Hopu Cardiac

Loaʻa ka hopu ʻia o ka Cardiac ke kū koke ka puʻuwai i ka paʻi ʻana. Ke hiki kēia, holo ke koko i ka lolo a kū ke koena o ke kino. ʻO ka hopu ʻia ʻo Cardiac kahi pilikia olakino. Inā ʻaʻole e mālama ʻia i loko o kekahi mau minuke, hopu pinepine ka naʻau i ka make.

ʻOiai ke kuhikuhi nei kekahi poʻe i ka puʻuwai puʻuwai ma ke ʻano he hopu naʻau, ʻaʻole lākou ka mea like. Kū ka puʻuwai puʻuwai ke pani kahi aʻa i ālai ʻia i ke kahe o ke koko i ka puʻuwai. Hiki i kahi puʻuwai puʻuwai ke hōʻino i ka puʻuwai, akā ʻaʻole ia he kumu no ka make. Eia nō naʻe, hiki i kahi puʻuwai puʻuwai ke hoʻonāukiuki i ka hopu ʻia o ka puʻuwai.

Hoʻokumu ʻia ka hopu ʻana o Cardiac e kahi pilikia me ka ʻōnaehana uila o ka puʻuwai, e like me:

• Ventricular fibrillation (VF) - Ke puka ʻo VF, haʻalulu nā keʻena haʻahaʻa i ka puʻuwai ma kahi o ka kuʻi pinepine ʻana. ʻAʻole hiki i ka puʻuwai ke pauma i ke koko, kahi e hopena ai i ka hopu ʻia o ka naʻau. Hiki i kēia ke hana me ka ʻole o kekahi kumu a hopena paha o kahi kūlana ʻē aʻe.
• Pōʻai puʻuwai - Hana ʻia kēia ke lohi a kū paha ka hōʻailona uila ke neʻe ia i loko o ka puʻuwai.

Nā pilikia e alakaʻi ai i ka hopu ʻia o ka naʻau pū kekahi:

• Nā maʻi puʻuwai Coronary (CHD) - Hiki i ka CHD ke kāpili i nā aʻa i loko o kou puʻuwai, no laila ʻaʻole hiki ke kahe i ke koko. Ma hope o ka manawa, hiki i kēia ke kau i kahi kānana ma ka puʻuwai o kou puʻuwai a me ka ʻōnaehana uila.
• Ka hōʻeha puʻuwai - Hiki i kahi puʻuwai puʻuwai mua ke hana i nāʻiʻo makaʻu e hiki ai ke alakaʻi iā VF a me ka hopu ʻia o ka naʻau.
• ʻO nā pilikia puʻuwai, e like me ka maʻi puʻuwai congenital, nā pilikia o ka puʻuwai puʻuwai, nā pilikia o ka puʻuwai puʻuwai, a me ka puʻuwai hoʻonui i hiki ke alakaʻi i ka hopu ʻia o ka naʻau.
• Nā pae kūpono ʻole o ka potassium a i ʻole ka magnesium - Ke kōkua nei kēia mau minelala i ka hana o ka ʻōnaehana uila o kou puʻuwai. Hiki i nā pae Abnormally kiʻekiʻe a i ʻole haʻahaʻa ke kumu i ka hopu ʻia o ka naʻau.
• ʻO ke koʻikoʻi koʻikoʻi koʻikoʻi - ʻO kēlā me kēia mea ke kumu o ke koʻikoʻi koʻikoʻi i kou kino hiki ke alakaʻi i ka hopu ʻia o ka naʻau. Hiki i kēia ke hoʻopili i ka trauma, haʻalulu uila, a i ʻole ke kahe nui o ke koko.
• Nā lāʻau leʻaleʻa - Ke hoʻohana nei i kekahi mau lāʻau, e like me cocaine a i ʻole amphetamines, hoʻonui pū i kou makaʻi no ka hopu ʻia o ka naʻau.
• Nā Lapaʻau - Hiki i kekahi mau lāʻau ke hoʻonui i ka likelihood o nā puʻuwai puʻuwai abnormal.

ʻAʻole loaʻa ka hapanui o ka poʻe i nā ʻōuli o ka hopu ʻia o ka naʻau a hiki i ka wā e hiki ai. Pākuʻi ʻia paha nā ʻōuli:

• Ka nalowale koke ʻana o ka ʻike; e hāʻule ke kanaka i ka papahele a hina i lalo ke noho ʻo ia
• ʻAʻohe puʻukū
• ʻAʻohe hanu

I kekahi mau hihia, ʻike paha ʻoe i kekahi mau hōʻailona e pili ana i hoʻokahi hola ma mua o ka hopu ʻia o ka naʻau. Pākuʻi ʻia kēia mau mea:

• He puʻuwai heihei
• Puʻupuʻu
• Pokole o ka hanu
• Nausea a i ʻole ka luaʻi
• ʻEha ʻeha

Kū koke ʻo Cardiac hopu, ʻaʻohe manawa e hana ai i nā hoʻokolohua. Inā ola ke kanaka, hana ʻia ka hapa nui o nā hoʻokolohua ma hope e kōkua e ʻike i ke kumu o ka hopu ʻia o ka naʻau. Pākuʻi ʻia kēia mau mea:

