Ua makaʻu anei ʻoe i kou wā e hiamoe ai i ka pō, a i ʻole ke kū wale ʻoe ma laila, a hoʻomaka koke kou umauma e kuʻi? ʻO kēia ʻike, ka mea e like me kou puʻuwai e lele ana mai kou umauma mai, a i ʻole e kū koke a hoʻomaka hou e kuʻi, he mea ʻoluʻolu ʻole a weliweli hoʻi. Ua loaʻa i nā poʻe he nui kēia ʻike. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo 'Heart Palpitations'. No laila i kēia lā, e kamaʻilio kākou no ke kumu o kēia hana, he mea anei ia e makaʻu ai, a me ka mea e pono ai kākou e hana e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha nā palpitations o ka puʻuwai?
ʻO nā palpitations, a i ʻole ka mea a mākou e kapa nei he palpitations, ʻo ia ka wā e hoʻomaka ai ʻoe e manaʻo i kou puʻuwai e kuʻi ana i ke ʻano ʻē . ʻO ka maʻamau, ʻaʻole mākou e manaʻo i ko mākou puʻuwai e kuʻi ana ke noho wale mākou ma laila. Akā i kēia manawa, hiki iā ʻoe ke manaʻo maikaʻi loa.
Hiki i kēia ke manaʻo ʻokoʻa:
- Heihei: Kuʻi ikaika a wikiwiki hoʻi kou puʻuwai , me he mea lā e holo ana ʻoe.
- Kuʻi: He manaʻo kuʻi i loko o ka umauma i ka wā e kuʻi ai ka puʻuwai . Manaʻo kekahi poʻe me he mea lā hiki iā lākou ke lohe i kēia kani ma nā pepeiao ʻelua.
- Ke lele nei a ke lele nei paha i kahi kuʻi: Me he mea lā e lele ana kahi pulelehua a puni i loko o ka umauma, a i ʻole e like me ka puʻuwai e kuʻi hoʻokahi manawa a laila kū no kekahi manawa ma mua o ke kuʻi aʻe.
Hiki iā ʻoe ke manaʻo i kēia ʻū ʻaʻole wale ma kou umauma, akā i kekahi manawa ma kou ʻāʻī a i ʻole ka puʻu.
ʻO ka mea nui, ʻoiai hiki i kēia ʻano ʻike ke weliweli loa, ʻo ka hapa nui o ka manawa ʻaʻole ia he kūlana weliweli . Nui ka poʻe e ʻike i kēia i ke ao, akā ʻaʻole mākou e ʻike no ka mea ua paʻahana mākou i ka hana. ʻIke nui ʻia i ka pō i ka wā mālie.
He aha nā hōʻailona o ka ʻeha o ka umauma i ka pō?
Inā ʻike ʻoe i kēia mau mea i kou wā e moe ana ma kahi moe, e hoʻāʻo ana e hiamoe, a i ʻole e moe wale ana, he 'palpitations' paha ia. E nānā pono kākou i kēia.
| Pehea kou manaʻo | He wehewehe wale nō |
|---|---|
| Ke lele nei | Ua like ia me ka manu a i ʻole ka pulelehua e pā ana i kona mau ʻēheu i loko o kou umauma. Wahi a kekahi, ua like ia me ka "wili" ʻana o kou puʻuwai. |
| Ka helu puʻuwai kūpono ʻole | ʻAno ʻē ka puʻuwai, me he mea lā e kuʻi hoʻokahi manawa, e hoʻomaha no hoʻokahi a ʻelua paha kekona ma mua o ka kuʻi aʻe, a laila e wikiwiki hou. Ua kapa ʻia hoʻi kēia ʻo "skipping a beat." |
| Kuʻi ʻana | Me he mea lā e kuʻi nui ana kou puʻuwai a ikaika hoʻi. Me he mea lā e kuʻi ana kekahi ma kou umauma mai loko mai. I kekahi manawa, hiki paha iā ʻoe ke lohe i kou puʻuwai e kuʻi ana ma nā pepeiao ʻelua. |
No ke aha lā e ʻeha ai ko kākou umauma penei i ka pō?
