Ke ʻano hewa nei anei ke kani ʻana o kou puʻuwai? E kamaʻilio kākou e pili ana i ka Atrial Fibrillation (AFib)!

Ke manaʻo nei ʻoe i kekahi manawa e like me ke kuʻi ʻana o kou puʻuwai e like me ka pahu, a i ʻole ke kuʻi wale nei me he pupule lā? A i ʻole loaʻa iā ʻoe kahi manaʻo ʻē e like me ka lele ʻana o kahi pulelehua i loko o kou umauma, a i ʻole ka hakakā ʻana o kahi iʻa? ʻAʻole paha kēia mau mea e hiki mai ana i ka noʻonoʻo. He hōʻailona paha ia o kahi maʻi puʻuwai i kapa ʻia ʻo 'Atrial Fibrillation' (AFib) . No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia AFib ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha ka Atrial Fibrillation (AFib)? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo Atrial Fibrillation (AFib) kahi puʻuwai puʻuwai kūpono ʻole e kū nei ma nā keʻena ʻelua o luna o kou puʻuwai, i kapa ʻia ʻo atria . Loaʻa i ko mākou mau puʻuwai kahi ʻōnaehana uila e hoʻouna ana i nā hōʻailona i ka puʻuwai e kuʻi ma ke ʻano maʻamau a hoʻonohonoho pono. Akā i loko o ka puʻuwai o kekahi me AFib, ʻaʻole hana pono kēia ʻōnaehana uila. Ma kahi o ka hoʻouna ʻana i nā hōʻailona ma ke ʻano hoʻonohonoho pono, hoʻouna ia i nā hōʻailona like ʻole i ka manawa like.

E noʻonoʻo i kou puʻuwai e like me kahi hui mele. ʻO ka maʻamau, aia kekahi alakaʻi e hāʻawi i nā hōʻailona a hoʻokani i nā kuʻi ma ke ʻano maʻamau. Akā ma AFib, ma kahi o hoʻokahi alakaʻi, aia kekahi poʻe e hāʻawi ana i nā hōʻailona ma nā ʻaoʻao like ʻole. A laila, ʻaʻole maopopo i nā lālā o ka hui mele ka hōʻailona a lākou e pāʻani nei. Ua huikau loa ke mele, ʻeā? Pēlā ʻo AFib e hoʻomaka ai nā keʻena o luna o ka puʻuwai, ʻo ka atria, e kuʻi wikiwiki loa a ma ke ʻano haunaele.

No ka mea, ʻaʻole e ʻaelike pono nā atria, ʻaʻole hiki iā lākou ke pamu pono i ke koko i nā keʻena ma lalo o ka puʻuwai, ʻo ia hoʻi nā ventricles . Pane nā ventricles i nā hōʻailona mai ka atria, a hoʻomaka lākou e ʻaelike kūpono ʻole. ʻO ka puʻuwai āu e manaʻo ai ua hana ʻia e ka ʻaelike ʻana o kēia mau ventricles. No laila, ma AFib, lilo kēia kuʻi i wikiwiki a kūpono ʻole.

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

ʻAʻole loaʻa nā hōʻailona o ka poʻe a pau me AFib. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau. Inā ʻoe e ʻike nei i kekahi o kēia mau hōʻailona, ​​​​he manaʻo maikaʻi e ʻike i ke kauka.

• Me he pulelehua lā e lele ana i loko o kou umauma, e like me ka iʻa e hakakā ana . A i ʻole me he mea lā e kuʻi wikiwiki ana kou puʻuwai a e kuʻi ana i loko o kou umauma. I ka lāʻau lapaʻau, kapa mākou i kēia he "palpitations puʻuwai" .
• ʻO ka manaʻo luhi loa he "luhi nui loa" . ʻAʻole wale ka luhi, akā, ua luhi loa ʻoe ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
• Pōniuniu a poʻo māmā paha.
• I kekahi manawa hiki iā ʻoe ke nāwaliwali (syncope).
• Paʻakikī ka hanu ʻana (dyspnea) . Manaʻo paha ʻoe e like me ʻoe e pilikia ana i ka hanu ʻana me ka hoʻoikaika iki ʻana.
• ʻEha a ʻeha paha ka umauma (angina).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou.

He maʻi koʻikoʻi anei ʻo AFib?

ʻAe, he maʻi koʻikoʻi ka AFib. Inā he mau hōʻailona kou a ʻaʻole paha, ʻo ka loaʻa ʻana o ka AFib ʻo ia hoʻi ke ʻano ʻē o kou puʻuwai. Ke ʻole e paʻi pono ana kou puʻuwai, ʻoi aku ka nui o ka manawa e hana ʻia ai nā ʻōpū koko i loko o kou puʻuwai. Inā haki kēia mau ʻōpū koko mai kou puʻuwai a hele i kahi ʻāpana koʻikoʻi e like me kou lolo, hiki iā lākou ke hana i kahi maʻi koʻikoʻi i kapa ʻia he stroke . Eia kekahi, inā loaʻa iā ʻoe ka AFib no ka manawa lōʻihi, hiki i kou puʻuwai ke nāwaliwali a lilo i nāwaliwali, e alakaʻi ana i kahi maʻi i kapa ʻia ʻo ka hāʻule ʻana o ka puʻuwai .

No laila, inā loaʻa iā ʻoe nā hōʻailona o AFib, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau .

I kēia kūlana, e kelepona koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa:

• Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma .
• Inā pilikia nui ʻoe i ka hanu ʻana .
• Inā ʻoe e nalowale ana kou manaʻo a manaʻo paha e nalowale ana kou manaʻo .

No ke aha i loaʻa ai ʻo AFib? He aha nā kumu?

ʻO ke kumu nui o AFib nā loli i loko o nā ʻiʻo a me ka ʻōnaehana uila o ka puʻuwai. Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia mau loli:

• Nā maʻi cardiovascular ʻē aʻe: No ka laʻana, nā kūlana e like me ka maʻi artery coronary, ka maʻi valve, a me ka hāʻule ʻana o ka puʻuwai hiki ke kōkua i ka AFib.
• Nā kūlana olakino ʻē aʻe: Ke koko kiʻekiʻe, ke kaumaha nui a me ka momona, hyperthyroidism, ka maʻi puʻupaʻa mau, a me ka obstructive sleep apnea.
• Nā kumu hoʻoilina: Ua ʻike ʻia nā noiʻi hou e pili ana kekahi mau ʻano hoʻoilina i ka ulu ʻana o AFib. ʻO kēia mau mana hoʻoilina i kekahi manawa ke kumu o ka ulu ʻana o AFib i ka wā ʻōpiopio.
• ʻO ke ʻoki puʻuwai: Hiki ke hana ʻia ka AFib ma hope o ke ʻoki puʻuwai no nā kumu ʻē aʻe. Hiki ke hana ʻia ka AFib i ka wā e hoʻōla ai mai ke ʻoki ʻana ʻaʻole i ka puʻuwai.

He aha nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka AFib?

Ma waho aʻe o nā kūlana i ʻōlelo ʻia ma luna nei, aia kekahi mau kumu ʻē aʻe e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka AFib:

• ʻO ka hoʻonui ʻana i ka makahiki: Hoʻonui ka pilikia o ka loaʻa ʻana o AFib me ka makahiki, ʻoi aku hoʻi ma hope o 65 mau makahiki .
• Ka hoʻohana nui ʻana i ka waiʻona: ʻO ka inu ʻana i ka waiʻona ma mua o ka nui o ka waiʻona i ʻōlelo ʻia, ʻoi aku ka inu nui ʻana, hoʻonui i ka pilikia o ka AFib.
• Nā maʻi koʻikoʻi: Hoʻonui ka pilikia o ka loaʻa ʻana o ka AFib ke loaʻa iā ʻoe nā maʻi i koʻikoʻi loa e pono ai ke komo i ka haukapila (e laʻa, sepsis, ka maʻi COVID-19 koʻikoʻi).
• Ka nele o ka hoʻoikaika kino:ʻO kekahi kumu o AFib ʻo ia ka nele i ka hana kino i kēlā me kēia lā.
• Hoʻomaʻamaʻa hoʻoikaika kino nui: ʻOiai he maikaʻi ka hoʻoikaika kino no ka puʻuwai, ʻaʻole maikaʻi ka nui o nā mea āpau. ʻO ka poʻe e hoʻoikaika kino no nā hola ʻekolu i ka lā, i nā makahiki he nui, ua nui aʻe ko lākou pilikia o ka loaʻa ʻana o ka AFib.

Pehea e ʻike ai nā kauka i ka AFib?

ʻO ka hoʻāʻo koʻikoʻi loa e hoʻoholo pololei ai inā he AFib kāu he ECG a i ʻole EKG (Electrocardiogram) .

• Hana ʻia kēia ma ke kākau ʻana i ka hana uila o kou puʻuwai ma kahi pakuhi. Ma ka nānā ʻana i kēlā pakuhi, hiki i kāu kauka ke hoʻoholo pono inā he AFib kou a i ʻole nā ​​maʻi puʻuwai ʻē aʻe (arrhythmias).

Eia kekahi, e hana ke kauka i kēia mau mea:

• E hana lākou i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mōʻaukala olakino.
• Hiki ke kauoha ʻia nā hoʻāʻo koko . Hiki iā lākou ke nānā i nā kūlana olakino ʻē aʻe a i ʻole nā ​​​​kūlana e hiki ke hoʻopilikia i kāu hoʻolālā lapaʻau AFib.
• Ua kauoha ʻia kahi hoʻāʻo echocardiogram (Echocardiogram - echo) . Hiki ke hoʻohana ʻia kēia e nānā pono i ke ʻano a me ka hana o ka puʻuwai.
• Hiki ke hāʻawi ʻia iā ʻoe kahi monitor liʻiliʻi (Holter monitor a i ʻole cardiac event monitor) hiki iā ʻoe ke komo no kekahi mau lā a i ʻole hoʻokahi pule. Hiki i kēia ke hoʻopaʻa mau i ka hana uila o kou puʻuwai ʻoiai ʻoe e hana ana i kāu mau hana o kēlā me kēia lā a ʻoiai ʻoe e hiamoe ana.

Aia kekahi mau pae like ʻole o AFib?

ʻAe, he kūlana "holomua" ʻo AFib. ʻO ia hoʻi, hiki iā ia ke hele ma nā pae like ʻole a lilo i mea ʻino i ka hala ʻana o ka manawa. Noʻonoʻo nā kauka i kēia mau pae i ka wā e ʻike ai a mālama ai i ka AFib:

• Pae 1: I ka pilikia no AFib
• Pae 2: Pre-AFib
• Pae 3: AFib `(AFib)` (He mau pae liʻiliʻi kēia)
• Pae 4: AFib Paʻa

Pae 1: I ka pilikia no AFib

ʻO ke ʻano kēia he mau mea pilikia kou e hoʻonui ai i kou pilikia o ka loaʻa ʻana o AFib. Eia kekahi laʻana:

• Ke koko kiʻekiʻe
• Momona
• Maʻi diabetes
• Ka hanu ʻana a me nā pilikia hanu (Sleep apnea)
• Ka hoʻohana nui ʻana i ka waiʻona
• Nā maʻi o ka ʻōnaehana cardiovascular
• Ma luna o 65 mau makahiki

Inā loaʻa iā ʻoe kēia mau mea, aia paha ʻoe i ka pilikia no ka hoʻomohala ʻana i ka AFib.

Pae 2: Pre-AFib

I kēia manawa, e ʻike paha ʻoe i kekahi mau loli i ka hana uila a i ʻole ke ʻano o kou puʻuwai. Hoʻonui kēia i kou pilikia o ka loaʻa ʻana o ka AFib. Ke nānā nei nā kauka i nā hōʻailona e like me kēia:

• ʻO ka tachycardia atrial
• ʻO ka haʻalulu o ke atrium
• ʻAtrium hema a/a ʻākau paha i hoʻonui ʻia
• Nā puʻuwai ectopic pinepine

Eia kekahi, ʻo ka poʻe me nā kūlana e hoʻonui ai iā lākou i ka pilikia no ka AFib, e like me ka `(Coronary artery disease)`, `(Heart failure)`, `(Heart valve disease)`, `(Hyperthyroidism)`, `(Hypertrophic cardiomyopathy)`, a me `(Neuromuscular disorders)`, hiki ke hāʻule i kēia pae ʻelua.

Pae 3: AFib (aia kekahi mau ʻāpana i kēia)

Inā hōʻoia kahi ECG ua loaʻa iā ʻoe ka AFib, aia ʻoe i kēia pae. Akā hiki ke ʻokoʻa kēia pae. Loaʻa i kekahi poʻe nā hōʻailona e hele mai a hele aku, aʻo kekahi poʻe e hoʻomau i ka loaʻa ʻana o ka AFib ʻoiai ke mālama ʻia. ʻO ia ke kumu e hoʻokaʻawale ai nā kauka i kēia pae i ʻehā mau pae liʻiliʻi:

• Paroxysmal AFib: Ma kēia ʻano AFib, loaʻa pinepine ka AFib a hoʻopau wale ʻia i loko o hoʻokahi pule, pinepine me ka ʻole o ka mālama ʻia. Eia nō naʻe, hiki nō iā ʻoe ke ʻike i ka ʻoluʻolu ʻole i loko o kēia wā pōkole. ʻOi aku kou pilikia o ka hahau ʻana ma mua o ka poʻe me ka ʻole o ka AFib.
• ʻAfib Paʻa: ʻO kēia ka manawa e mau ai ka AFib , ʻo ia hoʻi, ʻoi aku ka lōʻihi ma mua o hoʻokahi pule. Pono ka lāʻau lapaʻau e hoʻōki iā ia.
• ʻO ka AFib mau loa: I kēia hihia, mau ka AFib no hoʻokahi makahiki a ʻoi paha.
• Ma hope o ka mālama ʻana i ka ablation holomua: Ua hoʻōki ʻia ka AFib ma hope o ke ʻoki kino a i ʻole ka mālama ʻana ma muli o ka catheter (ablation).

Ke ʻike ʻia ʻoe me AFib, hiki iā ʻoe ke neʻe i mua a i hope ma waena o kēia mau pae liʻiliʻi. Eia kekahi laʻana, ʻoiai ma hope o ka ablation holomua, hiki i ka AFib mau ke hoʻi mai i ka hala ʻana o ka manawa.

Pae 4: AFib Paʻa

ʻO ke ʻano kēia ua hoʻoholo pū ʻoe a me kāu kauka ʻaʻole ʻoe e mālama hou ʻia e kāohi i kāu AFib, a e noho mau ʻoe ma AFib. Hana ʻia kēia hoʻoholo ma muli o kou kūlana pilikino.

He aha nā lāʻau lapaʻau no AFib?

Hiki ke mālama ʻia ʻo AFib me hoʻokahi a ʻoi aku paha o kēia mau mea:

• Nā loli o ke ʻano o ka nohona
• Nā lāʻau lapaʻau
• Lapaʻau ablation
• Nā lāʻau lapaʻau ʻē aʻe

Nā loli o ke ʻano o ka nohona

Eia nā mea hiki iā ʻoe ke hana i kēlā me kēia lā e kōkua i ka pale ʻana i ka AFib mai ka ʻino ʻana. He mea nui kēia mau hoʻololi ʻana i ke ʻano o ka nohona ma mua o kou hoʻomaka ʻana e loaʻa nā hōʻailona. Hiki i kāu kauka ke kōkua iā ʻoe me kēia mau mea:

• Kōkua iā ʻoe e mālama i ke kaumaha olakino .
• Ke kaupalena nei i ka inu ʻana i ka waiʻona.
• E hōʻole loa i ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes).
• Ka loaʻa ʻana o ka nui o ka hoʻoikaika kino i ʻōlelo ʻia i kēlā me kēia lā.
• Ka kaohi maikaʻi ʻana i nā kūlana e hoʻonui ai i ka pilikia o AFib, e like me ke koko kiʻekiʻe, ka momona, ka obstructive sleep apnea, a me ka maʻi diabetes.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i kou helu puʻuwai a/a i ʻole ke ʻano o ka puʻuwai. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka hōʻino ʻana i kou puʻuwai a hoʻēmi i ka ʻoluʻolu ʻole a me ka hopohopo āu e manaʻo ai. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka pilikia o nā ʻōpū koko a me ka hahau ʻana.

Hiki ke loli nā ʻano lāʻau lapaʻau e pono ai e kāohi i ka AFib i ka hala ʻana o ka manawa. ʻO ka maʻamau, inā ʻoe e pilikia ana i ka hahau ʻana, pono ʻoe e lawe i nā lāʻau hoʻokahe koko (anticoagulants) . Hoʻomaʻamaʻa pinepine nā kauka i nā anticoagulants waha (DOACs - Direct Oral Anticoagulants). Nā laʻana:

• ʻApixaban
• ʻO Rivaroxaban
• ʻO Dabigatran
• ʻEdoxaban

I kekahi mau hihia, ua kuhikuhi ʻia kahi lāʻau i kapa ʻia ʻo "Warfarin" ma kahi o "DOACs".

Nā lāʻau lapaʻau e mālama ai i kou helu puʻuwai:

• ʻO Carvedilol
• ʻO ka ʻDigoxin
• ʻO Diltiazem
• ʻO Metoprolol
• ʻO Verapamil

Nā lāʻau lapaʻau e kōkua ai i kou puʻuwai e paʻi i kahi mele maʻamau:

• ʻAmiodarone
• ʻO Dofetilide
• ʻO ka Dronedarone
• ʻO ka Flecainide
• ʻO ka Propafenone

Lapaʻau Ablation (Ablation no AFib)

ʻO ka Ablation no AFib kahi huaʻōlelo laulā no kahi hui o nā lāʻau lapaʻau e hana ana i nā ʻāpana liʻiliʻi o ka ʻiʻo ʻeha ma kekahi mau wahi o ka puʻuwai. ʻOiai mākou e manaʻo pinepine nei i ka ʻiʻo ʻeha he mea ʻino, i kēia hihia, kōkua kēia ʻiʻo ʻeha i ka ʻōnaehana uila o ka puʻuwai e hana pono. Pale kēia ʻiʻo ʻeha i nā hōʻailona uila maʻamau mai ka hele ʻana ma o ka puʻuwai. Kōkua kēia i ka hoʻihoʻi ʻana o ka puʻuwai i ka maʻamau.

Aia kekahi mau kaʻina hana ablation kikoʻī e ʻōlelo aku ai kāu cardiologist no AFib:

• ʻO ka hoʻopau ʻana i ke catheter: He lāʻau lapaʻau minimally invasive kēia. Hoʻokomo ke kauka lapaʻau i kahi ʻōmole lahilahi (catheter) ma o kekahi o kou mau kīʻaha koko i loko o kou puʻuwai. ʻO ka hoʻokaʻawale ʻana o ke aʻa pulmonary (PVI ablation) kekahi ʻano maʻamau o ka ablation catheter no AFib.
• Kaʻina hana Maze: Ua kapa ʻia kēia he ablation ʻoki kino. Hoʻokumu ke kauka ʻoki i kahi ʻano "maze" o nā ʻiʻo ʻeha i loko o ka puʻuwai e ālai i nā hōʻailona kūlike ʻole. Hana pinepine ʻia kēia i ka manawa like me nā ʻoki puʻuwai ʻē aʻe (e like me ke coronary artery bypass grafting a i ʻole ke ʻoki valve).

Nā lāʻau lapaʻau ʻē aʻe

ʻO kekahi mau ʻano ʻē aʻe e mālama ai iā AFib:

• Ka hoʻololi ʻana o ke kaʻo:Ma kēia, e hoʻohana ke kauka i kahi mea uila (defibrillator) a hāʻawi paha iā ʻoe i ka lāʻau lapaʻau e hoʻihoʻi i ka rhythm o kou puʻuwai i ka maʻamau.
• Pani ʻana o ka atrial appendage hema (LAA): Inā ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau hoʻokahe koko, hiki ke hoʻokomo ʻia kahi mea liʻiliʻi i loko o kou puʻuwai e hōʻemi i kou pilikia o ka hahau ʻana. Hana kēia ma ka pani ʻana i ka atrial appendage hema , kahi ʻāpana liʻiliʻi e like me ka ʻeke o ka puʻuwai e hiki ke hana maʻalahi i nā ʻūpā koko.

Ke hoʻi nei ka puʻuwai i ka maʻamau ma hope o ka AFib?

ʻAe, i kekahi manawa e hoʻi kou puʻuwai i kahi mele maʻamau ma kāna iho. ʻO kēia ka mea e hana ʻia ma ka "Paroxysmal AFib". Inā loaʻa iā ʻoe ka "paʻa" a i ʻole ka "AFib lōʻihi", pono ʻoe i ka lāʻau lapaʻau e hoʻōki i ka puʻuwai puʻuwai kūpono ʻole.

Akā ʻo ka mea nui loa , ʻaʻole hiki ke ho'ōla ʻia ka AFib. He maʻi ia no ke ola holoʻokoʻa. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele iā ia. Hiki i ka lāʻau lapaʻau ke hōʻemi i kou pilikia o ka hahau ʻana a hoʻemi i kou koʻikoʻi.

ʻEhia ka lōʻihi e hiki ai iā ʻoe ke noho me AFib?

Ua ʻike ʻia ma kahi noiʻi i paʻi ʻia i ka makahiki 2024 he pōkole iki paha ke ola o ka poʻe me AFib ma mua o ka poʻe me ka ʻole o AFib. ʻOkoʻa kēia ma muli o ka makahiki i ka wā i ʻike ʻia ai.

Akā e hoʻomanaʻo, haʻi wale nā ​​​​helu helu i hoʻokahi ʻaoʻao o ka moʻolelo. Inā ʻoe e hana pū me kāu hui lapaʻau e hoʻokele pono i kāu AFib a me nā kūlana olakino ʻē aʻe, loaʻa iā ʻoe kahi manawa kūpono e ola ai i kahi ola lōʻihi a olakino .

Pehea wau e mālama ai iaʻu iho?

ʻO nā ʻano like e hōʻemi ana i kou pilikia o ka AFib e kōkua iā ʻoe e noho olakino ʻoiai inā loaʻa iā ʻoe ka AFib.

• Ka ʻai ʻana i nā meaʻai momona .
• He mea maikaʻi loa ka hoʻoikaika kino no 30 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule, no ka puʻuwai. Inā paʻakikī iā ʻoe ke hoʻoikaika kino mau, hiki iā ʻoe ke hoʻokaʻawale iā ia i 10 mau minuke.
• ʻO ka hōʻole ʻana i nā huahana paka a me ka waiʻona he kōkua nui nō hoʻi ia no ka puʻuwai.

Āhea wau e ʻike ai i ke kauka?

ʻAʻohe papa hana hoʻokahi e kūpono i nā mea āpau no kēia. Aia ia i kāu mau hōʻailona, ​​​​​​ka hoʻolālā lapaʻau, a me nā hahai ʻana inā ua loaʻa iā ʻoe kekahi mau kaʻina hana. No laila, he mea nui e kamaʻilio me kāu kauka a hana i kahi hoʻolālā e kūpono iā ʻoe.

• E ʻike i ke kauka i ka manawa me ka ʻole o ka hala ʻana o kekahi manawa i hoʻonohonoho ʻia.
• E mālama mau i kahi papa inoa o nā lāʻau lapaʻau āu e lawe ai me ʻoe, a e lawe pū me ʻoe i kou hele ʻana i ke kauka. He manaʻo maikaʻi nō hoʻi e mālama i kēia papa inoa i loko o kāu ʻeke inā he pilikia.
• I kēlā me kēia hālāwai, e haʻi i kāu kauka e pili ana i nā hōʻailona hou āu e loaʻa ai a me nā hopena ʻaoʻao mai kāu mau lāʻau lapaʻau.
• E nīnau mau i kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau ma luna o ke kauka (OTC) (e like me nā lāʻau anu a me ke kuni) a me nā mea hoʻopihapiha meaʻai.I kekahi manawa hiki i kēia ke hoʻopilikia i kou puʻuwai a i ʻole e pane pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.

He aha nā nīnau āu e nīnau ai i ke kauka?

ʻO kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Pehea e hiki ai iaʻu ke hōʻemi i kaʻu mau kumu pilikia?
• Hiki iā ʻoe ke hoʻokaʻaʻike mai iaʻu i kahi kauka meaʻai?
• Hiki iā ʻoe ke kuhikuhi mai i kekahi mau papahana olakino a me ka hoʻoikaika kino kokoke?

Hiki iā ʻoe ke nānā no AFib ma ka home?

Inā manaʻo ʻoe he mau hōʻailona kou o AFib, ʻo ka mea nui loa, ʻo ia ke kāhea koke aku i kāu kauka a haʻi iā lākou i kou manaʻo. E haʻi aku paha lākou iā ʻoe e nānā i kou pulse. Inā he ʻano ʻē a nāwaliwali paha, he hōʻailona paha ia o AFib.

Akā i kekahi manawa, ʻaʻole paha ʻoe e ʻike i kekahi loli i kou pulse, ʻoiai inā ʻaʻole koʻikoʻi loa kāu AFib. Akā, hiki iā ʻoe ke manaʻo luhi a pōkole paha ka hanu. ʻAʻole paha ʻoe e ʻike inā no AFib a i ʻole kekahi mea ʻē aʻe kāu mau hōʻailona. No laila he mea nui e kamaʻilio me kāu kauka. ʻAʻole hiki iā ʻoe ke hoʻoholo nou iho he AFib kāu.

Pehea ka maʻamau o AFib?

Ua ʻoi aku ma mua o 33 miliona mau kānaka ma luna o 55 mau makahiki ma ka honua holoʻokoʻa i ʻike ʻia me AFib. Ma ʻAmelika Hui Pū ʻIa wale nō, ua manaʻo ʻia he 12 miliona mau kānaka e loaʻa iā AFib ma ka makahiki 2030. ʻO ka AFib ke kumu o ka hapalua miliona mau haukapila ma ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki, a ke piʻi nei ka nui o nā make mai ia mea i kēlā me kēia makahiki.

Hiki ke hopohopo, hoʻoluhi, a huikau ka ʻike ʻana ua loaʻa iā ʻoe ka AFib . Akā, ʻaʻole ʻoe hoʻokahi. He miliona miliona o ka poʻe a puni ka honua e aʻo nei i nā ala hou e hoʻokele ai i ke kūlana a ola i nā ola hauʻoli. Hiki i kāu kauka ke haʻi iā ʻoe i nā mea hou aʻe e pili ana i nā koho lapaʻau, nā kumuwaiwai, a me nā kaiāulu kākoʻo.

No laila, he aha nā mea nui e pono ai mākou e hoʻomanaʻo mai kēia ʻatikala?

ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai:

- ʻO ka AFib kahi kūlana i kūlike ʻole ai ke kuʻina o ka puʻuwai, a hiki ke koʻikoʻi, ʻoiai me ka ʻole o nā hōʻailona. Aia ka pilikia o nā pilikia, ʻoiai ka hahau ʻana.

- E makaʻala i nā hōʻailona e like me ka ʻū ʻana o ka umauma, ka luhi, ka poniuniu, a me ka paʻakikī o ka hanu ʻana. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i ke kauka.

- He maʻi hiki ke mālama ʻia ʻo AFib. Hiki ke hoʻomalu maikaʻi ʻia me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i kekahi mau hihia, nā lāʻau lapaʻau e like me ka "ablation".

- He nohona olakino (ʻai pono, hoʻoikaika kino mau)He mea nui loa ka mālama ʻana i kahi nohona olakino (hoʻoikaika kino, puhipaka, a me ka waiʻona) no ka kaohi ʻana i ka AFib a me ka mālama ʻana i ke olakino o ka puʻuwai.

- ʻAʻole ʻoe hoʻokahi i kēia huakaʻi. E kamaʻilio me kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau a me kahi hoʻolālā hoʻokele e kūpono loa iā ʻoe. Mai makaʻu e nīnau a kaʻana like i kou mau manaʻo.

E hoʻomanaʻo, ʻo ka ʻike ka hana mua i ke ola olakino!

ʻO ka Atrial Fibrillation, AFib, ka ʻōʻō o ka puʻuwai, ka puʻuwai kūpono ʻole, ka hahau ʻana, ka hōʻeha puʻuwai, ka maʻi puʻuwai, ka ʻeha umauma, ka helu o ka puʻuwai, ke olakino o ka puʻuwai