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He aha ka (Bigeminy)?
I ka ʻōlelo maʻalahi, ʻo (Bigeminy) kahi ʻano ʻē liʻiliʻi i ka mele o ko kākou puʻuwai, ʻo ia hoʻi, i ka mele. Ma kēia, hele mai kēlā me kēia kekona o ka puʻuwai o ka puʻuwai ma ke ʻano he kuʻi hou ma mua o ka kuʻi maʻamau, a i ʻole (premature contraction). ʻO ia hoʻi, hoʻokahi kuʻi maʻamau, a laila he kuʻi hou, he kuʻi maʻamau hou, a laila he kuʻi hou ... Pēlā ia. E noʻonoʻo penei. ʻO ka maʻamau, hele mai kahi hōʻailona uila mai kahi hoʻokahi i loko o ko kākou puʻuwai a hoʻolilo i ka puʻuwai i kuʻi pono. E like me ka mea hoʻokani pahu nui o kahi hui pahu e kuʻi ana i hoʻokahi mele. A laila hele kēia hōʻailona mai luna o ka puʻuwai a i lalo a kuʻi ka puʻuwai ma ke ʻano hoʻonohonoho. Akā ma (Bigeminy), hoʻomaka kekahi hōʻailona uila mai kahi ʻokoʻa i loko o ka puʻuwai, e hoʻopilikia ana i kēlā ʻano maʻamau. Hana ʻia kēia i kēlā me kēia kekona o ka puʻuwai. Me he mea lā ma hope o ka paʻi ʻana o ka mea hoʻokani pahu alakaʻi i ka pahu, hoʻokani kekahi mea hoʻokani pahu ma kahi ʻē aʻe ma ke kahua i kāna pahu, a huli lākou i ka paʻi ʻana i kēlā me kēia kekona.Aia kekahi mau ʻano o (Bigeminy)?
ʻAe, hiki i kēia kūlana (Bigeminy) ke hoʻomaka ma nā ʻāpana like ʻole o ka puʻuwai. No laila, aia ʻelua ʻano nui. 1. Atrial Bigeminy (Atrial Bigeminy): Hana ʻia kēia ma nā keʻena ʻelua o luna o ka puʻuwai, ʻo ia hoʻi, ka atria. Maanei, hele mai kēlā mau puʻuwai keu ma ke ʻano o (premature atrial contractions). 2. Ventricular Bigeminy (Ventricular Bigeminy): Hana ʻia kēia ma nā keʻena ʻelua o lalo o ka puʻuwai, ʻo ia hoʻi, nā ventricles. Maanei, hele mai nā puʻuwai keu ma ke ʻano o (premature ventricular contractions).
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Check Availability →He aha nā hōʻailona o ka (Bigeminy)?
ʻAʻole loaʻa i nā kānaka a pau nā hōʻailona. ʻAʻole paha e ʻike kekahi poʻe i kekahi mea ʻoiai inā loaʻa iā lākou ka "Bigeminy". Eia naʻe, no ka poʻe i loaʻa nā hōʻailona, hiki ke hana ʻia kēia mau mea:- Ke ʻeha a i ʻole ke kūpikipikiʻia ʻana o ka umauma .
- Nā palpitations o ka puʻuwai - Manaʻo e like me ka lele ʻana o kou puʻuwai i kahi kuʻi, a i ʻole e kuʻi koke ana me ka wikiwiki loa.
- Manaʻo puni ke poʻo .
- I kekahi manawa aia paha ka heheʻe ʻana.
- ʻO ka hyperventilation ka hanu wikiwiki a hohonu.
- Manaʻo luhi a luhi hoʻi.
E hoʻomanaʻo, inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka.
No ke aha e hana ʻia ai kēia (Bigeminy)? He aha nā kumu?
Hoʻokumu ʻia ka Bigeminy e nā pilikia me ke ʻano o ka hoʻouna ʻana o ka puʻuwai i nā hōʻailona uila. Aia kekahi mau kūlana e hiki ke hana i kēia. Eia kekahi laʻana:- Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua.
- Inā he koko kiʻekiʻe kou (ʻōlelo mākou ua kiʻekiʻe loa ke kaomi).
- Anemia ( hemoglobin haʻahaʻa i loko o ke koko ).
- Hoʻonui ʻia ka hana o ka ʻōpū thyroid ( Hyperthyroidism ) .
- ʻO ka Cardiomyopathy kahi maʻi e hoʻonāwaliwali ai i ka ʻiʻo o ka puʻuwai.
- ʻO ka mitral valve prolapse kahi pilikia me ka valve puʻuwai.
ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka "Bigeminy"?
Aia kekahi mau mea e hoʻonui ai i ka pilikia o ka "Bigeminy". E nānā kākou i ke ʻano o lākou:- Ka maʻi ʻaʻa coronary .
- Ka hāʻule ʻana o ka puʻuwai .
- Ka hoʻohana nui ʻana i ka caffeine (i loaʻa i ke kī, kofe, a me kekahi mau mea inu).
- Ka hoʻohana ʻana i ka waiʻona .
- Ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes).
- Hopohopo .
- Hoʻonui a emi paha nā pae electrolyte i loko o ke kino (e like me ka sodium a me ka potassium) ma mua o ka pae kūpono.
- ʻAʻole lawa ka hiamoe.
Hiki iā Bigeminy ke hana i nā pilikia ʻē aʻe?
ʻAe, i kekahi manawa hiki i ka (Bigeminy) ke hoʻonāwaliwali i ka ʻiʻo puʻuwai. Kāhea mākou i kēlā ʻano he (Cardiomyopathy) . Akā aia ka nūhou maikaʻi. Inā mālama pono ʻia ʻo (Bigeminy), no ka laʻana me kahi lāʻau i kapa ʻia ʻo (catheter ablation) , hiki ke ho'ōla ʻia ke ʻano (Cardiomyopathy).Pehea e ʻike ai i ka (Bigeminy)? (Diagnosis)
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe mua ʻo ia i kou puʻuwai me ka stethoscope. Inā lohe ʻoe i ke kuʻi maʻamau a me ke kuʻi keu, hiki i ke kauka ke kānalua i ke kūlana "Bigeminy". A laila e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ia mea.He aha ke ʻano o nā hoʻokolohua e hana ʻia?
Hoʻonohonoho pinepine ʻia nā hoʻokolohua penei:- ʻElectrocardiogram (EKG):ʻO kēia ka hoʻāʻo nui e nānā ana i ka hana uila o ka puʻuwai. Hiki iā ia ke ʻike pinepine i ka "Bigeminy".
- Nānā Holter: Ua like kēia me kahi mīkini EKG liʻiliʻi. Hoʻokomo ʻia ia ma kou kino no 24 a 48 mau hola a hoʻopaʻa i kou helu puʻuwai i loko o ia manawa. Inā ʻaʻole ʻoe e loaʻa i ka bigeminy i nā manawa a pau, ʻaʻole paha e ʻike ʻia ma kahi EKG maʻamau.
- Nā hoʻāʻo koko : Hana ʻia kēia e nānā i nā mea e like me nā pae electrolyte a me nā pae hormone thyroid, ʻoiai hiki i nā loli i kēia mau mea ke hoʻopilikia i kēia kūlana.
- Echocardiogram: Hiki i kēia ke nānā i nā mea e like me ke ʻano, ka nui, ka hana o nā valves, a me ka hana o ka ʻiʻo puʻuwai. Ua like ia me ka scan puʻuwai.
- Hoʻāʻo koʻikoʻi: Pili kēia i ka holo ʻana ma luna o kahi treadmill a me ka nānā ʻana i ke ʻano o ka loli ʻana o kou puʻuwai i ka wā o ka hoʻoikaika kino.
Pono anei nā kānaka a pau i ka lāʻau lapaʻau no ka "Bigeminy"?
Eia ka mea nui. Inā hōʻike kāu EKG ua loaʻa iā ʻoe ʻo Bigeminy, akā ʻaʻohe ou hōʻailona, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau kūikawā. Eia nō naʻe, ʻo ka poʻe i loaʻa nā hōʻailona e pono maoli i ka lāʻau lapaʻau.Pehea e mālama ʻia ai ʻo (Bigeminy)?
Inā loaʻa iā ʻoe nā hōʻailona o (Bigeminy), hiki i nā kauka ke mālama iā ʻoe me ka lāʻau lapaʻau. I kekahi manawa, inā hele pū nā hōʻailona me ka (Cardiomyopathy) i ʻōlelo mua ʻia, pono paha kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo (catheter ablation) . ʻO ka manaʻolana nui o ka lāʻau lapaʻau i hāʻawi ʻia no (Bigeminy) ʻo ia ka hoʻolohi ʻana i ka puʻuwai. Eia naʻe, ʻaʻole paha e hoʻōki loa kēia mau lāʻau lapaʻau i ke kūlana (Bigeminy) a hoʻopau paha i nā hōʻailona. Hana ʻia ka lāʻau lapaʻau i kapa ʻia ʻo (catheter ablation) no ka poʻe i loaʻa ʻole ka hōʻoluʻolu mai ka lāʻau lapaʻau. ʻO ka helu holomua o kēia lāʻau lapaʻau he 75% a ʻoi aku paha.Nā lāʻau lapaʻau/lāʻau lapaʻau i hoʻohana ʻia
Hoʻohana ʻia nā mea aʻe ma ke ʻano he lāʻau lapaʻau:- Nā mea pale beta
- Nā mea pale o ke kahawai potassium - no ka laʻana, kahi lāʻau lapaʻau i kapa ʻia ʻo amiodarone (Cordarone® a i ʻole Pacerone®).
- Nā mea pale i ke kahawai kalipuna
- ʻO ka ablation catheter - ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi i loko o ka puʻuwai a hoʻopau i ka wahi kahi e puka mai ai nā hōʻailona uila keu.
Aia kekahi mau hopena ʻaoʻao/pilikia o ka lāʻau lapaʻau?
Hiki i kekahi lāʻau lapaʻau ke loaʻa kekahi mau hopena ʻaoʻao. Eia nō naʻe, i ka hoʻohālikelike ʻia me nā pono o ka lāʻau lapaʻau, ʻaʻole koʻikoʻi loa nā hopena ʻaoʻao. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka. ʻO kekahi o nā hopena ʻaoʻao o nā lāʻau lapaʻau no (Bigeminy) penei:- Pōʻino
- Manaʻo māmā ke poʻo (Lightheadness)
- Luhi
- ʻŌpū ʻeha
- Nā ʻeha poʻo
- Maʻi
- Ke kahe ʻana o ke koko
- Ka hōʻino ʻana i kahi kīʻaha koko a i ʻole ka ʻiʻo puʻuwai
- Nā ʻūpā koko
- Hahau
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?
Hiki ke hala kekahi mau pule e ho'ōla piha ai ma hope o ka hoʻohemo ʻana o ke catheter. I loko o kēia manawa, aia paha kekahi mau ʻāpana liʻiliʻi o ka "bigeminy."Pehea e hōʻemi ai i ka pilikia o ka (Bigeminy)?
Hiki iā kākou ke hōʻemi i ko kākou pilikia o ka hoʻomohala ʻana i ka "Bigeminy" ma ka hoʻololi ʻana i kekahi o nā kumu pilikia e hiki ai iā kākou ke kaohi. E nānā inā hiki iā ʻoe ke hana i kēia mau mea:- Inā he koko kiʻekiʻe kou, e kaohi iā ia.
- E hōʻalo i ka lawe nui ʻana i ka caffeine . E kaupalena i nā mea e like me ke kī a me ke kofe.
- E hōʻemi i ka inu ʻana i ka waiʻona , a i ʻole e hoʻōki loa.
- E hiamoe pono i kēlā me kēia pō.
- E ʻimi i nā ala e hoʻokele ai i ka hopohopo . Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka yoga ke kōkua.
- E pale loa i nā huahana paka (cigarettes, bidis).
ʻOiai he mau hoʻololi liʻiliʻi kēia o ke ʻano o ka nohona, hiki iā lākou ke hoʻopilikia nui i ke olakino o kou puʻuwai.
He aha ka mea e hana ʻia inā aia ka (Bigeminy)?
Inā ʻaʻohe ou hōʻailona, ʻaʻohe mea nui āu e hiki ai ke hana. Hiki iā ʻoe ke ola maʻamau. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, e haʻi aku kāu kauka iā ʻoe e pale i nā mea e like me ka caffeine, nā lāʻau lapaʻau, a me ka waiʻona. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau. Pono paha kekahi poʻe i ka ablation catheter.He aha ke kūlana olakino o ka poʻe me ka (Bigeminy)? (Outlook)
ʻO ke olakino o ka poʻe me (Bigeminy) e pili ana i ka loaʻa ʻana o nā maʻi puʻuwai ʻē aʻe a me nā kumu pilikia ʻē aʻe. No ka poʻe me nā maʻi puʻuwai ʻē aʻe, ʻo (Bigeminy) he hōʻailona ia e hoʻonui iki ʻia paha ka pilikia o ka make. Akā no kekahi poʻe, ʻo ia hoʻi, ka poʻe me nā maʻi puʻuwai ʻē aʻe, ʻaʻole kiʻekiʻe ka pilikia o ka make ma mua o ke kanaka maʻamau. No ka poʻe me (Bigeminy) me nā hōʻailona ʻole, maikaʻi loa ka nānā ʻana. ʻAʻohe mea e hopohopo ai.Pehea wau e mālama ai iaʻu iho?
No nā hopena maikaʻi loa, e hahai pono i nā ʻōlelo a kāu kauka. Pono paha ʻoe e hōʻemi i ka caffeine a loaʻa nā ala e hōʻemi ai i ke kaumaha. Inā ʻoe e lawe ana i ka lāʻau lapaʻau i kuhikuhi ʻia, e lawe pololei e like me ke kuhikuhi ʻana ma ka ʻōmole.- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono e like me ke kauoha a ke kauka.
- E makaʻala i kāu mea e ʻai ai a inu ai. E hōʻemi i ka caffeine, nā meaʻai momona, a me nā mea ʻono i ka hiki.
- Inā ʻoe e puhipaka, pono ʻoe e hoʻōki.
- E kaupalena i ka inu ʻana i ka waiʻona.
- Hoʻoikaika kino. Akā e hoʻomaka ma ka nīnau ʻana i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe.
- He mea nui ka hoʻomaha kūpono a me ka hiamoe.
- E hōʻemi i ke kaumaha. Hiki i nā mea e like me ke kamaʻilio ʻana me nā hoaaloha, ke komo ʻana i kahi hana leʻaleʻa, a me ka noʻonoʻo ʻana ke kōkua.
Āhea wau e ʻike ai i ke kauka?
He mea nui e mālama i kāu mau manawa maʻamau. Eia nō naʻe, e ʻike koke i kāu kauka inā:- Inā loaʻa iā ʻoe nā hōʻailona hou , a inā paha e loli kāu mau hōʻailona.
- Inā e ʻoi aku ka ʻino o kou mau hōʻailona .
- Inā hoʻoulu ka lāʻau lapaʻau āu e lawe nei i nā hopena ʻaoʻao maikaʻi ʻole .
- Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole e like me ʻoe e nalowale ana ka ʻike , e hele koke i ka haukapila.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
Ke hele ʻoe i ke kauka, he mea maikaʻi ke nīnau i nā nīnau e like me kēia:- ʻEhia ka nui o ka caffeine e pono iaʻu e hōʻemi?
- ʻEhia pinepine e pono ai iaʻu e hele mai no nā hālāwai hoʻomaʻamaʻa?
- Hiki iā ʻoe ke kuhikuhi mai i nā ala e hōʻemi ai i koʻu kaumaha?
- Hiki iā ʻoe ke kuhikuhi mai iaʻu i kahi papahana e kōkua iaʻu e haʻalele i ka hoʻohana ʻana i nā huahana paka?
- Hiki iaʻu ke hoʻoikaika kino maʻamau me kēia maʻi?
- He aha nā hoʻololi e pono iaʻu e hana i kaʻu papaʻai?
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