He ʻōkana kupaianaha ko kākou puʻuwai. ʻAʻole ia e kuʻi wale, loaʻa iā ia kāna ʻōnaehana uila ponoʻī e kāohi i ka puʻuwai. E noʻonoʻo e like me ka ʻōnaehana uwea i loko o ko kākou hale. ʻO nā hōʻailona uila liʻiliʻi e puka mai ana mai kēia ʻōnaehana e haʻi aku i nā keʻena o ka puʻuwai e ʻūlū i ka manawa kūpono. Akā i kekahi manawa, no nā kumu like ʻole, hiki i kēia ʻōnaehana uila ke lilo i mea huikau iki. ʻO ia ka manawa e kōkua mai ai kēia mea liʻiliʻi, akā koʻikoʻi loa i kapa ʻia ʻo "pacemaker" iā kākou.
No laila, he aha kēia pacemaker?
I ka ʻōlelo maʻalahi, he mea uila liʻiliʻi ka pacemaker i hoʻokomo ʻia i loko o kou kino ma ke ʻoki ʻana e kākoʻo i ka ʻōnaehana uila o kou puʻuwai. Ua like ia me kahi "alakaʻi" liʻiliʻi e kōkua ana i ka hoʻoponopono ʻana i ka rhythm o kou puʻuwai ke kū ʻole ia.
E noʻonoʻo ʻoe ua nāwaliwali ka ʻōnaehana uila o kou puʻuwai. A laila, ʻaʻole e ʻūlū nā keʻena o ka puʻuwai i ka manawa kūpono. Malia paha e kuʻi wikiwiki loa lākou, a lohi loa paha, a ua hoʻopilikia loa ʻia paha ke ʻano o ka puʻuwai. ʻO ka hopena, ʻaʻole hiki i ka puʻuwai ke pamu i ke koko lawa i ke kino holoʻokoʻa.
Nānā ka pacemaker i ka hana o ka ʻōnaehana uila maoli o ka puʻuwai. Inā ʻike ʻia kekahi ʻano ʻē, hoʻouna ka pacemaker i nā hōʻailona uila maalea loa e haʻi aku i ka puʻuwai, "ʻAe, ʻo kēia ka manawa e ʻūlū ai." Kōkua kēia i ka mālama ʻana i ka puʻuwai i ka wikiwiki paʻa.
He aha nā hōʻailona e pono ai ʻoe i kahi pacemaker?
Na kāu kauka e hoʻoholo inā pono ʻoe i kahi pacemaker a i ʻole. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike i ke kauka a kūkākūkā iā lākou.
E hoʻomanaʻo, ʻaʻole pono nā kānaka a pau me kēia mau hōʻailona i kahi pacemaker, akā he mea nui e ʻike i kēia mau mea a e ʻimi i ke aʻo lapaʻau.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha umauma (Angina) | ʻO ka paʻa ʻana o ka umauma a i ʻole ka ʻeha i loaʻa i ka lawa ʻole o ke koko e hiki ana i ka puʻuwai. |
| Ka wikiwiki o ka puʻuwai (Tachycardia) | Kuʻi ka puʻuwai ma mua o 100 manawa i ka minuke me ke kumu ʻole. |
| Ka lohi o ka puʻuwai (Bradycardia) | Lohi loa ka paʻi ʻana o ka puʻuwai, ma ka emi ʻana o 60 mau kuʻi i kēlā me kēia minuke. |
| Puʻuwai puʻuwai kūpono ʻole (Arrhythmia) | Manaʻo ʻia ka puʻuwai he ʻano ʻē, i kekahi manawa e lele ana i kahi kuʻi, a i ʻole he kuʻi keu. |
| Nā Palpitations | He manaʻo paʻa i loko o ka umauma, me he mea lā e "hakakā" ana ka puʻuwai a i ʻole "e ʻōwili ana i nā pōhaku." |
| Paʻakikī ka hanu ʻana | Manaʻo luhi a me ka hanu pōkole, ʻoiai i ka wā e hana ai i nā hana liʻiliʻi a i ʻole ka hele wāwae ʻana. |
| Pōʻino, poʻo māmā, nalowale o ka ʻike | Manaʻo māmā ke poʻo, luaʻi, a i ʻole ka nawaliwali me ke kumu ʻole. |
| Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a me ka ʻōpū | Ka pehu ʻana ma nā wahi e like me nā wāwae a me nā kuʻekuʻe wāwae ma muli o ka hōʻiliʻili ʻana o ka wai i loko o ke kino. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, hiki ke loaʻa ma muli o ka pilikia o ka puʻuwai. No ka laʻana, ʻo ka poʻe me ka mōʻaukala o nā poloka puʻuwai a i ʻole nā hōʻeha puʻuwai e pono paha i kahi pacemaker.
Ehia mau ʻano o nā pacemakers?
ʻAe, ma muli o ke kūlana o kou puʻuwai, e koho kāu kauka i ke ʻano o ka pacemaker kūpono loa iā ʻoe. Hiki i kēia mau mea ke loaʻa i hoʻokahi, ʻelua, a ʻekolu paha mau alakaʻi.
| ʻAno o ka mea hoʻoikaika pacemaker | Wehewehena |
|---|---|
| Pacemaker Leadless | He mea liʻiliʻi loa kēia, e like me ka nui o kahi capsule huaora nui. ʻAʻohe uea. Hoʻokomo ʻia i loko o ka puʻuwai ma o kahi catheter a hoʻopili ʻia i ka paia o loko o ka puʻuwai. |
| Mea hoʻoikaika kino lumi hoʻokahi | Hoʻokahi wale nō uea o kēia. Hoʻopili ia i hoʻokahi keʻena o ka puʻuwai. |
| Pacemaker lumi pālua | He ʻelua mau uea kēia e hoʻopili ai i nā keʻena ʻelua o ka puʻuwai. |
| Mea hoʻokele pacemaker biventricular | ʻEkolu ona uea. Ua pili ʻia ʻelua i nā keʻena haʻahaʻa o ka puʻuwai (ventricles) a hoʻokahi i ke keʻena ʻākau o luna (atrium ʻākau). Hoʻohana ʻia ia no ka Cardiac Resynchronization Therapy (CRT). |
He aha ka ʻokoʻa ma waena o kahi pacemaker a me kahi ICD?
Hiki paha i kāu kauka ke kamaʻilio pū me ʻoe e pili ana i kahi ICD (Implantable Cardioverter Defibrillator), kahi mea like me ka pacemaker, akā ʻokoʻa iki.
- Hoʻouna wale ka pacemaker i nā hōʻailona uila e kāohi i ke kani o ka puʻuwai. ʻAʻole hiki iā ia ke hāʻawi i kahi haʻalulu uila i ka puʻuwai.
- Hiki i ka ICD ke hana e like me ka pacemaker. Eia kekahi, inā lilo ka helu o ka puʻuwai i mea hoʻoweliweli i ke ola (e.g., ventricular tachycardia), hiki iā ia ke ʻike iā ia a hāʻawi i kahi haʻalulu uila ikaika i ka puʻuwai e hoʻihoʻi i ke ʻano.
He hana ʻoki kino nui anei kēia? Pehea ʻoe e hoʻokomo ai i kahi pacemaker?
ʻAʻole kēia he hana nui, he hana puʻuwai hāmama. Me ka ʻenehana i loaʻa i kēia lā, ua holomua loa kēia mau hana. ʻAʻole nui ka ʻeha, a hiki iā ʻoe ke hoʻōla koke a hoʻi i kou ola maʻamau. ʻEkolu mau ʻano hana nui.
1.ʻAno hoʻohana catheter: Hoʻohana ʻia kēia no nā pacemakers ʻaʻohe kēpau. Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) i loko o kahi aa ma o ka ʻūhā, a alakaʻi ʻia ka pacemaker ma o ia mea a hoʻokomo ʻia i loko o ka puʻuwai. ʻO ka maʻamau, ʻaʻole i hala i hoʻokahi hola kēia.
2. Ke ala transvenous: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Hana ʻia kahi ʻoki liʻiliʻi ma lalo o ka iwi ʻāʻī a i ʻole ma ka ʻili o ka ʻāʻī, a hoʻokomo ʻia nā kaula pacemaker (nā alakaʻi) i loko o ka puʻuwai ma o kahi aʻa. Hana ʻia kēia ma lalo o ke alakaʻi X-ray (fluoroscopy). Ma hope o ke kau ʻia ʻana o nā kaula ma nā wahi kūpono o ka puʻuwai, waiho ʻia ka mea pacemaker i loko o kahi "ʻeke" liʻiliʻi i hana ʻia ma lalo o ka ʻili ma ka umauma luna.
3. Ke ala epicardial: Hana pinepine ʻia kēia i nā keiki a i ʻole i ka wā o nā ʻoki puʻuwai ʻē aʻe. Hana ʻia kahi ʻoki liʻiliʻi ma ka umauma a hoʻokomo ʻia nā kaula ma waho o ka puʻuwai. Hoʻokomo ʻia ka mea hana pacemaker ma lalo o ka ʻili o ka ʻōpū.
Hiki i kēia mau ʻoki kino ke hala ma waena o ʻelua a ʻelima mau hola. E wehewehe kāu kauka i ke ʻano hana kūpono loa iā ʻoe.
E like me nā mea āpau, aia kekahi mau pilikia? (Nā pilikia)
E like me nā hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi. Eia naʻe, he mea kakaikahi loa kēia. Na kāu kauka e hoʻomaopopo iā ʻoe e pili ana i kēia mau mea.
- Nā hopena allergies: Hiki ke loaʻa kahi maʻi allergies i ka lāʻau lapaʻau i hoʻohana ʻia a i ʻole i ka metala i hana ʻia ai ka pacemaker.
