Kuʻi puʻuwai Ectopic

Hoʻololi nā puʻuwai Ectopic i ka puʻuwai i maʻamau maʻamau ʻole. ʻO kēia mau hoʻololi e alakaʻi i nā puʻuwai keu a i hōʻalo ʻia paha. ʻAʻohe kumu mālamalama no kēia mau loli. Kūleʻa lākou.

ʻO nā ʻano maʻamau ʻelua o nā puʻuwai ectopic e:

• ʻO nā hoʻohālikelike ventricular ma mua (PVC)
• ʻO nā hoʻohālikelike atrial mua (PAC)

ʻIke ʻia nā puʻuwai Ectopic i kekahi manawa me:

• Nā loli i ke koko, e like me ka pae potassium haʻahaʻa (hypokalemia)
• Hoʻoemi i ka hāʻawi koko i ka puʻuwai
• Ke hoʻonui ʻia ka naʻau a i ʻole ʻano kūpono ʻole

Hoʻokumu ʻia a hoʻomāinoino paha nā Ectopic e ka puhipaka, ka hoʻohana ʻona ʻana, ka caʻine, nā lāʻau stimulant, a me kekahi lāʻau lapaʻau o ke alanui.

Kūleʻa ka puʻuwai Ectopic i nā keiki me ka ʻole o ka maʻi puʻuwai i kū ma ka wā hānau (congenital). ʻO ka hapa nui o nā puʻuwai keu i nā keiki he PAC. ʻAno pinepine kēia mau mea.

I nā mākua, maʻa mau nā puʻuwai ectopic. Hāʻawi pinepine ʻia lākou ma muli o nā PAC a i ʻole nā ​​PVC. Pono kāu mea mālama ola e nānā i ke kumu ke hele pinepine lākou. Kuhikuhi ʻia ka lāʻau lapaʻau ma nā ʻōuli a me ke kumu kumu.

ʻO nā hōʻailona me:

• Ke manaʻo nei i kou puʻuwai (palpitations)
• Me he mea lā ua kū paha kou puʻuwai a i ʻole lele i kahi kuʻi
• Manaʻo o kekahi manawa, ikaika ikaika aʻe

Kaha: ʻAʻohe paha ʻōuli.

Hōʻike paha kahi hoʻokolohua kino i kahi lāʻau i kū pono ʻole i kekahi manawa. Inā ʻaʻole pinepine pinepine nā puʻuwai ectopic, ʻaʻole i loaʻa i kāu mea hāʻawi iā lākou i ka wā o ka hoʻokolohua kino.

ʻO ke kaomi koko ke maʻamau maʻamau.

E hana ʻia kahi ECG. ʻO ka manawa pinepine, ʻaʻole pono kahi hoʻokolohua hou inā he maʻamau kāu ECG a ʻaʻole koʻikoʻi a hopohopo hoʻi nā ʻōuli.

Inā makemake kāu kauka e ʻike hou aʻe e pili ana i ka puʻuwai o kou puʻuwai, kauoha paha lākou:

• Kahi nānā āu e kau ai i kēlā mau moʻolelo a mālama i kāu mele naʻau no 24 a 48 mau hola (Holter monitor)
• ʻO kahi hāmeʻa hoʻopaʻa leo āu e komo ai, a hoʻopaʻa i ka mele o kou puʻuwai ke ʻike ʻoe i kahi kuʻi

E kauoha ʻia paha kahi echocardiogram inā manaʻo kāu kauka he pilikia me ka nui a me ke ʻano o kou puʻuwai ke kumu.

Hiki i ka mea aʻe ke kōkua i ka hoʻēmi ʻana i nā puʻuwai ectopic no kekahi poʻe:

• Ka palena ʻana i ka caffeine, ka waiʻona, a me ka paka
• Hoʻomaʻamaʻa maʻamau no ka poʻe hana ʻole

ʻAʻole pono e mālama ʻia nā puʻuwai ectopic he nui. Mālama wale ʻia ke ʻano inā koʻikoʻi kou mau ʻōuli a i ʻole pinepine pinepine nā kuʻi.

ʻO ke kumu o nā puʻuwai puʻuwai, inā hiki ke loaʻa, pono paha e mālama ʻia.

I kekahi mau hihia, hiki i nā puʻuwai ectopic ke manaʻo ʻoi aku ʻoe i ka makaʻu nui no nā mele puʻuwai koʻikoʻi ʻole, e like me ka tachycardia ventricular.

Kāhea i kāu mea hāʻawi inā:

• Ke hoʻomau nei ʻoe i ka naʻau o ke kuʻi ʻana o kou puʻuwai a i ʻole ke heihei ʻana (palpitations).
• Loaʻa iā ʻoe nā palpitations me ka ʻeha o ka umauma a i ʻole nā ​​hōʻailona ʻē aʻe.
• Loaʻa iā ʻoe kēia ʻano a ʻoi aku ka maikaʻi ʻole o kāu mau ʻōuli ʻaʻole hoʻomaikaʻi me ka lāʻau.

PVB (paʻani ventricular premature); Nā pākuʻi premature; Pvc (paukū paʻakikī / hōʻemi); Extrasystole; Pākuʻi supraventricular ma mua; PAC; Ka hoʻohaʻahaʻa atrial premature; Kuʻi naʻau maʻamau

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Electrocardiogram (ECG)

ʻO Fang JC, O'Gara PT. Mōʻaukala a me ka hoʻokolohua kino: kahi ʻano hōʻike hōʻike. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 10.

ʻO Olgin JE. E hoʻokokoke i ka mea maʻi me nā arrhythmia i manaʻo ʻia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 56.