Ke kuʻi wikiwiki nei kou puʻuwai? E aʻo kākou e pili ana i kēia (Atrial Flutter)!

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi wikiwiki ana kou umauma, akā ma ke ʻano like? Ua like ia me ka pahu e kuʻi wikiwiki ana, akā ma ke ʻano maʻamau. Hiki ke hana ʻia kēia i kekahi manawa ke hopohopo a makaʻu paha ʻoe. Eia naʻe, inā hana pinepine ʻia kēia, a inā paha e hele pū ʻia me nā hōʻailona ʻē aʻe, he hōʻailona paha ia o kahi maʻi puʻuwai i kapa ʻia ʻo `(Atrial Flutter)`. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ai, a me kāu mea e hiki ai ke hana e pili ana i ia mea.

He aha ka `(Atrial Flutter)`? I ka ʻōlelo maʻalahi loa...

I ka ʻōlelo maʻalahi, ʻo `(Atrial Flutter)` kahi kūlana kahi e hoʻomaka ai nā keʻena ʻelua o luna o ko kākou puʻuwai, ʻo ia hoʻi ka `atria`, e kuʻi wikiwiki loa, akā ma ke ʻano like, ma kahi ʻano kikoʻī. Ua kapa nā kauka i kēia he ʻano puʻuwai maʻamau ʻole (`supraventricular arrhythmia`) e hoʻomaka ana ma nā ʻāpana o luna o ka puʻuwai.

E noʻonoʻo e pili ana i ia mea, i ko kākou noho mālie ʻana, i ka hoʻomaha ʻana, kuʻi ko kākou mau puʻuwai ma waena o 60 a me 100 mau manawa i kēlā me kēia minuke. ʻO ia ka wikiwiki o ka puʻuwai olakino. Akā, i loko o kekahi kanaka me ka "Atrial Flutter", hiki i nā ʻāpana o luna o ka puʻuwai, ʻo ka atria, ke kuʻi wikiwiki i 250 a 350 mau manawa i kēlā me kēia minuke! Hiki iā ʻoe ke noʻonoʻo i kēlā wikiwiki? Ke kuʻi wikiwiki ka atria, pono nā keʻena ʻelua o lalo o ka puʻuwai, ʻo nā "ventricles", e kuʻi wikiwiki i ka pane ʻana. I kekahi manawa he 150 mau manawa i kēlā me kēia minuke a ʻoi aku paha ka wikiwiki.

ʻO ke kumu nui o kēia, he hana hewa i loko o nā hōʻailona uila o ka puʻuwai. Hoʻopaʻa ko mākou puʻuwai me ka hoʻohana ʻana i kahi ʻōnaehana o nā hōʻailona e hana e like me nā leka uila. Hana ʻia kēia ke loaʻa kahi pilikia a hana hewa paha i loko o kēia mau hōʻailona.

Aia kekahi mau ʻano o ka `(Atrial Flutter)`?

ʻAe, aia kekahi mau ʻano nui o ka `(Atrial Flutter)`. Hiki i ke kauka ke ʻike pololei i ke ʻano o ia mea ma ka nānā ʻana i kāu `(ECG)`, ʻo ia hoʻi, ke kiʻikuhi o ka hoʻāʻo e ana i ka hana o ka puʻuwai.

• ʻO ka `Typical Atrial Flutter` (ʻo kēia ke ʻano maʻamau): Ma kēia, hele nā ​​​​hōʻailona uila ʻē aʻe ma ke ʻano counterclockwise (counterclockwise, e like me ka clockwise) i loko o ka atrium ʻākau o ka puʻuwai.
• ʻO ka `Reverse Typical Atrial Flutter`: Ma kēia, hele nā ​​​​hōʻailona uila ma ke ʻano uaki (clockwise) i loko o ka atrium ʻākau.
• ʻO ka Atypical Atrial Flutter (ʻaʻole kēia i maʻamau, ʻoiai inā ʻaʻole ʻoe i hana mua i ke ʻoki puʻuwai a i ʻole ka ablation, ka mea e luku ai i kekahi o nā ʻiʻo o ka puʻuwai): Ma kēia, hiki ke loaʻa nā hōʻailona uila maʻamau ʻole ma ka atrium hema a ʻākau paha. I kekahi manawa, hiki i kēia mau hōʻailona ke hele a puni ka ʻiʻo ʻeha i hoʻokumu ʻia e ke ʻoki puʻuwai.

He aha nā hōʻailona o ka `(Atrial Flutter)`?

He mea kupaianaha ke ʻano o ka hōʻike ʻole ʻana o kekahi poʻe me Atrial Flutter i kekahi mau hōʻailona . Eia nō naʻe, hiki i ka nui o ka poʻe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau mea:

• Dyspnea: He manaʻo o ka hanu ʻana a i ʻole ka paʻakikī o ka hanu ʻana.
• Pōniuniu: He manaʻo o ka wili ʻana a me ka paʻakikī ke kū.
• Luhi kino: Manaʻo nui i ka luhi a me ka hiki ʻole ke hana i kekahi mea.
• Nā palpitations o ka puʻuwai: He manaʻo o kou puʻuwai e kuʻi nui ana a wikiwiki hoʻi mai loko mai o kou umauma. Hiki i kekahi poʻe ke manaʻo i kēia ma ko lākou ʻāʻī a i ʻole ka puʻu.
• Pulse wikiwiki: Inā ʻoe e ʻike i kou pulse, e wikiwiki loa ia.
• ʻEha a ʻeha paha ka umauma: Manaʻo paha ia e like me ka ʻūmiʻi ʻana o kou umauma, a i ʻole he ʻeha paha.
• Manaʻo e like me ʻoe e maule ana (mahina): Ua polū koke kou mau maka, a manaʻo ʻoe e like me ʻoe e maule ana.
• Māmā ke poʻo : He manaʻo o ka māmā o ke poʻo a me ka hiki ʻole ke hoʻopaʻa i kou mau wāwae ma ka honua.

Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hele mai a hele aku lākou, a no kekahi poʻe, hiki ke mau.

No ke aha e hana ʻia ai kēia `(Atrial Flutter)`? He aha nā kumu?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia, ʻo ia ka wikiwiki a pinepine ʻana o nā hōʻailona uila i loko o ka atria o ka puʻuwai. ʻO ia ke kumu e hoʻomaka ai ka atria e ʻūmiʻi nui. Aia kekahi mau kumu e hiki ke kōkua i kēia:

• Nā maʻi kīwila o ka puʻuwai: Ke pani pono ʻole a wehe pono ʻole paha nā kīwila o ka puʻuwai.
• Nā maʻi puʻuwai hānau: Hānau ʻia kekahi poʻe me kekahi mau kīnā puʻuwai.
• ʻO ka maʻi ʻaʻa coronary: Ka hoʻohaiki ʻana a i ʻole ka pale ʻana o nā aʻa e hoʻolako koko i ka puʻuwai.
• Ka hāʻule ʻana o ka puʻuwai: ʻO ke ʻano hiki ʻole i ka puʻuwai ke pamu i ke koko kūpono i ke kino.
• Ke koko kiʻekiʻe: Hoʻonui ʻia ke koko.
• Ka thyroid overactive (Hyperthyroidism): Ka hoʻokuʻu nui ʻana o nā hormones thyroid.
• Nā maʻi o ka māmā: No ka laʻana, COPD.
• He ʻoki puʻuwai hou loa.

ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka "Atrial Flutter"?

ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o ka "Atrial Flutter" me ka makahiki. Ua ʻike ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.

Eia kekahi, hiki i kekahi mau kūlana olakino a me nā ʻano maʻi ʻē aʻe ke hoʻonui i kēia pilikia:

• Inā he mau maʻi puʻuwai ʻē aʻe kou (e like me ka hāʻule ʻana o ka puʻuwai, ka maʻi valve).
• Ke koko kiʻekiʻe.
• Ka maʻi thyroid (ʻoi aku hoʻi ka hyperthyroidism).
• ʻO ka maʻi diabetes (ʻO ka maʻi diabetes mellitus).
• Nā maʻi o ka māmā (e.g. Maʻi Pulmonary Obstructive Chronic - `COPD`, `Pulmonary Embolism`).
• Ka hoʻohana nui ʻana i ka waiʻona ('Alcohol use disorder').
• ʻO ka apnea hiamoe obstructive.
• Ka momona.

