Ua ʻike anei ʻoe i ka Make koke ʻana o ka Puʻuwai?

Ua lohe paha ʻoe ua hala koke kekahi kanaka olakino, ʻaʻohe maʻi a ʻeha paha. I kekahi manawa ua ʻike paha mākou ma ka nūpepa ua hiolo kekahi mea pāʻani ma ke kahua a make. Hoʻopūʻiwa maoli ia iā mākou ke lohe mākou i ia mau mea, ʻeā? ʻO ka hapa nui o ka manawa, ʻo ke kumu o ia mau make koke ʻana he pilikia puʻuwai. I kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi i kapa ʻia ʻo 'Sudden Cardiac Death' (SCD) . ʻOiai he mea weliweli loa kēia, he mea nui loa ia e makaʻala.

He aha maoli ka Make ʻana o ka Puʻuwai koke (SCD)?

I ka ʻōlelo maʻalahi, ʻo ka 'Make ʻAna o ka Puʻuwai koke' (SCD) he make koke a manaʻo ʻole ʻia e kū mai ana i loko o kahi manawa pōkole, e like me hoʻokahi hola, ma muli o kekahi pilikia me ka puʻuwai. Hana ʻia kēia i ka wā e kū koke ai ka puʻuwai, ʻo ia hoʻi, i ka wā e kū ai kahi 'Hopu ʻAna o ka Puʻuwai' . E noʻonoʻo, ua like ka puʻuwai me ka mīkini o ko mākou kino. ʻO ka mea e hana ʻia ma ʻaneʻi me he mea lā ua pau koke ka hana ʻana o kēia mīkini.

He aha ka mea e hana ʻia ke kū ka puʻuwai? Hoʻopuka ka puʻuwai i ke koko momona i ka oxygen ma loko o ko kākou kino. Inā kū ka puʻuwai, ʻaʻole e loaʻa ka oxygen i ka lolo a me nā ʻōpū koʻikoʻi ʻē aʻe. Me ka ʻole o ka oxygen, ʻaʻole hiki i kēia mau ʻōpū ke hana a ʻaʻole hiki ke ola. No laila, inā ʻaʻole i loaʻa koke ke kōkua a ʻaʻole hoʻi e hoʻomaka hou ka puʻuwai e hana, hiki ke pau i ka make. ʻO ia ka mea a mākou e kapa nei he 'Make Puʻuwai koke'.

Akā eia kekahi mea nui e hoʻomanaʻo. Inā hoʻomaka ʻoe i ka CPR (Cardiopulmonary Resuscitation) i ka wā e loaʻa ai i kekahi kahi hopu puʻuwai, ʻo ia hoʻi, i ka wā e pau ai ka paʻi ʻana o ko lākou puʻuwai, hiki iā ʻoe ke pāpālua a pākolu paha ka manawa e hoʻopakele ai i ko lākou ola. ʻO ia ke kumu he mea nui ka ʻike e pili ana i ka CPR.

Pehea ka maʻamau o kēia kūlana i kapa ʻia ʻo `SCD`?

He mea weliweli iki kēia. ʻO SCD ke kumu nui o ka make ʻana mai nā kumu kūlohelohe ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa. ʻO ia ka hapalua o nā make āpau mai ka maʻi puʻuwai.

Wahi a nā helu helu, ʻoi aku ma mua o 3.5 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō e ʻeha nei i ka hopu ʻana o ka puʻuwai ma waho o ka haukapila i kēlā me kēia makahiki. ʻO ka mea kaumaha, ʻoiai inā loaʻa iā lākou ka lāʻau lapaʻau mai nā lawelawe ambulance, he kakaikahi wale nō, ma kahi o 10%, e ola nei.

ʻO kekahi mea ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi SCD i nā kāne ma mua o nā wahine. Akā, ʻaʻole ia he mea maʻamau i nā keiki ʻōpio. Hoʻokahi a ʻelua paha keiki no 100,000 mau hānau ola i kēlā me kēia makahiki.

Aia kekahi mau hōʻailona hōʻailona ma mua o ka make koke ʻana o ka puʻuwai?

ʻAe, i kekahi manawa aia nā hōʻailona e hiki ke ʻike ʻia i nā hola, nā lā, a i ʻole nā ​​​​hebedoma ma mua o ka hiki ʻana mai o kahi SCD. Inā ʻoe e hoʻolohe i kēia mau mea, hiki paha iā ʻoe ke pale aku i kahi ulia koʻikoʻi. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi koke i ke aʻo lapaʻau .

