Ke manaʻo nei ʻoe i kekahi manawa e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai i ka manawa koke, a i ʻole e like me ka paʻi wikiwiki ʻana? He mea ʻē i loko o kou umauma, me ka ʻeha iki paha. ʻAʻole maikaʻi ka hoʻowahāwahā ʻana i nā mea e like me kēia. I kēia lā, e kamaʻilio kākou e pili ana i kekahi kumu kūpono o kēia, ʻo ia ke ʻano i kapa ʻia ʻo `(Bigeminy)`.
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)`.
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.
I ka ʻōlelo maʻalahi, me nā hōʻailona e puka mai ana mai ka pacemaker kūlohelohe o ka puʻuwai, hiki i nā ʻāpana ʻē aʻe i loko o ka puʻuwai ke hāʻawi i ka puʻuwai i ka hōʻailona e kuʻi. A i ʻole, aia paha kekahi mau mea e ālai ana i nā ala maʻamau e lawe ana i nā hōʻailona i ka 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 kākou ke kaohi i kekahi o kēia mau mea, ʻeā? E kamaʻilio kākou e pili ana i kēlā ma hope.
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
He mea kākaʻikahi loa nā pilikia ma hope o ka hoʻopau ʻana o ke catheter. Eia nō naʻe, i kekahi manawa hiki ke loaʻa nā mea penei:
- 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?
ʻO ka mea hope loa, ʻo ka mea nui loa
Hiki paha iā ʻoe ke hopohopo iki ke haʻi aku kāu kauka iā ʻoe he mau kuʻi keu kou i loko o kou puʻuwai, a i ʻole "Bigeminy". He mea maʻamau kēlā. Akā e hoʻomanaʻo, he nui ka poʻe me "Bigeminy" ʻaʻohe o lākou mau hōʻailona ʻaʻole pono ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana inā pono ʻoe i ka lāʻau lapaʻau no "Bigeminy". E mālama i kāu mau manawa a lawe i nā lāʻau lapaʻau i kuhikuhi ʻia.
He mea nui e mālama i kou puʻuwai.
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