Ke manaʻo nei paha ʻoe e like me ka lele ʻana o kou puʻuwai a i ʻole ke hana nei i kahi ʻano ʻē? Ua ʻike koke ʻoe i nā hanana o ka manaʻo palupalu a nalowale paha ka ʻike? No nā mea he nui, hiki mai kēia mau hōʻailona me ka ʻole o ka ʻeha o ka umauma, a ʻo ka ʻike ʻana i ke kumu he mea paʻakikī loa ia. I ka manawa pinepine, ke kipa aku ʻoe i kāu kauka, ʻaʻole hana kēia mau hōʻailona, e paʻakikī ai ka ʻike ʻana. ʻO kēia kahi e hele mai ai kahi mea liʻiliʻi a holomua i kapa ʻia ʻo Implantable Loop Recorder (ILR) e kōkua iā mākou e ʻike i nā pane āu e pono ai. Ma Nirogi Lanka, e nānā pono kākou i ke ʻano o ka hana ʻana o kēia ʻenehana no ʻoe.
He aha ka mea hoʻopaʻa leo Loop?
I ka ʻōlelo maʻalahi, he mea liʻiliʻi ka mea hoʻopaʻa leo loop i waiho ʻia ma lalo pono o ka ʻili o kou umauma. ʻO kāna hana ka hahai mau ʻana i ka helu a me ke ʻano o kou puʻuwai . E noʻonoʻo iā ia he mea nānā pilikino e nānā ana i ka hana uila o kou puʻuwai 24/7 a hiki i ʻekolu mau makahiki. ʻAʻole e like me nā mea nānā puʻuwai maʻamau e hāʻawi wale ana i kahi kiʻi o ka hana o kou puʻuwai no ka manawa pōkole, hāʻawi kēia mea hana i ka ʻike lōʻihi.
Hoʻopaʻa koke ka mea hoʻopaʻa leo i ka ʻikepilia hoʻouna aku i kāu kauka puʻuwai. Ma ka nānā ʻana i kou puʻuwai no kahi manawa lōʻihi, he mea kūpono loa ia i ka ʻike ʻana i nā ʻano puʻuwai maʻamau ʻole, i ʻike ʻia ʻo Arrhythmias , e like me Atrial Fibrillation . No ka mea hiki i kekahi mau arrhythmias ke koʻikoʻi a alakaʻi i nā pilikia e like me ka hahau ʻana a i ʻole ka hopu koke ʻana o ka puʻuwai , he mea nui ka ʻike mua a me ka hoʻokele ʻana.
Hiki paha iā ʻoe ke lohe i ka mea hoʻopaʻa leo i ʻōlelo ʻia e kēia mau inoa:
- Mea Hoʻopaʻa Loop Implantable (ILR)
- Ka Nānā Puʻuwai Hiki ke Hoʻokomo ʻia (ICM)
Ua waiho ʻia kēia mea liʻiliʻi ma lalo pono o ka ʻili ma ka ʻaoʻao hema o luna o kou umauma.
Pehea kona ʻano?
He mea liʻiliʻi loa ka mea hoʻopaʻa leo loop, he ʻano huinahā like ia me kahi ʻōpeʻapeʻa manamana lima liʻiliʻi—ma kahi o 1 a 2 ʻīniha ka lōʻihi. Hana ʻia ia me ka metala a loaʻa iā ia nā kaapuni uila akamai a me kahi pākahiko lōʻihi.
Hoʻokomo ʻia ka hāmeʻa ma lalo o ka ʻili (ma lalo pono o ka ʻili). ʻOiai paha e ʻike ʻoe i kahi ʻōkuʻu iki o ka hāmeʻa ma lalo o kou ʻili, ʻaʻole ia e hōʻeha a hoʻoluhi paha iā ʻoe.
