Ke manaʻo nei ʻoe i kekahi manawa e kuʻi wikiwiki ana
kou puʻuwai , i kekahi manawa e kuʻi ana? A i ʻole ke luhi nei ʻoe a puni paha me ke kumu ʻole? Hiki i kēia mau mea ke maʻamau i kekahi manawa. Eia nō naʻe, i kekahi manawa hiki iā lākou ke lilo i mau hōʻailona o kahi pilikia me ka hana o ko mākou puʻuwai. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o ia ʻano maʻi, ʻo Sick Sinus Syndrome (SSS). Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.
I ka ʻōlelo maʻalahi, he aha ka Sick Sinus Syndrome (SSS)?
E noʻonoʻo i kou puʻuwai e like me kahi mīkini hana i loko o kou home. Hoʻouna kēia mīkini hana i nā hōʻailona uila i ka puʻuwai holoʻokoʻa e kuʻi pono. Kāhea mākou i kēia mīkini hana kūlohelohe i loko o ko mākou puʻuwai ʻo ka sinus node. ʻO kēia ka
pacemaker kūlohelohe o ka puʻuwai.
ʻO Sick Sinus Syndrome (SSS) kahi kūlana kahi i hana pono ʻole ai ka pacemaker kūlohelohe o ka puʻuwai, ʻo ia hoʻi ka sinus node. A laila lilo ka rhythm o ka puʻuwai i mea ʻē. I kekahi manawa kuʻi wikiwiki loa ia, i kekahi manawa kuʻi wikiwiki loa ia, a i kekahi manawa e pau ai ke kuʻi ʻana no kekahi manawa. Hiki ke loaʻa nā ʻano puʻuwai like ʻole (arrhythmias).
He aha nā ʻano nui o SSS?
ʻAʻole kēia maʻi i hele mai i hoʻokahi ʻano wale nō. Aia kekahi mau ʻano nui e pili ana i nā loli i ke kani o ka puʻuwai. E nānā kākou i ke ʻano o lākou.
| ʻAno SSS | He wehewehe maʻalahi |
|---|
| ʻO ka Bradycardia Sinus | ʻO ke ʻano kēia, ʻoi aku ka lohi o ka puʻuwai ma mua o ka maʻamau (ʻoi aku ma mua o 60 mau kuʻi i kēlā me kēia minuke). He mea maʻamau kēia no nā mea pāʻani e hoʻoikaika kino maikaʻi ana. Akā no kekahi poʻe, ʻaʻole hiki i ka puʻuwai ke pamu i ka oxygen lawa i ke kino ke kuʻi wikiwiki loa. |
| Bradycardia-Tachycardia | He kūlana huikau loa kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka lohi koke ʻana o ka puʻuwai a laila wikiwiki hou . Ua like ia me ke kukui e ʻālohilohi ana. |
| Hoʻopaʻa/Hoʻomaha Sinus | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka pau ʻana o ka hana ʻana o ka pacemaker maoli o ka puʻuwai no kekahi manawa . ʻO ia hoʻi, ua kāpae ʻia kekahi a ʻoi aku paha ka puʻuwai. |
| Ka hemahema o Chronotropic | He mea paʻakikī iki kēia. I ka ʻōlelo maʻalahi, maʻamau paha ka helu o kou puʻuwai ke hoʻomaha ʻoe. Akā ke hoʻoikaika kino ʻoe, e like me ka wā e hana ana ʻoe i ka hoʻoikaika kino ikaika e like me ke piʻi ʻana i nā alapiʻi, ʻaʻole e piʻi nui ka helu o kou puʻuwai e like me ka mea e pono ai . |
No ke aha lā e kū mai ai kēia kūlana?
He paʻakikī ke kuhikuhi i hoʻokahi kumu no SSS. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu. Akā aia kekahi mau kumu maʻamau:
- Ka ʻelemakule ʻana : I ko kākou ʻelemakule ʻana, nāwaliwali nā ʻiʻo o ka puʻuwai, e like me nā ʻāpana ʻē aʻe o ko kākou kino. ʻO kēia ke kumu nui.
- Maʻi puʻuwai : Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua, a inā ua hōʻino ʻia kou puʻuwai e nā kūlana e like me ke koko kiʻekiʻe a i ʻole ka maʻi ʻaʻa coronary .
- ʻO ke ʻoki puʻuwai : ʻO ka ʻiʻo ʻeha i hana ʻia ma hope o ke ʻoki puʻuwai hiki ke hōʻino i ka node sinus .
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me nā beta-blockers a me nā calcium channel blockers no ke koko kiʻekiʻe, hiki ke hoʻolohi i ka helu o ka puʻuwai .
- Nā kūlana olakino ʻē aʻe: ʻO ka apnea hiamoe, nā pilikia thyroid, a me kekahi mau maʻi mumū hiki ke hana i kēia ʻano.
- Nā kumu hoʻoilina: He mea kākaʻikahi loa, hiki ke hana ʻia ka SSS e nā loli hoʻoilina i hoʻoili ʻia ma o nā hanauna.
He aha nā hōʻailona o kēia?
