Ua manaʻo paha ʻoe ua like ko kākou puʻuwai me kahi mīkini liʻiliʻi e hana ana i kahi mele? Akā i kekahi manawa hiki i kēia mele ke hele hewa. ʻO ia hoʻi, kuʻi wikiwiki ka puʻuwai, hiki ke hoʻoweliweli i ke ola. I ia mau hihia, i kēia lā e kamaʻilio mākou e pili ana i kahi mea liʻiliʻi e hana ma ke ʻano he pale o kou puʻuwai.
He aha kēia ICD?
I ka ʻōlelo maʻalahi, he mea liʻiliʻi ka ICD (Implantable Cardioverter Defibrillator) e nānā ana i ke kani o kou puʻuwai i nā hola 24 o ka lā. Ua like ia me kahi kiaʻi ola i kau ʻia i loko o kou puʻuwai. ʻIke ia i ka wā e lilo ai ke kani o kou puʻuwai i mea ʻino loa (kahi kūlana a mākou e kapa nei he arrhythmias) a hāʻawi i kahi haʻalulu uila liʻiliʻi e hoʻihoʻi i ke kani o kou puʻuwai.
Hoʻokomo pinepine ʻia kēia ICD ma lalo o ka ʻili o kou umauma. He like ia me ka nui o kahi uaki liʻiliʻi. Loaʻa iā ia kahi pila a me nā kaapuni e nānā ana i ka hana uila o kou puʻuwai. Hoʻokahi a ʻoi aku paha nā uea lahilahi (`(leads)`) i hoʻopili ʻia i kēia mea hana e hele i loko o kou mau keʻena puʻuwai e nānā a, inā pono, e hāʻawi i kahi haʻalulu uila.
Loaʻa i nā ICD he nui kahi pacemaker, nāna e kāohi i ka helu o ka puʻuwai. ʻO ia hoʻi, hana ia i ʻelua mau mea.
ʻO wai ka mea e pono ai kahi ICD?
ʻO ka maʻamau, ʻōlelo ʻia kahi ICD no ka poʻe i loaʻa i ka pilikia nui o ka make ʻana mai ka hopu koke ʻana o ka puʻuwai. Aia kekahi mau kūlana olakino e hiki ke hoʻonui i kēia pilikia.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua a i ʻole ka hopu ʻana o ka puʻuwai | ʻOi aku ka nui o ka pilikia o ka poʻe me kēia ʻano mōʻaukala i ka hiki hou ʻana mai. |
| ʻO ka Tachycardia Ventricular | He ʻano mele weliweli kahi e kuʻi wikiwiki ai nā keʻena haʻahaʻa o ka puʻuwai (ventricles). |
| ʻO ka Fibrillation Ventricular | He kūlana make paha kahi e haʻalulu ai nā keʻena haʻahaʻa o ka puʻuwai me ka hiki ʻole ke kāohi. |
| Ka hāʻule ʻana o ka puʻuwai me ka hoʻemi ʻia ʻana o ka hapa ejection | Hoʻonui ka pilikia i ka hiki ʻole i ka puʻuwai ke pamu i ke koko lawa i ke kino. |
| ʻO ke cardiomyopathy hypertrophic | He maʻi i hoʻokumu ʻia e ka mānoanoa o ka ʻiʻo o ka puʻuwai. |
| Nā kūlana genetic ʻē aʻe | Eia kekahi laʻana, nā kūlana e like me Brugada syndrome a me Long QT syndrome. |
Pehea ʻoe e hoʻomākaukau ai ma mua o kēia ʻoki kino?
Ma mua o ke ʻoki kino e hoʻokomo i kahi ICD, e noi aku kāu kauka iā ʻoe e hana i kekahi mau mea. Hana ʻia kēia mau mea e hōʻoia ai aia ʻoe i ke kūlana maikaʻi no ke ʻoki kino.
- Nā hoʻokolohua like ʻole: E noi ʻia paha ʻoe e hana i nā mea e like me nā hoʻokolohua koko a me ka mimi, kahi hoʻokolohua electrocardiogram (ECG) e nānā ana i ka hana uila o ka puʻuwai, a me kahi echocardiogram e nānā ana i ka hana a me ke ʻano o ka puʻuwai.
