Ua manaʻo paha ʻoe i kou umauma e kuʻi koke ana me ke kumu ʻole? Me he mea lā ua holo wale ʻoe i kahi mamao loa. A i ʻole ke manaʻo nei ʻoe e ʻōwili ana kekahi mea i loko o kou umauma, e lele ana i kahi kuʻi a laila kuʻi hou ana? He mea kēia e hana ʻia i nā poʻe he nui. Hiki ke hana ʻia kēia ke manaʻo nui ʻoe i ka makaʻu, ke kaomi, a i ʻole ka hopohopo, ʻo ia ka mea a mākou e kapa nei he "Hopohopo". No laila, mai makaʻu. E kamaʻilio maopopo kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia mau palpitations o ka puʻuwai?
ʻO ka huaʻōlelo 'Heart Palpitations' e hopohopo paha i kekahi poʻe. Akā ʻo ke ʻano maʻalahi loa o kēia, ʻo ia ka hoʻomaka ʻana e manaʻo i kou puʻuwai e kuʻi maikaʻi loa ana. ʻO ka maʻamau, ʻaʻole mākou e manaʻo i ko mākou puʻuwai e kuʻi ana. Akā i kēia manawa,
- Hiki i ka puʻuwai ke manaʻo e kuʻi nui ana a wikiwiki hoʻi .
- E like paha ʻoe me kahi pulelehua e lele ana i loko o kou umauma .
- Hiki i ka puʻuwai ke manaʻo e like me ka lele ʻana i hoʻokahi manawa, a laila kuʻi wikiwiki i ka manawa aʻe .
- Malia paha e like me ke kuʻi ʻano ʻē ʻana o kou puʻuwai , e kuʻi wikiwiki ana, a laila lohi, a laila wikiwiki hou.
Hiki ke ʻike ʻia kēia manaʻo ma ka umauma, ka ʻāʻī, a i ʻole ka puʻu. I kekahi manawa e nalowale ana i loko o kekahi mau kekona. I kekahi manawa hiki ke mau no nā minuke.
No ke aha e hoʻoulu ai ka hopohopo i ka ʻeha o ka umauma? He aha ka pilina?
E noʻonoʻo ʻoe e hele ana ʻoe ma ke alanui a lele koke mai kahi ʻīlio nui iā ʻoe. He aha ka mea e hana ʻia iā ʻoe? Manaʻo ʻoe i ke anu, ka hou, a hoʻomaka kou umauma e kuʻi, ʻeā? ʻO ia ke ʻano pale kūlohelohe o ko mākou kino. Kāhea mākou iā ia ʻo ka "pane hakakā a lele paha."
Ke makaʻu ʻoe, hopohopo, a kaumaha paha, manaʻo kou lolo ua pilikia ʻoe. I kēlā manawa, hoʻouna ka lolo i nā hōʻailona i ke kino e hoʻomākaukau e kū i kēlā "pilikia." I ka manawa like, hoʻokuʻu ko mākou kino i nā hormones e like me ka adrenaline . ʻO kekahi o nā hana nui o kēia mau hormones, ʻo ia ka hoʻolalelale ʻana i ka puʻuwai. ʻO kēia no ka mea e pamu koke lākou i ke koko a me ka oxygen i nā ʻiʻo o ke kino, e hāʻawi ana iā ʻoe i ka ikehu e hakakā a holo paha.
No laila, eia ka mea e hana ʻia ke loaʻa iā ʻoe ka `(Hopohopo)`. Inā paha he pilikia ma ka hana, he hoʻokolohua, a i ʻole ka makaʻu i ka ʻōlelo ʻana i mua o nā kānaka, hiki i kou lolo ke hōʻailona iā ia he "pōʻino." A laila hoʻāla ʻia ka pane `(Hakakā a Holo paha)`, piʻi ka adrenaline, a hoʻomaka kou umauma e kuʻi wikiwiki.
ʻO ka mea nui, ʻo kēia ʻūpā umauma i hoʻokumu ʻia e ka hopohopo ʻaʻole ia he mea weliweli. He pane kūlohelohe wale nō ia o kou kino i kou mau manaʻo.
I ka manawa hea mākou e hopohopo ai e pili ana i ka ʻeha o ka umauma?
