Ua hele paha ʻoe i loko o kahi haukapila a ʻike i kekahi mau maʻi me nā pepili liʻiliʻi ma ko lākou umauma a me nā uea i hoʻopili ʻia i kahi pahu liʻiliʻi? Ua ʻike paha ʻoe i kēlā. ʻO ia ka mea a mākou e kapa nei ʻo Cardiac Telemetry Monitoring. I ka ʻōlelo maʻalahi, he ʻōnaehana ia e nānā mau ana i ka hana uila o kou puʻuwai, a i ʻole ka puʻuwai puʻuwai, ʻoiai ʻoe i loko o ka haukapila.
He aha maoli ka Telemetry Monitoring?
E noʻonoʻo, he ala kēia e nānā mau ai i ka pāʻani o kou puʻuwai me ka ʻole o ka nalo ʻana i hoʻokahi kekona. Pili kēia i ka loaʻa ʻana o nā hōʻailona uila mai kou puʻuwai ma o kekahi mau mea ʻike liʻiliʻi i hoʻopili ʻia i kou umauma, a laila e nānā ana i kēlā ʻikepili me kahi monitor.
ʻO ke kumu nui o kēia, ʻo ia ka ʻike ʻana i nā ʻano ʻē i loko o ke kuʻina o ka puʻuwai, i kapa ʻia ʻo arrhythmias , i ka wā mua. Inā loaʻa kahi loli kuʻina weliweli, e kani ka mea nānā i kahi alarm. A laila hiki i nā kauka a me nā kahu maʻi ke hele koke mai iā ʻoe a hana i ka hana e pono ai. Ma ka hoʻohana ʻana i kēia ʻike, hiki i kāu kauka ke hoʻoholo pololei i kāu pilikia kuʻina a koho i ka lāʻau kūpono loa.
I nā kūlana hea e pono ai kēia ʻano nānā ʻana?
Hoʻohana pinepine ʻia kēia ʻano hana ma kahi haukapila i ka wā e pono ai ke nānā mau ʻia ke ʻano o ka puʻuwai a hiki i 30 mau lā. Hiki i kekahi mau mea hana a mākou e hoʻohana ai ma ka home, e like me ka monitor Holter, ke nānā i ke ʻano o ka puʻuwai, akā no ka manawa pōkole wale nō, e like me hoʻokahi a ʻelua paha lā. Hiki i ka Telemetry ke hāʻawi i kahi kiʻi maikaʻi o ka mea e hana nei i loko o ka puʻuwai i kahi manawa lōʻihi.
Pono paha ʻoe i kēia ʻano nānā ʻana ma nā hihia aʻe:
| Ka manawa / ka hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha umauma a i ʻole palpitations | E hōʻoia i loaʻa kēia mau hōʻailona i ka pilikia o ka puʻuwai. |
| Ke hiki mai kahi hōʻeha puʻuwai | Hiki ke loli weliweli i ka ʻōʻō o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai. E makaʻala iā lākou. |
| Ke hiki mai kahi hahau | Hoʻokumu ʻia kekahi mau hihia o ka maʻi lolo e kahi ʻano puʻuwai ʻē. E nānā i kēlā. |
| Ka mae ʻana | No ka hoʻoholo ʻana inā paha ma muli o ka pilikia o ka puʻuwai ka nalowale ʻana o ka ʻike. |
| Loaʻa kahi ʻōpū koko i loko o ke kino | No ka nānā ʻana i nā pilikia o ka puʻuwai e hiki ai ke hoʻoulu i nā ʻūpā koko. |
| Ma hope o ke ʻoki kino e pono ai ka anesthesia | Ma hope o ka anesthesia a me ke ʻoki ʻana, e kali a hiki i ka hoʻi ʻana o ka puʻuwai i ka maʻamau. |
| I ka wā e coma ai | No ka hiki ʻole i ka mea maʻi ke hōʻike i ko lākou ʻeha, he mea nui loa ia e hoʻomau i ka nānā ʻana i ka hana o ka puʻuwai. |
Pehea e hana ai kēia ʻōnaehana?
He hana maʻalahi loa kēia.
1. Ke hoʻopili ʻana i nā electrodes: E hoʻomaʻemaʻe kahi kahu maʻi i nā wahi i koho ʻia o kou umauma a me kou ʻōpū paha a hoʻopili i nā mea ʻike liʻiliʻi e like me ka sticker iā lākou. I kekahi manawa, pono paha e wehe ʻia kekahi lauoho mai kēlā mau wahi.
2. Ke hoʻohui ʻana i nā kaula: Hoʻopili ʻia kahi kaula i kēlā me kēia sensor.
3. Mea hoʻoili: Hoʻopili kēia mau uea i kahi pahu liʻiliʻi hiki iā ʻoe ke paʻa i kou lima. Kāhea mākou i kēia he mea hoʻoili. Hiki iā ʻoe ke mālama i kēia i loko o ka ʻeke o kou lole haukapila.
4. Ka hoʻouna ʻana i ka ʻikepili i ka monitor: Mai kēia pahu liʻiliʻi, hoʻouna ʻia ka ʻikepili o kou puʻuwai me ke kelepona ʻole i kahi monitor nui ma kahi lumi ʻē aʻe o ka haukapila.
5. Nānā: Ke nānā mau nei kekahi limahana i aʻo ʻia (he kahu maʻi a loea paha) i ka monitor. Inā ʻike lākou i kekahi mau mea ʻē, e hoʻomaopopo koke lākou i ke kauka.
ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻia ʻana o kēia nānā ʻana, ʻoiai ʻoe e hiamoe ana a i ʻole e hele ana i ka lua (e pale ana i ka hāmeʻa mai ka wai).
He aha kāu e manaʻo ai i ka wā e hana ai i kēia?
I ka wā o ka nānā ʻana
ʻAʻole ʻeha iki kēia kaʻina hana. Eia nō naʻe, i kekahi manawa he ʻili iki paha ka ʻili a ʻulaʻula paha ma kahi i hoʻopili ʻia ai nā pepili. He mea maʻamau kēia.
I kekahi manawa e lohe paha ʻoe i kahi leo "beep" "beep" (alarm) e puka mai ana mai ka monitor. ʻAʻole i hoʻokumu ʻia nā ʻala āpau e kahi mea weliweli.
- Nā Alarm Wahaheʻe: I kekahi manawa hiki ke hoʻāla ʻia kahi alarm e ke ʻano o kou neʻe ʻana, kahi sticker i hoʻopili ʻia ma ka hāmeʻa e hemo ana, a i ʻole kahi hōʻailona nāwaliwali. I mea e pale aku ai i kēia, hoʻololi pinepine ʻia kēia mau sticker me nā mea hou i kēlā me kēia lā.
- Nā ʻōhumu maoli: Inā he pilikia maoli me kou puʻuwai, e kani ka ʻōhumu. Inā hana ʻia kēlā, e hele koke mai kahi kahu maʻi iā ʻoe a nānā iā ʻoe. No laila, mai makaʻu i ia mea.
Ma hope o ka nānā ʻana
Ke loaʻa i kāu kauka nā ʻike āpau e pono ai, e hele mai kahi kahu maʻi a wehe i nā uea a me nā pepili. A laila hiki iā ʻoe ke holoi i kekahi mea hoʻopili i koe mai kou ʻili.
He aha nā pōmaikaʻi a me nā hemahema o kēia?
Nā hemahema a i ʻole nā pilikia
- Hiki i kekahi poʻe ke manaʻo he mea hoʻonāukiuki iki nā pepili, a he wahi liʻiliʻi paha ka hopena o ka ʻili.
- I kekahi manawa pono ʻoe e hoʻololi i kēia mau sticker i kēlā me kēia lā.
- He mea kākaʻikahi loa, hiki ke kuhi hewa i nā mea ʻike a i ʻole ke kuhi hewa i nā hopena. Eia nō naʻe, ma muli o nā limahana i aʻo ʻia, ua haʻahaʻa loa ka likelika o kēia hana.
Nā Pōmaikaʻi
- ʻO ka hiki ke loaʻa ka ʻikepili manawa maoli e pili ana i ka hana puʻuwai me ka ʻole o ka hoʻāʻo hou ʻana.
- ʻOiai nā pilikia o ka puʻuwai i kekahi manawa hiki ke nalo me kahi hoʻokolohua pōkole e like me ka ECG hiki ke maʻalahi ka ʻike ʻia .
- Kōkua i ka ʻike ʻana i nā pilikia me ka hana uila o ka puʻuwai i ka wā mua a hoʻomaka i ka mālama ʻana .
- ʻOiai inā ʻaʻole hiki iā ʻoe ke ʻōlelo, pono i nā limahana ke ʻike inā he pilikia kāu.
- Ua nui kou manaʻo i ka hōʻoluʻolu no ka mea, ua loaʻa iā ʻoe ka manaʻo e kiaʻi mau ana kekahi i kou puʻuwai.
He aha ka ʻokoʻa ma waena o ka telemetry a me ka ECG?
He pilikia kēia no nā kānaka he nui.
I ka ʻōlelo maʻalahi, ua like ka ECG (Electrocardiogram) me kahi 'kiʻi' o ka hana a kou puʻuwai . ʻO ia hoʻi, hōʻike ia i ka mea e hana nei i loko o kou puʻuwai i loko o kekahi mau kekona wale nō o ka hoʻāʻo.
Eia nō naʻe, ua like ka nānā ʻana i ka telemetry me kahi 'wikiō'.Hoʻopaʻa mau ia i kou puʻuwai no nā hola a i ʻole nā lā, no laila hiki iā ia ke ʻike i nā pilikia e kū mai ana i kēlā me kēia manawa.
He aha ka mea e hiki mai ana inā he ʻano ʻē nā hopena?
Inā loaʻa kekahi mau ʻano ʻē i loko o kou puʻuwai i ka wā o ka nānā ʻana, e wehewehe kāu kauka iā lākou iā ʻoe a haʻi iā ʻoe i ke ʻano o ka lāʻau e pono ai. Hiki ke hāʻawi ʻia nā lāʻau lapaʻau aʻe:
- Ke kuhikuhi ʻana i nā lāʻau lapaʻau e kaohi ana i ka helu o ka puʻuwai a i ʻole ke ʻano o ka naʻau.
- Nā loli o ke ola, e like me ka pale ʻana i nā hana maikaʻi ʻole e like me ka puhipaka a me ka inu nui ʻana i ka caffeine.
- Nā kaʻina hana kūikawā e hoʻihoʻi i ka manawa o ka puʻuwai.
- Ka hoʻokomo ʻana o kahi hāmeʻa, e like me ka pacemaker, i loko o ke kino e kōkua i ka mālama ʻana i ke ʻano kūpono a me ka wikiwiki o ka puʻuwai.
- ʻO ke ʻoki kino e hoʻoponopono ai i ke kumu o ka pilikia.
Inā pono ʻoe e hana i kahi hoʻokolohua e like me kēia ʻoiai ʻoe ma ka haukapila, mai hūnā i kekahi mea. E nīnau i kāu kauka a kahu maʻi paha i nā nīnau a hopohopo paha āu e loaʻa ai.
Leka Lawe-Home
- He ala palekana a ʻeha ʻole ka Cardiac Telemetry Monitoring no ka nānā mau ʻana i kou puʻuwai ʻoiai ʻoe ma ka haukapila.
- Hiki i kēia ke ʻike i nā arrhythmias rhythm o ka puʻuwai i hiki ke nalo me kahi hoʻokolohua maʻalahi e like me ka ECG.
- ʻAʻole nā ala hoʻāla a pau mai ka monitor i hana ʻia e kahi kūlana weliweli. Mai hopohopo no ia mea. Na nā limahana e nānā iā ia.
- Inā he mau nīnau kāu e pili ana i ke kaʻina hana a i ʻole nā hopena, mai kānalua e nīnau i kāu kauka a kahu maʻi paha.
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