Aia kekahi pilikia me ke kuʻina o kou puʻuwai? A laila e ʻike i kahi Electrophysiologist!

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi ana kou puʻuwai ma kahi wikiwiki ʻē aʻe a i ʻole ma ke ʻano ʻē aʻe? Hiki ke hana ʻia kēia mau mea e nā loli i ka ʻōnaehana uila o ka puʻuwai. ʻO ia ka manawa e pono ai mākou e ʻike i kahi electrophysiologist , he kauka loea i ka hana uila o ka puʻuwai. E kamaʻilio hou aku kākou e pili ana i kēia?

ʻO wai kēia (Electrophysiologist)? He aha kāna hana?

I ka ʻōlelo maʻalahi, he "Electrophysiologist" he cardiologist nona ka ʻike hohonu i ka "ʻōnaehana uila" o kou puʻuwai. Ua ʻike ʻoe, ke kuʻi nei ko mākou puʻuwai a hoʻopuka i ke koko ma ke kino holoʻokoʻa ma muli o kēia ʻōnaehana uila. Ua like ia me ke "au" i loko o kahi hale. Hana pono ka puʻuwai ke hele wale kēia mau hōʻailona uila "nā hōʻailona uila" ma o ka puʻuwai ma ke ʻano kūpono a hoʻonohonoho pono ʻia.

Eia nō naʻe, i kekahi manawa inā he pilikia me kēia mau hōʻailona uila, e like me ka puʻuwai puʻuwai kūpono ʻole (arrhythmia) , pono paha ʻoe e ʻike i kahi electrophysiologist. A laila hiki iā ia ke ʻike pololei i ka mea e hana nei i loko o kou puʻuwai a mālama iā ia. ʻO nā loea e mālama ana i nā pilikia o ka puʻuwai i nā keiki ʻōpio, e like me nā pēpē a me nā keiki ʻōpio, ua kapa ʻia he pediatric electrophysiologists.

No laila, ʻo ka hana nui a kēia kauka `(Electrophysiologist)` ʻo ia ke ʻike a mālama i nā pilikia me ka `(conduction system)` o kou puʻuwai. ʻO ia hoʻi, ke ʻimi nei ʻo ia i nā kumu e paʻi pinepine ʻole ai kou puʻuwai , no ke aha e hele ʻole ai nā hōʻailona uila i loko o kou puʻuwai ma ke ala maʻamau. Aia kekahi mau ʻano `(Arrhythmia)`, ʻaʻole ia he mea weliweli loa, he mea hoʻonāukiuki iki wale nō. Akā hiki i kekahi o lākou ke hoʻoweliweli i ke ola . Hiki i ka `(Cardiac Electrophysiologist)` ke ʻike i ka ʻokoʻa ma waena o kēia mau mea ʻelua.

E ʻike lākou i ke kumu o kāu pilikia uila a me kahi e hoʻomaka ai. Ke ʻike lākou i ke kumu pololei, hiki iā lākou ke mālama iā ia. No ka laʻana, me kahi lāʻau e like me ka `(Catheter Ablation)`, ʻoi aku ka holomua o ka lāʻau ma mua o 90% . Ma muli o kēia, ua hiki i nā kauka `(Electrophysiologist)` ke hoʻomaikaʻi i ke ʻano o ke ola o nā poʻe he nui a lākou e mālama ai.

He aha ka ʻokoʻa ma waena o ka electrophysiologist a me ka cardiologist?

He pilikia nō hoʻi kēia i loaʻa i nā kānaka he nui. He kauka lapaʻau i aʻo kūikawā ʻia ka "Electrophysiologist". Mālama ka kauka lapaʻau maʻamau i nā maʻi like ʻole e kū mai ana i loko o ka puʻuwai. Akā, he akamai loa ka "Electrophysiologist" i ka ʻōnaehana uila o ka puʻuwai, ka mea e kaohi ana i ke kani o kou puʻuwai.ʻO ke ʻano kēia ua komo hohonu iki ʻo ia i loko o kēia ʻaoʻao uila a loaʻa iā ia ka ʻike loea.

He aha nā ʻano maʻi e mālama ai kahi electrophysiologist?

