E aʻo kākou e pili ana i ka hāmeʻa liʻiliʻi e nānā malū ana i ke kani o kou puʻuwai! (Loop Recorder)?

Ke manaʻo nei ʻoe i kekahi manawa i kahi mea ʻē e pili ana i kou puʻuwai e kuʻi ana? A i ʻole he mau manawa kou e nalowale koke ai kou ʻike? Hiki i kekahi poʻe ke loaʻa i kēia mau mea me ka ʻeha ʻole o ka umauma. Hiki ke paʻakikī iki ka loaʻa ʻana o ke kumu o kēia mau mea i kekahi manawa. No ka mea, ke hele ʻoe i ke kauka, ʻaʻole paha ʻoe e hōʻike koke i kēlā mau hōʻailona. ʻO ia ka manawa e hiki ai i kēia mea liʻiliʻi aʻu e kamaʻilio ai, i kapa ʻia ʻo Loop Recorder, ke kōkua iā mākou. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī, ʻae?

He aha ka mea hoʻopaʻa leo Loop?

I ka ʻōlelo maʻalahi, he mea liʻiliʻi ka Loop Recorder i hoʻokomo ʻia ma lalo o ka ʻili o kou umauma. Hoʻopaʻa ia i ka ʻike e pili ana i ka wikiwiki a me ke kuʻina o kou puʻuwai . E noʻonoʻo iā ia e like me kahi mākaʻi liʻiliʻi e hiki ke nānā i ka hana uila o kou puʻuwai 24 mau hola i ka lā, a hiki i ʻekolu mau makahiki. Aia kekahi mau mea nānā puʻuwai ʻē aʻe e nānā wale ana i kou puʻuwai no kahi manawa pōkole. Akā ʻokoʻa kēia.

Hoʻopaʻa koke kēia Loop Recorder i ka ʻikepili a hoʻouna iā ia i kāu cardiologist. Hiki i ka nānā mau ʻana ke kōkua i ka ʻike ʻana i nā ʻano ʻē i ka rhythm o ka puʻuwai, i kapa ʻia ʻo arrhythmias , e like me ka atrial fibrillation . Hiki i kēia mau arrhythmias ke lilo i mea weliweli i kekahi manawa. Hiki iā lākou ke alakaʻi i nā pilikia e like me ka hahau ʻana a i ʻole ka hopu koke ʻana o ka puʻuwai . No laila he mea nui e ʻike a mālama koke iā lākou.

Ua kapa ʻia hoʻi kēia Loop Recorder:

• Mea Hoʻopaʻa Loop Implantable (ILR)
• Ka Nānā Puʻuwai Hiki ke Hoʻokomo ʻia (ICM)

Ua hoʻokomo ʻia kēia mea liʻiliʻi ma lalo o ka ʻili ma ka ʻaoʻao hema o luna o kou umauma.

Pehea ke ʻano o kēia?

He mea liʻiliʻi loa kēia Loop Recorder, he ʻano huinahā . Ua like ia me kahi penikala liʻiliʻi āu e hoʻohana ai. He 1-2 ʻīniha ka lōʻihi. Hana ʻia ia me ka metala, he kaapuni uila liʻiliʻi i loko, a he pākahiko lōʻihi ke ola.

Hoʻokomo ʻia kēia mea hana ma lalo o ka ʻili. ʻAʻole paha ʻoe e ʻike iki i kona ʻano ma lalo o ka ʻili, akā, ʻaʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha.

Me kēia mea hana i loko o kou umauma, e hāʻawi kāu kauka iā ʻoe i kahi mea hoʻoulu liʻiliʻi hiki iā ʻoe ke paʻa ma kou lima . Hoʻopili ʻia kēia me ka mea hana. E hāʻawi ia iā ʻoe i ka helu o ka puʻuwai.Inā ʻike ʻoe i nā hōʻailona e like me ka palpitations o ka puʻuwai, ʻo kāu wale nō e hana ai, ʻo ke kaomi ʻana i kahi pihi ma kēia mea hoʻāla. A laila e hoʻopaʻa ka Loop Recorder i kāu hana puʻuwai i kēlā manawa.

He aha ka mea e hiki mai ana mai kēia?

Nānā ka Loop Recorder i ka wikiwiki a me ke kuʻina o kou puʻuwai. Inā he hana uila ʻē aʻe, hoʻopaʻa inoa ia a mālama i ka ʻikepili i loko o ka hoʻomanaʻo (e like me kahi ʻāpana hoʻomanaʻo). A laila hoʻouna ʻia kēia ʻikepili i kāu kauka puʻuwai i nā manawa he nui i ka lā.

