I kekahi manawa, kuʻi wikiwiki loa ko kākou puʻuwai, a wikiwiki loa paha, ʻeā? Hiki i kēia ʻano puʻuwai kūpono ʻole (arrhythmia) ke lilo i hōʻailona o kahi kūlana weliweli. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi mea lapaʻau liʻiliʻi akā ikaika loa e hiki ke kōkua i ka hoʻopakele ʻana i nā ola i ia mau kūlana. Kapa mākou i kēia he ICD, ʻo ia hoʻi ʻo Implantable Cardioverter Defibrillator.
He aha maoli ka ICD?
I ka ʻōlelo maʻalahi, he mea lapaʻau ka ICD i hoʻokomo ʻia ma lalo o ka ʻili o kou umauma, ma o kahi hana ʻoki liʻiliʻi. ʻElua ona ʻāpana nui. ʻO kekahi he pila liʻiliʻi, e like me ka uaki hoʻōki. ʻO kekahi he mau uea lahilahi e hele ana mai kēia pila a i nā keʻena o kou puʻuwai. Kāhea pū mākou i kēia mau uea he "mau alakaʻi".
Ke nānā mau nei kēia mea hana pila i kou puʻuwai a me kou mele . E noʻonoʻo, inā lilo koke kou puʻuwai i mea ʻino loa, hiki i kēia mea liʻiliʻi ke hāʻawi i ka haʻalulu uila e pono ai e hoʻoponopono. Lawe ʻia kēlā haʻalulu uila i ka puʻuwai ma o nā uea i kapa ʻia ʻo "leads."
Hoʻohana nui ʻia ka ICD no:
- Hoʻoponopono i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias). No ka laʻana, nā kūlana kahi e kuʻi wikiwiki ai ka puʻuwai (tachycardia) a lohi paha (bradycardia).
- E pale i ka hopu koke ʻana o ka puʻuwai.
- E hōʻiliʻili i ka ʻikepili e pili ana i ka hana o kou puʻuwai a kōkua i kāu kauka e hoʻoholo i nā hoʻoholo lapaʻau.
He aha ka ʻokoʻa ma waena o kahi ICD a me kahi Pacemaker?
He nui ka poʻe e huikau ana i kēia mau mea hana ʻelua. Aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua.
Mālama ka pacemaker i ka puʻuwai e kuʻi i kahi wikiwiki mau a maʻamau. ʻO ia hoʻi, ke hana mau nei ia.
He mea hana ka ICD e nānā ana i ke kuʻina o ka puʻuwai a hana wale nō i ka wā e pono ai . ʻO ia hoʻi, hāʻawi wale ia i kahi haʻalulu inā loli nui ka kuʻina o ka puʻuwai.
Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki i kekahi mau ICD hou ke hana ma ke ʻano he pacemaker. Na kāu kauka e hoʻoholo i ke ʻano kūpono iā ʻoe.
ʻO wai ka mea e pono ai kahi hāmeʻa ICD?
Pono paha kahi hāmeʻa ICD no ka poʻe me kekahi mau kūlana puʻuwai e paʻakikī ke kaohi me nā lāʻau lapaʻau ʻē aʻe. Hōʻike ka papa ma lalo nei i kekahi o kēia mau kūlana.
| Kūlana Lapaʻau | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi Brugada | He ʻano maʻi hoʻoilina laha ʻole e hoʻoulu ai i ka puʻuwai puʻuwai weliweli a kūpono ʻole. |
| ʻO kekahi mau maʻi puʻuwai hānau | Nā loli o ka mele i hoʻokumu ʻia e nā pilikia me ke ʻano o ka puʻuwai mai ka hānau ʻana mai. |
| ʻO ka cardiomyopathy hypertrophic | Ka mānoanoa kūpono ʻole o ka ʻiʻo o ka puʻuwai, e pilikia ai ke kaomi ʻana i ke koko. |
| ʻO ka maʻi QT lōʻihi | He puʻuwai wikiwiki a kūpono ʻole i hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana uila o ka puʻuwai. |
| ʻO nā kānaka i loaʻa mua i ka myocardial infarction a i ʻole ka hopu ʻana o ka puʻuwai | I mea e hōʻemi ai i ka pilikia o ka hana hou ʻana o ia kūlana. |
| ʻArrhythmia ventricular / Fibrilation ventricular | Nā puʻuwai kūpono ʻole e hoʻomaka ana ma nā keʻena haʻahaʻa o ka puʻuwai a hiki ke hoʻoweliweli i ke ola. |
Pehea e hana ʻia ai ke ʻoki kino e hoʻokomo i kahi hāmeʻa ICD?
