Ke manaʻo nei ʻoe i kekahi manawa e kuʻi ana kou puʻuwai me ke kāohi ʻole ʻia, a i ʻole e lele koke ana i kahi kuʻi? Malia paha e like me ka neʻe ʻana o kekahi mea i loko o kou umauma, a i ʻole e kuʻi wikiwiki loa ana. ʻO kēia mau ʻike ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'palpitations'. Mai makaʻu i kou lohe ʻana i kēia, e kamaʻilio maʻalahi mākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha kēia mau 'palpitations'?
I ka ʻōlelo maʻalahi, ʻo nā palpitations ka manaʻo āu e loaʻa ai i ka paʻi ʻana o kou puʻuwai. Hiki i kēia ke ʻano like ʻole:
- Ke kuʻi nui nei ka puʻuwai: me he mea lā e kīkēkē ana kekahi ma ka umauma.
- Puʻuwai holo wikiwiki: E like me kou wā e holo mai ana, a i ʻole ʻoe e makaʻu loa ana.
- Kuʻi haʻalele: He manaʻo me he mea lā ua kū koke ka puʻuwai a laila hoʻomaka hou ke kuʻi.
- E lele ana: He manaʻo e like me ka pulelehua e lele ana i loko o ka umauma.
- Puʻuwai kūpono ʻole: He manaʻo e kuʻi ana ka puʻuwai i ke ʻano kūpono ʻole, ma mua o ke ʻano mele.
Hiki i kēia mau manaʻo ke mau no kekahi mau kekona, i kekahi manawa no nā minuke. ʻO ka mea nui, ʻaʻole kēia mau 'palpitations' he maʻi, akā hiki ke lilo i hōʻailona o kahi maʻi. ʻO ka hapa nui o ka manawa ʻaʻole lākou he mea weliweli, akā i kekahi manawa pono ʻoe e hopohopo iki.
No ke aha lā e loaʻa ai iā kākou kēia mau 'palpitations'?
Nui nā kumu no ka palpitations o ka puʻuwai. He mea maʻamau kekahi o lākou. E nānā kākou i kēlā mau kumu.
1. Nā kumu e pili ana i ko mākou nohona:
ʻO kēia nā kumu nui e loaʻa pinepine ai iā mākou nā palpitations.
- Ke kaumaha a me ka hopohopo:
E noʻonoʻo he hoʻokolohua nui kāu, a he pilikia paha ma ka hana, a he pilikia ʻohana paha... I nā manawa e like me kēia, kaumaha loa kou puʻuwai, ʻeā? I nā manawa e like me kēia, hiki ke piʻi aʻe kou puʻuwai. Loaʻa pū kekahi poʻe i kēia ʻano puʻuwai ke loaʻa iā lākou ka `(Panic Attacks)`.
- Nā mea inu me ka caffeine:
Ua ʻike mākou a pau he caffeine ke kī, ke kofe, a me kekahi mau mea inu palupalu (ʻoi aku hoʻi nā mea inu ikehu). ʻO ka nui o kēia mau mea hiki ke hoʻonui i kou puʻuwai. Inā ʻoe e inu i kekahi mau kīʻaha kofe i ka lā, pono ʻoe e noʻonoʻo iki i kēia.
- Nikotine:
Hiki ke loaʻa kēia ʻano i nā mea puhi paka a me nā vapers. He mea hoʻoulu ka nikotine i ka puʻuwai.
- ʻOna:
No kekahi poʻe, hiki i kahi liʻiliʻi o ka waiʻona ke hoʻonui i ko lākou puʻuwai. Inā ʻoe e inu nui, hiki nō iā ia ke loaʻa ka hopena.
- Hoʻoikaika Kino:
He mea maikaʻi ka hoʻoikaika kino maikaʻi no ke kino. Eia nō naʻe, inā ʻoe e hana koke i kahi hoʻoikaika kino ikaika a maʻa ʻole, a inā ʻoe e hoʻoikaika nui iā ʻoe iho, e piʻi aʻe paha kou puʻuwai.
- Ka maloʻo ʻana o ka wai:
Hiki ke hana kēia ʻoiai ʻaʻole ʻoe e inu i ka wai lawa. He mea nui loa ka inu ʻana i ka wai i ka wela o ko mākou ʻāina.
- Ka nele o ka hiamoe:
ʻO ka lawa ʻole o ka hiamoe hiki ke hoʻopilikia i ka hana o ka puʻuwai.
- ʻO kekahi mau ʻano meaʻai:
Hiki ke hana kēia i kekahi poʻe ma hope o ka ʻai ʻana i nā meaʻai ʻala, ʻaila, a mea ʻono paha.
2. Nā kumu lapaʻau:
I kekahi manawa, hiki ke hana ʻia nā palpitations e kahi kūlana olakino.
- Nā Kūlana Puʻuwai:
Hiki ke hana ʻia kēia e kekahi mau maʻi puʻuwai (Arrhythmias). No ka laʻana, nā kūlana e like me Atrial Fibrillation a me Supraventricular Tachycardia (SVT). Hiki ke hana ʻia e nā pilikia kūkulu i loko o ka puʻuwai, e like me ka nāwaliwali o nā ʻiʻo puʻuwai. ʻO kēia nā mea e pono e nānā ʻia e ke kauka.
- Nā pilikia thyroid:
Hiki ke piʻi aʻe ka helu o ka puʻuwai, ʻoiai ke hana nui ʻia ka ʻōpū thyroid (hyperthyroidism).
- Haʻahaʻa ka hemoglobin i loko o ke koko (anemia):
Ke emi ka lako koko i ke kino, pono ka puʻuwai e hana ikaika. Hiki nō hoʻi ke loaʻa nā palpitations.
- Kuni:
Ke loaʻa iā ʻoe ke kuni, piʻi maoli ka helu o kou puʻuwai.
- Ke kaulike ʻole o ka electrolyte:
ʻO ka nui a liʻiliʻi paha o nā minelala e like me ka potassium a me ka magnesium hiki ke hoʻopilikia i ka manaʻo o ka puʻuwai.
- Haʻahaʻa ke kō koko (Hypoglycemia):
Hiki ke hana i kēia inā hāʻule koke ke kō koko o ka poʻe me ka maʻi diabetes a i ʻole nā mea ʻē aʻe.
- Kekahi mau lāʻau lapaʻau:
Hiki i kekahi mau mea hoʻoheheʻe no ka hānō, kekahi mau lāʻau anu, a me kekahi mau lāʻau no ka maʻi noʻonoʻo ke hana i nā palpitations.
- Nā Hoʻololi Hormonal:
Hiki i kekahi mau wahine ke ʻike i kēia i ka wā hāpai, menopause, a i ʻole ka manawa o ko lākou wā mahina.
Āhea mākou e hopohopo ai no kēia? Āhea mākou e ʻike ai i ke kauka?
ʻAe, ke noʻonoʻo nei paha ʻoe, "Inā he mea kēia e hana ʻia no nā kumu he nui, pono anei iaʻu e hopohopo? Pono anei au e ʻike i ke kauka?"
I ka hapa nui o ka manawa, ʻaʻole ia he mea weliweli. Eia nō naʻe, i kekahi mau hihia, he mea nui loa ke ʻimi i ke kōkua lapaʻau.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona me nā palpitations, pono ʻoe e ʻike i ke kauka:
- Pōniuniu a poʻo māmā paha: Inā manaʻo ʻoe he pōniuniu a poʻo māmā paha i ka wā e holo ai kou puʻuwai, a i ʻole e polū kou mau maka a hoʻomaka e hoʻomālamalama.
- Nāwaliwali a i ʻole Syncope: Inā nalowale koke kou ʻike a hāʻule.
- ʻEha a ʻoluʻolu ʻole paha o ka umauma: Inā ʻike ʻoe i ka ʻūmiʻi ʻana, ka ʻūmiʻi ʻana, a i ʻole ka ʻeha wela i loko o kou umauma i ka wā e kuʻi ai kou puʻuwai.
- Pōkole o ka Hanu: Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana, ʻoiai inā ʻoe e kū mālie ana.
- He puʻuwai wikiwiki loa a ʻano ʻē paha: Inā wikiwiki loa ka helu o kou puʻuwai (ʻoi aku ma mua o 120-150 mau kuʻi i kēlā me kēia minuke), a inā paha ua hewa loa ka ʻōlinolino o kou puʻuwai.
- Hoʻouka pinepine ʻia nā palpitations, mau no ka manawa lōʻihi, a i ʻole e ʻoi aku ka ʻino.
- Inā loaʻa iā ʻoe kekahi maʻi puʻuwai ʻē aʻe a i ʻole inā ua loaʻa i kekahi o kou ʻohana ka make koke ʻana o ka puʻuwai a i ʻole nā pilikia koʻikoʻi o ka puʻuwai.
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻokuʻu iā lākou me he mea maʻamau lā. He mea naʻauao ke ʻimi koke i ke kōkua lapaʻau.
He aha ka mea e hana ʻia ke hālāwai ʻoe me ke kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau. ʻO ia hoʻi ke ʻimi ʻana i nā kikoʻī e pili ana i kou mōʻaukala olakino.
- I ka manawa hea e loaʻa ai nā palpitations?
- Pehea ka lōʻihi o ia manawa?
- He aha ke ʻano o ia mea (e wili ana, e hāʻule ana, e ʻōwili ana)?
- Loaʻa iā ʻoe nā hōʻailona koʻikoʻi ke ʻai ʻoe, inu, a hana paha i kekahi mea (Triggers)?
- Aia kekahi mau hōʻailona ʻē aʻe (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana)?
- He aha nā lāʻau lapaʻau āu e lawe ai?
- Pehea kou nohona (ʻai, puhipaka, waiʻona, hoʻoikaika kino)?
- Aia kekahi o ka ʻohana i loaʻa i ka maʻi puʻuwai?
A laila e hana ke kauka i kahi hoʻokolokolo kino, e hoʻolohe ana i kou puʻuwai a nānā i kāu helu pulse.
A laila, e noi ʻia paha ʻoe e hana i kekahi mau hoʻokolohua e kōkua i ka ʻike ʻana i ke kumu:
- ECG (Electrocardiogram): He hoʻāʻo maʻalahi kēia, ʻaʻohe ʻeha e hoʻopaʻa ana i ka hana uila o ka puʻuwai. He mea pono loa ia inā hiki iā ʻoe ke loaʻa kahi ECG ke loaʻa iā ʻoe nā palpitations.
- Nānā Holter: He mea liʻiliʻi kēia e kau ʻia ma kou kino no 24 a 48 mau hola. I loko o kēia manawa, hoʻopaʻa mau ʻia kou helu puʻuwai. He mea pono kēia inā loaʻa iā ʻoe nā palpitations pinepine akā ʻaʻole i ʻike ʻia ma kahi ECG.
- Mea Hoʻopaʻa Hanana:Ua like kēia me kahi Holter Monitor, akā hiki ke hoʻohana ʻia no nā lā a i ʻole nā pule. Hiki iā ʻoe ke hoʻopaʻa i kāu mau palpitations ponoʻī i ka wā e ʻike ai ʻoe iā lākou.
- Nā Hoʻāʻo Koko: Kōkua kēia mau hoʻāʻo i ka nānā ʻana i nā mea e like me nā pae hormone thyroid (Nā Hoʻāʻo Hana Thyroid), anemia (Helu Koko piha), a me nā pae electrolyte i loko o ke kino.
- Echocardiogram: He scan ultrasound kēia o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano o ka puʻuwai, ka hana o nā valves, a me ke kūlana o ka ʻiʻo puʻuwai.
- Hoʻāʻo Koʻikoʻi: Inā ʻike ʻoe i kekahi manawa i nā palpitations i ka wā e hoʻoikaika kino ana, he hoʻāʻo kēia e pili ana i ka lawe ʻana i kahi ECG i ka wā e holo ana ma luna o kahi treadmill.
ʻAʻole pono nā kānaka a pau e hana i kēia mau hoʻokolohua a pau. ʻO ka hoʻoholo ʻana e pili ana i nā hoʻokolohua e hana ai e pili ana i kāu mau hōʻailona a me ka hopena a kāu kauka.
He aha kāu e hana ai inā he palpitations kou?
ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka a hahai i kāna mau kuhikuhi. Akā, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka mālama ʻana i kēia maʻi.
- E ʻike i ke kumu a pale aku: E mālama i kahi puke moʻolelo liʻiliʻi no ka wā e loaʻa ai iā ʻoe nā palpitations, nā mea āu e hana ai, a me nā mea āu e ʻai ai a inu ai (e laʻa, ma hope o ka inu ʻana i ke kofe, ka ʻai ʻana i ka meaʻai ʻala, a i ʻole ka hoʻoikaika kino). A laila hiki iā ʻoe ke noho mamao mai kēlā mau mea no kekahi manawa.
- E hoʻokele i ke kaumaha: E ho'āʻo e hoʻomālielie i kou manaʻo ma o nā mea e like me nā hoʻomaʻamaʻa hanu hohonu, ka noʻonoʻo ʻana, a me ka yoga. He mea maikaʻi nō hoʻi ke komo i kahi hana leʻaleʻa āu e makemake ai.
- E kaupalena a hoʻōki paha i ka caffeine a me ka waiʻona: E hōʻemi i kāu inu ʻana i ke kī, ke kofe, nā mea inu ikehu, a me ka waiʻona.
- E pale i ka puhipaka: Inā he mea puhipaka ʻoe, he mea nui loa e hoʻāʻo e haʻalele.
- Inu wai nui: E inu i ka wai lawa i ka lā a pau.
- E hiamoe pono: E ho'āʻo e hiamoe maikaʻi ma ka liʻiliʻi he 7-8 mau hola i ka lā.
- E ʻai i ka ʻai kaulike: E ʻai i nā mea kanu, nā huaʻai, a me nā meaʻai momona. E ʻai i nā meaʻai liʻiliʻi ma mua o nā meaʻai nui i ka manawa hoʻokahi.
- Inā wale nō e aʻo aku kāu kauka iā ʻoe: I kekahi manawa aia kekahi mau ʻano i kapa ʻia ʻo "Vagal Maneuvers" e kāohi iki i kou puʻuwai. Eia kekahi laʻana, e hanu hohonu (e like me ka ʻū ʻana o ka ʻōpū), e pīpī ana i ka wai anuanu ma kou maka, a i ʻole e hoʻohāʻule iā ʻoe iho. Akā e hōʻoia e nīnau i kāu kauka ma mua o ka hana ʻana i kēia mau mea a hana wale inā ʻae ʻo ia.
ʻO ka mea hope loa, leka lawe i ka home:
No laila, ʻo ke ʻano o ka "palpitations" he ʻano ia e hoʻopilikia ai i nā poʻe he nui a ʻaʻole ia he mea weliweli. Eia nō naʻe, ʻaʻole maikaʻi ke hoʻowahāwahā iā ia.
E hoʻomanaʻo, inā he kānalua a hopohopo paha kāu e pili ana i ke ʻano o ka paʻi ʻana o kou puʻuwai, a inā he mau hōʻailona hōʻailona kāu a mākou i kūkākūkā ai ma mua, e ʻike pono i ke kauka.
Mai hopohopo, hiki i ke kauka ke kōkua iā ʻoe e ʻike i ke kumu o kēia ʻano a mālama iā ia inā pono. I ka hapanui o nā hihia, hiki iā ʻoe ke kāohi i kēia mau 'palpitations' ma ka hana ʻana i kekahi mau hoʻololi liʻiliʻi o ke ʻano o ka nohona. E mālama i kou puʻuwai!
ʻO ka puʻuwai, Palpitations, Palpitations, Puʻuwai, Puʻuwai, Kuʻi umauma, Arrhythmia, ECG, Holter monitor, Kaumaha, Hopohopo, Caffeine, Nā hōʻailona maʻi puʻuwai
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