Ke manaʻo nei ʻoe e holo wikiwiki ana kou puʻuwai, a i ʻole e lele ana i kahi kuʻi? Malia paha ua ʻike ʻoe i kahi manaʻo ʻē i loko o kou umauma, me ka ʻoluʻolu iki. ʻO kēia nā hōʻailona ʻaʻole pono ʻoe e hoʻowahāwahā. I kēia lā, ma Nirogi Lanka, e ʻimi kākou i hoʻokahi kumu kūpono: kahi kūlana i ʻike ʻia ʻo Bigeminy .
He aha ka Bigeminy?
I ka ʻōlelo maʻalahi, ʻo Bigeminy kahi hoʻopilikia iki i ka rhythm maʻamau o kou puʻuwai. Ma kēia kūlana, ʻo kēlā me kēia kekona o ka puʻuwai he kuʻi keu e hiki mai ana ma mua o ka mea i manaʻo ʻia - kahi hanana i kapa ʻia ʻo ka contraction premature . Ke hahai nei kāu rhythm i kahi ʻano: kahi kuʻi maʻamau, ukali ʻia e kahi kuʻi keu, a laila kekahi kuʻi maʻamau, ukali ʻia e kekahi kuʻi keu, a pēlā aku.
E noʻonoʻo i kēia ʻano: ʻo ka maʻamau, ua hoʻomalu ʻia kou puʻuwai e nā hōʻailona uila mai kahi "pacemaker" hoʻokahi, e like me ka mea hoʻokani pahu alakaʻi e mālama ana i kahi kuʻi paʻa no kahi hui. Ma Bigeminy, hoʻomaka kahi hōʻailona uila mai kahi ʻāpana ʻē aʻe o ka puʻuwai , e hōʻoki ana i kēlā ʻano paʻa. Me he mea lā he lua o ka mea hoʻokani pahu, e kū ana ma kahi ʻē aʻe o ke kahua, e hoʻomaka ana e kuʻi i kā lākou pahu ma ke ʻano like me ka mea hoʻokani pahu alakaʻi, e hōʻino ana i ke mele.
Aia kekahi mau ʻano like ʻole o Bigeminy?
ʻAe, hiki i ka Bigeminy ke puka mai nā ʻāpana like ʻole o ka puʻuwai, e alakaʻi ana i ʻelua mau papa mua:
1. Atrial Bigeminy: Hana ʻia kēia ma nā keʻena o luna o ka puʻuwai, i ʻike ʻia ʻo ka atria. Maanei, hana ʻia nā kuʻi keu ma ke ʻano he mau ʻūmiʻi atrial mua .
2. Ventricular Bigeminy: Hana ʻia kēia ma nā keʻena haʻahaʻa o ka puʻuwai, ʻo ia hoʻi nā ventricles. I kēia hihia, ua ʻike ʻia nā kuʻi keu he mau ʻūmiʻi ventricular mua .
He aha nā hōʻailona o Bigeminy?
ʻAʻole ʻike nā kānaka a pau i nā hōʻailona; loaʻa paha i kekahi poʻe ʻo Bigeminy me ka ʻike ʻole. Eia nō naʻe, inā loaʻa nā hōʻailona, e ʻike paha ʻoe:
- ʻEha ka umauma a i ʻole ke ʻano o ka paʻa.
- Nā palpitations o ka puʻuwai (ʻike puʻuwai ) - ka manaʻo e lele ana kou puʻuwai i kahi kuʻi a i ʻole ke kuʻi koke ʻana.
- Ka poʻo hina a i ʻole ke poʻo māmā.
- Nā manawa hiolo i kekahi manawa.
- Ka hanu wikiwiki a hohonu paha (Hyperventilation).
- Ka luhi mau a i ʻole ka pau ʻana.
E hoʻomanaʻo: Inā ʻike ʻoe i kēia mau hōʻailona, he mea nui e nīnau koke aku i ke kauka.
He aha ke kumu o ka Bigeminy?
ʻO ka Bigeminy ka hopena o nā hewa i loko o ka hōʻailona uila o ka puʻuwai. Hiki i kekahi mau kūlana kumu ke hoʻoulu i kēia, e like me:
- He moʻolelo o ka hōʻeha puʻuwai .
- Ke koko kiʻekiʻe ( ke koko kiʻekiʻe ).
- Anemia (hemoglobin haʻahaʻa a i ʻole ka helu koko haʻahaʻa ).
- ʻO ka ʻōpū thyroid hana nui ( Hyperthyroidism ) .
