Ua manaʻo paha ʻoe i kou puʻuwai e kuʻi wikiwiki ana, a i ʻole e like me ka mea e lele ana i loko o kou umauma, a i ʻole e kuʻi ana? I kekahi manawa he mau mea maʻamau kēia. Eia naʻe, inā hana pinepine ʻia kēia mau mea, hiki nō hoʻi ke lilo i hōʻailona o kahi pilikia liʻiliʻi i loko o ko kākou puʻuwai. ʻAʻole wale ko kākou puʻuwai he pōpō ʻiʻo, hana pū ia me kahi ʻōnaehana uila paʻakikī loa. E like me ka ʻōnaehana 'wiring' i loko o ko kākou hale. No laila, inā he hewa i loko o kēia ʻōnaehana uila, aia nā kauka e nānā pono ana iā ia a mālama iā ia. I kēia lā ke kamaʻilio nei mākou e pili ana i kēlā mau kauka loea.
ʻO wai kēia electrophysiologist?
I ka ʻōlelo maʻalahi,
he electrophysiologist , a i kekahi manawa mākou e kapa aku ai
he "kauka EP" no ka pōkole, he
cardiologist . Akā ʻo kāna hana kūikawā, ʻo ia ke nānā i ka ʻōnaehana uila o ka puʻuwai a me nā ʻano kūlike ʻole o ka rhythm e kū pū me ia, ʻo ia hoʻi,
nā ʻano ʻē i ka puʻuwai (arrhythmias) . E noʻonoʻo i kēia ʻano. Hoʻomalu ʻia ko mākou puʻuwai e kahi pūnaewele palupalu loa o nā hōʻailona uila. Inā hele kēia mau hōʻailona i kahi kūpono a i ka manawa kūpono, e paʻi pono ka puʻuwai. Inā he hewa, hoʻopau ʻia, a i ʻole ka pōkole pōkole i loko o kēia ʻōnaehana hōʻailona uila, e pau ka puʻuwai i ka mana. E paʻi wikiwiki loa ia, a i ʻole e paʻi lohi loa ia, a i ʻole e paʻi maʻamau ʻole ia. ʻO ia ka mea a mākou e kapa aku ai he Electrophysiologist (EP) i ke kauka i loaʻa ka ʻike i nā pilikia me ke 'aupuni' o ka puʻuwai.
He aha ka hana a ke kauka cardiologist?
Hana pinepine kēia mau loea i nā haukapila nui. Hoʻohana lākou i nā hoʻokolohua a me nā kaʻina hana kūikawā e ʻike ai, e nānā, a mālama i nā ʻano ʻino o ka puʻuwai. Kuhikuhi pū lākou i nā lāʻau lapaʻau a aʻo i nā loli o ke ʻano o ka nohona. E nānā i ka papa ma lalo no ka papa inoa o nā maʻi nui a lākou e mālama ai.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|
| ʻO Bradycardia | ʻOi aku ka wikiwiki o ka lā ma mua o ka mea e pono ai . |
| ʻO ka Tachycardia | ʻOi aku ka wikiwiki o ka puʻuwai ma mua o ka mea e pono ai . |
| ʻO ka Fibrillation Atrial | Ke ʻano o ka puʻuwai e kuʻi kūpono ʻole ana, me he mea lā e lele ana . |
| Hoʻopaʻa ʻia ka puʻuwai | Ka hopu koke ʻana o ka puʻuwai. He ʻokoʻa kēia mai ka hāʻule puʻuwai. |
| Nā maʻi ʻē aʻe o ka puʻuwai | Ma waho aʻe o kēia, mālama ʻia nā ʻano pilikia mele like ʻole. |
I ke kūlana hea e kuhikuhi ʻia ai ʻoe i kahi EP?
ʻO ka maʻamau, ʻaʻole ʻoe e ʻike pololei i kahi loea e like me kēia. ʻO kāu kauka ʻohana a i ʻole ke kauka puʻuwai e mālama nei iā ʻoe e kuhikuhi iā ʻoe i kahi kauka EP. Hiki ke loaʻa kekahi mau kumu no kēia.