Eia kekahi, inā ʻike ʻoe i kekahi mau hōʻailona, ​​​​hiki iā ʻoe ke haʻi aku i kēia hāmeʻa e "hoʻopaʻa i kēia manawa" me ka mea hoʻoulu ma kou lima. E noʻonoʻo, ʻoiai ma hope o kou loaʻa ʻana o nā hōʻailona a nalowale lākou, hiki i kēia hāmeʻa ke hoʻi a hoʻopaʻa i ka hana o ka puʻuwai o nā minuke i hala.

No laila, hiki i kēia mea hana ke hoʻopaʻa i kekahi hana maʻamau ʻole, inā he mau hōʻailona kou a ʻaʻole paha, ʻoiai inā ʻaʻole ʻoe e manaʻo i kekahi mea. Me kēia ʻikepili, hiki i kāu kauka ke ʻike pololei i ke ʻano o ka hana maʻamau ʻole a kou puʻuwai e loaʻa nei a me nā hōʻailona e hana nei.

Āhea wau e pono ai i kahi mea e like me kēia?

Inā loaʻa iā ʻoe nā palpitations puʻuwai pinepine a i ʻole syncope, akā ʻaʻole i loaʻa i nā hoʻokolohua mua kekahi pilikia rhythm puʻuwai ( arrhythmias ), pono paha ʻoe i kahi loop recorder. Hiki i kēia ke kōkua i kāu kauka e ʻike a mālama i kekahi mau rhythms puʻuwai ʻē aʻe, e pale ana i nā pilikia weliweli. Hiki iā ia ke kōkua e hōʻoia ʻaʻole i hoʻokumu ʻia kou mau ʻōuli ʻole a i ʻole nā ​​​​hōʻailona ʻē aʻe e ka pilikia puʻuwai.

Eia kekahi o nā hoʻohana nui o nā Loop Recorders e nā cardiologists:

• E ʻimi i ke kumu no ka hiolo wale ʻana a i ʻole ka hāʻule ʻana me ke kumu ʻike ʻole ʻia.
• E loiloi i nā palpitations puʻuwai mau a wehewehe ʻole ʻia.
• E nānā i ka hana o ka puʻuwai i nā poʻe me ka fibrillation atrial (pinepine e kōkua i ka mālama ʻana).
• E ʻike i nā pilikia o ka helu o ka puʻuwai a me ke ʻano o ka mele i nā pākeke me ka maʻi puʻuwai hānau.
• E ʻike i nā ʻano puʻuwai kūpono ʻole e kū mai ana ma hope o ka hahau ʻana .
• Ma mua o ke kau ʻana i kahi pacemaker mau loa, e loiloi i ka poʻe me ka puʻuwai lohi (bradycardia).
• Maʻi hoholaE nānā i ka hana uila o ka puʻuwai ma hope o kēlā me kēia.

ʻO wai ka mea e hana nei i ke kaʻina hana hoʻonohonoho?

Ua hoʻokomo ʻia ka loop recorder iā ʻoe e kahi electrophysiologist . He cardiologist ʻo ia, akā ua aʻo kūikawā ʻia ʻo ia i ka ʻōnaehana uila o kou puʻuwai. E noʻonoʻo iā ia e like me kahi electrician no ka puʻuwai.

He aha ka mea e hana ʻia ma mua o ka hoʻoponopono ʻia ʻana o kēia?

E hoʻoholo mua kāu kauka puʻuwai inā kūpono kahi mea hoʻopaʻa leo loop iā ʻoe. E nānā ʻo ia i kāu mōʻaukala olakino piha a hana i kahi hoʻokolokolo kino. Hiki iā lākou ke kauoha i kekahi mau hoʻokolohua ʻē aʻe, e like me:

• ʻElectrocardiogram ( ECG /EKG)
• ʻEchocardiogram
• Hoʻāʻo Hoʻoikaika Kino
• Hoʻāʻo Papa Hoʻokiʻekiʻe

ʻOiai inā ʻaʻole hōʻike kēia mau hoʻokolohua i nā pilikia puʻuwai nui, inā hoʻomau ʻoe i nā hōʻailona e like me ka nāwaliwali, pono paha ʻoe i kahi loop recorder.

Pehea e hiki ai iaʻu ke hoʻomākaukau no kēia?

