Ke ʻike nei hoʻi ʻoe i ka puʻuwai e kuʻi ana? E kamaʻilio kākou e pili ana i ka tachycardia!

Ua manaʻo anei ʻoe i ka wikiwiki o ka paʻi ʻana o kou puʻuwai i kou wā hopohopo nui a luhi paha? He mea maʻamau ia. Akā, inā, me ke kumu ʻole, e paʻi wikiwiki ana kou puʻuwai ʻoiai ʻoe e kū mālie ana, inā manaʻo ʻia he leo paʻi e puka mai ana mai loko mai o kou umauma, he mea paha ia e hopohopo ai. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano o ka puʻuwai wikiwiki, i kapa ʻia ʻo tachycardia .

He aha ka tachycardia? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka tachycardia ka wā e paʻi wikiwiki ai kou puʻuwai ma mua o ka maʻamau ke hoʻomaha ʻoe. ʻO ka maʻamau, ke hoʻomaha mākou, pono ka helu o ko mākou puʻuwai ma waena o 60 a me 100 mau kuʻi i kēlā me kēia minuke. Eia nō naʻe, i ke ʻano o ka tachycardia, piʻi kēia helu i ʻoi aku ma mua o 100 mau kuʻi i kēlā me kēia minuke. Hiki i kēia puʻuwai wikiwiki ke mau mai kekahi mau kekona a i kekahi mau hola.

E noʻonoʻo i ka mea e hana ʻia ke kuʻi wikiwiki ka puʻuwai. ʻAʻole i loaʻa i ka puʻuwai ka manawa e hoʻopiha pono ai i ke koko, no ka mea, wikiwiki loa ke kuʻi ʻana. A laila, ʻaʻole loaʻa i nā ʻāpana ʻē aʻe o ko kākou kino ke koko a me ka oxygen a lākou e pono ai. Hiki ke lilo i mea weliweli iki kēia, no ka mea, hilinaʻi ko kākou kino holoʻokoʻa i ke koko e puka mai ana mai ka puʻuwai mai.

He aha nā ʻano nui o ka tachycardia?

Hiki i ka Tachycardia ke hele mai i nā ʻano he nui. Hiki i kekahi mau ʻano ke hana pinepine ʻia, a hiki iā lākou ke ʻoi aku ka koʻikoʻi. ʻOiai ʻaʻole hiki i kekahi mau ʻano tachycardia ke hōʻeha nui, hiki i kekahi ke hōʻeha iki a koʻikoʻi. ʻO ke kauka wale nō ke haʻi pololei iā ʻoe i ke ʻano o ka tachycardia āu e loaʻa ai a pehea e mālama ai.

ʻEhā mau keʻena nui o ko kākou puʻuwai. Hiki ke loaʻa ka tachycardia i kekahi o kēia mau keʻena. ʻO ke kumu o kēia, aia kahi pilikia me nā hōʻailona uila i loko o ka puʻuwai.

ʻElua mau ʻano nui o ka tachycardia:

1. Nā tachycardias supraventricular (SVTs) : Hoʻomaka kēia ma nā keʻena o luna o ka puʻuwai, ʻo ia hoʻi ka atria. ʻO nā hiʻohiʻona e komo pū me ka fibrillation atrial a me nā ʻūlū atrial mua .

2. Nā tachycardia ventricular : Hoʻomaka kēia ma nā keʻena haʻahaʻa o ka puʻuwai, i kapa ʻia ʻo ventricles. ʻO nā hiʻohiʻona e komo pū me ka ventricular fibrillation a me nā torsades de pointes . ʻO kēia mau kūlana maʻamau e pono ai kekahi hopohopo .

He aha nā hōʻailona o ka tachycardia i loko o ke kanaka?

Loaʻa i kekahi poʻe ka tachycardia a ʻaʻole hōʻike i kekahi mau hōʻailona. Akā hiki i kekahi poʻe ke ʻike i nā hōʻailona mai ka ʻoluʻolu a i ka ʻino, koʻikoʻi . E nānā inā ʻike ʻoe i kekahi o kēia mau mea:

• Nā palpitations o ka puʻuwai (manaʻo e like me ke kuʻi ʻana o kou umauma)
• ʻO Dyspnea (manaʻo e like me ʻoe e ʻūlū ana, pilikia ka hanu ʻana )
• ʻEha umauma a ʻeha paha ka umauma
• Manaʻo o ka puʻuwai ʻano ʻē (manaʻo e like me ka loli ʻana o ke ʻano o ka puʻuwai, me he mea lā e kuʻi koke ana - 'Heart palpitations')
• Pōʻino
• Māmā ke poʻo (manaʻo māmā, nāwaliwali)
• Ka nalowale o ka hoʻomanaʻo (amnesia)
• Ka luaʻi (manaʻo e like me ka luaʻi ʻana)
• Manaʻo luhi loa (luhi loa e hana i kekahi mea)

Inā ʻike pinepine ʻoe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi i ke aʻo ʻana a ke kauka.