• Nā hōʻailona koʻikoʻi maʻamau ʻole : ʻO ia hoʻi nā loli maʻamau ʻole i nā mea e like me ka helu pulse a me ke koko.
• Nā hōʻailona o ka hōʻeha puʻuwai(Nā hōʻailona o ka hāʻule puʻuwai): Nā mea e like me ka ʻeha o ka umauma, ka ʻūmiʻi, ka ʻeha e pālahalaha ana i lalo ma ka lima hema.
• Nā maʻi koʻikoʻi e like me ka `Sepsis`: He kūlana i hoʻokumu ʻia e kahi maʻi koʻikoʻi i loko o ke kino.
• Luhi : Manaʻo nui i ka luhi me ke kumu ʻole.
• Pōkole o ka hanu : Manaʻo e like me ʻoe e hanu ana ʻoiai me kahi neʻe iki.
• ʻEha umauma : ʻO kēia ka hōʻailona nui i ʻike ʻia e ka hapa nui o ka poʻe.
• Nāwaliwali: Ka nalowale koke ʻana o ka ʻike a me ka hāʻule ʻana.
• Nā palpitations o ka puʻuwai: He manaʻo o ka puʻuwai e kuʻi wikiwiki ana, he leo kuʻi i loko o ka umauma.

Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kekahi o kēia mau hōʻailona, ​​​​mai hoʻomāmā. E ʻike i ke kauka i ka wā hikiwawe loa.

He aha ke kumu o kēia `SCD`?

ʻO ke kumu nui o ka `SCD` ʻo ia ka maʻi ʻaʻa coronary . I ka ʻōlelo maʻalahi, ʻo ia ka pale ʻana o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai (nā aʻa coronary) e nā waihona momona. Pale kēia i ka puʻuwai mai ka loaʻa ʻana o ke koko lawa.

ʻO ka SCD i nā poʻe ma lalo o 35 mau makahiki e hoʻoulu pinepine ʻia e ka puʻuwai puʻuwai kūpono ʻole (arrhythmia) . He pilikia kēia me ke kuʻina o ka puʻuwai. Hiki ke hoʻoulu ʻia kēia e nā pilikia puʻuwai hānau ʻia a i ʻole nā ​​​​kūlana genetic e hoʻopilikia i ka ʻōnaehana uila o ka puʻuwai.

Ua ʻike paha ʻoe ua nānā mau ʻia nā mea pāʻani ʻoihana no ka hypertrophic cardiomyopathy (ka mānoanoa o ka ʻiʻo puʻuwai, ʻoiai nā pūnaewele ʻiʻo puʻuwai), ʻo ia kekahi kumu nui o SCD i kēlā hui makahiki. Eia nō naʻe, he mea kakaikahi loa ka SCD i nā mea pāʻani (ma waena o hoʻokahi a me ʻeono mau hihia no 100,000 mau mea pāʻani ma lalo o 35 mau makahiki).

ʻO ke kumu o SCD i nā poʻe ma luna o 35 mau makahiki he like ia me ka maʻi Coronary Artery Disease i ʻōlelo mua ʻia.

Ma waho aʻe o kēia mau kumu nui ʻelua, aia kekahi mau kumu ʻē aʻe o ka `SCD`. ʻO lākou kēia:

• Cardiomyopathy mai ka maʻi hoʻohana ʻona .
• Ka momona nui .
• Nā maʻi hoʻoilina o ka ʻiʻo puʻuwai, no ka laʻana, ʻo 'Hypertrophic Cardiomyopathy' a me 'Arrhythmogenic Cardiomyopathy' i ʻōlelo mua ʻia.

He aha nā kumu pilikia no ka SCD?

Nui nā kumu pilikia no ka hoʻomohala ʻana i ka SCD. Hoʻonui kēia pilikia me ka makahiki, inā he kāne ʻoe, a inā he mau maʻi puʻuwai genetic kou (e.g., Hypertrophic Cardiomyopathy).

ʻO nā kumu pilikia nui ʻelua:

• Ma hope o ka loaʻa ʻana o kahi hāʻule puʻuwai ma mua: ʻOi aku ke kiʻekiʻe o ka pilikia o SCD ma hope o ka hāʻule puʻuwai.
• Ka maʻi ʻaʻa coronary:ʻO nā kumu pilikia ʻē aʻe e hoʻopilikia ai i kēia e pili ana i ka puhipaka, ka mōʻaukala ʻohana o ka maʻi puʻuwai, nā pae cholesterol kiʻekiʻe, a me ka puʻuwai i hoʻonui ʻia.

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

• Ma hope o ka loaʻa ʻana o kahi `Sudden Cardiac Arrest` ma mua.
• Ua loaʻa i kekahi o ka ʻohana ka 'Sudden Cardiac Arrest' a i ʻole 'SCD'.
• Loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi mau ʻano puʻuwai ʻē (ʻArrhythmia). No ka laʻana, nā kūlana e like me ka Long QT Syndrome , Wolff-Parkinson-White Syndrome a me Ventricular Tachycardia .
• ʻO ka hiki ʻana mai o ka 'Ventricular Tachycardia' a i ʻole 'Ventricular Fibrillation' ma hope o ka hāʻule puʻuwai.
• Loaʻa nā pilikia puʻuwai hānau a i ʻole nā ​​​​​​kūlana ʻino o ke kīʻaha koko.
• Loaʻa kahi moʻolelo o ka syncope pinepine ʻaʻole hiki ke loaʻa ke kumu.
• Ka Holo ʻole o ka Puʻuwai : ʻO ke ʻano kēia, ʻoi aku ka nāwaliwali o ka hiki o ka puʻuwai ke pamu i ke koko ma mua o ka maʻamau. ʻO ka poʻe me ka Holo ʻole o ka Puʻuwai he ʻeono a ʻeiwa mau manawa ka nui o ka loaʻa ʻana o ka Ventricular Arrhythmia (ka puʻuwai kūpono ʻole o nā hunaola puʻuwai) a loaʻa iā lākou ka hopu koke ʻana o ka puʻuwai ma mua o nā poʻe ʻē aʻe.
• ʻO Dilated Cardiomyopathy (ua hoʻonui ʻia a nāwaliwali ka ʻiʻo puʻuwai): ʻO kēia ke kumu o kahi 10% o nā SCD. ʻO ka ʻōpala a me ka hōʻino ʻana i ka ʻiʻo puʻuwai e hoʻonui ai i ka pilikia o nā ʻano puʻuwai ʻē. Hiki i kēia ke alakaʻi i ka hāʻule ʻana o ka puʻuwai.
• ʻO ka Hypertrophic Cardiomyopathy (mānoanoa o ka ʻiʻo o ka puʻuwai).
• Nā loli koʻikoʻi i ka pae o ka potassium a me ka magnesium i loko o ke koko.
• Ka momona nui .
• Maʻi diabetes .
• Loaʻa ka moʻolelo o ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka lawe ʻana i nā lāʻau lapaʻau e hoʻopilikia ai i ka helu o ka puʻuwai.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau kumu pilikia, he mea nui loa e kamaʻilio me ke kauka e pili ana i nā ala e hōʻemi ai i kou pilikia.

Pehea ʻoe e ʻike ai i kahi `SCD`?

Ua hōʻoia ʻia kahi `SCD` e ke kauka ma hope o ka hōʻoia ʻana ʻaʻohe kumu ʻē aʻe o ka make. Ua loaʻa paha i ke kanaka ka `Sudden Cardiac Arrest` a loaʻa paha iā ia ka `SCD` inā loaʻa iā lākou nā hōʻailona penei:

• Inā ʻaʻole wau e hanu ana.
• Inā ʻaʻole e emi ka pulse.
• Inā ʻaʻohe ʻike.

He aha kā mākou e hana ai e hōʻemi i ka pilikia o SCD?

Nui nā mea hiki iā mākou ke hana e hōʻemi i kēia pilikia.

• E hele i ke kauka i ka manawa kūpono a kamaʻilio me lākou e pili ana i kou olakino.
• E hoʻomau i kahi nohona olakino. E mālama i kahi kaumaha olakino e kūpono iā ʻoe, e hoʻoikaika kino, a e ʻai i ka meaʻai haʻahaʻa momona.
• E hōʻalo loa i nā huahana paka a pau.
• Inā he kiʻekiʻe kou cholesterol, a inā he puʻuwai puʻuwai kūpono ʻole paha kou ('Arrhythmia'),E lawe pono i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka.
• Inā ʻōlelo kāu kauka, e kiʻi i kahi mea i kapa ʻia ʻo `Implantable Cardioverter Defibrillator` (`ICD`) . ʻIke kēia mea i nā mele puʻuwai weliweli a hāʻawi i kahi haʻalulu uila i ka puʻuwai e hoʻihoʻi iā ia i ka maʻamau.
• E hana i nā lāʻau lapaʻau a i ʻole nā ​​​​ʻoki ʻana i ʻōlelo ʻia e kāu kauka, e like me Angioplasty (wehe ʻana i nā aʻa o ka puʻuwai) a i ʻole Catheter Ablation (hoʻoponopono i nā hōʻailona uila maʻamau ʻole i loko o ka puʻuwai).
• Inā ʻōlelo kāu kauka, e kiʻi i ka hoʻāʻo genetic e ʻike inā he mau kūlana genetic e hiki ai ke hana i ka SCD.
• E aʻo i kou ʻohana e pili ana i ke koʻikoʻi o ka CPR. E haʻi iā lākou i ka mea e hana ai i ka wā pilikia.