He aha nā pilikia e hiki ke kū mai ma muli o ka `(Atrial Flutter)`?

Ke loaʻa iā ʻoe ka `(Atrial Flutter)`, ʻaʻole hana pono kou puʻuwai. E noʻonoʻo iā ia e like me kahi laina hōʻuluʻulu ma kahi hale hana. Ke kahe nei ke koko mai kekahi keʻena a i kekahi ma mua o ka haʻalele ʻana i ka puʻuwai.

Akā i ka wā e loaʻa ai iā ʻoe ka `(Atrial Flutter)`, ua like ia me ka holo wikiwiki loa o ke kahua hana mua ma kēia `laina hui`. No ka mea, ke kuʻi wikiwiki nei ka atria o ka puʻuwai, ʻaʻohe o lākou manawa e hoʻopiha pono ai me ke koko. Eia kekahi, ʻaʻohe manawa o ke koko a pau i loko o ka atria e neʻe ai i nā keʻena haʻahaʻa (`ventricles`). ʻO ka hopena , ʻaʻole lawa ke koko i ke kino.

Hiki i kēia ke hana i ʻelua mau pilikia nui:

1. Ka pilikia o nā ʻūpā koko a me ka hahau ʻana a i ʻole ka hōʻeha puʻuwai: No ka mea, ʻaʻohe manawa kūpono no ke kahe ʻana o ke koko a pau mai ka atria mai, aia kekahi koko i loko o ka atria. Hiki i kēia koko e noho ana ma kahi hoʻokahi ke lilo i mau ʻūpā koko. Inā hele kēia mau ʻūpā koko i ka lolo, hiki iā lākou ke hana i ka maʻi lolo, a inā paʻa lākou i loko o nā aʻa o ka puʻuwai, hiki iā lākou ke hana i ka hōʻeha puʻuwai. ʻO kēia ka pilikia weliweli loa o `(Atrial Flutter)`.

2. Cardiomyopathy a me ka hāʻule ʻana o ka puʻuwai: Ke hoʻomau ka puʻuwai i ka paʻi wikiwiki loa, hiki i ka ʻiʻo o ka puʻuwai ke luhi a nāwaliwali. Eia kekahi, ʻaʻohe manawa o nā keʻena haʻahaʻa o ka puʻuwai e hoʻopiha pono ai, no laila e emi ana ka nui o ke koko i hoʻopuka ʻia e ka puʻuwai. Inā hoʻomau kēia, hiki i ka puʻuwai ke komo i loko o kahi kūlana o ka hāʻule ʻana o ka puʻuwai.

ʻO ka mea nui loa: ʻAʻole ia he mea e lawe māmā ʻia ai ka Atrial Flutter. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.

Pehea ʻoe e ʻike ai i ka flutter atrial?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna nei, hiki i ke kauka ke nānā iā ʻoe a, inā pono, e hana i kekahi o nā hoʻokolohua aʻe:

• Electrocardiogram (ECG a i ʻole EKG): ʻO kēia ka hoʻāʻo koʻikoʻi loa. Hoʻopaʻa ia i ka hana uila o kou puʻuwai. Inā loaʻa iā ʻoe ka atrial flutter, e ʻike ʻia nā laina ma ka pakuhi ma ke ʻano kikoʻī , e like me ke ʻano niho sawtooth a i ʻole ke ʻano pā picket .
• ʻEchocardiogram (Echo): Ua like kēia me ke scan o ka puʻuwai. Hiki iā ia ke nānā i nā ʻūpā koko i loko o ka atria o ka puʻuwai. Hiki iā ia ke nānā i ke kūlana o nā valves o ka puʻuwai a me ka hana o ka ʻiʻo o ka puʻuwai, a me nā mea ʻē aʻe.
• Nā hoʻāʻo koko: Hiki i kēia mau hoʻāʻo ke kōkua i ka hoʻoholo ʻana inā he kelepa thyroid overactive, kahi kaulike ʻole o nā electrolytes i loko o ke koko, a i ʻole nā ​​​​pilikia ʻē aʻe.
• Nā hoʻāʻo hana pulmonary: Hana ʻia kēia e ʻike i ke ʻano o ka hana ʻana o nā māmā, ʻoiai hiki i kekahi mau maʻi māmā ke hoʻopilikia i ka puʻuwai o ka puʻuwai.
• ``Mea nānā Holter'' a i ʻole ``Mea nānā hanana'':I kekahi manawa ke hele ʻoe i ke kauka, e nalowale paha ka wikiwiki o ka puʻuwai. Inā hana ʻia kēlā, e noi ʻia paha ʻoe e komo i kahi mea liʻiliʻi e hoʻopaʻa i kou puʻuwai no kekahi mau lā.

