Ke kuʻi wikiwiki nei kou puʻuwai a i ʻole ke manaʻo nei e lele ana i kahi kuʻi? E kamaʻilio kākou e pili ana i nā Palpitations o ka Puʻuwai!

Ke manaʻo nei ʻoe i kekahi manawa e wikiwiki ana kou puʻuwai? A i ʻole ke manaʻo nei ʻoe e lele ana kou puʻuwai i kahi kuʻi, me he mea lā e wili ana kekahi mea i loko o kou umauma, a i ʻole e neʻe ikaika ana? ʻO kēia ka mea a mākou e kapa nei ʻo 'Heart Palpitations' a i ʻole ke ʻano o kou puʻuwai e kuʻi ana i ke ʻano ʻē. ʻO ka ʻoiaʻiʻo, he mea kēia e ʻike ai ka hapa nui o ka poʻe i kekahi manawa o ko lākou ola. No laila, mai hopohopo koke, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.

He aha nā Palpitations o ka Puʻuwai?

I ka ʻōlelo maʻalahi, ʻo 'Heart Palpitations' ka wā e ʻike ai ʻoe i kahi loli i ke ʻano o ka paʻi ʻana o kou puʻuwai. ʻO ka maʻamau, ʻaʻole mākou i ʻike nui i ka paʻi ʻana o ko mākou puʻuwai, hana wale ia. Akā i kēia hihia, ʻike koke ʻoe i kou puʻuwai:

• Ua like ia me ka holo wikiwiki loa (`Racing`)
• Me he mea lā e hahau ʻia ana ma ka umauma me ka ikaika loa (`Pounding`)
• Me he mea lā ua hala ka puʻuwai (`Missing a beat`)
• E like me ka loaʻa ʻana o kahi kuʻi keu.
• Manaʻo e like me ka mea e huli ana i loko o ka umauma (`Flip-flopping`)
• E lele mālie ana , e like me ka pulelehua e lele mālie ana me ke ʻano ʻē .

Hiki paha iā ʻoe ke manaʻo i kēia puʻuwai puʻuwai ʻē ʻole ma kou umauma wale nō, akā i kekahi manawa ma kou puʻu a i ʻole ka ʻāʻī. Hiki ke hana kēia i kēlā me kēia manawa, ʻoiai ke noho wale nei ʻoe, e hana ana, a e hiamoe ana paha. He mea maʻamau ka manaʻo iki ʻana i ka pūʻiwa a me ka makaʻu ke manaʻo koke ʻoe i kēia. Akā i ka hapa nui o ka manawa, ʻaʻole kēia he mea koʻikoʻi a ʻaʻole ia he mea ʻino . Eia nō naʻe, i nā hihia kakaikahi, hiki i kēia ke lilo i hōʻailona o kahi ʻano puʻuwai ʻē. I ia mau hihia, he mea nui e ʻimi i ke aʻo lapaʻau.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi? Pehea ka maʻamau o ia mea?

ʻO kaʻoiaʻiʻo, hiki i kekahi ke ʻike i kēia puʻuwai puʻuwai kūpono ʻole. Eia nō naʻe, ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka ʻike ʻana o nā wahine i kēia maʻi . Eia kekahi, hiki ke ʻike ʻia i nā manawa like ʻole o ke ola. No ka laʻana, hiki iā ʻoe ke ʻike i kēia ʻano puʻuwai puʻuwai i ka wā ʻōpio, i ka wā hāpai, a i ʻole i ka wā menopause.

He mea maʻamau loa ia, ua ʻike ʻia ma kekahi noiʻi he 16% o ka poʻe e kipa aku i kā lākou mea mālama mua e kūkākūkā i kā lākou mau palpitations. ʻO ka ʻoiaʻiʻo, ʻo nā palpitations o ka puʻuwai ke kumu nui e ʻike ai nā maʻi i nā kauka cardiologists. No laila hiki iā ʻoe ke noʻonoʻo i ka maʻamau o kēia ʻike.

Pehea ka lōʻihi e hiki ai i ka puʻuwai ke mau?

ʻO ka maʻamau, ʻaʻole lōʻihi kēia puʻuwai. ʻO ka hapa nui o ka manawa, he mau kekona a i ʻole mau minuke paha . Eia nō naʻe, i kekahi manawa hiki ke lōʻihi iki, a hiki i kekahi mau minuke.

