Ke kuʻi hou nei kou puʻuwai i kekahi manawa? E aʻo kākou e pili ana i (Premature Junctional Contraction)!

Auē, ua manaʻo paha ʻoe ua lele koke kou puʻuwai i kahi kuʻi, a i ʻole ua hoʻomaka koke ke kuʻi keu? A i ʻole ua manaʻo ʻoe ua kuʻi kou umauma? I kekahi manawa manaʻo mākou he mau mea maʻamau wale nō kēia, akā i kekahi manawa aia paha he kumu olakino liʻiliʻi ma hope o kēia. I kēia lā e kamaʻilio mākou e pili ana i kēlā kuʻi keu i loko o ka puʻuwai, i kapa ʻia ʻo `(Premature Junctional Contraction)` a i ʻole PJC.

He aha kēia (Premature Junctional Contraction)? E hoʻomaopopo maʻalahi kākou?

I ka ʻōlelo maʻalahi, ʻo `(Premature Junctional Contraction)` he puʻuwai keu e hana ʻia ma mua o ka manawa i hoʻonohonoho ʻia . Hoʻomaka kēia ma kahi kūikawā i loko o ka puʻuwai, a mākou e kapa nei ʻo `(Atrioventricular junction)` a i ʻole ka AV junction. E noʻonoʻo, he ʻelua keʻena ko ko mākou puʻuwai ma luna, a mākou e kapa nei ʻo atria. Aia ʻelua mau keʻena ʻē aʻe ma lalo, a mākou e kapa nei ʻo ventricles. Ma waena o kēlā atria a me ventricles, e pololei, aia kēia AV junction ma waenakonu o ka puʻuwai. ʻO ia kahi e hoʻomaka ai kēia kuʻi mua, keu.

ʻO ka PJC he `(Arrhythmia)`, ʻo ia hoʻi ke ʻano o ka ʻano o ka puʻuwai . ʻO ka maʻamau, kuʻi ko mākou puʻuwai i kahi ʻano kikoʻī. ʻO ke kumu o kēia he ʻōnaehana hōʻailona uila liʻiliʻi i loko o ka puʻuwai ponoʻī. Ke haʻi aku nei kēia mau hōʻailona uila i ka puʻuwai e "kuʻi i kēia manawa, kuʻi i kēia manawa". Eia naʻe, inā hoʻopilikia kekahi mea i kēia mau hōʻailona uila, a laila lilo ka puʻuwai i mea ʻano ʻole. ʻO ia ka mea a mākou e kapa nei he `(Arrhythmia)`. A laila hiki ke like ka puʻuwai me kēia:

• Hiki ke kū ʻole i ke ʻano: ʻo ia hoʻi, ua kāpae ʻia kahi kuʻi, loaʻa kahi kuʻi keu, a i ʻole ʻaʻole like ka kuʻi.
• Hiki ke lohi loa: kapa mākou ia he "Bradycardia".
• Hiki iā ia ke kuʻi wikiwiki loa: ua kapa ʻia kēia ʻo `(Tachycardia)`.

No PJC ka māhele e hele mai me kēlā kīkē keu.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka hoʻomohala ʻana i nā Premature Junctional Contractions?

ʻO ka hapa pinepine, loaʻa ka PJC i nā poʻe i loaʻa mua i kahi maʻi puʻuwai (puʻuwai hāʻule) a i ʻole nā ​​​​maʻi puʻuwai ʻē aʻe. Eia nō naʻe, i kekahi manawa hiki ke loaʻa ka PJC i nā poʻe me nā puʻuwai olakino me ka ʻole o kekahi maʻi . No laila, he paʻakikī ke ʻōlelo maopopo ʻaʻole hiki ke loaʻa kēia i kekahi poʻe.

Pehea ka maʻamau o kēia mau mea (Premature Junctional Contractions)?

ʻO ka PJC kahi maʻi i emi iki ma mua o kekahi mau ʻano puʻuwai keu ʻē aʻe. No ka laʻana, ʻoi aku ka maʻamau o ka `(Premature Atrial Contractions - PACs)` a i ʻole `(Premature Ventricular Contractions - PVCs)` ma mua o ka PJC. Ma waena o nā maʻi puʻuwai, ʻo ka `(Atrial fibrillation - Afib)` ke ʻano maʻamau.

Pehea ka hopena o kēia (Premature Junctional Contraction) iaʻu?

E noʻonoʻo, hoʻokahi a ʻelua paha o kēia mau PJC āu e loaʻa pinepine ai. A laila ʻaʻole paha he pilikia nui . Malia paha ʻaʻole ʻoe e ʻike.

Akā, ʻo kēia PJCInā pinepine ia, a mau loa, a laila pono ʻoe e hopohopo iki. No ka mea, i ka wā e pinepine ai ka PJC, hiki iā ia ke lilo i kūlana i kapa ʻia ʻo `(Junctional tachycardia)`. ʻO ia hoʻi, kahi kūlana e paʻi wikiwiki ai ka puʻuwai , e hoʻomaka ana mai ka AV junction a mākou i ʻōlelo ai ma mua. ʻO `(Junctional tachycardia)` i kekahi manawa e pono ai ka mālama ʻana . No ka laʻana, hiki ke hāʻawi ʻia ka lāʻau lapaʻau e kāohi i ka helu o ka puʻuwai a hoʻihoʻi iā ia i kahi mele maʻamau.

He aha nā kumu o nā Premature Junctional Contractions?

Aia kekahi mau kumu e hiki ai ke kumu i ka PJC. E nānā kākou i nā mea nui:

• ʻAkika Digitalis: ʻO Digitalis (e.g. Digoxin, Digitoxin) kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kekahi mau maʻi puʻuwai e like me ka hāʻule ʻana o ka puʻuwai a me ka arrhythmia. Inā lawe ʻoe i ka nui o kēia lāʻau lapaʻau, a inā ʻaʻole hiki i kou kino ke lawelawe pono iā ia, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo digitalis toxicity. ʻO kēia kekahi kumu nui o PJC.
• Ka hoʻohana ʻana i ka caffeine: ʻO ka hoʻohana nui ʻana i ka caffeine, i loaʻa i ke kofe, ke kī, a me kekahi mau mea inu ikehu.
• Maʻi ʻaʻa coronary: Ka pale ʻana o nā aʻa e hoʻolako koko ai i ka puʻuwai.
• Ka inu ʻona: E like me nā mea āpau, ʻaʻole maikaʻi ka inu ʻana i ka waiʻona nui.
• Ke kaulike ʻole o ke electrolyte: He kūlike ʻole i nā electrolytes o ke kino, e like me ka sodium a me ka potassium.
• Hypoxemia: Hoʻemi ʻia nā pae oxygen i loko o ke koko.
• Ka hāʻule ʻana o ka puʻuwai: Ka hiki ʻole o ka puʻuwai ke pamu koko me ka maikaʻi.
• Ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka.

Hiki ke hana ʻia ka PJC ma muli o hoʻokahi a ʻoi aku paha o kēia mau kumu.

He aha nā hōʻailona o ka Premature Junctional Contraction (ʻūlū mua)?

Inā loaʻa pinepine iā ʻoe ka PJC, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona . Eia nō naʻe, inā loaʻa pinepine iā ʻoe ka PJC, hiki iā ʻoe ke ʻike i kēia mau mea:

• Luhi: Manaʻo wale i ka luhi a me ke ola ʻole.
• Māmā ke poʻo: He manaʻo o ka poniuniu a i ʻole ka nāwaliwali.
• Nā palpitations o ka puʻuwai: He manaʻo o ka wikiwiki, ke kuʻi ʻana, a i ʻole ke kuʻi ʻana o ka puʻuwai i loko o ka umauma.

E hoʻomanaʻo, ʻaʻole loaʻa kēia mau hōʻailona i nā kānaka a pau. ʻAʻole paha i loaʻa i kekahi poʻe kekahi o lākou.

Pehea e ʻike ai (Nā ʻaelike Junctional Premature)?

Ke haʻi aku ʻoe i ke kauka e pili ana i kāu mau hōʻailona, ​​e nīnau mua lākou iā ʻoe e pili ana iā lākou a laila e hana i kahi hoʻokolokolo kino. Hiki paha iā lākou ke nīnau e pili ana i:

• Kou mōʻaukala olakino: Nā mea e like me nā maʻi ma mua, inā paha he maʻi puʻuwai ko kekahi o kou ʻohana.
• He aha nā lāʻau lapaʻau āu e lawe ai?Nā lāʻau lapaʻau no nā maʻi ʻē aʻe, a me nā huaora.
• Kou nohona: Nā mea e like me ka puhipaka ʻana, inu waiʻona, a me ka nui o ke kofe āu e inu ai.

He aha nā hoʻokolohua i hoʻohana ʻia e ʻike ai i nā Premature Junctional Contractions?

Inā kānalua kāu kauka he arrhythmia kou, e kauoha pinepine lākou i kahi electrocardiogram (EKG) . He hoʻāʻo maʻalahi kēia a ʻeha ʻole. Hoʻokomo lākou i nā pepili liʻiliʻi (electrodes) ma kou umauma a hoʻopaʻa i ka hana uila o kou puʻuwai, ʻo ia hoʻi kou puʻuwai.

Ke nānā ʻoe i nā hopena o kahi EKG, ʻike paha ʻoe i kahi PJC ma ke ʻano he kuʻi liʻiliʻi keu ma waena o kou puʻuwai maʻamau. Eia naʻe, i kekahi manawa, hiki ke "hūnā" ʻia kēia PJC i loko o ka puʻuwai maʻamau. Inā ʻaʻole maopopo ka EKG, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua hou aʻe. Eia kekahi laʻana:

• Echocardiogram: Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano a me ka hana o ka puʻuwai.
• Hoʻāʻo koʻikoʻi: Hoʻāʻo kēia i ka hana ʻana o kou puʻuwai i kou wā e hoʻoikaika kino ai (e like me ka holo ʻana ma luna o ka treadmill).
• Hoʻāʻo papa hoʻokiʻekiʻe: Nānā ʻia kou helu puʻuwai a me ke koko i kou wā e moe ana ma luna o kahi moena kūikawā a hoʻokiʻekiʻe ʻia ka moena ma nā kihi like ʻole. He mea nui kēia no ka poʻe e ʻike nei i ka hiolo.

Pehea e mālama ai nā kauka i nā Premature Junctional Contractions?

I ka mālama ʻana iā PJC, ʻimi mua nā kauka i ke kumu kumu . Hiki i ka mālama ʻana i kēlā kumu ke kōkua i ka hoʻihoʻi ʻana i ka puʻuwai puʻuwai maʻamau. Hiki i kāu hoʻolālā lapaʻau ke komo pū me:

• Inā ʻoe e lawe nei i ka digitalis, e noʻonoʻo e hōʻemi a hoʻonui paha i ka dosage .
• Ke hāʻawi nei i nā lāʻau lapaʻau ʻē aʻe e mālama ai i ke kūlana "(Digitalis toxicity)".
• Ke mālama nei i nā kūlana e like me ka hāʻule ʻana o ka puʻuwai a i ʻole ka maʻi ʻaʻa coronary me ka lāʻau lapaʻau .
• Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Nā mea e like me ka haʻalele ʻana i ka puhipaka, ka hōʻemi ʻana i ka inu ʻana i ka waiʻona a i ʻole ka caffeine.

ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo aʻoaʻo a ke kauka.

Hiki ke pale ʻia nā ʻaelike hui mua?

ʻAʻole paha hiki ke pale loa i ka PJC i nā manawa a pau . Eia nō naʻe, ʻo ka hahai ʻana i kahi nohona olakino a me ka ʻike pinepine ʻana i kāu kauka hiki ke kōkua i ka mālama ʻana i kou puʻuwai i ke olakino. Hiki i kāu kauka ke ʻōlelo i kēia mau mea:

• E kaupalena a hoʻōki paha i ka inu ʻona: ʻAʻole pono nā kāne e inu ma mua o ʻelua mau mea inu i ka lā. ʻAʻole pono nā wahine e inu ma mua o hoʻokahi mea inu i ka lā.
• E hōʻemi i ka nui o ka caffeine āu e loaʻa ai mai nā mea e like me ke kofe a me nā mea inu ikehu.
• ʻAʻole puhi paka a hoʻohana paha i nā huahana paka.Inā ʻoe e hana mua nei, e hoʻōki pono.
• ʻAi ʻana i ka meaʻai olakino e waiwai ana i nā huaʻai, nā mea kanu, nā legumes, a me nā palaoa holoʻokoʻa.
• Hoʻoikaika kino mau e like me ka hele wāwae.
• Ka mālama ʻana i ke kaumaha .
• ʻO ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha no ka mālama ʻana i nā kūlana olakino ʻē aʻe.

Pehea ka lōʻihi o ka lōʻihi o nā Premature Junctional Contractions?

Inā mālama pono ʻia ke kumu kumu, hiki i ka PJC ke hoʻomaikaʻi a nalo loa paha , ma muli o kou kūlana a me ka pane ʻana i ka lāʻau lapaʻau.

Aia kekahi mau hopena lōʻihi o nā Premature Junctional Contractions?

I kekahi manawa, ʻaʻole hōʻeha ka PJC i ka puʻuwai . Eia nō naʻe, inā hana ʻia ka PJC e kekahi maʻi puʻuwai ʻē aʻe, pono ʻoe e ʻike i kāu kauka e mālama i ke olakino o kou puʻuwai. ʻO ka hana ʻana pēlā e hiki ke kōkua i ka pale ʻana a i ʻole ka hōʻemi ʻana i nā hopena lōʻihi o ka maʻi puʻuwai.

I ka manawa hea ʻoe e ʻimi ai i ke aʻo lapaʻau inā loaʻa iā ʻoe (Premature Junctional Contractions)?

Inā loli a ʻoi aku paha ka ʻino o kou mau hōʻailona, ​​e ʻike pono i kāu kauka . Eia kekahi, inā ʻike ʻoe i kekahi mau hōʻailona o ka "Heart failure", e haʻi koke i kāu kauka. ʻO kēia mau hōʻailona:

• Ke loaʻa nei i ka ʻū maloʻo a ʻeha loa .
• Ka mae ʻana .
• Manaʻo luhi a nāwaliwali paha i ka wā e hoʻoikaika kino ai a i ʻole e hana i kekahi hana.
• Pōkole o ka hanu (dyspnea)
• Ka pehu ʻana ma nā kuʻekuʻe wāwae, nā wāwae a i ʻole ka ʻōpū .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻĀ, ua kamaʻilio nui mākou e pili ana i ka `(Premature Junctional Contraction)` i kēia manawa.

ʻAʻole pinepine he maʻi koʻikoʻi nā Premature Junctional Contractions. I kekahi manawa, ʻo ka mea wale nō āu e hana ai, ʻo ke kipa aku i kāu kauka no ka nānā ʻana.

Eia nō naʻe, inā ʻo ke kumu o PJC he maʻi puʻuwai ʻē aʻe, e paipai kāu kauka i kahi lāʻau kūpono a maikaʻi hoʻi. ʻO ka hapa nui o ka poʻe me PJC e ola olakino a hana . No laila, mai hopohopo pono ʻole. Akā inā loaʻa iā ʻoe nā hōʻailona, ​​​​mai poina e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. Ola maikaʻi iā ʻoe!

ʻO ka ʻūmiʻi mua ʻana o ka Junctional, ka puʻuwai, ka Rhythm o ka puʻuwai, ka Arrhythmia, ka AV junction, ka maʻi puʻuwai, EKG