- ʻO Cardiomyopathy , kahi maʻi kahi e nāwaliwali ai ka ʻiʻo o ka puʻuwai.
- ʻO ka mitral valve prolapse , kahi pilikia me kekahi o nā valves o ka puʻuwai.
I ka pōkole, ma waho aʻe o nā hōʻailona mai ka pacemaker maoli o kou puʻuwai, hiki i nā pūnaewele puʻuwai ʻē aʻe ke hoʻomaka e hoʻouna i nā hōʻailona i ʻae ʻole ʻia, a i ʻole he mea keakea paha i nā ala maʻamau no nā impulses uila.
ʻO wai ka mea i ʻoi aku ka pilikia no ka Bigeminy?
ʻO kekahi mau kumu a me nā kūlana o ke ola e hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka Bigeminy:
- Ka maʻi ʻaʻa coronary .
- Ka hāʻule ʻana o ka puʻuwai .
- Ka hoʻohana nui ʻana i ka caffeine(kī, kofe, mea inu ikehu).
- Ka inu ʻana i ka waiʻona .
- Ka hoʻohana ʻana i nā huahana paka .
- Hopohopo a i ʻole ke kaumaha mau loa.
- Ke kaulike ʻole i nā electrolytes o ke kino (e like me ka sodium a i ʻole ka potassium).
- Ka nele i ka hiamoe.
Aia i loko o kou mana ka nui o kēia mau mea. E kūkākūkā mākou i ka hoʻokele ʻana i kēia mau mea ma kahi ʻatikala e hiki mai ana.
Hiki iā Bigeminy ke alakaʻi i nā pilikia?
ʻAe, i kekahi mau hihia, hiki i ka Bigeminy mau ke alakaʻi i ka nāwaliwali o ka ʻiʻo puʻuwai, kahi kūlana i kapa ʻia ʻo cardiomyopathy . Eia nō naʻe, aia ka nūhou maikaʻi: inā mālama pono ʻia ʻo Bigeminy—no ka laʻana, ma o ke kaʻina hana i kapa ʻia ʻo catheter ablation —hoʻomaikaʻi pinepine ka cardiomyopathy.
Pehea e ʻike ʻia ai ʻo Bigeminy?
Ke kipa aku ʻoe i ke kauka, e hoʻolohe mua lākou i kou puʻuwai me ka stethoscope. Inā ʻike lākou i ke ʻano hoʻololi o kahi kuʻi maʻamau a me kahi kuʻi keu, manaʻo paha lākou iā Bigeminy a paipai i nā hoʻāʻo hou aʻe e hōʻoia.
He aha nā hoʻokolohua e hana ʻia?
ʻO nā hoʻokolohua diagnostic maʻamau:
- Electrocardiogram (EKG): ʻO kēia ka ho'āʻo mua e loiloi i ka hana uila o ka puʻuwai a hiki ke ʻike pinepine iā Bigeminy.
- Nānā Holter: He mea hana EKG lawe lima i hoʻokomo ʻia no 24 a 48 mau hola e hoʻopaʻa i ka hana a kou puʻuwai i kāu hana maʻamau i kēlā me kēia lā, ʻoiai ʻaʻole paha e ʻike ʻia ʻo Bigeminy ma kahi EKG pōkole a paʻa.
- Nā hoʻāʻo koko : Hoʻohana ʻia e nānā i nā pae electrolyte a me nā pae hormone thyroid, no ka mea hiki i nā kaulike ʻole ke hoʻoulu i kēia kūlana.
- Echocardiogram: He "scan" ultrasound o kou puʻuwai e nānā i kona nui, ke ʻano, ka hana valve, a me ke olakino o nā ʻiʻo.
- Hoʻāʻo koʻikoʻi: Ke loiloi ʻana i ka hopena o kou puʻuwai i ka hoʻoikaika kino, ʻoiai ʻoiai e hele ana ma luna o ka treadmill.
Pono anei nā kānaka a pau me Bigeminy i ka mālama ʻia?
He mea koʻikoʻi kēia: inā hōʻike kāu EKG iā Bigeminy akā ʻaʻohe ou hōʻailona, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau kikoʻī. Eia nō naʻe, inā he mau hōʻailona kou, pono maoli ka lāʻau lapaʻau.
Pehea e mālama ʻia ai ʻo Bigeminy?
Inā loaʻa iā ʻoe nā hōʻailona, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻoponopono i kou puʻuwai puʻuwai. I nā hihia kahi e hoʻomau ai nā hōʻailona a inā loaʻa iā ʻoe ka cardiomyopathy pili, hiki ke kuhikuhi ʻia ʻoe no kahi kaʻina hana kūikawā i ʻike ʻia ʻo ka catheter ablation . Inā manaʻo ʻoe i kekahi ʻeha umauma a i ʻole ka ʻeha nui, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia (911 a i ʻole kāu helu ulia pōpilikia kūloko).
ʻO ka pahuhopu nui o ka lāʻau lapaʻau no Bigeminy ka hoʻoponopono ʻana i ka helu o kou puʻuwai. Eia nō naʻe, e hoʻomanaʻo ʻaʻole hiki i ka lāʻau lapaʻau ke hoʻopau loa i ke kūlana a i ʻole nā hōʻailona pili āpau. No ka poʻe i loaʻa ʻole ka hōʻoluʻolu ma o ka lāʻau lapaʻau, ua ʻōlelo pinepine ʻia kahi kaʻina hana i ʻike ʻia ʻo ka catheter ablation , kahi e haʻaheo ai i ka helu holomua o 75% a ʻoi aku paha.
Nā lāʻau lapaʻau maʻamau a me nā ʻano lapaʻau
ʻO nā koho lapaʻau maʻamau:
- Nā mea pale Beta: E kōkua i ka mālama ʻana i ka puʻuwai a me ka helu.
- Nā mea pale i ke kahawai potassium: E like me ka amiodarone (Cordarone® a i ʻole Pacerone®).
- Nā mea pale o ke kahawai calcium: No ke kākoʻo ʻana i ka hana paʻa o ka puʻuwai.
- ʻO ka hoʻopau ʻana o ka catheter: He kaʻina hana minimally invasive kahi e alakaʻi ʻia ai kahi ʻōmole lahilahi a maʻalahi hoʻi i loko o kou puʻuwai e hoʻopau i nā wahi kikoʻī e hoʻoulu ai i nā hōʻailona uila maʻamau ʻole.
Aia kekahi mau hopena ʻaoʻao a i ʻole nā pilikia?
ʻOiai ke loaʻa nei i nā lāʻau lapaʻau āpau nā hopena ʻaoʻao, hiki ke hoʻokele ʻia lākou ke kaupaona ʻia me nā pono lapaʻau. Inā he mau hopohopo kāu, e ʻoluʻolu e kamaʻilio me kāu kauka. ʻO nā hopena ʻaoʻao maʻamau no ka lāʻau Bigeminy:
- Pōʻino
- Māmā ke poʻo
- Luhi
- ʻŌpū ʻeha
- Nā ʻeha poʻo
He mea kākaʻikahi nā pilikia mai ka ablation catheter , akā e like me kekahi kaʻina hana, aia kekahi mau pilikia liʻiliʻi e ʻike ai, e like me:
- Maʻi
- Ke kahe ʻana o ke koko
- Ka hōʻeha ʻana i nā kīʻaha koko a i ʻole ka ʻiʻo puʻuwai
- Nā ʻūpā koko
- Hahau
Ka Papa Hana Hoʻōla
Hiki ke hala kekahi mau pule i ka ho'ōla piha ʻana ma hope o ka ablation catheter . He mea maʻamau ka loaʻa ʻana o nā hanana liʻiliʻi o Bigeminy i loko o kēia wā ho'ōla.
Pehea e hōʻemi ai i ka pilikia o ka Bigeminy
Hiki iā ʻoe ke hoʻohaʻahaʻa nui i kou pilikia o Bigeminy ma o ka hoʻokele ʻana i kekahi mau mea e pili ana i ke ʻano o ka nohona. E noʻonoʻo i kēia mau hana:
- E mālama pono i ke koko kiʻekiʻe .
- E hōʻemi a hōʻalo paha i ka caffeine , me ke kī a me ke kofe.
- E hōʻemi a hoʻopau paha i ka inu ʻana i ka waiʻona .
- E hōʻoia i ka loaʻa ʻana o ka hiamoe kūpono a mālie i kēlā me kēia pō.
- E hoʻokele i ka hopohopo ma o nā ʻano hana e like me ka noʻonoʻo ʻana a i ʻole ka yoga.
- E hoʻōki loa i ka hoʻohana ʻana i nā huahana paka a pau (nā sikaleka, a pēlā aku).
Me he mea lā he mea liʻiliʻi kēia mau hoʻoponopono nohona, akā hiki iā lākou ke loaʻa ka hopena nui i kou olakino puʻuwai i ka wā lōʻihi.
He aha inā loaʻa iaʻu ʻo Bigeminy?
