I kēia lā, e kamaʻilio mākou e pili ana i ka Pulseless Ventricular Tachycardia, kahi kūlana weliweli kahi e kuʻi wikiwiki ai ka puʻuwai a hiki ʻole ke manaʻo i ka pulse!

Ua lohe a ʻike paha ʻoe i kekahi e hiolo koke ana me ka ʻike ʻole? Malia paha e paʻa ana i ko lākou umauma? Me he mea lā e pilikia ana lākou i ka hanu ʻana. I kēlā manawa, manaʻo mākou e loaʻa ana iā lākou ka hōʻeha puʻuwai, ʻeā? ʻAe, hiki ke hana. Akā i kēia lā e kamaʻilio mākou e pili ana i kahi kūlana ʻoi aku ka wikiwiki a hoʻoweliweli i ke ola. ʻO ia hoʻi, ke kuʻi wikiwiki nei ka puʻuwai a hiki ʻole ke ʻike i ka pulse, kahi kūlana i kapa ʻia ʻo "Pulseless Ventricular Tachycardia" e like me ka kapa ʻana o nā kauka. ʻOiai he mea paʻakikī iki ka inoa, he mea maʻalahi loa ia e hoʻomaopopo.

No laila, he aha kēia puʻuwai wikiwiki me ka ʻole o ka pulse? (Pulseless Ventricular Tachycardia)

I ka ʻōlelo maʻalahi, ʻehā mau keʻena nui o kou puʻuwai. ʻO nā keʻena liʻiliʻi ʻelua ma luna ua kapa ʻia ʻo atria. ʻO nā keʻena nui ʻelua a paʻa ma lalo ua kapa ʻia ʻo ventricles. Hana kēia mau ventricles ma ke ʻano he pamu nui o ka puʻuwai. I kēlā me kēia manawa e paʻi ai ka puʻuwai, ʻūlū kēia mau ventricles a pamu i ke koko ma ke kino a me nā māmā. He mea nui loa, ʻeā?

I kēia manawa, e noʻonoʻo, he aha ka mea e hana ʻia inā hoʻomaka kēia mau ventricles e kuʻi i kahi wikiwiki kupaianaha, ʻoi aku ma mua o 100 mau kuʻi i kēlā me kēia minuke, malia paha 200-300? Ua like ia me kahi mīkini. Ke hana ʻia kēlā, ʻaʻohe manawa o kēlā mau keʻena e hoʻopiha pono ai me ke koko. Hoʻopaʻa hou lākou ma mua o ko lākou hoʻopiha ʻana. He aha ka mea e hana ʻia a laila? ʻAʻole i hoʻomoʻa ʻia ke koko a puni ke kino. Ke pau ke kahe ʻana o ke koko, ʻaʻole hiki iā mākou ke manaʻo i kahi pulse. ʻO ia ka mea a mākou e kapa nei he pulseless ventricular tachycardia. ʻO ka Tachycardia ka wā e kuʻi wikiwiki ai ka puʻuwai.

He kūlana weliweli loa kēia. No ka mea, ke pau ke kahe ʻana o ke koko i ke kino, ʻaʻole e loaʻa i ko kākou mau kino ka oxygen a me ka meaʻai. No laila , hiki i nā kino o ke kino ke lilo koke i mea hana ʻole ('organ failure'), hiki i ka puʻuwai ke lilo i mea hana ʻole loa ('heart failure'), a hiki i ka puʻuwai ke kū koke ('sudden cardiac arrest'). Ua like kēia me ka hakakā ma waena o ke ola a me ka make.

Hiki i kēia puʻuwai wikiwiki ke monomorphic a polymorphic paha. Hiki i nā kauka ke hoʻoholo i kēia me kahi hoʻāʻo ECG wale nō.

He kūlana pulseless mau anei ka Ventricular Tachycardia?

ʻAʻole, ʻaʻole ia e hana mau ʻia pēlā. ʻO ka tachycardia ventricular kekahi ʻano i kuʻi wikiwiki ai nā ventricles o ka puʻuwai ma mua o 100 mau kuʻi i kēlā me kēia minuke. ʻO ka maʻamau, kuʻi ka puʻuwai o ke kanaka olakino ma waena o 60 a me 100 mau kuʻi i kēlā me kēia minuke ke hoʻomaha lākou.

Ua hoʻoholo ʻia ke koʻikoʻi o kēia "(Ventricular Tachycardia)" e kekahi mau kumu:

• Ka wikiwiki o ka paʻi ʻana o ka puʻuwai.
• Pehea ka lōʻihi o kēia pulse wikiwiki?
• ʻEhia pinepine ka hana ʻana o kēia kūlana?

Hiki ke mālama pinepine ʻia ka Ventricular Tachycardia. Eia nō naʻe, inā ʻaʻole ia e kaohi ʻia, a inā paha e kū ia i loko o kekahi me nā maʻi puʻuwai ʻē aʻe, hiki iā ia ke ʻoi aku ka ʻino a lilo i Pulseless Ventricular Tachycardia.

Pehea ka maʻamau o kēia ʻano?

ʻOiaʻiʻo, ʻaʻole kēia he maʻi e hoʻopilikia i nā kānaka a pau. Akā, ua ʻike anei kākou ma kahi ʻāina e like me ʻAmelika, ma kahi o 350,000 mau kānaka e make ana i kēlā me kēia makahiki mai ka make koke ʻana o ka puʻuwai, ʻoiai ka poʻe ma luna o 35 mau makahiki? ʻO ka hapa nui o kēlā mau make i hana ʻia e nā ʻano puʻuwai maʻamau ʻole i loko o nā ventricles (ventricular arrhythmias). No laila, ʻaʻole kēia he mea hiki ke lawe māmā ʻia.

Pehea e hiki ai kēia puʻuwai wikiwiki me ka ʻole o ka pulse?

Hoʻohana ko mākou puʻuwai i kahi ʻōnaehana paʻakikī loa o nā impulses uila. E like me ka ʻōnaehana uea i loko o kahi hale, hele kēia mau impulses uila ma o ka puʻuwai ma ke ala kikoʻī, e hoʻoulu ai i nā ʻāpana o ka puʻuwai e ʻūlū ma ke ʻano maʻamau.

E noʻonoʻo, pehea inā hewa kekahi mea ma ke ala o kēia mau hōʻailona uila, a inā hoʻomaka kahi hōʻailona hou ma kahi kūpono ʻole? ʻO ia ka manawa e hoʻomaka ai ka puʻuwai e kuʻi wikiwiki a kūpono ʻole. ʻO ka `(Pulseless Ventricular Tachycardia)` ke kumu o kahi hemahema i ka ʻōnaehana hōʻailona uila.

He aha nā kumu no kēia?

Nui nā kumu e hiki ai ke hoʻopilikia ʻia ka ʻōnaehana uila o ka puʻuwai. ʻO ka pinepine, ʻo ke kumu nui nā maʻi puʻuwai ʻē aʻe. ʻO kekahi o lākou:

• Maʻi puʻuwai valver: Nā pilikia me nā valves e hana ana e like me nā puka i loko o ka puʻuwai.
• Cardiomyopathy: He maʻi kahi e nāwaliwali ai a mānoanoa paha ka ʻiʻo o ka puʻuwai.
• ʻO ka maʻi ʻaʻa coronary: Ka hoʻohaiki ʻana a i ʻole ka pale ʻana o nā aʻa coronary e hoʻolako koko i ka puʻuwai.
• ʻO ka hāʻule puʻuwai (ʻo ia hoʻi ka myocardial infarction): ʻO kēia ka wā e hōʻino ʻia ai kekahi ʻāpana o ka puʻuwai.
• Ka hāʻule ʻana o ka puʻuwai: ʻO ke ʻano i hiki ʻole ai i ka puʻuwai ke pamu i ke koko me ke kūpono.

Ma waho aʻe o kēia mau kumu, aia paha kekahi mau kumu ʻē aʻe:

• Nā maʻi genetic e hoʻopilikia ai i ka ʻōhumu o ka puʻuwai: No ka laʻana, nā kūlana e like me ka 'Long QT syndrome' a me ka 'Brugada syndrome'.
• Kekahi mau lāʻau lapaʻau: No ka laʻana, ka antibiotic erythromycin a i ʻole nā ​​​​​​mea hoʻomaha ʻeha e like me methadone. Hiki i kēia ke hoʻopilikia i ka hana uila o ka puʻuwai.
• Nā kaulike ʻole o ke electrolyte i loko o ke kino: ʻO ka hoʻonui a i ʻole ka emi ʻana o ka nui o nā paʻakai i loko o ko mākou kino, e like me ka sodium a me ka potassium, hiki ke hoʻopilikia i ka hana o ka puʻuwai.

He aha nā hōʻailona o kēia maʻi?

Ke loaʻa i kekahi ka "Pulseless Ventricular Tachycardia", ʻo ia hoʻi, ke kuʻi wikiwiki ka puʻuwai me ka ʻole o ka pulse, ʻo ia kanaka:

• Ke lilo nei i mea ʻike ʻole.
• ʻAʻole pane mai i kekahi mea (`Unresponsive`).
• Me ka ʻole o ka pulse.

ʻO kēia ke kahua weliweli loa. Eia naʻe, ma mua o ka hiki ʻana i kēia kahua, i ka wā e hoʻomaka ai ka puʻuwai e kuʻi wikiwiki (Ventricular Tachycardia), hiki ke loaʻa nā hōʻailona e like me kēia:

• ʻEha a ʻūmiʻi paha ka umauma.
• Pōʻaiʻī.
• Ke manaʻo nei e kuʻi wikiwiki ana kou puʻuwai a ke kuʻi nei kou umauma ('Heart palpitations').
• Manaʻo māmā a me ka nāwaliwali ('Lightheadedness').
• Pōkole o ka hanu.

Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou. He mea nui e ʻimi koke i ke kōkua lapaʻau.

Pehea ʻoe e ʻike ai i kēia? (`Diagnosis`)

ʻO kaʻoiaʻiʻo, ʻo ka `(Pulseless Ventricular Tachycardia)` he `pilikia olakino`. No laila, ʻaʻole i nā manawa a pau ka manawa e hana ai i kahi hōʻailona pololei ma mua o ka lawe ʻana i kekahi i ka haukapila. Inā nalowale koke kekahi i ka ʻike, a ʻaʻohe pulse i ka nānā ʻana i ka pulse, pono ʻoe e kāhea koke i ka lawelawe ambulance 1990 a, inā hiki, e hoʻomaka i ka `CPR (Cardiopulmonary Resuscitation).` ʻO ke ʻano kēia o ke kaomi ʻana i ka umauma a me ka hāʻawi ʻana i nā hanu waha-a-waha.

Ma hope o ka lawe ʻia ʻana i ka haukapila, hana nā kauka i kahi ECG a me nā hoʻokolohua ʻē aʻe e hōʻoia i kēia kūlana.

He aha nā lāʻau lapaʻau no kēia?

Inā loaʻa kēia ʻano pilikia ma waho o ka haukapila, ʻo ka mea mua e hana ai, ʻo ia ka hana ʻana i ka CPR e nā limahana ambulance a i ʻole kekahi mea i aʻo ʻia. Eia kekahi:

• Defibrillation: Ua ʻike paha ʻoe iā ia ma nā kiʻiʻoniʻoni, kahi āu e hāʻawi ai i kahi haʻalulu i ka umauma. ʻO ia ka mea e hoʻōki ai i ka puʻuwai puʻuwai kūpono ʻole a hoʻāʻo e hoʻihoʻi iā ia e kuʻi maʻamau.
• Oxygen pākuʻi: Hoʻonui i ka pae oxygen i loko o ke koko.
• Ke hāʻawi ʻana i ka lāʻau lapaʻau: Hāʻawi ʻia ka lāʻau lapaʻau e hoʻonui i ke koko a hoʻoponopono i ka helu o ka puʻuwai.

ʻO ka pahuhopu nui ka hoʻihoʻi ʻana i ka puʻuwai i ke ʻano maʻamau i ka hikiwawe loa. A laila, e loiloi ʻia ke kino no kekahi pōʻino i hana ʻia e ka pilikia. I mea e pale aku ai i ka pōʻino, ʻoi aku hoʻi i ka lolo, hoʻohana ʻia ka hypothermia therapeutic i kekahi manawa. Inā ma muli kēia o ka hōʻeha puʻuwai, e mālama koke ʻia hoʻi kēia.

No kekahi poʻe, ʻōlelo nā kauka i kahi mea liʻiliʻi i kapa ʻia ʻo Implantable Cardioverter Defibrillator (ICD) i hoʻokomo ʻia ma lalo o ka ʻili e nānā i ko lākou helu puʻuwai a, inā pono, e hoʻoponopono i ke ʻano ma ka hāʻawi ʻana i kahi haʻalulu uila. Ua like kēia ICD me kahi mea mālama ola no ka puʻuwai. Nānā ia i ke ʻano o ka puʻuwai 24/7 a, inā ʻike ia i kahi pilikia, hāʻawi i kahi haʻalulu e hoʻoponopono iā ia. Ua ʻike ʻia nā haʻawina he mea maikaʻi loa kēia mau mea hana i ka hōʻemi ʻana i ka make koke o ka puʻuwai.

Pehea mākou e pale ai iā mākou iho mai kēia kūlana weliweli? (Ka pale ʻana)

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hoʻāʻo e pale i kēia kūlana ma mua o ka hiki ʻana mai. ʻO ka hahai ʻana i kahi "ola ola olakino" hiki ke pale iā ʻoe mai nā maʻi puʻuwai he nui. Eia kekahi mau mea hiki iā ʻoe ke hana e hana i kēia:

• He ʻai olakino: ʻAi ʻana i nā meaʻai haʻahaʻa i ka paʻakai, ka ʻaila, ke kō, a me ka cholesterol, a kiʻekiʻe i nā huaʻai a me nā mea kanu.
• Ka Hoʻokele ʻana i ke Koʻikoʻi: E hoʻomaha i kou manaʻo ma o nā mea e like me ka noʻonoʻo ʻana a me nā hana leʻaleʻa.
• Hoʻoikaika kino mau: E like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā.
• Ka palena ʻana i ka waiʻona a me ka hoʻohana nui ʻana i ka caffeine.
• Ka mālama ʻana i ke kaumaha o ke kino olakino.
• Inā loaʻa iā ʻoe nā maʻi e like me ke koko kiʻekiʻe a me ka maʻi diabetes, e kaohi pono iā lākou.
• Ka hōʻole loa ʻana i ka puhipaka a me ka hoʻohana ʻana i ka paka.

Pehea e hiki ai iā ʻoe ke pale aku i kēia inā loaʻa iā ʻoe ka maʻi puʻuwai?

Inā loaʻa iā ʻoe ka maʻi puʻuwai, mai hopohopo. ʻO ka mea nui loa, ʻo ia ka hahai pololei i ka hoʻolālā lapaʻau a kāu kauka. E lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono, a e ʻike pinepine i kāu kauka no nā nānā ʻana. ʻO ka hana pololei ʻana i kēia mau mea hiki ke hōʻemi i ka pilikia o ka maʻi puʻuwai e ʻoi aku ka ʻino a me ka ulu ʻana o kahi maʻi weliweli e like me `(Pulseless Ventricular Tachycardia)`.

He aha ka wānana no kekahi me kēia maʻi? (Prognosis)

ʻO ka ʻoiaʻiʻo, ua hoʻoholo ʻia ka wānana e ka lōʻihi o ka manawa e pau ai ka puʻuwai a hoʻi mai ka pulse. Inā ua lohi ma mua o 15 mau minuke, hiki ke hoʻemi ʻia ka manawa e ola ai i 5%. ʻO ia hoʻi, he mea waiwai kēlā me kēia kekona. ʻO ia ke kumu a mākou e ʻōlelo nei, inā hāʻule kekahi i ka ʻike ʻole, e hana koke.

He aha nā hopena ʻaoʻao e hiki mai ana o kēia? (Nā pilikia)

Inā pau ka puʻuwai i ke kuʻi ʻana a ua ʻoki ʻia ke kahe koko i ka lolo no nā minuke he 3-5 a ʻoi, hiki ke hōʻino mau ʻia ka lolo. Eia kekahi, hiki ke loaʻa nā pilikia ʻē aʻe e hoʻoweliweli ana i ke ola. ʻO kēia mau mea:

• Ka hāʻule ʻana o ka puʻuwai.
• ʻO ka hemahema ʻana o nā ʻōkana ʻē aʻe ('Organ failure`) - e like me nā puʻupaʻa a me ke akepaʻa.
• Ka pilikia hanu.
• Nā ʻūpā koko ma ke kino holoʻokoʻa.

E hana kāu hui lapaʻau i kā lākou mea maikaʻi loa e hōʻemi i kēia mau pilikia a kōkua iā ʻoe e hoʻōla koke.

Āhea ʻoe e ʻike ai i ke kauka?

ʻO nā hōʻailona o ka `(Ventricular Tachycardia)` i haʻi ʻia iā ʻoe ma mua, ʻo ia hoʻi:

• ʻEha umauma
• Pōʻino
• Manaʻo e kuʻi wikiwiki ana kou puʻuwai
• Manaʻo māmā a me ka nawaliwali
• Paʻakikī ka hanu ʻana

Inā loaʻa iā ʻoe kekahi mea e like me kēia, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau. No ka mea, he hōʻailona paha ia o kahi maʻi weliweli i kapa ʻia ʻo `(Pulseless Ventricular Tachycardia)`.

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

He maʻi koʻikoʻi loa ka `(Pulseless Ventricular Tachycardia)` a he mea hoʻoweliweli i ke ola. Pono ia i ka mālama koke ʻana i ka pilikia. ʻOiai he haʻahaʻa ka manawa e hoʻōla ai, he maʻi hiki ke pale ʻia.

ʻO ka mea nui loa, ʻo ia ke hahai i kahi nohona olakino no ka puʻuwai. Inā loaʻa iā ʻoe kekahi maʻi puʻuwai, e hahai i nā ʻōlelo aʻoaʻo a kāu kauka a e nānā mau i kou olakino. Inā he mau nīnau a kānalua paha kāu e pili ana i ke olakino o kou puʻuwai, mai makaʻu e kamaʻilio me kāu kauka. ʻO ia kou alakaʻi maikaʻi loa.

No laila, e mālama pono kākou i ko kākou mau puʻuwai. E noho olakino kākou!

`ʻO ka Tachycardia Ventricular Pulseless, Nā palpitations o ka puʻuwai, Ka puʻuwai wikiwiki, Pulseless, Hopu koke ʻia ka puʻuwai, CPR, Defibrillation, Maʻi puʻuwai