He aha ka palaka lālā bundle kūpono a pehea e mālama ai

Anter

• Nā hōʻailona nui
• He aha ke kumu o ka palaka lālā paʻa pono
• Pehea e hana ai i ka lāʻau

ʻO ka palaka lālā paʻa pono i hoʻololi i ke ʻano maʻamau o ka electrocardiogram (ECG), ʻoi aku kikoʻī i ka ʻāpana QRS, a ʻoi aku ka lōʻihi, ʻoi aku ma mua o 120 ms. ʻO kēia ka paʻakikī o ka hōʻailona uila mai ka puʻuwai i ka hele ʻana i ka lālā kūpono o ka puʻuwai, e hana i ka ventricle ʻākau ma hope iki.

I ka hapanui o nā hihia, ʻaʻole koʻikoʻi ka palaka lālā paʻa pono a he mea maʻamau ia, ʻaʻole ia he hōʻailona koke o ka maʻi puʻuwai, ʻoiai hiki ke ala aʻe ma muli o nā loli i ka puʻuwai, e like me ka maʻi o ka puʻuwai puʻuwai a i ʻole ka ʻōpala i ka akemā .

Ke ʻike ʻia kēia palaka e ke kauka ma kahi ECG maʻamau, hana ʻia kahi loiloi i ka mōʻaukala o kēlā kanaka a me nā ʻōuli e loiloi inā pono e hoʻomaka i kekahi ʻano o ka mālama. Eia naʻe, he ʻōlelo aʻoaʻo paha e hana i nā kūkā kamaʻilio pinepine ʻana me ka cardiologist e mālama i ka loli ma lalo o ka nānā ʻana.

Nā hōʻailona nui

I nā poʻe he nui, ʻaʻohe kumu o nā lālā o ka pūʻolo pono i nā ʻōuli a, no laila, ʻike wale ʻia ka loli i ka wā o nā loiloi maʻamau.

Eia nō naʻe, ʻike paha kekahi poʻe i nā ʻōuli e pili ana i ka palaka, e like me:

• Maule ka manaʻo;
• Palpitations;
• Mauleʻa.

ʻOiai ʻano maʻamau kekahi o kēia mau ʻōuli, inā ʻike pinepine ʻia hiki iā lākou ke hōʻike i kahi pilikia puʻuwai a, no laila, ʻoiai ʻaʻole lākou he hōʻailona o ka palaka lālā kūpono, pono lākou e loiloi ʻia e ka cardiologist.

E hōʻoia no nā ʻōuli ʻē aʻe e hōʻike i nā pilikia o ka puʻuwai.

He aha ke kumu o ka palaka lālā paʻa pono

I kekahi mau kumu, ʻaʻohe kumu kikoʻī no ka hiʻohiʻona o ka poloka puʻuwai kūpono, e ʻike ʻia ma ke ʻano he hoʻololi maʻamau i ka lawe ʻana o ka naʻau.

Eia naʻe, ke kumu o kahi kumu kūikawā, kū pinepine ka palaka mai:

• Hōʻino puʻuwai Congenital, e like me ka septum a i ʻole he kīpoki puʻuwai puʻuwai;
• ʻO ka maʻi o ka puʻuwai puʻuwai;
• Kaomi kiʻekiʻe o ke aʻa kiʻekiʻe;
• Pākuʻi i nā māmā.

No laila, ʻoiai he aneane mau ia he hoʻololi maikaʻi, he mea nui e loaʻa nā hōʻike ʻē aʻe, e like me nā X-ray umauma a i ʻole echocardiography, e hōʻoia i ka loaʻa ʻole o kahi pilikia e hana ana i ka palaka, kahi e koi ai i kahi lapaʻau kikoʻī.

Pehea e hana ai i ka lāʻau

I ka hapanui o nā hihia, ʻaʻole kumu poloka lālā poloka pono e hana ʻia ai nā ʻōuli a, no laila, he mea maʻamau ʻaʻole pono ia i ka lāʻau. I kēia mau hihia, hiki i ke kanaka ke alakaʻi i kahi ola maʻamau me ka ʻole o ka hoʻonui ʻana i ka makaʻu o ka maʻi puʻuwai a me ka ʻole o ka hōʻemi ʻana i ke ʻano o ke ola.

Eia nō naʻe, inā aia kekahi mau hōʻailona a i ʻole ke kumu ʻia ka palaka e kekahi kumu kikoʻī, hiki i ke kauka lāʻau noi ke koi aku i ka mālama ʻana me:

• Nā Kālā Hoʻōla Koko kiʻekiʻe, e like me C Laptopril a i ʻole Bisoprolol: kōkua i ka hoʻokuʻu i ke kaomi ma nā aʻa, inā ʻo kēia ke kumu nui o ka palaka;
• Nā lāʻau Cardiotonic, e like me Digoxin: hoʻoikaika lākou i ka mākala o ka puʻuwai, e kōkua ana i kāna kaohi ʻana;
• Hoʻohana o ka mea mālama i ka wā paʻa: ʻoiai he mea liʻiliʻi loa ia, hoʻonoho ʻia kahi mea ma lalo o ka ʻili e pili ana i ka ventricle ʻākau ma o nā kaula liʻiliʻi ʻelua e kōkua ai e hoʻoponopono i ka hana uila o ka puʻuwai.

Eia hou, inā ʻike pinepine ke kanaka i ka nāwaliwali pinepine, hiki i ke kauka ke nānā inā aia kahi palaka lālā ʻāpana hema a, i nā ʻano pēlā, e paipai paha i ka hoʻohana mau ʻana o kahi pacemaker a i ʻole ka hana ʻana o ka cardiac resynchronization therapy, i ʻano like me ka pacemaker hoʻohana, akā he uea ʻekolu kāna e pili pololei ana i ka ventricle hema, e hoʻohui ana i ka puʻuwai o nā ventricle ʻelua.