Ke hoʻomaka koke nei kou puʻuwai e kuʻi wikiwiki loa? Ke manaʻo nei ʻoe i kekahi manawa i kahi lele ʻano ʻē i loko o kou umauma, a i ʻole ua kūlike ʻole kou ʻano puʻuwai? Inā ua ʻike ʻoe i kēia, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo 'Atrial Flutter'. Mai hopohopo, aia nā lāʻau lapaʻau kūpono loa no kēia. No laila i kēia lā e kamaʻilio mākou e pili ana i kekahi lāʻau lapaʻau kūpono loa a hoʻohana nui ʻia, ʻo 'Atrial Flutter Ablation'.
I ka ʻōlelo maʻalahi, he aha ka Atrial Flutter Ablation?
Ma mua o ko kākou hoʻomaopopo ʻana i kēia, e nānā mua kākou i ke ʻano o 'Atrial Flutter'. ʻO nā keʻena ʻelua o luna o ko kākou puʻuwai (atria) nā mea e hoʻopuka i nā hōʻailona uila e hoʻomaka ai ka puʻuwai. ʻO ka maʻamau, hoʻopuka ʻia kēia mau hōʻailona ma ke ʻano hoʻonohonoho a rhythmic loa. Akā i loko o ke kanaka me 'Atrial Flutter', hoʻomaka kekahi o nā cell i loko o kēia mau keʻena o luna e hoʻopuka i nā hōʻailona uila wikiwiki a ʻano ʻē. Ua like ia me kekahi o nā mea kani i loko o kahi hui mele e pāʻani wikiwiki ana a ma waho o ke mele. ʻO kēia ke kumu o ka haunaele o ka puʻuwai a hoʻomaka ka puʻuwai e kuʻi wikiwiki loa.
ʻO ka Atrial Flutter Ablation kahi lāʻau lapaʻau e ʻike a luku a hoʻopau paha i nā cell e hoʻoulu ai i nā hōʻailona uila maʻamau ʻole. Ma hope o kēia, e pau nā hōʻailona maʻamau ʻole a e kuʻi hou ka puʻuwai ma ke ʻano maʻamau.
ʻElua mau ʻano hana nui i hoʻohana ʻia no kēia hana:
- ʻO ka Ablation Radiofrequency: Pili kēia i ka hoʻohana ʻana i ka wela e luku ai i nā pūnaewele pilikia.
- Cryoablation: Pili kēia i ka hoʻohana ʻana i ke anu nui (hau) e hoʻopau i nā pūnaewele.
Hana like kēia mau ʻano hana ʻelua: hoʻōki lākou i nā hōʻailona mai nā pūnaewele e hoʻopilikia ana i ka mele o ka puʻuwai.
No ke aha ʻoe e pono ai i kēia lāʻau lapaʻau?
ʻO ka maʻamau, hoʻāʻo mua ke kauka e kāohi i ka helu o ka puʻuwai ma ka hāʻawi ʻana i nā lāʻau lapaʻau. Akā i kekahi manawa ʻaʻole hiki i nā lāʻau lapaʻau ke kāohi i ke kūlana. A laila, hana ʻia kekahi lāʻau i kapa ʻia ʻo "Cardioversion". ʻO ia hoʻi ka hāʻawi ʻana i ka puʻuwai i kahi haʻalulu uila liʻiliʻi e hoʻāʻo e hoʻokuʻi hou iā ia.
No laila, inā ʻaʻole hiki i ka lāʻau lapaʻau a i ʻole ka cardioversion ke kaohi i ka helu o kou puʻuwai , hiki i kāu kauka ke ʻōlelo aku i ka atrial flutter ablation ʻo ia ka hopena maikaʻi loa a maikaʻi loa.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
ʻOiai ʻaʻole kēia he hana ʻoki kino nui, pono ia i kahi hoʻomākaukau iki.
- E haʻi aku ke kauka iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kahi o ʻeono a ʻewalu hola ma mua o ka lāʻau lapaʻau.
- E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau āu e lawe nei i kekahi mau lā ma mua o kēia lāʻau lapaʻau. E aʻo maopopo aku kāu kauka iā ʻoe e pili ana i kēia.
