Imibrable cardioverter defibrillator - hoʻokuʻu

ʻO kahi cardioverter-defibrillator implantable (ICD) kahi mea ʻike i kahi hoʻoweliweli ola, ka puʻuwai puʻuwai maʻamau. Inā kū ʻia, hoʻouna ka hāmeʻa i kahi haʻalulu uila i ka puʻuwai e hoʻololi i ka lepe i ka maʻamau. Kūkākūkā kēia ʻatikala i ka mea e pono ai ʻoe e ʻike ma hope o kou hoʻokomo ʻana i kahi ICD.

Kaha: ʻOkoʻa ka mālama ʻana i kekahi defibrillator kūikawā ma mua o ka mea i wehewehe ʻia ma lalo.

ʻO kekahi ʻano loea puʻuwai i kapa ʻia he electrophysiologist a i ʻole he kauka lāʻau i hana i kahi ʻoki liʻiliʻi (ʻoki) i kou paia umauma. Ua hoʻokomo ʻia kahi hāmeʻa i kapa ʻia he ICD ma lalo o kou ʻili a me kou mākala. ʻO ka ICD ka nui o kahi kuki nui. Ua hoʻokomo ʻia nā alakaʻi, a i ʻole nā ​​uila i kou puʻuwai a ua pili i kāu ICD.

Hiki i ka ICD ke hoʻomaopopo koke i nā puʻuwai puʻuwai ola weliweli ʻole (arrhythmia). Hoʻonohonoho ʻia e hoʻohuli i kahi mana o ka puʻuwai maʻamau i ka maʻamau ma o ka hoʻouna ʻana i kahi haʻalulu uila i kou puʻuwai. Kapa ʻia kēia hana defibrillation. Hiki i kēia hāmeʻa ke hana ma ke ʻano he pacemaker.

Ke haʻalele ʻoe i ka haukapila, hāʻawi ʻia ʻoe i kāleka e mālama ai i loko o kāu ʻeke. Ke papa nei kēia kāleka i nā kikoʻī o kāu ICD a loaʻa iā ia ka ʻike pili no nā ulia pōpilikia.

Lawe i kāu kāleka ʻike ICD me ʻoe MA nā manawa āpau. E haʻi ka ʻike i loko ona i nā lawelawe mālama ola āu e ʻike ai i ke ʻano o ka ICD āu. ʻAʻole like nā ICD āpau. E ʻike ʻoe i ke ʻano o ka ICD āu a ʻo ka ʻoihana hea ia. Hiki i kēia ke hāʻawi i nā mea lawelawe ʻē aʻe e nānā i ka hāmeʻa e ʻike inā holo pono.

Hiki iā ʻoe ke hana i kāu hana maʻamau ma waena o 3 a 4 mau lā ma hope o ke kaha ʻana. Akā he mau palena kāu no 4 a 6 mau pule.

Mai hana i kēia mau mea no 2 a 3 mau pule:

• E hāpai i kekahi mea ʻoi aku ka nui ma mua o 10 a 15 mau paona (4.5 a 7 kilokilo)
• Pahu, huki, a wili paha i ka nui
• E ʻaʻahu i nā lole e ʻānai i ka ʻeha

E maloʻo loa i kou lūlū no 4 a 5 mau lā. Ma hope o kēlā, e ʻauʻau paha ʻoe a pā maloʻo. Holoi mau i kou mau lima ma mua o ka pā ʻana i ka ʻeha.

No 4 a 6 mau pule, mai hāpai i kou lima i luna ma mua o kou poʻohiwi ma ka ʻaoʻao o kou kino kahi i kau ai kāu ICD.

Pono ʻoe e ʻike i kāu mea hāʻawi mau no ka nānā ʻana. E hoʻomaopopo pono kāu kauka i kāu ICD e hana pono ana a e nānā e ʻike i ka nui o nā haʻalulu i hoʻouna ʻia a me ka nui o ka mana i koe i ka paukū. ʻO kāu kipa mua ʻana paha ma kahi o 1 mau mahina ma hope o ke kau ʻia ʻana o kāu ICD.

Hoʻolālā ʻia nā paila ICD i 4 a 8 mau makahiki paha. Pono nā kaha maʻamau o ka pila e ʻike i ka nui o ka mana i koe. Pono ʻoe i kahi ʻoki liʻiliʻi e pani i kāu ICD ke hoʻomaka ka holo o ka pila.

ʻAʻole pilikia ka hapanui o nā hāmeʻa i kāu defibrillator, akā ʻo kekahi me nā māla manamana ikaika. E nīnau i kāu mea hāʻawi inā he nīnau kāu e pili ana i nā hāmeʻa kikoʻī.

ʻO ka hapanui o nā mīkini i kou home e palekana e pili ana. Hoʻopili pū kēia i kāu pahu hau, ka holoi, ka mea holoi, ka mea hoʻomāuma, kaʻaila, ka lolouila pilikino a me ka mīkini kelepaʻi, ka mea hoʻomaloʻo lauoho, ka umu, ka mea hoʻokani CD, nā mana mamao, a me ka hawewe

Nui nā hāmeʻa āu e mālama ai ma ka liʻiliʻi he 12 ʻīniha (30.5 kenimika) mai ka pūnaewele kahi e waiho ai kāu ICD ma lalo o kou ʻili. Pākuʻi ʻia kēia mau mea:

• Nā pono hana kaula uila ʻole (e like me nā mea ʻāpala 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 ICD kāu. Hoʻopilikia paha kekahi mau lako olakino i kāu ICD. Ma muli o ka mana o nā mīkini MRI i nā mākēneki, e kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana o kahi MRI.

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 holo. 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 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 ICD.
• 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 ICD. 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 ICD i nā leka uila.

E haʻi i kāu mea hāʻawi e pili ana i kēlā me kēia haʻalulu āu e manaʻo ai mai kāu ICD. Pono e hoʻoponopono i nā hoʻonohonoho o kāu ICD, a i ʻole e hoʻololi ʻia kāu mau lāʻau.

Kāhea pū inā:

• ʻIke ʻia kou ʻeha. ʻO nā hōʻailona o ka maʻi he ʻulaʻula, hoʻonui i ka hoʻokahe ʻana, ka pehu ʻana, a me ka ʻeha.
• Loaʻa iā ʻoe nā ʻōuli i loaʻa iā ʻoe ma mua o ka hoʻokomo ʻia ʻana o kāu ICD.
• Pōpō ʻoe, ʻeha ka umauma, a pōkole paha ka hanu.
• Loaʻa iā ʻoe nā hiccups ʻaʻole e hele.
• ʻAʻole ʻoe noʻonoʻo no kekahi manawa.
• Ua hoʻouna mai kāu ICD i kahi haʻalulu a ʻaʻole ʻoe e manaʻo maikaʻi a make ʻole paha ʻoe. E kamaʻilio i kāu mea hoʻolako e pili ana i ka wā e kelepona ai i ke keʻena a i ʻole 911.

ICD - hoʻokuʻu; Defibrillation - hoʻokuʻu; Arrhythmia - hoʻokuʻu ICD; Rhythm puʻuwai maʻamau - hoʻokuʻu ICD; Hoʻoponopono fibrillation - hoʻokuʻu ICD; VF - hoʻokuʻu ICD; V Fib - hoʻokuʻu ICD

• Defibrillator puʻuwai hiki ʻole ke kanu ʻia

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

Swerdlow C, Friedman P. Ka hiki ʻole ke hoʻopili ʻia i ka defibrillator puʻuwai: nā ʻano olakino. I: Zipe DP, Jalife J, Stevenson WG, eds. Cardiac Electrophysiology: Mai Cell a i kahi moe. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 117.

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.

• Maʻi maʻi coronary
• Hewa puʻuwai
• Puʻuwai puʻuwai
• Ke koko kiʻekiʻe - nā mākua
• ʻO ka hoʻopili ʻana o Ventricular
• Tachycardia hāhā

• Puʻuwai puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - hoʻokuʻu
• Hoʻomaʻamaʻa i ka puʻuwai - hoʻokuʻu

• Nā Pacemakers a me nā Defibrillator Implantable