E haʻi aku kāu kauka iā ʻoe pehea e hoʻomākaukau ai. Ma keʻano laulā, e hoʻomanaʻo i kēia mau mea:

• E nīnau paha kāu kauka iā ʻoe e pili ana i nā lāʻau lapaʻau āu e lawe nei a manaʻo paha e hana i kekahi mau hoʻololi ma mua o ka lā implant. Mai hoʻōki a hoʻololi paha i kekahi mau lāʻau lapaʻau ke ʻole kāu kauka e haʻi aku iā ʻoe.
• Pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home ma hope o ka pau ʻana o kēia. ʻO kēia no ka mea e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻoluliluli iki iā ʻoe, a ʻaʻole palekana ke hoʻokele no 24 mau hola ma hope.

Pehea e hoʻouka ai i kahi mea hoʻopaʻa leo loop?

ʻAʻole kēia he ʻoki kino nui , a he hana maʻamau ia ma waho o ka haukapila kahi e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. ʻAʻole ʻoe e hoʻohiamoe ʻia ( anesthesia laulā ). E noho ala ʻoe, akā e hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha.

E hoʻopili i ka mea hoʻopaʻa leo, a na ka electrophysiologist e hana i kēia mau hana:

1. E hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau e hoʻomaha ai iā ʻoe a me kahi anesthetic kūloko e hoʻomāʻū i ka wahi. A laila, ʻaʻole ʻoe e ʻeha.

2. E hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻili ma ka ʻaoʻao hema o kou umauma. Hiki ke liʻiliʻi kēia ʻoki i ka hapaha ʻīniha.

3. Hana ʻia kahi ʻeke liʻiliʻi ma lalo o ka ʻili e paʻa ai ka hāmeʻa.

4. A laila e kau i ka mea hoʻopaʻa leo loop i loko o kēlā hakahaka.

5. Ua pani ʻia ka ʻoki ma ka ʻili me nā humuhumu a i ʻole kahi kelu ʻoki kūikawā.

6. ʻO ka hope loa, hoʻāla ʻoe i ka hāmeʻa ma ka paʻa ʻana i kahi mea e like me ka magnet ma luna o kou umauma.

ʻO ka lōʻihi o kēia kaʻina hana liʻiliʻi ma kahi o 10 a 15 mau minuke .

He aha ka mea e hiki mai ana?

Hoʻi koke ka hapa nui o ka poʻe i ka home ma hope o kēia a hiki ke hoʻomau i kā lākou hana o kēlā me kēia lā. E haʻi aku kāu kauka iā ʻoe pehea e mālama ai i ka ʻeha ma ka home a pehea e mālama ai i ka maʻemaʻe.

Aia paha he ʻeha a puni ka ʻeha, a hiki ke nānā aku i ka uliuli. He mea maʻamau kēia, a e nalo aku ka ʻeha i loko o kekahi mau lā.

Ma mua o kou hoʻi ʻana i ka home, e hōʻike ke kauka iā ʻoe pehea e hoʻohana ai i nā mea ʻē aʻe e hana pū me ka hāmeʻa. ʻO ia hoʻi:

• He mea hoʻoulu āu e paʻa ai ma kou lima me kahi pihi e kaomi ai ke loaʻa iā ʻoe kahi hōʻailona.
• He mea hoʻoili uila āu e mālama ai ma kou wahi moe. ʻO kēia ka mea e hoʻouna mau ana i ka ʻikepili i kāu kauka .

He aha nā pilikia?

He hana haʻahaʻa loa kēia, akā i loko o kahi poʻe liʻiliʻi loa, hiki ke hana ʻia kēia mau mea:

• Maʻi : Inā ulu kahi maʻi ma kahi o ka hāmeʻa, pono paha nā lāʻau antibiotic . I kekahi manawa, pono e hoʻoneʻe ʻia ka hāmeʻa i kahi ʻokoʻa ma ka umauma.
• Ka hopena aleri : Hiki paha iā ʻoe ke aleri i kahi mea i loko o ka hāmeʻa. Inā hana kēia, pono paha ʻoe e hoʻohana i kahi ʻano hāmeʻa nānā ʻokoʻa.
• Hōʻailona maikaʻi ʻole : I kekahi manawa, ʻaʻole hiki i ka hāmeʻa ke ʻohi pono i nā hōʻailona uila e hele mai ana mai ka puʻuwai. I kēlā hihia , pono paha ke kauka e hoʻoneʻe i ka hāmeʻa i kahi wahi ʻē aʻe ma ka umauma.

Hiki i kēia ke hōʻeha i ka puʻuwai?