ʻAʻole ʻike ka hapa nui o ka poʻe me SSS i kekahi mau hōʻailona . A i ʻole he maalea loa paha nā hōʻailona a ʻike ʻole ʻia. Eia nō naʻe, inā loaʻa nā hōʻailona, hiki iā lākou ke komo pū me:
- Luhi
- PōʻinoA i ʻole ke kaumaha o ke poʻo
- Ka mae ʻana
- Paʻakikī ka hanu ʻana, pōkole ka hanu (Manaʻo ʻole ka hanu)
- ʻEha a ʻeha paha ka umauma
- Poho ka hoʻomanaʻo, huikau
- Lohi loa ka puʻupuʻu
- Nā palpitations o ka puʻuwai
Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E hōʻoia e ʻike i kāu kauka no ka ʻōlelo aʻo. Malia paha ʻo ka hoʻololi ʻana i kekahi o nā lāʻau lapaʻau āu e lawe nei e hoʻoponopono i ka pilikia.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
E nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona. No ka mea ua like nā hōʻailona o SSS me nā maʻi ʻē aʻe, pono paha kekahi mau hoʻokolohua e hana i kahi hōʻailona pololei.
- Electrocardiogram (ECG): ʻO kēia ka hoʻāʻo maʻalahi loa. Hoʻopaʻa ʻia ka hana uila o kou puʻuwai ma ke ʻano he kiʻi laina. Hiki ke noi ʻia iā ʻoe e hana i kahi ECG i ka wā e hoʻoikaika kino ana (Treadmill Test).
- Nānā Holter: Hōʻike wale kahi ECG i kou helu puʻuwai i kēlā manawa. Akā, loaʻa nā loli i ke ʻano o SSS i kēlā me kēia manawa. No laila, hoʻopaʻa mau kahi mīkini liʻiliʻi i hoʻopili ʻia i kou kino i kou helu puʻuwai no kahi o 24 a 48 mau hola.
- Nānā Hanana: Inā ʻaʻole ʻike ka nānā Holter i nā loli o ke mele, hiki ke hāʻawi ʻia kahi nānā hanana i hiki ke hoʻohana ʻia no kekahi mau pule.
- Haʻawina Electrophysiology (EPS): He hoʻokolohua kūikawā kēia e pili ana i ka hoʻokomo ʻana i nā uaea lahilahi i loko o ka puʻuwai, e palapala ana i nā ala uila o ka puʻuwai, a me ke kuhikuhi ʻana i kahi kikoʻī o ka pilikia.
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
Aia ka lāʻau lapaʻau i ke ʻano o ka SSS āu e loaʻa ai, ke koʻikoʻi o kāu mau hōʻailona, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
| ʻAno lapaʻau | Wehewehena |
|---|
| Ke hoʻololi nei i nā lāʻau lapaʻau | Inā pili ka pilikia i ka lāʻau lapaʻau āu e lawe nei, hiki iā ʻoe ke hoʻoponopono i ka pilikia ma ke kamaʻilio ʻana me kāu kauka a me ka hoʻololi ʻana i ka lāʻau lapaʻau a i ʻole ka hōʻemi ʻana i ka nui. |
| Hoʻokomo ʻana o ka pacemaker | He nui ka poʻe me SSS e pono ai kahi pacemaker. He mea liʻiliʻi loa kēia. Hoʻokomo ʻia ia ma lalo o ka ʻili, ma lalo pono o ka iwi ʻāʻī, i ka wā o kahi ʻoki liʻiliʻi loa. ʻIke ia i ka wā lohi loa o ka puʻuwai a hoʻouna i nā hōʻailona uila i ka puʻuwai e hoʻomau i ke kuʻi ʻana i ka wikiwiki kūpono. |
| Nā mea hoʻomāmā koko | Ma muli o ke kiʻekiʻe o ka pilikia o ke koko i loko o ka puʻuwai i nā kūlana e like me Bradycardia-Tachycardia, hiki ke kuhikuhi ʻia kēia mau lāʻau lapaʻau e pale aku i nā kūlana e like me ka hahau ʻana. |
| Lapaʻau ablation | E kāohi i ka wikiwiki o ka puʻuwai, e ʻimi i kahi o nā hōʻailona uila kūpono ʻole i loko o ka puʻuwai, a e hoʻohana i kahi lāʻau kūikawā e hoʻopau ai iā lākou. |
Leka Lawe-Home
- ʻO ka Sick Sinus Syndrome (SSS) kahi puʻuwai kū ʻole i ke ʻano maʻamau i hana ʻia e ka pacemaker kūlohelohe (sinus node) o ka puʻuwai e hana pono ʻole ana.
- Hiki ke loaʻa nā hōʻailona e like me ka poniuniu, ka luhi nui, a me ka hiamoe ʻole. Eia nō naʻe, ʻaʻole paha e loaʻa i ka nui o ka poʻe kekahi mau hōʻailona.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo a hoʻowahāwahā paha iā lākou, a e ʻike pono i kāu kauka.
- Aia nā lāʻau lapaʻau (nā pacemaker, nā lāʻau lapaʻau). Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau e kūpono loa i kou kūlana.
- He mea nui loa ia e mālama i kou puʻuwai olakino ma ka pale ʻana i ka puhipaka, ka kaohi ʻana i ka cholesterol a me ke koko, ka ʻai ʻana i ka meaʻai olakino, a me ka hoʻoikaika kino.
ʻO ka maʻi Sinus Syndrome, SSS, ka helu o ka puʻuwai, ka ʻōʻō o ka puʻuwai, ka pacemaker, ka dizziness, bradycardia, tachycardia, maʻi puʻuwai, maʻi puʻuwai, pacemaker, arrhythmia, ʻeha umauma
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