Puʻuwai puʻuwai

He mea liʻiliʻi ka pacemaker, lako uila. Hoʻomaopopo kēia mea i ka wā e kuʻi pinepine ana kou puʻuwai a i ʻole lohi paha. Hoʻouna ia i kahi hōʻailona i kou puʻuwai e hoʻokuʻi i kou puʻuwai i ka wikiwiki pololei.

ʻO ke kaupaona hou nā pacemaker hou ma ke ʻano he 1 auneke (28 gram). ʻO ka hapa nui o nā pacemaker i ʻelua mau ʻāpana:

• Loaʻa i ka mea hana i ka uila a me ka ʻike e kaohi ai i ka puʻuwai puʻuwai.
• ʻO nā alakaʻi ke kaula uila e hoʻopili i ka puʻuwai i ka mea hana a lawe i nā leka uila i ka puʻuwai.

Hoʻokomo ʻia kahi pacemaker ma lalo o ka ʻili. Lawe kēia kaʻina hana i hoʻokahi hola ma ka hapanui o nā hihia. Hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālie e kōkua iā ʻoe e hoʻomaha. E ala ana ʻoe i ke kaʻina hana.

Hana ʻia kahi ʻoki liʻiliʻi (ʻoki). ʻO ka hapanui pinepine, aia ka ʻoki ma ka ʻaoʻao hema (inā he lima ʻākau ʻoe) o ka pahu ma lalo o kou iwi iwi. Hoʻokomo ʻia ka mea hana pacemaker ma lalo o ka ʻili ma kēia wahi. Hoʻokomo ʻia paha ka mea hana i ka ʻōpū, akā ʻoi aku ka liʻiliʻi o kēia. ʻO kahi pacemaker "leadless" hou kahi ʻona nona iho i hoʻokomo ʻia i ka ventricle ʻākau o ka puʻuwai.

Ke hoʻohana nei i nā x-live e ʻike i ka wahi, kau ke kauka i nā alakaʻi ma o ka ʻoki, i kahi aa, a laila i ka puʻuwai. Pili nā alakaʻi i ka mīkini hana. Hoʻopili ʻia ka ʻili me nā humuhumu. Hele ka hapa nui o ka poʻe i ka home ma waena o 1 lā o ke kaʻina hana.

ʻElua mau ʻano pacemaker i hoʻohana wale ʻia i nā pilikia olakino. O lākou:

• Nā pacemaker transcutaneus
• Nā pacemaker transvenous

ʻAʻole lākou he pacemaker mau.

Hiki ke hoʻohana ʻia nā mea hana Pacemaker no ka poʻe i loaʻa i nā pilikia puʻuwai e hoʻonā i ka puʻuwai me ka lohi. Kapa ʻia kahi puʻuwai lohi i bradycardia. ʻElua mau pilikia maʻamau i kumu i ka puʻuwai lohi o ka maʻi sinus node a me ka poloka puʻuwai.

Ke kuʻi mālie o kou puʻuwai, ʻaʻole lawa paha ka oxygen i kou kino a me kou lolo. Nā ʻōuli paha

• ʻĀlohilohi
• Ka luhi
• Mākala hōʻeha
• Pokole o ka hanu

Hiki ke hoʻohana ʻia kekahi mau pacemaker e hoʻōki i ka helu o ka puʻuwai i wikiwiki loa (tachycardia) a i ʻole kūlike ʻole.

Hiki ke hoʻohana ʻia i kekahi ʻano pacemakers i ka holo pono ʻole o ka naʻau. Kapa ʻia kēia mau mea he pacemakers biventricular. Kōkua lākou i ka hoʻohui ʻana i ke kuʻi ʻana o nā keʻena puʻuwai.

ʻO ka hapa nui o nā pacemaker biventricular i hoʻokomo ʻia i kēia lā hiki ke hana pū me nā defibrillator cardioverter implantable (ICD). Hoʻihoʻi hou ʻo ICD i kahi puʻuwai puʻuwai maʻamau ma o ka hāʻawi ʻana i kahi haʻalulu nui aʻe ke hiki mai kahi puʻuwai puʻuwai wikiwiki make

ʻO nā pilikia i hiki ke hana ʻia ma ka pacemaker:

• Nā ritme naʻau maʻamau
• Kahena
• Lāʻau paʻa. Kākaʻikahi kēia.
• Maʻi kīnā
• Kuʻi o ka puʻuwai, i hiki ke alakaʻi i ke kahe ʻana a puni ka puʻuwai. Kākaʻikahi kēia.

ʻIke kahi pacemaker inā aia ka puʻuwai puʻuwai ma mua o kahi kōmi. Ke piʻi aʻe ia ma luna o kēlā helu, e hoʻōki ka pacemaker i ka hoʻouna ʻana i nā hōʻailona i ka puʻuwai. Hiki i ka pacemaker ke ʻike pū ke lohi loa o ke kuʻi puʻuwai. E hoʻomaka wikiwiki ia i ka pacing ʻana i ka puʻuwai.

E haʻi mau i kāu mea mālama ola e pili ana i nā lāʻau āpau āu e lawe nei, a ʻo nā lāʻau a lāʻau paha āu i kūʻai ai me ka ʻole o ka lāʻau.

ʻO ka lā ma mua o kou ʻoki ʻana:

• ʻO Shower a me ka shampoo maikaʻi.
• E noi ʻia ʻoe e holoi i kou kino holoʻokoʻa ma lalo o kou ʻāʻī me kahi kopa kūikawā.

I ka lā o ke kaha:

• Nonoi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea ma hope o ke aumoe i ka pō ma mua o kāu kaʻina hana. Hoʻopili pū kēia me ka nau ʻana i ka gum a me nā mints hanu. E holoi i kou waha me ka wai inā e maloʻo, akā e akahele e ʻole e ale.
• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.

E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

Hiki paha iā ʻoe ke hoʻi i ka home ma hope o 1 lā a i ʻole i ka lā like i kekahi mau hihia. Hiki iā ʻoe ke hoʻi i kāu pae hana maʻamau me ka wikiwiki.

E noi i kāu mea hoʻolako i ka nui o hiki iā ʻoe ke hoʻohana i ka lima ma ka ʻaoʻao o kou kino kahi i kau ʻia ai ka pacemaker. Kūkā ʻia paha ʻoe mai:

• E hāpai i kekahi mea ʻoi aku ka nui ma mua o 10 a 15 mau paona (4.5 a 6.75 kilokilo)
• Pahu, huki, a wili i kou lima no 2 a 3 mau pule.
• E hāpai i kou lima ma luna o kou poʻohiwi no mau pule.

Ke haʻalele ʻoe i ka haukapila, hāʻawi ʻia ʻoe i kāleka e mālama ai i loko o kāu ʻeke. Ke papa nei kēia kāleka i nā kikoʻī o kāu pacemaker a loaʻa i ka ʻike pili no nā pilikia. Lawe mau ʻoe i kēia kāleka ʻeke me ʻoe. E hoʻāʻo ʻoe e hoʻomanaʻo i ka inoa o ka mea hana pacemaker inā hiki iā ʻoe inā e nalowale kāu kāleka.

Hiki i nā pacemakers ke kōkua i ka mālama ʻana i ka puʻuwai o kou puʻuwai a me ka helu o ka puʻuwai i kahi pae palekana nou. ʻO ka pila o ka pacemaker ma kahi o 6 a 15 mau makahiki. E nānā pinepine kāu mea hāʻawi i ka pākahiki a hoʻololi iā ia inā pono.

Implantation o ka Cardiac pacemaker; Pāpale hana lima; Paʻa paʻa paʻa paʻa paʻa mau; Pacemaker kūloko; Hoʻomaʻamaʻa hou i ka cardiac; CRT; Pāʻālua Biventricular; Arrhythmia - mea hoʻomaluhia kino; Rhythm puʻuwai maʻamau - pacemaker; Bradycardia - pacemaker; Pōʻai puʻuwai - pacemaker; Mobitz - pacemaker; Hewa ka puʻuwai - pacemaker; HF - pacemaker; CHF- pacemaker

• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• 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
• Ka hōʻeha puʻuwai - he aha e nīnau aku ai i kāu kauka
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - hoʻokuʻu
• Pehea e heluhelu ai i nā lepili ʻai
• Imibrable cardioverter defibrillator - hoʻokuʻu
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean
• Mālama ʻeha ʻeha - wehe

• Pāʻalāʻau

Epstein AE, DiMarco JP, Ellenbogen KA, et al. 2012 ACCF / AHA / HRS i hoʻomālama ʻia i hoʻohui ʻia i loko o ka ACCF / AHA / HRS 2008 mau alakaʻi no ka hoʻomaʻamaʻa ʻana i ka hana o nā mea pono 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 Heart Rhythm ʻAhahui. ʻO J Am Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 pubmed.ncbi.nlm.nih.gov/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.

ʻO Pfaff JA, Gerhardt RT. Loiloi i nā hāmeʻa implantable. 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 13.

CD Swerdlow, Wang PJ, Zipe DP. Pacemakers a me implantable cardioverter-defibrillators. 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 41.