Hana pinepine ʻia kēia ʻoki kino ma kahi haukapila. He mau hola ka lōʻihi. Hana ʻia e ke kauka lapaʻau puʻuwai a i ʻole he electrophysiologist.
Hoʻomākaukau ma mua o ke ʻoki kino
E hāʻawi aku kāu kauka iā ʻoe i kēia mau ʻōlelo aʻoaʻo ma mua o ke ʻoki ʻana:
- He mau hola ma mua o ke ʻoki kinoʻO ka wikiwiki (mai ʻai a inu paha i kekahi mea ʻē aʻe ma mua o ka wai).
- E hana ʻia nā hoʻāʻo koko, mimi, a me kahi ECG e ʻike ai inā olakino ʻoe no ke ʻoki ʻana.
- Inā he maʻi kahe koko kou a ke lawe nei paha ʻoe i ka lāʻau hoʻokahe koko, e haʻi pono i kāu kauka .
- E hoʻomaopopo pū iā lākou inā he mau maʻi allergies kou i nā mea e like me ka dye contrast, iodine, a i ʻole nā lāʻau lapaʻau.
- Inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka hānō, ka maʻi diabetes, a i ʻole ka maʻi puʻupaʻa, e hoʻomaopopo pū i ka hui lapaʻau e pili ana i ia mau mea.
I ka wā o ke ʻoki kino
Hana pinepine ʻia kēia ma o ke ʻano i kapa ʻia ʻo "transvenous approach." ʻO ia hoʻi, ua hana ʻia kahi ʻoki liʻiliʻi kokoke i ka iwi ʻāʻī a ua hoʻokomo ʻia nā kaula i kapa ʻia ʻo "leads" ma o kahi aa koko i loko o ka puʻuwai. I kekahi manawa, pono paha ke ʻoki puʻuwai hāmama.
Eia nā ʻanuʻu e hana pinepine ʻia ai ke ʻoki kino:
1. Hāʻawi ʻia ka lāʻau lapaʻau ma o kahi "IV" e hōʻoluʻolu iā ʻoe a i ʻole e hoʻomoe iā ʻoe ma lalo o ka anesthesia a hiamoe.
2. E mae wale kahi i ʻoki ʻia.
3. Hana ʻia kahi ʻoki liʻiliʻi kokoke i ka iwi ʻāʻī, ka umauma, a i ʻole ka ʻōpū.
4. Hoʻokomo ʻia nā uea i loko o nā keʻena o ka puʻuwai ma o kahi aʻa nui.
5. Hoʻokomo ʻia ka pākahiko ICD ma kahi hakahaka liʻiliʻi i hana ʻia ma lalo o ka ʻili.
6. Hoʻopili ʻia nā uea i ka puʻuwai a me ka ICD.
7. E nānā e ʻike inā ua pili pono ka hāmeʻa a me nā uea a ke hana pono nei.
8. Ua humuhumu ʻia ka ʻoki me ka pani ʻia.
9. E nānā hou ʻia ka ʻōnaehana ma mua o kou hoʻouna ʻia ʻana i ka mahele.
Ma hope o ke ʻoki kino a me ka noho ʻana me kahi ICD
Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke manaʻo i kahi luhi a me kekahi ʻeha ma kahi i ʻoki ʻia. Hiki ke hoʻomalu ʻia kēia me nā mea hōʻeha ʻeha. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā ma hope o ke ʻoki ʻana.
Pehea ka manaʻo o ka haʻalulu mai ka ICD?
He pilikia kēia i loaʻa i nā poʻe he nui. Hiki i ka ICD ke hāʻawi i nā haʻalulu ikehu haʻahaʻa a me nā haʻalulu ikehu kiʻekiʻe.
- Ua like ka haʻalulu ikehu ʻole me kahi manaʻo e neʻe ana a i ʻole ke kī ʻana i ka umauma.
- Hāʻawi ʻia kahi haʻalulu ikehu kiʻekiʻe i nā hihia koʻikoʻi. He ʻeha iki paha ia no kekahi manawa. Hiki ke manaʻo ʻia e like me ka hahau ʻana i ka umauma.
ʻO ka maʻamau, hoʻokahi wale nō haʻalulu e hoʻihoʻi i ke ʻano o ka puʻuwai. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kekahi mau haʻalulu i loko o 24 mau hola. Inā loaʻa iā ʻoe kekahi mau haʻalulu i loko o kahi manawa pōkole (no ka laʻana, ʻekolu a ʻoi aku paha), he pilikia paha ia i kapa ʻia he 'ʻino uila'. Inā hana ʻia kēia, pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa (ETU). Hiki i kēia ke hōʻike i kahi pilikia puʻuwai koʻikoʻi a i ʻole kahi hana hewa o ka ICD.
Nā mea e noʻonoʻo ai i ka wā e noho ana me kahi ICD
Inā he ICD kāu, e lawe mau i kahi kāleka ID i loko o kāu ʻeke e ʻōlelo ana.He kōkua nui ia i nā limahana lapaʻau inā ʻaʻole hiki iā ʻoe ke kamaʻilio i ka wā pilikia.
Eia kekahi, pono ʻoe e haʻi i nā limahana mālama ola kino āpau, me kāu mau kauka, nā kauka niho, a me nā mea hana loea e hana ana i nā hoʻokolohua e like me MRI, he ICD kou, no ka mea, hiki i kekahi mau lako ke hoʻopilikia i ka ICD.
Nā mea e hiki ke hoʻopilikia i ka ICD
Hiki i kekahi mau mea hana ʻenehana ke hoʻopilikia i ka hana o ka ICD. E nīnau i kāu kauka inā pono ʻoe e makaʻala i ka hoʻohana ʻana i ia mau mea.
- Nā ʻōnaehana antitheft ma nā hale kūʻai
- Kekahi ʻano lekiō (nā lekiō CB, nā lekiō ham)
- Nā pā uila
- Nā headphone
- Nā mea hoʻoili pila kaʻa, nā kaula jumper
- Nā mīkini me nā magnet ikaika
- Nā mea ʻike hao ma nā wahi e like me nā kahua mokulele
- ʻO kekahi mau hoʻokolohua lapaʻau, e like me MRI
I ka manawa e kāhea koke aku ai i kāu kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, he hōʻailona paha ia o ka maʻi. Inā hana ʻia kēia, e hoʻomaopopo koke i kāu kauka.
| Nā hiʻohiʻona e nānā ai | |
|---|---|
| Nā hōʻailona o ka maʻi |
|
| Nā pilikia ʻē aʻe | |
Leka Lawe-Home
- He mea lapaʻau koʻikoʻi loa ka ICD hiki ke hoʻopakele i nā ola o ka poʻe me nā maʻi puʻuwai weliweli.
- He ʻokoʻa kēia mai ka pacemaker. Hoʻāla wale ka ICD i ka wā e pono ai.
- Inā he ICD kāu, e mālama mau i kāu kāleka ID me ʻoe.
- E hoʻomaopopo i nā limahana mālama ola kino a pau, me kāu kauka a me kāu kauka niho, e pili ana i kēia.
- E makaʻala i nā mea hana e hoʻopilikia paha i ka ICD, e like me nā magnet a me nā mea ʻike metala.
- Inā loaʻa iā ʻoe nā haʻalulu he nui i loko o kahi manawa pōkole, e manaʻo he pilikia ia a e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā he mau hopohopo a kānalua paha kāu, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.











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