ʻOiai ʻo ka ʻeha o ka umauma i hoʻokumu ʻia e ka hopohopo ʻaʻole ia he mea weliweli, ʻaʻole nā ʻeha a pau o ka umauma i hoʻokumu ʻia e ka hopohopo. I kekahi manawa hiki ke lilo ia i hōʻailona o kahi pilikia olakino. No laila, inā loaʻa iā ʻoe kekahi o nā hōʻailona i helu ʻia ma lalo nei me ka ʻeha o ka umauma, he mea nui e ʻimi koke i ke kōkua lapaʻau. ʻO ia hoʻi ke hele ʻana i ka haukapila kokoke loa i ka Emergency Department (ETU) i ka hikiwawe loa.
| Nā hōʻailona hōʻike e pono ai ka nānā koke ʻana | |
|---|---|
| ʻEha a ʻeha paha ka umauma | Ka manaʻo o ka ʻūmiʻi a i ʻole ka ʻūmiʻi ʻana i loko o ka umauma. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, pōkole ka hanu, ka hanu ʻana. |
| Milo (wili) | Manaʻo poniuniu, polū nā maka, paʻakikī ke kū. |
| Ka mae ʻana | ʻO ka Syncope ka manaʻo o ka nalowale ʻana o ka ʻike a i ʻole ka nāwaliwali. |
Nā kumu ʻē aʻe o ka ʻeha o ka umauma me ka hopohopo ʻole
- Nā pilikia o ke ʻano o ka puʻuwai (Arrhythmias): No ka laʻana, nā kūlana e like me `(Atrial Fibrillation - Afib)`.
- Myocarditis: ʻO ka mumū o nā ʻiʻo o ka puʻuwai ma muli o kahi maʻi viral.
- Nā pilikia thyroid: ʻOi aku ka hyperthyroidism.
- Nā pilikia puʻuwai kūkulu: Nā mea e like me ka maʻi valve puʻuwai.
- Nā kumu ʻē aʻe: ka nui o ka caffeine (kofe, tī) a i ʻole ka inu ʻana i ka waiʻona, kekahi mau lāʻau lapaʻau, anemia (hemahema koko).
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka e kamaʻilio e pili ana i kēia, e kamaʻilio mua ʻo ia me ʻoe me ka maopopo. ʻAʻohe pono e makaʻu. E akaka kou manaʻo. Hiki i ke kauka ke nīnau iā ʻoe i nā mea e like me:
- ʻEhia ka lōʻihi o kou ʻeha ʻana i ka umauma? ʻEhia ka lōʻihi? ʻEhia mau manawa i ka lā āu e ʻike ai?
- Pehea kou manaʻo ma mua o kēia hana ʻana? Ke makaʻu nei ʻoe a hopohopo paha?
- He aha nā lāʻau lapaʻau (me nā huaora a me nā lāʻau lapaʻau) āu e lawe ai?
- He aha kāu mau ʻano ʻai? ʻEhia ka nui o ke kofe, ke kī, a me nā mea inu ikehu āu e inu ai? Ke inu nei ʻoe i ka waiʻona?
- Aia kekahi o kou ʻohana i loaʻa i ka maʻi puʻuwai?
A laila, e kau ke kauka i kahi stethoscope ma kou umauma a nānā iā ia. Inā pono, hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu pololei.
- Nā hoʻāʻo koko: E nānā no ka anemia, nā pae hormone thyroid, a me nā pae mineral e like me ka potassium (Hypokalemia).
- ECG (Electrocardiogram): He hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai. Hiki i kēia ke nānā i nā ʻano ʻē i ka rhythm o ka puʻuwai.
- Echocardiogram (Echo): He scan kēia o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano o ka puʻuwai, ka hana o nā valves, a me ke ʻano o ka puʻuwai e pamu ana i ke koko.
- Nānā Holter: He mea liʻiliʻi kēia āu e ʻaʻahu ai no hoʻokahi a ʻelua paha lā. Hoʻopaʻa mau ia i ka hana o kou puʻuwai ʻoiai ʻoe e hana ana i kāu mau hana o kēlā me kēia lā.
- Mea Hoʻopaʻa Hanana: Hiki iā ʻoe ke hoʻohana i kēia no kekahi mau pule. Ke lohe ʻoe i ka puʻuwai o ka naʻau, e kaomi i kahi pihi ma luna a e hoʻopaʻa ʻia kahi ECG i kēlā manawa.
Pehea e mālama ai i ka ʻeha o ka umauma i hoʻokumu ʻia e ka hopohopo?
Ma hope o nā hoʻokolohua, inā hōʻoia kāu kauka ua paʻa kou umauma ma muli o ka "Hopohopo", e kālele nui ka lāʻau lapaʻau i ka hoʻokele ʻana i kou kūlana "Hopohopo". No ka mea, ke mālama ʻia ke kumu, e emi koke ana ka hōʻailona (paʻa o ka umauma).
Hoʻōla noʻonoʻo
He ʻano hana kūpono loa kēia. Kāhea pū mākou iā ia ʻo 'Talk Therapy'. Maanei, kamaʻilio ʻoe e pili ana i kou mau pilikia me kahi kākāʻōlelo aʻoaʻo a kauka lapaʻau paha, nāna e kōkua iā ʻoe e ʻike a hoʻololi i nā ʻano noʻonoʻo e hoʻoulu ai i kou "Hopohopo". ʻO ka Cognitive Behavioral Therapy (CBT) kahi ʻano hana kūpono loa i hoʻohana pinepine ʻia no kēia.
