ʻO kāna uila uila

ʻO kāna laikini uila kahi hoʻāʻo e ana i ka hana uila ma kahi ʻāpana o ka puʻuwai e hāpai ana i nā hōʻailona e kaohi i ka manawa ma waena o nā puʻuwai puʻuwai (contraction).

ʻO ka pūʻolo o kāna kahi hui o nā olonā e halihali i nā impulses uila ma waenakonu o ka puʻuwai. Inā kāohi ʻia kēia mau hōʻailona, ​​loaʻa iā ʻoe nā pilikia me kou puʻuwai.

ʻO kāna puke uila kāna ʻāpana kahi ʻāpana o kahi noi electrophysiology (EP). Hoʻokomo ʻia kahi catheter intravenous (laina IV) i loko o kou lima i hiki ai iā ʻoe ke hāʻawi ʻia i nā lāʻau i ka wā o ka hoʻāʻo.

Kau ʻia nā alakaʻi electrocardiogram (ECG) ma luna o kou mau lima a me kou mau wāwae. E hoʻomaʻemaʻe ʻia kou lima, ka ʻāʻī, a i ʻole ka ʻūlū a numbed me kahi anesthetic kūloko. Ma hope o ka helu ʻole o ka wahi, hana ka mea maʻi maʻi maʻi i kahi ʻoki liʻiliʻi i loko o kahi aa a hoʻokomo i kahi paipu lahilahi i kapa ʻia he catheter i loko.

Hoʻoneʻe maikaʻi ʻia ka catheter ma o ka aa i luna i ka puʻuwai. ʻO kahi hana x-ray i kapa ʻia ʻo fluoroscopy e kōkua i ke kauka i kahi kūpono. I ka wā o ka hoʻāʻo, nānā ʻia ʻoe no nā puʻuwai puʻuwai (arrhythmia). He mīkiniʻimi ko ka catheter ma ka hopena, i hoʻohana ʻia e ana i ka hana uila o ka pūʻolo o kāna.

E haʻi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6 a 8 mau hola ma mua o ka hoʻāʻo. E hana ʻia ka hōʻike ma kahi haukapila. Pono paha kekahi poʻe e nānā i ka haukapila i ka pō ma mua o ka hoʻāʻo. Inā ʻole, e nānā ʻoe i ke kakahiaka o ka hōʻike. ʻOiai paha he lōʻihi ka manawa o ka hoʻāʻo, ʻaʻole pono ka hapa nui o ka poʻe e noho i ka haukapila i ka pō.

E wehewehe kāu mea mālama ola i ke kaʻina hana a me kona mau pilikia. Pono ʻoe e kau inoa i kahi palapala ʻae ma mua o ka hoʻomaka ʻana o ka hōʻike.

Ma kahi o ka hapalua hola ma mua o ke kaʻina hana, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālie mālie e kōkua ai iā ʻoe e hoʻomaha. E komo ʻoe i ke kapa komo haukapila. Hiki ke hana i ke kaʻina hana mai 1 a i mau hola.

Ala ʻoe i ka wā o ka hoʻāʻo. Hiki paha iā ʻoe ke ʻike i kahi hōʻoluʻolu ke kau ʻia ka IV i loko o kou lima, a me kekahi kaomi ma ka pūnaewele ke hoʻokomo ʻia ka catheter.

Hana ʻia kēia hōʻike iā:

• E hoʻoholo inā pono ʻoe i kahi pacemaker a i ʻole kekahi ʻano lāʻau
• Hoʻomaopopo i nā arrhythmia
• E ʻike i ka wahi kikoʻī kahi i pani ʻia ai nā hōʻailona uila ma o ka puʻuwai

ʻO ka manawa e lawe ai no nā hōʻailona uila e hele ma waena o ka pūʻā o kāna maʻamau.

Pono paha kahi pacemaker inā ʻaʻole ʻike ʻia nā hopena hōʻike.

Nā pilikia o ke kaʻina hana:

• ʻO Arrhythmias
• ʻO tamponade Cardiac
• Embolism mai ke kōkō koko ma ka piko o ka catheter
• Maʻi hohola
• Hemorrhage
• Maʻi kīnā
• Hoʻopilikia i ka aa a i ʻole ke aʻa
• Kaomi haʻahaʻa
• Hahau

ʻO kāna uila uila; HBE; ʻO kāna hoʻopaʻa leo; Electrogram - kāna pūʻolo; Arrhythmia - Kāna; Pōʻai puʻuwai - kāna

• ECG

Issa ZF, Miller JM, Zipe DP. ʻO nā abnormalities conduction Atrioventricular. I: Issa ZF, Miller JM, Zipe DP, hua. ʻO Clinical Arrhythmology a me Electrophysiology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 9.

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: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 35.