Hoʻōla kekahi electrophysiologist i kekahi mau maʻi puʻuwai e pili ana i ke ʻano o ka puʻuwai. ʻO ka hapa nui o kēia mau maʻi e komo pū ana me nā puʻuwai puʻuwai kūpono ʻole a i ʻole nā ​​puʻuwai puʻuwai wikiwiki . Hiki i kekahi mau maʻi ke ʻoi aku ka weliweli ma mua o nā mea ʻē aʻe. Eia kekahi o nā maʻi puʻuwai puʻuwai:

• ʻO ka Fibrillation Atrial : Ma kēia kūlana, ʻike ʻia nā keʻena o luna o ka puʻuwai (atria) e haʻalulu ma kahi o ke kuʻi pono ʻana.
• Ke kani ʻana o ka puʻuwai o ke atrium : He kuʻi wikiwiki a kūpono ʻole hoʻi kēia i loko o ka atria.
• Atrial Tachycardia : He puʻuwai wikiwiki e hoʻomaka ana ma ka atria.
• Ka Pale ʻana o ka Puʻuwai : Kuʻi wikiwiki loa ka puʻuwai no ka mea ʻaʻole e holo pono ana nā hōʻailona uila i loko o ka puʻuwai.
• ʻO Wolff-Parkinson-White Syndrome : He kūlana kēia kahi i loaʻa ai i ka puʻuwai kahi ala uila keu, hiki ke hoʻoulu i ka puʻuwai e kuʻi wikiwiki.
• ʻO ka fibrillation ventricular : He kūlana weliweli loa kēia. Haʻalulu nā keʻena haʻahaʻa (nā cell) o ka puʻuwai me ka ʻole o ke kuʻi pono ʻana. Pono ka lāʻau lapaʻau koke.
• ʻO ka Ventricular Tachycardia : He puʻuwai wikiwiki e hoʻomaka ana ma nā ventricles. Hiki i kēia ke lilo i mea weliweli.
• ʻO ka Tachycardia Supraventricular (SVT) : He hui o nā puʻuwai wikiwiki e hoʻomaka ana ma luna o nā ventricles.
• ʻO nā ʻūmiʻi atrial mua loa (PACs) : He kuʻi mua keu mai ka atria.
• ʻO nā ʻaelike Ventricular Premature (PVCs) : He kuʻi mua keu mai nā ventricles.
• ʻO ka maʻi sinus maʻi : Ka hoʻonāwaliwali ʻana o ka hana o ka pacemaker maoli o ka puʻuwai.
• ʻO ka Long QT Syndrome : Hiki ke loaʻa nā arrhythmias weliweli no ka mea ua lōʻihi loa ka hoʻi ʻana o ka ʻōnaehana uila o ka puʻuwai i ka maʻamau.

No ke aha lā wau e kuhikuhi ʻia nei i kahi Electrophysiologist?

Inā kānalua kāu kauka he pilikia me ka ʻōnaehana uila o kou puʻuwai, hiki iā ia ke kuhikuhi iā ʻoe i kahi electrophysiologist. Eia kekahi laʻana, inā ʻoi aku ka wikiwiki o ka paʻi ʻana o kou puʻuwai ma mua o ka maʻamau, a wikiwiki loa paha, a inā paʻi pinepine ʻole ia.Ke ʻike nei paha ʻoe i kahi "Cardiac Electrophysiologist". E noʻonoʻo e pili ana i ia mea, i kekahi manawa manaʻo wale ʻoe e kuʻi ana kou umauma, a i ʻole manaʻo ʻoe ua poniuniu ʻoe, a i ʻole manaʻo ʻoe e nalowale ana kou ʻike. Hiki ke hana ʻia kēia mau mea e kahi pilikia me kou puʻuwai.

He aha nā ʻano hoʻokolohua a kahi electrophysiologist e hana ai?

Hiki i kahi electrophysiologist ke hana i nā ʻano hoʻokolohua like ʻole e kōkua i ka hoʻoholo ʻana i ke kumu o kou pilikia. ʻO kekahi o kēia mau hoʻokolohua e komo pū me ka hoʻopaʻa leo rhythm, a ʻo kekahi e komo pū me ke kiʻi puʻuwai. ʻO ka hapa nui o kēia mau hoʻokolohua he noninvasive . Pono paha kekahi i kahi cannula liʻiliʻi (IV) e hoʻokomo ʻia i loko o kahi vein i loko o kou lima. ʻO kekahi o kēia mau hoʻokolohua:

