Ke manaʻo nei ʻoe i kekahi manawa e kuʻi ana kou puʻuwai me ke ʻano ʻē? Kuʻi koke ia me ka wikiwiki loa, a i ʻole e like me ke kuʻi ʻana? A i ʻole e manaʻo koke ʻoe i ka nāwaliwali a i ʻole pilikia ka hanu ʻana? Hiki ke loaʻa kēia ma muli o kekahi loli o ke ʻano o ko kākou puʻuwai. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi mea liʻiliʻi, akā koʻikoʻi loa e kōkua i kou puʻuwai i nā manawa e like me kēia. ʻO ia ka pacemaker.
No laila, he aha ka pacemaker?
I ka ʻōlelo maʻalahi, he mea uila liʻiliʻi ka pacemaker i hoʻokomo ʻia i loko o kou kino, ma o ke ʻoki kino liʻiliʻi. Ua like ia me ka nui o kahi pahu māke. ʻO kāna hana nui ke kākoʻo i ka ʻōnaehana uila kūlohelohe i loko o ko kākou puʻuwai.
E noʻonoʻo ua like ko kākou puʻuwai me ka pamu e hana ana i kahi mele kikoʻī. Hāʻawi ʻia kēia pamu i nā kauoha e hana pono e kahi ʻōnaehana uila liʻiliʻi i loko o ka puʻuwai ponoʻī. I kekahi manawa, ke loaʻa kahi hemahema a nāwaliwali paha i loko o kēia ʻōnaehana uila, kuʻi ka puʻuwai i ke ʻano ʻē. Kuʻi wikiwiki loa ia a lohi loa paha. ʻO ka hana a kēia pacemaker, ʻo ia ke nānā i ka puʻuwai a hoʻouna i kahi hōʻailona uila liʻiliʻi i ka wā e pono ai, e hoʻihoʻi ana i ka mele o ka puʻuwai i ke mele kūpono.
He aha nā kūlana e pono ai ka pacemaker?
Aia kekahi mau kūlana e hiki ke mālama ʻia me kahi pacemaker. Eia kekahi o lākou:
- Nā maʻi ʻōpū o ka puʻuwai: ʻO kēia ka hopena maikaʻi loa no kekahi mau maʻi ʻōpū o ka puʻuwai (Arrhythmia).
- Poloka puʻuwai: Ke loaʻa nā poloka i nā ala e hele ai nā hōʻailona uila i loko o ka puʻuwai (Nā Poloka Puʻuwai).
- Ka Holo ʻole o ka Puʻuwai: Hoʻohana ʻia nō hoʻi ia ma ke ʻano he kākoʻo i ka wā e nāwaliwali ai ka puʻuwai a ʻaʻole hiki ke pamu i ke koko lawa i ke kino.
- Loaʻa kahi moʻolelo o kahi hāʻule puʻuwai ma mua: I kekahi manawa hiki ke hōʻino ʻia ka ʻōnaehana uila o ka puʻuwai ma hope o ka hāʻule puʻuwai.
He aha nā hōʻailona e hōʻike ana e pono ana ʻoe i kahi pacemaker?
Na ke kauka nāna ʻoe e nānā e hoʻoholo inā pono ʻoe i kahi pacemaker. Akā inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kamaʻilio me ke kauka e pili ana iā lākou. Mai hoʻowahāwahā iā lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha umauma (Angina) | ʻO ka paʻa ʻana o ka umauma a i ʻole ka ʻeha e kū mai ana ke loaʻa ʻole ke koko i ka puʻuwai. |
| Ka wikiwiki o ka puʻuwai (Tachycardia) | Ke kuʻi nei ka puʻuwai ma mua o 100 manawa i ka minuke me ke kumu ʻole. |
| Ka lohi o ka puʻuwai (Bradycardia) | ʻO ka helu o ka puʻuwai ma lalo o 60 mau kuʻi i kēlā me kēia minuke i ka hoʻomaha. |
| Puʻuwai puʻuwai kūpono ʻole (Arrhythmia) | Kuʻi kūpono ʻole ka puʻuwai, e lele ana i kekahi mau kuʻi, a i ʻole he kuʻi keu. |
| Nā Palpitations | He manaʻo ʻoluʻolu ʻole me he mea lā e kuʻi ana a e ʻōwili ana paha ka puʻuwai i loko o ka umauma. |
| Paʻakikī ka hanu ʻana | ʻOi loa aku i ka wā e luhi iki ai ʻoe. |
| ʻO ka poniuniu i wehewehe ʻole ʻia, ka nawaliwali | Ka poniuniu koke, nā maka polū, ka luaʻi, a i ʻole ka maule ʻana. |
| Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a me ka ʻōpū | ʻO ka pehu ʻana ma muli o ka hōʻiliʻili ʻana o ka wai i loko o ke kino. |
He aha nā ʻano pacemakers i loaʻa?
Ma muli o ke kūlana o kou puʻuwai, e koho kāu kauka i ke ʻano o ka pacemaker kūpono loa iā ʻoe. Loaʻa paha i kēia mau mea hoʻokahi, ʻelua, a ʻekolu paha mau kaula.
- Pacemaker Leadless: ʻO kēia ka nui o kahi capsule huaora nui. Hoʻokomo ʻia i loko o ka puʻuwai ma o kahi catheter (tube) a hoʻokomo ʻia i loko o ka paia o ka puʻuwai. Hoʻopau kēia i ka pono no nā uea waho.