He aha nā lāʻau lapaʻau no ka `(Atrial Flutter)`?

I ka mālama ʻana i ka atrial flutter, ʻo ka mea mua e hana ai, ʻo ia ke mālama i ke kūlana kumu e hoʻokumu ai. No ka laʻana, inā he pilikia thyroid, mālama ʻia kēlā. Eia kekahi, aia nā lāʻau lapaʻau kūikawā no ka atrial flutter. Hiki i kēia ke komo pū me nā lāʻau lapaʻau a me nā kaʻina hana.

Hiki i nā kānaka he nui ke mālama i kēia kūlana me ka lāʻau lapaʻau. E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao, akā ʻo ka hapa nui o nā pilikia he liʻiliʻi ia i hoʻohālikelike ʻia me nā pono. Inā ʻaʻole holo pono ka lāʻau lapaʻau, hiki i kāu kauka ke kuhikuhi i nā kaʻina hana ʻē aʻe.

Nā lāʻau lapaʻau

ʻO nā ʻano lāʻau lapaʻau nui i hāʻawi ʻia no ka `(Atrial Flutter)`:

• Nā lāʻau lapaʻau e hoʻohaʻahaʻa ana i ka helu o ka puʻuwai: ʻO kēia mau mea nā lāʻau lapaʻau i kapa ʻia ʻo "Calcium channel blockers" a me "Beta-blockers." Hana kēia mau mea ma ke kaohi ʻana i ka helu o ka puʻuwai.
• Nā lāʻau antiarrhythmic: Ke hoʻāʻo nei kēia mau lāʻau e hoʻōki i ka wikiwiki a me ke ʻano ʻole o ka puʻuwai a hoʻihoʻi iā ia i kahi ʻano maʻamau.
• Nā lāʻau anticoagulants a i ʻole nā ​​lāʻau hoʻokahe koko: He mea nui loa kēia. Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale aku i nā ʻōpū koko i ʻōlelo ʻia ma luna nei mai ka hoʻokumu ʻana a me ke kumu o nā mea e like me ka maʻi lolo.

Nā Kaʻina Hana Lapaʻau

Inā ʻaʻole lawa ka lāʻau lapaʻau wale nō, hiki iā ʻoe ke hana i nā mea e like me:

• Cardioversion: Pili kēia i ka hoʻihoʻi koke ʻana i ka helu o ka puʻuwai i ka maʻamau, me ka lāʻau lapaʻau a i ʻole ma ka hāʻawi ʻana i kahi haʻalulu uila liʻiliʻi i ka umauma. Hana ʻia kēia ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e ʻeha.
• ʻO ka hoʻopau ʻana i ke catheter: He ʻano paʻakikī iki kēia. Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o kahi kīʻaha koko e alakaʻi ana i ka puʻuwai, e ʻimi ana i kahi ʻāpana liʻiliʻi o ka ʻiʻo i loko o ka puʻuwai e hoʻoulu ai i nā hōʻailona uila ʻē, a luku iā ia me ka hoʻohana ʻana i ka radiofrequency a i ʻole cryoablation. Hoʻōki kēia i nā hōʻailona ʻē.
• Hoʻoponopono ʻana i ka Pacemaker a i ʻole Implantable Cardioverter Defibrillator (ICD): Inā ua hoʻokomo mua ʻia kēlā ʻano mea i loko o kou puʻuwai, hiki iā ʻoe ke hoʻāʻo e kaohi i ka atrial flutter ma ka hoʻololi ʻana i kāna mau hoʻonohonoho.