Pono e nānā ʻia nā mea pāʻani hoʻokūkū no ka maʻi puʻuwai ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Pono kēia e komo pū me ka loiloi o ko lākou mōʻaukala olakino pilikino a me ka ʻohana (pono e hōʻano hou ʻia i kēlā me kēia makahiki) a me kahi hoʻokolohua kino. Inā kānalua kekahi mea i ka wā o ka nānā mua ʻana, hiki i kā lākou kauka lāʻau lapaʻau haʻuki ke ʻōlelo aku i ka hoʻāʻo hou aku.

Inā kānalua ke kauka he maʻi puʻuwai kou, e ʻike pono i kahi cardiologist.

He aha ka ʻokoʻa ma waena o ka hōʻeha puʻuwai a me ka SCD?

He nui ka poʻe e huikau nei i nā mea ʻelua. ʻO ka hōʻeha puʻuwai kahi pilikia me ke kahe ʻana o ke koko momona i ka oxygen i ka ʻiʻo puʻuwai. Hana pinepine ia i ka wā e ālai ʻia ai kahi aʻa coronary e hoʻolako ana i ke koko i ka puʻuwai. I kēia hihia, ʻaʻole e pau ka puʻuwai, hoʻomau ia i ke kuʻi ʻana, akā ua hōʻino ʻia kekahi hapa o ka puʻuwai.

ʻO ka Make ʻana o ka Puʻuwai koke (SCD) ka make e kū mai ana ma hope o ka pau ʻana o ke kuʻi ʻana o ka puʻuwai (Cardiac Arrest) a ʻaʻole hiki ke hoʻāla hou ʻia. Hoʻokumu ʻia ka hopu ʻana o ka puʻuwai e kahi pilikia me ka ʻōnaehana uila o ka puʻuwai. ʻOiai hiki i ka hōʻeha puʻuwai ke hana i ka SCD, aia kekahi mau kumu ʻē aʻe o SCD. I ka ʻōlelo maʻalahi, he pilikia "lako" ka hōʻeha puʻuwai, a he pilikia "uila" ka hopu ʻana o ka puʻuwai.

Pehea ka wikiwiki o ka hiki ʻana mai o kahi `SCD`?

Ke loaʻa kahi `Cardiac Arrest`, ʻaʻole lawa ke kahe o ke koko i ka lolo. Hiki i kēia ke lilo i ka ʻike i loko o kekona. Hiki ke loaʻa ka `Sudden Cardiac Death` i loko o nā minuke. No laila ua manaʻo ʻia he pilikia.

Inā make koke kahi mea aloha i ka SCD ...

ʻO ka nalowale koke ʻana o kahi mea aloha kekahi o nā ʻike paʻakikī loa o ke ola. He mea paʻakikī ke hoʻomanawanui i ka ʻeha. Eia nō naʻe, inā ua make kāu mea aloha ma muli o kahi pilikia puʻuwai genetic e hiki ke hoʻopilikia i nā lālā ʻē aʻe o ka ʻohana, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea a ʻike inā ʻoe i ka pilikia. ʻO ka hana ʻana i nā hana i kēia manawa e kōkua i ka pale ʻana iā ʻoe iho a me kou ʻohana mai kahi hanana pōʻino ʻē aʻe.

ʻO ka mea hope loa, ʻo ka mea nui e hoʻomanaʻo

ʻOiai he maʻi koʻikoʻi ka 'Make Puʻuwai koke', hiki ke hoʻēmi nui ʻia ka pilikia ma ka ʻike ʻana iā ia, ka ʻike ʻana a me ka kaohi ʻana i nā kumu pilikia, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau kūpono.

• E mālama i kou puʻuwai. E ola i kahi nohona olakino.
• E makaʻala i nā hōʻailona hōʻike. Mai hoʻowahāwahā iā lākou.
• Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hahai pono i nā ʻōlelo a kāu kauka.
• E aʻo i ka CPR. Hiki iā ʻoe ke hoʻopakele i ke ola o kekahi.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E mālama i kou puʻuwai i ke olakino!

ʻO ka make koke ʻana o ka puʻuwai, hōʻeha puʻuwai, maʻi puʻuwai, ka puʻuwai, CPR, olakino puʻuwai, nā kumu pilikia