No ke aha e kū mai ai kēia tachycardia? He aha nā kumu?

Hana maʻamau ko mākou puʻuwai e like me nā hōʻailona uila e puka mai ana mai kahi kūikawā i loko o ka puʻuwai i kapa ʻia ʻo ka sinoatrial (SA) node . Hoʻomalu kēia mau hōʻailona i ka pinepine o ka puʻuwai e kuʻi ai. No ka laʻana, ke makaʻu koke ʻoe, a i ʻole ka naʻau nui, a hopohopo paha, a i ʻole ke hoʻoikaika kino ʻoe, hoʻonui ka puʻuwai i ka wikiwiki o ka hoʻouna ʻana i kēia mau hōʻailona no ka manawa pōkole. Ua kapa ʻia kēia he sinus tachycardia . Nalo pinepine kēia ke mālie ʻoe a hoʻomaha paha. ʻAʻole ia he pilikia nui.

Eia nō naʻe, ʻo ka hoʻohana ʻana i ka lāʻau lapaʻau, ka hoʻohana ʻana i ka paka, ka nui o ka caffeine a i ʻole ka inu ʻona paha hiki ke hoʻonui i ka helu o ka puʻuwai.

Eia kekahi, aia kekahi mau kumu ʻē aʻe e hiki ai ke hoʻoulu i ka tachycardia:

• Ke kaumaha
• Ka maloʻo ʻana
• Ke koko kiʻekiʻe
• ʻO nā maʻi puʻuwai ʻē aʻe, e like me ka maʻi coronary artery
• Haʻahaʻa ke kō koko
• Hāpai keiki
• Anemia (nele ke koko i loko o ke kino)

He aha nā kumu e hoʻonui ai i ka pilikia o ka tachycardia?

Aia kekahi poʻe i ka pilikia nui o ka loaʻa ʻana o ka tachycardia. Eia kekahi mau mea e hiki ke hoʻopilikia i kēia:

• Inā loaʻa i kekahi o ka ʻohana ka tachycardia (mōʻaukala ʻohana o ka tachycardia)
• Momona
• ʻO ka maʻi diabetes (Diabetes Mellitus)
• Nā maʻi puʻupaʻa a i ʻole nā ​​​​māmā
• Nā pilikia thyroid i mālama ʻole ʻia
• kekahiNā lāʻau lapaʻau , no ka laʻana, nā antiarrhythmics a me nā antidepressants

He aha nā pilikia e hiki mai ana o kēia maʻi?

Inā ʻaʻole i mālama pono ʻia, hiki i kekahi ʻano tachycardia ke hoʻopau i kou mau puʻupaʻa, ate, a i ʻole ka puʻuwai . Hiki i ka Tachycardia ke alakaʻi i nā kūlana e like me:

• Nā ʻūpā koko - Inā hele kēia mau mea i ka lolo, hiki iā lākou ke hana i ka hahau ʻana.
• Hahau
• Maʻi hohola
• Ka nāwaliwali o ka ʻiʻo puʻuwai (Cardiomyopathy)
• Hoʻopau koke ʻia ka puʻuwai

No laila, inā loaʻa iā ʻoe nā hōʻailona o ka tachycardia, mai hoʻowahāwahā iā lākou. ʻOi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

Pehea e ʻike ai i ka tachycardia? (Diagnosis)

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolokolo kino . Eia kekahi, hiki iā lākou ke kauoha i kekahi mau hoʻokolohua, e like me:

