Ua hoʻopilikia ʻia ka hōʻailona uila o kou puʻuwai? (Left Anterior Fascicular Block)

Ua huikau iki paha ʻoe i kou lohe ʻana i nā huaʻōlelo `(Left Anterior Fascicular Block)`, a ua pilikia paha ʻoe i ka hoʻomaopopo ʻana i ke ʻano o ia mea i ka wā i haʻi aku ai ke kauka iā ʻoe e pili ana i ia mea. ʻAʻole ia he mea paʻakikī e like me kou manaʻo. E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, he aha nā hōʻailona, ​​pehea e ʻike ai, a me kā mākou mea e hana ai.

He aha ka (Left Anterior Fascicular Block)? I ka ʻōlelo maʻalahi loa...

E noʻonoʻo i kou puʻuwai me he ʻōnaehana uila liʻiliʻi lā. Hoʻomalu kēia ʻōnaehana uila i ka puʻuwai, ʻo ia hoʻi ka ʻūlū ʻana o ka puʻuwai a me ka pamu ʻana o ke koko, i ka manawa kūpono. Aia kahi ʻōnaehana kūikawā o nā 'uea' i loko o ka puʻuwai, a i ʻole nā ​​alahele, kahi e hele ai kēia mau hōʻailona uila.

Ma ka ʻaoʻao hema o ka puʻuwai, aia kahi kaula uila nui, a mākou e kapa nei ʻo 'lālā pūʻolo hema'. E like me nā lālā e lālā ana mai kahi kumu lāʻau, e lālā pū ana kēia kaula nui i nā lālā liʻiliʻi i kapa ʻia ʻo 'fascicles'. ʻO kekahi o kēia mau lālā i kapa ʻia ʻo 'left anterior fascicle'. Lawe kēia i nā hōʻailona uila i ka paia mua o ka ventricle hema o ka puʻuwai.

I kēia manawa, ʻo kahi (Left Anterior Fascicular Block) he mea keakea iki i ka leka uila e hele ana ma o ka 'uea' i kapa ʻia ʻo 'left anterior fascicle'. Ua like ia me kahi pilikia kaʻa ma ke alanui, ua lohi ka leka. ʻO kēia ke kumu o ka ventricle hema o ka puʻuwai - ka ʻāpana pumping nui o ka puʻuwai - e ʻūlū iki ma hope o ka ventricle ʻākau.

He mea kēia e hana ʻia ana e nā kānaka he nui?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'He maʻi anei kēia e hoʻopilikia ai i nā kānaka a pau?' ʻO ka ʻoiaʻiʻo, ua manaʻo ʻia aia ma waena o 1% a me 6% o ka heluna kanaka e loaʻa ana kēia maʻi. Eia nō naʻe, ʻike pinepine ʻia ia i ka poʻe ʻelemakule . He mea kākaʻikahi ia i ka poʻe ʻōpio.

He aha nā hōʻailona? Loaʻa anei ia i nā kānaka a pau?

Eia ka mea nui. ʻAʻohe hōʻailona o ka nui o ka poʻe me ka `(Left Anterior Fascicular Block)`. ʻO ia hoʻi, ʻaʻole lākou e ʻike i kekahi ʻoluʻolu ʻole. I kekahi manawa ʻike ʻia lākou ma ka hanana ke lawe ʻia kahi `(ECG)` no kekahi kumu ʻē aʻe.

Eia nō naʻe, i kekahi manawa, ʻoiai inā ʻoi aku ka koʻikoʻi o kēia 'poloka', a inā paha e hele pū ʻia me nā maʻi puʻuwai ʻē aʻe, e ʻike ʻia kekahi o kēia mau hōʻailona:

• Manaʻo poniuniu (Dizziness)
• Luhi mau i nā manawa a pau (Tiredness)
• Ka mae ʻana

Inā loaʻa kēia mau hōʻailona, ​​​​pono ke kauka e hoʻoholo inā paha ma muli o ka `(Left Anterior Fascicular Block)` a i ʻole kekahi kumu ʻē aʻe.

No ke aha e hana ʻia ai kēia (Left Anterior Fascicular Block)? He aha nā kumu?

ʻĀ, no ke aha lā he mea hoʻopilikia kēia i ka hoʻouna ʻana o nā leka? Aia paha kekahi mau kumu.

Manaʻo nā kānaka noiʻi no kekahi poʻeMa ke ʻano he genetics, ʻo ia hoʻi, hoʻoilina, aia paha kahi ʻano e hoʻomohala ai i kekahi mau ʻano ʻē i nā hōʻailona uila i nā keʻena haʻahaʻa o ka puʻuwai.

Ma waho aʻe o kēlā, aia kekahi mau kumu i hōʻoia ʻia a ʻike pinepine ʻia:

• ʻO ka maʻi ʻaʻa coronary (CAD): ʻO kēia ka mea a mākou e kapa pinepine ai he poloka i loko o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai, a i ʻole ke kumu nui o nā hōʻeha puʻuwai. ʻO kēia kekahi kumu nui o ka Left Anterior Fascicular Block.
• Ke koko kiʻekiʻe: ʻO ka loaʻa ʻana o ke koko kiʻekiʻe no ka manawa lōʻihi hiki ke hoʻopilikia i ka puʻuwai.
• Maʻi puʻuwai kūkulu: No ka laʻana, fibrosis a i ʻole ka ʻeha o ka puʻuwai. Hiki i kēia ke hoʻopilikia i ka hoʻoili ʻana o nā hōʻailona uila.
• Dilated Cardiomyopathy: Ma kēia ʻano, e hoʻonui ʻia nā keʻena o ka puʻuwai a nāwaliwali nā ʻiʻo.
• Ma ke ʻano he hopena ʻaoʻao o kekahi mau ʻoki puʻuwai a i ʻole nā ​​​​lāʻau lapaʻau:
• ʻO ke ʻano o `(TAVR)` ʻo ia hoʻi `(Transcatheter Aortic Valve Replacement)` ma hope o kahi ʻano lapaʻau kūikawā e pani ai i nā valves o ka puʻuwai.
• Ma hope o ke ʻoki kino i kapa ʻia ʻo "Surgical Septal Myectomy", i hana ʻia no ke ʻano i kapa ʻia ʻo "Hypertrophic Obstructive Cardiomyopathy", kahi ʻano e mānoanoa loa ai ka ʻiʻo o ka puʻuwai.
• ʻO ka maʻi Sclerodegenerative o ka lālā pūʻolo: Hiki ke hana kēia me ka makahiki.
• Hiki ke loaʻa pū kekahi ma muli o ka mumū o ka ʻiʻo o ka puʻuwai (Myocarditis).

Hiki i kēia mau mea ke hōʻino i nā ala uila o ka puʻuwai, e hana ana i kahi "Left Anterior Fascicular Block".

Pehea e ʻike ai nā kauka i kēia? He aha nā hoʻokolohua e hana ʻia ai?

ʻO ka hoʻāʻo nui a maʻalahi hoʻi e ʻike pololei ai i ka `(Left Anterior Fascicular Block)` ʻo ia ka ECG (Electrocardiogram) . Ua loaʻa anei iā ʻoe kahi `(ECG)`? Hoʻopili ʻia kēlā mau mea liʻiliʻi e like me ka sticker ma kou umauma, nā lima, a me nā wāwae a hoʻopaʻa i ka hana uila o ka puʻuwai. Ke nānā ke kauka i ka ʻāpana `(ECG)`, hiki iā ia ke ʻike maʻalahi inā aia kēia `block' a ʻaʻole paha.

Eia kekahi, inā makemake ke kauka e ʻike hou aku, a i ʻole e ʻike i ke kumu, hiki iā ia ke ʻōlelo i nā hoʻokolohua ʻē aʻe, e like me:

• Echocardiogram: Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke nānā i nā mea he nui, e like me ka nui o nā keʻena o ka puʻuwai, ka mānoanoa o nā paia, ka hana o nā valves, a me ke ʻano o ka puʻuwai e pamu ana i ke koko.
• Hoʻāʻo koʻikoʻi: Pili kēia i ka nānā ʻana i kāu ECG a me ke koko i kou wā e hele ana ma luna o ka treadmill a i ʻole ka hoʻoikaika kino. Hana ʻia kēia e ʻike pehea e pane ai kou puʻuwai i ke koʻikoʻi.
• ʻO kahi scan MRI o ka puʻuwai (Cardiac MRI):Hiki i kēia ke hāʻawi i ka ʻike kikoʻī e pili ana i ke ʻano a me ka hana o ka puʻuwai.
• Nā hoʻāʻo kiʻi nuklea: He mau hoʻāʻo kūikawā kēia e nānā i nā mea e like me ke kahe koko i ka puʻuwai.

Aia kekahi lāʻau lapaʻau no kēia?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'ʻAe, he aha ka lāʻau lapaʻau no kēia? Pehea e hiki ai iaʻu ke hoʻoponopono i kēia?' ʻO ka mea kupanaha, ʻaʻohe lāʻau lapaʻau kūikawā no ka `(Left Anterior Fascicular Block)` . ʻO ia hoʻi, ʻaʻohe lāʻau lapaʻau kūikawā e mālama ai i kēlā hoʻopilikia liʻiliʻi i ka hoʻoili ʻana o nā hōʻailona uila.

Eia nō naʻe, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i ka maʻi puʻuwai a i ʻole ke kūlana i hoʻokumu ai i kēia 'poloka' .

ʻo kahi laʻana:

• Inā loaʻa iā ʻoe ka maʻi ʻaʻa coronary (CAD), e mālama kāu kauka iā ia (e like me ka lāʻau lapaʻau, angioplasty, a i ʻole ke ʻoki bypass).
• Inā ma muli o ke koko kiʻekiʻe, e hāʻawi ʻia ka lāʻau lapaʻau e kaohi ai.
• Inā he nāwaliwali i loko o ka ʻiʻo puʻuwai (cardiomyopathy), e hoʻomaka ka lāʻau kūpono.

I ka ʻōlelo maʻalahi, ke ʻimi nei nā kauka e ʻike i ka pilikia nui e hoʻokumu ana i kēia '(Left Anterior Fascicular Block)' a mālama iā ia.

He aha ka mea e hiki mai ana? (Outlook)

He mea nui nō hoʻi iā ʻoe ke ʻike pehea e holomua ai kēia kūlana.

• Inā he "Left Anterior Fascicular Block" wale nō ka loaʻa ʻana o kahi kanaka ʻōpio olakino me ka ʻole o nā hōʻailona puʻuwai ʻē aʻe, ʻaʻole ia he pilikia nui. ʻAʻole lākou e loaʻa iā ia, a inā loaʻa iā lākou, ʻaʻole paha he hopena nui.
• Eia nō naʻe, inā loaʻa i kahi kanaka ʻelemakule , ʻoiai kekahi ma luna o 50, hiki i kekahi manawa ke lilo i mea hōʻailona a i ʻole he hōʻailona o nā maʻi puʻuwai ʻē aʻe.

Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka poʻe me ka "Left Anterior Fascicular Block" ma mua o nā poʻe ʻē aʻe:

• Ka hāʻule ʻana o ka puʻuwai paʻa
• ʻO ka Fibrillation Atrial (puʻuwai wikiwiki a kūlike ʻole)
• A aia ka nui o ka pilikia o ka make.

No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻokuʻu wale i kēia me he 'ʻAuē, he poloka liʻiliʻi wale nō ia,' ʻoiai inā he ʻelemakule iki ʻoe a i ʻole he mau hōʻailona ʻē aʻe. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia a hana i nā hoʻokolohua e pono ai.

Pehea lā wau e mālama ai i koʻu puʻuwai?

ʻOiai hiki ke pili kēia `(Left Anterior Fascicular Block)` i nā maʻi puʻuwai ʻē aʻe, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka mālama pono ʻana i kou puʻuwai . Hiki i kēia mau mea ke kōkua iā ʻoe:

• E hahai i kahi papaʻai olakino:
• E ʻai i ka ʻai haʻahaʻa i ka momona paʻa. E kaupalena i kāu ʻai ʻana i nā ʻaila, nā meaʻai palai, nā huahana waiū momona kiʻekiʻe, a me ka ʻiʻo ʻulaʻula.
• E hoʻohui i nā huaʻai hou aku, nā mea kanu, nā legumes, a me nā palaoa holoʻokoʻa i kāu meaʻai.
• E hōʻemi i ka hoʻohana ʻana i ka paʻakai.
• E hoʻoikaika kino i nā manawa a pau:E like me ke aʻo a kāu kauka, e hana i ka hoʻoikaika kino kaulike, e like me ka hele wāwae a ʻauʻau paha, no ka liʻiliʻi he 30 mau minuke i ka lā.
• E mālama i ke kaumaha olakino.
• Inā ʻoe e puhipaka, e hoʻōki koke. He mea ʻino loa ka puhipaka no ka puʻuwai.
• E hōʻemi i ke kaumaha: Hiki i nā mea e like me ka noʻonoʻo ʻana, yoga, nā hoʻomaʻamaʻa hanu, a me ka hana ʻana i nā leʻaleʻa ke kōkua.
• Inā he koko kiʻekiʻe kou a me ka cholesterol kiʻekiʻe, e kaohi pono iā lākou. E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono a ma ke ʻano i kuhikuhi ʻia. E ʻike i kāu kauka a e nānā pinepine ʻia kēia mau mea.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi pono iā ia.

Āhea wau e ʻike ai i ke kauka?

• He mea nui e ʻike pinepine i kāu kauka no nā nānā kino . Ma kēia ala, inā loaʻa iā ʻoe nā maʻi mau e like me ke koko kiʻekiʻe a i ʻole ka cholesterol, hiki iā ʻoe ke ʻike inā ke kāohi pono ʻia nei lākou.
• Inā manaʻo ʻoe i kekahi mea ʻokoʻa ma mua o ka maʻamau , ʻoiai inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka pehu ʻana i kou mau wāwae, a i ʻole ka luhi, e ʻike pono i ke kauka.
• Inā ʻike ʻoe he `(Left Anterior Fascicular Block)` kou, e hoʻomau i ka hana ʻana i `(ECG)` a me nā hoʻokolohua ʻē aʻe e like me ka ʻōlelo a kāu kauka.

Āhea wau e hele koke ai i ka haukapila (ETU) ?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ka hōʻeha puʻuwai , mai hoʻonele i ka manawa a kāhea koke i ka 1990 no kahi kaʻa kaʻa, a i ʻole e hele i ka lumi pilikia haukapila kokoke loa i ka hikiwawe loa:

• He ʻeha ʻoi, paʻa, a kaomi paha ma waenakonu a i ʻole ka ʻaoʻao hema o ka umauma. ʻOi aku ka lōʻihi o kēia ʻeha ma mua o kekahi mau minuke, a hele mai a nalo.
• Ka paʻakikī koke o ka hanu ʻana.
• Me he mea lā e pālahalaha ana ka ʻeha i nā poʻohiwi, ʻāʻī, ʻauwae, lima, a i ʻole ke kua.
• Ka hou koke ʻana, ka nausea, ka luaʻi ʻana, ka poniuniu, a i ʻole ka māʻule ʻana.

E makaʻala i kēia mau hōʻailona. Hiki i ka lāʻau lapaʻau koke ke kōkua i ka hoʻopakele ʻana i ke ola.

He aha kaʻu e nīnau aku ai i ke kauka?

Ke ʻike ʻoe i kāu kauka, mai makaʻu e nīnau i kāu mau nīnau e pili ana i kēia `(Left Anterior Fascicular Block)`. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau. E kōkua kēlā iā ʻoe e hoʻomaopopo hou aku:

• 'E ke kauka, no ke aha i loaʻa ai iaʻu kēia `(Left Anterior Fascicular Block)`? He maʻi puʻuwai ʻē aʻe koʻu?'
• 'Pono anei au e hoʻāʻo ʻia no ka maʻi ʻaʻa coronary?'
• 'He aha koʻu pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole nā ​​maʻi puʻuwai ʻē aʻe ma muli o kēia 'poloka'?'
• 'He aha nā hōʻailona e pono ai iaʻu e hopohopo nui?'
• 'He aha nā hoʻololi nohona e hiki iaʻu ke hana e mālama i koʻu puʻuwai olakino?'
• 'ʻEhia pinepine e pono ai iaʻu ke hana i kahi ECG a i ʻole nā ​​hoʻokolohua ʻē aʻe?'

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka `(Left Anterior Fascicular Block)`. I ka hōʻuluʻulu ʻana:

• He hoʻopilikia kēia i ke ala hōʻailona o kahi 'uea' liʻiliʻi ma ka ʻaoʻao hema o ka ʻōnaehana uila o ka puʻuwai.
• ʻAʻohe hōʻailona o ka nui o ka poʻe.
• ʻAʻohe lāʻau lapaʻau kūikawā no kēia, akā ua mālama ʻia ke kumu kumu .
• Hiki i kēia ke hōʻailona o nā maʻi puʻuwai ʻē aʻe i ka poʻe ʻelemakule ma mua o ka poʻe ʻōpio.

E hoʻomanaʻo, ʻoiai ʻaʻohe lāʻau lapaʻau kūikawā no kēia, hiki iā ia ke hāʻawi iā mākou i kahi hōʻailona e pili ana i nā maʻi puʻuwai ʻē aʻe . No laila, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i kou puʻuwai, e hahai i nā ʻōlelo a ke kauka. E pale iā ʻoe iho mai ka maʻi ʻaʻai coronary a me ka hāʻule ʻana o ka puʻuwai. E hele i nā nānā mau me kāu kauka, a e hoʻohana pono i nā lāʻau lapaʻau i kuhikuhi ʻia. He waiwai nui kou puʻuwai iā ʻoe! No laila e mālama pono iā ia.

ʻO ka maʻi puʻuwai, ka ʻōnaehana uila o ka puʻuwai, ECG, ka puʻuwai, ka poloka Fascicular mua hema, ke olakino puʻuwai, ka hōʻeha puʻuwai