Puʻuwai kūpono ʻole? E kamaʻilio kākou e pili ana i ka Pulmonary Vein Isolation (PVI)!

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi wikiwiki ana kou puʻuwai a ʻano ʻē? ʻO kēia ʻano, ka mea e like me he mea hewa i loko o kou umauma, ua kapa ʻia ʻo Atrial Fibrillation (Afib) . He ʻano ʻē kēia i ka mele o ka puʻuwai. Inā ʻaʻole ʻoe e mālama i kēia, pono paha ʻoe e kū i nā kūlana koʻikoʻi e like me ka hahau ʻana i ka wā lōʻihi. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ala holomua a hou loa e mālama ai i kēia ʻano Afib.

He aha ka Pulmonary Vein Isolation (PVI)?

I ka ʻōlelo maʻalahi, ʻo ka Pulmonary Vein Isolation (PVI) kahi hana i hoʻohana ʻia e mālama ai i ka atrial fibrillation (Afib). He ʻano ʻoki puʻuwai ia, akā ʻaʻole ia he ʻoki nui.

E noʻonoʻo, ua hoʻomalu ʻia ka hana o ko kākou puʻuwai e kahi ʻōnaehana o nā hōʻailona uila. Ma Afib, huikau kēia mau hōʻailona uila a hele i ka puʻuwai ma ke ʻano maʻamau ʻole. ʻO ka hapa pinepine, hoʻomaka kēia mau hōʻailona hewa i loko o nā kīʻaha koko ʻehā e lawe ana i ke koko momona oxygen mai nā māmā a i ka atrium hema o ka puʻuwai, i kapa ʻia ʻo nā veins pulmonary .

No laila, ʻo ka hana a kēia lāʻau PVI, ʻo ia ke ʻike i nā wahi e puka mai ai kēlā mau hōʻailona uila hewa a hana i kahi ʻiʻo ʻeha liʻiliʻi loa ma ia mau wahi. Ua kapa ʻia kēia he ablation puʻuwai . Hana kēia ʻiʻo ʻeha e like me ka paia a kāohi i kēlā mau hōʻailona uila hewa mai ka laha ʻana i nā wahi ʻē aʻe o ka puʻuwai. A laila kuʻi hou ka puʻuwai ma ke ʻano maʻamau.

No wai kēia lāʻau lapaʻau kūpono?

ʻAʻole no nā kānaka a pau kēia lāʻau lapaʻau. ʻO kāu kauka ke kanaka kūpono loa e hoʻoholo. ʻO ka maʻamau, paipai ʻia kēia lāʻau lapaʻau no ka poʻe:

• No ka poʻe i loaʻa mau nā hōʻailona ʻoiai ke lawe nei i nā lāʻau antiarrhythmic e kāohi i ko lākou maʻi Afib.
• No ka poʻe i hiki ʻole i ko lākou kino ke ʻae i kēlā mau lāʻau lapaʻau a i ʻole ka poʻe i ʻike i nā hopena ʻaoʻao mai ia mau lāʻau.

Pehea ʻoe e ʻike ai inā kūpono kēia lāʻau lapaʻau iā ʻoe?

Ma mua o ka hoʻoholo ʻana inā kūpono kēia iā ʻoe, e nānā pono kāu kauka iā ʻoe. E nānā hou ʻo ia i kāu mōʻaukala olakino a me nā hoʻokolohua āu i hana ai. ʻO kekahi o nā hoʻokolohua i hana pinepine ʻia no kēia kumu:

• Echocardiogram (Echo): He scan ultrasound kēia o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano a me ka hana o ka puʻuwai.
• Electrocardiogram (EKG): He hoʻāʻo e hoʻopaʻa i ka hana uila o ka puʻuwai.
• Nānā Holter:He mea liʻiliʻi kēia āu e ʻaʻahu ai ma kou kino e nānā ana i ka helu o kou puʻuwai no kahi manawa lōʻihi, e like me 24 a 48 mau hola.

He aha nā lāʻau lapaʻau?

Hana ʻia kēia mālama ʻana o ka PVI me ka hoʻohana ʻana i kahi ʻano i kapa ʻia ʻo ka catheter ablation . ʻO ia hoʻi, hana ʻia kēia mālama ʻana ma ka hoʻouna ʻana i kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter ma o kahi kīʻaha koko i ka puʻuwai. ʻElua mau ʻano nui no ka hoʻoponopono ʻana i ka ʻiʻo ʻeha a mākou i ʻōlelo ai ma mua.

ʻAʻole hiki ke ʻōlelo ʻia he ʻoi aku ka maikaʻi o kekahi o kēia mau ʻano hana ʻelua ma mua o kekahi. Ua aneane like nā hopena o nā mea ʻelua, a ʻaʻohe ʻokoʻa koʻikoʻi i ka palekana. Na kāu kauka e wehewehe iā ʻoe i ke ʻano hana kūpono loa iā ʻoe.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

I loko o kēia lāʻau lapaʻau, e hoʻomaʻemaʻe loa ʻia ʻoe (anesthesia laulā), no laila ʻaʻole ʻoe e ʻeha, e hiamoe ana ʻoe. I kekahi manawa, hiki ke hoʻohana ʻia kahi anesthetic kūloko. E hoʻomaopopo ʻia ʻoe e pili ana i kēia ma mua.

I ka ʻōlelo maʻalahi, eia ka mea e hana ʻia:

1. Ma hope o ka anesthesia, hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻāpana groin a i ʻole ka ʻāʻī.

2. Ma o kēlā ʻoki ʻana, ua hoʻokomo ʻia ʻelua mau catheter ma ke aʻa koko i loko o ka atrium hema o ka puʻuwai.

3. Hoʻonoho pono kekahi catheter i kahi e puka mai ai nā hōʻailona uila hewa.

4. Hāʻawi ka catheter ʻē aʻe i ka wela a i ʻole ke anu e hana i nā ʻeha ma kēlā mau wahi.

5. Ke pau ka hana, e wehe ʻia nā catheters ʻelua a pani ʻia ka ʻoki liʻiliʻi.

Pehea e nānā ʻia ai kou puʻuwai i ka wā o ka mālama ʻana?

Ma loko o ka lāʻau lapaʻau, e hoʻohana ʻia kekahi mau mea hana e nānā i ka hana o kou puʻuwai a me nā hana kino ʻē aʻe. Mai hopohopo, no kou palekana kēia.

Pehea ka lōʻihi o ka mālama ʻana a he aha nā pilikia?

ʻO ka maʻamau, he 4 a 6 mau hola ka lōʻihi o kēia lāʻau lapaʻau.Hiki ke lōʻihi ka manawa. He manaʻo maikaʻi e hoʻomaopopo i kou ʻohana e noho ana ʻoe ma ka haukapila i ka lā holoʻokoʻa, no ka mea, e lōʻihi ka manawa e hoʻomākaukau ai a hoʻōla. Pono ʻoe e noho ma ka haukapila i ka pō ma hope o ka mālama ʻana.

E like me nā hana puʻuwai āpau, he liʻiliʻi loa nā pilikia . Eia nō naʻe, he hana palekana loa ia. ʻO nā pilikia e hiki mai ana:

• Nā maʻi ma kahi i ʻoki ʻia.
• Aia kahi manawa liʻiliʻi o ka hōʻino iki ʻana o nā aʻalolo i ka wā o ka cryoablation.
• Ka puka ʻana o ka puʻuwai (1% ka pilikia).
• Ka hōʻino ʻana i nā kīʻaha pulmonary (1% pilikia).
• Hahau (0.5% ka pilikia).
• Ka hōʻino ʻana i ka esophagus (0.25% ka pilikia).

Hoʻōla a me ka mālama ma hope

Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole, luhi, a ʻeha paha ka umauma i nā hola 48 mua ma hope o ka mālama ʻana. He mea maʻamau kēia. Hiki iā ʻoe ke hoʻi i nā hana maʻamau ma hope o kekahi mau lā. Eia nō naʻe, e hala kekahi mau pule ma mua o kou hoʻomaka ʻana e hana i nā hana ikaika e like me ka hoʻoikaika kino.

Pono ʻoe e lawe i kekahi mau lāʻau lapaʻau no kekahi mau mahina ma hope o ka mālama ʻana.

• Nā lāʻau antiarrhythmic: E kāohi i ka helu o ka puʻuwai a hiki i ka hana piha ʻana o nā ʻiʻo ʻeha hou.
• Nā Anticoagulants (nā mea hoʻokahe koko): He mea nui kēia e hōʻemi i ka pilikia o ka hahau ʻana.

Pono ʻoe e hele i nā hālāwai hoʻomaʻamaʻa ma hope o 3-4 mau mahina a me ka makahiki.