• Electrocardiogram (EKG) : Hoʻāʻo kēia i ka hana uila o ka puʻuwai.
• Nānā Holter a i ʻole kekahi mea nānā ʻē aʻe e hiki ke komo : Hoʻokomo ʻia kēia no hoʻokahi a ʻelua paha lā a hoʻopaʻa i ka hana a ka puʻuwai i loko o ia manawa.
• Hoʻāʻo papa hoʻohiolo : Hoʻāʻo kēia i ka loli ʻana o ka helu o kou puʻuwai a me ke koko i kou hoʻololi ʻana i kou kūlana.
• Hoʻāʻo koʻikoʻi : Hoʻāʻo kēia i ka pane ʻana o ka puʻuwai i ka hoʻoikaika kino.
• Hoʻāʻo Electrophysiology (haʻawina EP) : He hoʻāʻo kūikawā e ʻike i nā pilikia me ka ʻōnaehana uila o ka puʻuwai.
• Echocardiogram : He hoʻāʻo ultrasound o ka puʻuwai. Nānā ia i ke ʻano a me ka hana o ka puʻuwai.
• Nā hoʻāʻo koko : E nānā i nā mea e like me nā pilikia thyroid a me ka anemia.
• Nā hoʻāʻo hoʻoilina : E nānā i nā kumu hoʻoilina.
• Kiʻi ʻana o ka puʻuwai : Ua like ia me ka MRI.

He aha nā lāʻau lapaʻau e mālama ai i ka tachycardia?

Hoʻōla nui ʻia ka Tachycardia me nā kaʻina hana a me nā lāʻau lapaʻau . Aia ka lāʻau lapaʻau i ke ʻano o ka tachycardia āu e loaʻa ai a me kona kumu.

Nā ʻano lapaʻau:

• Nā hana Vagal : I kekahi manawa e aʻo aku kāu kauka iā ʻoe i kēia mau mea. He mau hana maʻalahi kēia e hiki ke kōkua i ka kaohi iki ʻana i kou puʻuwai.
• Ablation : He kaʻina hana e hoʻopau ai i nā wahi o ka puʻuwai e hoʻoulu ai i nā hōʻailona uila kūpono ʻole.
• Cardioversion: Hāʻawi ʻia kahi haʻalulu uila i ka puʻuwai e hoʻihoʻi i ka manawa maʻamau o ka puʻuwai.
• ʻO ka defibrillator cardiac implantable (ICD) : He mea hana e ʻike a hoʻoponopono i nā mele puʻuwai hoʻoweliweli ola ma ka hāʻawi ʻana i nā haʻalulu uila.
• Pacemaker : He mea hana e kōkua ai i ka kaohi ʻana i ka puʻuwai.
• Pani ʻana o ka appendage atrial hema : Hana ʻia kēia e pale aku i nā ʻūpā koko i nā poʻe me ka atrial fibrillation.

Nā ʻano lāʻau lapaʻau:

• Nā mea pale beta
• Nā mea pale i ke kahawai kalipuna
• Nā mea pale i ke kahawai potassium
• Nā mea pale i ke kahawai sodium
• Nā lāʻau lapaʻau antiarrhythmic
• Nā mea hoʻokahe koko a i ʻole nā ​​​​​​anticoagulants (ʻoi aku hoʻi no ka poʻe me ka fibrillation atrial)

I kekahi mau pilikia, pono paha ka CPR (Cardiopulmonary Resuscitation) .

He aha ka ʻike o ke kanaka me ka tachycardia?

E hilinaʻi kou ʻike i ke ʻano o ka tachycardia āu e loaʻa nei. Hiki iā ia ke lilo i hōʻailona ʻino ʻole, a i ʻole he kūlana hoʻoweliweli ola, e like me ka ventricular tachycardia a i ʻole fibrillation. Hiki i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe ke kōkua i ka kaohi ʻana i kou puʻuwai wikiwiki.

No ka ʻike ʻana inā e hana pono ana kāu mau lāʻau lapaʻau, pono paha ʻoe e kau i kahi monitor Holter a i ʻole e hana i ka hoʻāʻo electrophysiology .

Pehea ka lōʻihi o ke kahe ʻana o ka tachycardia? Hiki ke ho'ōla ʻia?

Inā loaʻa iā ʻoe ka sinus tachycardia, e nalo aku kāu mau hōʻailona ke pau ke kaumaha a hopohopo paha i hoʻokumu ai. Akā ʻo ka hapa nui o nā ʻano tachycardia ʻē aʻe e pono ai ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau e pale ai i ka puʻuwai wikiwiki a me nā hōʻailona ʻē aʻe mai ka hoʻi hou ʻana mai.