• Haʻawina Electrophysiology (EPS) : Pili kēia i ke kau ʻana i nā uaea lahilahi (catheters) i loko o ka puʻuwai e nānā pono i ka hana uila o ka puʻuwai.
• Hoʻāʻo Papa ʻĀlohilohi : Hana ʻia kēia e ʻike inā ua nāwaliwali ʻoe ke kū ʻoe i luna.
• Electrocardiogram (ECG/EKG) : He hoʻāʻo maʻalahi e hoʻopaʻa ai i ka hana uila o ka puʻuwai.
• Nānā Holter : He mea liʻiliʻi e hiki ke hoʻopaʻa mau i kou puʻuwai no 24 a i ʻole 48 mau hola.
• Nānā Hanana : He mea hana e hiki ai iā ʻoe ke hoʻopaʻa i ka wā e loaʻa ai iā ʻoe nā hōʻailona. Pono e hoʻohana ʻia kēia no kekahi mau lā a i ʻole mau pule.
• ʻO ka Transthoracic Echocardiogram (TTE) : He hoʻāʻo ultrasound o ka puʻuwai.
• ʻO Transesophageal Echocardiogram (TEE) : He hoʻāʻo echo nō hoʻi kēia, akā ma kēia hoʻāʻo, ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma o ka esophagus e kiʻi i nā kiʻi maopopo o ka puʻuwai.
• ʻO ka Computed Tomography (CT) Scan : Hiki i kahi CT scan ke hana i nā kiʻi kikoʻī o ka puʻuwai.
• MRI o ka puʻuwai : Ke kiʻi ʻana i nā kiʻi o ka puʻuwai me ka hoʻohana ʻana i ke kiʻi Magnetic Resonance Imaging.

Āhea wau e ʻike ai i kahi electrophysiologist?

He mea maikaʻi ke ʻike ʻana i kahi Cardiac Electrophysiologist inā loaʻa iā ʻoe nā hōʻailona penei:

• Pōkole o ka hanu
• ʻEha umauma
• Nā palpitations o ka puʻuwai - ʻO ia hoʻi, hiki iā ʻoe ke manaʻo i kou umauma e kuʻi ana, i kekahi manawa me ke ʻano ʻole.

E noʻonoʻo, ʻoiai ʻoe e kū wale ana, manaʻo ʻoe e like me ka pilikia o ka hanu ʻana, ʻeha kou umauma, a i ʻole e hoʻomaka koke ana kou puʻuwai e kuʻi. I nā manawa e like me kēia, pono ʻoe e ʻimi i ke kōkua lapaʻau.

He nui nā pilikia o ka puʻuwai puʻuwai i loaʻa nā hōʻailona like, no laila he mea nui ka ʻike loea o kahi electrophysiologist e hoʻoholo pono ai i ke ʻano o ka puʻuwai puʻuwai kūpono ʻole āu.

Pono ʻoe i kahi kuhikuhi e ʻike ai i kahi electrophysiologist?

ʻO ka mea paha, ʻae. Pono paha ʻoe i kahi kuhikuhi e ʻike i kahi electrophysiologist. ʻOiai ʻaʻole koi paha kāu ʻoihana ʻinikua i kahi kuhikuhi, e kuhikuhi pinepine kāu kauka ʻohana a i ʻole kekahi loea ʻē aʻe iā ʻoe i kahi electrophysiologist inā manaʻo lākou he pilikia kou i ka puʻuwai.

He aha kāu e manaʻo ai ke hele ʻoe e ʻike i kahi electrophysiologist?

ʻO ka mea mua, e nīnau ke kauka electrophysiology e pili ana i kou mōʻaukala olakino a kūkākūkā i kāu mau hōʻailona o kēia manawa. Pono lākou i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ke kauka. Hiki paha i kahi kauka electrophysiology cardiac ke hana i kahi hoʻāʻo wikiwiki, e like me ka ECG, ma kahi, a i ʻole e hoʻouna iā ʻoe i ka home me kahi hāmeʻa, e like me ka mea nānā hanana, e hoʻopaʻa ana i kou puʻuwai no kekahi mau lā.

Inā ua loaʻa iā ʻoe kēia mau hoʻokolohua, hiki i kahi electrophysiologist ke hana i nā hoʻokolohua hou aʻe e kōkua iā ʻoe e hana i kahi hōʻailona. Ma hope o ka hana ʻana i kahi hōʻailona, ​​​​hiki i kahi electrophysiologist ke hoʻomaka i ka lāʻau lapaʻau. I kekahi manawa, hiki ke hāʻawi ʻia ka lāʻau lapaʻau ma ka manawa like. Hiki i ka lāʻau lapaʻau ke komo pū me ka lāʻau lapaʻau a i ʻole ke hoʻokomo ʻana i kahi hāmeʻa.

Pehea e mālama ai nā kauka i nā pilikia o ka puʻuwai?

Hiki i kahi electrophysiologist ke ʻike i kāu pilikia a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. He mea maʻalahi paha ia e like me ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou. Pono paha kekahi i kahi mea hana e kōkua i ka mālama ʻana i ko lākou puʻuwai e kuʻi maʻamau. Eia kekahi o nā lāʻau lapaʻau nui:

• Nā lāʻau lapaʻau : Hiki ke hāʻawi ʻia kēia mau mea iā ʻoe i kēlā me kēia lā, a i ʻole e hāʻawi ʻia ma ke ʻano intravenous (IV) i kahi pilikia.
• Nā Pacemakers : Hoʻohana kēia i nā impulses uila e hoʻoponopono i kahi pilikia i loko o ka ʻōnaehana uila o ka puʻuwai. Hoʻohana pinepine ʻia lākou no ka poʻe me nā puʻuwai puʻuwai kūpono ʻole.
• Nā Defibrillators Cardioverter Implantable (ICDs) : Kōkua kēia i ka hoʻōki ʻana i nā arrhythmias weliweli ma ka hāʻawi ʻana i kahi haʻalulu uila i kou puʻuwai ke pono ʻoe.
• Cardioversion : Pili kēia i ka hāʻawi ʻana i kahi haʻalulu uila i kou puʻuwai me ka hoʻohana ʻana i kahi hāmeʻa waho e hoʻihoʻi i ka helu o kou puʻuwai i ka maʻamau.
• ʻO ka hoʻopau ʻana o ka catheterMa kēia, hana ke kauka i nā ʻeha liʻiliʻi ma nā alahele kahi e hele ai nā hōʻailona uila maʻamau ʻole i loko o ka puʻuwai. Hoʻōki kēia i nā hōʻailona maʻamau ʻole mai ka hele ʻana a hoʻōki i nā ʻano puʻuwai maʻamau ʻole. He lāʻau lapaʻau kūpono loa kēia.

He aha ke ʻano o ke aʻo ʻana a kahi electrophysiologist?

He mea maikaʻi nō hoʻi kēia e ʻike. He loea i aʻo nui ʻia ka "Electrophysiologist". Ma hope o ke kula lapaʻau, hana lākou i kahi noho ma ka "General Internal Medicine". A laila hana lākou i kahi fellowship ma ka "Cardiovascular Disease", a laila hoʻokahi a ʻelua paha makahiki o ke aʻo kūikawā ma ka "Clinical Cardiac Electrophysiology." No laila hiki iā ʻoe ke ʻike i ko lākou hoʻolaʻa ʻana i ka lilo ʻana i poʻe loea i kēia kahua? No laila hiki iā ʻoe ke hilinaʻi iā lākou.

Ma hea e hana ai nā kauka electrophysiologist?

Hana pinepine nā electrophysiologists ma ka hana pilikino me nā cardiologists ʻē aʻe. Hana pū lākou ma nā haukapila. ʻO ka lab kūikawā kahi a lākou e hana ai i nā hoʻokolohua ua kapa ʻia he electrophysiology lab a i ʻole EP lab. I kekahi manawa ua kapa ʻia ʻo ia he catheterization lab a i ʻole Cath lab.

ʻO ka mea hope loa, he mau mea e hoʻomanaʻo ai ʻoe

Inā loaʻa iā ʻoe nā hanana maule pinepine, ʻeha ka umauma, a i ʻole ka pōkole o ka hanu, makemake paha ʻoe e ʻike i kahi electrophysiologist e ʻike i ke kumu. Inā ʻaʻole ʻoe maopopo e pili ana i kahi hoʻāʻo a i ʻole ka lāʻau a lākou e hana ai nou, mai makaʻu e nīnau i nā nīnau . E wehewehe ke kauka i nā mea āpau iā ʻoe.

E hoʻomanaʻo, he mea hou paha ka ʻike ʻana i kahi loea nou. Akā, he poʻe akamai nā kauka "Electrophysiologist" i ka hoʻomaopopo ʻana a me ka mālama ʻana i nā pilikia o ka puʻuwai. No laila, hiki iā ʻoe ke hilinaʻi iā lākou e mālama i ke olakino o kou puʻuwai. Mai hopohopo, hiki ke hoʻomalu ʻia ka nui o kēia mau kūlana me ka mālama kūpono.

ʻO ke ʻano o ka puʻuwai, electrophysiologist, puʻuwai, maʻi puʻuwai, pacemaker, catheter ablation, ECG, ʻōnaehana uila o ka puʻuwai, arrhythmia, cardiologist