ʻAʻole, he mea palekana loa ka Loop Recorder, ʻaʻole ia e hōʻeha i kou puʻuwai ma kekahi ʻano. ʻAʻole ia e hoʻololi i ka wikiwiki o ka paʻi ʻana o kou puʻuwai, e hāʻawi iā ʻoe i kahi haʻalulu, a i ʻole e hana i kekahi mea e hoʻopilikia ai i ka hana o kou puʻuwai. Nānā wale ia i ka hana uila o kou puʻuwai a hoʻopaʻa i nā mea ʻē.

Pehea e ʻike ai au i nā hopena?

E hoʻouna koke aku kāu Loop Recorder i ka ʻikepili i kāu kauka , nāna e hōʻike iā ʻoe i ka wā e pono ai ʻoe e hoʻi mai e kūkākūkā i nā hopena.

Pehea ka lōʻihi e mālama ʻia ai kēia?

Pono ʻoe e mālama i kēia mea hana a hiki i ka wā e hiki ai i kāu kauka ke hana i kahi hōʻailona. ʻOkoʻa kēia manawa mai kēlā kanaka a kēia kanaka. Inā hōʻike nā hopena e pono ʻoe i kahi pacemaker a i ʻole kahi implantable cardioverter defibrillator (ICD), e wehe kāu kauka i ka loop recorder ke hoʻokomo ʻia ka mea hana hou.

ʻO ka lōʻihi o ka pila i loko o kēia mau mea hoʻopaʻa leo loop ma kahi o ʻekolu mau makahiki , no laila he nui ka manawa e ʻike ai i nā mele maʻamau ʻole e hiki ke hana hoʻokahi wale nō i ka mahina a i ʻole kekahi mau manawa i ka makahiki, ʻaʻole hiki i kēlā mau mea nānā pōkole ke hopu.

Āhea wau e kāhea aku ai i ke kauka ?

E kāhea koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma kāu wahi ʻoki:

• Inā lilo ia i ʻulaʻula
• Inā pehu
• Inā he kahe koko
• Inā he pus a i ʻole kekahi wai ʻē aʻe e puka mai ana i waho

He mau hōʻailona paha kēia o kahi pilikia e pono ai ka mālama koke ʻana.

He aha nā pōmaikaʻi a me nā pōʻino o kahi loop recorder?

Nui nā pono o kahi mea hoʻopaʻa leo loop. ʻO lākou:

• Nānā lōʻihi : Hiki i kēia ke hoʻopaʻa i ka hana uila o ka puʻuwai a hiki i ʻekolu mau makahiki. ʻAʻole hana nā monitor ʻē aʻe i kēia no kēlā lōʻihi. No ka laʻana, hoʻopaʻa wale ka monitor Holter i ka hana no 24 mau hola. Aia kekahi mau monitor hiki ke hoʻohana ʻia a hiki i ʻelua pule. He mea waiwai kēlā, akā ʻaʻole paha lawa ka manawa e hopu ai i kahi ʻano maʻamau ʻole e hana ʻia ma kahi o hoʻokahi manawa i ka mahina. Ua hōʻike ʻia e ka noiʻi he pono nui kēia nānā lōʻihi.
• Hoʻopaʻa leo ʻakomi : ʻOiai inā poina iā ʻoe ke kaomi i ke pihi ke loaʻa iā ʻoe nā hōʻailona, ​​e hoʻopaʻa leo ʻakomi kēia i ka hana puʻuwai maʻamau ʻole. Hiki i kēia ke ʻike i nā ʻano ʻē ʻoiai inā ʻaʻohe ou hōʻailona. He mea pono kēia ʻoiai inā ʻaʻole ʻoe i ʻike a ʻaʻole hoʻi e hoʻomanaʻo. Ua hōʻike kekahi mau noiʻi e hiki i kēia mea hana ke ʻike i nā hihia asymptomatic o ka atrial fibrillation.
• ʻOluʻolu : Me ka Loop Recorder, hiki iā ʻoe ke ʻauʻau, ʻauʻau, a hana i kāu mau hana o kēlā me kēia lā e like me ka maʻamau. Ua hūnā ʻia ma lalo o kou mau lole, no laila ʻaʻole e ʻike kekahi. ʻAʻole ia he mea hoʻohilahila e like me kekahi mau monitor ʻē aʻe. He mea kūpono loa kēia inā he hana ikaika kāu a he nohona ikaika paha.