Aia kekahi mau pilikia i ka mālama ʻana?

ʻAʻole pinepine loa, hiki ke loaʻa nā pilikia liʻiliʻi mai nā lāʻau lapaʻau e like me ka "(Catheter Ablation)". Eia kekahi laʻana:

• Maʻi
• Ke kahe ʻana o ke koko
• Ka hōʻino ʻana i kahi kīʻaha koko
• Nā ʻūpā koko
• Hahau (kākaʻikahi loa)

Eia nō naʻe, haʻahaʻa loa kēia mau pilikia. E wehewehe pono kāu kauka i kēia iā ʻoe.

Pehea ka maikaʻi o kēia lāʻau lapaʻau?

• ʻO ke ʻano o ka cardioversion: ʻO ka kūleʻa o kēia ma waena o 70% a me 90%. ʻO ia hoʻi, e hoʻihoʻi ʻia ka puʻuwai o ka naʻau o 70-90 mai loko mai o 100 mau kānaka i ka maʻamau.
• ʻO ka hoʻopau ʻana i ka catheter: No kekahi poʻe, ʻo ka pilikia o ka hoʻihoʻi hou ʻana o ka atrial flutter ma hope o ka hoʻopau ʻana o ka catheter ma lalo o 5%. Eia nō naʻe, hiki ke loli kēia helu holomua ma muli o ke ʻano o ka atrial flutter a me ke kūlana o ka mea maʻi. I nā hihia paʻakikī e like me ka atypical atrial flutter, hiki i ka helu holomua ke kiʻekiʻe a hiki i ka 70%.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?

Ma hope o ka ablation, pono ʻoe e akahele iki no ka pule mua. E haʻi ʻia iā ʻoe ʻaʻole e hana i kekahi mea e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻokele ʻana no hoʻokahi pule. Ma hope o kēlā, hiki iā ʻoe ke hoʻi mālie i nā hana maʻamau.

Hiki ke pale ʻia ka Atrial Flutter?

ʻAʻole hiki ke kāohi ʻia kekahi mau mea pilikia, e like me ka makahiki. Eia nō naʻe, hiki i nā mea e like me ka palena ʻana i ka inu ʻana i ka waiʻona ke kōkua i ka hōʻemi ʻana i kēia pilikia. He mea nui hoʻi e loaʻa ka lāʻau lapaʻau kūpono no nā kūlana olakino ʻē aʻe e hiki ai ke hoʻoulu i ka atrial flutter (e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me nā pilikia thyroid).

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka `(Atrial Flutter)`?

He kūlana paʻakikī ke ho'ōla piha ʻia ʻo Atrial Flutter a he nui ka pilikia o nā pilikia e like me ka hahau ʻana, no laila pono ʻoe e ʻike i kāu kauka no nā manawa hoʻopaʻa ma hope o kou ola. He mea nui e pale ʻole i kēia mau manawa hoʻopaʻa, no ka mea, ʻoi aku ka nui o ka manawa e hoʻi hou ai ʻo Atrial Flutter. Hiki i kēia ke alakaʻi i ka hoʻokipa pinepine ʻia ʻana o kekahi poʻe i ka haukapila.

Pehea lā wau e mālama ai iaʻu iho?

• ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kāu mau manawa hoʻomaʻamaʻa me kāu kauka. I kēlā me kēia makahiki, e loiloi kāu kauka i kou pilikia o ka hahau ʻana, me ka noʻonoʻo ʻana i kāu mau kūlana olakino ʻē aʻe. Inā kiʻekiʻe kou pilikia, e noi ʻia paha ʻoe e hoʻomau i ka lawe ʻana i nā anticoagulants.
• E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia i ka manawa kūpono.
• E hana i nā hoʻololi i ke ʻano o ka nohona olakino (e.g., haʻalele i ka puhipaka, hoʻēmi i ka waiʻona, ʻai i ka meaʻai olakino, hoʻoikaika kino).

Āhea wau e ʻike ai i kaʻu kauka?

Pono ʻoe e ʻike i kāu kauka i nā manawa maʻamau. I kēia manawa, inā loaʻa iā ʻoe kahi hopena maʻi i kekahi lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, a inā loli kāu mau hōʻailona, ​​​​ʻoi aku ka ʻino, a inā paha e loaʻa iā ʻoe nā hōʻailona hou, e ʻike koke i kāu kauka.

Āhea wau e hele ai i ka lumi pilikia (ER)?

Inā ʻoi aku ka wikiwiki o kou puʻuwai ma mua o 150 mau kuʻi i kēlā me kēia minuke (hiki iā ʻoe ke ʻike ma ka nānā ʻana i kou pulse) i kou wā e hoʻomaha ana, pono ʻoe e ʻimi koke i ke kōkua lapaʻau, a inā pono, e hele i kahi lumi pilikia. Eia kekahi, inā loaʻa iā ʻoe ka ʻeha nui o ka umauma, ka paʻakikī nui o ka hanu ʻana, a i ʻole ka nalowale o ka ʻike, pono ʻoe e hele koke i ka haukapila.

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

Hiki paha iā ʻoe ke noʻonoʻo e nīnau i nā nīnau e like me kēia i ka wā e hālāwai ai me ke kauka:

• Loaʻa iaʻu ka `(Atrial Flutter)` a i ʻole kekahi ʻano maʻi puʻuwai ʻē aʻe?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu? He aha nā pōmaikaʻi a me nā pōʻino?
• He aha koʻu pilikia o ka hahau ʻana? He aha kaʻu e hana ai e hōʻemi ai?
• He aha nā hōʻailona e pono iaʻu e hopohopo nui ai?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?

He mea weliweli anei ka `(Atrial Flutter)`?

ʻAʻole ʻo Atrial Flutter he maʻi hoʻoweliweli i ke ola, akā he maʻi koʻikoʻi ia. E like me kā mākou i kūkākūkā ai ma mua, inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia e hoʻoweliweli i ke ola, e like me ka hahau ʻana, ka hōʻeha puʻuwai, a i ʻole ka hāʻule ʻana o ka puʻuwai.

He mea maʻamau ka manaʻo ʻoluʻolu ʻole ke wikiwiki loa kou puʻuwai. Akā, mai hopohopo, hiki i kāu kauka ke hāʻawi i ka lāʻau maikaʻi no ka `(Atrial Flutter)`. Hiki i kēia mau lāʻau ke hōʻemi i ka pilikia o ka loaʻa ʻana o kēia mau pilikia weliweli. ʻO ia ke kumu he mea nui e mālama i kāu mau manawa me kāu kauka a hahai i kāna mau kuhikuhi. E kōkua kāu kauka iā ʻoe e hoʻoholo i ka lāʻau maikaʻi loa no kou kūlana.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

• ʻO ka atrial flutter kahi kūlana kahi e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai, akā ma ke ʻano kikoʻī.
• ʻO nā hōʻailona paha e komo pū me ka pōkole o ka hanu, ka poniuniu, a me ka ʻūmiʻi o ka umauma. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona.
• ʻO ka mea weliweli loa, ʻo ia ka pilikia o ke kāpili ʻana o ke koko a me ke kumu o nā mea e like me ka hahau ʻana .
• Hiki ke ʻike maʻalahi i kēia me ka ECG.
• Aia nā lāʻau lapaʻau e like me nā lāʻau lapaʻau a me ka "(Ablation)".
• ʻOiai ma hope o ka lāʻau lapaʻau, he mea nui loa ia e ʻike i ke kauka no ka hahai ʻana i kou ola a pau.
• Inā ʻoi aku ka nui o kou puʻuwai hoʻomaha ma mua o 150 mau kuʻi i kēlā me kēia minuke, e ʻimi koke i ke kōkua lapaʻau.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka. E wehewehe pono ʻo ia i nā mea āpau iā ʻoe.

ʻO ke kani ʻana o ka puʻuwai, ka puʻuwai, ka maʻi puʻuwai, ka ECG, ka Atrium, nā ʻāpana, ka maʻi lolo, ka puʻuwai, ka hāʻule ʻana o ka puʻuwai, ka hoʻopau ʻana i ka catheter