Ua manaʻo paha ʻoe e like me ka wikiwiki o kou puʻuwai me ke kumu ʻole, me he mea lā he hewa kekahi mea me kou umauma? Hiki paha ke lilo i mea ʻē aʻe. Akā i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi puʻuwai i kapa ʻia ʻo atrial flutter. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi a me kāna lāʻau lapaʻau kūpono loa, i kapa ʻia ʻo ablation.
He aha ka Atrial Flutter?
I ka ʻōlelo maʻalahi, he pilikia kēia me ke kani o ka puʻuwai. ʻElua keʻena o ko kākou puʻuwai, ʻo nā keʻena o luna (atria) a me nā keʻena o lalo (ventricles). I loko o ka puʻuwai olakino, kuʻi kēia mau keʻena ʻelua ma ke ʻano hoʻonohonoho pono, ma ke kani like.
E noʻonoʻo e like me kahi hui mele i hoʻomaʻamaʻa maikaʻi ʻia e hoʻokani ana i kahi mele me ka leo like. Akā i loko o Atrial Flutter, hoʻomaka nā keʻena o luna o ka puʻuwai, a i ʻole atria, e kuʻi wikiwiki a kūlike ʻole. Ua like ia me kekahi mau lālā o kahi hui mele e kuʻi ana i nā pahu i ka wikiwiki a lākou e makemake ai. Hoʻopilikia kēia i ka hana holoʻokoʻa o ka puʻuwai. Inā hoʻomau kēia no ka manawa lōʻihi, ʻaʻole maikaʻi ia no ka puʻuwai.
No laila he aha kēia lāʻau Ablation?
ʻO ka Atrial Flutter Ablation kahi hana e hoʻopau ai i nā hunaola hewa e hoʻoulu ai i ka puʻuwai e kuʻi wikiwiki a kū ʻole i ke ʻano.
E noʻonoʻo i kahi kukui i loko o kahi hale e pio a pio ana ma muli o nā uea hewa. ʻO ka ablation ke kaʻina hana o ka loaʻa ʻana o nā uea hewa, hoʻopau iā ia, a hoʻoponopono mau loa i ka pilikia.
Ma kēia, hoʻohana pinepine nā kauka i kahi ʻano i kapa ʻia ʻo radiofrequency ablation e hoʻopau i nā cell e hoʻouna ana i nā hōʻailona hewa. I kekahi manawa, hana ʻia kēia me ka hoʻohana ʻana i ke anu nui (cryoablation). ʻO kēlā me kēia ʻano, ʻo ka pahuhopu ka hoʻōki ʻana i nā hōʻailona hewa a hoʻihoʻi i ka rhythm o ka puʻuwai.
ʻO ka mea nui loa, ʻaʻole kēia he ʻoki puʻuwai hāmama.
No ke aha ʻoe e pono ai i kahi ablation?
Hoʻohana pinepine ke kauka i kēia lāʻau lapaʻau inā ʻaʻole hiki ke kāohi ʻia ke kūlana me nā lāʻau lapaʻau a i ʻole ke kaʻina hana i kapa ʻia ʻo cardioversion e hoʻihoʻi i ka rhythm o ka puʻuwai. Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe.
Nā mea e pono ai ke ʻike ma mua a ma hope o ka mālama ʻana
Aia kekahi mau mea e pono ai ʻoe e makaʻala ma mua a ma hope o kēia lāʻau lapaʻau.
Hoʻomākaukau ma mua o ka mālama ʻana
- E aʻo aku kāu kauka iā ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no 6-8 mau hola ma mua o ka lāʻau lapaʻau.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau no kekahi mau lā ma mua o ka mālama ʻana.
- Akā he mea nui loa kēia: Inā ʻoe e lawe ana i nā lāʻau anticoagulant, mai hoʻōki iā lākou no kekahi kumu ke ʻole kāu kauka cardiologist e haʻi aku iā ʻoe. Mai hōʻalo i hoʻokahi mahele lāʻau.
Pehea e hana ʻia ai ka lāʻau lapaʻau
ʻO ka maʻamau, hana ʻia kēia ma kahi keʻena hoʻokolohua catheterization cardiac. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻomoe iā ʻoe (twilight sedation), a i ʻole ka anesthesia laulā paha. A laila:
1. Hoʻokomo ʻia kahi nila liʻiliʻi ma o ka ʻili ma ka ʻāpana ʻūhā.
2. Ma o ia mea, ua hoʻokomo ʻia kekahi mau ʻōmole lahilahi i kapa ʻia ʻo `catheters` i loko o kahi kīʻaha koko.
3. Hoʻokomo ʻia kahi catheter electrode ma o kēia ʻōmole i loko o kou puʻuwai.
4. Me ka hoʻohana ʻana i kēia catheter, hiki iā mākou ke kuhikuhi pono i nā pūnaewele i loko o ka puʻuwai e hoʻoulu nei i ka pilikia.
5. A laila, hoʻohana ʻia ka ikehu alapine lekiō e hoʻopau i nā pūnaewele hewa.
Hiki i kēia kaʻina hana holoʻokoʻa ke hala ma kahi o ʻelua a ʻehā hola.