Akā aia paha kekahi mau hemahema liʻiliʻi:

• Pono no ke ʻoki kino liʻiliʻi : Pono e hoʻokomo ʻia kēia mea hana ma lalo o ka ʻili, no laila pono ke ʻoki kino liʻiliʻi. ʻOiai inā he hana liʻiliʻi loa ia, aia kahi pilikia liʻiliʻi me kekahi ʻoki kino.
• Nā hopena wahaheʻeI kekahi manawa, hiki iā ia ke hoʻohālike me he mea lā he atrial fibrillation kou ke ʻole. Akā, pono kāu kauka e hana i nā hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻailona.

He aha ka ʻokoʻa ma waena o kahi Loop Recorder a me kahi Pacemaker?

I kēia manawa ke noʻonoʻo nei paha ʻoe, he mea like anei kēia Loop Recorder a me kēlā Pacemaker i hoʻokomo ʻia i loko o ka puʻuwai? ʻAʻole, he ʻokoʻa iki lāua.

ʻAʻole hoʻololi kahi mea hoʻopaʻa leo loop i ka hana uila o kou puʻuwai. Nānā wale ia a hoʻopaʻa leo inā he mea ʻē i ka mele a i ʻole ka wikiwiki o kou puʻuwai. Ua like ia me kahi mākaʻi.

Akā, he mea hana ka pacemaker e hoʻoponopono ai i kahi ʻano puʻuwai kūpono ʻole, ʻoiai ke kuʻi mālie loa (bradycardia). Hoʻouna ia i nā hōʻailona uila liʻiliʻi i ka puʻuwai, e haʻi ana iā ia e kuʻi penei.

Hiki i ka ʻike mai ka Loop Recorder ke kuhikuhi e pono ana ʻoe i kahi lāʻau lōʻihi me kahi mea paʻa mau, e like me ka pacemaker.

Hiki i kēia ke kōkua i ka ʻike ʻana i kahi hāʻule puʻuwai?

ʻAʻole i hoʻolālā ʻia ka Loop Recorder e ʻike i ka hōʻeha puʻuwai. Eia nō naʻe, hiki iā ia ke ʻike i nā arrhythmias, ʻo ia hoʻi nā pilikia o ka hōʻeha puʻuwai.

He pilikia olakino ka hōʻeha puʻuwai. Inā ʻike ʻoe i ka ʻeha o ka umauma a i ʻole nā ​​​​hōʻailona ʻē aʻe o ka hōʻeha puʻuwai, mai hoʻokaʻulua i ka ʻimi ʻana i ke kōkua. Kāhea koke i ka 911 a i ʻole e hele i ka haukapila kokoke loa.

Hiki iā ʻoe ke inu waiʻona i ka wā e kau ana i kahi loop recorder?

E hahai i nā ʻōlelo aʻo a kāu kauka e pili ana i ka inu ʻana i ka waiʻona a me nā hoʻololi ʻē aʻe o ke ʻano o ka nohona. Ua hōʻike kekahi mau noiʻi e hiki i ka inu ʻana i ka waiʻona ke hoʻoulu i nā ʻano puʻuwai maʻamau ʻole. Hiki ke hana ʻia kēia inā ʻoe e inu nui a i ʻole ka inu ʻana i ka hapa nui (hoʻokahi a ʻelua paha mau mea inu i ka lā).

Ke noiʻi ʻia nei kēia, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i ka hopena o ka waiʻona i kou pilikia o nā pilikia o ka puʻuwai.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

E like me kāu e ʻike ai, he mea hana waiwai nui kēia Implantable Loop Recorder e hiki ai iā ʻoe a me kāu kauka ke aʻo e pili ana i ka hana o kēlā me kēia lā o kou puʻuwai. Hiki i ka ʻikepili āna e hāʻawi ai ke kōkua i ka ʻike a me ka mālama ʻana i nā maʻi rhythm puʻuwai (arrhythmias) ma mua o ko lākou lilo ʻana i mau pilikia weliweli.

E hopohopo paha ʻoe ke lohe ʻoe e pono ʻoe e hana i kahi ʻoki liʻiliʻi e hoʻokomo ʻia ai kēia mea hana. He mea maʻamau kēlā. Akā e hoʻomanaʻo, he hana haʻahaʻa loa kēia. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu. Hiki iā ia ke hoʻomaha i kou manaʻo a wehewehe i nā mea āpau iā ʻoe. E hauʻoli ʻoe i ka hiki i nā ʻenehana e like me kēia ke kōkua i ka mālama ʻana i kou puʻuwai olakino!

ʻO ka helu o ka puʻuwai, ka mea hoʻopaʻa leo, ka arrhythmia, ka maʻi puʻuwai, ka nānā ʻana i ka puʻuwai, ke olakino, nā lako lapaʻau