- Mea hoʻoikaika kino lumi hoʻokahi:Hoʻokahi wale nō uea o kēia. Hoʻopili ʻia ia i hoʻokahi keʻena o ka puʻuwai.
- Pacemaker pālua: He ʻelua mau kaula kēia i hoʻopaʻa ʻia i ʻelua keʻena o ka puʻuwai.
- Pacemaker Biventricular: ʻEkolu mau uea o kēia. Ua kapa ʻia hoʻi ʻo ia ʻo 'Cardiac Resynchronization Therapy (CRT).' ʻO kēia ka mea e hana pū ai nā keʻena āpau o ka puʻuwai, ma ke ʻano like.
Hiki paha i kāu kauka ke ʻōlelo aku i kahi implantable cardioverter defibrillator (ICD), he mea like ia me ka pacemaker akā ʻokoʻa iki. Hiki i ka pacemaker ke kāohi wale i ka rhythm o ka puʻuwai. Akā hiki i ka ICD ke kāohi i ka rhythm a, inā e komo ana ka puʻuwai i kahi rhythm wikiwiki loa, e ʻike iā ia a hāʻawi i kahi haʻalulu uila liʻiliʻi e hoʻihoʻi i ka puʻuwai i ka maʻamau.
He hana ʻoki kino nui anei kēia?
ʻAʻole. Me ka ʻenehana holomua o kēia wā, hana pinepine ʻia kēia me ka ʻole o kahi ʻoki umauma nui. Hana ʻia ia ma ke ʻano e hiki ai iā ʻoe ke hoʻi i ka home me ka ʻeha iki, hoʻōla wikiwiki, a ʻoi aku ka maikaʻi.
ʻO ka hapa pinepine, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili ma lalo o ka iwi ʻāʻī, a hoʻokomo ʻia kahi uea a i ʻole nā uea ma o ia mea ma o kahi kīʻaha koko (vein) i ka puʻuwai. A laila hoʻokomo ʻia ka pākaukau pacemaker i loko o kahi 'ʻeke' liʻiliʻi i hana ʻia ma lalo o ka ʻili kokoke i ka ʻoki. He mau hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. E wehewehe kāu kauka i ke ʻano hana kūpono loa iā ʻoe.
He aha nā pōmaikaʻi o ka loaʻa ʻana o kahi pacemaker?
ʻO ke kumu nui o kahi pacemaker ka hoʻomaikaʻi ʻana i kou ola.
- Nui nā hōʻailona i hoʻokumu ʻia e nā pilikia o ka puʻuwai, e like me ka ʻeha o ka umauma, ka poniuniu, ka nāwaliwali, a me nā palpitations, e nalowale ana.
- Pale ia i nā mea leʻaleʻa e like me ka hiamoe koke ʻole a me ka hāʻule ʻana.
- ʻO ka mea nui loa, hiki iā ia ke hoʻopakele iā ʻoe mai nā kūlana hoʻoweliweli i ke ola e like me ka hopu ʻana o ka puʻuwai.
ʻAʻole anei he mea pilikia ia?
E like me nā hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi. Akā he mea kākaʻikahi lākou. Aia nā mea e like me nā maʻi ʻaleka, nā ʻūpā koko, a me nā hana hewa o nā lako. Akā e lawe kāu kauka i nā hana āpau e hōʻemi i kēia mau pilikia. He mea nui loa e hahai i nā ʻōlelo a kāu kauka a pale i ka hana ikaika no kekahi manawa ma hope o ke ʻoki ʻana.
Pehea ka lōʻihi o ke ola ʻana o ka pila pacemaker?
Aia kēia i ke ʻano o ka pacemaker āu a me ka pinepine o ka hoʻohana ʻia ʻana. Akā, ʻo ka hapa nui o nā pila pacemaker i kēia manawa e mau ana ma kahi o 10-15 mau makahiki . ʻOi aku ka maʻalahi o ke kaʻina hana o ka hoʻololi ʻana i ka pila ma mua o ka loaʻa ʻana o ka pacemaker ma kahi mua. E lawe mai kāu kauka iā ʻoe i nā manawa maʻamau e nānā i ka pae o ka pila.
Leka Lawe-Home
- He mea hoʻōla ola ka pacemaker e kōkua ai i ka mālama ʻana i ke ʻano kūpono o kou puʻuwai. Mai makaʻu iā ia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka loli ʻana o kou ʻano umauma, ka poniuniu, a i ʻole ka nāwaliwali, mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka.
- Ma hope o ke kau ʻana i kahi pacemaker, e hahai pono i nā ʻōlelo a ke kauka (e lawe ana i ka lāʻau lapaʻau, e hele ana i nā keʻena lapaʻau i ka manawa kūpono).
- E hoʻolohe i kou kino. Inā hoʻi mai kāu mau hōʻailona ma mua ma hope o ka loaʻa ʻana o kahi pacemaker, inā paʻakikī ʻoe i ka hanu ʻana, a inā pehu kou mau wāwae, e haʻi koke aku i kāu kauka.
- E hoʻomanaʻo, he hoʻomaka hou kēia nou. E kōkua kēia mea liʻiliʻi iā ʻoe e ola i kahi ola maʻamau a hauʻoli.
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