Ke manaʻo nei ʻoe i kekahi manawa e like me ka wikiwiki o kou puʻuwai ma mua o ka maʻamau, a i ʻole e like me ka lele ʻana o kahi kuʻi? Malia paha ke manaʻo nei ʻoe i kahi mea e lele ana i loko o kou umauma, a i ʻole e like me nā pulelehua e lele ana a puni? ʻO kēia nā mea āu e manaʻo ai i ka wā o kahi kūlana i kapa ʻia ʻo 'Ectopic Heartbeat', a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, ʻo ka hapa nui o ka manawa ʻaʻole ia he mea weliweli.
I ka ʻōlelo maʻalahi, ʻo ka puʻuwai ectopic kahi loli liʻiliʻi i ke ʻano o kou puʻuwai. ʻO ke kikoʻī, ʻo ia ka wā e kuʻi ai kou puʻuwai ma mua o ka mea e pono ai. No kekahi poʻe, ua like kēia me ka lele ʻana o ka puʻuwai, a i ʻole e like me ka lele koke ʻana o kou umauma. No kekahi poʻe, ua like paha me ka wikiwiki o ka paʻi ʻana o kou puʻuwai a i ʻole e like me ka mea e lele ana i loko o kou umauma. Ua kapa nā kauka i kēia he puʻuwai maʻamau ʻole i kapa ʻia he arrhythmia.
Akā eia ka mea, ʻo ka hapa nui o ka manawa, ʻaʻole nui kēia 'ectopic heartbeat'. ʻO ia hoʻi, ʻaʻole ia i hoʻokumu ʻia e kahi maʻi puʻuwai ma lalo. ʻOiai ke kuʻi pinepine nei kou puʻuwai, ke hana maʻamau nei ia. No laila, no ka hapa nui o ka poʻe, ʻaʻole pono ia i kekahi lāʻau kūikawā.
Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kēia mau kuʻi keu ma muli o ka inu nui ʻana i ka caffeine, e like me ke kofe a i ʻole ke kī, ka inu ʻana i ka waiʻona, a i ʻole ke kaumaha nui. Inā he mau hopohopo kou e pili ana i ka helu o kou puʻuwai, ʻoiai inā loaʻa iā ʻoe ka maʻi puʻuwai, a inā paha e loaʻa pinepine ana kēia mau kuʻi maʻamau ʻole, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
He aha nā ʻano nui o ka 'Ectopic Heartbeat'?
I kēia manawa, e nānā kākou. ʻElua ʻano nui o kēia kinoea keu.
1. ʻO ka Premature Atrial Contraction (PAC): Hoʻokumu ʻia kēia e nā hōʻailona uila ʻē aʻe e puka mai ana mai nā keʻena ʻelua o luna o kou puʻuwai, i kapa ʻia ʻo atria . ʻOi aku ka pololei, he kuʻi keu ia e puka mai ana mai ka ʻaoʻao o luna o ka puʻuwai. Kāhea pū nā kauka i kēia he 'atrial premature beats' .
2. ʻO ka Premature Ventricular Contraction (PVC): Hoʻokumu ʻia kēia e nā hōʻailona ʻē aʻe e puka mai ana mai nā keʻena haʻahaʻa ʻelua o ka puʻuwai, i kapa ʻia ʻo ventricles . I ka ʻōlelo maʻalahi, he kuʻi keu ia e puka mai ana mai ka ʻaoʻao haʻahaʻa o ka puʻuwai. Ua kapa ʻia hoʻi kēia he ventricular premature beats .
E noʻonoʻo e pili ana i ia mea, ua like ka puʻuwai me kahi hui mele. Pono nā kānaka a pau e hana i ka mele like. I loko o kahi PAC, ua like ia me kekahi ma luna e kuʻi ana i kahi kuʻi ma mua o ke mele. I loko o kahi PVC, ua like ia me kekahi ma lalo e kuʻi ana i kahi kuʻi ma mua o ke mele. Ua maopopo iā ʻoe?
ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i kahi 'Ectopic Heartbeat'?
ʻOi aku ka maʻamau o kēia kūlana i kapa ʻia ʻo 'ectopic heartbeat' i nā poʻe ʻelemakule. Eia nō naʻe, hiki ke hana i kekahi o kēlā me kēia makahiki. Inā loaʻa i kahi keiki ʻōpio kēia kuʻi keu, ʻo ia paha he PAC. ʻOi aku ka nui o kou loaʻa ʻana i kēia kūlana, no kekahi kumu .:
- Inā loaʻa i kekahi o kou ʻohana kēia ʻano 'ectopic heartbeat' (ʻo ia hoʻi, he mea hoʻoilina ia).
- Inā loaʻa iā ʻoe kahi maʻi puʻuwai (no ka laʻana , maʻi puʻuwai ) a i ʻole kahi pilikia kūkulu i loko o ka puʻuwai (no ka laʻana, maʻi valve ).
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua.
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau kēia mau 'ectopic heartbeats' a me nā palpitations . Loaʻa iā mākou āpau kahi PVC a i ʻole PAC i kēlā me kēia manawa. Akā, ʻaʻole nā kānaka a pau e ʻike. I kekahi manawa hele mai kēia mau mea a hele aku me ka ʻike ʻole ʻia e mākou.
He aha nā kumu o kēia 'Ectopic Heartbeat'?
Aia paha kekahi mau kumu no kēia kaomi keu.
- ʻOna a me nā mea inu i loaʻa ka caffeine: Inu nui i ke kofe a i ʻole ke kī. I kekahi manawa, hiki i nā meaʻai kiʻekiʻe i ka momona, ke kō, a i ʻole nā kāpona ke hana i nā puʻuwai puʻuwai kūpono ʻole. Nui ka poʻe e ʻike i nā palpitations o ka puʻuwai ma hope o ka ʻai ʻana.
- Hopohopo a me ke kaumaha: He pilikia kēia i loaʻa i ka poʻe he nui i kēia mau lā.
- Dehydration: ʻAʻole lawa ka wai i loko o ke kino.
- ʻO kekahi mau lāʻau lapaʻau: No ka laʻana, aia kekahi mau lāʻau lapaʻau i hoʻohana ʻia e hōʻoluʻolu i ka ʻōpū nasal i loko o ka pseudoephedrine .
- Ke Kaumaha Loa a me ka Momona: ʻOi aku ka nui o ka pilikia o ka poʻe momona i ka loaʻa ʻana o nā ʻano ʻē o ka puʻuwai a me nā maʻi puʻuwai.
- Nā loli hormonal: ʻO nā loli hormonal i ka wā menopause , a me nā loli i ke kino i ka wā hāpai, hiki ke hana i nā palpitations. He mea maʻamau loa nā palpitations i ka wā hāpai, a ʻo ka hapa nui o ka manawa ʻaʻole lākou he mea weliweli.
- Puhi paka.
I kekahi manawa, hiki ke hana ʻia kēia 'ectopic heartbeat' e kahi maʻi puʻuwai a i ʻole kekahi maʻi olakino ʻē aʻe. Eia kekahi laʻana:
- ʻO nā ʻano hana ʻē aʻe o ka puʻuwai (Arrhythmias), e like me ka atrial fibrillation (Afib) a i ʻole tachycardia (ka puʻuwai wikiwiki).
- Maʻi puʻuwai , Maʻi ʻAʻa Coronary (CAD) a me ka hāʻule ʻana o ka puʻuwai .
- Nā maʻi e pili ana i ka māmā, no ka laʻana , ka Maʻi Pulmonary Obstructive Chronic (COPD) .
- Nā pilikia puʻuwai kūkulu.
He aha nā hōʻailona o ka 'Ectopic Heartbeat'?
Loaʻa i kekahi poʻe kahi puʻuwai ectopic a ʻaʻole lākou e ʻike i kekahi mau hōʻailona. Hiki i kekahi ke ʻike i kēia mau hōʻailona i ka wā e moe ana a i ʻole e hoʻāʻo ana e hiamoe (e.g.Nā palpitations o ka puʻuwai i ka pō (heart palpitations at night). Hiki iā ʻoe ke ʻike i nā mea e like me:
- He puʻuwai hou aʻe , a i ʻole ka manaʻo o ka hōʻeha puʻuwai, a i ʻole kahi kū ʻana o ka puʻuwai no kekahi manawa.
- He puʻuwai kū ʻole , ʻo ia hoʻi ke holo wikiwiki nei ka puʻuwai a manaʻo ʻia e kuʻi wikiwiki loa ana.
- He manaʻo e like me ka umauma paʻa , a i ʻole e like me ka lele ʻana o ka pulelehua .
- He puʻuwai holo wikiwiki .
Pehea e ʻike ai nā kauka i kēia 'Ectopic Heartbeat'?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a hoʻolohe i kou puʻuwai. A laila e hana lākou i kahi hoʻāʻo i kapa ʻia he electrocardiogram (EKG a i ʻole ECG) . Ma kahi o 15 mau minuke kēia hoʻāʻo. Nānā ia i kou helu puʻuwai ma o nā mea ʻike i kau ʻia ma kou ʻili. Hiki ke hana ʻia kēia hoʻāʻo ma ke keʻena o ke kauka.
E noʻonoʻo ʻaʻole ʻoe i loaʻa i kēlā ʻano kuʻuna ʻē i kou hele ʻana i ke kauka. A laila, ʻaʻole e ʻike ka EKG iā ia. I kēlā mau hihia, e noi paha ke kauka iā ʻoe e hoʻohana i kahi 'Holter monitor' . He ʻano 'ambulatory monitor' nō hoʻi kēia. He mea liʻiliʻi kēia āu e ʻaʻahu ai ma kou kino. Hoʻopaʻa mau ia i kou helu puʻuwai a me ka wā e hana ʻia ai ke ʻano kuʻuna ʻole. ʻO ka lōʻihi o kou pono e ʻaʻahu i kēia monitor Holter e pili ana i ka pinepine o kou loaʻa ʻana i ke ʻano kuʻuna ʻole. Hiki paha no kekahi mau lā, a i ʻole kekahi mau pule.
Pehea e mālama ʻia ai kēia 'Ectopic Heartbeat'?
ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e mālama ʻia no ka puʻuwai ectopic. E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole weliweli ka hapa nui o nā PVC a me nā PAC. Hiki i kāu kauka ke haʻi aku iā ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona, e like me ka hōʻoki ʻana i ka caffeine a me ka waiʻona. Hiki iā lākou ke haʻi aku iā ʻoe e hoʻāʻo i nā ʻano hoʻomaha e like me ka noʻonoʻo ʻana a me ka yoga e hōʻemi i kou pae kaumaha.
Eia nō naʻe, inā hana pinepine kēia 'ectopic heartbeat' a ke hoʻopilikia nei i kou ola o kēlā me kēia lā, hiki i kāu kauka ke kuhikuhi i kahi ʻano lāʻau i kapa ʻia ʻo 'beta-blocker' . Hoʻolohi kēia mau lāʻau i kou puʻuwai a hoʻolilo iā ia i mea maʻamau.
Inā ʻike ʻia kahi maʻi a i ʻole kekahi pilikia ʻē aʻe ke kumu o ka puʻuwai ectopic, e mālama kāu kauka i ke kumu kumu. E ʻokoʻa ka lāʻau lapaʻau ma muli o ke kumu. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau arrhythmia .
Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kahi ectopic heartbreak?
ʻAʻole paha e hiki ke pale loa i nā puʻuwai ectopic a i ʻole nā hewa ʻē aʻe o ka puʻuwai (arrhythmias). Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:
- E hōʻalo i ka caffeine, ka waiʻona, a me kekahi mau lāʻau anu e hiki ai ke hoʻoikaika i ka puʻuwai.
- Inā ʻoe he kaumaha nui, e mālama i ke kaumaha olakino.
- E kāohi i ka hopohopo a me ke kaumaha.
- E inu i ka wai lawa e pale aku iā ʻoe iho mai ka maloʻo ʻana.
- Inā ʻoe e puhipaka, e kamaʻilio me kāu kauka e pili ana i kahi hoʻolālā e haʻalele ai.
Aia kekahi mau kūlana olakino ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kahi puʻuwai ectopic?
ʻAe. Inā loaʻa iā ʻoe nā maʻi māmā e like me COPD (Chronic Obstructive Pulmonary Disease), maʻi puʻuwai, nā pilikia o ka puʻuwai, a i ʻole nā maʻi ʻē aʻe o ka puʻuwai (arrhythmias), ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā puʻuwai ectopic. No laila, he mea nui e hana i nā nānā lapaʻau maʻamau e nānā i kou olakino.
He aha ke kūlana olakino o ka poʻe me ka 'Ectopic Heartbeat'? (Outlook)
ʻAʻole pono ka hapa nui o ka poʻe i ka lāʻau lapaʻau no nā puʻuwai ectopic, ʻoiai inā loaʻa wale lākou i kekahi manawa a i ʻole no ka manawa pōkole wale nō. Loaʻa i ka nui o ka poʻe ka hōʻoluʻolu mai ko lākou puʻuwai maʻamau ʻole ma ka hana ʻana i kekahi mau hoʻololi i kā lākou ʻai a me ke ʻano o ka nohona. Eia nō naʻe, inā koʻikoʻi loa kāu PAC a i ʻole PVC a hoʻopilikia lākou i kou ola o kēlā me kēia lā, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka.
Mea nui: Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole kekahi maʻi olakino ʻē aʻe, e kamaʻilio me kāu kauka e ʻike inā pili kēia ʻano puʻuwai maʻamau ʻole iā ia. No ka mea, hiki ke ʻokoʻa nā hopena ma muli o ke kūlana. ʻO ka poʻe me nā pilikia puʻuwai kūkulu e pilikia ana i nā maʻi puʻuwai e hoʻoweliweli i ke ola e like me Ventricular Tachycardia .
I ka manawa hea ʻoe e ʻike ai i ke kauka e pili ana i kahi puʻuwai ectopic?
Inā he mau hopohopo a hopohopo paha kāu e pili ana i ka helu o kou puʻuwai, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. He mea nui e kiʻi i kahi nānā olakino e hōʻoia ʻaʻole i hoʻokumu ʻia kāu mau hōʻailona e kahi maʻi puʻuwai koʻikoʻi a i ʻole kekahi maʻi olakino ʻē aʻe.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau:
- Ka paʻakikī o ka hanu ʻana a i ʻole ka pōkole o ka hanu ʻana.
- Nā palpitations mau .
- ʻO ka ʻeha o ka umauma, ka paʻa, a i ʻole ka ʻeha o ka umauma .
- Ka poniuniu a i ʻole ka huikau .
- Ka nawaliwali (syncope) a i ʻole ka nalowale o ka ʻike.
- Luhi koke .
- ʻO nā lālā, ʻoi aku hoʻiKa pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae (edema).
ʻAʻole maʻamau ka weliweli o nā puʻuwai ectopic. Loaʻa i ka nui o ka poʻe ka hōʻoluʻolu mai kēia mau puʻuwai maʻamau ʻole ma ka pale ʻana i ka caffeine, kekahi mau lāʻau lapaʻau, a me ka waiʻona. Hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i kahi puʻuwai ectopic ma ka mālama ʻana i ke kaumaha a me ka loaʻa ʻana o ke kōkua no ka hopohopo. Inā he mau hopohopo kāu e pili ana i kou puʻuwai, e ʻike i ke kauka. He manaʻo maikaʻi mau ka hoʻāʻo ʻia e hōʻoia ʻaʻohe pilikia koʻikoʻi. Inā loaʻa iā ʻoe ka maʻi puʻuwai, ua loaʻa i ka hōʻeha puʻuwai i ka wā ma mua, a i ʻole he mau pilikia kūkulu me kou puʻuwai, e ʻike koke i ke kauka.
Nā mea nui e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)
ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka 'Ectopic Heartbeat' a mākou i kamaʻilio ai i kēia lā.
- I ka ʻōlelo maʻalahi, he loli iki kēia i ke kuʻina o ka puʻuwai, he pre-arrhythmia. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea weliweli.
- Hiki ke hana ʻia kēia e nā mea e like me ka caffeine, ka waiʻona, a me ke kaumaha. ʻO nā hoʻololi liʻiliʻi o ke ʻano o ka nohona e hāʻawi pinepine i ka hōʻoluʻolu.
- Hiki i nā kānaka a pau ke loaʻa i kēia manaʻo kuʻi keu i kēlā me kēia manawa, akā, ʻaʻole nā kānaka a pau e ʻike i ia mea.
- Inā loaʻa iā ʻoe kēia mau palpitations pinepine, a loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka poniuniu, a inā he maʻi puʻuwai kou, e ʻike pono i ke kauka.
- Mai makaʻu, akā he mea nui loa ka mālama ʻana i kou kino. Ma ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau, hiki iā ʻoe ke noho olakino.
ʻO ka puʻuwai, ka puʻuwai keu, ka puʻuwai ectopic, nā palpitations o ka puʻuwai, PAC, PVC, maʻi puʻuwai, arrhythmia, caffeine, stress, ECG, Holter Monitor, Beta Blocker











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