Inā ʻaʻohe hōʻailona (ʻaʻole ʻoe e ʻike i nā hōʻailona), ʻaʻole paha ʻoe e koi i kekahi hana kikoʻī a hiki ke ola i kahi ola maʻamau. Eia nō naʻe, inā loaʻa nā hōʻailona, hiki i kāu kauka ke aʻo aku iā ʻoe e pale i ka caffeine a me ka waiʻona, e kuhikuhi i nā lāʻau lapaʻau, a i ʻole e kūkākūkā i ka hiki ke hana i ka catheter ablation.
Nānā
ʻO kou manaʻo no ka wā lōʻihi e pili ana i kou olakino puʻuwai holoʻokoʻa a me nā kumu pilikia e kū nei. No nā poʻe me nā maʻi puʻuwai ʻē aʻe, hiki iā Bigeminy ke lawelawe ma ke ʻano he hōʻailona o ka piʻi ʻana o ka pilikia; akā naʻe, no ka poʻe me nā puʻuwai olakino, ʻaʻole ʻoi aku ka kiʻekiʻe o ka pilikia ma mua o ka heluna kanaka maʻamau. Inā loaʻa iā ʻoe ka Bigeminy asymptomatic, maikaʻi loa kou manaʻo no ka manawa holoʻokoʻa. ʻAʻohe pono no ka hopohopo nui.
Ke Mālama ʻana iā ʻOe Iho
No ka hoʻokō ʻana i nā hopena maikaʻi loa, e hahai pono i ke alakaʻi a kāu kauka. E noho kūlike me kāu lāʻau lapaʻau i kuhikuhi ʻia a mālama i kahi hana maʻamau no ka puʻuwai:
- E lawe i nā lāʻau lapaʻau e like me ke kauoha.
- E hoʻomanaʻo i kāu meaʻai: E hōʻemi i ka caffeine, nā meaʻai ʻaila, a me ke kō keu.
- E haʻalele i ka puhipaka: He mea nui kēia no ka ho'ōla ʻana o ka puʻuwai.
- Ka inu ʻana i ka waiʻona kūpono.
- E hoʻoikaika kino mau: E kūkākūkā mau me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papa hana hoʻoikaika kino hou.
- E hoʻonohonoho i ka hoʻomaha a me ka hiamoe.
- E hoʻokele i ke kaumaha: E komo i nā hana leʻaleʻa, ka launa pū ʻana, a i ʻole nā hana noʻonoʻo pono.
Āhea ʻoe e ʻike ai i ke kauka?
E hele i kāu mau hālāwai hoʻomaʻamaʻa maʻamau. E kelepona koke aku i kāu mea mālama ola kino inā:
- ʻIke ʻoe i nā hōʻailona hou a i ʻole inā loli nā hōʻailona e kū nei.
- Ke ʻoi aku ka ʻino o kou mau hōʻailona .
- Loaʻa iā ʻoe nā hopena ʻino mai kāu lāʻau lapaʻau.
- Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka nāwaliwali, e kāhea i ka 911 a i ʻole e hele koke i ka keʻena pilikia kokoke loa.
Nā nīnau e nīnau aku ai i kāu kauka
I kāu kipa ʻana mai, makemake paha ʻoe e nīnau:
- ʻEhia ka nui o kaʻu e kaupalena ai i kaʻu lawe ʻana i ka caffeine?
- ʻEhia pinepine e pono ai iaʻu nā manawa hoʻonohonoho?
- Hiki iā ʻoe ke kuhikuhi i nā ʻano hana kikoʻī e hoʻokele ai i koʻu kaumaha?
- Aia kekahi mau kumuwaiwai a i ʻole nā papahana e kōkua iaʻu e haʻalele i ka paka?
- He palekana anei iaʻu ke hoʻoikaika kino maʻamau?
- He aha nā hoʻololi kikoʻī i ka meaʻai e pono loa iaʻu?
Memo Hope Loa
Hiki ke paʻakikī ke loaʻa ʻana o ka maʻi Bigeminy, akā he kūlana ia e hiki ke hoʻokele ʻia. E hoʻomanaʻo he nui ka poʻe me nā hōʻailona ʻole e pono ʻole i ka lāʻau lapaʻau. E hana pū me kāu hui mālama Nirogi Lanka , e hele i kāu mau manawa i hoʻopaʻa ʻia, a e hahai i kāu hoʻolālā lapaʻau. ʻO ka hoʻoikaika ʻana i ke olakino o kou puʻuwai ka hana nui loa hiki iā ʻoe ke hana.
