Palpitations puʻuwai

Palpitations he mau manaʻo a i ʻole nā ​​sensations e kuʻi ana kou puʻuwai a i ʻole ke heihei ʻana. Hiki iā lākou ke ʻike ʻia i kou umauma, ʻāʻī, a i ʻole ʻāʻī.

Hiki iā ʻoe:

• Loaʻa i kahi ʻike maikaʻi ʻole i kou puʻuwai ponoʻī
• Manaʻo e like me kou puʻuwai i lele a kū hoʻi i nā paʻi

ʻO ke kani o ka puʻuwai he mea maʻamau a maʻamau paha ke loaʻa iā ʻoe nā palpitations.

ʻO ka maʻamau kuʻi ka puʻuwai i 60 a 100 mau manawa i kēlā me kēia minuke. E hāʻule paha ka helu ma lalo o 60 mau kuʻi i kēlā me kēia minuke i ka poʻe e hoʻomaʻamaʻa pinepine a i ʻole lawe i nā lāʻau e hoʻolohi i ka puʻuwai.

Inā wikiwiki kou puʻuwai (ma kahi o 100 mau pā i kēlā me kēia minuke), kapa ʻia kēia ʻo tachycardia. Kāhea ʻia ka wikiwiki o ka puʻuwai ma mua o 60 i kapa ʻia bradycardia. ʻO kahi kuʻi puʻuwai keu keu i kahi manawa e ʻike ʻia ʻo extrasystole.

ʻAʻole koʻikoʻi nā palpitations i ka hapa nui o ka manawa. ʻOi aku paha ke koʻikoʻi o nā sensations e hōʻike nei i kahi puʻuwai puʻuwai abnormal (arrhythmia).

ʻO nā kūlana aʻe e loaʻa iā ʻoe i kahi puʻuwai puʻuwai maʻamau.

• ʻO ka maʻi puʻuwai i ʻike ʻia i ka manawa e hoʻomaka ai ka palpitations
• Nā kumu pilikia nui no ka maʻi puʻuwai
• He kiwikā naʻau kīnā ʻole
• ʻO kahi mea pono ʻole electrolyte i kou koko - no ka laʻana, kahi pae potassium haʻahaʻa

Hiki i nā palpitations puʻuwai ma muli o:

• ʻO ka hopohopo, hoʻoluhi, hoʻouka weliweli, a makaʻu paha
• Ka lawe ʻana i ka ʻākena
• ʻO Cocaine a i ʻole nā ​​lāʻau kū ʻole i ke kānāwai
• Nā lāʻau decongestant, e like me phenylephrine a i ʻole pseudoephedrine
• Pila ʻai
• Hoʻoikaika kino
• Fiva
• Kaʻai Nicotine

Eia nō naʻe, pili kekahi mau palpitations i kahi mele puʻuwai maʻamau, i kumu ʻia e:

• Maʻi maʻi puʻuwai
• ʻO ka paepae puʻuwai maʻamau, e like me ka mitral valve prolaps
• ʻO ke kiʻekiʻe o ke koko o ka potassium
• ʻO kekahi mau lāʻau, e like me nā mea e mālama ai i ka hānō, ke koko kiʻekiʻe, a i ʻole nā ​​pilikia puʻuwai
• ʻOhana thyroid
• ʻO ke kiʻekiʻe haʻahaʻa o ka oxygen i kou koko

Nā mea hiki iā ʻoe ke hana e kaupalena ai i nā palpitations:

• E hoʻohaʻahaʻa i kāu lawe ʻana i ka caffeine a me ka nikotine. E hoʻēmi pinepine kēia i ka palpitations o ka naʻau.
• E aʻo e hōʻemi i ke koʻikoʻi a me ka hopohopo. Hiki i kēia ke kōkua i ke pale aku i nā palpitations a kōkua iā ʻoe e mālama maikaʻi iā lākou ke kū lākou.
• E hoʻāʻo i ka hoʻomaha nui a i ʻole nā ​​hana hanu.
• E hoʻomaʻamaʻa i ka yoga, ka noʻonoʻo ʻana, a i ʻole tai chi.
• E kiʻi i ka hoʻoikaika kino maʻamau.
• Mai puhi.

I ka manawa e hoʻokau ʻia ai kahi kumu koʻikoʻi e kāu mea hāʻawi, e hoʻāʻo e nānā ʻole i nā palpitations puʻuwai. Kuhi paha kēia i ke koʻikoʻi. Eia nō naʻe, e hoʻopili aku i kāu mea hāʻawi inā ʻike ʻoe i ka piʻi koke a i ʻole kahi loli i loko o lākou.

Inā ʻaʻole ʻoe i loaʻa i ka palpitations puʻuwai ma mua, ʻike i kāu mea hāʻawi.

Kāhea iā 911 a i ʻole ka helu pilikia kūloko inā loaʻa iā ʻoe:

• Ka nalowale o ka makaʻala (noʻonoʻo)
• ʻEha ʻeha
• Pokole o ka hanu
• ʻO ka hou hou ʻole
• ʻO ka puʻupuʻu a i ʻole ka uila

Kāhea koke i kāu mea hāʻawi inā:

• ʻIke pinepine ʻoe i nā puʻuwai keu (ʻoi aku ma mua o 6 i kēlā me kēia minuke a i ʻole e hele mai ana i nā hui o 3 a ʻoi).
• Loaʻa iā ʻoe nā mea pilikia no ka maʻi puʻuwai, e like me ke kiʻekiʻe o ke kōkō, diabetes, a i ʻole ke kiʻekiʻe kiʻekiʻe.
• Loaʻa iā ʻoe he palpitations puʻuwai hou a ʻokoʻa paha.
• ʻOi aku ka nui o kāu pulse ma kahi o 100 mau kī i kēlā me kēia minuke (me ka ʻole o ka hoʻoikaika kino, ka hopohopo, a me ke kuni)
• Ua pili ʻoe i nā ʻōuli, e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka maʻule ʻana, a me ka nalo ʻana o ka ʻike.
  

E nānā kāu mea hāʻawi iā ʻoe a nīnau i nā nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli.

E nīnau ʻia paha ʻoe:

• ʻIke paha ʻoe i ka haʻalele ʻia a kū paha i nā kaha?
• Lohe a wikiwiki paha kou puʻuwai ke loaʻa nā palpitations iā ʻoe?
• ʻIke paha ʻoe i kahi heihei, ke kuʻi ʻana, a i ʻole ka lele ʻana?
• Aia paha kahi maʻamau a kūlike ʻole paha i nā ʻano puʻuwai puʻuwai ʻokoʻa?
• Ua hoʻomaka a pau paha nā palpitations?
• I ka manawa hea e kū ai nā palpitations? I ka pane i nā hoʻomanaʻo o kahi hanana traumatic? Ke moe ʻoe i lalo a hoʻomaha? Ke hoʻololi ʻoe i kou kūlana kino? Ke huhū ʻoe?
• Loaʻa iā ʻoe nā hōʻailona ʻē aʻe?

E hana ʻia paha kahi electrocardiogram.

Inā ʻoe e hele i kahi keʻena pilikia, e hoʻopili ʻoe i kahi mea nānā puʻuwai. Eia nō naʻe, ʻaʻole pono ka hapa nui o ka poʻe me nā palpitations e hele i kahi keʻena pilikia no ka mālama ʻana.

Inā loaʻa i kāu mea hāʻawi iā ʻoe kahi puʻuwai puʻuwai maikaʻi ʻole, hana ʻia paha nā hoʻokolohua ʻē aʻe. Hoʻopili paha kēia:

• Holter monitor no 24 mau hola, a i ʻole kahi mea nānā puʻuwai no 2 mau pule a ʻoi paha
• ʻEchocardiogram
• Ke aʻo electrophysiology (EPS)
• Angiography Coronary

Naʻau puʻuwai puʻuwai; Puʻuwai puʻuwai maikaʻi ʻole; Palpitations; Kuʻi ka naʻau a heihei paha

• Nā keʻena puʻuwai
• Kuʻi ka puʻuwai
• Yoga

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 Miller JM, ʻo Tomaselli GF, ʻo Zipe DP. ʻIke i nā arrhythmia naʻau. 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 35.

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