ʻAʻole e hoʻōla ʻia ka tachycardia hoʻoweliweli ola ma kāna iho. Pono ʻoe e hahai i kahi nohona olakino, lawe pono i kāu mau lāʻau lapaʻau, a i kekahi manawa e hana i kahi kaʻina hana lapaʻau e like me ka ablation.

ʻOiai ʻaʻole hiki i nā lāʻau lapaʻau ke ho'ōla loa i ka tachycardia, hiki iā lākou ke kōkua i ka kaohi ʻana i ka helu o ka puʻuwai . Hiki i ka lāʻau ablation ke hāʻawi i kahi hopena lōʻihi, a i kekahi manawa he lāʻau lapaʻau, no kekahi mau ʻano tachycardia.

Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu puʻuwai?

Inā ua aʻo kāu kauka iā ʻoe i nā hana vagal, hiki iā ʻoe ke hoʻomalu i kāu tachycardia i kekahi ʻano.

Eia kekahi, e makaʻala i kēia mau mea:

• Kaohi i nā kūlana e like me ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe .
• E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka me ka pololei a me ka manawa kūpono.
• E kaupalena i nā mea inu i loaʻa ka caffeine a me ka waiʻona . (E hōʻemi i ka nui o nā kīʻaha kofe a me ke kī āu e inu ai i kēlā me kēia lā.)
• E hoʻōki loa i ka hoʻohana ʻana i nā huahana paka.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E ʻai i ka meaʻai olakino no ka puʻuwai (haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō, a kiʻekiʻe i nā huaʻai a me nā mea kanu).
• E hoʻokele i ke kaumaha. (Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me nā hana leʻaleʻa ke kōkua.)

Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ʻOihana Pilikia (ETU) ?

Ke ʻike ʻia ʻoe me ka tachycardia, e loaʻa iā ʻoe nā manawa hoʻomaʻamaʻa mau me kāu kauka. Eia nō naʻe, inā ʻaʻole hāʻawi kāu mau lāʻau i ka hōʻoluʻolu kūpono, a inā paha e loaʻa iā ʻoe nā hōʻailona hou, e hoʻomaopopo koke i kāu kauka.

I kēia hihia, e hele koke i kahi lumi pilikia (ETU) :

• Inā pilikia ʻoe i ka hanu ʻana
• Inā ʻoe e manaʻo nei e kuʻi ana kou puʻuwai
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma
• Inā manaʻo ʻoe ua poniuniu a poʻo māmā paha

Eia kekahi, inā hiolo koke kekahi a nalowale paha ka ʻike ma muli o ka ventricular fibrillation, e ʻimi koke i ke kōkua lapaʻau. Pono e hana ʻia ka CPR a hiki i ka hōʻea ʻana mai o ka ambulance e hoʻopakele i ko lākou ola.

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:

• Loaʻa iaʻu kahi ʻano tachycardia weliweli?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• He aha kāu helu kūleʻa no ka mālama ʻana i ka cardiac ablation?
• Aia anei koʻu ʻohana i ka pilikia o ka loaʻa ʻana o ka tachycardia?

ʻO ka mea hope loa, leka lawe i ka home

Ke manaʻo ʻoe e paʻi wikiwiki ana kou puʻuwai, he mea maʻamau ke hoʻōki i kāu mea e hana nei a noʻonoʻo i ka mea e hana nei. Hiki i nā hōʻailona o ka tachycardia ke ʻano mai ka liʻiliʻi a i ka koʻikoʻi, ma muli o ke ʻano o ka tachycardia āu. E hōʻoiaʻiʻo, inā loaʻa iā ʻoe nā hōʻailona, ​​e kamaʻilio me kāu kauka. E haʻi aku ʻo ia iā ʻoe inā he mea e hopohopo ai.

ʻO ka mea nui loa, ʻo ia ka lawe ʻana i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai, ʻoiai hoʻi nā lāʻau lapaʻau puʻuwai, e like me ka mea i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana iā lākou me ka ʻae ʻole ʻia e kāu kauka. Eia kekahi, e mālama pono i kāu mau manawa maʻamau.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. Nā puʻuwai olakino i nā mea a pau!

ʻO ka Tachycardia, nā palpitations o ka puʻuwai, ka maʻi puʻuwai, nā palpitations o ka puʻuwai, ʻeha o ka umauma, ka pōkole o ka hanu, ke olakino o ka puʻuwai