Ke hiamoe koke nei ʻoe? He Stokes-Adams Syndrome paha kēia!

Ke hāʻule koke nei ʻoe i kekahi manawa me ke kumu ʻole, nalowale ka ʻike a hāʻule i ka honua? A i ʻole ua hana ʻia kēia i kekahi āu i ʻike ai? Malia paha e hoʻi hou ʻoe i ka ʻike ma hope o kekahi manawa. Inā ua loaʻa iā ʻoe kēlā ʻike, ʻaʻole ia he mea e lawe māmā ʻia. ʻO ke kumu o kēia paha he kūlana i hoʻokumu ʻia e kahi ʻano ʻē o kou puʻuwai, ʻo ia hoʻi, ke ʻano o ka paʻi ʻana o kou puʻuwai. I kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo Stokes-Adams Syndrome .

He aha ka Stokes-Adams Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka Stokes-Adams Syndrome ka nalowale koke ʻana o ka ʻike no ka manawa pōkole i hoʻokumu ʻia e kahi ʻano ʻē o ke kuʻina o ka puʻuwai, e hopena ana i ka emi koke ʻana o ka nui o ke koko i hoʻopuka ʻia e ka puʻuwai i ke kino ('cardiac output'). I kekahi manawa ua kapa ʻia ʻo 'cardiac syncope '. Ua nalowale kou ʻike no ka mea ʻaʻole lawa ke koko oxygenated i kou lolo. E noʻonoʻo e like me ke kukui e pio ana i ka wā e pio ai ke kukui.

ʻOi aku ka nui o ka hiki ke loaʻa kēia maʻi i nā poʻe me kekahi mau maʻi puʻuwai. Eia kekahi, hiki ke hoʻoweliweli i ke ola o kekahi poʻe. No laila, he mea nui loa ka makaʻala i kēia.

Pehea ka maʻamau o kēia ʻano?

Ua hōʻike ʻia nā noiʻi he 34% o ka poʻe i nalowale ka ʻike i ka makahiki 65 a ʻoi paha he maʻi puʻuwai ko lākou. ʻO kēia mau maʻi puʻuwai, ʻo ka puʻuwai ʻano ʻole ke kumu maʻamau.

He aha nā hōʻailona o kēia?

Hiki i ka maʻi Stokes-Adams ke loaʻa kekahi mau hōʻailona. E nānā kākou i ke ʻano o lākou:

• Hiolo koke a nalowale ka ʻike (nāwaliwali): Hiki ke hana kēia, ʻoiai ke luhi ʻoe a i ʻole ʻoe e moe ana ma kou kua.
• ʻIli keʻokeʻo i ka wā e nalowale ai ka ʻike: Me he mea lā ua nalowale iki kou koko.
• ʻUlaʻula o ka ʻili ma hope o ka hoʻi hou ʻana o ka ʻike: Hiki ke hana kēia ke hoʻi hou ke kahe koko i ka maʻamau.
• He kūlana hoʻohoka: I kekahi manawa e ʻoni a haʻalulu paha nā lālā. ʻO ia ke kumu e kuhihewa ai kekahi poʻe i kēia no ka hopu ʻana ('epilepsy').
• Nā palpitations o ka puʻuwai: Hiki i kēia ke manaʻo e like me kekahi e kuʻi ana i ka pahu i loko o kou umauma.

Ua kapa nā kauka i kēia mau nalowale pōkole o ka ʻike ʻana he mau hoʻouka kaua Stokes-Adams .

He aha ke kumu o ka maʻi Stokes-Adams?

Aia kekahi mau kumu nui e hoʻopilikia ai i kēia kūlana. ʻO lākou kēia:

• Ka ālai piha a piha ʻole paha o ka hoʻoili ʻana o nā hōʻailona uila ma waena o ka atria a me nā ventricles o ka puʻuwai ('Atrioventricular heart block`): He pilikia me nā leka uila e hele ana mai nā keʻena o luna o ka puʻuwai (atria) a i nā keʻena o lalo (ventricles). E like me ke kaula ma luna o kahi pou kukui e ʻoki ʻia ana.
• ʻO ke tachycardia ventricular:Hoʻomaka nā keʻena (nā pūnaewele) o ka puʻuwai e kuʻi wikiwiki loa a me ke kāohi ʻole ʻia.
• Fibrilation Ventricular: He kūlana kēia kahi e haʻalulu ai a kuʻi kūpono ʻole nā ​​keʻena haʻahaʻa o ka puʻuwai (nā keʻena ventricular). He kūlana weliweli loa kēia.
• Bradycardia: ʻO ka wikiwiki o ka puʻuwai e lohi loa ana ma mua o ka maʻamau.
• I kekahi manawa kākaʻikahi, e oki koke ke kuʻi ʻana o nā keʻena haʻahaʻa o ka puʻuwai ('Paroxysmal ventricular standstill'): He mea kākaʻikahi loa kēia.

No nā kumu e like me kēia e lohi koke ai ka hana o ka puʻuwai a emi iho ke kahe o ke koko i ka lolo.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

Aia kekahi mau kumu pilikia e hiki ke kōkua i ka ulu ʻana o ka maʻi Stokes-Adams:

• ʻOi aku ma mua o 60 mau makahiki: No ka mea, loaʻa kekahi mau loli i loko o ka puʻuwai i ko kākou ʻelemakule ʻana.
• Nā ālai ʻana i nā ala e lawe ana i nā hōʻailona uila i loko o ka puʻuwai ('Bundle branch block`).
• Ke loaʻa nei ka maʻi puʻuwai.
• Loaʻa kahi moʻolelo ʻohana o ka maʻi puʻuwai a i ʻole nā ​​​​maʻi puʻuwai: Hiki i kekahi mau maʻi puʻuwai ke hoʻoilina.

He aha nā pilikia o kēia maʻi?

ʻO kekahi o nā ʻano ʻē o ka puʻuwai e hoʻoulu ai i ka maʻi Stokes-Adams hiki ke hoʻoulu i ka hopu koke ʻana o ka puʻuwai . ʻO ia hoʻi, ua oki koke ka puʻuwai i ke kuʻi ʻana. Eia kekahi, hiki i ka poʻe me kēia maʻi ke hōʻeha nui ʻia ke nalowale ko lākou ʻike a hāʻule. He aha ka ʻeha ke kuʻi i ko lākou poʻo a haki paha kahi lālā, ʻeā? ʻAʻole wale ia, akā inā hana ʻia kekahi mea e like me kēia i ka wā e hoʻokele ana, aia kahi pilikia nui o kahi ulia kaʻa . ʻAʻole paha ʻoe e hiki ke hele i ka hana no nā lā ma muli o nā hōʻailona.

He mea nui: Inā ʻaʻole mālama ʻia, ʻelua a ʻehā paha manawa ka nui o ka poʻe me ka maʻi Stokes-Adams e komo i kahi ulia kaʻa ma mua o ke kanaka maʻamau. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e kamaʻilio me ke kauka, e hoʻokomo i kahi pacemaker inā pono, a pale i ka hoʻokele a hiki i ka pau ʻana o nā hopu ʻana.

Pehea e ʻike ʻia ai ka maʻi Stokes-Adams?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ke ʻike ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i:

• Nā kikoʻī e like me ke ʻano o kou hoʻomohala ʻana i ke kūlana, pehea ka lōʻihi o kona noho ʻana, a me nā mea i hana ʻia i ia manawa.
• E pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei.

A laila e hana ke kauka i kēia mau mea:

• E hana lākou i kahi hoʻokolokolo kino a nānā i kou puʻuwai a me kou rhythm.
• E ana ʻia kou kaomi koko .
• Inā pono, e kauoha lākou i kekahi mau hoʻokolohua kūikawā e pili ana i ka puʻuwai .

He aha nā hoʻokolohua e hana ʻia nei no kēia?

