Ua kiʻekiʻe loa anei kou helu puʻuwai? E kamaʻilio kākou e pili ana i ka Bradycardia!

Ua lohe paha ʻoe i kou puʻuwai a manaʻo, "Auē, lohi loa kēlā"? A i ʻole ua loaʻa iā ʻoe kahi leka hoʻomaopopo 'haʻahaʻa ka helu o ka puʻuwai' mai kāu uaki akamai? Malia paha ua manaʻo wale ʻoe i ka poniuniu a ʻōlelo kekahi, "Lohi iki koʻu helu o ka puʻuwai." ʻO kēia puʻuwai lohi ka mea a mākou e kamaʻilio nei i kēia lā, kahi kūlana i kapa ʻia ʻo "Bradycardia" ma ka ʻōlelo lapaʻau.

I ka ʻōlelo maʻalahi, he aha ka Bradycardia?

ʻO Bradycardia, a i ʻole bradyarrhythmia, ʻo ia ka wā e paʻi ai kou puʻuwai ma lalo o 60 mau manawa i kēlā me kēia minuke ke hoʻomaha ʻoe, ʻo ia hoʻi, ke kū mālie ʻoe, ʻaʻole e holo a lele paha. ʻO ka helu maʻamau o ka puʻuwai o kahi pākeke olakino ma waena o 60 a me 100 mau kuʻi i kēlā me kēia minuke. No laila, inā emi ia ma mua o 60, kapa mākou ia he helu puʻuwai lohi, a i ʻole bradycardia.

Akā, ʻo ka mea nui loa ma ʻaneʻi, ʻo kēlā me kēia manawa e hāʻule ai ka helu o ka puʻuwai ma lalo o 60, ʻaʻole ia he maʻi a he mea e makaʻu ai. E noʻonoʻo i kahi mea e hoʻoikaika kino maikaʻi ana a pāʻani haʻuki. Kāhea mākou iā lākou he `(athletes)`. No ka mea, ua maʻa ko lākou mau puʻuwai i ka hana pono loa, hiki iā lākou ke pamu i ka nui o ke koko e pono ai ke kino i hoʻokahi kuʻi. No laila, inā paha e kuʻi wikiwiki ko lākou mau puʻuwai, ʻaʻohe pilikia no ke kino. Eia kekahi, he mea maʻamau ka lohi iki o ka helu o ka puʻuwai ʻoiai ke hiamoe maikaʻi nei mākou. Ua kapa ʻia hoʻi kēia he `(sinus bradycardia)`. ʻO ia hoʻi, e kuʻi maoli ana ka puʻuwai, me ka ʻole o ka pilikia i ka ʻōnaehana uila o ka puʻuwai.

He aha nā hōʻailona o kahi kanaka me ka bradycardia?

He nui ka poʻe, ʻoiai nā mea pāʻani i ʻōlelo ʻia ma mua, he haʻahaʻa ko lākou mau helu puʻuwai a ʻaʻole lākou e ʻike i kekahi mau hōʻailona. ʻAʻohe o lākou pilikia. Akā i kekahi manawa, ʻoiai inā ʻaʻohe hōʻailona, ​​aia paha ke kumu no ka mālama ʻana i loko.

Akā, i ka wā e lohi ai ka puʻuwai, ʻo ia hoʻi, ʻaʻole hiki i ka puʻuwai ke pamu i ke koko momona i ke kino, e ʻike ʻia paha kekahi mau hōʻailona. Eia nā hōʻailona:

Mea nui: Inā ʻike ʻoe ua haʻahaʻa kou puʻuwai a loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻimi koke i ke kōkua lapaʻau.

No ke aha e emi ai ka helu o ka puʻuwai penei? (Nā kumu)

ʻAʻole wale ka puʻuwai he pōpō ʻiʻo. He ʻōnaehana uila paʻakikī loa kona i loko. ʻO kēia mau hōʻailona uila ka mea e hoʻokani ai i ka puʻuwai i kahi mele. ʻO ke kumu nui o ka bradycardia he pilikia me kēia ʻōnaehana uila. Ua like ia me ka lohi o kā mākou pūnaewele home, a i ʻole ʻaʻole loaʻa i kā mākou TV kahi hōʻailona.

