Ke kuʻi nei kou puʻuwai i kekahi manawa me ke ʻano ʻē? E kamaʻilio kākou e pili ana i nā Premature Ventricular Contractions (PVCs)!

Ua manaʻo paha ʻoe e like me ke kuʻi ʻana o kou puʻuwai me ke ʻano ʻē, me he mea lā e lele ana i kahi kuʻi, a i ʻole e kuʻi koke ana i loko o kou umauma? Wahi a kekahi poʻe, ua like me he mea lā e "lele ana" kou puʻuwai. Ua ʻike ka poʻe he nui i kēia. I kēia lā, e kamaʻilio mākou e pili ana i hoʻokahi kumu kūpono o kēia, kahi kūlana i kapa ʻia ʻo Premature Ventricular Contractions (PVCs) . Mai hopohopo, e mālama kākou i ka maʻalahi.

No laila, he aha kēia mau Premature Ventricular Contractions (PVCs)?

I ka ʻōlelo maʻalahi, ʻo Premature Ventricular Contractions (PVCs) he ʻano kūlike ʻole ia i kou puʻuwai. ʻO ke kikoʻī, hana ʻia lākou i ka wā ʻaʻole i hele mai ka hōʻailona uila e hoʻomaka ai i ka puʻuwai mai kahi maʻamau, akā mai kekahi o nā keʻena ʻelua o lalo o ka puʻuwai (i kapa ʻia ʻo ventricles ). ʻO ka maʻamau, hoʻomaka ka hōʻailona uila e hoʻomaka ai i ka puʻuwai ma ke keʻena ʻākau o luna o ka puʻuwai ( ka atrium ).

ʻAʻole pilikia nui kēia mau PVC i nā manawa a pau. Eia nō naʻe, inā hoʻomau lākou no nā mahina a i ʻole nā ​​makahiki, hiki iā lākou ke hoʻonāwaliwali i ka ʻiʻo o ka puʻuwai. Ua kapa ʻia kēia ʻo Cardiomyopathy . I ka hapanui o nā hihia, hiki ke mālama ʻia kēia mau PVC me ka lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau liʻiliʻi.

Kāhea kekahi poʻe i kēia kūlana "pre ventricular contractions." Hiki i nā kauka ke kapa iā ia ma kēia mau inoa:

• Nā paʻakikī ventricular mua
• Nā extrasystole ventricular
• Nā kuʻi mua o ka ventricle

Pehea e kaohi ai nā hōʻailona uila o ka puʻuwai i ka puʻuwai?

Hoʻokele ʻia ko mākou puʻuwai e kahi ʻōnaehana uila kupaianaha loa. ʻO ka maʻamau, kahi hui o nā keena ma ka atrium ʻākau, ma ka piko o kou puʻuwai, i kapa ʻia ʻo ka node sinoatrial (SA node) , e hoʻouna i ka hōʻailona uila mua o ka puʻuwai. Hele kēia hōʻailona ma loko o ka puʻuwai a hele i nā keʻena hema a me ka ʻākau (ventricles) ma lalo o ka puʻuwai. ʻO ia ka manawa e loaʻa ai i ka puʻuwai ke kauoha e ʻūlū, a i ʻole e kuʻi.

Akā, i ke ʻano o nā PVC, hoʻomaka kēia hōʻailona mua ma kahi keʻena haʻahaʻa o ka puʻuwai (ventricle). A laila, loli ke ala e hele ai kēlā hōʻailona ma o ka puʻuwai, e hana ana i kahi puʻuwai puʻuwai kūpono ʻole. I kekahi manawa, ke loaʻa iā ʻoe kahi PVC, manaʻo paha ʻoe e "lele ana kou puʻuwai i ka hahau."

ʻO wai ka mea e loaʻa pinepine ai nā PVC? Pehea ka maʻamau?

Hiki i nā PVC ke loaʻa i kekahi. Eia nō naʻe, ʻoi aku ka maʻamau o lākou i ka poʻe ʻelemakule a me ka poʻe me ka maʻi puʻuwai. Loaʻa iā ʻoe ka pilikia kiʻekiʻe o ka PVC inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Ka hāʻule ʻana o ka puʻuwai
• Ke koko kiʻekiʻe ( Hypertension )
• Inā ua loaʻa iā ʻoe ka maʻi puʻuwai ma mua
• ʻO ka cardiomyopathy hypertrophic

ʻOi aku ka maʻalahi o nā PVC ma mua o kou manaʻo.Ua hōʻike ʻia nā noiʻi he 75% o ka heluna kanaka e loaʻa ana kēia maʻi.

Pono anei mākou e hopohopo e pili ana i kēia mau PVC? He mea weliweli anei kēia?

ʻAʻohe o ka hapa nui o ka poʻe i nā hōʻailona a i ʻole nā ​​pilikia olakino mai nā PVC. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​e ʻike pono i ke kauka . Pono paha ʻoe i ka lāʻau lapaʻau, ʻoiai e kāpae i nā maʻi puʻuwai e like me ka cardiomyopathy .

ʻAʻole hoʻoweliweli pinepine nā PVC i ke ola. Eia nō naʻe, inā hoʻomau lākou i ka hana ʻana i kahi manawa lōʻihi, hiki iā lākou ke hōʻino i kou ʻiʻo puʻuwai.

He aha nā hōʻailona o nā Premature Ventricular Contractions (PVCs)?

ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona o ka PVC. Akā inā ʻike ʻoe i nā hōʻailona, ​​​​he maʻalahi lākou. Eia kekahi laʻana:

• Pōʻino
• Manaʻo nāwaliwali, kokoke i ka nāwaliwali
• Nā palpitations o ka puʻuwai
• Manaʻo o ka paʻa ʻana i nā aa koko o ka ʻāʻī

Inā loaʻa iā ʻoe nā maʻi puʻuwai ʻē aʻe, ua pilikia paha ʻoe i ka hanu ʻana ( dyspnea ) ma muli o ka PVC. Eia kekahi, i ka piʻi ʻana o ke alapine (frequency) o nā PVC, e ʻike paha ʻoe i nā hōʻailona hou aʻe.

Pehea ka manaʻo ke loaʻa mai nā PVC?

Ua wehewehe ka poʻe he nui i nā PVC he ʻano lele lele, he ʻano lele paha, a i ʻole he manaʻo e like me ka hahau ʻana i lele ʻia . Akā, ʻaʻole paha ʻoe e manaʻo i kekahi mea. ʻO ka ʻoiaʻiʻo, ʻaʻole manaʻo ka poʻe he nui i kahi PVC.

He aha ke kumu o nā PVC?

Nui nā kumu e hiki ai ke loaʻa kahi PVC. ʻO kekahi o lākou:

• ʻO nā kaulike ʻole o ke electrolyte i loko o ke kino, no ka laʻana, nā pae haʻahaʻa o ka potassium a i ʻole ka magnesium .
• ʻO ka infarction myocardial
• Ka hāʻule ʻana o ka puʻuwai
• Hoʻonui ʻia ka nui o ka adrenaline i loko o ke kino - Hiki ke kumu kēia ma muli o ka hopohopo a i ʻole ke kaumaha .
• Hoʻemi ʻia ke kahe koko i ka puʻuwai, no ka laʻana, inā he maʻi ʻaʻa coronary .

Pehea e ʻike ʻia ai nā Premature Ventricular Contractions (PVCs)?

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a hana i kahi hoʻokolokolo kino. Hiki iā lākou ke hoʻolohe i kou puʻuwai me kahi stethoscope e nānā i nā mea ʻē.

ʻO ka hoʻāʻo mua i hana pinepine ʻia he electrocardiogram (EKG).Hoʻāʻo. Ana kahi EKG i kou helu puʻuwai a loiloi i nā hōʻailona uila i loko o kou puʻuwai. Hiki i kahi EKG ke kōkua i kāu kauka e ʻike inā he arrhythmia kou, he kuʻi keu.

I kekahi manawa, e noi ʻia paha ʻoe e ʻaʻahu i kahi monitor Holter a i ʻole kekahi mea hana ʻē aʻe e nānā ana i kāu hana puʻuwai no kekahi mau lā. Hiki i kēia ke kōkua i ka ʻike ʻana i nā PVC kakaikahi ma ke ana ʻana i kou helu puʻuwai a me kou mele.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i nā kumu kumu o ka PVCs?

Inā loaʻa pinepine iā ʻoe nā PVC a i ʻole ua loaʻa iā ʻoe no ka manawa lōʻihi, e ʻōlelo paha kāu kauka i kekahi mau hoʻokolohua hou aʻe. Hoʻohana ʻia kēia mau hoʻokolohua e ʻimi i nā maʻi puʻuwai ʻē aʻe e hoʻoulu ai i kāu PVC. Loaʻa paha iā ʻoe nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo koko - Nānā kēia i kāu pae potassium a me ka hormone thyroid.
• Hoʻāʻo koʻikoʻi puʻuwai - ana i ka helu o kou puʻuwai a me ke kahe o ke koko ma o nā aʻa o kou puʻuwai i kou wā e hoʻoikaika kino ai.
• Cardiac MRI a i ʻole CT scan - Nānā kēia i ke ʻano, ka hana, a me ke kahe o ke koko o ka puʻuwai.
• ʻO ka angiogram coronary - He hoʻāʻo e hōʻike ana i nā kīʻaha koko i loko o ka puʻuwai. Kōkua kēia i ka ʻike ʻana i nā ʻano ʻē o ke kahe koko, nā kīʻaha koko i ālai ʻia a i ʻole nā ​​kīʻaha koko i haiki ʻia.
• ʻEchocardiogram ( Echocardiogram / Echo ) - Loiloi kēia i ka hana o ka puʻuwai, ka hana o nā valves, a me ke ʻano o ke kahe ʻana o ke koko ma o nā keʻena puʻuwai.
• Haʻawina Electrophysiology - Hoʻopili kēia i ka hana uila o ka puʻuwai.

Pehea e mālama ʻia ai nā Premature Ventricular Contractions (PVCs)?

ʻAʻole paha e pono i ka poʻe i loaʻa pinepine ʻole i nā PVC kekahi lāʻau lapaʻau. ʻO ka mālama ʻana i ke kūlana puʻuwai ma lalo nei hiki ke hōʻemi i ke alapine (frequency) o nā PVC. No ka laʻana, pono paha ʻoe e lawe i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko a hoʻolohi paha i kou puʻuwai. Hiki i kēia mau lāʻau lapaʻau ke hōʻemi i ke alapine (frequency) o nā PVC.

I kekahi manawa, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau kūikawā no nā PVC. Pono wale kēia ʻano lāʻau lapaʻau no nā PVC inā he pinepine kou puʻuwai puʻuwai a ua pilikia ʻoe i ka hōʻino ʻana i kou ʻiʻo puʻuwai. Hiki i ka lāʻau lapaʻau ke komo pū me:

• Kaʻina hana ablation catheter : He hana invasive iki kēia, ʻaʻole ʻoki kino e pili ana i ka ʻike ʻana a me ka luku ʻana i ka ʻāpana o ka puʻuwai e hoʻoulu ai i ka puʻuwai kū ʻole.
• Nā lāʻau lapaʻau: No ka laʻana, nā lāʻau antiarrhythmic e hōʻemi i ka puʻuwai puʻuwai kūpono ʻole, a i ʻole nā ​​​​beta-blockers a i ʻole nā ​​​​​​mea pale calcium channel e hoʻohaʻahaʻa i ke koko.E like me ka lāʻau lapaʻau.

Hiki ke pale ʻia nā ʻaelike ventricular mua (PVC)?

ʻAʻohe ala e pale loa ai i nā PVC. Eia nō naʻe, ʻo ka hana ʻana i kēia mau mea hiki ke kōkua i ka mālama ʻana i ke olakino o kou puʻuwai holoʻokoʻa i ke ʻano maikaʻi:

• E mālama i kahi kaumaha olakino e kūpono i kou kiʻekiʻe, ke kāne, a me ke ʻano o kou kino.
• E hoʻōki loa i ka hoʻohana ʻana i ka paka a e kaupalena i nā mea e like me ka waiʻona a me ka caffeine.
• E ʻai i ka meaʻai kaulike a olakino hoʻi no ka puʻuwai e waiwai ana i nā huaʻai, nā mea kanu, a me nā palaoa holoʻokoʻa.
• Hoʻoikaika kino mau - ʻO kēia ka hoʻoikaika kino aerobic , ka hoʻomaʻamaʻa ikaika, a me ka hoʻolōʻihi ʻana.
• Ka mālama ʻana i ka cholesterol maikaʻi a me ke koko kiʻekiʻe.
• Ke hoʻohana nei i nā ʻano olakino e hoʻokele ai i ka hopohopo a me ke kaumaha - no ka laʻana, kamaʻilio lapaʻau a i ʻole ka noʻonoʻo ʻana.
• E hiamoe ma ka liʻiliʻi he ʻehiku hola i ka pō.

Pehea e ʻike ai inā pilikia wau i ka hoʻomohala ʻana i nā PVC?

Hiki i kekahi mau kumu ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā PVC. ʻO kekahi o lākou:

• Ma muli o ka ʻike ʻia ʻana me nā maʻi puʻuwai ʻē aʻe, me nā kīnā puʻuwai hānau .
• Loaʻa kahi moʻolelo ʻohana o ka arrhythmia (ka puʻuwai puʻuwai kūpono ʻole).
• Inā ua loaʻa iā ʻoe nā pilikia puʻuwai ma mua.

He aha ka manaʻo no ke kūlana o nā PVC?

Ma keʻano laulā, maikaʻi ka nānā ʻana no ka poʻe me nā PVC. ʻAʻole pilikia ka hapa nui o ka poʻe i ka loaʻa ʻana o nā pilikia olakino mai kēia.

Eia nō naʻe, inā he mau pilikia olakino ʻē aʻe kou, a i ʻole ua loaʻa iā ʻoe nā hōʻeha puʻuwai ma mua, hiki ke hoʻonui ʻia kou pilikia o nā pilikia olakino, ʻo ia hoʻi ka pōkole o ke ola.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā he mau PVC kāu, a manaʻo paha ʻoe he loaʻa iā ʻoe, he mea maikaʻi e nīnau i kāu kauka i kēia mau nīnau:

• He aha ke kumu kūpono loa noʻu e loaʻa ai kēia mau PVC?
• Hiki paha i kēia mau hōʻailona ke kumu ʻia e kekahi maʻi olakino ʻē aʻe?
• Pono anei iaʻu e hana i nā hoʻokolohua e ʻike ai inā he maʻi puʻuwai koʻu?
• He aha nā hoʻokolohua e pono iaʻu e hana e ʻike ai i nā PVC?
• Pono anei au i ka mālama ʻana no nā PVC?
• He aha nā hōʻailona e lilo ana nā PVC i mea ʻino?
• E nalowale loa anei nā PVC ma hope o ka mālama ʻana?

Āhea ʻoe e hele ai i ka lumi pilikia?

ʻAʻole maʻamau he pilikia nā PVC. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona me nā PVC, e kelepona koke i ka 911 (ma Sri Lanka, e kelepona i ka 1990 Suwaseriya Ambulance Service) a i ʻole e hele i ka lumi pilikia kokoke loa:

• Pōʻino a i ʻole ka nawaliwali ( Syncope ) / nalowale o ka ʻike
• Māmā ke poʻo - (manaʻo māmā ke poʻo)
• ʻEha ma ka umauma, ka ʻāʻī, ka ʻāwae, a i ʻole nā ​​​​lima
• Ka paʻakikī o ka hanu ʻana ( Dyspnea )
• Delirium

Mea nui: Hiki i kahi PVC ke make koke?

Inā loaʻa iā ʻoe ka maʻi puʻuwai kūkulu ʻia, a inā hoʻomaka nā PVC ma kekahi mau wahi o ka puʻuwai, hiki i nā PVC ke hoʻonui i kou pilikia o ka make koke ʻana o ka puʻuwai. Eia nō naʻe, no ka hapa nui o ka poʻe, he kūlana ʻino ʻole nā ​​PVC a ʻaʻole ia e alakaʻi i ka make koke.

Hiki i nā kūlana olakino ʻē aʻe ke hana i nā hōʻailona like me nā PVC?

ʻAe. Hiki ke hana ʻia nā hōʻailona e like me ka palpitations o ka puʻuwai a me ka paʻa ʻana o ka umauma e nā kūlana olakino ʻē aʻe. Eia kekahi laʻana:

• Anemia (ka emi ʻana o nā hunaola koko ʻulaʻula)
• Nā maʻi hopohopo a i ʻole nā ​​​​hoʻouka panic
• Hyperthyroidism (ka hana nui o ka thyroid gland)
• Hypoglycemia (haʻahaʻa ke kō koko)
• Nā kaulike ʻole o ka electrolyte

Leka Hoʻihoʻi Hope Loa

ʻO nā Premature Ventricular Contractions (PVCs) he puʻuwai puʻuwai kūpono ʻole. Hana ʻia lākou i ka wā e hoʻomaka ai ka hōʻailona uila e hoʻoulu ai i ka puʻuwai e kuʻi ma nā keʻena haʻahaʻa o ka puʻuwai ma kahi o nā keʻena luna. Manaʻo pinepine ka PVC e like me ka kuʻi ʻana o ka puʻuwai, a i ʻole kahi manaʻo lele a lele paha i ka umauma. Eia nō naʻe, ʻaʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona.

ʻAʻole weliweli nā PVC no ka hapa nui o nā kānaka. Eia nō naʻe, inā he mau maʻi olakino ʻē aʻe kou, ʻoi aku hoʻi ka maʻi puʻuwai, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā pilikia mai nā PVC. Inā he mau hopohopo a hopohopo paha kāu, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau. A laila hiki iā ʻoe ke loaʻa nā hoʻokolohua e pono ai a loaʻa ka lāʻau kūpono. Mai poina he mea nui loa ke ola kino olakino no ke olakino o ka puʻuwai.

ʻO nā ʻūmiʻi ventricular mua, PVC, Puʻuwai, Puʻuwai kūpono ʻole, Maʻi Puʻuwai, Nā Hōʻailona Uila o ka Puʻuwai, Nā Kelepona, Atria, EKG, Nā Hōʻailona o ka Maʻi Puʻuwai