Ua hoʻolohe anei ʻoe i kou puʻuwai ponoʻī i kou wā e noho mālie ana? I kekahi manawa ua like ia me ka wikiwiki iki o ka paʻi ʻana, a i kekahi manawa ua like ia me ka lohi iki o ka paʻi ʻana. ʻOi loa aku inā manaʻo ʻoe e piʻi iki ana ka helu o kou puʻuwai ke hanu hohonu ʻoe, a laila lohi ke hanu mālie ʻoe, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo "Sinus Arrhythmia." Akā, mai makaʻu i kou lohe ʻana i kēia inoa. No ka mea, ʻo ka ʻāpana "Arrhythmia" o ka inoa, ʻo ia hoʻi "ka puʻuwai kūpono ʻole," ke manaʻo nei ka poʻe he nui he maʻi koʻikoʻi kēia. Akā, ʻokoʻa loa ka ʻoiaʻiʻo. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i ke ʻano maoli, no ke aha he mea maikaʻi pinepine ia, a inā paha e makaʻu ʻoe iā ia.
I ka ʻōlelo maʻalahi, he aha ka Sinus Arrhythmia?
ʻO ka sinus arrhythmia kahi ʻano kūlike ʻole o ke kuʻina o ka puʻuwai. Akā, ʻaʻole ia e like me nā maʻi puʻuwai weliweli ʻē aʻe. ʻO ke ʻano maʻamau a mākou e ʻike ai, ʻo ia ka wā e loli iki ai ka manawa ma waena o nā puʻuwai me ke ʻano o kou hanu ʻana.
E noʻonoʻo i kēia ʻano,
- Ke hanu ʻoe i loko (Hoʻoulu manaʻo): Piʻi iki aʻe kou puʻuwai.
- Ke hanu ʻoe i waho (Hoʻopau): Hoʻolohi iki hou ka helu o kou puʻuwai.
Ua like kēia me ke hehi mālie ʻana ma luna o ka mea hoʻolalelale o ke kaʻa a laila hoʻokuʻu. He mea maʻamau loa kēia a olakino hoʻi . ʻOiaʻiʻo, he hōʻailona maikaʻi kēia ua olakino kou puʻuwai. Hōʻike ia e hana maikaʻi ana ka pilina ma waena o kou puʻuwai a me kou ʻōnaehana nerve. No laila, inā ʻike ke kauka i kēia ma kāu ECG, ʻaʻole ʻo ia e hopohopo no ia mea.
Pehea ka ʻokoʻa o kēia mai nā pilikia puʻuwai weliweli ʻē aʻe?
Makaʻu ka poʻe he nui ke lohe lākou i ka huaʻōlelo "arrhythmia" no ka mea he nui nā maʻi koʻikoʻi i kapa ʻia ma ia inoa. Eia kekahi laʻana, ka atrial fibrillation. Akā, he ʻano ʻokoʻa loa ka sinus arrhythmia a he ʻano ʻino ʻole. Hiki i ke kauka ke hoʻokaʻawale maʻalahi ma waena o ka sinus arrhythmia a me kekahi maʻi koʻikoʻi ʻē aʻe ma ka nānā ʻana i kāu ECG.
E hoʻomaopopo maikaʻi kākou i kēia ʻokoʻa mai ka papa ma lalo nei.
| Ke kūlana o ka puʻuwai | I ka ʻōlelo maʻalahi, he aha kēia? |
|---|---|
| ʻO ka Sinus Arrhythmia | He loli maʻamau a ʻino ʻole hoʻi i ka helu o ka puʻuwai e kū mai ana me ka hanu ʻana i loko a i waho. ʻAʻohe pinepine nā hōʻailona. |
| ʻO ka Fibrillation Atrial | He kūlana koʻikoʻi kahi e kuʻi wikiwiki ai a kūlike ʻole nā keʻena o luna o ka puʻuwai (atria). Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka umauma, ka luhi, a me ka poniuniu. |
| Ka Lele ʻAtrial | ʻO kekahi kūlana koʻikoʻi kahi e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai akā ma kahi ʻano mele. Pono ka mālama lapaʻau. |
| ʻO Bradyarrhythmia | He puʻuwai lohi loa. Pono paha kekahi mau ʻano i ka mālama ʻia. |
ʻIke ʻoe, ʻeā? ʻOiai he koʻikoʻi nā kūlana ʻē aʻe, me nā hōʻailona a pono paha e mālama ʻia, ʻaʻole ʻo ka sinus arrhythmia kekahi o lākou.
ʻO wai ka mea e ʻike nui ana i kēia kūlana?
ʻOiai hiki ke loaʻa i nā kānaka o kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā keiki olakino a me nā ʻōpio . ʻO kaʻoiaʻiʻo, ʻike pinepine nā kauka pediatric iā ia ma nā ECG o nā keiki.
ʻO kēia no ka mea ʻo ka ʻōnaehana nerve autonomic o ka poʻe ʻōpio a me nā keiki - ka ʻōnaehana e kāohi ana i nā mea hiki ʻole iā mākou ke kāohi, e like me ka helu o ka puʻuwai a me ka hanu ʻana - he hana nui. ʻO ke ʻano kēia, he ʻano naʻau koʻikoʻi loa nā aʻalolo e kāohi ana i ka hanu ʻana a me ka helu o ka puʻuwai a pane koke mai. ʻO ia ke kumu e ʻike maopopo ai ʻoe i kēia ʻokoʻa i ko lākou helu o ka puʻuwai. ʻO ka maʻamau, e emi mālie ana kēia ʻano i ko kākou ʻelemakule ʻana.
ʻO ka mea nui loa, ʻo ka ʻike ʻana i kēia maʻi i loko o ke kanaka ʻōpio olakino, ʻo ia hoʻi, ʻaʻohe pilikia me ko lākou puʻuwai, a ke hana maikaʻi nei ia.
He aha nā kumu o ka sinus arrhythmia?
Ua hoʻokaʻawale nā kauka i kēia maʻi i kekahi mau māhele nui e pili ana i nā kumu. E nānā kākou i ke ʻano o lākou.
1. ʻAno i hoʻokumu ʻia e ka hanu ʻana (Respiratory Sinus Arrhythmia)
ʻO kēia ke ʻano maʻamau a maʻamau loa a mākou i kamaʻilio ai a hiki i kēia manawa. Hoʻokumu ʻia ia e kou hanu wale ʻana. Inā mākou e nānā iki aʻe i ka mea e hana nei, ʻo ka manawa ma waena o kekahi puʻuwai a me ka mea aʻe ma ka ECG ua kapa ʻia ʻo ka manawa PP. ʻO ka maʻamau, pono e like kēia manawa. Akā i ka wā e hanu ai kekahi me kēia maʻi, hiki i ka manawa ma waena o kēia mau kuʻi ʻelua ke lōʻihi iki ma mua o 0.16 kekona. Hoʻomaopopo ke kauka i kēia ma ka ʻike ʻana i kēia ʻokoʻa ma ka ECG.
2. ʻAno pili ʻole i ka hanu ʻana (Nonrespiratory Sinus Arrhythmia)
He mea kākaʻikahi kēia. ʻOiai ua like kēia ʻano ECG me ke ʻano maʻamau i ʻōlelo ʻia ma mua, ʻaʻole ia i hana ʻia e ka hanu ʻana. ʻIke pinepine ʻia ia ma muli o kekahi maʻi ʻē aʻe.
- ʻO kēlā me kēia ulia i ke poʻo a i ʻole ka ʻāʻī.
- Ka nui o kekahi mau lāʻau lapaʻau no ka puʻuwai, e like me Digoxin (Digoxin - Digitek®).
- Ke alo ʻana o nā maʻi puʻuwai ʻē aʻe.
ʻOiai hiki ke ʻike ʻia kēia e ka ECG, e hoʻoholo wale ke kauka e pili ana i kēia ma ka nānā ʻana i kou mōʻaukala olakino a me nā hōʻailona ʻē aʻe.
3. ʻO ka Arrhythmia Sinus Ventriculophasic
He ʻano kūikawā a kakaikahi hoʻi kēia hiki ke ʻike wale ʻia me kahi hoʻāʻo ECG. ʻIke pinepine ʻia i nā poʻe me ka pilikia me ke ʻano o ka hele ʻana o nā hōʻailona uila o ka puʻuwai, e like me ka poloka AV kekelē ʻekolu. He mea paʻakikī iki kēia, no laila e wehewehe kāu kauka iā ʻoe ma ka nānā ʻana i ka ECG.
Pehea e loaʻa ai kēia? Pono anei ia i ka lāʻau lapaʻau?
ʻO ka hapa nui o ka manawa, ʻike ʻia ka sinus arrhythmia ma ka manawa kūpono. E ʻike paha kāu kauka iā ia i ka wā o kahi hoʻāʻo electrocardiogram (EKG) āu e hana nei no kekahi kumu ʻē aʻe, malia paha he nānā lapaʻau maʻamau a ma mua paha o ke ʻoki ʻana. ʻIke ʻoe, ʻo ka hoʻāʻo e hoʻopaʻa ana i ka hana uila o kou puʻuwai ma ke kau ʻana i nā pepili liʻiliʻi ma kou umauma, nā lima, a me nā wāwae, ua kapa ʻia ʻo ia he EKG.
I kēia manawa, e hele kākou i ka nīnau koʻikoʻi loa: Pono anei kēia i ka lāʻau lapaʻau?
ʻO ka nūhou maikaʻi, ʻo ka respiratory sinus arrhythmia, kahi kūlana maʻamau e pili ana me ka hanu ʻana , ʻaʻole pono ia i kekahi lāʻau lapaʻau no ka mea ʻaʻole ia he maʻi.
ʻOiai aia ʻelua ʻano ʻē aʻe (Nonrespiratory a me Ventriculophasic), ʻaʻole lākou e mālama pololei ʻia. Akā, mālama nā kauka i ke kūlana olakino i hoʻokumu ʻia ai lākou (e like me ka maʻi puʻuwai a i ʻole ka overdose lāʻau lapaʻau).
No laila, he mea weliweli anei kēia? Hiki iaʻu ke loaʻa ka ʻeha o ka umauma?
ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o nā kānaka a pau. I ka wā e loaʻa ai kahi mea i kapa ʻia ʻo "irregular" ma ka ECG, makaʻu mākou.
Akā, ʻaʻole. ʻAʻole maʻamau ka Respiratory Sinus Arrhythmia. ʻO ka ʻoiaʻiʻo, he hōʻailona maikaʻi ia e olakino ana kou puʻuwai, e hoʻololi maikaʻi ana i ke kaiapuni, a e hana maikaʻi ana. ʻAʻole hiki ke pale ʻia kēia ʻano, a ʻaʻohe pono e pale aku.
ʻO kekahi mea nui e hoʻomaopopo ai, ʻaʻole ka sinus arrhythmia ke kumu o ka ʻeha o ka umauma. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka luhi, a i ʻole ka dizziness, hiki ke lilo i mea ʻē aʻe ma mua o ka sinus arrhythmia. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka.
No laila, i ka manawa aʻe e ʻōlelo ai kāu kauka he sinus arrhythmia kou ma kāu ECG, mai hopohopo. He nūhou maikaʻi paha ia e pili ana i kou puʻuwai olakino.
Leka Lawe-Home
- ʻO ka sinus arrhythmia kahi loli o ka helu o ka puʻuwai me ka hanu ʻana. ʻAʻole kēia he maʻi i ka hapanui o nā hihia, akā he kūlana maʻamau loa .
- He mea maʻamau kēia i waena o nā keiki olakino a me nā ʻōpio , a ua manaʻo ʻia he hōʻailona maikaʻi ia o kahi puʻuwai olakino.
- ʻAʻohe hōʻailona o ka sinus arrhythmia maʻamau a ʻaʻole pono kekahi lāʻau lapaʻau .
- Hoʻomaopopo ʻia kēia maʻi ma o kahi hoʻāʻo EKG . ʻIke pinepine ʻia ia i ka wā e hana ʻia ai kahi EKG no kekahi kumu ʻē aʻe.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, nā palpitations, a i ʻole ka nāwaliwali, mai hoʻowahāwahā iā ia no ka mea he sinus arrhythmia ia. E ʻike koke i kāu kauka .
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