- Nā ʻūpā koko: No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e pale ai i nā ʻūpā koko.
- Nā hemahema o ka hāmeʻa a i ʻole ke kaula: I kekahi manawa hiki i kahi kaula ke neʻe iki mai kahi i hoʻokomo ʻia ai. ʻO ia ke kumu e ʻōlelo ʻia ai e pale i ke kaumaha nui ma ka lālā no kekahi manawa ma hope o ke ʻoki ʻana.
- Ke komo ʻana mai nā mea hana o waho: Pono ʻoe e makaʻala i ka wā e hele kokoke ana i kekahi mau mea hana me nā kahua uila a magnetic ikaika paha (e like me nā mīkini MRI). Eia nō naʻe, ua hoʻolālā ʻia nā pacemakers hou e ʻoi aku ka pale ʻana i kēia. E hāʻawi kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo no kēia.
Nā mea e pono ai ʻoe e ʻike e pili ana i ka noho ʻana me kahi pacemaker
Ma hope o ka loaʻa ʻana o kahi pacemaker, hiki iā ʻoe ke alakaʻi i kahi ola maʻamau a hana. Eia nō naʻe, aia kekahi mau mea e hoʻomanaʻo ai.
Pehea ka lōʻihi o ke ola ʻana o ka pila pacemaker?
Aia kēia i ke ʻano o ka pacemaker a me kona maikaʻi o ka hana. Ma ka awelika, ʻo ka lōʻihi o ka pila no kahi o 10-15 mau makahiki . E noi aku kāu kauka iā ʻoe e hele mai i ke keʻena lapaʻau i nā manawa maʻamau. A laila, e nānā ʻia ka pacemaker a me ka pila. Ke hiki i ka manawa e hoʻololi ai i ka pila, hiki ke hana ʻia me kahi ʻoki liʻiliʻi maʻalahi ma mua o ke kau ʻana i ka pacemaker ma kahi mua.
Nā mea hiki iā ʻoe ke hana e noho olakino
ʻO ke ola o ke kanaka me ka pacemaker e pili ana i ko lākou olakino holoʻokoʻa. Inā ola ʻoe i kahi ola olakino, hiki iā ʻoe ke manaʻo e ola i kahi ola maʻamau a kokoke paha i ka maʻamau.
- E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha: Inā ua kauoha kāu kauka i nā lāʻau lapaʻau ʻē aʻe ma waho aʻe o kāu pacemaker, e lawe pololei iā lākou i ka manawa a no ka lōʻihi i kauoha ʻia. Mai makaʻu e nīnau inā he mau nīnau kāu.
- E hele i nā keʻena lapaʻau i ka manawa kūpono: He mea nui loa kēia. E nānā ke kauka i kou olakino a me ka hana o ka pacemaker i kēia manawa.
- E hoʻolohe i kou kino: Inā ʻoi aku ka nui o kou pulse ma waho o ka pae maʻamau a kāu kauka i hāʻawi ai iā ʻoe (haʻahaʻa a kiʻekiʻe paha), e kāhea koke i kāu kauka.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka:
* Inā he pilikia kou i ka hanu ʻana.
* Inā piʻi koke kou kaumaha a pehu paha kou mau wāwae a kuʻekuʻe wāwae paha.
* Inā ʻike ʻoe i ka poniuniu, ka māʻule ʻana, a i ʻole ka huikau.
* Inā ʻike hou ʻia nā hōʻailona i loaʻa iā ʻoe ma mua o ka hoʻokomo ʻia ʻana o ka pacemaker.
He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi ʻia aku iā ʻoe e pono ana ʻoe i kahi pacemaker ma muli o kahi pilikia puʻuwai. Akā e hoʻomanaʻo, he mea kēia e hana ʻia nei e hoʻomaikaʻi i kou ʻano ola a pale iā ʻoe. E kamaʻilio me kāu kauka e pili ana i nā hopohopo āu e loaʻa nei. Ma kēlā ala, e loaʻa iā ʻoe kahi ʻike maikaʻi a me ka maluhia o ka noʻonoʻo.
Leka Lawe-Home
- He mea uila liʻiliʻi ka pacemaker e kōkua ai i ka hoʻoponopono ʻana i nā puʻuwai puʻuwai kūpono ʻole.
- He mea nui e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka poniuniu, ka pōkole o ka hanu, a i ʻole ka puʻuwai wikiwiki a lohi paha.
- ʻAʻole kēia he hana nui a hāmama ka puʻuwai, a hiki ke hana ʻia me ka palekana me ka ʻenehana o kēia wā.
- ʻO ka pacemaker e hiki ai iā ʻoe ke ola hou i kahi ola maʻamau a hana.
- He mea nui loa e hahai pono i nā ʻōlelo a ke kauka ma hope o ke ʻoki ʻana a hele i nā keʻena lapaʻau i ka manawa kūpono.
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