Nui nā kumu no kēia. E hoʻokaʻawale kākou iā lākou i ʻelua ʻāpana a kūkākūkā iā lākou. ʻO kekahi nā kumu maʻamau, ʻaʻole koʻikoʻi loa. ʻO kekahi nā kumu e pono ai mākou e akahele iki a ʻimi i ke aʻo lapaʻau.
ʻO ka hapa pinepine, ʻo kēia ma muli o kahi loli liʻiliʻi i ka rhythm o ka puʻuwai, e hoʻoulu ai i kekahi o nā keʻena o ka puʻuwai e ʻaelike (beat) ma mua o ka manawa maʻamau. Kāhea mākou i kēia he premature ventricular contraction (PVC) a i ʻole premature atrial contraction (PAC) . ʻO ka ʻoiaʻiʻo, loaʻa i ka puʻuwai o kēlā me kēia kanaka kēia mau loli liʻiliʻi i ka rhythm mai kēlā manawa a i kēia manawa, akā ʻaʻole nā mea a pau e ʻike.
| Nā kumu o ka paʻa ʻana o ka umauma | |
|---|---|
| Nā kumu maʻamau, ʻaʻole koʻikoʻi loa | |
| Kūlana hiamoe | Ke hiamoe ʻoe ma kou ʻaoʻao, me kou kino i hoʻokiʻekiʻe ʻia, e piʻi aʻe ana ke kaomi i loko o kou kino a hiki iā ʻoe ke manaʻo i ka wikiwiki o ka paʻi ʻana o kou puʻuwai. |
| Hopohopo a me ke Kaumaha | Hiki ke ʻike ʻia kēia ʻano ʻūlū o ka umauma ke mālie ʻoe i ka pō ma muli o ke kaumaha, ka makaʻu, a me ka hopohopo o ke ao. He hōʻailona maʻamau nō hoʻi kēia o ka hoʻouka kaua panic. |
| Meaʻai a me ka mea inu | Hiki ke hana ʻia kēia e nā mea inu i loaʻa ka caffeine e like me ke kofe a me ke kī, ka waiʻona , ke kokoleka, a me ka ʻai nui i nā kalapona, ke kō, ka paʻakai, a i ʻole ka momona i ʻai ʻia ma mua o ka hiamoe ʻana. |
| Ka maloʻo ʻana | Ke loaʻa ʻole i ke kino ka wai lawa a ua kaulike ʻole ke kaulike electrolyte i loko o ke kino, pono ka puʻuwai e hana ikaika e pamu i ke koko. He kumu nō hoʻi kēlā. |
| ʻO kekahi mau lāʻau lapaʻau a me ka nikotine | Hiki ke hana ʻia kēia ʻano e kekahi mau decongestants i lawe ʻia no ke anu, kekahi mau lāʻau hoʻemi kaumaha, a me ka nikotine i nā mea puhi paka. |
| Nā loli hormonal | He mea maʻamau ka palupalu o ka umauma ma muli o nā loli hormonal i ke kino i ka wā hāpai a me ka menopause. |
| Nā Kumu e Pono Ai ke Nānā Lapaʻau | |
| Anemia | Ke emi ke koko i loko o ke kino, pono ka puʻuwai e hana ikaika e hāʻawi i ke kino i ka oxygen e pono ai. Hiki i kēia ke hoʻoulu i ka puʻuwai e kuʻi wikiwiki. |
| Nā kūlana puʻuwai | Nā kūlana e like me ka maʻi puʻuwai a me ka nāwaliwali o nā ʻiʻo puʻuwai (cardiomyopathy). |
| Nā pilikia o ka puʻuwai (Arrhythmias) | Nā pilikia koʻikoʻi o ka manawa e like me ka Atrial Fibrillation (Afib) , ka wikiwiki o ka puʻuwai (Tachycardia) a lohi paha (Bradycardia) . |
| Nā pilikia thyroid | Hiki i ka kelepa thyroid hana nui (hyperthyroidism) ke hoʻonui i ka metabolism o ke kino a hoʻonui i ka puʻuwai. |
| Nā kūlana olakino ʻē aʻe | Ke koko haʻahaʻa (hypotension), ke kō koko haʻahaʻa (hypoglycemia), a me nā pilikia o ka valve puʻuwai. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka e pili ana i kēia, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau. Eia kekahi laʻana, pehea ka lōʻihi o kēia hana, i ka manawa hea o ka lā e hiki mai ai, a inā he mau hōʻailona ʻē aʻe kāu (e like me ka poniuniu , ka ʻeha o ka umauma) me ia.
