He ʻano ʻē anei ke kuʻina o kou puʻuwai? E aʻo kākou e pili ana i ka Atrial Arrhythmia!

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi wikiwiki ana kou puʻuwai ma mua o ka maʻamau? A i ʻole ke ʻano ʻē nei kou puʻuwai? Malia paha ke manaʻo nei ʻoe i kahi mea ʻē, he ʻūmiʻi i loko o kou umauma? ʻAʻole paha kēia he mau hōʻailona wale nō. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana kikoʻī e pili ana i ka puʻuwai puʻuwai e hiki ai ke hana i kēia mau hōʻailona.

He aha ka Arrhythmia Atrial?

I ka ʻōlelo maʻalahi, ʻo ka arrhythmia atrial kahi puʻuwai puʻuwai kūpono ʻole. Hana ʻia kēia i ka wā ʻaʻole hana like nā keʻena o luna o ka puʻuwai (i kapa ʻia ʻo atria ) me nā keʻena o lalo ( nā ventricles ). E noʻonoʻo e like me kēlā me kēia lālā o kahi hui e pāʻani ana ma ke ʻano like. He aha ka mea e hana ʻia a laila? Hoʻomaka ka puʻuwai e kuʻi wikiwiki a lohi paha. ʻO kēia ke kumu o ke kahe ʻana o ke koko ma ke kino holoʻokoʻa, ʻo ia hoʻi, ua pilikia ke kahe ʻana o ke koko .

He aha nā ʻano nui o ka arrhythmia atrial?

Nui nā ʻano like ʻole o kēia ʻano. Aia paha he mau ʻokoʻa iki ma waena o lākou. E nānā kākou i kekahi o nā ʻano nui.

1. Ka Fibrillation Atrial (Afib)

He ʻano maʻamau loa kēia o ka arrhythmia. Ma Afib , kuʻi wikiwiki loa nā keʻena o luna o ka puʻuwai (atria), ʻano ʻole, a me ke kauoha ʻole. I nā huaʻōlelo ʻē aʻe, lele wale lākou. Inā ʻaʻole mālama pono ʻia kēia, hiki iā ia ke alakaʻi i nā kūlana weliweli e like me ka hahau ʻana .

2. Tachycardia Alanui Mea Hoʻohui / Tachycardia Alanui Bypass

ʻO kēia ka manawa e hana ʻia ai kahi ala uila keu ma waena o nā keʻena o luna (atria) a me nā keʻena o lalo (ventricles) o ka puʻuwai. ʻO ka maʻamau, hele nā ​​​​hōʻailona uila ma o ka mea i kapa ʻia ʻo ka AV node . Eia nō naʻe, inā holo wikiwiki loa nā hōʻailona uila ma kēia ala keu, kuʻi wikiwiki loa ka puʻuwai. ʻO ka Wolff-Parkinson-White syndrome kahi laʻana maikaʻi o kēia.

3. Ka Lele ʻAtrial

ʻO kēia ka manawa e wikiwiki loa ai nā hōʻailona uila ma nā keʻena o luna o ka puʻuwai (atria). ʻO kēia ke kumu o ka atria e kuʻi wikiwiki loa. Hiki ke hana pū ʻia kēia ʻano me ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, a me nā kīnā o ke kino o ka puʻuwai.

4. ʻO ka Tachycardia Atrial (AT)

ʻO ka Tachycardia kahi puʻuwai wikiwiki. I ka AT , hoʻomaka kahi hōʻailona uila ma kahi kūpono ʻole i nā keʻena o luna o ka puʻuwai (atria), e hoʻoulu ai i ka puʻuwai e kuʻi wikiwiki.

5. AV Nodal Re-entrant Tachycardia (AVNRT)

Hana ʻia kēia ke loaʻa nā ala he nui no nā hōʻailona uila e hele ai ma o ka AV node . ʻO AVNRTʻO ka Paroxysmal Supraventricular Tachycardia (PSVT) kahi kūlana e paʻi wikiwiki ai ka puʻuwai akā ʻaʻole i kūlike. Hiki ke hele koke mai a laila nalo koke.

6. Nā ʻūmiʻi atrial mua (PACs)

ʻO kēia ka manawa e paʻi mua ai ka puʻuwai, ʻo ia hoʻi ke paʻi mua ʻana. ʻAʻole pono kēia mau mea a ʻaʻole pono ka mālama ʻana .

Pehea ka maʻamau o ka arrhythmia atrial?

