Ke manaʻo nei anei kou puʻuwai i kekahi manawa e like me ka pupule? He Atrial Fibrillation (AFib) paha ia? E kamaʻilio kākou!

Ua manaʻo koke anei ʻoe i kahi loli ʻano ʻē i ke ʻano o ka paʻi ʻana o kou puʻuwai? Malia paha e paʻi wale ana kou puʻuwai me he pupule lā, a i ʻole e like me ka pau ʻana a laila hoʻomaka hou. ʻOiai ʻaʻole mākou e noʻonoʻo nui i kēia mau mea, i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi maʻi olakino. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, hiki ke pili i ka mele o ka puʻuwai. ʻO ia ka Atrial Fibrillation, a i ʻole AFib no ka pōkole.

He aha ka AFib (Atrial Fibrillation)? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo Atrial Fibrillation (AFib) kahi ʻano puʻuwai kūpono ʻole e hoʻomaka ana ma nā keʻena o luna o kou puʻuwai (i kapa ʻia hoʻi ʻo atria). I ka pololei, ʻaʻole hana pono ka ʻōnaehana uila o ke kanaka me AFib. Ma kahi o ka hoʻouna ʻana i nā hōʻailona uila ma ke ʻano maʻamau, e like me ka mea maʻamau, hoʻomaka ia e hoʻouna i nā hōʻailona like ʻole i ka manawa like. E noʻonoʻo i kahi hui mele nui, akā ma kahi o kahi alakaʻi nui e alakaʻi ana i ka hui mele, aia kekahi mau kānaka ma kēlā me kēia ʻaoʻao e hāʻawi ana i nā kauoha i ka manawa like. A laila ʻaʻole ʻike nā mea hoʻokani pila i ka mea e hoʻolohe ai a me ka mea e pāʻani ai. Ua huikau a ʻaʻole kūpono ke mele holoʻokoʻa, ʻeā? ʻO ia ka mea e hana ʻia i nā keʻena o luna o ko mākou mau puʻuwai me AFib. ʻO ka hopena, hoʻomaka nā keʻena o luna o ka puʻuwai (atria) e kuʻi i kahi mele wikiwiki a chaotic. ʻO ka hopena, ʻaʻole hiki i kēia mau keʻena o luna ke ʻaelike pono a ʻaʻole hiki ke pamu i ke koko i nā keʻena o lalo (i kapa ʻia ʻo ventricles). ʻO nā keʻena o lalo, e hana ana ma nā hōʻailona mai nā keʻena o luna, hoʻomaka pū e ʻaelike kūpono ʻole. ʻO ia ke kumu e manaʻo ai ʻoe e kuʻi wikiwiki ana kou puʻuwai a kūpono ʻole. ʻO ka puʻuwai āu e manaʻo ai, ʻo ia ke kumu o ka ʻūlū ʻana o kēia mau keʻena haʻahaʻa (nā ventricles). Hiki i ka atrial fibrillation ke alakaʻi i nā pilikia koʻikoʻi e like me ka hahau ʻana a i ʻole ka hāʻule ʻana o ka puʻuwai. No laila he mea nui e makaʻala i kona mau hōʻailona a kamaʻilio me kāu kauka e pili ana i kāu mau mea pilikia pilikino.

He aha nā hōʻailona o AFib? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi

ʻAʻole nā ​​kānaka a pau me AFib e loaʻa nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau:

• He manaʻo ʻē e like me ka lele ʻana o ka pulelehua i loko o kou umauma, a i ʻole ka iʻa e hakakā ana. I kekahi manawa e paʻi wikiwiki paha kou puʻuwai , me he mea lā e kuʻi ana i loko o kou umauma (ʻo kēia ka mea a mākou e kapa nei he 'heart palpitations ').
• Luhi loa ke manaʻo nei. Luhi loa ke manaʻo nei ʻaʻole hiki ke hana i kekahi mea.
• Ka poniuniu a i ʻole ke poʻo māmā.
• Ka nalowale o ka ʻike (syncope).
• Paʻakikī ka hanu ʻana (dyspnea). Manaʻo ia e like me ʻoe e hanu ana.
• ʻEha umaumaʻāʻī ʻāʻī ).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.

Pehea ke koʻikoʻi o AFib?

Inā he mau hōʻailona kou a ʻaʻole paha, he maʻi koʻikoʻi ʻo AFib e pono e lawe koʻikoʻi ʻia. ʻO ia hoʻi, he ʻano ʻē ke ʻano o kou puʻuwai. Ke paʻi ʻole kou puʻuwai ma ke ʻano maʻamau, aia ʻoe i kahi pilikia nui o ka hoʻomohala ʻana i nā ʻōpū koko weliweli i loko o kou puʻuwai. Inā hele kēia mau ʻōpū i nā ʻōpū koʻikoʻi e like me kou lolo a ālai iā lākou, hiki iā lākou ke hana i nā maʻi koʻikoʻi e like me ka hahau ʻana. Hiki ke loaʻa nā pilikia ʻē aʻe.

Inā loaʻa iā ʻoe nā hōʻailona o AFib, e ʻike koke i kāu kauka.

Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?

I kekahi mau hihia, pono paha ʻoe e hele koke i kahi lumi pilikia. ʻO kēia mau mea:

• Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma .
• Inā lilo ia i mea paʻakikī loa e hanu .
• Inā nalowale kou ʻike a i ʻole manaʻo ʻoe e nalowale ana kou ʻike.

I nā manawa e like me kēia, mai noho ma ka home, e hele koke i ka haukapila.

He aha ka mea e hiki ai ke hana iā AFib?

ʻO ke kumu nui o ka Atrial Fibrillation ʻo ia nā loli i loko o nā ʻiʻo a me ka ʻōnaehana uila o kou puʻuwai. Aia kekahi mau kumu hiki ke kumu o kēia mau loli:

• Nā maʻi cardiovascular ʻē aʻe. No ka laʻana, ka maʻi coronary artery , ka maʻi valve, a me ka hāʻule ʻana o ka puʻuwai .
• Nā kūlana olakino ʻē aʻe. Nā mea e like me ke koko kiʻekiʻe, ka momona, ka hyperthyroidism, ka maʻi puʻupaʻa mau, a me ka obstructive sleep apnea .
• Nā ʻano like ʻole o ka hoʻoilina. Ua ʻike ʻia nā noiʻi hou nei e pili ana kekahi mau ʻano like ʻole o ka hoʻoilina me ka AFib. ʻO ia ke kumu e hiki ai i kekahi poʻe ʻōpio ke loaʻa iā AFib.
• ʻO ke ʻoki puʻuwai. Inā ua hana ʻia ʻoe i ke ʻoki puʻuwai no kekahi kumu ʻē aʻe, hiki iā AFib ke hoʻomaka ma hope o kēlā ʻoki. Hiki nō hoʻi iā AFib ke hana i ka wā e hoʻōla ai mai nā ʻoki puʻuwai ʻē aʻe ʻaʻole pili i ka puʻuwai.

Nā Kumu Pōpilikia e Hoʻonui ai i ka Pōpilikia o ka Hoʻomohala ʻana i ka AFib

Inā loaʻa iā ʻoe kekahi o nā kūlana olakino i ʻōlelo ʻia ma luna, ʻoi aku kou pilikia o ka loaʻa ʻana o ka AFib. Aia kekahi mau kumu pilikia ʻē aʻe:

• Ke piʻi nei ka makahiki. Ke piʻi nei kou pilikia o ka loaʻa ʻana o ka AFib i kou wā ʻelemakule, ʻoiai ma hope o 65 mau makahiki.
• Ka hoʻohana nui ʻana i ka waiʻona.ʻO ka inu ʻana i ka waiʻona ma mua o nā palena i ʻōlelo ʻia, ʻoiai ka inu nui ʻana i ka manawa hoʻokahi - kapa mākou ia he 'binge drinking' - hoʻonui pū i ka pilikia o ka AFib.
• Maʻi koʻikoʻi. ʻO nā maʻi koʻikoʻi e pono ai ke komo i ka haukapila (e like me ka sepsis a i ʻole COVID-19 koʻikoʻi) e hoʻonui i ka pilikia o ka AFib.
• ʻAʻole hana kino. ʻO ka loaʻa ʻole o ka hoʻoikaika kino lawa i ke ao hiki ke lilo i kumu o AFib.
• Hoʻomaʻamaʻa hoʻoikaika kino nui loa. He maikaʻi ka hana kino no ka puʻuwai, akā ʻaʻole maikaʻi ka nui o kekahi mea. ʻO ka poʻe e hoʻoikaika kino no nā hola ʻekolu i ka lā no nā makahiki he nui nō hoʻi ko lākou pilikia o ka loaʻa ʻana o ka AFib.

Pehea e ʻike pololei ai nā kauka i ka AFib?

ʻO ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana i ka AFib he electrocardiogram, i ʻike ʻia hoʻi he ECG (electrocardiogram) a i ʻole EKG. Hana kēia i kahi kiʻi o nā hōʻailona uila e hele ana ma kou puʻuwai. Hiki i kēia ke kōkua iā ʻoe e ʻike inā he AFib kou a i ʻole nā ​​puʻuwai puʻuwai ʻē aʻe (arrhythmias). Eia kekahi, e hana kāu kauka i kekahi mau mea ʻē aʻe:

• E hāʻawi ʻia ʻoe i kahi hoʻokolokolo kino a e nīnau ʻia e pili ana i kou mōʻaukala olakino.
• Ua kauoha ʻia nā hoʻāʻo koko e nānā i nā kūlana ʻē aʻe, ʻoiai nā mea e hiki ke hoʻopilikia i ka hoʻolālā mālama ʻana iā AFib.
• Hiki ke noi ʻia ʻoe e hana i kahi echocardiogram (echo) e nānā i ke ʻano a me ka hana o kou puʻuwai.
• Hiki ke noi ʻia ʻoe e komo i kahi monitor (he `Holter monitor` a i ʻole `cardiac event monitor`) no 24 mau hola a ʻoi aku paha, kahi e hoʻopaʻa ai i ka hana uila o kou puʻuwai i kou hele ʻana i kāu mau hana o kēlā me kēia lā.

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. Hoʻohana nā kauka i kēia mau pae i ka wā e ʻike ai a mālama ai i ka AFib:

• Kūlana 1: ʻO ka poʻe i pilikia no ka AFib ('At risk for AFib`)
• Hihia 2: Pre-AFib (`Pre-AFib`)
• Hihia 3: AFib (`AFib`)
• Hihia 4: AFib Paʻa

E nānā kākou i kēlā me kēia hihia me nā kikoʻī hou aku.

Pae 1: I ka pilikia no AFib

ʻO ke ʻano kēia he mau kumu pilikia kou e hiki ai iā ʻoe ke hoʻomohala i ka AFib. Eia kekahi laʻana:

• Ke koko kiʻekiʻe
• Momona
• Maʻi diabetes
• ʻAneʻane hiamoe
• Ka hoʻohana nui ʻana i ka waiʻona
• Ka hana maikaʻi ʻole o ka ʻōnaehana cardiovascular
• Ma luna o 65 mau makahiki

Inā loaʻa iā ʻoe kēia mau mea, hiki iā ʻoe ke ʻōlelo ua pilikia ʻoe no ka hoʻomohala ʻana i ka AFib.

Pae 2: Pre-AFib

I kēia manawa, aia paha 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. ʻO nā hōʻailona a nā kauka e nānā nei i kēia manawa:

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

Eia kekahi, inā loaʻa iā ʻoe kekahi mau kūlana olakino e pili ana i kahi pilikia kiʻekiʻe o ka hoʻomohala ʻana i ka AFib, aia nō ʻoe i kēia pae ʻelua. Nā Laʻana:

• Maʻi ʻaʻa coronary
• Ka hāʻule ʻana o ka puʻuwai
• Maʻi valve puʻuwai
• Hyperthyroidism
• ʻO ka cardiomyopathy hypertrophic (paʻakikī o ka ʻiʻo puʻuwai)
• Nā maʻi neuromuscular

Pae 3: AFib

Inā hōʻoia kahi hoʻokolohua ECG ua loaʻa iā ʻoe ka Atrial Fibrillation, aia ʻoe i kēia pae. Akā aia nā ʻano like ʻole o kēia pae. Loaʻa paha iā ʻoe nā hōʻailona e hele mai a hele wale. A i ʻole loaʻa paha iā ʻoe ka AFib mau ʻoiai ke mālama ʻia. ʻOiai inā e pau nā hōʻailona ma hope o ka mālama ʻana, hiki ke hoʻi hou mai lākou ma hope. ʻO ia ke kumu e hoʻokaʻawale ai nā kauka i kēia pae i ʻehā mau pae:

• ʻAfib Hoʻokaʻawale (ʻAfib Paroxysmal): Hele mai nā hōʻailona a hele. ʻAʻole i hala hoʻokahi pule kēlā me kēia hanana, a nalowale pinepine ia me ka ʻole o ka mālama ʻia. Hiki paha iā ʻoe ke ʻoluʻolu ʻole i kēia wā pōkole. ʻOi aku kou pilikia o ka loaʻa ʻana o ka hahau ma mua o ka poʻe me ka ʻole o ka AFib.
• ʻO ka AFib mau loa: Ke hoʻi hou mai nei nā hōʻailona, ​​ʻo ia hoʻi ke hoʻi hou mai nei lākou. ʻOi aku ka lōʻihi o kēlā me kēia hanana ma mua o hoʻokahi pule. Pono ka lāʻau lapaʻau e hoʻōki i kēia maʻi.
• Ka AFib mau loa: Ke mau nei nā hōʻailona no hoʻokahi makahiki a ʻoi paha.
• Ma hope o ka holomua o ka ablation AFib: Ua oki ka AFib ma hope o ke ʻoki kino a i ʻole ke kaʻina hana e pili ana i ka catheter.

Ke ʻike ʻia ʻoe me AFib, hiki iā ʻoe ke hoʻololi ma waena o kēia mau ʻano. No ka laʻana, hiki iā ʻoe ke ʻike i ka hoʻi hou ʻana o ka 'Persistent AFib' ma hope koke iho o ka mālama ʻana i ka ablation holomua.

Pae 4: AFib Paʻa

ʻO ke ʻano kēia, ʻaʻole ʻoe e hoʻāʻo hou i nā lāʻau lapaʻau e mālama i kāu AFib, a e noho mau ana ʻoe ma AFib. Na ʻoe a me kāu kauka e hana i kēia hoʻoholo, ma muli o kou kūlana.

He aha nā lāʻau lapaʻau no AFib?

Hiki i nā mālama ʻana i ka fibrillation atrial ke komo pū 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

E nānā kākou i kēia mau mea.

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 i kēlā me kēia manawa i ka wā o AFib - ʻoiai inā ʻaʻohe ou hōʻailona. Hiki i kāu kauka ke kōkua iā ʻoe me kēia mau mea:

• E mālama i ke kaumaha olakino nou iho.
• E kaupalena i ka inu ʻana i ka waiʻona.
• E pale i ka hoʻohana ʻana i nā huahana paka.
• E hoʻokō i ka nui o ka hana kino i ʻōlelo ʻia.
• E kāohi 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.

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 hōʻemi i nā hōʻailona e hoʻoluhi a hopohopo paha iā ʻoe. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i kou pilikia o nā ʻōpū koko e hiki ai ke hana i ka hahau. Hiki ke loli nā lāʻau lapaʻau āu e pono ai e mālama iā AFib i ka hala ʻana o ka manawa. ʻO ka maʻamau, inā ʻoe e pilikia ana i ka loaʻa ʻana o ka hahau, pono ʻoe e lawe i nā mea hoʻokahe koko (anticoagulants) . Hoʻomaopopo pinepine nā kauka i nā anticoagulants waha (DOACs). 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`. ʻO nā lāʻau lapaʻau e hoʻokele i kou helu puʻuwai e komo pū ana me:

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

Eia nā lāʻau lapaʻau e kōkua ai i kou puʻuwai e paʻi i kahi rhythm maʻamau (sinus):

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

Mai poina e hoʻohana wale ʻia kēia mau lāʻau lapaʻau a pau e like me ke kuhikuhi a ke kauka.

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 ʻiʻo ʻeha i loko o kou puʻuwai. ʻOiai mākou e manaʻo pinepine nei i nā ʻiʻo ʻeha he mea ʻino, i kēia hihia, kōkua kēia ʻiʻo ʻeha i ka ʻōnaehana uila o kou puʻuwai e hana pono. Pale kēia ʻiʻo ʻeha i nā hōʻailona uila maʻamau a kōkua i kou puʻuwai e kuʻi i kahi mele maʻamau. ʻO nā lāʻau lapaʻau kikoʻī e ʻōlelo aku ai kāu cardiologist no AFib:

• ʻO ka hoʻopau ʻana i nā catheter: He lāʻau lapaʻau minimally invasive kēia. Hoʻokomo ke kauka lapaʻau i nā ʻōmole lahilahi (catheters) ma o kou mau kīʻaha koko i loko o kou puʻuwai.ʻO ka pulmonary vein isolation (PVI) ablation kahi ʻano kikoʻī o ka catheter ablation i hoʻohana pinepine ʻia no AFib.
• Kaʻina hana Maze: Ua kapa ʻia hoʻi he ablation ʻoki kino, pili kēia kaʻina hana i ke kauka hana e hana ana i kahi ʻano maze o nā ʻiʻo ʻeha e ālai ana i nā hōʻailona maʻamau. Hana pinepine ʻia kēia ablation ʻoki kino i ka manawa like me ke ʻoki puʻuwai no kekahi kumu ʻē aʻe (e like me CABG a i ʻole ke ʻoki valve).

Nā lāʻau lapaʻau ʻē aʻe

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

• Cardioversion: Hoʻohana ke kauka i kahi hāmeʻa (defibrillator) a i ʻole lāʻau lapaʻau e hoʻihoʻi i kou puʻuwai i ka maʻamau.
• Pani ʻana o ka appendage atrial hema (LAA): Inā ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau hoʻokahe koko, hiki iā ʻoe ke kūpono no kahi mea pani appendage atrial hema e hōʻemi i kou pilikia o ka hahau ʻana. Pani kēia kaʻina hana i kahi ʻeke liʻiliʻi i loko o ka puʻuwai kahi e hiki ai ke hana maʻalahi i nā ʻōpū koko.

E hoʻi hou anei ka puʻuwai i ka maʻamau ma hope o ka AFib? Aia kekahi lāʻau lapaʻau piha?

ʻAe, i kekahi manawa hiki i kou puʻuwai ke hoʻi i kahi mele maʻamau ma kāna iho. ʻO kēia ka mea e hana ʻia i ka poʻe me ka `Paroxysmal AFib`. Inā loaʻa iā ʻoe ka `Persistent` a i ʻole `Lōʻihi ka AFib`, pono ʻoe i ka lāʻau lapaʻau e hoʻōki i ke kūlana.

Akā, he mea nui e ʻike ʻaʻohe lāʻau lapaʻau no ka AFib. Ke loaʻa iā ʻoe, he mea ia e loaʻa iā ʻoe no ke ola.

Hiki i kāu kauka ke kōkua iā ʻoe e mālama i kēia kūlana. 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 ke ola o ka poʻe me AFib ma mua o ka poʻe me ka ʻole o AFib. ʻO ka nui o nā makahiki i nalowale mai ko lākou ola e pili ana i ko lākou mau makahiki i ka wā i ʻike ʻia ai. ʻO ka ʻōpiopio o lākou i ka wā i ʻike ʻia ai, ʻo ka pōkole o ko lākou ola a me ka nui o nā makahiki e nalowale ai lākou i hoʻohālikelike ʻia me ko lākou mau hoa me ka ʻole o AFib. Akā e hoʻomanaʻo, haʻi wale nā ​​​​helu helu i hoʻokahi ʻaoʻao o ka moʻolelo. Ma ka hana pū ʻana me kāu hui lapaʻau e hoʻokele i ka AFib a me nā kūlana olakino ʻē aʻe, loaʻa iā ʻoe ka manawa kūpono loa e ola i ke ola lōʻihi.

Pehea lā wau e mālama ai iaʻu iho?

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

• He mea maikaʻi loa ia no kou puʻuwai ka ʻai ʻana i nā meaʻai momona a me ka loaʻa ʻana o 30 mau minuke o ka hoʻoikaika kino ʻelima mau lā o ka pule . I mea e maʻalahi ai iā ʻoe ke hoʻoikaika kino, hiki iā ʻoe ke hoʻokaʻawale iā ia i mau ʻāpana he 10 mau minuke.
• He mea maikaʻi loa nō hoʻi ka hōʻole ʻana i nā huahana paka a me ka waiʻona no ka puʻuwai.

ʻO ka hahai pono ʻana i kēia mau mea e kōkua nui iā ʻoe e ola i ke ola olakino me AFib.

Āhea wau e ʻike ai i ke kauka?

ʻAʻohe papa hana i hoʻonohonoho ʻia no kēia. Aia wale nō ia i kāu mau hōʻailona, ​​​​ka hoʻolālā lapaʻau, a inā pono ʻoe e hahai ma hope o kekahi lapaʻau. No laila, he mea nui e kamaʻilio me kāu kauka a hana pū me kahi hoʻolālā.

• E hele i kāu mau hālāwai i hoʻonohonoho ʻia a pau.
• E mālama i kahi papa inoa o nā lāʻau lapaʻau āu e lawe ai a lawe mai i kēlā me kēia manawa o ke kauka. He manaʻo maikaʻi nō hoʻi e mālama i ka papa inoa i loko o kāu ʻeke, no ka mea hiki ke lilo i mea pono i ka wā pilikia.
• E haʻi i kāu kauka e pili ana i kekahi mau hōʻailona hou a i ʻole nā ​​​​pilikia āu e loaʻa ai (e like me nā hopena ʻaoʻao mai nā lāʻau lapaʻau) i kēlā me kēia manawa.
• E nīnau mau i kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau ma luna o ke kauka (OTC) - no ka laʻana, nā lāʻau anu a me ka maʻi palū - a me nā mea hoʻopihapiha meaʻai, no ka mea, hiki i kēia mau huahana ke hoʻopilikia i kou puʻuwai a i ʻole e launa pū me nā lāʻau lapaʻau āu e lawe nei.

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

Eia 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 kōkua iaʻu e hoʻokaʻaʻike aku i kahi meaʻai?
• Hiki iā ʻoe ke kuhikuhi i kekahi mau papahana olakino a me ka hoʻoikaika kino ma kēia wahi?
• I ka pae hea koʻu AFib?
• He aha nā lāʻau lapaʻau maikaʻi loa iaʻu?
• He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?

E nīnau i nā nīnau e like me kēia i mea e maopopo ai kou kūlana.

Hiki iā ʻoe ke nānā no AFib ma ka home?

Inā manaʻo ʻoe he mau hōʻailona kou o ka AFib, he mea nui e kamaʻilio koke me kāu kauka a haʻi iā lākou i kou manaʻo. E noi paha kāu kauka iā ʻoe e nānā i kou pulse. Inā manaʻo ʻia he ʻano ʻē a nāwaliwali paha, he hōʻailona paha ia he AFib kou. Akā i kekahi manawa, ʻaʻole paha ʻoe e ʻike i kekahi loli i kou pulse, ʻoiai inā ʻaʻole koʻikoʻi 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. ʻO ia ke kumu he mea nui e kamaʻilio me kāu kauka. ʻAʻole hiki iā ʻoe ke ʻike iā ʻoe iho me AFib.

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, manaʻo ʻia he 12 miliona mau kānaka e loaʻa iā AFib ma ka makahiki 2030. ʻO AFib ke kumu o ka hapalua miliona mau haukapila i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa, a ke piʻi nei ka nui o nā make mai ia mea i kēlā me kēia makahiki. Hiki ke hopohopo, huikau, a hoʻoluhi paha ka ʻike ʻana iā ʻoe he AFib. Akā, ʻaʻole ʻoe hoʻokahi. ʻO ʻoe kekahi o nā miliona o ka poʻe e aʻo ana i nā ala hou e mālama ai iā AFib me ka noho hauʻoli. Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i nā koho lapaʻau, nā kumuwaiwai, a me nā kaiāulu kākoʻo.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, no laila ke manaʻolana nei au ua loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe i ka mea a AFib a mākou e kamaʻilio nei.

He puʻuwai puʻuwai kūpono ʻole ʻo AFib. Hiki ke koʻikoʻi, akā inā mālama pono ʻia, hiki iā ʻoe ke ola i kahi ola olakino.

• E makaʻala i nā hōʻailona. Inā loaʻa iā ʻoe ka ʻeha pinepine o ka umauma, ka luhi nui, a i ʻole ka poniuniu, e ʻike i ke kauka.
• E hoʻēmi i nā kumu pilikia. E ola i kahi nohona olakino.
• E hahai pono i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka. E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, a e hele i nā hoʻokolohua i hoʻonohonoho ʻia.
• ʻAʻole ʻoe hoʻokahi. Nui ka poʻe e noho nei me kēia maʻi. E noi i ke kōkua inā pono ʻoe.

He mea nui loa ka mālama ʻana i kou puʻuwai no kou olakino holoʻokoʻa, no laila he manaʻo maikaʻi e makaʻala i kēia ʻike!

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Nā palpitations o ka puʻuwai, ka puʻuwai kūpono ʻole, Atrial Fibrillation, AFib, maʻi puʻuwai, pilikia o ka hahau ʻana, hōʻeha puʻuwai, nā hōʻailona AFib, mālama ʻana iā AFib, nā palpitations o ka puʻuwai