Ke lele koke nei kou puʻuwai i kahi kuʻi a manaʻo e like me ka lele ʻana o kahi kuʻi? E kamaʻilio kākou e pili ana i (Premature Atrial Contractions)!

Ua manaʻo paha ʻoe ua lele koke kou puʻuwai i kahi kuʻi, a i ʻole ua manaʻo koke ʻia e like me ke kuʻi ʻana i loko o kou umauma? I kekahi manawa he mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke manaʻo ʻoe i kahi mea e like me kēia. Akā i ka hapa nui o ka manawa, ʻaʻohe mea e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i kēia kūlana maʻamau i ʻike ʻia e ka poʻe he nui, ʻo ia hoʻi ʻo Premature Atrial Contractions (PACs).

He aha kēia mau ʻaelike atrial mua (PAC)?

I mea e maʻalahi ai ke hoʻomaopopo ʻana i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o ko kākou puʻuwai. E noʻonoʻo he ʻenekini liʻiliʻi kou puʻuwai, akā he ʻenekini ikaika loa. No ka hana pono ʻana o kēia ʻenekini, pono ia e loaʻa nā hōʻailona uila ma ke ʻano ʻōnaehana. Ma nā keʻena ʻelua o luna o ko kākou puʻuwai (kapa mākou i kēia mau mea he "Atria" ma nā ʻōlelo lapaʻau), ma ka ʻaoʻao ʻākau, ma ke kihi o luna, aia kahi wahi liʻiliʻi i kapa ʻia ʻo "Sinus node". ʻO kēia ka mea e hana ana e like me ka "pacemaker" maoli o ka puʻuwai. ʻO ia hoʻi, hoʻouna ia i nā hōʻailona uila ma ke ʻano ʻōnaehana e hoʻoholo ai i ka rhythm a me ka wikiwiki o ka puʻuwai e kuʻi ai.

I kēia manawa, ʻo nā Premature Atrial Contractions (PACs) he mea hoʻopilikia iki ia i kēia kaʻina hana maʻamau. I kekahi manawa, hoʻouna ʻia kahi hōʻailona uila mai kahi ʻē aʻe ma ke keʻena o luna o ka puʻuwai me ka wā ʻole, ʻaʻole mai ka "Sinus node". ʻO ke ʻano o ka huaʻōlelo "premature" ʻo ia hoʻi "premature." No laila, ma muli o kēia hōʻailona premature, kuʻi ka puʻuwai i hoʻokahi manawa ma mua o kona manawa maʻamau.

E noʻonoʻo, ʻo ka mea e hana ʻia ma ʻaneʻi ua like ia me kekahi e hoʻokani ana i ka pahu i ka wā e kuʻi ana i ka leo like, akā hoʻokahi manawa ua paʻi koke iā ia ma waho o ke ʻano.

Ke kuʻi mua ka puʻuwai, hiki iā ia ke lilo i ke koko nui e hiki ai ke holo ma o ka puʻuwai i kēlā manawa. No laila, nāwaliwali pinepine kēlā kuʻi mua. A laila, hoʻomaha iki ka puʻuwai no kekahi mau kekona a kuʻi maʻamau no ke kuʻi aʻe. Akā ma muli o kēlā hoʻomaha pōkole, ua piha ka puʻuwai me ke koko hou aʻe i ka wā e kuʻi ai ka puʻuwai aʻe. No laila, ʻoi aku ka paʻakikī o kēlā kuʻi ma mua o ka maʻamau. ʻO kēlā kuʻi paʻakikī ka mea a mākou e manaʻo ai ua "nalowale i kahi kuʻi" a i ʻole "e like me ke kuʻi ʻana i ka umauma."

He aha nā hōʻailona o kekahi me nā PAC?

ʻAʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona ʻoiai he PAC ko lākou. Eia naʻe, inā loaʻa iā lākou, e like paha lākou me kēia. E nānā kākou i kēia ma ke ʻano e maopopo ai.

No ke aha i loaʻa ai iā mākou kēia mau PAC? He aha nā kumu?

I ka hapanui o nā hihia, ʻaʻohe kumu kikoʻī no nā PAC. Eia nō naʻe, aia kekahi mau kumu maʻamau e hiki ke kōkua i ke kūlana. ʻO kekahi o lākou:

• Nā kumu o ke ola:
• Ka nui o ka caffeine: Inu nui ʻana i nā mea e like me ke kofe, ke kī, a me kekahi mau mea inu palupalu.
• Ka hoʻohana ʻana i ka waiʻona: Ka inu ʻana i nā mea inu ʻona.
• Ka hoʻohana ʻana i nā huahana paka: Nā mea e like me nā cigarettes a me nā mea inu.
• Kaumaha: Hopohopo nui, kaomi.
• Luhi a me ka nele i ka hiamoe: Manaʻo nui i ka luhi a me ka lawa ʻole o ka hiamoe.
• Nā kumu lapaʻau:
• Ka nele o nā minerala i loko o ke kino:Ua emi a hoʻonui paha ka nui o nā electrolytes, e like me ka potassium a me ka magnesium, i loko o ke koko.
• Nā pilikia o ka puʻuwai kūkulu: Nā kūlana e like me ke ālai ʻana i nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai (Coronary Artery Disease) a i ʻole ka mānoanoa o ka ʻiʻo o ka puʻuwai (Hypertrophic Cardiomyopathy).
• Ka hōʻino ʻana i ka puʻuwai: Ma muli o ke kumu e like me ka hāʻule puʻuwai ma mua.
• Nā pilikia thyroid: Nā loli i nā pae hormone thyroid.
• Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau i hāʻawi ʻia no ka maʻi puʻuwai a i ʻole ka maʻi noʻonoʻo.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau kū ʻole i ke kānāwai.

Inā loaʻa iā ʻoe nā PAC pinepine, e ho'āʻo kāu kauka e ʻimi i kēia mau kumu.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki ke loaʻa nā PAC i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka hoʻomohala pinepine ʻana iā lākou.

• Nā kānaka kiʻekiʻe
• Nā wahine hāpai
• Nā kānaka me ka maʻi cardiovascular
• ʻO ka poʻe i hana ʻole i ke kino (ka poʻe i hoʻoikaika kino ʻole)
• ʻO nā kānaka me ke koko kiʻekiʻe (ʻoi aku ka systolic pressure)
• Nā kānaka me ka maʻi diabetes
• ʻO nā kānaka me nā pae haʻahaʻa o ka cholesterol maikaʻi (HDL cholesterol)
• ʻO nā kānaka me ka maʻi pulmonary obstructive mau loa (COPD)
• ʻO ka poʻe i inu ʻole i ka wai lawa
• Nā kānaka puhi paka
• ʻO ka poʻe e hoʻopau nui ana i ka caffeine a i ʻole nā ​​​​mea hoʻoulu
• ʻO ka poʻe i loaʻa ʻole ka hiamoe lawa a aia ma lalo o ka nui o ke kaumaha

Aia kekahi mau pilikia e hiki ke hana ma muli o nā PAC?

ʻAʻole pilikia nā PAC. Eia nō naʻe, inā loaʻa pinepine nā PAC i ke kanaka, he hōʻailona paha ia o kahi pilikia koʻikoʻi o ka puʻuwai i kapa ʻia ʻo 'Atrial Fibrillation (Afib)' i ka wā e hiki mai ana.

ʻO ka Atrial Fibrillation (Afib) kahi kūlana kahi e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai a kū ʻole i ke kaohi ʻana. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me ka hahau ʻana. No laila he mea nui e ʻike i ke kauka inā ʻike ʻoe i ka nui o nā PAC.

Pehea e ʻike ai ke kauka i kēia maʻi?

Inā ʻaʻohe ou PAC i kou hele ʻana i ke kauka, ʻaʻole paha e hiki iā ia ke ʻike iā lākou me ka stethoscope. No laila, ma muli o kāu mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo i kēia mau hoʻokolohua.

Pehea e mālama ʻia ai nā PAC?

ʻO kēia ka mea nui loa: ʻO ka hapa nui o ka manawa, ʻaʻole pono nā PAC i kekahi lāʻau lapaʻau. Hele pinepine lākou ma o lākou iho.

Eia nō naʻe, inā koʻikoʻi loa kāu mau hōʻailona, ​​​​a inā pinepine ka PAC, hiki i kāu kauka ke hoʻoholo e mālama iā ʻoe.

• Nā Hoʻololi ʻana i ke ʻano o ka nohona: ʻO kēia ka mea mua e hoʻāʻo ai. Loaʻa i ka nui o ka poʻe ka hōʻoluʻolu ma ka hōʻemi ʻana i ka caffeine a me ka inu ʻona, ka haʻalele ʻana i ka puhipaka, ka hiamoe lawa, a me ka mālama ʻana i ke kaumaha.
• Nā lāʻau lapaʻau:
• Nā mea pale Beta: ʻO kēia ʻano lāʻau lapaʻau ke koho mua. Hoʻemi lākou i ka helu o ka puʻuwai a me ka ikaika o kona mau ʻūlū ʻana, e kaohi ana i nā hōʻailona.
• Nā Antiarrhythmics: Nā lāʻau lapaʻau kūikawā e kāohi i ke kani o ka puʻuwai. Hāʻawi pinepine ʻia kēia mau mea inā ʻaʻole hiki i nā beta-blockers ke kāohi iā ia.
• Ka hoʻopau ʻana i ka catheter:Hana kākaʻikahi loa kēia. Ma kēia, hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) i loko o ka puʻuwai ma o ka ʻūhā a i ʻole ka lima, a ua luku ʻia kahi ʻāpana liʻiliʻi loa o ka puʻuwai e hoʻopuka ana i nā hōʻailona uila kūpono ʻole.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻAe. E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao. Hiki i nā Beta-blockers ke hoʻoulu i ka luhi a me ka poniuniu. Loaʻa i nā lāʻau anti-arrhythmic nā hopena ʻaoʻao like ʻole, no laila pono e lawe ʻia ma lalo o ka nānā pono ʻana e kāu kauka. ʻOiai ʻo ka catheter ablation ma ke ʻano he hana haʻahaʻa ka pilikia, aia nā pilikia liʻiliʻi loa, e like me nā ʻōpū koko a me ke kahe ʻana o ke koko.

He aha kaʻu e hana ai e kāohi i nā PAC a hōʻemi i ka pilikia?

Nui nā mea hiki iā ʻoe ke hana e hōʻemi a kāohi i kāu mau PAC.

• E hoʻoikaika kino i nā manawa a pau .
• E hōʻemi i nā mea inu i loaʻa ka caffeine e like me ke kofe, ke kī, a me ke kokoleka.
• E hōʻemi a hoʻōki loa paha i ka inu ʻana i ka waiʻona.
• Inā ʻoe e puhipaka, e hoʻōki.
• E inu i ka wai he nui. E pale i ka maloʻo ʻana o ka wai.
• E hiamoe pono i kēlā me kēia lā.
• E hoʻokele i ke kaumaha. Hiki i nā mea e like me ka yoga a me ka noʻonoʻo ʻana ke kōkua.
• E kāohi i ke koko a me nā pae cholesterol.

Āhea wau e ʻike ai i ke kauka?

ʻO ka maʻamau, inā loaʻa nā PAC i kekahi manawa, ʻaʻohe mea e hopohopo ai. Eia nō naʻe, i ia hihia, pono ʻoe e ʻike i kāu kauka.

• Inā e ʻoi aku ka ʻino o kou mau hōʻailona.
• Inā piʻi ka alapine (frequency) o nā PAC.
• Inā hele pū kēia mau hōʻailona me ka ʻeha o ka umauma, ka hanu pōkole loa, ka poniuniu, a i ʻole ka nāwaliwali, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.
• Inā loaʻa iā ʻoe ka maʻi puʻuwai a hoʻomohala i nā PAC.

ʻO kekahi mau nīnau paha āu e loaʻa ai

He like anei nā PAC a me ka Atrial Fibrillation (Afib)?

ʻAʻole. He ʻelua mau mea like ʻole kēia. He mau puʻuwai hoʻokahi a mua ʻole nā ​​PAC. He kūlana koʻikoʻi ʻo Afib kahi e kuʻi ai nā keʻena o luna o ka puʻuwai i kahi mele wikiwiki a ʻano ʻē loa. Eia nō naʻe, ʻo ka loaʻa pinepine ʻana o nā PAC hiki ke hoʻonui i ka pilikia o ka loaʻa ʻana o Afib.

He mea e hopohopo ai i ka wā e ulu ai nā PAC i ka wā hāpai?

ʻAʻole maʻamau. He mea maʻamau no nā PAC ke kū mai i ka wā hāpai ma muli o nā loli o nā hormones a me ka nui o ke koko. ʻO ka hapa nui o ka manawa, nalo lākou iā lākou iho a ʻaʻole pono ka lāʻau lapaʻau. Eia nō naʻe, inā ʻoe e hopohopo nei no kēia, e kamaʻilio me kāu kauka.

He aha ka ʻokoʻa ma waena o nā PAC a me nā PVC (Premature Ventricular Contractions)?

ʻO ka ʻokoʻa kahi e hoʻomaka ai ka hōʻailona uila mua. Hoʻomaka nā PAC ma nā keʻena o luna o ka puʻuwai (Atria) . Hoʻomaka nā PVC ma nā keʻena o lalo o ka puʻuwai (Ventricles) . Hiki ke like nā hōʻailona o nā mea ʻelua.