Ua manaʻo paha ʻoe e like me ka wikiwiki koke ʻana o kou puʻuwai a i ʻole ka wikiwiki ma mua o ka maʻamau? Ua manaʻo paha ʻoe e like me ka wili ʻana o kekahi mea i loko o kou umauma a ua paʻakikī iā ʻoe ke hanu? I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e hoʻihoʻi i nā mele puʻuwai maʻamau (arrhythmias) i nā hihia e like me kēia. Ua kapa ʻia kēia he cardioversion.
I ka ʻōlelo maʻalahi, he aha ka Cardioversion?
ʻO ke Cardioversion kahi hana lapaʻau a nā kauka e hana ai e hoʻihoʻi i ka rhythm kūpono ʻole o kou puʻuwai, a i ʻole ka rhythm. E noʻonoʻo e like me ke hoʻoponopono hou ʻana i kahi mea kani i nalowale i kona rhythm. Hiki ke hana ʻia kēia ma nā ʻano ʻelua. ʻO kekahi ma ka hoʻohana ʻana i kahi mea uila. ʻO kekahi ma ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau. I kekahi mau pilikia, e like me ke ʻano i kapa ʻia ʻo ventricular arrhythmia, hiki i kēia lāʻau ke hoʻopakele i kou ola. I nā hihia ʻē aʻe, hana ʻia ia e pale i nā pilikia e hiki mai ana.
He aha nā ʻano nui o ka mālama ʻana i ka cardioversion?
E like me kā mākou i ʻōlelo ai ma mua, hana ʻia kēia ma nā ʻano nui ʻelua. E hoʻomaopopo pono kākou.
| ʻAno lapaʻau | Pehea e hana ai |
|---|---|
| Ka hoʻololi ʻana o ke kāleka uila | ʻO kēia ka hāʻawi ʻana i kahi nui o ka ikehu uila i kāohi ʻia (shock) i kou umauma me ka hoʻohana ʻana i kahi mea kūikawā i kapa ʻia he defibrillator . Hana ʻia kēia ma o ʻelua mau pads kūikawā (electrode patches) i kau ʻia ma kou umauma a me kou kua. Hana ʻia kēia ma hope o kou hiamoe ʻana, no laila ʻaʻole ʻoe e ʻeha. No ka poʻe i pilikia nui no nā pilikia puʻuwai weliweli, hiki ke hoʻohana ʻia kahi mea liʻiliʻi i kapa ʻia ʻo Implantable Cardioverter-Defibrillator (ICD) . |
| Ma o ka lāʻau lapaʻau (Chemical Cardioversion) | ʻO kēia ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau ma ke ʻano he pila āu e ale ai a i ʻole ma o kahi IV i hāʻawi ʻia i loko o kahi aʻa koko ma kou lima. Hiki i ka lāʻau lapaʻau ke hala i nā minuke, nā hola, a i ʻole nā lā e hana ai. Hana pinepine ʻia kēia lāʻau lapaʻau ma kahi haukapila no ka mea pono e nānā ʻia ka hana o kou puʻuwai. Inā ʻoe e lawe ana i kāu lāʻau lapaʻau ma ka home, he mea nui e noho pili loa me kāu kauka. |
He aha nā kūlana e hoʻohana ʻia ai ka cardioversion?
Hoʻohana ʻia kēia lāʻau lapaʻau e hoʻoponopono i kekahi mau ʻano puʻuwai wikiwiki a ʻano ʻole paha. ʻO kekahi o kēia mau mea:
- ʻO ka Atrial Fibrillation a me ka Atrial Flutter: ʻO kēia nā kūlana ʻelua i mālama pinepine ʻia me ka cardioversion.
- ʻO ka Tachycardia Atrial
- ʻO ka Tachycardia Ventricular
- ʻO ka Ventricular Fibrillation: He kūlana wikiwiki loa kēia a he mea hoʻoweliweli hoʻi i ke ola.
No ke aha e pono ai iaʻu ka lāʻau cardioversion?
I mea e pamu ai kou puʻuwai i ka nui kūpono o ke koko i kou kino, pono ia e loaʻa ka paʻi a me ke mele kūpono. Ke paʻi pinepine ʻole kou puʻuwai, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Ua like koke koʻu umauma me he mea lā e kuʻi nui ana, me he mea lā e pā ʻia ana au e ka uku.
- Paʻakikī ka hanu ʻana.
- ʻO ka ʻeha a i ʻole ka ʻeha o ka umauma.
- Manaʻo puni a luhi loa paha.
ʻO ke ʻano o kēia mau hōʻailona, ʻaʻole lawa ke koko o kou puʻuwai i kou kino. ʻOiai inā ʻaʻole ʻoe e ʻike i kēia mau hōʻailona, inā ʻaʻole mālama ʻia, ʻoi aku kou pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana i ka wā e hiki mai ana.
Pehea ʻoe e hoʻomākaukau ai no ka lā o ka mālama ʻana?
E hāʻawi aku kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī no kēia, akā aia kekahi mau mea maʻamau e hoʻomanaʻo.
ʻO ka lā ma mua a me ke kakahiaka o ka lāʻau lapaʻau
- Ke kalaiwa ʻana: ʻAʻole hiki iā ʻoe ke kalaiwa no 24 mau hola ma hope o ka lāʻau lapaʻau. No laila, he mea nui e loaʻa iā ʻoe kekahi e kalaiwa iā ʻoe i ka home.
- ʻAi a me ka Mea Inu: E ʻai maʻamau i ka pō ma mua o kāu lāʻau lapaʻau. Eia naʻe, mai ʻai, inu, a nau paha i kekahi mea ma hope o ke aumoe o ia pō. ʻO kēia ka wai, ka nau ʻana i ka gum, a i ʻole nā mints. Eia kekahi, e makaʻala ʻaʻole e ale i ka wai i ka wā e palaki ai i kou mau niho.
- Nā lāʻau lapaʻau: Inā ʻoe e lawe ana i nā anticoagulants (nā mea hoʻokahe koko) a i ʻole nā lāʻau maʻi diabetes, e nīnau pono i kāu kauka pehea e lawe ai iā lākou i ka lā o kāu mālama ʻana. E lawe i nā lāʻau lapaʻau maʻamau ʻē aʻe e like me ka mea maʻamau me ka wai liʻiliʻi, ke ʻole kāu kauka e ʻōlelo aku ʻaʻole ʻoe e hana pēlā.
He aha kāu e hana ai ke hōʻea ʻoe i ka haukapila?
- Nā lole:E hele mai me nā lole ʻoluʻolu e maʻalahi ke komo a wehe. Pono ʻoe e ʻaʻahu i kahi lole haukapila i kou wā e mālama ʻia ai.
- Maʻemaʻe: Mai hoʻokomo i ka pena maka a i ʻole ka pena kui. Eia kekahi, mai hoʻopili i kekahi deodorant, pauka, a i ʻole ka kirīmi i kou umauma a i ʻole ke kua. Hiki i kēia ke hoʻopilikia i nā pads hoʻopili i hoʻohana ʻia no ka mālama ʻana.
- Nā Mea Makamae: E waiho i nā mea hoʻonani a pau, nā wati, a me nā mea makamae ma ka home, me nā apo mare.
He aha ka mea e hana ʻia i ka wā a ma hope o ka mālama ʻana?
Hoʻomākaukau ma mua o ka mālama ʻana
E kau ʻia ʻoe ma luna o kahi moe a e hoʻokomo ʻia kahi laina IV (laina intravenous) i loko o kahi aa koko i kou lima. Maanei ʻoe e loaʻa ai i nā lāʻau lapaʻau a me nā wai e pono ai i ka wā o ka mālama ʻana. A laila, e kau ʻia nā pads EKG a me nā pads Cardioversion ma kou umauma a me kou kua. Inā he lauoho ma kēlā mau wahi, e wehe ʻia.
Pono paha ʻoe e loaʻa i kahi hoʻāʻo i kapa ʻia ʻo Transesophageal Echocardiogram (TEE) ma mua o ka cardioversion. ʻO kēia ka hoʻomāʻū ʻana i kou puʻu a me ka hoʻokomo ʻana i kahi ʻōmole lahilahi i lalo o kou puʻu e kiʻi i nā kiʻi o kou puʻuwai e nānā i nā ʻōpū koko, kahi mea hiki ke weliweli inā e haki lākou i ka wā o ka mālama ʻana.
Ua ala au?