He aha ke kumu o kēia mau palpitations o ka puʻuwai?

ʻAe, e nānā kākou i ke kumu e hoʻomaka ai ka puʻuwai e kuʻi ʻano ʻē e like me kēia. Nui nā kumu no kēia. ʻO kekahi o lākou:

• Nā kūlana noʻonoʻo:
• Hopohopo nui
• Ke kaumaha
• Makaʻu koke a haʻalulu paha (`Fear`)
• Hoʻouka kaua panic hiki ʻole ke kāohi ʻia (`Panic attack`)
• Nā mea e pili ana i ke ola kino:
• Hoʻoikaika kino (ʻoi aku hoʻi i ka wā e hoʻomaka koke ai ʻoe i ka hoʻoikaika kino ikaika)
• Hāpai keiki
• ʻO ka hoʻohana nui ʻana i nā mea inu i loaʻa ka caffeine (kofe, tī, kekahi mau mea inu palupalu)
• Ka hoʻohana ʻana i ka paka me ka nikotine
• Ka hoʻohana ʻana i ka waiʻona
• Ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau (e.g., 'Cocaine', 'Amphetamines' (speed))
• Nā kumu lapaʻau:
• ʻO ka thyroid hana nui (Hyperthyroidism)
• Ke kō koko haʻahaʻa (Hypoglycemia)
• Ua hoʻemi ʻia ka pae potassium a i ʻole ka oxygen i loko o ke koko
• Ua emi nā pae kalapona dioxide i loko o ke koko
• kuni
• Anemia (ka nele o ke koko)
• Ka nalowale nui ʻana o ka wai mai ke kino ('Dehydration')
• Ke kahe koko nui ('Ke kahe koko')
• Nā lāʻau lapaʻau a me nā mea ʻē aʻe:
• ʻO kekahi mau ʻano inhalers i hoʻohana ʻia no ka hānō ('Asthma inhalers')
• ʻO kekahi mau beta-blockers (nā lāʻau lapaʻau i hoʻohana ʻia no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai) (ʻoi aku hoʻi i ka wā e hoʻōki ai i kā lākou hoʻohana a hoʻololi paha i ka nui)
• Nā lāʻau lapaʻau i hoʻohana ʻia no nā maʻi thyroid
• Nā lāʻau lapaʻau i hoʻohana ʻia no nā puʻuwai puʻuwai kūpono ʻole (nā lāʻau lapaʻau Antiarrhythmic)
• Kekahi mau lāʻau lapaʻau anu/kunu (ʻoi aku hoʻi nā mea i loaʻa nā 'decongestants')
• ʻO kekahi mau mea hoʻohui lāʻau a me nā meaʻai

E noʻonoʻo, inā ʻoe e ʻai i kahi mea ʻala loa, inu i ke kīʻaha kofe ma hope, a hopohopo iki, hiki nō iā ʻoe ke loaʻa i ka hāʻule puʻuwai e like me kēia!

Āhea lā e hiki ai ke ʻike hou ʻia kēia puʻuwai o ka naʻau?

Hiki ke loaʻa kēia mau palpitations puʻuwai i nā manawa like ʻole o ke ola. E nānā kākou i kekahi mau laʻana:

