He mea kupaianaha maoli ko kākou puʻuwai, he pamu hoʻomau ʻole, ʻeā? Mai ka lā i hānau ʻia ai kākou a hiki i ka lā e make ai kākou, e pamu ana kēia ʻōkana liʻiliʻi i ke koko ma loko o ko kākou kino me ka ʻole o ka hemahema. Akā, ua ʻike anei ʻoe i mea e hana pono ai kēia pamu, he ʻōnaehana uila ponoʻī kona? ʻAe, e like me ka ʻōnaehana 'wiring' i loko o ko kākou mau home. ʻO nā hōʻailona liʻiliʻi e puka mai ana mai kēia ʻōnaehana uila, ʻo ia nā mea e haʻi aku i ka puʻuwai e "kuʻi i kēia manawa." Hana ʻia kēia mau mea a pau ma ke ʻano maʻamau a maʻamau. Eia naʻe, i kekahi manawa, hiki ke loaʻa nā hewa liʻiliʻi i loko o kēia ʻōnaehana uila. ʻO ia ka manawa e hoʻomaka ai ka puʻuwai e lele ma ʻaneʻi a ma laila, e wikiwiki, a e lohi paha. I nā manawa e like me kēia, pono mākou i ke kōkua o kekahi mea nona ka ʻike kūikawā ma kēia ʻōnaehana uila, ma mua o ke kauka maʻamau. ʻO ia ka mea a mākou e kapa nei he Electrophysiologist .
I ka ʻōlelo maʻalahi, ʻo wai kēia Electrophysiologist?
E noʻonoʻo he pilikia nui me nā uea i loko o kou hale, ke hoʻā a pio nā kukui, a he mau kaapuni pōkole ma kekahi mau wahi. I kēlā manawa, ʻaʻole ʻoe e kamaʻilio me kahi mea uila maʻamau, akā i kahi mea uila akamai i ʻike maikaʻi i kēia. Pēlā nō ia. He loea ka electrophysiologist i ka ʻōnaehana uila o ka puʻuwai.
He mau kauka puʻuwai lākou, akā aia ko lākou akamai i ka ʻōnaehana uila e kāohi ana i ke kani o ka puʻuwai. ʻO kēia ʻōnaehana uila ka mea e hoʻoikaika ai i ko mākou puʻuwai e kuʻi, e kāohi ana i kona wikiwiki, a mālama iā ia i ke kuʻi maʻamau. Inā he pilikia ma kekahi wahi o kēia, aia kahi Electrophysiologist e ʻike pono i kona wahi, he aha ka pilikia, a mālama iā ia.
Ke kāhea pū nei mākou i nā loea electrophysiologists pediatric e mālama ana i nā pilikia o ka puʻuwai i nā keiki ʻōpio a me nā ʻōpio.
He aha ka ʻokoʻa ma waena o kahi Cardiologist a me kahi Electrophysiologist?
He wahi kēia e huikau ai nā kānaka he nui. No laila, e hoʻomaopopo maʻalahi kākou i kēia.
- He kauka lapaʻau puʻuwai kahi kauka loea i nā maʻi āpau e pili ana i ka puʻuwai. Eia kekahi laʻana, mālama ʻo ia i nā maʻi he nui, e like me ke koko kiʻekiʻe, nā hōʻeha puʻuwai, nā pilikia valve puʻuwai, a me ka hāʻule ʻana o ka puʻuwai. Ua like ʻo ia me ke 'Kauka Lapaʻau' o ka puʻuwai.
- He cardiologist ka electrophysiologist , akā ua hoʻomaʻamaʻa kūikawā ʻia ʻo ia ma hoʻokahi wale nō ʻāpana o ka puʻuwai, ʻo ia hoʻi ka ʻōnaehana uila a me ka mele o ka puʻuwai .
I ka ʻōlelo maʻalahi, he Cardiologist kēlā me kēia Electrophysiologist. Akā, ʻaʻole nā Cardiologist a pau he Electrophysiologist. Me he mea lā ʻaʻole nā mea a pau i ʻike e pili ana i ke kaʻa he loea i ka pahu pahu.
Inā he puʻuwai kūpono ʻole kou (arrhythmia), hiki i kāu cardiologist ke kuhikuhi iā ʻoe i kahi electrophysiologist.
He aha nā kūlana e mālama ai kahi electrophysiologist?
Hoʻōla kēia mau loea i nā ʻano maʻi like ʻole i hoʻokumu ʻia e nā hemahema like ʻole i loko o ka ʻōnaehana uila o ka puʻuwai. ʻOiai ʻaʻole koʻikoʻi kekahi o kēia mau mea, hiki i kekahi ke hoʻoweliweli i ke ola. No laila, he mea nui ka ʻike loea o kahi Electrophysiologist e hoʻokaʻawale ma waena o kēia mau mea a hāʻawi i ka lāʻau kūpono.
Ua papa inoa ka papa ma lalo nei i kekahi o nā kūlana olakino nui a me kā lākou wehewehe maʻalahi.
| Inoa Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka Fibrillation Atrial (AFib) | Kuʻi wikiwiki loa a kūlike ʻole nā keʻena o luna o ka puʻuwai (atria), me he mea lā e haʻalulu ana. Hiki i kēia ke alakaʻi i nā maʻi e like me ka hahau ʻana. |
| Ka Lele ʻAtrial | Ua like ia me AFib, akā maʻaneʻi ke kuʻi wikiwiki nei nā keʻena o luna o ka puʻuwai, akā ʻoi aku ka pinepine o ka paʻi ʻana. |
| ʻO ka Tachycardia Supraventricular (SVT) | He puʻuwai wikiwiki loa e hoʻomaka ana ma ka ʻaoʻao o luna o ka puʻuwai a kani koke a laila kū koke. |
| ʻO ka Tachycardia Ventricular (VT) | He puʻuwai wikiwiki loa a weliweli paha e hoʻomaka ana ma nā keʻena haʻahaʻa (ventricles) o ka puʻuwai. |
| ʻO ka Fibrillation Ventricular (VFib) | He kūlana hoʻoweliweli loa i ke ola kahi e haʻalulu ai nā keʻena haʻahaʻa o ka puʻuwai me ka hiki ʻole ke kāohi ʻia, e hoʻoulu ai i ka hopu koke ʻana o ka puʻuwai. |
| Poloka Puʻuwai | He ālai ʻia a lohi paha nā hōʻailona uila o ka puʻuwai i ko lākou hele ʻana mai nā keʻena o luna a i nā keʻena o lalo. Hiki i kēia ke hoʻoulu i ka puʻuwai e kuʻi mālie loa. |
| ʻO ka maʻi sinus maʻi | Ka hoʻonāwaliwali ʻana o ka hana o ka sinus node, ka pacemaker kūlohelohe o ka puʻuwai. Hiki i kēia ke hoʻoulu i ka puʻuwai e kuʻi wikiwiki a lohi paha. |
No ke aha ʻoe e kuhikuhi ʻia ai i kahi Electrophysiologist?
ʻO ka maʻamau, e kuhikuhi aku kāu kauka ʻohana a i ʻole kāu kauka cardiologist iā ʻoe i kahi electrophysiologist. Aia kekahi mau kumu no kēia.
- Inā ʻike ʻoe ua ʻoi aku ka wikiwiki o ka puʻuwai ma mua o ka maʻamau (Tachycardia) a i ʻole lohi ma mua o ka maʻamau (Bradycardia) .
- Inā hōʻike kahi hoʻokolohua ECG he ʻano kūpono ʻole kou puʻuwai.
- Inā loaʻa iā ʻoe nā manawa heʻe pinepine a i ʻole syncope , e nānā e ʻike inā he pilikia me ka ʻōnaehana uila o ka puʻuwai ke kumu.
- Inā loaʻa i kekahi o kou ʻohana kahi moʻolelo o ka make koke ʻana o ka puʻuwai, e nānā e ʻike inā ʻoe i ka pilikia.