Ma hope o ka mālama ʻana
Ke pau ka mālama ʻana, e wehe ʻia nā ʻōmole āpau i hoʻokomo ʻia a hoʻopaʻa ʻia kahi i hou ʻia. Ma hope o kēlā, e noi ʻia ʻoe e mālama pololei i kou wāwae no kahi o 6-8 mau hola. ʻOiai ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomau i ka lawe ʻana i kāu mau anticoagulants a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe.
Ka holomua o ka lāʻau lapaʻau, nā pilikia, a me nā mea e makaʻala ai
E like me nā lāʻau lapaʻau āpau, aia kekahi mau mea e pono ai ʻoe e ʻike e pili ana i kēia. E nānā pono kākou iā lākou.
| ʻAno ʻike | He aha e ʻike ai |
|---|---|
| Ka helu holomua | ʻOi aku ka holomua o kēia lāʻau lapaʻau ma mua o 90% . Hoʻi ka hapa nui o ka poʻe i ko lākou puʻuwai maʻamau. Eia nō naʻe, hiki i kahi pakeneka liʻiliʻi, ma kahi o 4%-6%, ke loaʻa hou. |
| Nā Pōʻino | ʻOi aku ka liʻiliʻi o ka pilikia o nā pilikia ma mua o 1%.Eia nō naʻe, nā pilikia kakaikahi loa e komo pū ana me: ka poloka o ka puʻuwai, ka hahau ʻana, ka perforation o ka puʻuwai, ka maʻi, a me ke kahe nui ʻana o ke koko. |
| I ka manawa hea e hele koke ai i ka ETU (Emergency Treatment Unit) | Inā pehu koke ka ʻeha i hoʻokomo ʻia ai ke nila a inā ʻaʻole hiki ke kaohi ʻia ke kahe ʻana o ke koko mai ka ʻeha mai. |
| I ka manawa e kāhea koke aku ai i ke kauka | Inā loaʻa iā ʻoe ke kahe koko nui, nāwaliwali, huikau, paʻakikī i ka ʻōlelo ʻana, a i ʻole e nāwaliwali a like paha ʻoe me he mea lā e hāʻule paha. |
| Nā hiʻohiʻona ʻē aʻe e makaʻala ai | E haʻi i kāu kauka inā pilikia ʻoe i ka hanu ʻana, ka poniuniu, ka ʻeha o ka umauma, ka mae ʻana o ka wāwae i ʻeha, ka pehu ʻana a i ʻole ka palapū a puni ka ʻeha, ka puʻuwai puʻuwai kūpono ʻole, a i ʻole ka ʻeha o ka ʻōpū. |
ʻEhia ka lōʻihi e ho'ōla ai?
ʻO ka mea maikaʻi loa e pili ana i kēia, ʻaʻole ia e lōʻihi ka manawa e ho'ōla ai.
Hiki iā ʻoe ke hoʻi i ka home a hoʻomaka hou i kāu mau hana maʻamau i ka lā ma hope. Eia nō naʻe, he mea naʻauao ke pale aku i nā hana ikaika e like me ka hoʻoikaika kino a me ka hāpai ʻana i nā mea kaumaha no kahi o ʻekolu lā.
Ma muli o kou kūlana, pono paha ʻoe e lawe i nā lāʻau hoʻomāmā koko, no ka manawa pōkole a me ka wā lōʻihi, e like me ka ʻōlelo a kāu kauka cardiologist.
He mea maʻamau i kekahi ke makaʻu iki i ka lohe ʻana i kahi pilikia o ka puʻuwai. Akā, he maʻi hiki ke mālama ʻia ʻo Atrial Flutter. He ala maikaʻi loa a palekana hoʻi ka ablation e mālama ai. No laila, e kamaʻilio ākea me kāu kauka e pili ana i kēia a koho i ka lāʻau lapaʻau maikaʻi loa nāu.
Leka Lawe-Home
- ʻO ka atrial flutter kahi maʻi hiki ke mālama ʻia i hoʻokumu ʻia e nā keʻena o luna o ka puʻuwai e paʻi wikiwiki a kūpono ʻole.
- ʻO ka ablation ka lāʻau lapaʻau holomua loa (ma luna o 90%) a palekana loa no kēia. ʻAʻole ia he ʻoki puʻuwai hāmama.
- He mea nui loa ia e hahai pono i nā ʻōlelo lapaʻau ma mua a ma hope o ka mālama ʻana, ʻoiai hoʻi nā mea e pili ana i ka lawe ʻana i nā anticoagulants.
- E makaʻala i nā hōʻailona hōʻike ma hope o ka mālama ʻana, e like me ke kahe koko nui, ka hāʻule ʻana, a me ka paʻakikī o ka ʻōlelo ʻana. Inā loaʻa iā ʻoe kekahi pilikia, e hele koke i kāu kauka a i ʻole ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- Mai makaʻu i kēia lāʻau lapaʻau, e kūkākūkā ākea me kāu cardiologist a hoʻoholo.
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