Aia kekahi mau hoʻokolohua a nā kauka e hoʻohana ai e hoʻomaopopo pololei i ka maʻi Stokes-Adams:

• ʻElectrocardiogram (ʻElectrocardiogram - EKG`):Hoʻāʻo kēia i ka hana uila o ka puʻuwai. He mea nui loa kēia no ka ʻike ʻana i nā ʻano ʻē i ka rhythm o ka puʻuwai.
• Nā hoʻāʻo koko: Kōkua kēia i ka nānā ʻana i nā mea e like me nā pae paʻakai a me nā hormones thyroid i loko o ke kino.
• Hoʻāʻo papa hoʻokiʻekiʻe: He hoʻāʻo kahi āu e moe ai ma luna o kahi moena kūikawā a hoʻoneʻe ʻia mai kēlā ʻaoʻao a i kēia ʻaoʻao e ʻike inā loli kou helu puʻuwai a me ke koko. Hoʻohana ʻia kēia e ʻike ai pehea e paʻi ai kou puʻuwai.
• Haʻawina Electrophysiological: He hoʻokolohua paʻakikī iki kēia. Hoʻokomo ʻia nā uea maikaʻi i loko o ka puʻuwai e nānā pono i ka hana o ka ʻōnaehana uila o ka puʻuwai.
• Lomilomi sinus carotid: He lomilomi mālie o ka sinus carotid ma ka ʻāʻī e nānā i ka helu o ka puʻuwai. Hana ʻia kēia me ke akahele loa a na ke kauka wale nō.

Pehea e mālama ʻia ai kēia?

ʻO ke ʻano nui o ka lāʻau lapaʻau no ka maʻi Stokes-Adams ʻo ke kau ʻana o kahi pacemaker . He mea nui loa kēia inā ua hana ʻia ke kūlana e ka lohi o ka puʻuwai (bradycardia) a i ʻole kahi ālai ʻana i nā hōʻailona uila o ka puʻuwai (ālai puʻuwai).

Hiki ke hoʻohana ʻia i kekahi manawa kahi pacemaker manawa pōkole e kāohi i nā hōʻailona a hiki i ka hiki ke hoʻokomo ʻia kahi pacemaker mau loa .

Me kahi pacemaker mau loa, hiki kēia mau mea:

• Mālama ia i kou puʻuwai e kuʻi ana i kahi mele maʻamau.
• Kāohi i ka hiki ke hopu ʻia ka puʻuwai.
• E pale aku ia iā ʻoe mai ka loaʻa ʻana o ka ʻāʻī.

E noʻonoʻo i kēia ʻano: ua like ka pacemaker me kahi kamepiula liʻiliʻi e kōkua ana i ka puʻuwai. Nānā mau ia i ke kuʻina o ka puʻuwai a hoʻouna i kahi hōʻailona uila liʻiliʻi i ka puʻuwai e kōkua iā ia e kuʻi pono i ka wā e pono ai.

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao o ka lāʻau lapaʻau?

I kekahi manawa, hiki ke kū mai nā pilikia e like me kēia ke hoʻokomo ʻia kahi pacemaker manawa pōkole:

• ʻAʻole hana pono ka hāmeʻa.
• Ka maʻi ʻana.
• Kākaʻikahi, hōʻino ʻia ka puʻuwai.

Hiki i nā pacemakers mau ke pau nā pila, a i ʻole ʻaʻole paha e hana pono nā ʻāpana. Akā, mai hopohopo, hiki i ke kauka ke pani i kēlā mau ʻāpana a i ʻole e pani i ka pacemaker holoʻokoʻa.

ʻEhia ka lōʻihi e ho'ōla ai mai kēia lāʻau lapaʻau?

Ma hope o ke kau ʻia ʻana o kahi pacemaker, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a i ʻole ka lā aʻe. Ma muli o kāu hana, ʻaʻole paha ʻoe e hiki ke hele i ka hana no hoʻokahi pule. Hiki ke hala ma kahi o ʻehā pule e hoʻōla piha ai.

Pehea e hiki ai iaʻu ke hōʻemi i kēia pilikia?

I mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o nā ʻano ʻē o ka puʻuwai e hoʻoulu ai i ka maʻi Stokes-Adams, pono ʻoe e mālama pono i kou puʻuwai. Hiki iā ʻoe ke hana i kēia mau mea:

• Hoʻoikaika kino mau: He mea maikaʻi ka hele wāwae ʻana no 30 mau minuke ma ka lā.
• E ʻai i ka meaʻai olakino no ka puʻuwai me ka haʻahaʻa i ka ʻaila a me ka paʻakai: E ʻai i nā mea kanu, nā huaʻai, a me nā greens.
• Hoʻemi i ke kaumaha: Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka hoʻomaha ke kōkua.
• Ke kaupalena nei i ka inu ʻana i ka waiʻona.
• E hōʻalo loa i nā huahana paka.
• E hiamoe maikaʻi i kēlā me kēia pō.

Hiki i kēia mau mea ke kōkua i ka mālama ʻana i kou olakino holoʻokoʻa, a me ke olakino o kou puʻuwai.

He aha ka mea e hana inā loaʻa iaʻu ka Stokes-Adams syndrome?

Hiki i ka maʻi Stokes-Adams ke hoʻopilikia nui i kou ola o kēlā me kēia lā. Aia kekahi pilikia o ka ʻeha inā nalowale kou ʻike a hāʻule. No laila, pono ʻoe i ka lāʻau lapaʻau e pale aku i kēia mau hopu ʻana mai ka hanana ʻana a pale aku i ka make koke ʻana mai kahi maʻi puʻuwai.

He aha ka manaʻolana no ka Stokes-Adams syndrome?

Inā he pacemaker kāu, ʻo kou manawa kūpono e loaʻa hou ai ka hoʻouka kaua ʻana o Stokes-Adams he 5% a emi mai paha. Hiki iā ia ke hoʻonui i kou manaʻolana ola. Inā ʻaʻole mālama ʻia, aia ka nui o ka make ma waena o 20% a me 30%, no laila mai hoʻohaʻahaʻa i kēia.

Pehea wau e mālama ai iaʻu iho?

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka maʻi puʻuwai i loaʻa iā ʻoe ka Stokes-Adams syndrome. Eia kekahi, e hōʻoia i ka hana pono ʻana o kāu pacemaker. E lawe i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai me ka pololei a me ka manawa kūpono.

Āhea wau e ʻike ai i kaʻu kauka?

E mālama pono i nā manawa hoʻopaʻa a pau a kāu kauka i hāʻawi ai iā ʻoe. ʻO kēia ke hiki iā ia ke nānā i ka hana pono ʻana o kāu pacemaker. Inā manaʻo ʻoe he pilikia me kāu pacemaker i kāu mau manawa hoʻopaʻa, e haʻi koke i kāu kauka.

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

Hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• "ʻEhia mau manawa e pono ai iaʻu e hele mai e nānā i kaʻu pacemaker?"
• "Aia nō hoʻi koʻu mau ʻohana i ka pilikia o ka loaʻa ʻana o kēia ʻano ʻano ʻē o ka puʻuwai?"
• "Pehea ka wikiwiki e pono ai iaʻu e pani i kaʻu pacemaker a i ʻole kāna pila?"

No ka mea, hiki i nā hōʻailona o ka maʻi Stokes-Adams ke like me nā hopu ʻana (epilepsy), he mea nui e loaʻa kahi hōʻailona kūpono. Inā manaʻo ʻoe ua hana ʻia kāu mau hōʻailona e ka pilikia o ka puʻuwai, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike pono i ke ʻano o kou maʻi. A laila hiki iā ʻoe ke hoʻomaka i ka mālama ʻana me ka hilinaʻi.

Leka Lawe-Home

ʻO ka maʻi Stokes-Adams kahi kūlana e nalowale koke ai ka ʻike o ke kanaka ma muli o kahi pilikia me ke kani o ka puʻuwai. Hiki ke koʻikoʻi, akā hiki ke hoʻokele pono ʻia me ka ʻike kūpono a me ka mālama ʻana, e like me ka pacemaker. Inā loaʻa iā ʻoe nā hōʻailona e like me ka poniuniu koke a i ʻole ka ʻeha o ka umauma, e ʻimi koke i ke kōkua lapaʻau. ʻO ka mālama ʻana i kou puʻuwai ua like ia me ka mālama ʻana i kou ola.

ʻO ka Stokes-Adams Syndrome, Stokes-Adams Syndrome, Cardiac Syncope, Nā ʻano like ʻole o ka puʻuwai, Nāwaliwali, Pacemaker, Maʻi puʻuwai, EKG, Palpitations, Ola kino o ka puʻuwai