ʻElua mau pilikia nui e pili ana i kēia:

1. Ka hana pono ʻole o ke kikowaena sinus: Aia kahi ʻāpana o ka puʻuwai e hana ana e like me ka pacemaker kūlohelohe. Ua kapa ʻia ʻo ia ʻo ke kikowaena sinus. Hāʻawi ia i ka hōʻailona i ka puʻuwai e kuʻi i kahi wikiwiki. Ke hana pono ʻole kēia kikowaena, lohi ka helu o ka puʻuwai.

2. Pale puʻuwai: ʻO kēia ka wā e hele pono ʻole ai nā hōʻailona uila mai nā keʻena o luna o ka puʻuwai (atria) i nā keʻena o lalo (mitra). Hoʻokumu kēia i kahi ʻano 'pale kaʻa' ma ke ala hōʻailona.

ʻAe, e nānā kākou i nā kumu ʻē aʻe e hiki ai ke hoʻopilikia ʻia kēia ʻōnaehana uila.

• Ka ʻelemakule: Ma hope o 70 mau makahiki, hiki i ka ʻōnaehana uila o ka puʻuwai ke hoʻonāwaliwali iki.
• Kekahi mau kūlana olakino:
• Maʻi puʻuwai: Nā mea e like me nā hōʻeha puʻuwai ma mua, cardiomyopathy, a me nā maʻi puʻuwai hānau.
• ʻO ka thyroid hana ʻole: Ke emi kēia hormone, lohi ka puʻuwai, e like me nā mea āpau o ke kino.
• Nā kaulike ʻole o ke electrolyte: Hiki ke hana i kēia ʻano inā he piʻi a emi paha nā electrolytes, e like me ka potassium, i loko o ke koko.
• ʻO ka apnea hiamoe obstructive: ʻO kēia ʻano, kahi e pau ai ka hanu ʻana i ka wā hiamoe, hiki ke hoʻoulu i ka puʻuwai lohi.
• Nā maʻi: ʻO kekahi mau maʻi, e like me ka maʻi Lyme a me ka maʻi Chagas, hiki ke hoʻopilikia i ka ʻiʻo o ka puʻuwai a hoʻoulu i kēia ʻano.
• Nā maʻi ʻē aʻe: Nā maʻi e hoʻoulu ai i ka mumū i loko o ke kino, e like me ka rheumatoid arthritis a me ka lupus.
• Kekahi mau lāʻau lapaʻau: ʻO nā lāʻau lapaʻau e like me nā "beta-blockers" a me nā "calcium channel blockers" no ke koko kiʻekiʻe, nā lāʻau lapaʻau no nā pilikia ʻē aʻe o ka puʻuwai, a me nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo hiki ke hoʻoulu i ka lohi o ka puʻuwai ma ke ʻano he hopena ʻaoʻao.
• ʻO ke ʻoki puʻuwai: Hiki ke hana ʻia kēia ʻano ma ke ʻano he pilikia ma hope o kekahi mau ʻoki puʻuwai.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona me ka kikoʻī. E nīnau ʻo ia iā ʻoe i nā mea e like me ka lōʻihi o kou loaʻa ʻana o kēia mau pilikia, pehea ka lōʻihi o ko lākou mau ʻana, a me ka wā e ʻoi aku ai ka ʻino (e.g., ke hoʻoikaika kino ʻoe, ke hoʻololi ʻoe i nā kūlana). No laila, inā hiki iā ʻoe, hiki ke kōkua nui ke kākau i kēia mau mea i loko o kahi puke liʻiliʻi.

