Cardioversion

ʻO Cardioversion kahi ala e hoʻihoʻi i kahi puʻuwai puʻuwai maʻamau i ka maʻamau.

Hiki ke hana i ka cardioversion me ka hoʻohana ʻana i ka uila uila a i ʻole me nā lāʻau.

CARDIOVERSION Uila

Hana ʻia ka cardioversion uila me kahi hāmeʻa e hāʻawi i kahi haʻalulu uila i ka puʻuwai e hoʻololi i ka mele i ka maʻamau. Kapa ʻia ka hāmeʻa he defibrillator.

Hiki ke hoʻokuʻu ʻia ka haʻalulu mai kahi hāmeʻa ma waho o ke kino i kapa ʻia ʻo defibrillator kūwaho. ʻIke ʻia kēia mau mea i nā keʻena pilikia, nā kaʻa kaʻa kaʻaahi, a i ʻole nā ​​wahi lehulehu e like me nā kahua mokulele.

• Hoʻokomo ʻia nā pā uila i ka umauma a i hope. Pili nā pākuʻi i ka defibrillator. A i ʻole, kau pololei nā hoe i nā hāmeʻa i kau pono ʻia ma ka umauma.
• Hoʻoulu ʻia ka defibrillator a hāʻawi ʻia kahi haʻalulu uila i kou puʻuwai.
• Hoʻoki iki kēia haʻalulu i nā hana uila o ka puʻuwai. A laila ʻae ia i ka lekiō puʻuwai maʻamau e hoʻi.
• I kekahi manawa ʻoi aku ka nui o ka haʻalulu, a i ʻole ka haʻalulu me ka ikaika nui.

Hoʻohana ʻia kahi defibrillator kūwaho e mālama ai i nā puʻuwai puʻuwai (arrhythmia) i kumu e hāʻule ai a me ka hopu ʻia o ka naʻau. ʻO nā laʻana he tachycardia ventricular a me ka fibrillation ventricular.

Hiki ke hoʻohana ʻia i kēia mau hāmeʻa e mālama i nā rhythm abnormal abnormal, nā pilikia e like me atrial fibrillation.

• Pono paha kekahi poʻe e hoʻomaka i ka wīwī o ke koko ma mua e pale aku i nā kahe koko liʻiliʻi.
• Hāʻawi ʻia ʻoe i ka lāʻau e kōkua i ka hoʻomaha ʻana ma mua o ke kaʻina hana.
• Ma hope o ke kaʻina hana, hāʻawi ʻia iā ʻoe nā lāʻau e pale aku ai i ke kahe o ke koko a i ʻole e kōkua ai i ka pale ʻana i ka arrhythmia mai ka hoʻi ʻana.

ʻO kahi cardioverter-defibrillator implantable (ICD) kahi mea i waiho ʻia i loko o kou kino. Hoʻohana pinepine ʻia ia i ka poʻe e makaʻu nei no ka make koke no ka mea ʻilihuna loa kā lākou puʻuwai, a i ʻole loaʻa iā lākou nā puʻuwai puʻuwai weliweli ma mua.

• Hoʻokomo ʻia ka ICD ma lalo o ka ʻili o kou umauma o luna a ʻōpū paha.
• Hoʻopili nā kaula e komo i loko a kokoke paha i ka puʻuwai.
• Ināʻike ka mea i kahi puʻuwai puʻuwai weliweli, hoʻouna ia i kahi haʻalulu uila i ka puʻuwai e hoʻololi i ka lepe i ka maʻamau.

CARDIOVERSION E hoʻohana ana i nā lāʻau

Hiki ke hana ʻia ka cardioversion me ka hoʻohana ʻana i nā lāʻau i lawe ʻia e ka waha a i ʻole hāʻawi ʻia ma o ka laina intravenous (IV). Hiki iā ia ke hala i mau mau minuke i nā lā e holo pono ai kēia lāʻau. Hana pinepine ʻia kēia mālama ʻana ma ka haukapila kahi e nānā ʻia ai ka puʻuwai o kou puʻuwai.

Hiki ke hana ʻia ka cardioversion ma ka hoʻohana ʻana i nā lāʻau i waho o ka haukapila. Hoʻohana pinepine ʻia kēia lapaʻau no ka poʻe me ka atrial fibrillation e hele mai a hele. Eia nō naʻe, pono e ukali pono ʻia ʻoe e kahi kauka lāʻau.

Hāʻawi ʻia ʻoe i nā lāʻau lahilahi o ke koko e pale aku i nā kahe koko mai ka hana ʻana a haʻalele i ka puʻuwai (kahi e hopena ai i ka maʻi hahau).

OLELO HOOLAHA

ʻAʻole ʻike pinepine ʻia nā pilikia o ka cardioversion, akā hiki ke hoʻopili ʻia:

• Nā hopena āpau mai nā lāʻau i hoʻohana ʻia
• Hoʻopili ke koko i hiki ke hōʻeha a hōʻeha paha i nā meaola ʻē aʻe
• ʻEha, puhi, a ʻeha paha kahi i hoʻohana ʻia ai nā electrodes
• ʻO Worsening o ka arrhythmia

Pīhoihoi paha ka poʻe hana i ka cardioversion kūwaho inā ʻaʻole i hana pololei ʻia ke kaʻina hana. Hiki i kēia ke kumu i nā pilikia o ka puʻuwai puʻuwai, ʻeha, a me ka make pū kekahi.

ʻO nā mele naʻau maʻamau - cardioversion; Bradycardia - cardioversion; Tachycardia - cardioversion; Fibrillation - cardioversion; Arrhythmia - cardioversion; Hopu Cardiac - cardioversion; Defibrillator - cardioversion; Cardioversion lāʻau lapaʻau

• Imi i ka cardioverter-defibrillator

Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA / ACC / HRS alakaʻi no ka mālama ʻana i nā mea maʻi me nā arrhythmia ventricular a me ka pale ʻana i ka make o ka puʻuwai hikiwawe: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines a me ka Heart Rhythm Society. Puʻuwai Heart. 2018; 15 (10): e190-e252. PMID: 29097320 pubmed.ncbi.nlm.nih.gov/29097320/.

Epstein AE, DiMarco JP, Ellenbogen KA, et al. 2012 ACCF / AHA / HRS i hoʻomohala i hoʻohui ʻia i loko o ka ACCF / AHA / HRS 2008 mau alakaʻi no ka hoʻomaʻamaʻa ʻana i nā manaʻo o nā ʻano like ʻole o ka puʻuwai puʻuwai: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force e pili ana i nā kulekele hana a me ka puʻuwai Heart. ʻAhahui. ʻO J Am Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

ʻO Miller JM, ʻo Tomaselli GF, ʻo Zipe DP. Therapy no 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 36.

Minczak BM, Laub GW. Defibrillation a me cardioversion. 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 12.

ʻO Myerburg RJ. ʻO ke ala e hopu ai i ka naʻau a me nā arrhythmia ola weliweli. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 57.

Santucci PA, Wilber DJ. ʻO nā kaʻina hana a me ka ʻoki ʻana o ka electrophysiologic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 60.