Ke kuʻi wikiwiki nei kou puʻuwai i ka manawa koke? Malia paha ʻo Wolff-Parkinson-White Syndrome kēia!

Ua ʻike anei ʻoe ua hoʻomaka koke kou puʻuwai e kuʻi me ke kumu ʻole? I kēlā manawa, makaʻu iki ʻoe, ʻeā? I kekahi manawa ʻo ke kumu o kēia he ʻano i kapa ʻia ʻo Wolff-Parkinson-White Syndrome, a mākou e kamaʻilio nei i kēia lā. ʻOiai ke kani nui nei ka inoa, e kamaʻilio maʻalahi kākou e pili ana.

He aha ka Wolff-Parkinson-White Syndrome?

I ka ʻōlelo maʻalahi, ʻo Wolff-Parkinson-White syndrome (WPW) kahi maʻi i hoʻokumu ʻia e kahi ala uila keu i loko o ka puʻuwai i loaʻa i ka wā hānau . Kuʻi ko mākou mau puʻuwai no ka mea hele nā ​​​​hōʻailona uila ma o ka puʻuwai. ʻO ka maʻamau, loaʻa i kēia mau hōʻailona kahi ala kikoʻī e hele ai. Akā i ka poʻe me WPW, aia kahi "pōkole" liʻiliʻi i loko o ka puʻuwai ma waho aʻe o kēia ala kikoʻī.

E noʻonoʻo, i kou wā e kalaiwa ana ma ke alanui, inā ʻoe e lawe i kahi alanui ʻaoʻao liʻiliʻi ma waho aʻe o ke alanui nui, hiki iā ʻoe ke hele wikiwiki. Ma muli o kēia ala uila keu, hele wikiwiki loa nā hōʻailona i ka puʻuwai. ʻO ka hopena, hoʻomaka koke ka puʻuwai e kuʻi wikiwiki loa. Ua kapa nā kauka i kēia he supraventricular tachycardia (SVT) , ʻo ia hoʻi he puʻuwai wikiwiki e hoʻomaka ana ma nā ʻāpana o luna o ka puʻuwai.

Ke kuʻi wikiwiki ka puʻuwai, ʻaʻole lawa ka manawa o nā keʻena o ka puʻuwai e hoʻopiha ai me ke koko ma mua o ke kuʻi aʻe. ʻO ia hoʻi, ʻaʻole hiki i ka puʻuwai ke pamu i ke koko lawa i ke kino.

Pehea ka maʻamau o kēia kūlana WPW?

He ʻano laha ʻole ka maʻi Wolff-Parkinson-White. Ma ka honua holoʻokoʻa, hoʻopilikia ia ma kahi o 1 a 3 mau kānaka i loko o 1,000. Hiki i kekahi ke loaʻa iā WPW, a i kekahi manawa holo ia i loko o nā ʻohana. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka maʻamau i nā poʻe o ka hanauna Kina.

He aha nā hōʻailona?

Hiki ke ʻokoʻa nā hōʻailona o WPW mai kēlā kanaka a kēia kanaka. ʻAʻohe o ka hapa nui o ka poʻe i kekahi mau hōʻailona . Akā, hiki i kekahi poʻe ke ʻike i nā hōʻailona i kēlā me kēia lā no kekahi mau kekona a i kekahi mau hola. Hiki i kekahi ke ʻike iā lākou i nā manawa he nui i ka makahiki.

Hiki iā ʻoe ke manaʻo i nā mea e like me kēia:

• Ke manaʻo wale nei i ka hopohopo a me ka hopohopo .
• Ke manaʻo nei i ka ʻeha a i ʻole ka paʻa ʻana ma ka umauma.
• Manaʻo e like me ka vertigo (spinal vertigo).
• Ka mae ʻana .
• Manaʻo luhi loa.
• ʻO nā palpitations kahi manaʻo koke o ka wikiwiki o kou puʻuwai. Hiki i kēia ke mau no kekahi mau kekona a i ʻole kekahi mau hola.
• Ka pōkole o ka hanu (dyspnea) .

I kēlā me kēia makahiki, ma waena o 1% a me 2% o ka poʻe me WPW e hoʻomohala i kahi ʻano puʻuwai kūpono ʻole, a i ʻole arrhythmia .

He aha ke kumu o WPW?

I ka manawa pinepine, paʻakikī i nā kauka ke loaʻa kahi kumu kūpono no WPW.Malia paha ua loaʻa i kekahi o kou ʻohana kēia ʻano ma mua, a i ʻole hiki ke hana ʻia me ke kumu ʻole.

He hoʻoilina anei ʻo WPW?

ʻAʻole maopopo i nā kānaka noiʻi inā ua hoʻoili ʻia mai nā mākua a i nā keiki. ʻO ka hapa nui o ka poʻe me WPW ʻaʻohe o lākou mau mākua me ke ʻano. Eia nō naʻe, hiki ke hoʻoili ʻia kekahi mau genes e hoʻokumu ai i ka WPW ma o nā hanauna. Ua kapa ʻia kēia ʻano hoʻoilina ʻo familial Wolff-Parkinson-White syndrome .

He aha nā pilikia e hiki ke kū mai ma muli o WPW?

I kekahi manawa, hiki i nā kānaka ke hāʻule a ʻeha i ka wā e kau ai lākou i ke kākoʻo. Hiki i kekahi poʻe ke loaʻa i ke koko haʻahaʻa ke paʻi wikiwiki ko lākou puʻuwai. ʻO kahi pilikia kakaikahi loa akā weliweli o WPW ʻo ia ka make koke ʻana o ka puʻuwai .

Inā loaʻa iā ʻoe nā hōʻailona o WPW, e ʻike koke i ke kauka. Hiki i ka mālama mua ʻana i kēia maʻi ke pale i nā pilikia.

Pehea e ʻike ʻia ai ka WPW?

ʻO ka maʻamau, ʻike nā kauka i ka WPW me kahi ECG (electrocardiogram) . ʻŌlelo wale mākou "e kiʻi i ka puʻuwai," a ʻo ia wale nō. I kekahi manawa, hiki i kāu kauka ke ʻike i nā loli i kou helu puʻuwai i ka wā o ka hoʻokolokolo kino. Inā ʻoi aku ka ʻino o kāu mau hōʻailona i ka wā e hoʻoikaika kino ai ʻoe, hiki ke noi ʻia ʻoe e hana i kahi hoʻāʻo hoʻoikaika kino . Inā ʻokoʻa ka manaʻo o kou helu puʻuwai, a inā he mau hōʻailona ʻē aʻe kāu e pili ana i ka WPW, e hōʻoia e haʻi i kāu kauka.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i ka WPW?

No ka nānā ʻana i ka helu o kou puʻuwai, hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua e like me kēia:

• Electrocardiogram (ECG): ʻO kēia ka hoʻāʻo koʻikoʻi loa.
• Haʻawina Electrophysiology: He nānā kikoʻī loa kēia o ka hana uila o ka puʻuwai. Hana ʻia kēia ma ka hoʻokomo ʻana i nā mea liʻiliʻi e like me ke kaula i loko o ka puʻuwai.
• Nānā Holter: He mea liʻiliʻi kēia e kau ʻia ma kou kino no 24 a 48 mau hola. Hoʻopaʻa ia i ka hana o kou puʻuwai i loko o ka wā holoʻokoʻa.
• Ka nānā ʻana i ka wā hele wāwae lōʻihi: Ua like ia me kahi monitor Holter, akā ua nānā ʻia ka helu o ka puʻuwai no kahi manawa lōʻihi (he mau lā a i ʻole mau pule).

Hāʻawi kēia mau hoʻokolohua i kāu kauka i kahi manaʻo maikaʻi aʻe o ka helu o kou puʻuwai, ka rhythm, a inā he mau pilikia me ke ala e hele ai nā hōʻailona uila. Hiki i ka ECG o kekahi me WPW ke hōʻike i nā loli i ʻike nui ʻia ma mua o ka ECG maʻamau.

I ka manawa hea e ʻike pinepine ʻia ai ka WPW?

I kekahi manawa, ʻike nā kauka i ka WPW i ka wā kamaliʻi . Eia nō naʻe, ʻike pinepine ʻia i ka wā ʻōpiopio, ma waena o 15 a me 25 mau makahiki , no ka mea, ʻo ia ka manawa e hoʻomaka nui ai nā hōʻailona.

Aia kekahi mau kūlana ʻē aʻe e pili ana me WPW?

Hiki i kekahi poʻe me WPW ke loaʻa i nā maʻi puʻuwai ʻē aʻe. Eia kekahi laʻana:

• ʻO ka fibrillation atrial: ʻO ia ke ʻano e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai me ke ʻano kūpono ʻole.
• ʻO ke ʻano ʻē aʻe ʻo Ebstein: He kīnā hānau i loko o ka valve puʻuwai.
• ʻO ka ventricular fibrillation (V-fib): He kūlana hoʻoweliweli paha i ke ola kahi e kuʻi wikiwiki ai nā keʻena haʻahaʻa o ka puʻuwai me ka hiki ʻole ke kāohi.

Inā loaʻa iā ʻoe kekahi o kēia mau maʻi puʻuwai, e wehewehe kāu kauka iā ʻoe pehea e mālama ai i ke olakino o kou puʻuwai.

Pehea e mālama ʻia ai ʻo WPW?

ʻOkoʻa ke ʻano o ka mālama ʻana no WPW mai kēlā kanaka a kēia kanaka. Inā ʻaʻole ʻoe e loaʻa pinepine i nā hōʻailona, ​​ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau . Hiki ke emi a nalo paha kāu mau hōʻailona i ka hala ʻana o ka manawa.

Eia nō naʻe, inā loaʻa iā ʻoe nā palpitations puʻuwai pinepine a ke ʻike nei hoʻi i nā hōʻailona e like me ka dizziness a me ka nāwaliwali, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• ʻAblation Radiofrequency: He ʻano lapaʻau kēia i kapa ʻia ʻo catheter ablation . Ma kēia, ʻike ʻia ke ala uila keu i loko o ka puʻuwai a ua luku ʻia kahi ʻāpana liʻiliʻi o ia mea me ka hoʻohana ʻana i ka ikehu nalu radio. A laila hoʻi ka helu o ka puʻuwai i ka maʻamau. He lāʻau lapaʻau kūpono loa kēia.
• Cardioversion: Hoʻohana ʻia kēia kaʻina hana e hoʻōki i ka wikiwiki o ka puʻuwai (ʻoi aku hoʻi i nā hihia e like me SVT) a hoʻihoʻi i ka ʻano maʻamau o ka puʻuwai. Hiki ke hana ʻia kēia ma ka hāʻawi ʻana i ka lāʻau lapaʻau (chemical cardioversion) a i ʻole ma ka hāʻawi ʻana i kahi haʻalulu uila liʻiliʻi i ka umauma (electrical cardioversion).
• Lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kaohi i kou puʻuwai wikiwiki a i ʻole e mālama i ka helu o kou puʻuwai maʻamau i ka wā lōʻihi.

Pono anei ʻo WPW i ke ʻoki kino?

ʻAʻole pono ka hapa nui o ka poʻe me WPW i ke ʻoki kino. Eia nō naʻe, he mea kakaikahi loa, hiki i nā kauka ke hana i ke ʻoki kino puʻuwai hāmama e ālai i ke ala uila keu i loko o ka puʻuwai. Hana pinepine ʻia kēia ʻano ʻoki kino i ka manawa like me kekahi pilikia puʻuwai ʻē aʻe ma waho aʻe o WPW.

Pehea e mālama ai i nā hōʻailona WPW ma ka home?

Inā loaʻa koke iā ʻoe ka puʻuwai wikiwiki i kou noho ʻana ma ka home, hiki i kāu kauka ke haʻi iā ʻoe e hana i nā mea e like me:

• ʻO ka hana Valsalva: ʻO kēia ke ʻūmi ʻana i kou ihu a me ka puhi ʻana i ka ea mai loko mai o kou waha, e like me ka hoʻāʻo ʻana e puhi i kahi pōpō. A i ʻole, e hanu hohonu a paʻa i loko me ka hoʻokomo ʻana i kou ʻōpū i loko.
• Kuke.
• Lomilomi sinus carotid: E lomilomi mālie i kekahi ʻaoʻao o ka ʻāʻī (kahi i loaʻa ai ka sinus carotid). E hana wale i kēia inā haʻi aku kāu kauka iā ʻoe.

Hiki i kēia ke kōkua i ka kaohi ʻana i ka puʻuwai wikiwiki i kekahi manawa.

Aia kekahi mau hopena ʻaoʻao/pilikia o ka lāʻau lapaʻau?

Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. E kamaʻilio me kāu kauka e pili ana iā lākou.

ʻOiai he kaʻina hana palekana a maikaʻi hoʻi ka radiofrequency ablation, ʻaʻole hiki ke hana pinepine ʻia kēia mau mea:

• Nā ʻūpā koko.
• Ka maʻi ʻana.
• Hahau.
• Ke kahe ʻana o ke koko.

He mea kākaʻikahi loa nā pilikia mai ka cardioversion. Hiki i kekahi poʻe ke loaʻa i nā ʻōpū koko, kahi ʻoki liʻiliʻi ma ka ʻili kahi i hāʻawi ʻia ai ke kani uila, a i ʻole ka ʻino ʻana o ka puʻuwai. He mea kākaʻikahi loa kēia.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

ʻO nā mea hiki iā ʻoe ke hana ma ka home, e like me ka Valsalva maneuver a me ke kunu ʻana, e kōkua paha i ka hoʻolohi iki ʻana i kou puʻuwai i kēia manawa. Inā ʻoe e lawe ana i ka lāʻau lapaʻau no WPW, e nīnau i kāu kauka i ke ʻano o nā hopena āu e manaʻo ai mai iā lākou.

Ma hope o ka ablation a i ʻole ke ʻoki ʻana, e haʻi aku kāu kauka iā ʻoe i ka lōʻihi o ka manawa e hoʻomaikaʻi ai kāu mau hōʻailona, ​​​​​​i ka mea e manaʻo ai i kou wā e hoʻōla ai, a me ka wā e hiki ai iā ʻoe ke hoʻi i nā hana maʻamau.

Hiki ke pale ʻia ka WPW?

ʻAʻole. ʻO Wolff-Parkinson-White syndrome kahi kūlana i hānau ʻia ai ʻoe me ia . ʻAʻohe mea hiki iā ʻoe ke hana e pale aku ai.

He aha ka mea e hana inā loaʻa iaʻu ʻo WPW?

Inā loaʻa iā ʻoe ʻo WPW, pono ʻoe e hana pū me kāu kauka e hoʻokele i kāu mau hōʻailona. Pono ʻoe e ʻike i kāu kauka i nā manawa maʻamau e hōʻoia ʻaʻole e ʻoi aku ka ʻino o kāu mau hōʻailona. E hahai pololei i nā ʻōlelo a kāu kauka. E haʻi koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona.

He aha ka manaʻolana no ka poʻe me WPW i ka wā e hiki mai ana?

He mea maʻamau ke ola o ka poʻe me WPW e loaʻa ana ka lāʻau lapaʻau . Hiki ke ho'ōla piha ʻia nā kānaka he nui me ka radiofrequency ablation a i ʻole ke ʻoki kino.

Ma keʻano laulā, ʻaʻole nui ka pilikia o ka poʻe me nā hōʻailona ʻole i ka make ʻana mai ka make koke ʻana o ka puʻuwai. ʻOi aku ka nui o ka pilikia o ka poʻe me nā hōʻailona o ka tachycardia. Eia nō naʻe, he mea kakaikahi loa ka make koke ʻana o ka puʻuwai i waena o ka poʻe me WPW.

Pehea e hiki ai iaʻu ke mālama i koʻu olakino?

E ʻike pinepine i kāu kauka. E hahai mau i nā ʻōlelo a kāu kauka. E mālama i kou olakino penei:

• E ʻai i nā meaʻai olakino .
• E kāohi i kou koko .
• Mai hoʻohana i nā huahana paka.
• E hōʻalo a kaupalena paha i kāu lawe ʻana i nā mea hoʻoulu (caffeine, kekahi mau lāʻau lapaʻau). E kamaʻilio me kāu kauka e pili ana i kēia.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.

He aha nā mea maikaʻi loa e ʻai a inu ai i ka wā e loaʻa ai iā ʻoe ka WPW?

Hiki i kekahi mau mea ke hoʻoikaika i kou puʻuwai. E nīnau i kāu kauka e pili ana i kēia mau mea:

• ʻAila.
• Caffeine ( loaʻa i loko o ke kofe, ke kī, a me kekahi mau mea inu).
• Nā mea hoʻonāukiuki e like me nā amphetamines a i ʻole ka nikotine.

Hiki iā ʻoe ke hoʻoikaika kino inā loaʻa iā ʻoe ʻo WPW?

He mea maikaʻi ka hana kino no kou kino a me kou noʻonoʻo. E nīnau i kāu kauka e pili ana i ka hoʻoikaika kino me WPW. E kamaʻilio me ia e pili ana i nā pilikia kūikawā āu e pono ai e makaʻala a me nā hana hiki ʻole iā ʻoe ke hana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa koke iā ʻoe kahi puʻuwai wikiwiki i hiki ʻole iā ʻoe ke kaohi me nā lāʻau lapaʻau home, ʻoiai inā hele pū ʻia me nā hōʻailona o WPW, e like me ka poniuniu, ka māʻule ʻana, a i ʻole ka ʻeha o ka umauma, e kāhea koke aku i kāu kauka .

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Pono paha ke kanaka i ka mālama ulia pōpilikia ma ke ʻano e like me kēia:

• Inā ʻeha kou umauma no nā minuke he 15 a ʻoi.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma , ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha o ka ʻōpū .
• Inā ʻoe e luhi a ʻaʻole ʻoe e ala aʻe .
• Inā mau ka puʻuwai i ka ʻano ʻē ma hope o kekahi mau minuke.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā loaʻa iā ʻoe a i ʻole kāu keiki ʻo WPW, e nīnau i kāu kauka i kēia mau nīnau:

• He palekana anei ka lawe ʻana i ka lāʻau lapaʻau no WPW me nā lāʻau lapaʻau ʻē aʻe aʻu e lawe ai?
• Inā loaʻa iaʻu ka WPW, e loaʻa pū anei i kaʻu mau keiki?
• Pehea e ʻike ai inā he pilikia ka wikiwiki o ka puʻuwai?
• E palekana anei kaʻu keiki inā loaʻa iā ia ka maʻi puʻuwai ma ke kula?
• He palekana anei ke pāʻani i nā haʻuki me ka Wolff-Parkinson-White syndrome?
• Pono anei iaʻu e loaʻa kahi lāʻau lapaʻau invasive e like me ka ablation?

ʻAʻole manaʻo ka nui o nā mākua e loaʻa i kā lākou keiki ka maʻi puʻuwai. Hiki ke hopohopo ke wikiwiki ka puʻuwai o kāu keiki ma muli o ka Wolff-Parkinson-White syndrome. Eia nō naʻe, hiki i nā lāʻau lapaʻau no kēia ʻano ke kōkua a ho'ōla i nā poʻe he nui. E nīnau i kāu kauka e pili ana i ke ʻano e hiki ai iā ʻoe ke hoʻokele i kāu mau hōʻailona a me nā hopena lōʻihi maikaʻi loa no ʻoe a me kāu keiki.

Leka Lawe-Home

ʻO ka Wolff-Parkinson-White syndrome (WPW) kahi maʻi i hoʻokumu ʻia e kahi ala uila keu i loko o ka puʻuwai e hiki ai ke hoʻoulu i ka puʻuwai e kuʻi wikiwiki loa. ʻAʻole loaʻa i nā kānaka a pau nā hōʻailona, ​​​​akā hiki i kekahi poʻe ke ʻike i nā mea e like me ka ʻeha o ka umauma, ka poniuniu, a me ka maule. Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia.I kekahi manawa, hiki ke ho'ōla loa ʻia me nā lāʻau lapaʻau e like me ka radiofrequency ablation. ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona. He mea nui hoʻi ke ola i kahi nohona olakino. E kamaʻilio me kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

ʻO Wolff-Parkinson-White Syndrome, Nā palpitations o ka puʻuwai, Ka puʻuwai wikiwiki, SVT, ECG, Maʻi puʻuwai, Ablation, Cardioversion, Ola Kino o Sri Lanka