ʻOi aku ka maʻamau o nā maʻi puʻuwai ma mua o kou manaʻo . He miliona miliona ka poʻe a puni ka honua e ʻeha nei i kekahi ʻano arrhythmia. ʻO ka mea maʻamau o kēia, ʻo ia ka atrial fibrillation (Afib), a mākou i kamaʻilio ai ma mua. ʻO kēlā mau loli liʻiliʻi a ʻino ʻole i ka helu o ka puʻuwai, a i ʻole PAC (Premature Atrial Contractions) , he mea ia e ʻike ai mākou a pau i kekahi manawa o ko mākou ola.

No ke aha e hana ai kēia arrhythmia atrial?

ʻO ke kumu nui o kēia kūlana, ʻo ia nā hōʻailona uila kūpono ʻole e hoʻomaka ana ma nā keʻena o luna o ka puʻuwai (atria). Hiki i kēia mau hōʻailona kūpono ʻole ke hoʻoilina (ʻo ia hoʻi, loaʻa i kekahi o kou ʻohana a hiki iā ʻoe ke loaʻa pū kekahi), a i ʻole hiki ke hana ʻia e nā pilikia olakino ʻē aʻe a i ʻole nā ​​maʻi puʻuwai.

Ma muli o nā pilikia olakino a me nā maʻi puʻuwai:

• Anemia , ʻo ia hoʻi ka nele o nā hunaola koko ʻulaʻula.
• ʻO ka Cardiomyopathy kahi maʻi o ka ʻiʻo o ka puʻuwai.
• ʻO ka maʻi diabetes (Diabetes Mellitus) .
• ʻO ka hōʻeha puʻuwai mai kahi hōʻeha puʻuwai a i ʻole ka hōʻeha puʻuwai ma mua.
• Maʻi puʻuwai , maʻi ʻaʻa coronary (CAD) , a me ka hāʻule ʻana o ka puʻuwai .
• Ke koko kiʻekiʻe (hypertension) .
• Nā maʻi e pili ana i ka māmā, no ka laʻana , ka Maʻi Pulmonary Obstructive Chronic (COPD) .
• Nā pilikia kūkulu o ka puʻuwai, no ka laʻana, ka maʻi valve puʻuwai.
• Nā pilikia thyroid, ʻoi aku hoʻi ka hyperthyroidism .

Ma muli o nā kumu o ke ʻano o ka nohona:

Hiki i kēia mau mea ke hoʻonui i ka pilikia o ka arrhythmia atrial:

• Ka maloʻo ʻana o ke kino .
• Nā mea inu a me nā meaʻai i loaʻa ka caffeine (e like me ke kī a me ke kofe).
• Hiki i kekahi poʻe ke loaʻa i nā palpitations o ka puʻuwai ma hope o ka ʻai ʻana i nā meaʻai me ka momona kiʻekiʻe, ke kō, a i ʻole nā ​​​​​​kalapona.
• ʻO kekahi mau lāʻau lapaʻau, no ka laʻana , pseudoephedrine, i loaʻa i loko o kekahi mau lāʻau lapaʻau anu.
• Ka inu nui ʻana i ka waiʻona .
• Kaumaha a me ka momona.
• Ka pilikia nui a me ka hopohopo .
• Nā loli hormonal, no ka laʻana i ka wā menopause a i ʻole i ka wā hāpai. He mea maʻamau loa ka palpitations o ka puʻuwai i ka wā hāpai a ʻaʻole ia he mea ʻino.
• Ka puhipaka a me ka hoʻohana ʻana i nā huahana paka .

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka Atrial Arrhythmia? He aha nā hōʻailona?

I kekahi manawa hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona. Eia nō naʻe, eia kekahi o nā hōʻailona maʻamau:

• Me he mea lā e kuʻi wikiwiki ana kou puʻuwai akā ma ke ʻano hoʻokahi . Ke kuʻi nei kou umauma, me he mea lā ua holo wale ʻoe.
• Puʻuwai puʻuwai kūpono ʻole . Manaʻo paha ia e like me ka lele ʻana o kou puʻuwai i kahi kuʻi, ua oki ke kuʻi ʻana, kuʻi koke ka wikiwiki, a i ʻole kuʻi lohi.
• ʻEha ka umauma , ka ʻoluʻolu ʻole, a i ʻole ka paʻa.
• Pōkole o ka hanu .
• Manaʻo puni a huikau paha.
• Nāwaliwali / syncope .
• Luhi loa , he manaʻo o ke ola ʻole.
• Ke kuʻi ʻana o ka umauma, ka ʻāʻī, a i ʻole ka ʻāʻī (nā palpitations o ka puʻuwai) .
• ʻO ka pehu ʻana (edema) o nā lālā, ʻoiai nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae .

Pehea e ʻike ai nā kauka i kēia maʻi?

Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a me ka hoʻolohe ʻana i kou puʻuwai, e kauoha mua kāu kauka i kahi hoʻāʻo koko . ʻO kēia ka helu koko piha (CBC) . Nānā kēia no ka anemia, nā hemahema o ka wikamina, a i ʻole nā ​​pilikia thyroid.

A laila, ʻo ka hoʻāʻo aʻe āu e pono ai e hana he electrocardiogram (EKG a i ʻole ECG) . Pili kēia i ka hoʻopili ʻana i kahi moʻo o nā mea ʻike i kou ʻili e hoʻopaʻa i ka hana uila o kou puʻuwai, a i ʻole ka helu o ka puʻuwai. Hiki ke hana ʻia kēia ma ke keʻena o ke kauka a he 15 mau minuke ka lōʻihi.

E noʻonoʻo ʻaʻole ʻoe i loaʻa i kēlā puʻuwai puʻuwai kūpono ʻole i kou hele ʻana i ke kauka. Inā pēlā, ʻaʻole ia e hoʻopaʻa ʻia ma ka EKG. I kēlā hihia, e noi paha ke kauka iā ʻoe e hoʻohana i kahi monitor ambulatory , no ka laʻana , kahi monitor Holter . He mea liʻiliʻi kēia a lawe lima. Pono ʻoe e ʻaʻahu iā ia no hoʻokahi pule. I loko o kēia manawa, e hoʻopaʻa ʻia kou puʻuwai puʻuwai a me nā mea kūpono ʻole ma luna.

He aha nā lāʻau lapaʻau no ka arrhythmia atrial?

Inā ʻike ʻia ʻoe me ka arrhythmia, e hoʻouna ʻia ʻoe i kahi cardiologist.Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o kou olakino holoʻokoʻa a me ke ʻano o ka arrhythmia.

Nā loli i ke ʻano o ka nohona a me nā ʻano ʻai:

Hiki ke hoʻomalu ʻia nā ʻano arrhythmia he nui me kēia mau hoʻololi maʻalahi:

• Hoʻōki a kaupalena paha i ka waiʻona, ka caffeine, a me kekahi mau lāʻau lapaʻau (e laʻa me nā lāʻau anu i loaʻa ka pseudoephedrine).
• E inu i ka wai he nui e pale aku ai i ka maloʻo ʻana o ka wai.
• Ke noi nei i ke kōkua e hōʻemi i ke kaumaha a me ka hopohopo, e hoʻomaʻamaʻa ana i nā hoʻomaʻamaʻa hoʻomaha a me nā ʻano hana hanu hohonu .
• Inā momona ʻoe, he mea nui ka pohō kaumaha a me ka mālama ʻana i ke kaumaha olakino .
• E hoʻōki loa i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka .

Lapaʻau lapaʻau:

Pono kekahi mau ʻano arrhythmia i ka mālama lapaʻau ma waho aʻe o nā hoʻololi ʻana i ke ʻano o ka nohona. Inā he ʻoi aku ma mua o hoʻokahi ʻano arrhythmia kāu, pono paha ʻoe i ʻoi aku ma mua o hoʻokahi lāʻau lapaʻau. Eia kekahi o nā lāʻau lapaʻau nui:

• ʻO ka hoʻopau ʻana i ka catheter: ʻAʻole kēia he hana nui e like me ke ʻoki kino. Hoʻopau ia i kahi ʻāpana liʻiliʻi o ka ʻiʻo i loko o ka puʻuwai e hoʻouna ana i nā hōʻailona uila maʻamau ʻole. Hoʻōki kēia i ke ʻano kuʻuna ʻole.
• Nā Mea Hana: I kekahi manawa, pono e hoʻokomo ʻia kahi mea hana e like me ka implantable cardioverter-defibrillator (ICD) , subcutaneous ICD, a i ʻole pacemaker i loko o ka puʻuwai e kaohi i ke kani o ka puʻuwai.
• Cardioversion Uila: Pili kēia i ka hāʻawi ʻana i nā haʻalulu uila palekana (jolts) i ka puʻuwai, e hoʻōki ana i ke ʻano maʻamau ʻole a hoʻihoʻi iā ia i kahi ʻano maʻamau.
• Nā lāʻau lapaʻau: Aia nā lāʻau lapaʻau i hāʻawi ʻia e mālama i ke ʻano o ka puʻuwai i maʻamau a pale aku paha i nā hewa (nā lāʻau lapaʻau arrhythmia). Eia kekahi, hiki ke hāʻawi ʻia i nā poʻe me Afib nā lāʻau hoʻokahe koko e hōʻemi i ka pilikia o ka hahau ʻana.