E noʻonoʻo, i kou hele ʻana e ʻike i kāu kauka, nānā ʻo ia i kahi ECG a ʻōlelo mai, "Aia kahi mea ʻē aʻe i ka ʻōʻō o kou puʻuwai, e nānā hou aku kākou i kēia a hōʻike iā ʻoe i kahi loea i ʻike i kēia." ʻO ia ka manawa e kuhikuhi ʻia ai ʻoe i kahi Electrophysiologist.
He aha nā hoʻokolohua a kēia mau kauka e hana ai?
No ka ʻike pono ʻana i ka hewa o ka ʻōnaehana uila o ka puʻuwai, hoʻohana kahi electrophysiologist i nā ʻano hoʻokolohua like ʻole. He nui o kēia mau mea he mau hoʻokolohua maʻalahi a ʻaʻole invasive.
| Inoa Hoʻāʻo | He aha kāu e hana ai me kēia? |
|---|---|
| ʻElectrocardiogram (EKG/ECG) | ʻO kēia ka hoʻāʻo maʻalahi loa. Hoʻopili ʻia nā mea ʻike, e like me nā pepili, i kou umauma a me nā lima a me nā wāwae, a hoʻopaʻa ʻia ka hana uila o kou puʻuwai i kēlā manawa. |
| Nānā Holter | He mīkini liʻiliʻi kēia. E noi ʻia ʻoe e ʻaʻahu iā ia no kahi o 24 a 48 mau hola. E hoʻopaʻa mau ia i kou puʻuwai i kou hele ʻana i kāu mau hana o kēlā me kēia lā. |
| Luna Nānā Hanana | Ua like ia me kahi monitor Holter, akā hiki ke hoʻohana ʻia no nā lā a i ʻole nā pule. Ke ʻike ʻoe i nā hōʻailona, hiki iā ʻoe ke kaomi i kahi pihi a hoʻopaʻa i kou helu puʻuwai i kēlā manawa. |
| ʻEchocardiogram (Echo) | Ua like kēia me ke kiʻi ultrasound o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano o ka puʻuwai, nā valves, a pehea e hana ai ka puʻuwai. |
| Hoʻāʻo Papa Hoʻokiʻekiʻe | He hoʻāʻo no ka poʻe e maule pinepine ana. Hoʻonoho ʻia ʻoe ma luna o kahi moe a nānā ʻia kou koko a me ka helu o ka puʻuwai i ka wā e hoʻohuli mālie ʻia ai ka moe i luna. |
| Haʻawina Electrophysiology (Haʻawina EP) | ʻO kēia ka hoʻāʻo hohonu loa. Hoʻokomo ʻia nā uea lahilahi loa (catheters) ma o kahi aa koko ma ka wāwae a i ʻole ka lima i loko o ka puʻuwai, e hana ana i kahi palapala ʻāina o ka ʻōnaehana uila o ka puʻuwai e kuhikuhi pono i kahi o ka pilikia. |
He aha nā hōʻailona e pono ai iaʻu e ʻike i kahi electrophysiologist?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana iā lākou. E kuhikuhi ʻo ia iā ʻoe i kahi electrophysiologist inā pono.
- Nā Palpitations o ka Puʻuwai:ʻO nā palpitations ka mea a mākou e kapa nei ʻo ke ʻano o ka puʻuwai e kuʻi ana. Hiki iā ia ke manaʻo e like me ka holo wikiwiki ʻana o ko mākou puʻuwai i loko o ko mākou umauma, me he mea lā e kuʻi wikiwiki koke ana a kū, a i ʻole e lele ana i kahi kuʻi.
- Pōkole o ka hanu: Manaʻo e like me ka paʻakikī o ka hanu ʻana me nā hana liʻiliʻi.
- ʻEha a ʻoluʻolu ʻole paha o ka umauma: He manaʻo o ka paʻa a i ʻole ka ʻūmiʻi i loko o ka umauma.
- Pōniuniu a nāwaliwali paha: Hiki i kēia ʻano ke ʻano mai ka manaʻo māmā ke kū koke ʻoe i luna a hiki i ka nalowale o ka ʻike.
