He pacemaker liʻiliʻi me nā uea ʻole? E aʻo kākou i nā mea āpau e pili ana i ia mea!

Ua haʻi aku anei kāu kauka iā ʻoe e kuʻi mālie ana kou puʻuwai? Ke hana ʻia kēlā, hiki iā ʻoe ke manaʻo i ka nāwaliwali a me ka luhi. No laila, no ke kōkua ʻana i kēia ʻano o ka wikiwiki o ka puʻuwai, hoʻohana mākou i kahi mea i kapa ʻia he pacemaker. Akā i kēia lā, ʻaʻole mākou e kamaʻilio e pili ana i kahi pacemaker maʻamau, akā he "pacemaker leadless" liʻiliʻi loa, ʻaʻohe uea, a ʻoi aku ka maikaʻi.

He aha ka Pacemaker Leadless?

I ka ʻōlelo maʻalahi, he mea liʻiliʻi loa kēia, hoʻokahi wale nō ʻāpana. Hoʻokomo ke kauka iā ia i loko o kou puʻuwai e pale i ka lohi o kou puʻuwai. ʻO ka mea kūikawā e pili ana i kēia, ʻo ia nā ʻāpana āpau i loko o hoʻokahi mea hana. ʻO ia hoʻi , ʻaʻohe pākahiko kaʻawale, ʻaʻohe uea (kaula) e hoʻopili ai i kou puʻuwai . No ka mea, ua kau ʻia kēia mea hana holoʻokoʻa i loko o ka ventricle ʻākau o kou puʻuwai.

E noʻonoʻo, ʻoi aku ka liʻiliʻi o kēia ma mua o ka pākahiko AAA a mākou e hoʻohana nei. Ua like ia me kahi paukū hao liʻiliʻi, ma kahi o 1 x 1.5 ʻīniha ka lōʻihi.

Pehea e hana ai kēia mea hana liʻiliʻi?

He mea akamai loa kēia. Hoʻolālā ke kauka iā ia e kūpono iā ʻoe. A laila, nānā kēia pacemaker i nā hōʻailona uila kūlohelohe o kou puʻuwai. Inā wale nō e wikiwiki loa ka puʻuwai maoli, hāʻawi kēia mea hana i kahi impulse uila liʻiliʻi loa i ka ʻiʻo puʻuwai. Hana ia ma ke ʻano he paʻi liʻiliʻi i ka puʻuwai. Kōkua kēia i ka hoʻihoʻi ʻana i ka rhythm o ka puʻuwai.

No wai kēia pacemaker kūpono?

Hoʻohana pinepine ʻia nā pacemaker e kōkua i nā poʻe me nā kūlana e hoʻoulu ai i ka puʻuwai e kuʻi lohi loa, i kapa ʻia ʻo bradyarrhythmias . He kūpono loa kēia pacemaker uea ʻole no ka poʻe me kēia mau kūlana:

• No ka poʻe e pono wale ana i ke kōkua o kahi pacemaker no ko lākou puʻuwai i kekahi manawa.
• ʻO ka Atrial fibrillation (Afib) kahi kūlana kahi e lohi ai a kū paha ka puʻuwai i kekahi manawa.
• ʻO ka fibrillation atrial a i ʻole ka sinus rhythm me ka poloka AV .
• ʻO ka maʻi Bradycardia-tachycardia , kahi e lohi a wikiwiki ai ka puʻuwai.
• Lohi ka puʻuwai (bradycardia) me nā hōʻailona.

Na kāu kauka e hoʻoholo inā kūpono kēia iā ʻoe. E nānā ʻo ia i kāu mōʻaukala olakino, ka puʻuwai puʻuwai, a me ka echocardiogram.Nānā pono wau i nā hōʻike hoʻāʻo e like me kēia.

Pehea ʻoe e hoʻomākaukau ai ma mua o kēia ʻoki kino?

ʻAʻole kēia he hana ʻoki kino nui, akā pono ia i kahi hoʻomākaukau iki.

• E hoʻonohonoho mua i kahi e lawe ai kekahi iā ʻoe i ka home mai ka haukapila ma hope o ke ʻoki ʻana.
• E aʻo aku kāu kauka 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 ka pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau.
• ʻO ka mea nui loa, mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau āu e lawe nei me ka ʻole o ke aʻo a kāu kauka.

Ke kaʻina hana no ke kau ʻana i kēia pacemaker

Mai hopohopo i kēia, he hana maʻalahi loa ia. ʻO ka maʻamau, he 30 mau minuke ka lōʻihi.

1. ʻO ka mea mua, e mae kou ʻāpana ʻūhā. ʻAʻole ʻoe e manaʻo i kekahi mea.

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 he catheter i loko o kahi aʻa nui i kou wāwae ( aʻa femoral ).

4. ʻOiai e nānā ana i kahi mīkini X-ray, alakaʻi pono ke kauka i ka catheter i loko o ka puʻuwai.

5. Hoʻokomo ʻia ka pacemaker ma ka ventricle ʻākau o ka puʻuwai a hoʻopili ʻia i ka ʻiʻo puʻuwai.

6. A laila, nānā ʻia ka pacemaker e hōʻoia i ka hana pono ʻana a ua hoʻopili pono ʻia.

7. ʻO ka hope loa, wehe ʻia ke catheter a hoʻōki ʻia ke kahe ʻana o ke koko ma ke kaomi ʻana i kahi i ʻoki ʻia.

He aha nā pōmaikaʻi a me nā hemahema o kēia?

E like me nā koho ʻē aʻe, aia nā pono a me nā pōʻino. E kūkākūkā kāu kauka i kēia mau mea me ʻoe a kōkua iā ʻoe e hoʻoholo i ka mea kūpono loa iā ʻoe.

Pehea ka holomua o kēia? Pehea ka lōʻihi o kona mau ʻana?

Ua hōʻike ʻia nā noiʻi ʻo ka nui o ka holomua o ke hoʻokomo ʻana i kēia hāmeʻa ma waena o 95% a me 99% , me ka nui o ka pilikia ma lalo o 2%.

ʻO ka maʻamau, ʻo ka pila ka mea e mau ai ma waena o 5 a me 15 mau makahiki . Ke pau ka pila, hiki i ke kauka ke wehe i ka pacemaker kahiko a hoʻokomo i kahi mea hou. No ka mea, aia kahi i loko o ka puʻuwai, hiki ke hoʻokomo ʻia ka mea hou ʻoiai e waiho ana ka mea kahiko ma kahi.

Pono anei au e ʻike hou i ke kauka? Pehea ka lōʻihi e ola ai?

ʻAe, ʻoiaʻiʻo nō. Pono ke kauka e ʻike iā ʻoe ma hope o ke ʻoki ʻana e nānā i kou hoʻōla ʻana a me ka hana o ka hāmeʻa.

• 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

Hiki iā ʻoe ke hoʻi i kāu mau hana o kēlā me kēia lā ma kahi o ʻelua pule ma hope o ke ʻoki ʻana.

Inā loaʻa kekahi mea e like me kēia, e kāhea koke aku i ke kauka!

• Inā he maʻi a i ʻole ke kahe ʻana o ke koko ma kahi i ʻoki ʻia ai ma ka ʻūhā.
• Inā pehu kou kuʻekuʻe wāwae a wāwae paha .
• Inā loaʻa nā hōʻailona e like me ka poniuniu a me ka luhi ma mua o ka hoʻokomo ʻia ʻana o ka pacemaker, e hoʻihoʻi mai .
• Inā ʻoe e manaʻo ana ua poniuniu a ua maule paha .
• Inā pilikia ʻoe i ka hanu ʻana .

ʻO ka mea hope loa, he mea maʻamau ke hopohopo iki e pili ana i ka loaʻa ʻana o kahi hāmeʻa i loko o kou kino. Akā he ʻenehana kūpono a palekana hoʻi kēia. Eia naʻe, ʻaʻole ia ka hopena maikaʻi loa no nā mea āpau. No kekahi poʻe, ʻo ka pacemaker kuʻuna ka mea kūpono loa. No laila e wehe e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai me kāu kauka. Hiki iā ia ke kōkua iā ʻoe e koho i ka mea maikaʻi loa iā ʻoe.