Uila uila

ʻO kahi electrocardiogram (ECG) kahi hōʻike e hoʻopaʻa i ka hana uila o ka puʻuwai.

E noi ʻia ʻoe e moe i lalo. E hoʻomaʻemaʻe ka mea mālama ola i nā wahi he nui ma kou mau lima, nā wāwae, a me ka umauma, a laila hoʻopili i nā pā liʻiliʻi i kapa ʻia nā electrodes i kēlā mau wahi. Pono paha e ʻako a ʻokiʻoki i kekahi lauoho no laila pili nā pākuʻi i ka ʻili. ʻOkoʻa ka helu o nā pāhili i hoʻohana ʻia.

Pili nā pākuʻi e nā kaula i ka mīkini e hoʻohuli i nā hōʻailona uila o ka puʻuwai i nā laina wavy, i paʻi pinepine ʻia ma ka pepa. Nānā ke kauka i nā hopena hōʻike.

Pono ʻoe e noho hāmau i ke kaʻina hana. E noi paha ka mea hāʻawi iā ʻoe e hoʻopaʻa i kou hanu no kekona kekona ke hana ʻia nei ka hoʻāʻo.

He mea nui ia e hoʻomaha a mehana i ka wā o kahi hoʻopaʻa ECG no ka mea ʻo kekahi neʻe, me ka haʻalulu, hiki ke hoʻololi i nā hopena.

I kekahi manawa hana ʻia kēia hoʻokolohua ʻoiai ʻoe e hoʻoikaika ana a i ʻole ma lalo o ke koʻikoʻi e nānā i nā loli i ka puʻuwai. Kāhea pinepine ʻia kēia ʻano ECG i kahi hoʻāʻo koʻikoʻi.

E ʻike pono i ka ʻike o kāu mea lawelawe e pili ana i nā lāʻau āpau āu e lawe nei. Hiki i kekahi mau lāʻau ke hoʻopilikia i nā hopena hōʻike.

Mai hana a inu a inu i ka wai anuanu ma mua o ka ECG no ka mea o kēia mau hana i hopena i nā hopena wahaheʻe.

ʻAʻole ʻeha kahi ECG. ʻAʻole hoʻouna ʻia ka uila ma o ke kino. Hiki ke anuanu nā uila i ke noi ʻana i mua. I nā hihia kakaikahi, hiki i kekahi poʻe ke hoʻomāhuahua i ka hū a i ʻole ka ukiuki ma kahi i waiho ʻia ai nā pāʻina.

Hoʻohana ʻia kahi ECG e ana:

• ʻO nā mea hōʻino i ka puʻuwai
• Pehea ka wikiwiki o ka pā ʻana o kou puʻuwai a inā paha e kuʻuna maʻamau
• Nā hopena o nā lāʻau a i ʻole nā ​​hāmeʻa i hoʻohana ʻia e kaohi ai i ka puʻuwai (e like me ka pacemaker)
• Ka nui a me ke kūlana o kāu mau keʻena puʻuwai

ʻO kahi ECG ka manawa pinepine ka hōʻike mua loa e hoʻoholo ai inā loaʻa ka maʻi puʻuwai i kekahi kanaka. E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā:

• Loaʻa iā ʻoe ka ʻeha o ka umauma a palpitations paha
• Hoʻonohonoho ʻia ʻoe no ke ʻoki kino
• Ua loaʻa iā ʻoe nā pilikia puʻuwai i ka wā i hala
• He moʻolelo ikaika kou i nā maʻi puʻuwai i ka ʻohana

Hoʻokomo pinepine ʻia nā hopena hōʻike maʻamau:

• Kuhi naʻau: 60 a 100 mau kani i kēlā me kēia minuke
• Manaʻo o ka puʻuwai: kūlike a like

ʻO nā hopena ECG maʻamau he hōʻailona paha o:

• Poino a hoʻololi paha i ka puʻuwai puʻuwai
• Nā hoʻololi i ka nui o nā electrolytes (e like me ka potassium a me ka calcium) i loko o ke koko
• Hewa naʻau Congenital
• Ka hoʻonui ʻana o ka puʻuwai
• Fluid a huʻu paha i loko o ka ʻeke a puni ka puʻuwai
• ʻO ka hoʻohaunaele o ka puʻuwai (myocarditis)
• ʻO ka hōʻeha puʻuwai i hala a i ʻole o kēia manawa
• Lawe maikaʻi ʻole ke koko i nā aʻa o ka puʻuwai
• Rhythm puʻuwai maʻamau (arrhythmia)

ʻO kekahi mau pilikia puʻuwai i hiki ke alakaʻi i nā loli i kahi hoʻokolohua ECG:

• Aibrial fibrillation / flutter
• Maʻi hohola
• Hewa puʻuwai
• Tachycardia atrial multifocal
• ʻO ka tachycardia supraventricular Paroxysmal
• Maʻi maʻi sinus
• Wolff-Parkinson-White maʻi maʻi

ʻAʻohe pilikia.

Aia ka pololei o ka ECG i ke ʻano o ka hoʻāʻo ʻana. ʻAʻole hōʻike mau ʻia kahi pilikia puʻuwai ma ka ECG. ʻAʻole hiki i kekahi ʻano naʻau ke hana i nā loli ECG kikoʻī.

ECG; EKG

• ECG
• Palaka Atrioventricular - huli ʻo ECG
• Nā hoʻāʻo koko kiʻekiʻe
• Electrocardiogram (ECG)
• Hoʻonoho electrode ECG

ʻO Brady WJ, Harrigan RA, ʻo Chan TC. Nā hana hana uila uila. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 14.

ʻO Ganz L, Loulou MS. Uila uila. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 48.

ʻO Mirvis DM, Goldberger AL. Uila uila. 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 12.