Ke manaʻo nei anei kou puʻuwai e kuʻi wikiwiki loa ana? E aʻo kākou e pili ana i ka A-fib me RVR! (Atrial Fibrillation me RVR)

Ua manaʻo paha ʻoe e like me ke kuʻi ʻana o kou puʻuwai me he pupule lā, a i ʻole he manaʻo ʻē kou i loko o kou umauma? A i ʻole ke manaʻo nei ʻoe e pilikia ana ʻoe i ka hanu ʻana a i ʻole ke poniuniu nei? ʻAʻole paha kēia he mau mea ʻē aʻe wale nō. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano pilikia e kū mai ana i loko o ka puʻuwai, ʻo ia hoʻi, kahi kūlana e kuʻi pinepine ʻole ai ka puʻuwai a wikiwiki loa, i kapa ʻia ʻo `(Atrial Fibrillation with Rapid Ventricular Rate)` a i ʻole `(A-fib with RVR)` no ka pōkole. Mai makaʻu, he mea nui loa ka makaʻala i kēia.

He aha maoli ka A-fib me RVR?

I ka ʻōlelo maʻalahi, ʻo `(A-fib me RVR)` kahi kūlana e lilo ai ke ʻano o ka puʻuwai o kou puʻuwai, a i ʻole ke ʻano o ka hahau ʻana, i mea ʻē. Loaʻa iā mākou ʻelua mau keʻena luna i loko o ko mākou puʻuwai, a mākou e kapa nei ʻo ka atria. ʻO kēia mau `(atria)` kahi e hoʻomaka ai nā hōʻailona uila e haʻi aku i ka puʻuwai e hahau. Akā i loko o kekahi me `(Atrial Fibrillation)`, he haunaele kēia mau hōʻailona uila, kū ʻole i ke kauoha, a hoʻomaka koke nā keʻena luna `(atria)` e ʻaelike. Me he mea lā e hahau ana kekahi i ka pahu e like me ka pupule.

I kēia manawa, hele kēia mau hōʻailona uila chaotic i nā keʻena haʻahaʻa ʻelua o ka puʻuwai, ʻo ia hoʻi nā ventricles. A laila lilo ke kuʻi ʻana o kēlā mau ventricles i mea ʻē a wikiwiki loa . ʻO ia ka mea i kapa ʻia ʻo "A-fib me RVR". ʻO ia hoʻi, kuʻi ka puʻuwai ma mua o 100 mau manawa i kēlā me kēia minuke.

E noʻonoʻo e like me ka pamu wai. Inā ʻaʻole ia e hana pono, ʻaʻole hiki iā ia ke pamu i ke koko e pono ai i ke kino. ʻO ia ka mea e hana ʻia ke loaʻa iā ʻoe ka `(A-fib me RVR)`. ʻAʻole lawa ka manawa o ka puʻuwai e hoʻopiha pono ai me ke koko, no laila ʻaʻole hiki iā ia ke pamu i ke koko oxygenated lawa i ke kino.

Pehea ka maʻamau o kēia ʻano?

Manaʻo paha ʻoe he maʻi kēia e hoʻopilikia ana i ka poʻe liʻiliʻi loa. Akā ʻo ka ʻoiaʻiʻo, ʻo ka "Atrial Fibrillation" ke ʻano maʻamau i waena o nā ʻano ʻino o ka puʻuwai. Inā ʻoe e nānā i nā helu helu ma kahi ʻāina e like me ʻAmelika, miliona mau kānaka e ʻeha nei i kēia ʻano. Ke ʻike nui ʻia nei kēia ʻano ma Sri Lanka.

He aha nā hōʻailona o kēia? Pehea e ʻike ai?

ʻAʻole like nā hōʻailona o kēlā me kēia kanaka. Loaʻa paha i kekahi poʻe ke ʻano me ka ʻole o nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau:

• Nā palpitations o ka puʻuwai : Hiki iā ia ke manaʻo e like me ke kuʻi ʻana o kou puʻuwai a i ʻole ke kuʻi ʻana i loko o kou umauma.
• Pōniuniu : Hiki ke manaʻo e like me kou poʻo e wili ana, i kekahi manawa a hiki i kahi o ka hiki ʻole ke kū.
• Ka nalowale ʻana: Hiki i kekahi poʻe ke nalowale ka ʻike a hāʻule inā koʻikoʻi kēia ʻano.
• ʻEha umauma : Manaʻo paha ka umauma e like me ke ʻūmiʻi a kaomi paha.
• Pōkole o ka hanu : ʻAʻole wale i ka wā e luhi iki ai ʻoe, akā, ʻoiai ke kū mālie nei ʻoe, hiki paha iā ʻoe ke manaʻo ua pōkole kou hanu.
• Hopohopo pinepine`(Hopohopo)`: Hiki iā ʻoe ke manaʻo i ka makaʻu a me ka hopohopo me ke kumu ʻole.
• Luhi : ʻAʻole pili i ka nui o kāu hiamoe ʻana, hiki iā ʻoe ke manaʻo ua luhi a make ke ola.

Hiki i kēia mau hōʻailona ke akahai loa i kekahi manawa, a koʻikoʻi loa i nā manawa ʻē aʻe. No laila, inā loaʻa iā ʻoe kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka .

No ke aha lā kēia e hana nei? He aha nā kumu?

Aia kekahi mau kumu e hiki ai ke hana i ka `A-fib me RVR`. ʻO nā mea nui:

• Maʻi ʻaʻa coronary: ʻO ke ʻano kēia o ka pale ʻana o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai.
• Ke koko kiʻekiʻe : Ua ʻike mākou a pau i ka huaʻōlelo "ke koko kiʻekiʻe".
• Ka hāʻule ʻana o ka puʻuwai : ʻAʻole hiki i ka puʻuwai ke pamu i ke koko kūpono i ke kino.
• ʻO ka apnea hiamoe obstructive: Ke kū nei ka hanu ʻana i ka wā hiamoe ʻoiai e hāhā ana.
• ʻO ke ʻoki puʻuwai: Hiki ke hoʻomau kēia pilikia no kekahi mau lā a i ʻole mau pule ma hope o kekahi mau ʻoki puʻuwai.

ʻO wai ka mea i pilikia nui no kēia?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. E nānā inā hāʻule ʻoe i loko o kēia māhele:

• Nā kānaka ma luna o 50 mau makahiki : Piʻi kēia pilikia me ka makahiki.
• ʻO nā kānaka me ka helu nui o ke kino (BMI) ma luna o 30 : ʻO ke ʻano kēia ua kaumaha nui lākou no ko lākou kiʻekiʻe.
• ʻO nā kānaka me ka obstructive sleep apnea.
• ʻO ka poʻe e inu nui i ka waiʻona : ʻOi aku ke kiʻekiʻe o ka pilikia inā inu ʻoe i ka nui o ka waiʻona i kēlā me kēia lā a pinepine paha.
• ʻO ka poʻe e inu nui ana i ka caffeine : ʻAʻole maikaʻi hoʻi ke inu nui i ke kofe a i ʻole ke kī i ke ao.
• Inā ua loaʻa i kekahi o kou ʻohana ka "A-fib" : Aia paha he mana hoʻoilina.

E hoʻomanaʻo: ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka "A-fib me RVR". Eia nō naʻe, he mea nui e makaʻala i kēia mau mea.

He aha nā pilikia e hiki ai i kēia ke hana?

Inā ʻaʻole mālama pono ʻia ka `A-fib me RVR`, hiki ke loaʻa mai kekahi mau pilikia weliweli.

• Ua emi ka manawa no nā keʻena haʻahaʻa o ka puʻuwai e piha ai me ke koko.
• Pono ka ʻiʻo o ka puʻuwai i ka oxygen hou aʻe .
• Cardiomyopathy : ʻO ke ʻano kahi e nāwaliwali ai a hoʻonui ʻia ai ka ʻiʻo o ka puʻuwai.
• Hahau : Hiki ke loaʻa kahi hahau inā hana ʻia kahi ʻūpā koko i loko o ka puʻuwai a hele i ka lolo, e ālai ana i kahi aʻa. ʻO kēia ka pilikia weliweli loa .
• Ke koko haʻahaʻa .
• Ka hāʻule ʻana o ka puʻuwai paʻa.

ʻO ia ke kumu he mea nui e makaʻala i kēia kūlana a e ʻimi koke i ka lāʻau lapaʻau.

Pehea e ʻike ʻia ai kēia? He aha nā hoʻokolohua e hana ʻia ai?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna nei, ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe, e nīnau e pili ana i kou mōʻaukala olakino, a laila e kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.

ʻO nā hoʻokolohua maʻamau:

• Electrocardiogram (ECG a i ʻole EKG) : Hoʻopaʻa kēia i ka hana uila o ka puʻuwai. Hiki iā ia ke ʻike maopopo inā he `(A-fib me RVR)`.
• Echocardiogram : Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke nānā inā e hana pono ana nā keʻena a me nā valves o ka puʻuwai, a pehea ka nui o ka puʻuwai.
• ʻO ka scan CT Cardiac a i ʻole MRI scan : Hiki i kēia ke hāʻawi i ka ʻike kikoʻī e pili ana i ke ʻano o ka puʻuwai.
• Nā hoʻāʻo koko : Kōkua kēia i ka ʻike ʻana i nā mea e like me nā pilikia thyroid a me nā loli i nā electrolytes i loko o ke koko.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no ka A-fib me RVR. ʻElua mau pahuhopu nui o kāu kauka: e kāohi i kāu mau hōʻailona, ​​a e pale i nā pilikia i ʻōlelo ʻia ma luna.

Hoʻohana nui ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau:

• Ke Kaulike ʻana o nā Electrolytes : ʻOiai ʻo ka hoʻonui ʻia a i ʻole ka emi ʻana o nā electrolytes e like me ka potassium a me ka magnesium i loko o ke kino e hiki ke hoʻopilikia i ka ʻōhumu o ka puʻuwai, hoʻohana ʻia ka lāʻau lapaʻau e mālama pono iā lākou.
• Nā lāʻau lapaʻau : ʻO ka lāʻau lapaʻau ka mea nui e mālama ai i kēia.

He aha nā lāʻau lapaʻau/nā lāʻau lapaʻau i hoʻohana ʻia?

Aia kekahi mau ʻano lāʻau lapaʻau i hāʻawi ʻia no ka `A-fib me RVR`:

• Nā mea pale Beta : No ka laʻana, metoprolol (Lopressor® a i ʻole Toprol®XL). Hana kēia ma ka hoʻolohi iki ʻana i ka helu o ka puʻuwai a me ka hoʻēmi ʻana i ke kaomi ma ka puʻuwai.
• Nā mea pale i ke kahawai kalipuna : No ka laʻana, diltiazem (Diltzac® a i ʻole Cardizem®). Hoʻolohi pū kēia ʻano lāʻau i ka helu o ka puʻuwai ma ke kāohi ʻana i ke komo ʻana o ka kalipuna i loko o nā ʻiʻo puʻuwai.
• Nā lāʻau antiarrhythmics : No ka laʻana, amiodarone (Pacerone® a i ʻole Cordarone®) a i ʻole digoxin (Lanoxin® a i ʻole Cardoxin®). Kōkua kēia i ka hoʻihoʻi ʻana i ke ʻano kuʻuna ʻole o ka puʻuwai.

ʻO ka mea nui loa! Ke loaʻa iā ʻoe ka `(A-fib)`, aia kahi manawa kiʻekiʻe o ka hoʻokumu ʻia ʻana o nā ʻōpū koko i loko o ka puʻuwai. Inā hele kēia mau ʻōpū koko i ka lolo, hiki ke loaʻa kahi `(Stroke)`. No laila, ʻo nā anticoagulants , a i ʻole ka mea a mākou e kapa nei he "nā mea hoʻomāmā koko", ua kuhikuhi pinepine ʻia.

No kekahi poʻe i hiki ʻole ke hoʻomau i ka lawe ʻana i kēia mau lāʻau hoʻokahe koko, hiki ke hana ʻia kahi hana kūikawā i kapa ʻia ʻo ka pani ʻana o ka appendage atrial hema e pale aku i ka hoʻokumu ʻana o nā ʻōpū koko.

I kekahi manawa he paʻakikī ke kāohi i kēia kūlana me ka lāʻau lapaʻau wale nō. I ia mau hihia, pono paha nā ʻano lapaʻau ʻē aʻe:

• ʻO ka hoʻopau ʻana i nā catheter : Pili kēia i ka ʻimi ʻana i nā wahi o ka puʻuwai kahi e puka mai ai nā hōʻailona uila ʻano ʻē, a me ka hoʻokomo ʻana i kahi catheter liʻiliʻi (ʻōmole lahilahi) ma o ka wāwae a lima paha i loko o ka puʻuwai, 'e hoʻopau' ana i nā wahi e puka mai ai nā hōʻailona ʻano ʻē. A laila e pau ka hiki ʻana mai o nā hōʻailona ʻano ʻē.
• Mea Pacemaker : Loaʻa i kekahi poʻe kahi mea liʻiliʻi i hoʻokomo ʻia ma lalo o ka ʻili e kāohi i ko lākou helu puʻuwai. Ua kapa ʻia kēia he pacemaker. Hoʻouna ia i nā hōʻailona uila i ka puʻuwai, ʻoiai ke lohi ka helu puʻuwai.
• ʻO ke cardioversion uila : Pili kēia i ka hāʻawi ʻana i kahi anesthetic pōkole a me ka hāʻawi ʻana i kahi haʻalulu uila i kāohi ʻia i waho i ka puʻuwai, kahi e hoʻihoʻi koke ai i ka rhythm o ka puʻuwai.
• Kaʻina hana Maze : He hana paʻakikī iki kēia. Hana ʻia nā ʻoki liʻiliʻi ma ka atria o ka puʻuwai e hana i nā ala kūpono no ka hele ʻana o nā hōʻailona uila. Hana pinepine ʻia kēia i ka wā o kekahi ʻoki puʻuwai ʻē aʻe.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia me kēia lāʻau `(A-fib me RVR)`. Eia naʻe, ʻaʻole lākou e hana i nā mea āpau, a he mau mea liʻiliʻi wale nō ia.

• Mai nā lāʻau lapaʻau : Hiki i kekahi poʻe ke loaʻa i ka ʻeha poʻo, ke koko haʻahaʻa, ka poniuniu, a me ka ʻeha o ka ʻōpū.
• Hiki i nā kaʻina hana e like me ka ablation catheter ke hana i ka tamponade cardiac a i ʻole, he mea kākaʻikahi loa, kahi hāʻule puʻuwai.
• ʻAʻole hiki i nā pacemakers ke hana pono i kekahi manawa.
• Hiki ke hana hou ʻia nā palpitations o ka puʻuwai a i ʻole "A-fib" no kekahi mau mahina ma hope o ke kaʻina hana Maze .

E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia. ʻAʻohe pono e hopohopo, no ka mea, hoʻāʻo mau nā kauka e hoʻēmi i kēia mau pilikia.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Pili maoli kēia i ka lāʻau lapaʻau āu e loaʻa nei. Hiki i kekahi mau lāʻau lapaʻau, e like me nā lāʻau intravenous (IV), ke kōkua i ka hoʻolohi ʻana i kou puʻuwai a hoʻomaka e ʻoluʻolu i loko o nā minuke . Hiki i nā lāʻau lapaʻau ʻē aʻe ke lōʻihi ka hana. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka.

Pehea e hiki ai iaʻu ke hōʻemi i kēia pilikia?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka `(A-fib me RVR)`. ʻAʻole wale kēia mau mea maikaʻi no ke kūlana, akā no kou olakino holoʻokoʻa hoʻi:

• E hoʻoikaika kino ma ka wikiwiki kūpono no ka liʻiliʻi he 150 mau minuke i ka pule : maikaʻi ka hele wāwae, ke holo paikikala, a i ʻole ka ʻauʻau ʻana.
• E ʻai i nā meaʻai olakino no ka puʻuwai: E hoʻokomo i nā mea kanu, nā huaʻai, nā legumes, nā palaoa piha, a me ka iʻa i kāu papaʻai. E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō.
• E kaupalena i ka inu ʻana i ka waiʻona : ʻOi aku ka maikaʻi e hōʻemi iā ia i ka hiki.
• E hōʻalo loa i nā huahana paka : Inā ʻoe e puhipaka, e haʻalele.
• Inā loaʻa iā ʻoe nā maʻi olakino ʻē aʻe e like me ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, ka apnea hiamoe, a i ʻole ka maʻi diabetes, e kaohi pono iā lākou.

Inā loaʻa iaʻu kahi `(A-fib me RVR)`, he aha kaʻu e manaʻo ai?

Hiki ke lilo i mea hoʻohoka iki ka ʻike ʻana ua loaʻa iā ʻoe ka `(A-fib me RVR)`. Akā e hoʻomanaʻo, he kūlana kēia e hiki ke mālama ʻia a hiki iā ʻoe ke ola i kahi ola maikaʻi . ʻO ka mea nui, ʻo ia ke hoʻokumu i nā ʻano olakino i ʻōlelo ʻia ma mua, e lawe i nā lāʻau lapaʻau a kāu kauka i kuhikuhi pololei ai, a e ʻimi i ka lāʻau lapaʻau kūikawā inā pono.

Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi e like me ka maʻi puʻuwai, ka hāʻule ʻana o ka puʻuwai, a i ʻole ka hahau ʻana. Ua hōʻike ʻia nā lāʻau lapaʻau e like me ka catheter ablation e holomua i nā poʻe he nui. Loaʻa i ke kaʻina hana Maze kahi 80% a 90% o ka holomua, a hiki ke hāʻawi i ka hōʻoluʻolu lōʻihi mai nā hōʻailona.

Pehea ka lōʻihi o kēia kūlana?

ʻO ka ``(A-fib me RVR)`` he maʻi ia e mau ana no nā makahiki. No kekahi poʻe, hiki ke hoʻonui ʻia ka pinepine a me ka lōʻihi o kēia maʻi i ka hala ʻana o ka manawa. No laila he mea nui e hoʻomau i ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka a loaʻa nā nānā maʻamau.

Pehea wau e mālama ai iaʻu iho?

Aia kou olakino i kou mau lima. E hoʻomanaʻo i kēia:

• E lawe i nā lāʻau lapaʻau a pau i kuhikuhi ʻia e kāu kauka me ka pololei a me ka manawa kūpono. Mai poina i hoʻokahi lā.
• E ʻike i kāu kauka ma nā manawa hoʻonohonoho i hoʻonohonoho ʻia. He mea nui loa ia e ʻike i kou ʻano.
• E hoʻoikaika kino mau. ʻOiai kahi mea maʻalahi e like me ka hele wāwae i kēlā me kēia lā hiki ke hoʻomaikaʻi i kou ʻano ola a kōkua iā ʻoe e hana i nā hana o kēlā me kēia lā me ka maʻalahi.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike hou ʻoe i kekahi o kēia mau hōʻailona, ​​a i ʻole inā ʻike ʻoe i nā mea hou, e ʻike koke i ke kauka:

• ʻEha ka umauma.
• Inā ʻoi aku ka nui o kou puʻuwai ma mua o 100 mau kuʻi i kēlā me kēia minuke i kou wā e hoʻomaha ana.
• Pōʻaiʻī.
• Paʻakikī ka hanu ʻana.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i kahi Emergency Treatment Unit (ETU) :

• Nā hōʻailona o ka hahau ʻana : ʻEha poʻo nui koke, ʻike maka pohihihi, paʻakikī ke ʻōlelo, paʻakikī ke hele, a me ke kūlou ʻana o kekahi ʻaoʻao o ka maka.
• Ke kahe nui ʻana o ke koko ma muli o nā lāʻau hoʻokahe kokoLuaʻi ʻulaʻula, kahe ʻana o nā ʻōpala ʻulaʻula a ʻeleʻele paha, kahe ʻana o ka mimi ʻulaʻula.
• ʻEha umauma a i ʻole nā ​​hōʻailona ʻē aʻe o ka hōʻeha puʻuwai a i ʻole ka hopu ʻana o ka puʻuwai : Ka pōkole nui o ka hanu, ka ʻeha nui o ka ʻōpū, a me ka hou.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke kipa aku ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i kēia mau nīnau e hoʻomaopopo pono i kou kūlana:

• ʻEhia pinepine kaʻu e ʻike ai i ke kauka (follow-up)?
• ʻEhia ka lōʻihi e ʻike ai i nā hopena mai nā hoʻololi ʻana i ke ʻano o ka nohona?
• He aha ka lāʻau lapaʻau āu e ʻōlelo mai ai noʻu? He aha ke kumu o ia mea?
• Pono anei au e hana i ka lāʻau lapaʻau e like me ka cardioversion, ablation, a i ʻole ke kaʻina hana maze?

Hiki ke hoʻoluhi ka manaʻo ʻana i ka puʻuwai puʻuwai kūpono ʻole. Eia nō naʻe, aia nā lāʻau lapaʻau kūpono no kēia kūlana i kapa ʻia ʻo "A-fib me RVR". Hiki i kāu kauka ke kōkua iā ʻoe e koho i ka lāʻau lapaʻau kūpono iā ʻoe. Ma ka ʻike ʻana i kāu kauka i ka manawa kūpono a me ka lawe ʻana i kāu lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻana, hiki iā ʻoe ke kōkua i ka pale ʻana i kou olakino.

ʻŌlelo Lawe-Home: Nā mea nui e hoʻomanaʻo

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka ``(A-fib me RVR)`` he kūlana ia e kū ʻole ai ke kuʻina o ka puʻuwai a kuʻi wikiwiki loa.
• Inā ʻike ʻoe i nā hōʻailona e like me ka paʻa o ka umauma, ka poniuniu, a i ʻole ka paʻakikī o ka hanu ʻana , e ʻimi pono i ke kōkua lapaʻau.
• Hiki ke hana ʻia kēia e kekahi mau kumu, me ke koko kiʻekiʻe a me nā maʻi puʻuwai.
• ʻO ka hahau kekahi o nā pilikia weliweli loa o kēia, no laila he mea nui loa ka lawe ʻana i ka lāʻau hoʻokahe koko.
• Aia kekahi mau ʻano lapaʻau like ʻole, e like me nā lāʻau lapaʻau a me ka catheter ablation.
• ʻO nā hoʻololi ʻana i ke ʻano olakino (ʻai pono, hoʻoikaika kino, a me ka haʻalele ʻana i ka puhipaka) e kōkua nui i ka kaohi ʻana i kēia maʻi.
• E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka. E hahai i ke kauka ma nā lā i hoʻonohonoho ʻia.
• Inā ʻike ʻoe i nā hōʻailona pōpilikia (nā hōʻailona o ka hahau ʻana, ke kahe koko nui, ka ʻeha nui o ka umauma) , e hele koke i ka haukapila.

ʻAʻole ʻoe hoʻokahi. Nui ka poʻe e noho nei me kēia maʻi. Me ka mālama kūpono a me ke ʻano o ka nohona, hiki iā ʻoe ke ola i kahi ola olakino. Mai makaʻu e kamaʻilio me kāu mau kauka a hoʻoponopono i kāu mau pilikia.

Nā palpitations o ka puʻuwai, maʻi puʻuwai, A-fib, RVR, puʻuwai wikiwiki, ʻeha umauma, hahau