- Nā ʻŌlelo Aʻo: Inā loaʻa iā ʻoe nā pilikia koko koko a i ʻole ke lawe nei ʻoe i nā lāʻau hoʻokahe koko, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou. Pono ʻoe e haʻi iā lākou e pili ana i nā maʻi ʻē aʻe āu e loaʻa ai (diabetes, asthma, maʻi puʻupaʻa).
- Nā Allergies: Inā he maʻi ʻoe i nā mea i hoʻohana ʻia i kekahi mau hoʻokolohua (contrast dye a iodine paha), e ʻoluʻolu e hoʻomaopopo mai iā mākou e pili ana i kēlā.
- Hoʻokē ʻai: E noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana (hoʻokē ʻai) no kekahi mau hola ma mua o ke ʻoki ʻana.
He mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻO ka maʻamau, he mau hola ka lōʻihi o kēia ʻoki ʻana. ʻO ka hapa pinepine, hana ʻia kahi ʻoki liʻiliʻi kokoke i kou iwi ʻāʻī a hoʻokomo ʻia nā kaula ICD ma o kahi kīʻaha koko i loko o kou puʻuwai. Ua kapa ʻia kēia he ʻano transvenous.
Eia kahi wehewehe maʻalahi i kēlā me kēia ʻanuʻu no ke ʻano o ka hana ʻana o ke ʻoki kino:
1. ʻO ka mea mua, e hoʻomaʻemaʻe loa ʻia ʻoe ('anesthesia laulā') a i ʻole e hoʻomāʻe wale ʻia ka wahi e hana ʻia ai ke ʻoki kino ('anesthesia kūloko').
2. A laila hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili kokoke i ke kāʻei.
3. Ma o ia mea, ua komo ʻia kekahi kīʻaha koko nui, e like me ke aʻa koko subclavian, a ua alakaʻi pono ʻia nā kaula i nā keʻena kūpono o ka puʻuwai.
4. I kēia manawa, ua kau ʻia ka hāmeʻa ICD (ka ʻāpana liʻiliʻi e like me ka pahu) ma kahi hakahaka liʻiliʻi i hana ʻia ma lalo o ka ʻoki ʻili.
5. A laila ua hoʻopili ʻia nā uaea i hoʻouna ʻia i ka puʻuwai i ka ICD.
6. Ke pau kēia mau mea a pau, e nānā inā e hana pono ana ka hāmeʻa a me nā uea.
7. Inā maikaʻi nā mea a pau, e humuhumu ʻia ka ʻoki ma ka ʻili a pani ʻia.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
ʻO ka pōmaikaʻi nui
ʻO ka pōmaikaʻi nui a hoʻokahi wale nō o kēia ka hiki ke hoʻopakele i nā ola .
I ka ʻōlelo maʻalahi, hiki i kēia mea hana liʻiliʻi ke pale i ka make koke mai kahi ʻano puʻuwai weliweli. Hiki iā ia ke hoʻopaʻa i ka ʻike e pili ana i ka hana o kou puʻuwai a kōkua i kāu kauka e hoʻoholo i nā hoʻoholo lapaʻau.
Nā pilikia a me nā pilikia
E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā he mea maʻamau ʻole kēia.
| Pilikia/Paʻakikī | Wehewehena |
|---|---|
| Ke kahe koko a i ʻole ka palapū | Hiki ke hana ma kahi o ke ʻoki kino. |
| Nā maʻi | Ka maʻi o ka ʻoki a i ʻole ka maʻi o ka hāmeʻa. |
| Nā pilikia o ka māmā (Pneumothorax) | He liʻiliʻi loa ka pilikia o ka hōʻino ʻia ʻana o ka māmā i ka wā o ke ʻoki ʻana. |
| Ka neʻe ʻana o ka hāmeʻa a i ʻole ke kaula | Ka hiki ke neʻe o ka hāmeʻa i hoʻokomo ʻia a i ʻole ke kaula mai kona wahi i manaʻo ʻia. |
| Nā haʻalulu uila kūpono ʻole | Hoʻopuka ʻia kahi haʻalulu ma ka pane ʻana i kahi ʻano puʻuwai ʻē aʻe ʻaʻole e hoʻoweliweli i ke ola. |
Nā mea e noʻonoʻo ai i ka wā e noho ana me kahi ICD
Ma hope o ke kau ʻia ʻana o kahi ICD, hiki iā ʻoe ke ola i kou ola maʻamau. Akā, aia kekahi mau mea e pono ai ke makaʻala.
Pehea ka manaʻo o ka haʻalulu mai ka ICD?
