Hoʻomaʻamaʻa i ka puʻuwai - hoʻokuʻu

ʻO kahi pacemaker kahi mea liʻiliʻi, hoʻohana ʻia me ka uila e ʻike ʻia ke kuʻi pinepine ʻole o kou puʻuwai a i ʻole ka lohi. Hoʻouna ia i kahi hōʻailona i kou puʻuwai e hoʻokuʻi i kou puʻuwai i ka wikiwiki pololei. Kūkākūkā kēia ʻatikala i nā mea e pono ai ʻoe e hana e mālama iā ʻoe iho ke haʻalele ʻoe i ka haukapila.

Hoʻomaopopo: ʻOkoʻa ka mālama ʻana i kekahi mau pacemaker kūikawā a i ʻole nā ​​pacemaker i hui pū ʻia me nā defibrillator ma mua o ka mea i wehewehe ʻia ma lalo.

Ua kau ʻia kahi pacemaker i loko o kou umauma e kōkua i kou puʻuwai e kuʻi pono.

• Ua hana ʻia kahi ʻoki liʻiliʻi ma kou umauma ma lalo o kou iwi iwi. Hoʻonoho ʻia ka mea hana pacemaker ma lalo o ka ʻili ma kēia wahi.
• Pili nā alakaʻi (uea) i ka pacemaker, a hoʻokahi wēlau o nā kaula i wili ʻia i loko o kahi aa i loko o kou puʻuwai. ʻO ka ʻili ma luna o kahi i waiho ʻia ai ka pacemaker i pani ʻia me nā humuhumu.

ʻO ka hapa nui o nā pacemaker he hoʻokahi a ʻelua paha mau kaula i hele i ka puʻuwai. Hoʻoulu kēia mau uea i hoʻokahi a ʻoi paha o nā keʻena o ka puʻuwai e ʻūlū (ʻaelike) ke lohi ka puʻuwai o ka puʻuwai. Hiki ke hoʻohana ʻia kahi ʻano pacemaker kūikawā no ka poʻe me ka puʻuwai puʻuwai. ʻEkolu ona mau alakaʻi e kōkua i ka puʻuwai e hoʻokuʻi i kahi ʻano hoʻohui like.

Hiki i kekahi mau pacemaker ke hāʻawi i nā uila uila i ka puʻuwai e hiki ke hoʻōki i nā arrhythmia ola (hoʻoliʻiliʻi puʻuwai). Kapa ʻia kēia mau mea ʻo "defibrillator cardioverter."

ʻO kahi ʻano hou o ka hāmeʻa i kapa ʻia he "leadless pacemaker" kahi ʻāpana pacing ponoʻī i hoʻokomo ʻia i loko o ka ventricle ʻākau o ka puʻuwai. ʻAʻole pono ia i nā kaula hoʻohui i ka mea hana uila ma lalo o ka ʻili o ka umauma. Alakaʻi ʻia ia i wahi ma o ka catheter i hoʻokomo ʻia i loko o kahi aa i loko o ke aʻa. Loaʻa nā pacemaker alakaʻi ʻole i kēia manawa no nā poʻe wale nō i loaʻa kekahi ʻano olakino e pili ana i ka puʻuwai lohi.

E ʻike ʻoe i ke ʻano o ka pacemaker āu a ʻo ka ʻoihana hea ia.

Hāʻawi ʻia ʻoe i kahi kāleka e mālama i loko o kāu ʻeke.

• Loaʻa i ka kāleka ka ʻike e pili ana i kāu pacemaker a hoʻokomo i ka inoa o kāu kauka a me ka helu kelepona. Hōʻike pū kekahi ia haʻi i ka mea e hana ai inā pilikia.
• Lawe mau ʻoe i kēia kāleka ʻeke me ʻoe. He mea kōkua ia i nā mea lawelawe olakino āu e ʻike ai i ka wā e hiki mai ana no ka mea ʻōlelo ia he ʻano pacemaker kāu.

Pono ʻoe e komo i ke kūpeʻe lima leka a i ʻole ka lei e ʻōlelo ai he pacemaker ʻoe. I kahi pilikia olakino, pono nā limahana olakino e mālama nei iā ʻoe e ʻike he pacemaker kāu.

ʻAʻole hana ka hapanui o nā mīkini a me nā hāmeʻa i kāu pacemaker. Akā kekahi me ka ikaika nā mākia mākala. E nīnau mau i kāu mea hoʻolako e pili ana i nā hāmeʻa kikoʻī āu e pono ai e hōʻalo. Mai hoʻokomo i kahi magnet ma kahi o kāu pacemaker.

ʻO ka hapanui o nā mīkini i kou home e palekana e pili ana. Pākuʻi ʻia kēia i kāu pahu hau, ka holoi, ka mea holoi, ka mea hoʻomāuma, hoʻohuihui, nā kamepiula a me nā mīkini fax, ka maloʻo lauoho, ka umu, ka mea hoʻokani CD, nā kaohi mamao, a me nā pahu wai.

E mālama ʻoe i kekahi mau hāmeʻa ma ka liʻiliʻi he 12 ʻīniha (30 kenimika) mai ka pūnaewele kahi i hoʻonoho ʻia ai ka pacemaker ma lalo o kou ʻili. Pākuʻi ʻia kēia mau mea:

• ʻO nā mea hana uila uila ʻole (e like me nā mea hoʻohewa a me nā drills)
• Nā mea hana mana kuʻina (e like me nā drills a me nā pahi olo pākaukau)
• ʻO nā lawnmowers uila a me nā puhi lau
• Nā mīkini kau
• Nā haʻi ʻōlelo Stereo

E haʻi i nā mea hoʻolako āpau he pacemaker kāu ma mua o ka hoʻāʻo ʻana.

Hiki paha i kekahi mea lāʻau lapaʻau ke keʻakeʻa i kāu pacemaker.

Noho kaawale mai nā mīkini nui, nā mīkini hana, a me nā pono hana. Mai hilinaʻi ma luna o ka pāpale hāmama o ke kaʻa e holo nei. E noho mamao aku hoʻi mai:

• Nā mea hoʻoili lekiō a me nā laina uila uila kiʻekiʻe
• Nā huahana e hoʻohana ai i ka magnet therapy, e like me kekahi moena, nā uluna, a me nā masa
• Nā mīkini uila nui a uila paha

Inā he kelepona paʻalima kāu:

• Mai hoʻokomo iā ia i loko o ka ʻeke ma ka ʻaoʻao like o kou kino e like me kāu pacemaker.
• Ke hoʻohana nei i kāu kelepona paʻalima, e paʻa i kou pepeiao ma ka ʻaoʻao ʻaoʻao o kou kino.

E akahele a puni nā mea hoʻoheheʻe hao a me nā kaula palekana.

• E hoʻopilikia paha nā ʻauamo palekana paʻa lima i kāu pacemaker. Hōʻike i kāu kāleka ʻeke a noi e ʻimi lima ʻia.
• ʻO ka hapa nui o nā puka palekana ma nā kahua mokulele a me nā hale kūʻai maikaʻi. Akā mai kū kokoke i kēia mau hāmeʻa no nā wā lōʻihi. Hoʻonohonoho paha kāu pacemaker i nā mea hoʻohiwahiwa.

Ma hope o kekahi hana, e nānā i kāu mea hāʻawi i kāu pacemaker.

Hiki iā ʻoe ke hana i nā hana maʻamau i 3 a 4 mau lā.

No 2 a 3 mau pule, mai hana i kēia mau mea me ka lima ma ka ʻaoʻao o kou kino kahi i kau ʻia ai ka mea hoʻāmama.

• Ke hāpai nei i kekahi mea ʻoi aku ka nui ma mua o 10 a 15 mau paona (4.5 a 7 kilokilo)
• Pākuʻi nui, huki, a wili paha

Mai hāpai i kēia lima ma luna o kou poʻohiwi no mau pule. Mai ʻaʻahu i nā lole e ʻānai i ka ʻeha no 2 a 3 mau pule. E maloʻo loa i kou lūlū no 4 a 5 mau lā. A ma hope, e ʻauʻau paha ʻoe a laila maloʻo maloʻo. Holoi mau i kou mau lima ma mua o ka pā ʻana i ka ʻeha.

E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa hea e pono ai e nānā i kāu pacemaker. I ka hapanui o nā hihia, aia ia i kēlā me kēia 6 mahina i hoʻokahi makahiki. Ma kahi o 15 a 30 mau minuke ka loiloi.

Pono nā paila i kāu pacemaker ma kahi o 6 a 15 mau makahiki. Hiki i nā loiloi maʻamau ke ʻike inā e iho ana ka uila a i ʻole inā aia kekahi mau pilikia me ke alakaʻi (nā kaula). E loli kāu mea hāʻawi i ka mea hana a me ka uila i ka wā e haʻahaʻa ai ka pila.

Kāhea i kāu mea hāʻawi inā:

• ʻIke ʻia kou ʻeha (ʻulaʻula, hoʻonui ʻia ka hoʻoheheʻe ʻana, ka pehu ʻana, ʻeha).
• Loaʻa iā ʻoe nā ʻōuli i loaʻa iā ʻoe ma mua o ka hoʻokomo ʻia ʻana o ka pacemaker.
• Pōpē ʻoe a pōkole paha ka hanu.
• He ʻeha kou umauma.
• Loaʻa iā ʻoe nā hiccups ʻaʻole e hele.
• ʻAʻole ʻoe noʻonoʻo no kekahi manawa.

Hoʻokomo ka Cardiac pacemaker - hoʻokuʻu; Hoʻokomo i ka mea hana lima - hoʻokuʻu; Mea mālama paʻa paʻa paʻa - hoʻokuʻu; Pacemaker kūloko - hoʻokuʻu; Hoʻomaʻamaʻa hou i ka cardiac - hoʻokuʻu; CRT - hoʻokuʻu; Hoʻokipa pacific Biventricular - hoʻokuʻu; Pōʻai puʻuwai - hoʻokuʻu pacemaker; Poloka AV - hoʻokuʻu pacemaker; Hewa ka puʻuwai - hoʻokuʻu pacemaker; Bradycardia - hoʻokuʻu pacemaker

• Pāʻalāʻau

ʻO Knops P, ʻo Jordaens L. Pacemaker ukali. I: Saksena S, Camm AJ, eds. Nā maʻi electrophysiological o ka puʻuwai. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2012: chap 37.

Santucci PA, Wilber DJ. ʻO nā kaʻina hana a me ka ʻoki ʻana o ka electrophysiologic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 60.

CD Swerdlow, Wang PJ, Zipe DP. Pacemakers a me implantable cardioverter-defibrillators. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 41.

Webb SR. ʻO ka pacemaker alakaʻi ʻole. Pūnaewele ʻAmelika Hui Pū ʻIa Cardiology. www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/06/10/13/49/the-leadless-pacemaker. Hoʻohou i Iune 10, 2019. Loaʻa iā Kēkēmapa 18, 2020.

• ʻO Arrhythmias
• Aibrial fibrillation a i ʻole flutter
• Nā kaʻina hana hoʻopau Cardiac
• Maʻi maʻi coronary
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• Hewa puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Maʻi maʻi sinus

• Puʻuwai puʻuwai - hoʻokuʻu
• Imibrable cardioverter defibrillator - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• Nā Pacemakers a me nā Defibrillator Implantable