Nā kaʻina hana hoʻopau Cardiac

ʻO ka hoʻopau ʻana i ka Cardiac kahi hana e hoʻohana ʻia e hōʻeha i nā wahi liʻiliʻi i loko o kou puʻuwai e pili paha i nā pilikia o kou puʻuwai puʻuwai. Hiki i kēia ke pale i nā hōʻailona uila uila a i ʻole nā ​​mele mai ka neʻe ʻana ma o ka puʻuwai.

I loko o ke kaʻina hana, waiho ʻia nā kaula liʻiliʻi i kapa ʻia nā electrodes i loko o kou puʻuwai e ana i ka hana uila o kou puʻuwai. Ke loaʻa ke kumu o ka pilikia, hoʻopau ʻia ka meaola e hoʻomaka ai ka pilikia.

ʻElua ʻano hana no ka hana ʻana i ka hoʻopau ʻana i ka naʻau:

• Hoʻohana ka hoʻopau ʻana i ka radiofrequency i ka ikehu wela e hoʻopau ai i ka wahi pilikia.
• Hoʻohana ka Cryoablation i nā mahana anuanu loa.

ʻO ke ʻano o ke kaʻina hana āu e hilinaʻi ai i ke ʻano o ka puʻuwai puʻuwai maʻamau āu.

Hana ʻia nā kaʻina hana hoʻopau Cardiac i kahi hale hana haukapila e nā limahana limahana. Hoʻopili kēia i nā cardiologists (nā kauka puʻuwai), nā ʻenehana, a me nā kahu maʻi. Palekana a hoʻopaʻa ʻia ka hoʻonohonoho no laila ʻo kou haʻahaʻa ka haʻahaʻa e like me ka hiki.

Hāʻawi ʻia ʻoe i ka lāʻau (kahi mea hoʻohiamoe) ma mua o ke kaʻina hana e kōkua ai iā ʻoe e hoʻomaha.

• E hoʻomaʻemaʻe maikaʻi ʻia ka ʻili ma kou ʻāʻī, lima, a i ʻole ʻūlū a manomano me kahi anesthetic.
• A laila, e ʻokiʻoki ke kauka i ka ʻili.
• E hoʻokomo ʻia kahi paipu liʻiliʻi, maʻalahi (catheter) ma o kēia ʻokiʻoki ʻana i hoʻokahi o nā kīʻaha koko ma ia wahi. E hoʻohana ke kauka i nā kiʻi x-ray e alakaʻi pono i ka catheter i loko o kou puʻuwai.
• I kekahi manawa pono i ka catheter hoʻokahi.

Ke kau pono ka catheter, e kau ke kauka i nā uila uila i nā wahi like ʻole o kou puʻuwai.

• Pili kēia mau uila uila i nā mea nānā e ʻae ai i ka cardiologist e haʻi i kahi o kāu puʻuwai e hana nei i nā pilikia me kou puʻuwai. I ka hapanui o nā hihia, aia kekahi a i ʻole nā ​​kikoʻī kikoʻī.
• Ke loaʻa ke kumu o ka pilikia, hoʻohana ʻia kekahi o nā laina catheter e hoʻouna i ka ikehu uila (a i ʻole kekahi manawa anuanu) i ka wahi pilikia.
• Hoʻokumu kēia i kahi ʻili liʻiliʻi e hōʻoki i ka pilikia o ka puʻuwai puʻuwai.

ʻO kahi hoʻopau lōʻihi ʻo Catheter kahi hana lōʻihi. Hiki ke hala iā 4 a ʻoi paha mau hola. Ma ke kaʻina hana e nānā pono ʻia kou puʻuwai.E nīnau paha kahi mea mālama ola iā ʻoe inā loaʻa iā ʻoe nā hōʻailona ma nā manawa like ʻole i ke kaʻina hana. ʻO nā ʻōuli āu e manaʻo ai:

• ʻO kahi puhi pōkole ke hoʻopili ʻia nā lāʻau
• ʻO ke kuʻi puʻuwai wikiwiki a ikaika paha
• ʻĀlohilohi
• Puhi ke hoʻohana ʻia ka ikehu uila

Hoʻohana ʻia ka hoʻopau ʻana i ka naʻau e mālama i kekahi mau pilikia o ka puʻuwai puʻuwai e kaohi ʻole ana nā lāʻau. Weliweli paha kēia mau pilikia inā mālama ʻole ʻia lākou.

ʻO nā ʻōuli maʻamau o nā pilikia o ka puʻuwai puʻuwai e komo pū paha:

• ʻEha ʻeha
• Mauleʻa
• Pāloli a wikiwiki paha ka puʻuwai (palpitations)
• ʻĀlohilohi, ʻōpuu
• Maʻaleʻa
• Pokole o ka hanu
• Skipping beats - hoʻololi i ke kumu o ka lāʻau ikiʻai
• Hoʻoulu

ʻO kekahi mau pilikia puʻuwai naʻau:

• AV nodal reentrant tachycardia (AVNRT)
• ʻO ke ala kōkua, e like me Wolff-Parkinson-White syndrome
• Hoʻopaʻa kūpilikiʻi
• Autial flutter
• Tachycardia hāhā

Palekana ʻo ka hoʻopau ʻana i ka catheter i kahi palekana. E kamaʻilio me kāu mea hoʻolako e pili ana i kēia mau pilikia paʻakikī:

• ʻO ke kahe ʻana a i ʻole ka loko wai ʻana e hoʻokomo ʻia ai ka catheter
• Hele ke koko i nā aʻa i kou wāwae, ka puʻuwai, a i ʻole ka lolo
• Poino i ke aʻa o kahi i hoʻokomo ʻia ai ka catheter
• Ka hōʻino i nā kiwikā puʻuwai
• Poino i nā aʻa coronary (nā kīʻaha koko e hāpai i ke koko i kou puʻuwai)
• ʻO ka esophageal atrial fistula (kahi pilina e hana ma waena o kāu esophagus a me kahi ʻāpana o kou puʻuwai)
• Fluid a puni ka puʻuwai (tamponade cardiac)
• Maʻi hohola
• ʻO ka hōʻino a Vagal a i ʻole phrenic nerve

E haʻi mau i kāu mea hoʻolako i nā lāʻau āu e lawe nei, ʻo nā lāʻau a lāʻau paha āu i kūʻai ai me ka ʻole o ka lāʻau.

I nā lā ma mua o ke kaʻina hana:

• E nīnau i kāu mea nāna e hāʻawi i nā lāʻau e pono ai e lawe i ka lā o ke ʻoki.
• E haʻi i kāu mea hāʻawi inā ʻoe e lawe i ka aspirin, clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), a i ʻole kekahi mea ʻokiʻoki koko e like me apixaban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) a me edoxaban (Savaysa).
• Inā puhi ʻoe, kū ma mua o ke kaʻina hana. E noi i kāu mea hāʻawi mai kōkua inā makemake ʻoe ia.
• E haʻi i kāu mea hāʻawi inā loaʻa ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe.

I ka lā o ke kaʻina hana:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea ma hope o ke aumoe i ka pō ma mua o kāu kaʻina hana.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Kau ʻia ka puʻe e hoʻēmi i ke kahe ʻana o ke kahe ma kahi i hoʻokomo ʻia ai nā catheters i kou kino. E mālama ʻia ʻoe i kahi moena no hoʻokahi hola. Pono ʻoe e noho ma kahi moe a 5 a 6 mau hola paha. E nānā ʻia kāu mele puʻuwai i kēia manawa.

E hoʻoholo kāu kauka inā hiki iā ʻoe ke hoʻi i ka home i ka lā like, a i ʻole inā pono ʻoe e noho i ka haukapila i ka pō no ka nānā mau ʻana i ka puʻuwai. Pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home ma hope o kāu kaʻina hana.

No 2 a i ʻole 3 mau lā ma hope o kāu kaʻina hana, loaʻa paha iā ʻoe kēia mau ʻōuli:

• Ka luhi
• Ke manaʻo nei ʻo Achy i kou umauma
• Hōʻalo i nā puʻuwai puʻuwai, a i ʻole nā ​​manawa ke wikiwiki a kū ʻole paha kāu puʻuwai.

Mālama paha kāu kauka iā ʻoe i kāu mau lāʻau, a hāʻawi iā ʻoe i nā mea hou e kōkua ai e kaohi i ka puʻuwai o kou puʻuwai.

ʻOkoʻa nā helu kūleʻa ma muli o ke ʻano o ka pilikia o ka puʻuwai puʻuwai e mālama ʻia.

Hoʻopau ʻana i ka pōpoki; Hoʻokiwikā catheterquency catheter; Cryoablation - hoʻopau i ka naʻau; AV nodal reentrant tachycardia - hoʻopau i ka naʻau; AVNRT - hoʻopau i ka naʻau; Wolff-Parkinson-White Syndrome - hoʻopau i ka naʻau; Aibrial fibrillation - hoʻopau ʻana i ka naʻau; Autial flutter - hoʻopau i ka naʻau; Tachycardia Ventricular - hoʻopau i ka naʻau; VT - hoʻopau i ka naʻau; ʻO Arrhythmia - hoʻopau i ka naʻau; Rhythm puʻuwai maʻamau - hoʻopau ka naʻau

• Angina - hoʻokuʻu
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Aibrial fibrillation - hoʻokuʻu
• ʻO ka pata, ka margarine, a me nā aila kuke
• ʻO Cholesterol a me ka nohona
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Puʻuwai puʻuwai - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - hoʻokuʻu
• Hoʻomaʻamaʻa i ka puʻuwai - hoʻokuʻu
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean

ʻO Calkins H, ʻo Hindricks G, ʻo Cappato R, et al. ʻO 2017 HRS / EHRA / ECAS / APHRS / SOLAECE ʻōlelo kūkākūkā loea e pili ana i ka catheter a me ka hoʻopau ʻana o ka lāʻau o atrial fibrillation. Puʻuwai Heart. 2017; 14 (10): e275-e444. PMID: 28506916 pubmed.ncbi.nlm.nih.gov/28506916/.

Ferreira SW, Mehdirad AA. ʻO ke keʻena hoʻokolohua electrophysiology a me ka 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 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.