Nā lāʻau lapaʻau
I kekahi mau hihia, hiki i ke kauka ke kuhikuhi i ka lāʻau lapaʻau e kāohi i ke kūlana.
- Hiki i nā lāʻau lapaʻau e like me nā lāʻau anti-anxiety (anxiolytics) a me nā antidepressants ke kōkua i ka kaohi ʻana i ka hopohopo i ka wā lōʻihi.
- Hoʻemi nā lāʻau lapaʻau e like me nā beta-blockers i nā hopena o ka hormone adrenaline, e kaohi ana i nā hōʻailona kino e like me ka puʻuwai wikiwiki a me ka haʻalulu.
- Nā BenzodiazepinesʻOiai hāʻawi kēia ʻano lāʻau lapaʻau i ka hoʻomaha wikiwiki i ka wā pilikia, pono e hoʻohana pinepine ʻia a no ka manawa pōkole wale nō, no ka mea, ke halihali nei lākou i kahi pilikia o ka maʻi ʻona.
Nā loli o ke ʻano o ka nohona a me nā hana palliative
Ma waho aʻe o ka lāʻau lapaʻau, nui nā mea hiki iā ʻoe ke hana iā ʻoe iho. Ma ka hoʻolilo ʻana i kēia mau mea i ʻāpana o kou ola, hiki iā ʻoe ke kaohi maikaʻi i ka hopohopo a me nā palpitations.
Nā ala e kāohi koke ai i ka ʻeha o ka umauma
E noʻonoʻo ʻoe ua loaʻa koke iā ʻoe kahi hoʻouka hopohopo a hoʻomaka kou umauma e kuʻi. Mai hopohopo i kēlā manawa, e hoʻāʻo e hana i kēia mau mea.
- Hanu Hohonu: ʻO kēia ke ala maikaʻi loa a wikiwiki hoʻi. E noho ʻoluʻolu. E pani i kou mau maka. E kau i kekahi lima ma kou umauma a ʻo kekahi ma kou ʻōpū. E hanu mālie a hohonu ma kou ihu (e helu ana i 4). I kou hanu ʻana i loko, pono ʻoe e manaʻo e neʻe ana kou lima ma kou ʻōpū i mua. A laila e paʻa i kou hanu no 1-2 kekona a hanu mālie ma kou waha (e helu ana i 6). E hana i kēia i kekahi mau manawa a e manaʻo ʻoe e hoʻi mālie ana kou puʻuwai i ka maʻamau.
- Ka Noʻonoʻo: E makaʻala i kou wahi. E ho'āʻo e ʻike i 5 mau mea āu e ʻike ai, 4 mau leo āu e lohe ai, 3 mau mea āu e hoʻopā ai, 2 mau mea āu e honi ai, a me 2 mau mea āu e ʻono ai (ʻoiai he wai iki). E kōkua kēia i kou noʻonoʻo e hoʻomaʻemaʻe i ka makaʻu a hoʻihoʻi iā ʻoe i kēia manawa.
- Wai anuanu: E pīpī i kahi wai anuanu ma kou maka. A i ʻole e inu mau i ke aniani wai anuanu. Kōkua kēia i ka hōʻoluʻolu ʻana i ka ʻōnaehana nerve.
- E hele wāwae: Inā hiki, e hele wāwae pōkole. E nānā i kou wahi a puni. E hoʻohuli kēia i kou manaʻo.
E hoʻomanaʻo, ʻo ka mea nui loa, ʻo ia ke haʻi iā ʻoe iho i kēlā manawa, "He hopohopo wale nō kēia, ʻaʻole kēia he mea weliweli, e nalo aku ana kēia i loko o kekahi manawa."
Leka Lawe-Home
- He mea maʻamau loa ka palpitations o ka puʻuwai ma muli o ka hopohopo. I ka hapa nui o ka manawa, ʻaʻole kēia he kūlana weliweli.
- ʻO kēia ma muli o ka pane kūlohelohe o ke kino i ka "hakakā a lele paha".
- Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka poniuniu nui (lightheadedness), a i ʻole ka nalowale o ka ʻike me kou ʻeha o ka umauma, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Inā he kānalua a hopohopo paha kou e pili ana i ka ʻeha o kou umauma, mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
- He mea kōkua nui nā ʻano hoʻomaha e like me ka psychotherapy, ka lāʻau lapaʻau, a me ka hanu hohonu i ka mālama ʻana i ka hopohopo.
- ʻAʻole he hōʻailona o ka nāwaliwali ka noi ʻana i ke kōkua. He hōʻailona ikaika ia e mālama ana ʻoe i kou olakino.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo