He pacemaker liʻiliʻi me nā uea ʻole no ka puʻuwai? E aʻo kākou i nā mea āpau e pili ana i ka Pacemaker Leadless!

Ke noʻonoʻo ʻoe i kahi "pacemaker," manaʻo paha ʻoe i kahi mea hana e like me kahi puʻupuʻu liʻiliʻi ma lalo o ka ʻili o kou umauma, i hoʻopili ʻia i kahi puʻu uea. Akā me ka holomua o ka ʻepekema lapaʻau, aia i kēia manawa kahi ʻenehana maʻalahi, liʻiliʻi, a me ka ʻole o ka uea. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēlā hana mana liʻiliʻi: he 'Leadless Pacemaker.'

He aha kēia pacemaker kēpau ʻole?

I ka ʻōlelo maʻalahi, he mea liʻiliʻi loa ia, hoʻokahi wale nō ʻāpana. Hoʻokomo pololei kāu kauka iā ia i loko o kou puʻuwai. He aha kāna hana? E kāohi i ka lohi o ka helu o kou puʻuwai.

ʻAʻole e like me ka pacemaker maʻamau, ʻaʻohe ona pākahiko a i ʻole nā ​​​​​​kaula kaʻawale. Aia nā mea āpau i loko o kēia cylinder liʻiliʻi. Aia ka hāmeʻa holoʻokoʻa ma ka ventricle ʻākau o kou puʻuwai. E noʻonoʻo, ʻoi aku ka liʻiliʻi ma mua o ka pākahiko AAA, ma kahi o 1.5 ʻīniha ka lōʻihi, e pololei.

Pehea e hana ai kēia mea hana liʻiliʻi?

He mea akamai loa kēia. Hoʻolālā ke kauka iā ia a hoʻokomo iā ia i loko o kou puʻuwai. A laila "hoʻolohe" ka pacemaker i nā hōʻailona uila kūlohelohe o kou puʻuwai.

Inā hāʻule koke ka helu o kou puʻuwai ma lalo o ka pae i koi ʻia, ʻike kēia mea hana iā ia a hāʻawi i kahi impulse uila liʻiliʻi loa i ka puʻuwai. Hoʻomaka kēia i ka puʻuwai e hoʻomaka hou i ke kuʻi maʻamau. ʻO ia hoʻi, hana wale ia i ka wā e pono ai.

No wai kēia mea kūpono?

ʻO ka maʻamau, pono nā pacemaker no ka poʻe me ka lohi o ka puʻuwai. I ka lāʻau lapaʻau, kapa mākou i kēia he "Bradyarrhythmias." ʻO ia hoʻi, ke kuʻi mālie ka puʻuwai ma muli o kahi maʻi i loko o ka ʻōnaehana hōʻailona uila o ka puʻuwai.

Hiki i kahi pacemaker leadless ke kūpono loa no nā poʻe me nā kūlana penei:

• No ka poʻe e pono wale ana i ke kōkua o kahi pacemaker no ko lākou puʻuwai i kekahi manawa.
• No ka poʻe me ke kūlana kahi e lohi ai a i ʻole e pau ai ka puʻuwai (Atrial Fibrillation - Afib).
• No nā poʻe me ke ʻano i kapa ʻia ʻo 'AV block'.
• No ka poʻe i loaʻa i ka "Bradycardia-tachycardia syndrome", kahi e lohi ai ka puʻuwai i kekahi manawa a i kekahi manawa e wikiwiki ai.
• No ka poʻe i ʻike i nā hōʻailona e like me ka dizziness ma muli o ka lohi o ka puʻuwai (`(Bradycardia)` me nā hōʻailona).

Na kāu kauka e hoʻoholo inā kūpono kēia iā ʻoe. E nīnau ʻo ia iā ʻoe:

• Moʻolelo maʻi
• ʻAno kuʻi puʻuwai
• Ua nānā ʻia nā hōʻike scan e like me ka ``(Echocardiogram)``.

Pehea e hoʻomākaukau ai ma mua o kēia ʻoki kino?

ʻAʻole kēia he hana ʻoki kino nui, akā pono ʻoe e mālama i kēia mau mea ma mua o ka hana ʻia ʻana.

• E hoʻonohonoho i kekahi e lawe iā ʻoe i ka home ma hope o ke ʻoki ʻana.
• Na ke kauka e aʻo iā ʻoe i ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana a me nā lāʻau lapaʻau e hoʻōki ai i ka lawe ʻana.
• Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ke aʻo ʻole ʻia e kāu kauka.

Pehea e hana ai i ke ʻoki kino i kēlā me kēia ʻanuʻu

Penei ke ʻano o kēia kaʻina hana. ʻO ka maʻamau, he 30 mau minuke ka lōʻihi.

1. ʻO ka mea mua, e ʻūlū kou ʻāpana ʻūhā.

2. A laila hana ʻia kahi ʻoki liʻiliʻi loa ma ia wahi.

3. Ma o kēlā ʻoki ʻana, ua hoʻokomo ʻia kahi ʻōmole lahilahi i kapa ʻia ʻo "Catheter" i loko o kekahi o kou mau aa koko, ʻo ia hoʻi ka "Femoral Vein".

4. ʻOiai e nānā ana i kahi mīkini X-ray, alakaʻi pono ke kauka i ka ʻōmole a hiki i kou puʻuwai.

5. Ua hoʻokomo ʻia kēia pacemaker liʻiliʻi a hoʻopaʻa ʻia i loko o ka ventricle ʻākau o ka puʻuwai.

6. A laila, e nānā e ʻike inā e hana pono ana a ua hoʻokomo pono ʻia.

7. Inā maikaʻi nā mea a pau, e wehe ʻia ka ʻōmole a e pani ʻia ka ʻoki.

Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila i ka pō. I kekahi lā aʻe, e nānā hou ʻia ka pacemaker a e lawe ʻia kahi X-ray umauma ma mua o kou hoʻouna ʻia ʻana i ka home.

He aha nā pōmaikaʻi a me nā pōʻino?

E like me nā kaʻina hana lapaʻau āpau, aia nā pono a me nā pōʻino. E kūkākūkā kāu kauka i kēia mau mea me ʻoe a kōkua iā ʻoe e koho i ka mea kūpono loa iā ʻoe.

ʻEkolu mau mea nui e ʻike ai

Pehea ka lōʻihi o kēia?

ʻO ka maʻamau, ʻo ka pila ma waena o 5 a me 15 mau makahiki ka lōʻihi. Ke pau ka pila, hiki i ke kauka ke hoʻopau i ka pacemaker kahiko a hoʻokomo i kahi mea hou ma kona ʻaoʻao. ʻAʻole ia he pilikia inā aia nō ka mea kahiko ma laila.

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau ma hope o ʻelua pule.

Hiki iaʻu ke hele no kahi scan MRI?

ʻAe. I ka hapa nui o ka manawa, palekana kēia mau mea no nā scan MRI. Akā he mea nui e kamaʻilio me kāu kauka a hōʻoia ma mua o ka hele ʻana no ia.

Āhea wau e ʻike hou ai i ke kauka? He aha nā hōʻailona e pono iaʻu e hōʻike koke?

Pono ʻoe e ʻike i ke kauka ma kahi papa hana kikoʻī. No ka ʻike ʻana inā e hana maikaʻi ana ka pacemaker, inā maikaʻi ka pila, a inā e hoʻōla maikaʻi ana ʻoe.

• I loko o 24 mau hola o ke ʻoki kino
• I loko o hoʻokahi mahina
• A laila i kēlā me kēia 3, 6, a i ʻole 12 mahina.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

• Inā he maʻi (ʻulaʻula, pehu, pus) a i ʻole ke kahe ʻana o ke koko ma kahi i ʻoki ʻia.
• Inā pehu kou kuʻekuʻe wāwae a wāwae paha.
• Inā ʻike ʻoe i nā hōʻailona (e like me ka dizziness) i loaʻa ma mua o ka hoʻokomo hou ʻia ʻana o ka pacemaker.
• Inā manaʻo koke ʻoe he maule a poniuniu paha.
• Inā pilikia ʻoe i ka hanu ʻana.

He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke noʻonoʻo ʻoe e pili ana i ka loaʻa ʻana o kahi mea lapaʻau i loko o kou kino. Akā, ʻaʻole ʻoe hoʻokahi, miliona o ka poʻe a puni ka honua e ola nei i nā ola maʻamau me kahi pacemaker. ʻAʻole ka pacemaker alakaʻi ʻole ka hopena maikaʻi loa no nā mea āpau, a ʻoi aku ka maikaʻi o ka pacemaker kuʻuna no kekahi poʻe. No laila, e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E kōkua ʻo ia iā ʻoe e koho i ke koho maikaʻi loa nāu.