Hiki ke ʻokoʻa ka ikaika o ka haʻalulu uila. Hiki i ka haʻalulu ikehu haʻahaʻa ke manaʻo e like me ka haʻalulu mālie i ka umauma. Hiki i ka haʻalulu ikehu kiʻekiʻe ke manaʻo e like me ka hahau pōkole i ka umauma.
I ka hapa nui o ka manawa, hoʻihoʻi mai kahi haʻalulu hoʻokahi i ke ʻano o ka puʻuwai. Akā inā loaʻa iā ʻoe kahi haʻalulu, pono ʻoe e haʻi aku i kāu kauka.
E noho mamao aku mai kēia mau mea.
Hiki i nā kahua magnetic ikaika a me kekahi mau mea ʻenehana ke hoʻopilikia i ka hana o ka ICD, no laila e makaʻala i kēia mau mea.
| Nā mea e pale aku ai a e makaʻala paha | Wehewehena |
|---|---|
| Nā kahua magnetic ikaika | Nā mīkini MRI, nā magnet nui e hāpai i nā kaʻa, nā mea hoʻolele leo ikaika, a me nā mea ʻē aʻe. E hōʻoia e haʻi iā lākou he ICD kāu ma mua o ka loaʻa ʻana o kahi scan MRI. |
| Nā Kelepona Paʻalima | E mālama i kāu kelepona ma ka liʻiliʻi he 6 ʻīniha ka mamao mai kahi i hoʻokomo ʻia ai ke kino ICD. Mai waiho i loko o ka ʻeke o kou pālule ma kēlā ʻaoʻao. |
| Nā ʻōnaehana palekana | Mai noho lōʻihi loa ma kahi kokoke i nā ʻōnaehana anti-theft ma nā hale kūʻai a i ʻole nā mea ʻike hao ma nā kahua mokulele. E nānā koke iā lākou. |
| Nā lako ʻē aʻe | E pale i ka hoʻokokoke ʻana aku i nā lako hana wili arc, nā pā uila, a me nā kaula lele pila o ke kaʻa. |
ʻO ka mea nui loa: E lawe mau i kahi kāleka i loko o kāu ʻeke e haʻi ana he ICD kāu. He mea nui loa ia i ka wā pilikia.
Āhea ʻoe e pono ai e kamaʻilio me ke kauka?
I kekahi mau hihia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Nā hōʻailona o kahi maʻi: Inā he koko a he pus paha e kahe ana mai ka wahi ʻoki, inā ʻulaʻula a pehu ka wahi, inā he kuni a he anuanu paha kou, a inā e ʻoi aku ka ʻino o ka ʻeha, e haʻi pono i kāu kauka.
- Pūʻiwa: Inā loaʻa iā ʻoe nā pūʻiwa he nui i loko o kahi manawa pōkole, he pilikia paha ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
ʻEhia ka lōʻihi o ka lōʻihi o ka pila ICD?
ʻO ka maʻamau, ʻo ka pila i loko o kahi ICD he 7 mau makahiki ka lōʻihi. Eia nō naʻe, hiki ke loli kēia ma muli o ka nui o nā haʻalulu āu e loaʻa ai. E nānā kāu kauka i kāu ICD i kēlā me kēia 3-6 mahina e nānā i ke kūlana o ka pila. No laila, he mea nui loa ka hele ʻana i ke keʻena lapaʻau i ka manawa kūpono.
Leka Lawe-Home
- He mea liʻiliʻi ka ICD e hoʻopakele ai i ke ola e kaohi ana i nā mele puʻuwai weliweli a pale i ka make koke.
- ʻOiai he palekana kēia ʻoki kino ma ke ʻano laulā, e hoʻomanaʻo, e like me nā ʻoki kino āpau, aia kekahi mau pilikia.
- I ka wā e noho ana me kahi ICD, he mea nui loa ia e noho mamao aku mai nā kahua magnetic ikaika a me kekahi mau mea uila.
- E lawe mau i kahi palapala hōʻoia e hōʻike ana he ICD kāu.
- Inā loaʻa iā ʻoe kahi haʻalulu mai ka ICD, a inā paha e hoʻomohala ʻoe i nā hōʻailona o ka maʻi ma kahi ʻoki, e hoʻomaopopo koke i kāu kauka.
- He mea pono ke kipa ʻana i nā keʻena lapaʻau i nā manawa i hoʻonohonoho ʻia a e nānā ʻia ka ICD.
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