- Inā loaʻa iā ʻoe kahi maʻi puʻuwai puʻuwai ( arrhythmia ) .
- Inā ua hoʻonohonoho ʻia ʻoe e hana i kahi lāʻau i kapa ʻia ʻo cardiac ablation , pili kēia i ka hoʻohana ʻana i kahi ʻano hana kūikawā e hoʻopau i nā wahi o ka puʻuwai e hoʻouna ana i nā hōʻailona uila hewa.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo syncope , ʻo ia hoʻi ka wā e nalowale koke ai kou ʻike a hāʻule me ke kumu ʻole.
- Inā hoʻoholo ke kauka he nui ka pilikia o ka make ʻana mai ka make koke ʻana o ka puʻuwai.
- Inā pono ʻoe e hoʻokomo i kahi mea hana e like me ka pacemaker a i ʻole ka ICD (Implantable Cardiac Defibrillator) . He mau mea liʻiliʻi kēia i waiho ʻia ma lalo o ka ʻili e kāohi i ka rhythm o ka puʻuwai.
ʻO ka mea nui loa, inā kuhikuhi kāu kauka iā ʻoe i kahi loea e like me kēia, e hana ia. E ʻae kēia iā lākou e nānā hohonu i kou kūlana a koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
He aha ka mea e hana ʻia ke hālāwai ʻoe me kahi EP?
Ke kuhikuhi ʻia ʻoe i kahi EP, e nānā ʻo ia i kāu mau hōʻailona, kāu mau lāʻau lapaʻau ma mua, a me kāu mau hopena hoʻāʻo, a inā pono, e kauoha i kahi hoʻāʻo kūikawā ʻē aʻe. ʻO ka mea nui loa o kēia mau mea he
Electrophysiology Study (EPS) . Mai hopohopo i ka inoa. Hana ʻia kēia e nānā i ka hana uila o kou puʻuwai a ʻike pono i kahi e hoʻomaka ai ka pilikia rhythm.
Pehea e hana ʻia ai ka hoʻāʻo EPS?
Hana ʻia kēia hoʻāʻo ma kahi keʻena hoʻokolohua kūikawā (EP lab a i ʻole Cath lab) ma ka haukapila. Hoʻomoe ʻia ʻoe (hoʻomaha ʻia), no laila ʻaʻole ʻoe e ʻeha. Hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu, i kapa ʻia
he electrode catheter , i loko o kahi kīʻaha koko nui ma kou ʻūhā, lima, a ʻāʻī paha a i loko o kou puʻuwai. A laila hoʻouna ke kauka i nā hōʻailona uila liʻiliʻi ma o ka ʻōmole i ka puʻuwai, a hoʻopaʻa i ka hana uila o ka puʻuwai ma kahi pale kamepiula. Ua like kēia me ka hoʻohana ʻana i kahi 'mea hoʻāʻo' e ʻike i kahi hewa i loko o ka uea i loko o kou hale. Ma hope o kēia hoʻāʻo, e ʻike ke kauka i ke kumu pololei o kou pilikia a hoʻoholo i ka lāʻau maikaʻi loa no ia.
Leka Lawe-Home
- He kauka lapaʻau ka electrophysiologist i loea i ka ʻōnaehana uila o ka puʻuwai a me nā maʻi rhythm (arrhythmias).
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka wikiwiki loa a lohi loa paha o ka puʻuwai , kahi manaʻo e lele ana i loko o kou umauma, a i ʻole ka manaʻo palupalu wale nō, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka.
- Inā kuhikuhi kāu kauka iā ʻoe i kahi EP, ʻo ia hoʻi, pono e noiʻi hou ʻia kou kūlana. No laila e hahai i kēlā ʻōlelo aʻoaʻo.
- ʻAʻohe pono e makaʻu i nā hoʻokolohua e like me EPS. He palekana lākou, ʻaʻohe ʻeha, a he kōkua nui i ka loaʻa ʻana o ke kumu pololei o ka maʻi.
ʻO ke ʻano o ka puʻuwai, Electrophysiologist, Cardiologist, Arrhythmia, Heartbeat, Pacemaker, Cardiac Ablation
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