʻopili ai. Ma hope o ka humuhumu ʻana a me ka hoʻopaʻa ʻana, ua hoʻopaʻa ʻia nā welau ʻelua o ka gasket a ʻaʻole hiki ke hoʻoikaika ʻia

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ʻAno hou anti-entanglement valve sutures

●Pledget me ke kuhikuhi ʻole: ʻAʻole pono e hoʻoponopono kūikawā i ke kuhikuhi ʻōlelo hoʻohiki

●Suture me ka ʻole twining

● ʻOi aku ka maikaʻi no ke kauka lapaʻau i ʻoi aku ka maikaʻi o ka hana ʻana

● He kūpono no ka hoʻololi ʻana i ka puʻuwai puʻuwai liʻiliʻi

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ʻO ke kaʻina pani pani ʻana o ka valve aortic nui.

1. ʻO ka ʻokiʻoki a me ka hoʻokumu ʻana i ke kahe extracorporeal

2. ʻO ka ʻoki aortic . Ma hope o ka hana ʻana i ka cardiopulmonary bypass , i ka hāʻule ʻana o ka mahana i 30 ℃, ua ālai ʻia ka aorta piʻi, a ua hoʻokomo ʻia ka cardioplegia anuanu, ʻoiai ua hana ʻia ka hoʻoluʻu ʻana o ka naʻau. Ma hope o ka hopu ʻia ʻana o ka naʻau, ua hana ʻia kahi ʻoki aortic transverse a oblique paha, a ʻo ka hope haʻahaʻa o ka ʻoki ʻana ma kahi o 1-1.5cm mai ka wehe ʻana o ke aʻa coronary pono. pani no ka maʻi pāpū aortic

3. Hoʻopili ʻia kahi laina huki ma kēlā me kēia o nā hui ʻekolu o ka valve aortic.

4. Ka wehe 'ana i ka valve Ua wehe kaawale 'ekolu lobes, waiho ka 2mm ma ka lihi. A laila ua wehe ʻia ka ʻiʻo calcified ma ke apo. Ua ana ʻia ke apo me ka mika valve e hoʻoholo ai i ka helu o ka valve prosthetic

5.Suture Ua hoʻohanaʻia ka 2-0 polyester pani pani no ke kuʻi moena ma waena mai luna a lalo. Ma hope o ka humuhumu ʻia ʻana o ke apo, pono e māhele like ʻia nā laina suture a hoʻohālikelike ʻia ma waena o ke apo a me ka valve naʻau. ʻO 2mm ka lōʻihi o ka nila

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6. implantation Ua hoʻopaʻa ʻia nā humuhumu a pau a ua hoʻokuʻu ʻia ka valve artificial ma lalo o ke apo valve e hōʻoia i ka paʻa ʻana o ka implantation a ʻaʻole i keakea ʻia ka valve artificial i ka puka coronary hema a me ka ʻākau. A laila ua nakinaki ʻia ka puʻupuʻu. Ua hōʻoia ka hoʻokolokolo hope ʻana ua maopopo ka wehe ʻana o ka coronary hema a me ka ʻākau

7. Holoi E holoi pono i ke aorta a me ka ventricle hema ma luna a ma lalo o ka valve prosthetic a hoʻopiha i ke aorta a me ka ventricle hema me ka paʻakai maʻamau.

8.Suturing Hoʻohana i ka 4-0 a i ʻole 5-0 polypropylene i ke kuʻi ʻana, ʻElua mau ʻoki aortic i hui pū ʻia. Pono e hoʻokuʻu ʻia ma mua o ka hoʻopaʻa ʻia ʻana o ka humuhumu hope.

Aortic valve pani pani ʻana- Polyester, polyester me ka hoʻohiki, Polypropylene

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