• Nā hoʻokolohua koko e nānā ai no nā enzymes i hiki ke hōʻike inā loaʻa iā ʻoe kahi maʻi puʻuwai. Hiki paha i kāu kauka ke hoʻohana i nā hoʻokolohua koko e nānā i nā pae o kekahi mau minelala, nā homone, a me nā kemika i kou kino.
• Electrocardiogram (ECG) e ana i ka hana uila a kou puʻuwai. Hiki i ka ECG ke hōʻike inā ua hōʻino ʻia kou puʻuwai mai CHD a i ʻole ka puʻuwai puʻuwai.
• Echocardiogram e hōʻike inā ua hōʻino ʻia kou puʻuwai a ʻike i nā ʻano pilikia puʻuwai ʻē aʻe (e like me nā pilikia me ka puʻuwai puʻuwai a i ʻole nā ​​kiwikā).
• Kōkua ʻo Cardiac MRI i kāu mea mālama ola e ʻike i nā kiʻi kikoʻī o kou puʻuwai a me nā kīʻaha koko.
• Ke aʻo electracsiac Intracardiac (EPS) e ʻike i ka maikaʻi o ka hana o nā hōʻailona uila o kou puʻuwai. Hoʻohana ʻia ʻo EPS e nānā no nā puʻuwai puʻuwai a i ʻole nā ​​puʻuwai puʻuwai.
• Hōʻike ka catheterization Cardiac i kāu mea nāna e ʻike inā pili iki kāu mau aʻa a palaka paha
• Ke aʻo electrophysiologic e loiloi i ka ʻōnaehana conduction.

E holo paha kāu mea hāʻawi i nā hoʻokolohua ʻē aʻe, kaukaʻi ʻia i kāu mōʻaukala olakino a me nā hopena o kēia mau hoʻāʻo.

Pono ka hopu ʻana i ka naʻau ponoʻī i ka hoʻoponopono ulia pōpilikia koke e hoʻomaka hou ka naʻau.

• Hoʻomaha hou i ka cardiopulmonary (CPR) - ʻO kēia pinepine ka ʻano mua o ka mālama ʻana no ka hopu ʻia o ka naʻau. Hiki iā ia ke hana e ka mea i hoʻomaʻamaʻa ʻia i ka CPR. Hiki ke kōkua i ka mālama ʻana i ka oxygen i loko o ke kino a hiki i ka hōʻea ʻana o ka mālama pilikia.
• Defibrillation -ʻO kēia ka lapaʻau koʻikoʻi loa no ka hopu ʻana i ka naʻau. Hana ʻia me ka hoʻohana ʻana i kahi lāʻau lapaʻau e hāʻawi i kahi haʻalulu uila i ka puʻuwai. Hiki i ka haʻalulu ke kuʻi hou i ka puʻuwai. Loaʻa nā defibrillator liʻiliʻi liʻiliʻi i nā wahi lehulehu no ka hoʻohana pilikia ʻana e ka poʻe i hoʻomaʻamaʻa e hoʻohana. ʻOi aku ka maikaʻi o kēia hana ke hāʻawi ʻia i loko o kekahi mau minuke.

Inā ola ʻoe i ka hopu ʻia ʻana o ka naʻau, e hoʻokomo ʻia ʻoe i ka haukapila no ka lāʻau. Kaukaʻi ʻia i ke kumu o ka hopu ʻia o kou naʻau, pono ʻoe i nā lāʻau ʻē aʻe, nā kaʻina hana, a i ʻole ke ʻoki.

Loaʻa paha iā ʻoe kahi mea liʻiliʻi, i kapa ʻia i ka cardioverter-defibrillator implantable (ICD) i hoʻonoho ʻia ma lalo o kou ʻili kokoke i kou umauma. Nānā kahi ICD i kou puʻuwai a hāʻawi i kou puʻuwai i kahi haʻalulu uila inā ʻike ia i kahi puʻuwai puʻuwai maʻamau.

ʻAʻole ola ka hapanui o ka poʻe i ka hopu ʻia o ka naʻau. Inā ua hopu ʻia ʻoe e ka puʻuwai, nui kou makaʻu i ka loaʻa ʻana o kekahi. Pono ʻoe e hana pū me kāu kauka e hōʻemi i kou makaʻi.

Hiki i ka Cardiac hopu ke hana i kekahi mau pilikia olakino e like me:

• ʻEha lolo
• Nā pilikia puʻuwai
• Nā kūlana lung
• Maʻi kīnā

Pono paha ʻoe e mālama mau a mālama e mālama i kekahi o kēia mau pilikia.

Kāhea koke i kāu mea hāʻawi a i ʻole 911 a i ʻole ka helu kūloko kūloko inā loaʻa iā ʻoe:

• ʻEha ʻeha
• Pokole o ka hanu

ʻO ke ala ʻoi aku ka maikaʻi e pale aku ai iā ʻoe iho mai ka hopu ʻia ʻana o ka puʻuwai e mālama pono i kou puʻuwai. Inā loaʻa iā CHD a i ʻole kahi ʻano puʻuwai ʻē aʻe, e noi i kāu mea e hoʻolako pehea e hoʻēmi ai i kāu makaʻu no ka hopu ʻana i ka naʻau.

Hopohopo nui ʻia ka naʻau; SCA; Ka hopu ʻia ʻana o Cardiopulmonary; Hopu puni wai; Arrhythmia - hopu ka naʻau; Fibrillation - hopu ka naʻau; Pōʻai puʻuwai - hopu ʻia ka naʻau

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 Myerburg RJ, Goldberger JJ. Hopu ʻo Cardiac a make koke ka naʻau. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 42.