Pehea e hōʻemi ai i ka pilikia o ka arrhythmia atrial?

ʻAʻole paha e hiki ke pale loa i kēia, akā hiki iā mākou ke hōʻemi i ko mākou pilikia ma ka noho olakino a me ka hana ʻana i nā hoʻoholo akamai.

• Ma hope o ka ʻai olakino no ka puʻuwai .
• E hoʻoikaika kino maikaʻi a e noho hana mau .
• Inā momona ʻoe, he mea nui ka pohō kaumaha a me ka mālama ʻana i ke kaumaha olakino .
• Inā loaʻa iā ʻoe ke koko kiʻekiʻe (hypertension), e kāohi iā ia.
• Ke kāohi nei i nā pae cholesterol .
• E kamaʻilio me kāu kauka a hana i kahi hoʻolālā e haʻalele i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka.

Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole nā ​​pilikia olakino ʻē aʻe e hoʻonui ai i kou pilikia o kēia arrhythmia, e kamaʻilio me kāu kauka e pili ana i ia mea. E wehewehe ʻo ia i nā ʻanuʻu ʻē aʻe āu e hiki ai ke hana.

He aha ka manaʻo no kekahi me ka Atrial Arrhythmia? (Outlook)

Aia maoli kēia i kekahi mau kumu. Hiki i ke ʻano o ka arrhythmia āu e loaʻa ai a me kou olakino holoʻokoʻa ke pāʻani i kahi kuleana. Hiki i nā poʻe he nui ke hoʻokele i kā lākou mau hōʻailona me ke ʻano o ka nohona a me nā hoʻololi ʻana i ka meaʻai. Hiki i nā lāʻau lapaʻau no ka arrhythmia atrial ke kōkua iā ʻoe e ola i kahi ola olakino holoʻokoʻa . ʻO ka mea nui loa, ʻo ia ke ʻike pinepine i kāu kauka e nānā i ke olakino o kou puʻuwai a hana pū me ia e noho olakino.

I ka manawa hea ʻoe e ʻike ai i ke kauka e pili ana i ka arrhythmia atrial?

Inā he mau hopohopo kāu e pili ana i ka helu o kou puʻuwai, a inā paha he mau hōʻailona kāu i kūkākūkā ai, e ʻike pono i ke kauka . Inā ʻike mua ʻoe he atrial arrhythmia kou, e ʻike pinepine i kāu cardiologist .

Nā hōʻailona e pono ai ka mālama koke:

Inā loaʻa iā ʻoe kēia mau hōʻailona , ​​e ʻimi koke i ke kōkua lapaʻau :

- ʻEha ka umauma .

- Nā manawa heʻe pinepine .

- Luhi a luhi koke a i ʻole ka pilikia i wehewehe ʻole ʻia .

- Ka pehu ʻana i kou mau wāwae, nā kapuaʻi a i ʻole nā ​​kuʻekuʻe wāwae .

- Pilikia ka hanu ʻana .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Hiki i ka arrhythmia atrial ke alakaʻi i nā pilikia olakino koʻikoʻi, e like me ka hahau ʻana. Akā ʻo ka nūhou maikaʻi, hiki ke hoʻomalu maikaʻi ʻia kēia kūlana me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona .

Inā loaʻa iā ʻoe nā hōʻailona o ka arrhythmia, ʻoiai inā he mōʻaukala o ka maʻi puʻuwai a i ʻole kahi maʻi olakino e like me ke koko kiʻekiʻe, mai hoʻokaʻulua e ʻike i ke kauka . Ma ka hahai ʻana i kahi papaʻai olakino no ka puʻuwai a me ka noho ʻana i ka hana, hiki iā ʻoe ke hōʻemi i kou pilikia o ka arrhythmia a mālama i ke olakino holoʻokoʻa . E hoʻomanaʻo, ʻo kou puʻuwai kāu waiwai nui loa!

ʻAtrial arrhythmia, nā maʻi o ka puʻuwai, ka puʻuwai, maʻi puʻuwai, atrial fibrillation, olakino puʻuwai, puʻuwai kūpono ʻole