- Luhi: Manaʻo nui i ka luhi i nā manawa a pau me ke kumu ʻole.
Ma muli o ka like pinepine o kēia mau hōʻailona, he mea nui ka ʻike loea o kahi electrophysiologist e ʻike pono i ke kumu o ka pilikia.
Pehea e mālama ʻia ai nā pilikia o ka puʻuwai?
ʻO ka mea maikaʻi loa, aia i kēia lā nā lāʻau lapaʻau kūpono loa no ka hapa nui o nā pilikia o ka puʻuwai. Ke ʻike pololei kahi electrophysiologist i kou kūlana, e ʻōlelo lākou i ka lāʻau lapaʻau kūpono loa nāu.
| ʻAno Lapaʻau | He aha ka mea e hana ʻia me kēia? |
|---|---|
| Lāʻau lapaʻau | Nā lāʻau e kaohi ai i ka puʻuwai, hoʻolohi iā ia, a pale paha i nā ʻūpā koko. |
| ʻO ka hoʻopau ʻana o ka catheter | Ua ʻike ʻia ma ke aʻo ʻana a EP ua hana ʻia ka wahi o ka puʻuwai e hoʻouna ana i nā hōʻailona uila hewa ma ka hoʻohana ʻana i ka ikehu e like me ke alapine radio e hana i kahi ʻeha liʻiliʻi. A laila e pau nā hōʻailona hewa i ka hiki ʻana mai. He lāʻau lapaʻau kēia i ʻoi aku ma mua o 90% ka holomua. |
| Mea hoʻokele pacemaker | He mea uila liʻiliʻi e kōkua ai i ka poʻe me ka puʻuwai lohi loa e mālama i ka wikiwiki maʻamau. Hoʻokomo ʻia ia ma lalo o ka ʻili ma ke ʻoki ʻana. |
| ʻO ka Implantable Cardioverter Defibrillator (ICD) | Ua like kēia me kahi pacemaker, akā ʻo ka mea kūikawā e pili ana i kēia, hiki iā ia ke ʻike i kahi puʻuwai wikiwiki loa (e like me VT a i ʻole VFib) hiki ke hoʻoweliweli i ke ola, a hāʻawi i kahi haʻalulu uila i ka puʻuwai e hoʻihoʻi iā ia i ka maʻamau. |
| Ka hoʻololi ʻana o ke kāʻei | I loko o kahi pilikia, hoʻopuka ʻia kahi haʻalulu uila ma ke kau ʻana i nā 'hoe' ma waho o ka umauma e hoʻihoʻi koke i ka puʻuwai wikiwiki a kūpono ʻole. |
Inā pono ʻoe e ʻike i kahi Electrophysiologist, mai makaʻu. He poʻe loea i aʻo nui ʻia lākou ma kēia kahua a ua hoʻolaʻa ʻia no ka hoʻomaikaʻi ʻana i kou ʻano ola. E kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E loaʻa kahi ʻike maopopo o kou kūlana a me ka mālama ʻana.
Leka Lawe-Home
- He kauka cardiologist ka electrophysiologist i loea i ka ʻōnaehana uila o ka puʻuwai a me ka ʻōuli o ka puʻuwai.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka wikiwiki, lohi, ka puʻuwai kūpono ʻole, a i ʻole ka nāwaliwali pinepine, he hōʻailona paha ia o kahi kīnā i ka ʻōnaehana uila o ka puʻuwai.
- Mai hoʻowahāwahā i nā hōʻailona e like me kēia. E kamaʻilio me kāu kauka e pili ana i ia mea.
- I kēia lā, aia nā lāʻau lapaʻau kūpono loa no nā puʻuwai puʻuwai kūpono ʻole (arrhythmias), mai nā lāʻau lapaʻau a hiki i ka ablation a me nā pacemakers.
- Mai makaʻu e ʻike i kahi electrophysiologist. Aia lākou ma laila e kōkua iā ʻoe. E hoʻolohe i kāu mau nīnau a e hōʻoia ua maopopo iā ʻoe nā mea āpau.
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