Ua manaʻo paha ʻoe ua kuʻi koke kou puʻuwai i ka wikiwiki loa, a i ʻole ua kū ma kahi hoʻokahi, a i ʻole ua kuʻi kūpono ʻole? He mea kēia e hana ʻia i nā poʻe he nui. Kāhea mākou i kēia he puʻuwai kūpono ʻole, a i ʻole ma ka ʻōlelo lapaʻau, he arrhythmia . No laila, i kēia lā e kamaʻilio mākou e pili ana i nā lāʻau lapaʻau i hāʻawi ʻia e kāohi i kēia mau puʻuwai kūpono ʻole, ʻo ia hoʻi, nā Antiarrhythmics.
I ka ʻōlelo maʻalahi, he aha kēia mau Antiarrhythmics?
ʻO nā antiarrhythmics nā lāʻau lapaʻau i hāʻawi ʻia e pale a mālama i nā arrhythmias, ʻo ia hoʻi ka wikiwiki a i ʻole ka puʻuwai puʻuwai kūpono ʻole. E noʻonoʻo i kou puʻuwai e like me kahi motika liʻiliʻi e hana ana ma o kahi ʻōnaehana uila liʻiliʻi. Ke hewa kekahi mea me kēia ʻōnaehana uila, hoʻomaka kou puʻuwai e kuʻi wikiwiki loa, wikiwiki loa, a i ʻole kūpono ʻole.
Hana nā lāʻau antiarrhythmic ma ka hoʻoponopono ʻana i kēia hewa ʻōnaehana uila a me ka hoʻihoʻi ʻana i ke ʻano o ka puʻuwai i kahi ʻano maʻamau. Hoʻohana ʻia kēia mau lāʻau lapaʻau e mālama i nā kūlana e hoʻoulu ai i nā puʻuwai puʻuwai kūpono ʻole, e like me Atrial Fibrillation , Atrial Flutter , Ventricular Tachycardia , a me Ventricular Fibrillation .
Pehea e hana ai kēia lāʻau lapaʻau?
Hana kēia mau lāʻau lapaʻau ma nā ʻano nui ʻelua:
1. Hoʻōki ia i nā hōʻailona uila keu pono ʻole mai ka puʻuwai.
2. Hoʻokele ia i ka wikiwiki o nā hōʻailona uila e holo wikiwiki loa ana ma o ka ʻiʻo puʻuwai.
ʻO ka hapa nui o kēia mau lāʻau lapaʻau e lawe ʻia ma ka waha no ka hoʻohana lōʻihi. Eia nō naʻe, i kekahi mau kūlana pilikia, inā koʻikoʻi ke kūlana o ka mea maʻi a inā ʻaʻole hiki ke lawe ʻia ka lāʻau lapaʻau ma ka waha, hiki ke hāʻawi ʻia ma ke ʻano intravenous (IV).
He aha nā lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole?
Aia kekahi mau lāʻau lapaʻau no ka puʻuwai kūpono ʻole.
- Nā lāʻau lapaʻau
- Nā loli o ke ʻano o ka nohona
- Nā mea lapaʻau i hoʻokomo ʻia
- ʻoki kino
E koho kāu kauka i ka lāʻau lapaʻau maikaʻi loa nāu ma muli o ke ʻano o ka arrhythmia āu e loaʻa nei a me kona koʻikoʻi. Ma keʻano laulā, hiki i kāu kauka ke kuhikuhi i nā lāʻau antiarrhythmic i nā kūlana aʻe:
- Inā ʻaʻole hiki ke kāohi ʻia ka maʻi me nā hoʻololi ʻana i ke ʻano o ka nohona wale nō.
- Inā ke hoʻopilikia nei kēia kūlana i kāu mau hana o kēlā me kēia lā.
- Hoʻokomo kēia iā ʻoe i ka pilikia o nā pilikia e hoʻoweliweli ana i ke ola e like me ka hāʻule ʻana o ka puʻuwai , ka hopu ʻana o ka puʻuwai , a i ʻole ka hahau ʻana .
He aha nā ʻano lāʻau lapaʻau antiarrhythmic?
Ua māhele ʻia kēia mau lāʻau lapaʻau i 4 mau māhele nui. E nānā kākou i ke ʻano o lākou.
