ʻO ka hoʻopili ʻana o Ventricular

ʻO ka fibrillation ʻo Ventricular (VF) kahi puʻuwai puʻuwai koʻikoʻi (arrhythmia) e hoʻoweliweli nei i ke ola.

Hoʻopili ka puʻuwai i ke koko i nā akemāmā, lolo, a me nā mea ʻē aʻe. Inā hoʻopau ʻia ka puʻuwai puʻuwai, ʻoiai no kekona kekona, hiki iā ia ke alakaʻi i ka maʻule (syncope) a i ʻole ka hopu ʻia o ka naʻau.

ʻO Fibrillation kahi twitching a i ʻole haʻalulu o nā olonā (fibril). Ke kū i nā keʻena haʻahaʻa o ka puʻuwai, ua kapa ʻia ʻo VF. I ka wā o VF, ʻaʻole hoʻokahe ʻia ke koko mai ka puʻuwai. Nā hopena make o ka puʻuwai hōʻeha.

ʻO ke kumu maʻamau o VF ke kuʻi puʻuwai. Eia nō naʻe, hiki i ka VF ke loaʻa ʻole ka oxygen i ka puʻuwai puʻuwai. Nā kūlana i hiki ke alakaʻi iā VF:

• Nā ulia uila a i ʻole ʻeha i ka puʻuwai
• ʻO ka puʻuwai a angina paha
• Nā maʻi puʻuwai e kū nei i ka wā hānau (congenital)
• ʻO ka maʻi puʻuwai puʻuwai kahi e hoʻonāwaliwali ai ka puʻuwai puʻuwai a hoʻonui ʻia a mānoanoa hoʻi
• ʻOki kino puʻuwai
• Ka make make kuʻu ʻana (commotio cordis); ke hana pinepine ʻia i nā poʻe haʻuki i loaʻa ka pā pōkole i ka wahi ma luna pono o ka puʻuwai
• Nā Lapaʻau
• Kiʻekiʻena kiʻekiʻe a haʻahaʻa loa paha o nā pae potassium i ke koko

Nui nā poʻe me VF ʻaʻohe moʻolelo o ka maʻi puʻuwai. Eia nō naʻe, loaʻa pinepine iā lākou nā maʻi maʻi maʻi puʻuwai, e like me ka puhipaka ʻana, ke koko kiʻekiʻe, a me ka maʻi kō.

ʻO ke kanaka i loaʻa kahi ʻāpana VF hiki iā ia ke hina i lalo a lilo i mea ʻole. Hana ʻia kēia no ka loaʻa ʻole o ka lolo mai ka puʻuwai a me nā mākala.

Hiki ke hana ʻia nā hōʻailona aʻe ma waena o nā minuke a 1 hola ma mua o ka hāʻule ʻana:

• ʻEha ʻeha
• Puʻupuʻu
• Nusea
• ʻO ke kuʻi puʻuwai wikiwiki a i ʻole kaulike (palpitations)
• Pokole o ka hanu

E hōʻike kahi mea nānā puʻuwai i kahi puʻuwai puʻuwai ("chaotic") maikaʻi loa.

E hana ʻia nā hoʻokolohua e nānā no ke kumu o ka VF.

He pilikia olakino ʻo VF. Pono e mālama koke ʻia e mālama i ke ola o ke kanaka.

Kāhea iā 911 a i ʻole ka helu kūloko kūloko no ke kōkua inā hāʻule ke kanaka e loaʻa nei kahi hanana VF ma ka home a i ʻole e ʻike ʻole.

• ʻOiai ke kali nei no ke kōkua, kau i ke poʻo o ke kanaka a me ka ʻāʻī i ka laina me ke koena o ke kino e kōkua i ka maʻalahi o ka hanu ʻana. E hoʻomaka i ka CPR ma ka hana ʻana i nā kaomi o ka umauma ma waenakonu o ka pahu ("pahu ikaika a hoʻokē wikiwiki"). Pono e hāʻawi i nā compression i ka helu o 100 a 120 mau manawa i kēlā me kēia minuke. Pono e hana i nā compression i kahi hohonu o 2 inisi (5 cm) akā ʻaʻole i ʻoi aku ma mua o 2 ¼ iniha (6 cm).
• E hoʻomau e hana i kēia a hiki i ka wā e makaʻala ai ke kanaka a i ʻole hiki ke kōkua.

Mālama ʻia ʻo VF i ka hāʻawi ʻana i kahi uila uila wikiwiki ma o ka umauma. Hana ʻia ia me ka hoʻohana ʻana i kahi hāmeʻa i kapa ʻia defibrillator waho. Hiki i ka uila uila ke hoʻihoʻi koke i ka puʻuwai o ka puʻuwai i kahi mele maʻamau, a pono e hana wikiwiki ʻia e like me ka hiki. Nui nā wahi lehulehu i kēia manawa i kēia mau mīkini.

Hāʻawi ʻia nā lāʻau e kāohi i ka puʻuwai a me ka hana o ka puʻuwai.

ʻO kahi defibrillator cardioverter implantable (ICD) kahi mea i hiki ke hoʻokomo ʻia i ka paia o ka pahu o ka poʻe e makaʻu nei no kēia maʻi rhythm koʻikoʻi ʻIke ka ICD i ka puʻuwai puʻuwai weliweli a hoʻouna koke i kahi haʻalulu e hoʻoponopono iā ia. He manaʻo maikaʻi no nā ʻohana a me nā hoaaloha o ka poʻe i loaʻa iā VF a me nā maʻi puʻuwai e lawe i kahi papa CPR. Loaʻa nā papa CPR ma o ka American Red Cross, nā haukapila, a i ʻole ka American Heart Association.

E alakaʻi ʻo VF i ka make i loko o kekahi mau minuke ke ʻole e mālama ʻia me ka wikiwiki a me ka maikaʻi. ʻOiai ʻo ia ke ola lōʻihi no nā poʻe e ola ana ma o kahi hoʻouka VF ma waho o ka haukapila haʻahaʻa.

ʻO ka poʻe i pakele iā VF aia paha i loko o kahi koma a i ʻole he lolo lōʻihi a i ʻole nā ​​ʻino ʻino ʻē aʻe.

VF; Fibrillation - ventricular; Arrhythmia - VF; Pāʻina puʻuwai maikaʻi ʻole - VF; Hopu Cardiac - VF; Defibrillator - VF; Cardioversion - VF; Defibrillate - VF

• Imibrable cardioverter defibrillator - hoʻokuʻu

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua

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 pubmed.ncbi.nlm.nih.gov/23265327/.

ʻO Garan H. Ventricular arrhythmia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 59.

Kleinman ME, Goldberger ZD, Rea T, et al. Ua hoʻokumu ka 2017 ʻAmelika ʻAmelika Hui Pū ʻIa i ka hoʻouka hou ʻana i ke kākoʻo ola makua a me ka maikaʻi o ka hoʻōla cardiopulmonary: kahi hōʻano hou i nā alakaʻi a ka American Heart Association no ka hoʻōla ʻana i ka cardiopulmonary a me ka mālama maʻi maʻi maʻi maʻi. Kaapuni. 2018; 137 (1): e7-e13. PMID: 29114008 pubmed.ncbi.nlm.nih.gov/29114008/.

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.

ʻO Olgin JE, ʻo Tomaselli GF, ʻo Zipe DP. Nā arrhythmia Ventricular. 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 39.