A laila e hoʻokolokolo ʻia ʻoe a, inā pono, e kauoha ʻia e hana i kekahi mau hoʻokolohua e like me:

• ECG (Electrocardiogram): ʻO kēia ka hoʻāʻo koʻikoʻi loa. Hōʻike ia i ka hana uila o kou puʻuwai ma kahi o hoʻokahi minuke. Eia nō naʻe, inā ʻaʻole hiki iā ʻoe ke hana i kēia i kou wā e loaʻa ana nā hōʻailona, ​​ʻaʻole paha e hoʻopaʻa ʻia ka pilikia ma ka ECG.
• Nānā ʻana i ka Ambulatory: Ua like kēia me kahi mīkini ECG liʻiliʻi āu e lawe ai i ka home. Hoʻopili ʻia ia i kou kino no 24, 48, a ʻoi aku paha nā hola. Hoʻopaʻa mau ia i kou puʻuwai i kou wā e hana ana i kāu mau hana o kēlā me kēia lā.
• Nā hoʻāʻo koko: E nānā i nā mea e like me ka pae paʻakai o ke kino a me nā pae hormone thyroid.
• Echocardiogram: He 'scan' kēia o ka puʻuwai. Kōkua ia i ka ʻike ʻana i nā mea e like me ke ʻano o ka puʻuwai a me ka hana o nā valves.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino: Lawe ʻia kahi ECG i kou hoʻoikaika kino ʻana e ʻike i ke ʻano o ka pane ʻana o kou puʻuwai i ke koʻikoʻi.
• Haʻawina hiamoe: Hiki ke ʻōlelo ʻia kēia hoʻāʻo inā manaʻo ʻoe he apnea hiamoe kou.

He aha nā lāʻau lapaʻau no Bradycardia?

ʻO ke ʻano o ka lāʻau lapaʻau e pili ana i ke kumu o kou puʻuwai lohi a pehea ia e pili ai i kou kino.

1. Ke hoʻololi ʻana i nā lāʻau lapaʻau: Inā loaʻa kēia maʻi i kahi lāʻau lapaʻau āu e lawe nei no kekahi maʻi ʻē aʻe, hiki paha i kāu kauka ke hōʻemi i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻē aʻe. Mai hoʻōki a hoʻololi paha i nā lāʻau lapaʻau ma kāu iho.

2. Ke mālama ʻana i ke kūlana kumu: Inā he pilikia thyroid, hiki ke hāʻawi ʻia ka lāʻau lapaʻau e mālama ai, a inā he paʻakai kaulike ʻole, hiki i ka hoʻoponopono ʻana ke hoʻōla loa i ke kūlana.

3. Nā lāʻau lapaʻau pilikia: Inā ʻoi aku ka ʻino o nā hōʻailona a hoʻokomo ʻia ʻoe i ka haukapila, hāʻawi ʻia nā lāʻau lapaʻau e like me ka atropine ma o ka IV ( saline ) e hoʻonui koke i ka puʻuwai.

4. Pacemaker Paʻa Mau Loa: Inā nāwaliwali mau ka ʻōnaehana uila o ka puʻuwai ma muli o ka ʻelemakule a i ʻole kekahi kumu ʻē aʻe hiki ʻole ke hoʻōla ʻia, ʻo ka hopena maikaʻi loa ka hoʻokomo ʻana i kahi pacemaker. He mea hana liʻiliʻi kēia e like me ka pila. Hoʻokomo ʻia ia ma lalo o ka ʻili o ka umauma ma o kahi ʻoki liʻiliʻi. I kēlā me kēia manawa e hāʻule ai ka helu o ka puʻuwai ma lalo o ka pae i makemake ʻia, hoʻouna kēia mea hana i kahi hōʻailona uila liʻiliʻi e hoʻihoʻi i ke ʻano o ka puʻuwai.

Āhea ʻoe e ʻike ai i ke kauka? Āhea he pilikia ia?

Me ka nānā ʻole inā he bradycardia kou a i ʻole, he manaʻo maikaʻi no nā mea āpau e hana i kahi nānā olakino ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Hiki iā ia ke kōkua i ka ʻike ʻana i kekahi mau pilikia ma mua o ka puka ʻana o nā hōʻailona.

Eia nō naʻe, i nā hihia aʻe, pono ʻoe e ʻimi koke i ke kōkua lapaʻau . Inā hiki, e hele pololei i ka Emergency Treatment Unit (ETU) o ka haukapila.