Me ka hāmeʻa i loko o kou umauma, e hāʻawi kāu kauka iā ʻoe i kahi mea hoʻoulu lima liʻiliʻi . Hoʻopili kēia hāmeʻa me kāu mea hoʻopaʻa leo. Inā ʻike ʻoe i nā hōʻailona e like me ka palpitations o ka puʻuwai , kaomi wale ʻoe i kahi pihi ma ka mea hoʻoulu e hoʻopaʻa ka mea hoʻopaʻa leo loop i ka hana o kou puʻuwai i kēlā manawa kikoʻī.
Pehea pololei e hana ai?
Hoʻopaʻa ka mea hoʻopaʻa leo loop i kou helu puʻuwai a me kou mele. Inā ʻike ia i kekahi hana uila ʻē, hopu koke ia a mālama i kēlā ʻikepili i loko o kona hoʻomanaʻo. A laila hoʻouna ʻia kēia ʻike i kāu kauka puʻuwai i nā manawa he nui i ka lā.
Eia kekahi, inā ʻike ʻoe i kahi hōʻailona, hiki iā ʻoe ke hoʻohana i kāu mea hoʻoikaika lima e kuhikuhi i ka hāmeʻa e mālama i kēlā manawa kikoʻī. Hiki i ka hāmeʻa ke nānā i hope i kekahi mau minuke i ka wā i hala e hopu i ka mea a kou puʻuwai e hana nei ma mua o kou mau hōʻailona.
I ka pōkole, hopu ka hāmeʻa i ka ʻikepili i ka wā e manaʻo ai ʻoe i nā hōʻailona a i nā manawa āu e manaʻo ʻole ai i kekahi mea koe wale nō ke ʻano maʻamau o ka puʻuwai. ʻAe kēia mau ʻike i kāu kauka e kuhikuhi pono i ka mea e hana nei me kou puʻuwai a pehea e pili ai i kou manaʻo.
Āhea wau e pono ai i hoʻokahi?
Inā loaʻa iā ʻoe nā palpitations puʻuwai pinepine a i ʻole nā manawa palupalu (syncope) a ʻaʻole i hōʻike nā hoʻokolohua mua i kahi Arrhythmia , ʻo kahi loop recorder paha ka ʻāpana nalo o ka puzzle. Kōkua ia i kāu kauka e ʻike i nā pilikia rhythm puʻuwai, hoʻokele i ka lāʻau lapaʻau, a pale i nā pilikia weliweli. Hiki iā ia ke kōkua i ka hōʻoia inā ʻaʻole pili kou palupalu a i ʻole nā hōʻailona ʻē aʻe i kou puʻuwai.
Hoʻohana pinepine nā Cardiologists i kahi mea hoʻopaʻa leo loop i:
- E ʻike i ke kumu o nā ʻūhā hiolo i wehewehe ʻole ʻia.
- E loiloi i nā palpitations puʻuwai e hana mau nei, i wehewehe ʻole ʻia.
- E nānā i ka hana a ka puʻuwai o nā maʻi me ka Atrial Fibrillation ( Atrial Fibrillation ) e kōkua i ka mālama ʻana.
- 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 ʻē ma hope o ka hahau ʻana .
- E loiloi i ka bradycardia (ka wikiwiki o ka puʻuwai) ma mua o ka hoʻoholo ʻana inā pono kahi pacemaker mau loa.
- E nānā i ka hana uila o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai .
ʻO wai ka mea e hana i ke kaʻina hana?
E hoʻokomo ʻia kāu mea hoʻopaʻa leo loop e kahi Electrophysiologist ( Electrophysiologist ) . He cardiologist kēia i loaʻa i ka hoʻomaʻamaʻa kūikawā e aʻo i ka ʻōnaehana uila o ka puʻuwai. E noʻonoʻo iā lākou he mea uila no kou puʻuwai.
He aha ka mea e hana ʻia ma mua o ke kaʻina hana?
E loiloi mua kāu kauka puʻuwai inā ʻo ka loop recorder ka hopena kūpono nou. E nānā lākou i kāu mōʻaukala olakino piha a hana i kahi hoʻokolokolo kino. Hiki ke noi ʻia ʻoe e hana i kekahi mau hoʻokolohua diagnostic, e like me:
- ʻElectrocardiogram ( ECG /EKG)
- Echocardiogram
- Hoʻāʻo Hoʻoikaika Kino
- Hoʻāʻo Papa Hoʻokiʻekiʻe
ʻOiai inā ʻaʻole hōʻike kēia mau hoʻokolohua i kahi pilikia nui o ka puʻuwai, pono paha kahi loop recorder inā hoʻomau ʻoe i ka ʻike ʻana i nā hōʻailona e like me nā ʻano hiolo.
Pehea e hoʻomākaukau ai no ke kaʻina hana?
E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā ma ke ʻano maʻamau, e hoʻomanaʻo i kēia mau mea:
- E kūkākūkā kāu kauka i kāu mau lāʻau lapaʻau o kēia manawa a e aʻo aku paha i nā hoʻololi liʻiliʻi ma mua o ke kaʻina hana. Mai ho'ōki a hoʻololi paha i kekahi lāʻau lapaʻau ke ʻole i kuhikuhi pono ʻia e kāu kauka.
- Pono ʻoe i kekahi e lawe iā ʻoe i ka home ma hope o ke kaʻina hana. No ka mea e hāʻawi ʻia ʻoe i kahi mea hoʻomaha iki, ʻaʻole pono ʻoe e hoʻokele a hoʻohana paha i nā mīkini no 24 mau hola ma hope.
Pehea e hoʻokomo ʻia ai ka loop recorder?
ʻAʻole kēia he ʻoki kino nui ; he hana maʻamau ia no ka poʻe ma waho o ka haukapila, ʻo ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. ʻAʻole ʻoe e ponoAnesthesia Laulā . E ala mau ʻoe, ʻoiai e hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha.
No ke hoʻokomo ʻana i ka hāmeʻa, e hahai ana kāu electrophysiologist i kēia mau hana:
1. E hāʻawi lākou i kahi mea hoʻomaha mālie e kōkua iā ʻoe e hoʻomaha a hoʻohana i kahi anesthetic kūloko e hoʻomāno i ka wahi, e hōʻoiaʻiʻo ana ʻaʻole ʻoe e ʻeha.
2. Hana ʻia kahi ʻoki liʻiliʻi loa (ma kahi o ka hapaha ʻīniha) ma ka ʻili ma ka ʻaoʻao hema o kou umauma.
3. Hana ʻia kahi ʻeke liʻiliʻi ma lalo pono o ka ʻili no ka hāmeʻa.
4. A laila hoʻokomo ʻia ka mea hoʻopaʻa leo loop i loko o kēia ʻeke.
5. Ua pani ʻia ka ʻoki me nā sutures a i ʻole ke kāpili ʻoki kūikawā.
6. ʻO ka mea hope loa, e hoʻāla lākou i ka hāmeʻa ma ke kau ʻana i kahi mea hana e like me ka magnet ma luna o kou umauma.
ʻO ka maʻamau, he 10 a 15 mau minuke wale nō ka lōʻihi o kēia kaʻina hana pōkole.
He aha ka mea e hana ʻia ma hope?
Hoʻi koke ka hapa nui o nā maʻi i ka home ma hope o ke kaʻina hana a hiki ke hoʻi hou i kā lākou hana o kēlā me kēia lā. E hāʻawi kāu kauka i nā kuhikuhi no ka mālama ʻana i kahi ʻoki a mālama iā ia i ka maʻemaʻe.
He mea maʻamau ka ʻeha a i ʻole ka palapū iki a puni ka wahi a pono e emi iho i loko o kekahi mau lā. Ma mua o kou haʻalele ʻana, e hōʻike ana kāu kauka i nā lako āu e hoʻohana ai, me:
- He mea hoʻoulu, āu e lawe pū ai me ʻoe e hoʻopaʻa i nā hōʻailona ke kū mai lākou.
- He mea hoʻoili uila no kou wahi moe, kahi e hoʻouna aunoa i ka ʻikepili i kāu hui mālama Nirogi Lanka .
He aha nā pilikia?
He hana haʻahaʻa kēia. Eia nō naʻe, e like me nā hana lapaʻau āpau, hiki ke loaʻa nā pilikia kakaikahi, e like me:
- Maʻi : Inā loaʻa ka maʻi i kahi, pono paha ʻoe i nā Antibiotics , a i kekahi mau hihia, pono paha e hoʻoneʻe ʻia ka hāmeʻa.
- Ka hopena alerika : Loaʻa paha iā ʻoe kahi maʻi alerika i nā mea i loko o ka hāmeʻa, kahi e pono ai ka hoʻohana ʻana i kahi ʻōnaehana nānā ʻokoʻa.
- Hōʻailona maikaʻi ʻole : I kekahi manawa paʻakikī paha i ka hāmeʻa ke hopu i nā hōʻailona uila maopopo, a pono paha i ke kauka e hoʻoponopono i ke kūlana o ka hāmeʻa.
Hiki i kēia ke hōʻeha i koʻu puʻuwai?
ʻAʻole, he mea palekana loa ka loop recorder ʻaʻole ia e hoʻoweliweli i kou puʻuwai. ʻAʻole ia e hoʻoponopono i kou puʻuwai, hāʻawi i nā haʻalulu, a i ʻole e hoʻopilikia i kāu hana cardiac. Ua hoʻolālā wale ʻia e nānā i ka hana uila o kou puʻuwai a hoʻopaʻa i nā mea ʻē.
Pehea e loaʻa ai iaʻu nā hopena?
Hoʻouna koke kāu mea hoʻopaʻa leo loop i ka ʻikepili i kāu kauka ma Nirogi Lanka. E hoʻomaopopo kāu kauka iā ʻoe i ka wā e hoʻonohonoho ai i nā manawa hoʻopaʻa e kūkākūkā i nā mea i loaʻa.
Pehea ka lōʻihi e pono ai iaʻu ka hāmeʻa?
E ʻaʻahu ʻoe i ka hāmeʻa a hiki i ka loaʻa ʻana o ka ʻikepili lawa i kāu kauka e hana ai i kahi hōʻailona pololei. ʻOkoʻa kēia lōʻihi no kēlā me kēia mea maʻi. Inā hōʻike nā hopena i ka pono no kahi pacemaker a i ʻole kahi Implantable Cardioverter Defibrillator (ICD), e wehe kāu kauka i ka mea hoʻopaʻa leo loop i kēlā kaʻina hana.
ʻO ka lōʻihi o ka pila o ka loop recorder no kahi o ʻekolu mau makahiki , e hāʻawi ana i ka manawa kūpono e hopu ai i nā pilikia o ka puʻuwai manawa ʻole e poina paha i nā mea nānā pōkole.
Āhea ʻoe e hoʻokaʻaʻike aku ai i kāu kauka?
E ʻoluʻolu e kelepona koke aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma kahi i hoʻokomo ʻia ai kāu hāmeʻa (kahi ʻoki ʻia):
- ʻUlaʻula
- Pehu ʻana
- Ke kahe ʻana o ke koko
- Ka hoʻokuʻu ʻana o ka pus a i ʻole kekahi wai ʻē aʻe
Hiki i kēia ke lilo i mau hōʻailona o nā pilikia e pono ai ke kōkua koke ʻana o ke kauka.
He aha nā pōmaikaʻi a me nā pōʻino o kahi Loop Recorder?
Hāʻawi kahi loop recorder i kekahi mau pono koʻikoʻi:
- Nānā lōʻihi: Hiki i kēia mea hana ke nānā a hoʻopaʻa i ka hana uila o kou puʻuwai a hiki i ʻekolu mau makahiki. ʻAʻole hiki i nā mea nānā ʻē aʻe ke hoʻohālikelike i kēia lōʻihi. No ka laʻana, nānā kahi mea nānā Holter i ka hana no 24 mau hola wale nō. ʻOiai ʻo kekahi mau mea nānā e uhi ana i ʻelua pule, ʻaʻole lawa kēlā manawa e hopu i kahi ʻano kuʻuna ʻole e hana wale ʻia i hoʻokahi manawa i ka mahina. Hōʻike nā haʻawina he mea pono loa kēia ʻano lōʻihi.
- Hoʻopaʻa leo ʻakomi: ʻOiai inā poina iā ʻoe ke kaomi i kahi pihi ke manaʻo ʻoe i nā hōʻailona, hoʻopaʻa leo ʻakomi ka hāmeʻa i ka hana puʻuwai maʻamau ʻole. Hiki iā ia ke ʻike i nā mea ʻē ʻole ʻoiai inā ʻaʻohe ou hōʻailona iki, he mea pono loa ia inā ʻike ʻoe i nā manawa palupalu a ʻaʻole hoʻomanaʻo i ka hanana. Ua hōʻike kekahi mau haʻawina hiki i kēia hāmeʻa ke ʻike i ka asymptomatic atrial fibrillation.
- ʻOluʻolu: Me kahi mea hoʻopaʻa leo loop, hiki iā ʻoe ke ʻauʻau, ʻauʻau, a hoʻomau i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau. ʻOiai e noho mālie ana ia ma lalo o kou ʻili, ua hūnā ʻia mai ka ʻike ʻana a ʻaʻole ia he mea kaumaha e like me nā monitor waho ʻē aʻe. Inā he nohona hana kou a i ʻole kahi hana koi, he koho kūpono loa kēia.
Eia nō naʻe, aia kekahi mau drawbacks liʻiliʻi e noʻonoʻo ai:
- Pono no kahi hana liʻiliʻi: No ka mea, pono e hoʻokomo ʻia ka hāmeʻa ma lalo o ka ʻili, pono ia i kahi hana ʻoki liʻiliʻi. ʻOiai he hana liʻiliʻi ia, aia kekahi mau pilikia i loko o kēlā me kēia ʻoki ʻana.
- Nā hopena wahaheʻe: I kekahi manawa, hiki i ka hāmeʻa ke hōʻike i nā hōʻailona o nā kūlana e like me ka atrial fibrillation i ka wā ʻaʻole ia e hana maoli. E hōʻoia mau kāu kauka i ka hōʻailona ma o ka hoʻāʻo hou aku.
He aha ka ʻokoʻa ma waena o kahi Loop Recorder a me kahi Pacemaker?
E noʻonoʻo paha ʻoe inā like ka loop recorder a me ka pacemaker puʻuwai. ʻOiaʻiʻo, he ʻokoʻa loa lāua.
ʻAʻole hoʻololi ka mea hoʻopaʻa leo loop i ka hana uila o kou puʻuwai. Hana ia e like me kahi mākaʻi leo ʻole, e nānā wale ana a hoʻopaʻa leo ana e ʻike inā he mau mea ʻē aʻe i kou helu puʻuwai a i ʻole ka rhythm.
Eia nō naʻe, he mea hana ka pacemaker . Inā lilo kou puʻuwai i mea ʻē—ʻoiai inā e kuʻi mālie loa ia (bradycardia)—e komo ka pacemaker ma ka hoʻouna ʻana i nā hōʻailona uila liʻiliʻi i kou puʻuwai e kōkua i ka hoʻoponopono ʻana i kona kuʻina.
ʻO ka ʻikepili i hōʻiliʻili ʻia mai kahi mea hoʻopaʻa leo loop e kōkua paha i kāu kauka e hoʻoholo inā makemake ʻoe i kahi mea lapaʻau lōʻihi e like me ka pacemaker.
Hiki i kēia ke ʻike i kahi hōʻeha puʻuwai?
ʻAʻole i hoʻolālā ʻia kahi loop recorder e ʻike i ka hōʻeha puʻuwai. Eia nō naʻe, hiki iā ia ke kōkua i ka ʻike ʻana i nā ʻano ʻino o ka puʻuwai (arrhythmias) e hiki mai ana ma ke ʻano he pilikia o ka hōʻeha puʻuwai.
He pilikia olakino ka hōʻeha puʻuwai. Inā ʻike ʻoe i ka ʻeha umauma a i ʻole nā hōʻailona ʻē aʻe o ka hōʻeha puʻuwai, mai hoʻokaʻulua. Kāhea koke i ka 911 a i ʻole kāu mau lawelawe pilikia kūloko a i ʻole e hele i ka haukapila kokoke loa.
Hiki iaʻu ke inu waiʻona me kahi Loop Recorder?
E ʻoluʻolu e hahai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka inu ʻana i ka waiʻona a me nā mea ʻē aʻe o ke ʻano o ka nohona. Ua hōʻike kekahi mau noiʻi e hiki i ka waiʻona ke hoʻoulu i nā ʻano ʻē o ka puʻuwai, inā ʻoe e inu nui a i ʻole nā mea inu kaulike (hoʻokahi a ʻelua paha inu i ka lā).
Ke hoʻomau nei ka noiʻi ʻana ma kēia kumuhana. No laila, he mea nui loa e kūkākūkā me kāu kauka pehea e hiki ai i ka waiʻona ke hoʻopilikia i kāu pilikia kikoʻī o nā pilikia puʻuwai.
Nā mea hope loa e hoʻomanaʻo ai
E like me kāu e ʻike ai, he mea hana waiwai nui ka Implantable Loop Recorder e hiki ai iā ʻoe a me kāu kauka Nirogi Lanka ke nānā i ka hana o kou puʻuwai i kēlā me kēia lā. Kōkua ka ʻikepili āna e hāʻawi ai i ka ʻike ʻana i nā arrhythmias ma mua o ka hiki ʻana mai o nā pilikia weliweli, e hoʻomākaukau ana i ke ala no ka mālama mua.
He mea maʻamau ka hopohopo iki e pili ana i kahi hana ʻoki liʻiliʻi, akā e hoʻomanaʻo he hana hoʻopilikia haʻahaʻa kēia. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu; aia lākou ma laila e hoʻomaha i kou noʻonoʻo a wehewehe pono i ke kaʻina hana. E hoʻoikaika ʻia e ka ʻoiaʻiʻo e kōkua ana ka ʻenehana e like me kēia iā ʻoe e mālama i kou puʻuwai olakino!
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 He aha maoli ka Loop Recorder?
He mea liʻiliʻi ia, ʻoi aku ka liʻiliʻi ma mua o ka penikala maʻamau, i hoʻokomo ʻia ma lalo pono o ka ʻili o kou umauma ma o kahi hana liʻiliʻi, minimally invasive. ʻO kāna kumu nui ka nānā mau ʻana a me ka hoʻopaʻa ʻana i ka mele uila o kou puʻuwai a hiki i ʻekolu mau makahiki.
💬 No ke aha i ʻōlelo ʻia mai ai kēia hāmeʻa noʻu?
Paipai pinepine mākou i kahi mea hoʻopaʻa leo loop e ʻike i nā ʻano hewa o ka puʻuwai (arrhythmias) a i ʻole nā manawa hiolo i wehewehe ʻole ʻia (syncope) i hiki ʻole ke hopu ʻia e kahi ECG maʻamau a i ʻole kahi hoʻāʻo Holter monitor 24-hola. Hāʻawi ia iā mākou i ka ʻikepili lōʻihi e pono ai e hiki ai i kahi hōʻoia pololei.
💬 Hiki iaʻu ke loaʻa i kahi scan MRI me kēia hāmeʻa?
Ke kau ʻia ka hāmeʻa, hiki iā ʻoe ke hoʻomau i kāu mau hana o kēlā me kēia lā, me ka ʻauʻau ʻana a me ka hoʻoikaika kino ʻana, me ka hilinaʻi piha. Eia nō naʻe, no ka mea he implant lapaʻau ia, pono ʻoe e hoʻomaopopo i kāu kauka a i ʻole ka hui radiology he loop recorder kāu ma mua o ke kau ʻana i kekahi kaʻina hana MRI e hōʻoia i kou palekana.
Nirogi Lanka Nā lepili: Heart Rate, Loop Recorder, Arrhythmia, Heart Disease, Cardiac Monitoring, Ola kino, Medical Devices