- He mea nui loa: Inā ʻoe e lawe ana i nā anticoagulants, mai hoʻōki i ka lawe ʻana iā lākou no kekahi kumu ke ʻole ke haʻi aku kāu kauka iā ʻoe. He mea nui loa kēia.
Pehea e hana ai kēia lāʻau lapaʻau?
Manaʻo ka poʻe he nui kēia he 'ʻoki puʻuwai hāmama'. Akā, ʻaʻole ia. Hana ʻia kēia ma kahi keʻena kūikawā i hoʻolaʻa wale ʻia no nā maʻi puʻuwai ('cardiac catheterization lab').
I nā huaʻōlelo maʻalahi, ʻo ka mea e hana ʻia ma kēlā me kēia ʻanuʻu penei:
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻopau i kou ʻeha a hoʻomoe iā ʻoe (ʻo ka hoʻomaha ʻana i ka pōʻeleʻele). I kekahi manawa, hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā.
2. A laila e hoʻokomo ke kauka i kahi nila lahilahi ma o ka ʻili o kou ʻūhā.
3. Ma o ia mea, ua hoʻokomo ʻia kekahi mau ʻōmole palupalu a lahilahi loa ("(Catheters)`) i loko o kahi kīʻaha koko.
4. Hoʻokomo ʻia kekahi ʻōmole lahilahi me kahi electrode (electrode catheter) ma o kēia ʻōmole a i ka puʻuwai.
5. Me ka hoʻohana ʻana i kēia electrode, hana ʻia kahi palapala ʻāina e hoʻoholo pono ai i kahi e puka mai ai nā hōʻailona uila pilikia i loko o ka puʻuwai (`mapping`).
6. Ke ʻike ʻia nā pūnaewele pilikia, ua luku ʻia lākou ma ka hoʻouna ʻana i ka ikehu alapine radio (wela).
Hiki i kēia kaʻina hana holoʻokoʻa ke hala ma kahi o ʻelua a ʻehā hola .
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka pau ʻana o ka mālama ʻana, e wehe ʻia nā ʻōmole i hoʻokomo ʻia. E kaomi ke kauka ʻoki i kahi i hoʻokomo ʻia ai ke kui e hoʻōki i ke kahe ʻana o ke koko. A laila e aʻo ʻia ʻoe e hoʻolōʻihi i kou wāwae no ʻeono a ʻewalu hola .
ʻOiai ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomau i ka lawe ʻana i kāu mau anticoagulants (nā lāʻau hoʻokahe koko) e like me ke kauoha a kāu kauka, me ka ʻole o ka nalo ʻana i hoʻokahi mahele lāʻau. Inā loaʻa iā ʻoe kekahi kahe koko nui, e kāhea koke i kāu kauka.
Pehea ka maikaʻi o kēia lāʻau lapaʻau? A he aha nā pilikia?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. ʻO ka nūhou maikaʻi, ʻo ka "(Atrial Flutter Ablation)" kahi lāʻau lapaʻau i ʻoi aku ka holomua ma mua o 90% . Hoʻi ka puʻuwai o ka hapa nui o ka poʻe i ka maʻamau ma hope o kēia. Eia nō naʻe, he kakaikahi loa ka poʻe (ma kahi o 4%-6%) i loaʻa ka manawa e hoʻi hou ai kēia maʻi.
E like me nā kaʻina hana lapaʻau āpau, he liʻiliʻi loa ka pilikia e pili ana, akā ʻo ka manawa kūpono o nā pilikia he emi ma mua o 1%.
| Ka pilikia/Paʻakikī | He wehewehe maʻalahi |
|---|---|
| Poloka Puʻuwai | Ka hoʻopilikia ʻana i ka hoʻoili ʻana o nā hōʻailona uila o ka puʻuwai. |
| Hahau | He ʻūpā koko e hele ana i ka lolo a ālai iā ia (Hāʻawi ʻia nā Anticoagulants e pale aku i kēia). |
| Ka puka ʻana o ka puʻuwai | Ka hōʻeha ulia pōpilikia i ka paia o ka puʻuwai i ka wā o ka mālama ʻana (kākaʻikahi loa). |
| Maʻi | Ka maʻi ma kahi i hoʻokomo ʻia ai ke kui. |
| Ke kahe ʻana o ke koko | Ke kahe koko nui ʻana mai kahi i puka ai ke kui. |
E hoʻomanaʻo, he mau hanana kakaikahi loa kēia. Ua aʻo maikaʻi ʻia kāu hui lapaʻau e hoʻokele i kēia mau pilikia.
ʻEhia ka lōʻihi e ho'ōla ai?
ʻO kekahi mea maikaʻi e pili ana i kēia, ʻo ia ka pōkole loa o ka manawa hoʻōla.
- Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau ke hoʻi ʻoe i ka home.
- Eia nō naʻe, ʻoi aku ka maikaʻi o ka noho mamao ʻana mai nā hana ikaika e like me ka hoʻonaʻauao kino a me ka hāpai ʻana i nā mea kaumaha no kahi o ʻekolu lā .
Ma muli o ka ʻōlelo aʻoaʻo a kāu kauka cardiologist, pono paha ʻoe e hoʻomau i ka lawe ʻana i nā lāʻau hoʻokahe koko, i ka wā pōkole a i ʻole ka wā lōʻihi.
Āhea ʻoe e pono ai e ʻike i ke kauka?
He mea nui loa e ʻike pono ʻoe i kēia. E makaʻala i nā hōʻailona ma lalo nei.
| I nā hihia kahi e pono ai ka mālama olakino ulia pōpilikia - e kāhea iā 1990 a i ʻole e hele koke i ka ETU! | |
|---|---|
| - Inā pehu koke a wikiwiki ka ʻeha mai ke ʻeha. | - Inā ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko mai ka ʻeha. |
| - Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma. | - Inā ʻike ʻoe i nā hōʻailona o ka maʻi lolo e like me ka paʻakikī o ka ʻōlelo ʻana, ka ʻōlelo ʻana me ka ʻole o ka ʻike, a i ʻole ka nāwaliwali ma kekahi ʻaoʻao o ke kino. |
| I ka manawa hea e kāhea aku ai i kāu kauka | |
| - Paʻakikī ka hanu ʻana | - Inā manaʻo ʻoe ua poniuniu a ua maule paha. |
| - Inā ʻike ʻoe i ka mae ʻana o ka wāwae i ʻeha | - Inā he pehu e hoʻonui ana a i ʻole ka palapū a puni ka ʻeha |
| - Inā manaʻo hou ʻia kou puʻuwai he mea ʻē | - ʻŌpū ʻeha a nausea paha |
Hiki i ka loaʻa ʻana o ka puʻuwai puʻuwai kūpono ʻole ke lilo i mea hoʻonāukiuki. Akā i kēia manawa aia nā lāʻau lapaʻau maikaʻi loa a kūpono hoʻi no ia mea. ʻO Atrial Flutter Ablation kekahi o ia mau lāʻau lapaʻau kūpono loa. ʻO ke kanaka maikaʻi loa e ʻike inā kūpono kēia lāʻau lapaʻau iā ʻoe ʻo kāu kauka. E kamaʻilio pono me ia e pili ana i ia mea a nīnau i kāu mau nīnau a pau.
Leka Lawe-Home
- ʻO ka Atrial Flutter Ablation kahi lāʻau lapaʻau no nā puʻuwai puʻuwai kūpono ʻole i ʻoi aku ma mua o 90% ka holomua.
- ʻAʻole kēia he ʻoki hoʻonui umauma. Hana ʻia ia ma ke komo ʻana i kahi ʻōmole lahilahi ma o kahi kīʻaha koko ma ka ʻūhā.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka mālama ʻana, ʻoiai e pili ana i nā lāʻau hoʻokahe koko.
- He pōkole loa ka manawa ho'ōla. Hiki iā ʻoe ke hoʻi i ke ola maʻamau i loko o kekahi mau lā.
- E makaʻala i nā hōʻailona ulia pōpilikia e like me ke kahe koko nui, ka ʻeha o ka umauma, a me ka pehu koke. Inā loaʻa kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
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