| Papa lāʻau lapaʻau (Papa) | Pehea e hana ai | Nā Laʻana |
|---|---|---|
| Papa I: Nā Mea Pale i ke Kanal Sodium | Pale ia i ke komo ʻana o ka sodium i loko o nā hunaola puʻuwai. Hoʻolohi kēia i ka wikiwiki o ka hele ʻana o nā hōʻailona uila ma o ka puʻuwai. | Disopyramide, Flecainide, Mexiletine, Propafenone, Quinidine |
| Papa II: Nā mea pale Beta | Hoʻopili ia i nā hormones e like me ka adrenaline a hoʻolohi i ka puʻuwai. | ʻAtenolol, Bisoprolol, Metoprolol, Propranolol, Nadolol |
| Papa III: Nā Mea Pale i ke Kahawai Potassium | Pale ia i ka potassium mai ke komo ʻana o nā hunaola puʻuwai. Hoʻomalu kēia i ka wikiwiki o nā hōʻailona uila o ka puʻuwai. | Amiodarone, Dofetilide, Dronedarone, Sotalol |
| Papa IV: Nā Mea Pale i ke Kahawai Kalipuna | Hoʻopili ia i nā kahawai calcium i loko o ka ʻiʻo puʻuwai, e hōʻemi ana i ka helu o ka puʻuwai a me ka ikaika o nā ʻūlū puʻuwai. | ʻO Diltiazem, Verapamil |
| Nā lāʻau antiarrhythmic ʻē aʻe | ||
| ʻAdenosine | Hoʻolohi a ālai paha ia i ka wikiwiki o ka hele ʻana o nā hōʻailona uila ma waena o nā keʻena o luna a me lalo o ka puʻuwai. | |
| ʻO Digoxin | Hoʻolohi ia i ka helu o ka puʻuwai a hoʻonui i ka hiki o ka puʻuwai ke ʻaelike. | |
ʻO ka mea nui loa, ʻo ke koho ʻana o kāu kauka i ka mea kūpono loa iā ʻoe mai kēia mau lāʻau lapaʻau. ʻAʻole ia he manaʻo maikaʻi e hoʻohana i kēia mau lāʻau lapaʻau ma kāu iho.
He aha nā pōmaikaʻi a me nā pilikia o kēia mau lāʻau lapaʻau?
ʻO ka hoʻohana ʻana i kēia mau lāʻau lapaʻau hiki ke hōʻemi nui i ka ʻoluʻolu ʻole āu e manaʻo ai. Eia kekahi laʻana:
- ʻEha umauma
- Pōʻino a i ʻole ke poʻo māmā
- Ke hoʻopau nei i ke kiʻi
- Nā Palpitations
- Paʻakikī ka hanu ʻana
Eia nō naʻe, aia kekahi mau pilikia me kēia mau lāʻau lapaʻau. ʻO ka pilikia nui, hiki i kēia mau lāʻau lapaʻau ke hana i nā ʻano maʻi puʻuwai ʻē aʻe. ʻO ia ke kumu he mea nui ka nānā pono ʻana e ke kauka i ka wā e hoʻohana ai i kēia mau lāʻau lapaʻau. E nānā pinepine kāu kauka, he cardiologist a he electrophysiologist paha, iā ʻoe. Inā he mau pilikia, e hoʻololi lākou i ka nui o ka lāʻau lapaʻau a i ʻole e paipai i kahi lāʻau lapaʻau ʻē aʻe.
He mea weliweli anei ka lawe ʻana i ka nui o ka lāʻau lapaʻau (overdose)?
ʻAe, he mea weliweli maoli nō ia. He mea nui loa ka lawe ʻana i kēia mau lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka. ʻO ka lawe ʻana i ka nui o ka lāʻau lapaʻau hiki ke alakaʻi i nā kūlana koʻikoʻi penei:
- Dementia
- Ka hōʻino ʻana i ka ʻiʻo puʻuwai
- Hoʻopaʻa hanu
- Ke hiamoe nei me ka ʻike ʻole i nā mea e hana nei a puni ʻoe (Sedation)
- Nā hopu ʻana
- Koma
Inā manaʻo ʻoe ua lawe nui kekahi i kēia mau lāʻau lapaʻau, e lawe koke iā lākou i ka Emergency Treatment Unit (ETU) o ka haukapila.
Aia kekahi mau hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i kēia mau lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. ʻO kekahi o nā hopena ʻaoʻao maʻamau:
- Ka paʻa ʻana o ka ʻōpū
- Pōʻino
- Makewai nui
- Nā loli o ka ʻili (e.g., ʻulaʻula, maloʻo)
- ʻEha poʻo
- Ka luaʻi
- Ke kani ʻana i nā pepeiao (Tinnitus)
- Ka ʻike i ka lā
- ʻEdema (pehu ʻana i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai i loko o ke kino)
- Paʻakikī ke mimi
- Nā loli o ka ʻike
- Hoʻonui ʻia ka hānō
Pono anei iaʻu e makaʻala i ka wā e hoʻohana ai i kēia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Hiki i nā lāʻau antiarrhythmic ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei. ʻO ia hoʻi:
- Nā lāʻau lapaʻau i kuhikuhi ʻia no nā maʻi ʻē aʻe
- Nā lāʻau lapaʻau ma luna o ke kūʻai aku
- Nā ʻano kirīmi i hoʻopili ʻia i ka ʻili
- Nā mea hoʻoheheʻe
- Nā wikamina, nā minelala, nā huahana lāʻau lapaʻau, a i ʻole nā mea hoʻohui ʻē aʻe.
Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, e ʻōlelo pono i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau.
Leka Lawe-Home
- ʻO nā lāʻau antiarrhythmics he mau lāʻau i hāʻawi ʻia e kāohi i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias).
- Pono e lawe ʻia kēia mau lāʻau lapaʻau e like me ke kauoha a ke kauka, ma ke ʻano i kuhikuhi ʻia, a ma ka manawa i kauoha ʻia.
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, he mea nui loa ia e mālama mau i ka launa pū ʻana me kāu kauka a hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui no kekahi kumu me ka ʻole o ke nīnau ʻana i kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopihapiha ʻē aʻe āu e lawe nei.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo