Ua manaʻo paha ʻoe i kou puʻuwai e kuʻi ana a e holo wikiwiki ana me ke kumu ʻole i kou wā i nalowale ai? He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo i nā manawa e like me kēia. ʻO kekahi o nā kumu o kēia wikiwiki o ka puʻuwai ʻo SVT, ʻo ia hoʻi ʻo Supraventricular Tachycardia. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau holomua loa no kēia. ʻO ia ka SVT Ablation.
I ka ʻōlelo maʻalahi, he aha ka SVT a me ka Ablation?
E nānā mua kākou i ke ʻano o SVT. He ʻōkana kupaianaha ko kākou puʻuwai. Loaʻa iā ia kahi ʻōnaehana o nā hōʻailona uila no kāna hana. E like me ka ʻōnaehana uea i loko o kahi hale. Ke hele pololei kēia mau hōʻailona uila a ma ke ʻano hoʻonohonoho, e kuʻi ko kākou puʻuwai i kahi mele kūpono.
Akā i kekahi poʻe, hiki ke hana ʻia kahi "pōkole kaapuni" liʻiliʻi i loko o ka ʻōnaehana hōʻailona uila ma nā keʻena o luna o ka puʻuwai. E noʻonoʻo iā ia e like me kahi loop wire. A laila ua hewa nā hōʻailona uila e pono e hele ma ke ʻano ma muli o kēia pōkole kaapuni, a hoʻomaka koke ka puʻuwai e kuʻi wikiwiki loa. ʻO kēia ka mea a mākou e kapa nei ʻo SVT (Supraventricular Tachycardia) .
I kēia manawa, e nānā kākou i ke ʻano o ka Ablation . He lāʻau lapaʻau kēia e "hoʻopau" i nā pūnaewele hewa e hana ana i kēlā kaapuni pōkole. Hoʻohana nā kauka i nā catheters kūikawā, nā ʻōmole lahilahi loa, e komo hohonu i loko o ka puʻuwai a ʻike pono i kahi e hele mai ai nā hōʻailona uila hewa. A laila, hana lākou i kahi hōʻino liʻiliʻi i kēlā wahi.
- Ikehu alapine (RFI): Ma kēia ʻano hana, ua hoʻomehana ʻia nā ʻāpana a hana ʻia kahi ʻeha liʻiliʻi.
- Cryoablation: Ma kēia ʻano hana, hoʻohana ʻia ke anu nui (nitric oxide) e hoʻopaʻa i nā ʻāpana, e hana ana i kahi ʻeha.
Ke hana ʻia kahi ʻeha ma kēia ʻano, ʻaʻole hiki i ka hōʻailona uila hewa ke hele ma waena. ʻO ia hoʻi, ua haki ke kaapuni pōkole. A laila hoʻomaka hou ka puʻuwai e kuʻi i kahi mele maʻamau.
Hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau inā ʻaʻole hiki ke kāohi ʻia ke kūlana me ka lāʻau lapaʻau, a inā paha he hopena ʻaoʻao ka lāʻau lapaʻau. Eia nō naʻe, i kekahi manawa ua ʻōlelo ʻia ʻo ia ke koho mua.
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?
Ma hope o ka hoʻoholo ʻana i kahi lā e hana ai i kēia lāʻau lapaʻau, e hāʻawi ke kauka iā ʻoe i kekahi mau ʻōlelo kūikawā.
- E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6 a 8 mau hola ma mua o ka mālama ʻana (hoʻokē ʻai) .
- Hiki ke noi ʻia aku iā ʻoe e hoʻōki i ka lawe ʻana i kekahi o nā lāʻau lapaʻau āu e lawe nei no kekahi manawa. Pono ʻoe e kūkākūkā i kēia mau mea a pau me kāu kauka e hōʻoia ai.
Hana ʻia ka lāʻau lapaʻau ma kahi keʻena hoʻokolohua electrophysiology i lako pono ʻia. E nānā kākou i kēlā me kēia ʻanuʻu i nā mea e hana ʻia ana ma laila:
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau ma o kahi aʻa (IV) e kōkua iā ʻoe e hoʻomaha a ʻaʻole e ʻeha. ʻO ka hapa nui o ka manawa, e hāʻawi ʻia ʻoe i ka mea i kapa ʻia ʻo ka hoʻomaha ʻike . ʻO ke ʻano kēia, ʻaʻole ʻoe e hiamoe loa, akā e hoʻomaha ʻoe a hiamoe iki.
2. A laila, hoʻomānoʻo ʻia ka ʻili ma kou ʻāpana ʻūhā (anesthesia kūloko), a hoʻokomo ʻia kahi catheter lahilahi i loko o ke kīʻaha koko. ʻAʻole ʻoe e ʻeha nui ma muli o ka hoʻomānoʻo ʻana.
3. Alakaʻi ʻia kēia catheter ma ke aʻa koko a hiki i ka puʻuwai.
4. A laila, hoʻouna ʻia nā hōʻailona uila ma o kēia catheter e ʻike i kahi kikoʻī o nā cell e hoʻokumu nei i ka pilikia.
5. Ke pololei ka wahi, hoʻopili ʻia ka ikehu alapine radio a mākou i kamaʻilio ai ma mua e hoʻopau i kēlā mau cell. ʻAʻole ʻoe e ʻeha i kēia manawa.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? A he aha kāu e hana ai ke hoʻi ʻoe i ka home?
Ma hope o ka pau ʻana o ka lāʻau lapaʻau, e hoʻopaʻa ʻia kahi o ke catheter no kekahi manawa e hoʻōki ai i ke kahe ʻana o ke koko. I kekahi manawa e hoʻohana ʻia kahi mea kūikawā (mea pani vascular). Ma hope o kēlā, e aʻo ʻia ʻoe e hoʻolōʻihi i kou wāwae no kahi o 6 a 8 mau hola.
Ma hope o kou hoʻi ʻana i ka home, hiki iā ʻoe ke hoʻomaka e hana i nā hana maʻamau i ka lā aʻe . Eia nō naʻe, he mea nui loa ia e pale i nā hana ikaika e like me ka holo ʻana, ka lele ʻana, a i ʻole ka hāpai ʻana i nā mea kaumaha no kahi o ʻekolu lā.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka kiʻekiʻe loa o ka holomua . No ka hapa nui o nā ʻano SVT, he 90% - 95% ka holomua o kēia lāʻau. ʻO ia hoʻi, inā ʻoe e hana i kēia i nā kānaka he ʻumi, e ho'ōla loa ʻia ka ʻeiwa. Eia nō naʻe, he helu liʻiliʻi loa (2% - 11%) paha e hoʻi hou mai ke ʻano.
E like me nā lāʻau lapaʻau āpau, he liʻiliʻi loa nā pilikia. E ʻike kākou i ke ʻano o ia mau mea.
| Nā hopena pilikia/ʻaoʻao | He wehewehe maʻalahi |
|---|---|
| Ke kahe koko a i ʻole ka maʻi | He kūlana e hiki ke kū ma kahi i hoʻokomo ʻia ai ke catheter. He mea kākaʻikahi loa kēia. |
| Hematoma | Ke hōʻiliʻili ʻana o ke koko ma lalo o ka ʻili kahi i hoʻokomo ʻia ai ke catheter. |
| Nā ʻūpā koko | He liʻiliʻi loa ka pilikia o ke kūkulu ʻia ʻana o nā ʻūpā koko i loko o nā kīʻaha koko. |
| Tamponade Puʻuwai | He lua a puni ka puʻuwai i piha i ke koko a i ʻole ka wai. He pilikia kakaikahi loa kēia. |
| ʻO ka pono no kahi pacemaker | I ka manawa kākaʻikahi loa, inā ua hōʻino ʻia ka ʻōnaehana uila maʻamau o ka puʻuwai, pono paha e hoʻokomo ʻia kahi pacemaker e kaohi i ka hana o ka puʻuwai. |
ʻO ka mea nui loa: Pono ʻoe e hoʻomanaʻo he kakaikahi loa ka hapa nui o kēia mau pilikia, a e makaʻala loa nā kauka e mālama iā ʻoe i kēia.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
Pono nō hoʻi mākou e ʻike i ka mea e hana ai inā kū mai kahi pilikia ma hope o ko mākou hoʻi ʻana i ka home.
| Pilikia! E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. | |
|---|---|
| |
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kamaʻilio me kāu kauka. | |
|
Hiki ke hopohopo iki ke ʻike he pilikia kou no ka puʻuwai. Akā e ʻike ʻoe i kahi manaʻo nui o ka hōʻoluʻolu ke ʻike ʻoe he mau lāʻau lapaʻau kūpono loa no ia. ʻO SVT Ablation kekahi o ia mau lāʻau lapaʻau kūpono loa. Inā he mau nīnau hou kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka a e wehewehe i nā mea āpau.
Leka Lawe-Home
- ʻO SVT (Supraventricular Tachycardia) kahi kūlana e kuʻi wikiwiki ai ka puʻuwai ma muli o kahi kīnā e like me ka "short circuit" i loko o ka ʻōnaehana uila o ka puʻuwai.
- He ʻano lapaʻau holomua loa ka SVT Ablation e hoʻohana ana i nā catheters kūikawā e komo i loko o ka puʻuwai a hoʻopau i nā pūnaewele kīnā ma ka hoʻomehana ʻana a i ʻole ka hoʻopaʻahau ʻana iā lākou, e hoʻihoʻi ana i ka mele o ka puʻuwai.
- ʻO ke kiʻekiʻe o ka holomua o kēia lāʻau lapaʻau he 90% - 95% .
- He wikiwiki ka ho'ōla ʻana ma hope o ka lāʻau lapaʻau, a hiki iā ʻoe ke hoʻi i ke ola maʻamau i loko o kekahi mau lā.
- Inā pehu nui ka ʻeha a kahe mau ke koko, pono ʻoe e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e hoʻomaopopo i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo