Ke aʻo electracsiac Intracardiac (EPS)

ʻO ka Intracardiac electrophysiology study (EPS) kahi hoʻāʻo e nānā i ke ʻano o ka hana o nā hōʻailona uila o ka puʻuwai. Hoʻohana ʻia ia e nānā no nā puʻuwai abnormal a i ʻole nā ​​puʻuwai puʻuwai.

Hoʻokomo ʻia nā uila uila i ka puʻuwai e hana i kēia hōʻike. Ana kēia mau uila uila i ka hana uila i ka puʻuwai.

Hana ʻia ke kaʻina hana i kahi hale hana haukapila. E hoʻopili nā limahana i kahi cardiologist, technicians, a me nā kahu maʻi.

E loaʻa i kēia aʻo ʻana:

• E hoʻomaʻemaʻe ʻia kou ʻūlū a me / a ʻāʻī paha a hoʻopili ʻia ka lāʻau numbing (anesthetic) i ka ʻili.
• E hoʻokau ka cardiologist i kekahi mau IV (i kapa ʻia he sheaths) i loko o ka ʻūhā a i ʻole ka ʻāʻī. Ke kau ʻia kēia mau IV, hiki ke hele i nā kaula a i ʻole nā ​​electrode i loko o nā pahu i kou kino.
• Hoʻohana ke kauka i nā kiʻi neʻe x-ray e alakaʻi i ka catheter i loko o ka puʻuwai a waiho i nā electrodes i nā wahi kūpono.
• Hāpai nā uila i nā hōʻailona uila o ka puʻuwai.
• Hiki ke hoʻohana ʻia nā hōʻailona uila mai nā uila i mea e lele ai ka puʻuwai a i ʻole hana i kahi mele naʻau maʻamau. Hiki i kēia ke kōkua i ke kauka e hoʻomaopopo hou aʻe e pili ana i ka mea e hoʻomaka nei i ka puʻuwai puʻuwai ʻole a i ʻole ma kahi o ka puʻuwai e hoʻomaka nei.
• Hāʻawi ʻia iā ʻoe i nā lāʻau i hiki ke hoʻohana ʻia no ka mea like.

Nā kaʻina hana ʻē aʻe i hiki ke hana ʻia i ka wā o ka hoʻāʻo.

• Ke hoʻonoho o kahi pacemaker puʻuwai
• Ke kaʻina hana e hoʻololi i nā wahi liʻiliʻi i loko o kou puʻuwai i hiki ke kumu i nā pilikia o kou puʻuwai puʻuwai (i kapa ʻia ʻo catheter ablation)

E haʻi ʻia ʻoe ʻaʻole e ʻai a inu paha no 6 a 8 mau hola ma mua o ka hoʻāʻo.

E komo ʻoe i ke kapa komo haukapila. Pono ʻoe e kau inoa i kahi palapala ʻae no ke kaʻina hana.

E haʻi aku kāu mea mālama ola iā ʻoe ma mua o ka manawa inā pono ʻoe e hoʻololi i nā lāʻau āu e lawe mau ai. Mai hōʻoki i ka lawe ʻana a hoʻololi paha i nā lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi.

I ka hapanui o nā hihia, hāʻawi ʻia ʻoe i ka lāʻau e kōkua i kou ʻoluʻolu ma mua o ke kaʻina hana. Hiki ke hoʻopaʻa i ke aʻo ʻana mai 1 mau hola a i kekahi mau hola. ʻAʻole hiki iā ʻoe ke hoʻokele i ka home ma hope, no laila pono ʻoe e hoʻolālā no kekahi e hoʻokele iā ʻoe.

E ala ana ʻoe i ka wā o ka hoʻāʻo. Hiki paha iā ʻoe ke ʻike i kahi hōʻoluʻolu ke waiho ʻia ka IV i loko o kou lima. Hoʻomaopopo paha ʻoe i kahi kaomi ma ka pūnaewele ke hoʻokomo ʻia ka catheter. ʻIke paha ʻoe i kou puʻuwai e lele ʻana i nā paʻi a i ʻole ke heihei ʻana i nā manawa.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona o kahi puʻuwai puʻuwai (arrhythmia).

Pono paha ʻoe e loaʻa i nā hoʻokolohua ʻē aʻe ma mua o ka pau ʻana o kēia noi.

E hana ʻia kahi EPS i:

• E hoʻāʻo i ka hana o ka ʻōnaehana uila o kou puʻuwai
• Kuhi i kahi puʻuwai puʻuwai i ʻike ʻole ʻia (arrhythmia) e hoʻomaka nei i ka puʻuwai
• Hoʻoholo i ka hoʻomaʻamaʻa maikaʻi loa no kahi puʻuwai puʻuwai abnormal
• E hoʻoholo inā pilikia paha ʻoe i nā hanana puʻuwai e hiki mai ana, ʻoi aku ka make o ka puʻuwai
• E ʻike inā ke kaohi nei ka lāʻau i kahi mana o ka puʻuwai abnormal
• E ʻike inā pono ʻoe i kahi pacemaker a i ʻole implantable cardioverter-defibrillator (ICD)

ʻO nā hopena kūpono ʻole ma muli o nā puʻuwai puʻuwai abnormal e lohi a wikiwiki hoʻi. Pākuʻi ʻia kēia mau mea:

• Aibrial fibrillation a i ʻole flutter
• Pōʻai puʻuwai
• Maʻi maʻi sinus
• ʻO ka tachycardia supraventricular (kahi hōʻiliʻili o nā puʻuwai puʻuwai abnormal e hoʻomaka i nā keʻena o luna o ka puʻuwai)
• ʻO ka fibrillation Ventricular a me ka tachycardia ventricular
• Wolff-Parkinson-White maʻi maʻi

Aia paha kekahi kumu ʻē aʻe i ʻole ma kēia papa inoa.

Pono e ʻike ka mea hāʻawi i kahi a me ke ʻano o ka pilikia o ka puʻuwai puʻuwai i mea e hoʻoholo ai i ka lāʻau kūpono.

Palekana loa ke kaʻina hana i ka hapanui o nā hihia. Nā pilikia e pili pū ana me:

• ʻO Arrhythmias
• Kahena
• Hoʻopili ke koko e alakaʻi i ka embolism
• ʻO tamponade Cardiac
• Maʻi hohola
• Maʻi kīnā
• Ka hōʻeha i ke aa
• Kaomi haʻahaʻa
• Hahau

Ke aʻo electrophysiology - intracardiac; EPS - intracardiac; Nā ritme puʻuwai maʻamau - EPS; Bradycardia - EPS; Kāleka Tachycardia - EPS; Fibrillation - EPS; Arrhythmia - EPS; Pōʻai puʻuwai - EPS

• Puʻuwai - ʻike mua
• ʻŌnaehana hoʻoneʻe o ka puʻuwai

Ferreira SW, Mehdirad AA. ʻO ke keʻena hoʻokolohua electrophysiology a me nā kaʻina hana electrophysiologic. I: Sorajja P, Lim MJ, Kern MJ, eds. ʻO Kern's Cardiac Catheterization Handbook. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 7.

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.

ʻO Tomaselli GF, Rubart M, Zipe DP. Nā hana o 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 34.