Ua hiki anei ka manawa e pani ai i kāu pacemaker? (Hoʻololi i ka hāmeʻa uila hiki ke hoʻokomo ʻia i ka puʻuwai)

Ua loaʻa anei iā ʻoe kahi pacemaker a i ʻole kahi ICD (Implantable Cardioverter Defibrillator), kahi mea liʻiliʻi e kōkua ai i ka mālama ʻana i kou puʻuwai e kuʻi pono? Inā pēlā, ʻike paha ʻoe ma hope o kekahi manawa, pono ʻoe e hoʻololi i nā ʻāpana e like me ka pila. Nui ka poʻe e hopohopo iki i ka lohe ʻana i kēia. He mea maʻamau ka noʻonoʻo ʻana i nā mea e like me, "Pono anei au e hana hou i ke ʻoki kino? He paʻakikī anei?" Akā, ʻaʻole ia he mea weliweli e like me kā mākou e manaʻo nei. I kēia lā, e kamaʻilio kākou e pili ana i ka hoʻololi ʻana i kēia mau mea hana puʻuwai ma ke ʻano maʻalahi.

He aha ke ʻano o ke pani ʻana i kahi hāmeʻa puʻuwai?

I ka ʻōlelo maʻalahi, he ʻoki kino nō hoʻi kēia. Akā, pili ia i ka hoʻololi ʻana i ka hāmeʻa uila (Cardiac Implantable Electronic Device - CIED) i hoʻokomo mua ʻia e kāohi i ka manawa o kou puʻuwai me kahi mea hou. ʻElua ʻano o kēia mau hāmeʻa. ʻO kekahi he pacemaker . ʻO kekahi he ICD (Implantable Cardioverter Defibrillator) .

ʻO ka hapa nui o ka manawa, he ʻoki liʻiliʻi kēia ʻaʻole pono e noho i ka haukapila a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi . No laila, ʻaʻohe pono e hopohopo nui no ia mea.

ʻO wai ka mea makemake e pani i kahi hāmeʻa e like me kēia?

ʻO ke kumu nui o ke pani ʻana i kahi mea hana puʻuwai, ʻo ia ka wā e haʻahaʻa ai kona pila. Ua like ia me ka pila o kā mākou kelepona e holo haʻahaʻa ana. Hiki ke hoʻohana ʻia ka pila o ia ʻano mea hana no 6 a 10 mau makahiki . No laila, pono paha e pani ʻia i nā manawa he nui i ka wā e ola ana.

Ma waho aʻe o ka pau ʻana o ka pila, aia kekahi mau kumu ʻē aʻe e pono ai ʻoe e hoʻololi i kēia mau mea hana. E nānā kākou i ke ʻano o lākou.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī no ke ʻano o ka hoʻomākaukau ʻana no kēia ʻoki kino. Hiki i kēia mau kuhikuhi ke komo pū me:

• Ke hoʻōki nei i kekahi mau lāʻau lapaʻau: E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko (no ka laʻana, aspirin ) a me kekahi mau lāʻau ʻeha no kekahi mau lā.
• Nā hoʻāʻo puʻuwai: Hiki ke hana ʻia kekahi mea e like me ka ECG (Electrocardiogram) a i ʻole ka Echocardiogram scan e nānā i ka hana o ka puʻuwai.
• Nā hoʻāʻo koko: E hana ʻia kekahi mau hoʻāʻo koko e ʻike ai inā olakino maikaʻi ʻoe no ke ʻoki ʻana.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa, hoʻololi wale kēia ʻoki kino i ka ʻāpana o kou kino i kapa ʻia ʻo ka mīkini hana e loaʻa ana ka pila, aia ma lalo o kou ʻili. ʻO ke ʻano kēia, ʻaʻole i wehe ʻia nā kaula i hoʻopili ʻia i kou puʻuwai. ʻO kēia ka mea e lilo ai ia i ʻoki liʻiliʻi ma mua o ka hana nui.

Eia nō naʻe, i kekahi mau hihia, pono paha ʻoe e hoʻololi i ka hāmeʻa holoʻokoʻa, me nā uea. He hana paʻakikī iki kēlā.

He aha ka mea e hana ʻia ke hoʻololi i kahi mīkini hana maʻamau:

1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi mea hoʻomaha iki (sedation) ma o kahi aa koko ma kou lima. ʻAʻole ʻoe e ʻeha.

2. A laila, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili kahi e hoʻokomo ʻia ai ka hāmeʻa.

3. Hoʻohemo ʻia ka mīkini hana kahiko ma ka wehe ʻana i nā uea.

4. Hoʻopili ʻia ka mīkini hana hou i kahi like a hoʻopili ʻia i nā uea like me ka mea kahiko.

5. ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu a i ʻole kekahi ʻano kāpili kūikawā .

He aha nā pōmaikaʻi a me nā pilikia o kēia?

E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia liʻiliʻi loa.

Āhea wau e kamaʻilio ai me ke kauka i ka wā e hoʻōla ai?

Pono ʻoe e noho i ka haukapila no kekahi mau hola ma hope o ke ʻoki ʻana. E nānā nā limahana iā ʻoe a inā maikaʻi nā mea āpau, e hoʻouna ʻia ʻoe i ka home i ka lā hoʻokahi. Ma hope o kou hoʻi ʻana i ka home , pono ʻoe e pale i ka hana ʻana i kekahi mea kaumaha, e like me ka hoʻoikaika kino, no kekahi mau lā. He mea maʻamau ka pehu iki a me ka ʻeha o ka ʻoki. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēlā.

Eia kekahi, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i ka ʻoki ʻana i maʻemaʻe, pehea e mālama ai i ka hāmeʻa hou, a me ka wā e hiki ai iā ʻoe ke hoʻi hou i nā hana maʻamau.

Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona ma lalo nei, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka.

He mea nui loa: Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma, ka paʻakikī nui o ka hanu ʻana, a i ʻole ka maule ʻana , e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) .