Hiki i ka pōpō ke ku i ka umauma ke hoʻōki koke i ka puʻuwai? E aʻo pono kākou e pili ana i ka Commotio Cordis!

Ua lohe paha ʻoe i kekahi e pā ʻia ana ma ka umauma e kahi pōpō wikiwiki i ka wā e pāʻani ana i ka cricket a i ʻole kekahi haʻuki ʻē aʻe? He mea weliweli maoli kēia, ʻeā? ʻO ka hapa nui o ka manawa manaʻo mākou he ʻeha liʻiliʻi wale nō ia. Eia nō naʻe, i nā hihia kakaikahi, hiki ke lilo i kūlana koʻikoʻi loa e hiki ke hoʻoweliweli i ke ola . I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana puʻuwai kakaikahi loa, koke, a kikoʻī. Ua kapa ʻia kēia ʻo 'Commotio Cordis' ma nā ʻōlelo lapaʻau. ʻO ke ʻano o kēia he "haʻalulu o ka puʻuwai" ma ka ʻōlelo Latina.

He aha ka 'Commotio Cordis'? Hoʻopuka maʻalahi ...

I ka ʻōlelo maʻalahi, ʻo `Commotio Cordis` ka wā e hahau ʻia ai ka puʻuwai, ma kahi kikoʻī, ma kahi manawa kikoʻī, mai kahi mea liʻiliʻi a paʻakikī (pinepine he baseball a hockey puck paha), e hoʻololi koke i ke ʻano maʻamau o ka puʻuwai, e hana ana i kahi puʻuwai puʻuwai kūpono ʻole (`ventricular fibrillation`) a e hoʻōki koke ai ka puʻuwai i ke kuʻi ʻana (`cardiac arrest`). E noʻonoʻo, he ʻōkana paʻakikī loa ko kākou puʻuwai a he ʻōnaehana hoʻonohonoho pono loa. Kuʻi ia e like me kahi ʻōnaehana hōʻailona uila kikoʻī. Ma kēia `Commotio Cordis`, ua hoʻopilikia ʻia ka hana uila o ka puʻuwai i kahi manawa koʻikoʻi loa ma muli o ka hopena o kēlā hahau waho. Ua like kēia me kahi mīkini hana maikaʻi e loaʻa koke ana kahi hahau mai kahi kūpono ʻole, e hoʻopilikia ana i kāna hana.

Pehea ka maʻamau i kapa ʻia kēia ʻano ʻo 'Commotio Cordis'?

ʻOiaʻiʻo, he maʻi laha ʻole kēia. Mai hopohopo. Inā ʻoe e nānā a puni ka honua, ʻaʻole i hōʻike ʻia ma mua o 30 mau hihia o 'Commotio Cordis' i kēlā me kēia makahiki. No laila, ʻaʻole kēia he maʻi e hoʻopilikia i nā kānaka a pau. Eia naʻe, ʻoiai he mea laha ʻole ia, he koʻikoʻi ka pōʻino e hiki ai ke hana, no laila he mea nui loa ka makaʻala i kēia.

Hiki i kekahi ke ola i kahi kūlana i kapa ʻia ʻo 'Commotio Cordis'?

ʻAe, hiki nō! Akā, pono koke ke kōkua lapaʻau . Inā kuʻi ʻia kekahi i ka umauma e like me kēia a hāʻule, he mea nui loa e hana koke i ka `CPR` (Cardiopulmonary Resuscitation) a `defibrillate` i ka puʻuwai me ka hoʻohana ʻana i ka `AED` (Automated External Defibrillator).

ʻO ka mea pōmaikaʻi, i ka ʻike ʻana o ka poʻe i kēia ʻano i ka hala ʻana o ka manawa, ua piʻi nui ka manawa e ola ai ma muli o ka hoʻonui ʻia o ka hoʻohana ʻana i nā mīkini CPR a me AED .

He aha nā hōʻailona o kēia maʻi?

ʻO nā hōʻailona nui o ka 'Commotio Cordis' ʻo:

• ʻO ka huki ʻana a me ka hāʻule ʻana i ka wā e pā ai ʻoe i ka umauma. ʻO kēia ka mea nui.
• He ʻano puʻuwai ʻē aʻe (ʻo ia hoʻi, ʻo Ventricular Fibrillation). ʻO ke ʻano kēia, e haʻalulu wale nā ​​keʻena haʻahaʻa o ka puʻuwai ma kahi o ka hoʻopumu pono ʻana i ke koko.
• Ka hopu koke ʻana o ka puʻuwai (Cardiac Arrest).
• Ka nalowale o ka ʻike.

Hiki koke mai kēia mau hōʻailona. ʻAʻohe paha he mau hōʻailona i ka wā mua.

He aha ke kumu o 'Commotio Cordis'?

I mea e hiki ai kēia kūlana, pono e hui pū ʻia kekahi mau kumu. ʻO ke kumu nui he hahau ʻana i ka ʻaoʻao hema o ka umauma, ma kahi pono o ka puʻuwai, maʻamau mai kahi mea liʻiliʻi, ikaika, e like me ka baseball, ka pōpō lacrosse, a i ʻole ka hockey puck, ma kahi kihi 90-degere, ma ka wikiwiki o kahi 40-50 mile i kēlā me kēia hola. E noʻonoʻo i kahi pōpō ʻili e neʻe wikiwiki ana i ka wā e pāʻani ana i ka cricket, a i ʻole nā ​​​​lako haʻuki ʻē aʻe e ʻeha inā paʻi i ke kino. Akā, ʻaʻole kēia e hana me kēlā me kēia hahau. ʻO ka mea nui loa ka manawa e hana ʻia ai kēia hahau. Aia kahi manawa kikoʻī loa, liʻiliʻi loa i loko o ka 'cardiac cycle' o ko mākou puʻuwai, kahi manawa e ʻaelike ai nā keʻena haʻahaʻa (`ventricles`) o ka puʻuwai, e pamu i ke koko, a laila e hoʻomaha hou. ʻO ia ka manawa pono e hana ʻia ai kēia hahau. A laila, ma muli o ka hopena o kēlā hahau, hiki i ka ʻiʻo puʻuwai, ka mea e hoʻomaha ʻia, ke hoʻoulu koke ʻia, e alakaʻi ana i ke kūlana 'ventricular fibrillation' i ʻōlelo mua ʻia.

Hiki i kahi kuʻi ke kumu i kahi 'Commotio Cordis'?

ʻAe, ma ke kumumanaʻo hiki nō. Akā no kēlā, pono e hoʻokō ʻia nā kūlana a pau i ʻōlelo ʻia ma mua. ʻO ia hoʻi, pono ke hahau ʻia ma ka ʻaoʻao hema o ka umauma, ma kahi kihi 90-degere, ma ka wikiwiki o 40 mile i kēlā me kēia hola a ʻoi aku paha, a ma ia manawa kūpono i loko o ka puʻuwai. He haʻahaʻa loa ka manawa e hiki ai kēia me kahi hahau i hāʻawi ʻia i kahi hakakā maʻamau.

ʻO wai ka pilikia nui o 'Commotio Cordis'?

ʻOiai hiki ke hiki kēia ʻano i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• No ka poʻe e pāʻani ana i nā haʻuki: ʻOi loa aku no ka poʻe e pāʻani ana i nā haʻuki e hoʻohana ana i nā pōpō paʻakikī a i ʻole nā ​​​​lako, e like me ka baseball, lacrosse, softball, hockey. Ma ko mākou ʻāina, he mea maikaʻi ke akahele e pili ana i kēia ma ka cricket.
• No nā ʻōpio ma lalo o 20 makahiki: Hoʻopilikia pinepine kēia ʻano i ka poʻe ma kahi o 15 mau makahiki. ʻO kēia paha no ka mea ʻaʻole i oʻo piha ka ʻōnaehana iwi umauma o ka poʻe ʻōpio, e ʻoi aku ka paʻakikī o ka hoʻoili ʻia ʻana o ka haʻalulu o kahi hahau i ka puʻuwai.
• No nā kāne: ʻOi aku ka maʻamau o kēia i waena o nā keikikāne ma mua o nā kaikamahine. Malia paha no ka mea e komo pinepine nā keikikāne i nā haʻuki pili.

He aha nā pilikia o 'Commotio Cordis'?

ʻO ka pilikia nui a weliweli loa o kēia, ʻo ia ka make koke mai ka hāʻule puʻuwai.Wahi a ka National Cardiovascular Registry, ua make ma mua o 220 mau kānaka mai kēia maʻi mai ka makahiki 1996. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

Pehea e ʻike ai i ka 'Commotio Cordis'?

Inā ua pā ʻia kekahi, ʻoiai he ʻōpio, ma ka ʻaoʻao hema o ka umauma i ka wā e pāʻani ana i nā haʻuki a hāʻule koke, hiki i ke kauka ke kānalua i ka 'Commotio Cordis'. Eia naʻe, he 'diagnosis of exclusion' kēia. ʻO ke ʻano kēia, e nānā mua nā kauka inā he mau kumu maʻamau ʻē aʻe, e like me ka hōʻeha puʻuwai. Inā ʻaʻohe kumu like, manaʻo lākou ʻo 'Commotio Cordis' paha ke kumu. Ma hope o ka hāʻawi koke ʻana i ka 'CPR' a me ka 'defibrillation', hiki ke hana ʻia nā hoʻokolohua ma lalo nei ma kahi haukapila:

• Electrocardiogram (EKG): Nānā i ka hana uila o ka puʻuwai.
• Nā hoʻāʻo koko : No ka nānā ʻana i ka hōʻino ʻana o ka puʻuwai a i ʻole nā ​​​​pilikia ʻē aʻe.
• Echocardiogram: He scan e nānā i ke ʻano a me ka hana o ka puʻuwai .
• MRI o ka puʻuwai a i ʻole CT scan : E kiʻi i nā kiʻi maopopo aʻe o ka puʻuwai.
• Catheterization puʻuwai: He hoʻāʻo e nānā i nā mea e like me ke ālai ʻana i nā kīʻaha koko o ka puʻuwai.

Pehea e mālama ʻia ai ʻo Commotio Cordis?

He mea nui ka mālama koke ʻana i ke olakino no ke kanaka e loaʻa ana i ka `Commotio Cordis`. Inā ʻike ʻoe i ia hanana, e kelepona koke i ka 119/1990 a hoʻomaka i ka `CPR` iā ʻoe iho. Inā hiki, e ʻimi koke i kahi mīkini `AED` a hoʻohana. Ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau ulia pōpilikia, ua hoʻokomo ʻia ka mea maʻi i ka haukapila a ua hana ʻia kahi hoʻokolokolo piha e nānā i nā maʻi puʻuwai ʻē aʻe i ʻike ʻole ʻia. Ma ka haukapila, nānā ʻia ka hana o ka puʻuwai.

Nā lāʻau lapaʻau kūikawā

Inā ʻike ʻole kahi maʻi makua me ka `Commotio Cordis` a ʻaʻole hiki ke hahai i nā kauoha, hiki i nā kauka ke hoʻohana i kahi lāʻau i kapa ʻia ʻo `therapeutic hypothermia`. ʻO kēia ka hoʻomālielie ʻana i ka mea maʻi, ke hoʻokomo ʻana i kahi paipu hanu, a me ka hoʻohaʻahaʻa ʻana i ka mahana o ke kino i 32-34 degere Celsius (89.6-93.2 Fahrenheit) no kahi o 12-24 mau hola. Hana ʻia kēia me ka hoʻohana ʻana i nā mīkini hoʻoluʻu kūikawā, nā ʻeke hau, nā wai `IV` hau, a me nā pākeke hoʻoluʻu. Kōkua kēia i ka hōʻemi ʻana i ka wikiwiki o ka hoʻohana ʻana o ka oxygen e ka lolo a pale i ka pehu ʻana. A laila, hoʻomehana mālie ʻia ke kino no kekahi mau hola.

Nā hopena ʻaoʻao o nā lāʻau lapaʻau

ʻO nā lāʻau lapaʻau e like me ka 'therapeutic hypothermia' hiki ke hana i nā hopena ʻaoʻao i kekahi manawa. Eia kekahi laʻana:

• `Pneumonia`
• Sepsis (ka lāʻau make koko)
• Puʻuwai puʻuwai maʻamau ʻole
• Coagulopathy (hoʻemi ʻia ka hiki ke koko ke kāpili)

Pehea e hōʻemi ai i ka pilikia o 'Commotio Cordis'?

ʻOiai ʻaʻole hiki ke pale loa ʻia kēia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia:

• Ke komo ʻana i nā mea pale: Hiki i ke komo ʻana i nā pale umauma ke hāʻawi i kekahi palekana. Eia nō naʻe, aia nā hihia o 'Commotio Cordis' ʻoiai i ka wā i komo ʻia ai kēia mau mea.
• Nā lako haʻuki palekana: Ke hoʻohana nei i nā mea e like me nā "pōpō kinipōpō palupalu", i hana kūikawā ʻia no nā mea pāʻani ʻōpio.
• Ka ʻike a me ka hoʻomākaukau ʻana (ʻo kēia ka mea nui loa!):
• He mea nui e hoʻomaʻamaʻa ʻia nā mea hoʻomaʻamaʻa, nā kumu, a me nā limahana haʻuki i ka ʻike ʻana i ka 'Commotio Cordis' a pehea e hana ai i ka 'CPR'.
• Pono mākou e hōʻoia i ka loaʻa ʻana o nā mīkini AED e hana maikaʻi ana a maʻalahi hoʻi ke komo i nā kahua haʻuki.
• He mea nui ka loaʻa ʻana o kahi Hoʻolālā Hana Pilikia (EAP) i hoʻolālā maikaʻi ʻia a hoʻomaʻamaʻa maikaʻi ʻia no ka mālama koke ʻana.

E noʻonoʻo, pehea ka nui o ka hōʻoluʻolu inā he 'AED' kahi e pāʻani ai kāu keiki, a i ʻole kahi āu e pāʻani ai, a me kekahi mea i ʻike pehea e hoʻohana ai.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka ʻeha ʻo Commotio Cordis?

Inā nānā nā kauka iā ʻoe a hōʻoia ʻaʻohe pilikia ʻē aʻe me kou puʻuwai, ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau hou ma hope o ka hoʻōla ʻana mai ka 'Commotio Cordis'. Eia nō naʻe, inā ʻike lākou he maʻi puʻuwai i ʻike ʻole ʻia ma mua, hānau ʻia a i ʻole genetic paha, pono ʻoe e loaʻa ka lāʻau lapaʻau no ia mea.

Hiki iaʻu ke hoʻomaka hou i ka pāʻani?

Ma hope o ka nānā piha ʻia ʻana o kou puʻuwai, me kahi EKG, Echocardiogram, MRI a i ʻole CT scan o ka puʻuwai, a me kahi hoʻāʻo koʻikoʻi, hiki paha iā ʻoe ke hoʻi i ka pāʻani haʻuki. Eia nō naʻe, inā ʻike kāu kauka i kekahi pilikia me kou puʻuwai, a inā he pilikia iki a koʻikoʻi paha o ka hoʻi hou ʻana o Commotio Cordis, e aʻo ʻia paha ʻoe e pale i nā haʻuki e pili ana i ka hopena e hiki ke hōʻino i kou umauma.

He aha ka manaʻolana no ke kūlana o 'Commotio Cordis' i ka wā e hiki mai ana?

ʻO 'Commotio Cordis' ke kumu lua o ka make koke ʻana o ka puʻuwai i waena o nā mea pāʻani ʻōpio. ʻO ka mua, ʻo ia ka 'hypertrophic cardiomyopathy' (hypertrophic cardiomyopathy). Inā mālama koke ʻia, ʻo ka nui o ke ola ma kahi o 59%. ʻO ia hoʻi, ʻoi aku ma mua o hoʻokahi i loko o ʻelua mau kānaka e hiki ke hoʻōla ʻia. Eia nō naʻe, ʻo ka poʻe i loaʻa ʻole i ka 'CPR' koke, a i ʻole ka poʻe i loaʻa i ka maʻi puʻuwai hānau, he haʻahaʻa ka manawa e ola ai.

Pehea wau e mālama ai iaʻu iho?

Inā ʻōlelo kāu kauka puʻuwai ʻaʻohe hewa o kou puʻuwai, ʻaʻole paha ʻoe e pono i ka mālama ʻana. Eia nō naʻe, inā loaʻa iā lākou kahi maʻi puʻuwai āu i ʻike ʻole ai, pono ʻoe e mālama ʻia. ʻOiai inā ʻaʻohe ou pilikia puʻuwai, he manaʻo maikaʻi ke nānā ʻia ʻana ma ka liʻiliʻi hoʻokahi i ka makahiki.

Āhea wau e hele ai i ka lumi pilikia (ER)?

Inā loaʻa iā ʻoe kahi maʻi puʻuwai i ʻike ʻia, pono paha ʻoe e mālama hou ʻia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e haʻi aku i kekahi kokoke e kelepona koke i ka 119/1990:

• ʻEha umauma
• Manaʻo e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai ('heart palpitations')
• Pōkole o ka hanu
• Māmā ke poʻo
• Ke hemo nei

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:

• He mau maʻi puʻuwai koʻu e pono ai ka mālama ʻia?
• Hiki iaʻu ke pāʻani hou i nā haʻuki hoʻokūkū?
• He aha kaʻu e hana ai e pale aku i ka hōʻeha hou ʻana i koʻu umauma?

He ʻike ʻeha ka hahau ʻia ʻana ma ka umauma. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o nā manawa e ola ai ma hope o ka `Commotio Cordis` i kēia lā ma mua o ka wā ma mua. Me ka mālama koke ʻana o ke kauka, hiki i ka hapa nui o ka poʻe ke hoʻōla. Inā ʻike kāu kauka iā ʻoe me kahi maʻi puʻuwai, e hahai pololei i kā lākou mau kuhikuhi. ʻO ke aʻo ʻana iā `CPR` a me ka loaʻa ʻana o nā mīkini `AED` hiki ke lawe mai i ka maluhia nui o ka noʻonoʻo i ka poʻe e komo ana i nā haʻuki i pilikia i ka `Commotio Cordis`.

Leka Lawe-Home

ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka 'Commotio Cordis' a mākou i kamaʻilio ai i kēia lā. E hoʻomanaʻo, he mea kakaikahi loa kēia, akā hiki ke lilo i mea weliweli loa inā hana ʻia.

ʻO ka mea nui loa, inā hāʻule koke kekahi i ka umauma i ka wā e pāʻani ana i nā haʻuki, mai hoʻomāmā. E hāʻawi koke i ke kōkua lapaʻau ulia pōpilikia (CPR, hoʻohana ʻana i ka AED, hoʻokipa ʻia i ka haukapila).

Ma ke ʻano he mau kumu aʻo, nā mākua, a me nā mea pāʻani, ʻo ka makaʻala i kēia, ka loaʻa ʻana o ke aʻo CPR inā pono, a me ka nānā ʻana i nā AED ma nā kahua haʻuki e hiki ke kōkua i ka hoʻopakele ʻana i nā ola. E pāʻani palekana kākou, e noho olakino!

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