• Ke piʻi aʻe ka hopohopo: E like me kā mākou i ʻōlelo ai ma mua, ke manaʻo ʻoe i ka hopohopo, ka makaʻu, a me ka hopohopo paha, hiki ke piʻi aʻe kēia puʻuwai ma ke ʻano he ala e pane aku ai ke kino iā ia.
• Ma hope o ka ʻai ʻana: Manaʻo kekahi poʻe e holo wikiwiki ana ko lākou puʻuwai ma hope o ka ʻai ʻana. Hiki ke hana ʻia kēia ma hope o ka ʻai ʻana i nā mea ʻala, ʻaila, a mea ʻala paha , a ma hope paha o ka inu ʻana i nā mea inu caffeine (e like me ke kofe a kī paha), a ma hope paha o ka inu ʻana i ka waiʻona.
• I ka pō: Hiki ke loaʻa kēia mau palpitations puʻuwai i ke ao a me ka pō. Eia nō naʻe, ʻoi aku ka nui o ka ʻike ʻia i ka pō no ka mea ʻaʻole mākou e hana i nā hana ʻē aʻe a ua mālie nā wahi a puni.
• Ke moe nei ma kou ʻaoʻao: I kekahi manawa ke moe ʻoe ma kou ʻaoʻao, ʻoiai ke hiamoe nei ma kou ʻaoʻao hema, hiki ke piʻi aʻe ke kaomi i loko o ke kino a hoʻoulu i ka puʻuwai wikiwiki.
• I ka lā a pau: ʻO ka maʻamau, he pōkole wale nō ka manawa o nā palpitations. Eia nō naʻe, inā loaʻa iā ʻoe nā palpitations i ka lā a pau , pono ʻoe e ʻimi i ke kōkua lapaʻau.
• I ka wā hāpai: He mea kēia e ʻike ai ka poʻe he nui i ka wā hāpai. ʻO kēia no ka mea e piʻi ana kou puʻuwai a me ka nui o ke koko e kahe ana i loko o kou kino e hāʻawi i ka pēpē i nā meaʻai a me ka oxygen e pono ai. ʻAʻole ia he mea ʻino. Eia nō naʻe, hiki iā ʻoe ke nīnau i kāu kauka e pili ana i ka lawe ʻana i kahi lāʻau palekana i ka wā hāpai.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka e pili ana i kēia ʻōhumu puʻuwai, e hoʻolohe mua ʻo ia i kou puʻuwai a me kou māmā me kahi stethoscope. Eia kekahi, e nīnau ʻo ia iā ʻoe e pili ana i kēia mau mea:

• Kou mōʻaukala olakino piha ( nā maʻi ma mua, nā lāʻau lapaʻau, a pēlā aku).
• He aha nā hōʻailona āu e ʻike nei i kēia manawa ( e like me nā palpitations wale nō, a i ʻole he mau hōʻailona ʻē aʻe kekahi?)
• Kāu meaʻai ( e like me kāu meaʻai, ka caffeine, a me ka inu ʻona).
• Nā lāʻau lapaʻau a me nā huahana lāʻau lapaʻau āu e hoʻohana nei .

Eia kekahi, he mea kōkua inā hiki i ke kauka ke haʻi iā ʻoe i nā kikoʻī e pili ana i kou puʻuwai:

• Āhea a pehea ka pinepine o kēia hana?
• Pehea ka lōʻihi o ia manawa ?
• He aha ke ʻano o ka manaʻo āu e loaʻa ai i ka wā e hana ʻia ai kēia (e like me ka manaʻo poniuniu, poniuniu)?
• He aha kāu e hana nei i ka wā i hoʻomaka ai kēia?
• He aha ka mea e hoʻohauʻoli ai a hoʻomaha ai iā ʻoe ke hana ʻoe ia ?

E hala paha kēia puʻuwai i kou hele ʻana e ʻike i ke kauka. Inā hana ʻia kēlā, e noi paha ke kauka iā ʻoe e pā i kou mau manamana lima ma ka papaʻaina e hōʻike i ke ʻano o ka puʻuwai.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

No ka ʻike ʻana i ke kumu kikoʻī, hiki i ke kauka ke kauoha i kekahi mau hoʻokolohua. ʻO kekahi o lākou:

• Nā hoʻāʻo koko: E nānā i nā mea e like me ka anemia, nā pilikia thyroid, a me nā kaulike ʻole electrolyte.
• Nā hoʻāʻo mimi: Inā pono.
• Electrocardiogram (ECG/EKG): Hoʻopaʻa kēia i ka hana uila o ka puʻuwai. Inā he puʻuwai i kēlā manawa, hoʻopaʻa ʻia.
• Hoʻāʻo koʻikoʻi (ECG hoʻoikaika kino): Lawe ʻia kahi ECG i kou holo ʻana ma luna o ka treadmill a holo paikikala paha e ʻike ai pehea e pane ai kou puʻuwai.
• Echocardiogram: He scan ultrasound kēia o ka puʻuwai. Hiki iā ia ke nānā i nā mea e like me ke ʻano o ka puʻuwai a me ka hana o nā valves.
• Nānā Holter:He mea liʻiliʻi kēia āu e ʻaʻahu ai no 24 a 48 mau hola, a ʻoi aku paha. Hoʻopaʻa mau ia i ka ECG o kou puʻuwai. Ke noi aku nei hoʻi iā ʻoe e hoʻopaʻa i nā manawa āu e ʻike ai i kou puʻuwai.
• Haʻawina Electrophysiology (EPS): He hoʻokolohua paʻakikī kēia. Nānā ia i ka ʻōnaehana uila o ka puʻuwai me ka kikoʻī e ʻike i nā wahi e hana ʻia ai nā rhythms kūpono ʻole.
• Catheterization Cardiac: Inā pono, hana ʻia kēia hoʻāʻo e nānā i nā ālai ʻana i nā kīʻaha koko o ka puʻuwai.

Pono paha ʻoe e ʻike i kahi electrophysiologist, he kauka i loea i nā rhythms puʻuwai maʻamau (arrhythmias).

He aha ka lāʻau lapaʻau no kēia? (ʻO ka lāʻau lapaʻau)

ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ke kumu o kou mau palpitations. ʻAʻole paha ʻoe e pono i kekahi lāʻau lapaʻau . No ka laʻana, inā hoʻoulu ʻia kou mau palpitations e ke kofe a i ʻole ka hopohopo, hiki paha iā ʻoe ke pale aku i kēlā mau mea.

Eia nō naʻe, inā ua ʻike ʻia ʻoe he maʻi puʻuwai a i ʻole kahi ʻano puʻuwai kūpono ʻole, pono paha ʻoe e lawe i ka lāʻau lapaʻau, hana i kahi kaʻina hana, hana ʻoki kino, a i ʻole he mea hana e like me ka pacemaker e kaohi i kou helu puʻuwai . ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo aʻoaʻo a pau a kāu kauka a hele i nā manawa hoʻopaʻa.

He aha kaʻu e hana ai e hoʻōki i ka puʻuwai?

Inā loaʻa kou puʻuwai i ka hopohopo a i ʻole ke kaumaha, hiki iā ʻoe ke:

• E hana i ka yoga .
• E hana i ka noʻonoʻo ʻana .
• E hana i kahi hoʻomaʻamaʻa noʻonoʻo e kālele ana i ka hanu ʻana .
• E komo i nā hana ʻē aʻe e hoʻomālielie ai i ka manaʻo.

Eia kekahi, inā manaʻo ʻoe ua hana ʻia kēia e ka caffeine, pono ʻoe e kaupalena a hoʻōki loa paha i ka inu ʻana i nā mea inu caffeine e like me ke kofe a me ke kī.

E nalo aku ana anei kēia puʻuwai?

I ka hapanui o nā hihia, inā loaʻa kou puʻuwai i kahi mea āu e ʻai ai a hana paha (e like me ka puhipaka, ka waiʻona, ka caffeine, nā meaʻai ʻala, ka hoʻoikaika kino nui), ʻo ka pale ʻana i kēlā mau mea hoʻonāukiuki hiki ke kōkua iā lākou e nalo me ka ʻole o ka mālama ʻia ʻana e ke kauka .

Akā, e like me ka mea i ʻōlelo ʻia ma mua, inā he maʻi puʻuwai ma lalo a i ʻole kahi puʻuwai puʻuwai kūpono ʻole, pono maoli e mālama ʻia.

Pehea e pale aku ai i ka hōʻeha puʻuwai? (Kāohi ʻana)

Ma muli o ke kumu o kou puʻuwai palpitations, hiki iā ʻoe ke hōʻemi i ke alapine (frequency) o kēia mau kūlana ma o ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo:

• E hōʻemi i kou kaumaha.E hoʻāʻo i nā mea e like me nā hoʻomaʻamaʻa hanu hohonu, nā hoʻomaʻamaʻa hoʻomaha, yoga, tai chi, nā kiʻi i alakaʻi ʻia, a i ʻole nā ​​​​ʻano hana biofeedback.
• E hōʻalo a kaupalena paha i ka nui o ka waiʻona āu e inu ai.
• E hōʻemi a hōʻemi paha i ka nui o ka caffeine i kāu meaʻai.
• Mai hoʻohana i ka paka a i ʻole nā ​​​​huahana i loaʻa ka nikotine .
• E hoʻoikaika kino mau . Akā ma mua o kou hoʻomaka ʻana, e nīnau i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe.
• E hōʻalo i nā meaʻai, nā mea inu a me nā hana e hoʻonui ai i ka puʻuwai.
• E kāohi i kou koko a me nā pae cholesterol .

He mea weliweli anei ka palpitations o ka puʻuwai? He mea maʻamau anei kēia?

ʻAʻole, i ka hapa nui o ka manawa, ʻaʻole weliweli nā palpitations . He mea maʻamau loa kēia. I ka hapa nui o ka manawa, he pane maʻamau kēia o ke kino i ke kaumaha a i ʻole ka hopohopo. Hiki i ka poʻe me kēia maʻi ke hoʻomau i ko lākou ola maʻamau e like me ka mea maʻamau.

Āhea ʻoe e ʻike ai i ke kauka?

He mea nui loa kēia. ʻOiai inā he puʻuwai maʻamau ia, i kekahi mau hihia pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

E kelepona koke i ka 1990 (Sri Lankan Ambulance Service) a i ʻole e hele i ka haukapila kokoke loa inā ʻaʻole e pau ka puʻuwai, a inā paha e hele pū ʻia me kēia mau hōʻailona:

* Ka hemo ʻana a i ʻole ka hiolo ʻana .

* ʻEha nui, kaomi, a ʻūmiʻi paha ma kou umauma, ʻāʻī, ʻauwae, lima(mau), a i ʻole ke kua o luna .

* Pilikia nui ka hanu ʻana / Pōkole ka hanu .

* Ka poniuniu nui a i ʻole ke poʻo māmā .

Inā loaʻa iā ʻoe nā palpitations i kekahi manawa akā ʻaʻohe o nā hōʻailona koʻikoʻi i ʻōlelo ʻia ma luna, e ʻike i kāu kauka ʻohana. Eia kekahi, inā e ʻoi aku ka ʻino o kou mau palpitations a i ʻole e hoʻomaka koke e hana pinepine , e hōʻoia e hoʻomaopopo i kāu kauka.

I ka manawa hea ʻoe e hopohopo ai e pili ana i ka hāʻule puʻuwai?

ʻOiai ʻaʻole ia he mea weliweli ka palpitations o ka puʻuwai, inā hele pū lākou me kēia mau hōʻailona, ​​​​hiki ke lilo i hōʻailona o kahi pilikia olakino koʻikoʻi. No laila e makaʻala i kēia mau mea:

• Manaʻo poniuniu, huikau, a i ʻole māmā ke poʻo.
• ʻEha a kaomi paha o ka umauma.
• Pōkole o ka hanu.
• Ka hou ʻana maʻamau ʻole.
• Inā e ʻoi aku ka ʻino o ka palpitations o ka puʻuwai a i ʻole e hana pinepine ʻia ana.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i kēia mau nīnau. E kōkua kēia iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana:

• "E ke kauka, no ke aha e paʻakikī ai koʻu puʻuwai?" ('He aha ke kumu o koʻu puʻuwai paʻakikī?')
• "Pono anei au i ka lāʻau lapaʻau no koʻu puʻuwai palpitations?"
• "Pehea ka lōʻihi o koʻu puʻuwai e palpitations ai?"
• "He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?"
• "He aha nā hōʻailona e pono iaʻu e makaʻala nui?"

No laila, ʻo nā mea nui e hoʻomanaʻo ʻia:

ʻAʻole ia he mea a mākou e ʻike mau ai ka palpitations o ka puʻuwai (ʻo ia hoʻi ka wikiwiki, ka ʻano ʻole, a i ʻole ka lele ʻana o ka puʻuwai), no laila ke ʻike koke mākou iā lākou, hiki iā lākou ke lilo i mea hoʻopūhoihoi a weliweli iki. Eia naʻe, i ka hapa nui o ka manawa, ʻaʻole lākou he mea ʻino . I ka hapa nui o ka manawa, ua hoʻokumu ʻia lākou e nā mea e like me ke kaumaha, ka hopohopo, a me nā meaʻai a mākou e ʻai ai.

Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona koʻikoʻi ʻē aʻe e like me ka poniuniu, ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka hiolo ʻana i ka wā e palpitations ai kou puʻuwai, he hōʻailona paha ia o kahi pilikia olakino koʻikoʻi . I ia hihia, he mea nui e ʻimi koke i ke aʻo lapaʻau me ka hoʻonele ʻole i ka manawa .

Mai makaʻu, akā, e mālama i kou kino. No ka mea, he mea nui loa kou olakino iā ʻoe!

ʻO ke kuʻi ʻana o ka puʻuwai, ke kuʻi ʻana o ka puʻuwai, ʻeha o ka umauma, ka puʻuwai kūpono ʻole, nā palpitations o ka puʻuwai, hopohopo, kaumaha