ʻAʻole. Hāʻawi ʻia ʻoe i ka lāʻau lapaʻau ma o kahi IV a hoʻomoe ʻia. No laila, ʻaʻole ʻoe e manaʻo i kekahi mea, ʻaʻohe ʻeha.
I ka wā o ka mālama ʻana
ʻOiai ʻoe e hiamoe ana, hoʻohana kāu kauka i kahi mīkini cardioverter e hāʻawi i kahi nui o ka ikehu uila i kāohi ʻia (shock) i kou puʻuwai ma o nā pads. Hoʻōki kēia ikehu i ka rhythm uila kūpono ʻole a ʻae iā ia e hoʻi i kahi rhythm maʻamau. Pono paha kēia e hana i nā manawa he nui e hoʻihoʻi i ka rhythm.
| Nā mea a me nā lako e nānā ai i ka wā o ka mālama ʻana | |
|---|---|
| Hāmeʻa | Hana |
| Mea hoʻololi puʻuwai / mea hoʻemi fibrillation | Ka hāʻawi ʻana i ka ikehu uila i ka puʻuwai. |
| ʻElectrocardiogram (ECG/EKG) | Ka nānā mau ʻana i ka hana uila o ka puʻuwai. |
| Nānā i ke kaomi koko | E ana i kou koko. |
| ʻOkimika | Ke ana ʻana i nā pae oxygen i loko o ke koko me kahi ʻūmiʻi liʻiliʻi i hoʻopili ʻia i ka manamana lima. |
Ma hope o ka mālama ʻana
Ma hope o ka lāʻau lapaʻau, e ala ʻoe. E hiamoe ʻoe ma muli o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe. Hiki i kou umauma ke ʻeha iki a mae no kekahi mau lā. Inā ʻae kāu kauka, hiki iā ʻoe ke hoʻohana i kahi mea e like me ka kirīmi 'Hydrocortisone' no kēia. Ke ala loa ʻoe, e kamaʻilio kāu kauka me ʻoe e pili ana i nā hopena a me kāu hoʻolālā lapaʻau e hiki mai ana.
He aha nā pōmaikaʻi a me nā pilikia o ka lāʻau lapaʻau?
E like me nā hana lapaʻau a pau, aia nā pono a me kekahi mau pōpilikia liʻiliʻi loa.
- Nā Pōmaikaʻi: ʻO nā pōmaikaʻi nui ka hoʻomaʻamaʻa ʻana o ka puʻuwai puʻuwai, ka hōʻemi ʻana i nā hōʻailona, a me ka pamu ʻana o ka puʻuwai me ka ʻoi aku ka maikaʻi.
- Nā Pōʻino: He mea kākaʻikahi nā pilikia, akā hiki iā lākou ke komo pū me ka ʻulaʻula ma kahi i hoʻopili ʻia ai nā pads i ka ʻili, ka palapū ma kahi i hoʻokomo ʻia ai ka IV, kahi ʻūpā koko i loko o ka puʻuwai e haki ana a hana i kahi hahau (ʻo kēia ka mea i hana ʻia ai ka hoʻāʻo TEE e pale aku ai), ka ʻino ʻana o ka puʻuwai puʻuwai, a i ʻole kahi hopena maʻi i ka lāʻau lapaʻau.
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Akā, ʻaʻole pono ʻoe e kalaiwa no 24 mau hola. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau ma hope o ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e ʻike i ka wā e hiki ai iā ʻoe ke hoʻi i ka hana.
Leka Lawe-Home
- He lāʻau palekana a maikaʻi loa ka Cardioversion i hoʻohana ʻia e hoʻoponopono i nā puʻuwai puʻuwai kūpono ʻole.
- Hana ʻia kēia ma ka hoʻohiamoe loa ʻana iā ʻoe, ka hāʻawi ʻana iā ʻoe i ka ikehu uila i kāohi ʻia, a i ʻole ka hoʻohana ʻana i ka lāʻau lapaʻau. ʻAʻole ʻoe e ʻeha.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua o ka mālama ʻana, ʻoiai e pili ana i ka meaʻai, ka mea inu, a me nā lāʻau hoʻokahe koko.
- No ka mea ʻaʻole hiki iā ʻoe ke kalaiwa no 24 mau hola ma hope o ka lāʻau lapaʻau, he mea nui e loaʻa kekahi e lawe iā ʻoe i ka home.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻū ʻana o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka poniuniu, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka.
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