A laila, e hoʻolohe ʻo ia i kou puʻuwai me ka stethoscope. Eia kekahi, e hana paha ʻo ia i kekahi mau hoʻokolohua, e like me:
- Nā hoʻāʻo koko: Kōkua kēia e ʻike inā he anemia kou, he aha nā pae hormone thyroid, a inā he hemahema kāu i nā huaora.
- ECG (Electrocardiogram): He hoʻāʻo maʻalahi kēia, ʻaʻohe ʻeha e lawe ana ma kahi o 15 mau minuke. Eia nō naʻe, inā ʻaʻole ʻoe e ʻeha ana i ka umauma i ka wā o ka hoʻāʻo ʻana, he maʻamau paha ka ECG.
- Nānā Holter: Inā ʻaʻole hōʻike ka ECG i kekahi pilikia, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e ʻaʻahu i kēia mea liʻiliʻi. Pono ʻoe e ʻaʻahu iā ia no hoʻokahi lā, ʻelua, a i ʻole hoʻokahi pule. ʻOiai ʻoe e hana ana i kāu mau hana maʻamau, hoʻopaʻa mau ka mea hana i kou helu puʻuwai. Hiki i kēia ke kōkua i ka ʻike ʻana i nā puʻuwai puʻuwai kūpono ʻole e hiki mai ana.
He aha kaʻu e hana ai inā ʻeha koʻu umauma i ka pō?
ʻAʻole pono pinepine kēia ʻano maʻi i ka mālama nui ʻana. Inā hoʻomaka koke ʻoe e loaʻa i nā ʻeha umauma i ka pō, mai hopohopo a hoʻāʻo i kēia mau mea.
- E hanu hohonu:Ke hopohopo ʻoe, piʻi aʻe kou puʻuwai. No laila e mālie. E hanu hohonu ma kou ihu a hanu mālie ma kou waha. ʻO ka hana ʻana i kēia i kekahi mau manawa e kōkua i ka hoʻomalu iki ʻana i kou puʻuwai. Hiki i nā mea e like me ka noʻonoʻo ʻana ke kōkua i ka hoʻēmi ʻana i ke kaumaha.
- E inu i hoʻokahi kīʻaha wai: Malia paha no ka mea ua maloʻo kou kino. No laila e hoʻāʻo e inu i hoʻokahi kīʻaha wai.
- E hoʻololi i kou kūlana: Inā ʻoe e hiamoe ana ma kou ʻaoʻao a hana ʻia kēia, e hoʻāʻo e huli i kou ʻaoʻao. A i ʻole, e ala a hele a puni ka lumi. I kekahi manawa, ʻo ka hoʻololi wale ʻana i kou kūlana e kōkua.
ʻO ka mea nui, inā hoʻoholo kāu kauka ua hoʻokumu ʻia kou palpitations e kahi maʻi, e mālama ʻo ia i kēlā maʻi. No ka laʻana, inā he pilikia thyroid kou, hiki ke hāʻawi ʻia iā ʻoe i ka lāʻau lapaʻau no kēlā, a inā he anemia kou, hiki ke hāʻawi ʻia iā ʻoe i nā pila hao. I kekahi mau hihia, hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau, e like me nā beta-blockers, e kāohi i kou helu puʻuwai.
He aha kā mākou e hana ai e pale aku i kēia?
ʻOiai ʻaʻole hiki ke pale loa ʻia kēia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia.
- E ho'ōki i ka hana ʻana i kekahi mau mea ma mua o ka hiamoe ʻana: E pale i ka inu ʻana i ka waiʻona, ka inu ʻana i ke kofe, a me ka puhipaka, ʻoiai kekahi mau hola ma mua o ka hiamoe ʻana.
- E hōʻalo i nā meaʻai kaumaha: E hōʻalo i ka ʻai ʻana i nā meaʻai kaumaha me ka ʻaila, ke kō, ka paʻakai, a me nā kalapona kokoke i ka wā hiamoe.
- E hoʻokele i ke kaumaha: Inā loaʻa iā ʻoe kahi maʻi e like me ka hopohopo a i ʻole ke kaumaha, e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka lāʻau lapaʻau. ʻO ka hoʻomaʻamaʻa ʻana i nā mea e like me ka yoga a me ka noʻonoʻo ʻana i kēlā me kēia lā hiki ke hōʻemi nui i ke kaumaha.
- E mālama i ke kaumaha olakino: ʻO ka momona nui e hoʻonui i ka pilikia o ka maʻi puʻuwai a me nā puʻuwai puʻuwai kūpono ʻole. No laila, e mālama i ke kaumaha olakino ma o ka ʻai olakino a me ka hoʻoikaika kino.
Āhea wau e ʻike pono ai i ke kauka?
ʻOiai ʻaʻohe pono e makaʻu i ka ʻeha o ka umauma i kekahi manawa, aia kekahi mau kūlana e pono ai ʻoe e ʻike i ke kauka.
I ka ʻōlelo maʻalahi, inā ʻike pinepine ʻoe i kēia maʻi a inā he nui kou makaʻu a kānalua paha e pili ana i ia mea, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka a nānā ʻia. E hāʻawi ia iā ʻoe i kahi manaʻo nui o ka hōʻoluʻolu i ka ʻike ʻana ʻaʻole ia he mea koʻikoʻi.
Eia nō naʻe, inā ʻike ʻia nā hōʻailona hōʻike (Red Flag Symptoms) me ka ʻeha o ka umauma, e hele koke i ka Emergency Department (ETU) o ka haukapila .
| Nā hōʻailona e pono ai ke kōkua koke ʻana o ke kauka! | |
|---|---|
| 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 | Pōkole o ka hanu, paʻakikī ka hanu ʻana. |
| Pōʻino a nalowale paha ka ʻike | ʻĀʻī , ka manaʻo o ka wili ʻana, a i ʻole ka maule/nāwaliwali (syncope) . |
| Pehu nui | Ka pehu nui (edema) , ʻoiai ma nā wāwae, nā kuʻekuʻe wāwae, a me nā kapuwaʻi. |
| Luhi maʻamau ʻole | Ka luhi nui koke, i wehewehe ʻole ʻia. |
Eia kekahi, inā loaʻa iā ʻoe kahi leka hoʻomaopopo mai kahi uaki hoʻoikaika kino a i ʻole kekahi mea hana ʻē aʻe e ʻoi aku ka nui o kou puʻuwai ma mua o 100 i ka wā hoʻomaha, he mea maikaʻi ke kamaʻilio pū me ke kauka e pili ana i kēlā.
Leka Lawe-Home
- He mea maʻamau ka palpitations o ka puʻuwai i ka pō. I ka hapanui o nā hihia, ʻaʻohe mea e hopohopo ai.
- ʻO ke kaumaha, ka caffeine, ka waiʻona, a me kekahi mau meaʻai ke kumu nui o kēia.
- Ke manaʻo ʻoe i kēia, mai hopohopo, e hanu hohonu, inu i ka wai, a hoʻāʻo e hoʻololi i kou kūlana.
- Inā loaʻa pinepine kēia ʻano, a inā he kānalua kou, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a nānā ʻia.
- ʻEha umauma, pōkole o ka hanu, poniuniu , a nalowale paha ka ʻike me ka ʻeha umaumaInā loaʻa iā ʻoe nā hōʻailona e like me kēia, he pilikia ia. E hele koke i ka haukapila.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo