Ua haʻi aku anei kāu kauka iā ʻoe ua nāwaliwali ka hana o kou puʻuwai, ʻo ia hoʻi, ua loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai? Ke manaʻo nei ʻoe ua luhi loa a pōkole ka hanu ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā? Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi pacemaker. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi mea like, akā ʻokoʻa iki, hiki ke kōkua nui i ka poʻe me ka hana puʻuwai nāwaliwali loa. ʻO ia ka Biventricular Pacemaker.
I ka ʻōlelo maʻalahi, he aha kēia Biventricular Pacemaker?
He mea liʻiliʻi ka pacemaker biventricular i hoʻokomo ʻia i loko o ke kino ma ke ʻoki ʻana, e like me ka pacemaker maʻamau, e kōkua i ka kaohi ʻana i nā ʻano puʻuwai maʻamau ʻole (arrhythmias). Eia naʻe, ʻo ka ʻokoʻa nui ka helu o nā uea i hoʻopili ʻia iā ia.
E noʻonoʻo, he hoʻokahi a ʻelua paha mau uea o kahi pacemaker maʻamau. Akā, he ʻekolu mau uea ko kēia Biventricular Pacemaker. He mea nui loa kēia. Ma muli o kēia mau uea ʻekolu, ua pili kekahi i ke keʻena ʻākau o luna o ka puʻuwai (Right Atrium), a ua pili nā uea ʻelua ʻē aʻe i nā keʻena nui ʻelua (Ventricles) ma lalo o ka puʻuwai.
I kēia manawa, e nānā, i ka wā e hōʻeha ai ka puʻuwai, i kekahi manawa ʻaʻole e ʻūlū nā keʻena haʻahaʻa ʻelua (ventricles) o kou puʻuwai i ka manawa like, ma ke ʻano like. Ua like ia me ʻelua mau kānaka e hoe ana i kahi waʻa ma kahi o ka hoe ʻana i nā ʻaoʻao ʻē aʻe, akā i ka pau ʻana o kekahi kanaka i ka hoe ʻana, lawe ka mea ʻē aʻe i ka mana. A laila, ʻaʻole e neʻe pono ka waʻa i mua, ʻeā? Pēlā nō ia. Ke hana pū ʻole nā keʻena ʻelua o ka puʻuwai, he mea paʻakikī loa i ka puʻuwai ke pamu i ka nui o ke koko momona i ka oxygen e pono ai ke kino.
Hana ka Biventricular Pacemaker ma ka hoʻouna ʻana i nā hōʻailona uila i nā keʻena ʻelua e ʻuʻuku i ka manawa like a ma ke ʻano like, e hoʻihoʻi ana i ka pono o ka puʻuwai. Ua kapa nā kauka i kēia lāʻau lapaʻau ʻo Cardiac Resynchronization Therapy (CRT) .
ʻO wai ka mea e pono ai kēia hāmeʻa?
ʻO ka maʻamau, ʻōlelo ke kauka i kahi mea hana e like me kēia no kekahi mau kumu. E nānā kākou i ke ʻano o lākou.
- Inā ʻaʻole hiki iā ʻoe ke kāohi i kāu mau hōʻailona me nā lāʻau lapaʻau i kuhikuhi ʻia e kāohi i kou kūlana puʻuwai.
- Inā ʻaʻole hiki iā ʻoe ke hana pono i nā hana o kēlā me kēia lā ma muli o ka luhi nui a me ka paʻakikī o ka hanu ʻana (dyspnea).
- Inā ʻaʻole lawa ke koko e pamu ana kou puʻuwai i kou kino.
- Inā hōʻoia nā hoʻokolohua e like me ka ECG ʻaʻole e hana pū ana nā keʻena o ka puʻuwai.
- Inā hoʻoholo ke kauka he pilikia i ke ola ma muli o ka hopu koke ʻana o ka puʻuwai.
ʻOkoʻa ma waena o CRT-P a me CRT-D
Eia kekahi mea ʻē aʻe āu e ʻike ai. Pono paha kekahi poʻe i kahi defibrillator e kāohi i kahi ʻano puʻuwai weliweli, me kēia Biventricular Pacemaker (CRT-P).Hoʻokomo ʻia kekahi ICD. Ua kapa ʻia ka hāmeʻa he CRT-D . ʻIke kēia i ka wā e kuʻi wikiwiki ana ka puʻuwai a hāʻawi i kahi haʻalulu uila liʻiliʻi e hoʻihoʻi i ke ʻano o ka puʻuwai. Hiki i kēia ke hoʻopakele i kekahi mai ka make koke. Na kāu kauka e hoʻoholo i ke ʻano āu e pono ai.
He aha nā pono a me nā pilikia o ke kau ʻana i kēia hāmeʻa?
E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia liʻiliʻi. He mea nui e loaʻa kahi ʻike maopopo o kēia mau mea.
| Nā pono nui | Nā pilikia a me nā pilikia hiki ke loaʻa |
|---|---|
| Ka emi nui ʻana o nā hōʻailona e like me ka luhi a me ka pōkole o ka hanu. | E like me nā ʻoki kino āpau, aia kekahi mau pilikia e like me ka maʻi a me ke kahe ʻana o ke koko. |
| Ka hoʻomaikaʻi ʻana i ke ʻano o ke ola. | ʻO ka uea i hoʻopaʻa ʻia i ka uea e paheʻe ana mai kona wahi aku a i ʻole e hemo ana. |
| Ka emi ʻana o ke alapine (frequency) o nā hoʻokipa ʻana ma ka haukapila ma muli o ka maʻi puʻuwai. | ʻAʻole hana ka hāmeʻa e like me ka mea i manaʻo ʻia. (e.g. nā pilikia pākahiko) |
| Hoʻomaikaʻi i ka hana o ka puʻuwai. | I kekahi manawa (ma kahi o ʻekolu o nā kānaka he ʻumi) ʻaʻole paha e hiki mai ka hoʻomaikaʻi ʻana i manaʻo ʻia o nā hōʻailona. |
| Ke hoʻolōʻihi nei i ka manawa e hiki ai iā ʻoe ke ola me nā maʻi puʻuwai. | Inā he ʻano CRT-D ia, hiki i ka defibrillator ke hāʻawi i nā haʻalulu pono ʻole. |
Aia kekahi mau hihia kahi i hiki ʻole ai ke hoʻokomo ʻia kēia hāmeʻa?
ʻAe, ʻaʻole paha kēia e kūpono no kekahi poʻe. No ka laʻana, inā he maʻi ʻeha i loko o ke kino, kahi maʻi kahe koko, a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe e hiki ke hoʻoweliweli i ke ola i loko o hoʻokahi makahiki, ʻaʻole paha e ʻōlelo ke kauka i kēia ʻoki kino.
He aha kāu e pono ai e makaʻala ma hope o ke hoʻokomo ʻana i kahi pacemaker?
Ua like ia me kekahi ʻāpana o kou kino, no laila pono ʻoe e mālama pono iā ia.
Nā hoʻokolohua lapaʻau (Nā hana hoʻomau)
Pono ʻoe e ʻike i kāu kauka i kekahi mau manawa o ka makahiki. I loko o kēia mau kipa ʻana, e nānā ʻo ia i kou olakino, e hōʻoia i ka hana pono ʻana o kāu hāmeʻa, e nānā i ka pila, a e nānā i nā mea hou o ka polokalamu . E noi ʻia paha ʻoe e hana i nā nānā mamao mahina mai ka home.
Pehea ʻoe e ʻike ai aia kahi pilikia?
Inā hoʻi hou kāu mau hōʻailona (luhi, poniuniu, māʻule, pōkole o ka hanu) e like me ma mua, e kāhea koke i kāu kauka. I kekahi manawa e kani paha ka hāmeʻa. Inā loaʻa iā ʻoe kahi CRT-D, pono ʻoe e hōʻike koke iā ia inā manaʻo ʻoe i kahi haʻalulu uila .
Nā mea hana e noho mamao aku ai
He mea nui loa kēia. Pono ʻoe e noho mamao aku mai nā mea i loaʻa nā kahua magnetic ikaika, no ka mea hiki iā lākou ke hoʻopilikia i nā hōʻailona mai kāu pacemaker.
- Nā kelepona paʻalima a me nā headphone: Ke kamaʻilio ʻana ma ke kelepona, e hoʻopaʻa iā ia i ka pepeiao ma ke alo o ka pacemaker. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i kahi kelepona hoʻolele leo. Mai lawe i ke kelepona a i ʻole nā headphone i loko o ka ʻeke o ka pālule.
- Nā Mea ʻIke Metala: Hiki i kēia ke hoʻāla i nā ʻale hoʻāla ma nā wahi e like me nā kahua mokulele. No laila e lawe mau i kāu kāleka ID pacemaker me ʻoe a hōʻike i nā limahana palekana e noi ai i kahi hōʻoia kūikawā.
- Nā mea lapaʻau ʻē aʻe: Inā pono ʻoe e hana i kekahi ʻoki kino ʻē aʻe, MRI scan, mālama ʻana i nā pōhaku puʻupaʻa, TENS therapy no ka ʻeha, a i ʻole radiation therapy no ke kanesa, pono ʻoe e hoʻomaopopo mua i kāu cardiologist.
He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi ʻia aku iā ʻoe e pono ana ʻoe i kahi pacemaker no kahi maʻi puʻuwai ʻaʻole lawa ka lāʻau lapaʻau wale nō. Akā, he nui nā hōʻoluʻolu a me nā pono e hiki i kēia hāmeʻa ke lawe mai i kou ola. No laila, inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka.
Leka Lawe-Home
- ʻO ka pacemaker biventricular kahi mea hana kūikawā e hoʻonui ai i ka pono o ka puʻuwai ma ka hana ʻana i nā keʻena ʻelua o ka puʻuwai e hana pū no ka poʻe me ka hāʻule nui o ka puʻuwai.
- E kōkua nui kēia i ka hōʻemi ʻana i nā hōʻailona e like me ka luhi a me ka pōkole o ka hanu, a hoʻomaikaʻi i kou ʻano ola.
- Ma hope o ke kau ʻana o ka hāmeʻa, he mea nui e hele i nā hoʻokolohua kino i nā manawa i hoʻonohonoho ʻia e ke kauka.
- E akahele i ka lawe ʻana i nā mea e like me nā kelepona paʻalima a me nā magnet ikaika. E mālama mau i kāu kāleka ID me ʻoe.
- Inā ʻike ʻoe i ka poniuniu, ka māʻule ʻana, ka paʻakikī o ka hanu ʻana, a i ʻole ka manaʻo o ka haʻalulu mai ka hāmeʻa, e hoʻomaopopo koke i kāu kauka.
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