Implantable Cardioverter Defibrillator (ICD)

Anter

• He aha ia mea implantable cardioverter defibrillator?
• No ke aha wau e pono ai i kahi defibrillator cardioverter implantable?
• Pehea e hana ai i kahi implantable cardioverter defibrillator?
• Pehea wau e hoʻomākaukau ai no ke kaʻina hana?
• He aha ka hana ma ke kaʻina hana?
• He aha nā pilikia e pili ana i ke kaʻina hana?
• He aha ka hana ma hope o ke kaʻina hana?
• He aha ka manaʻo lōʻihi?

He aha ia mea implantable cardioverter defibrillator?

ʻO kahi defibrillator cardioverter implantable (ICD) kahi mea liʻiliʻi i hiki i kāu kauka ke hoʻokomo i loko o kou umauma e kōkua ai i ka hoʻoponopono ʻana i kahi puʻuwai puʻuwai ʻole, a i ʻole ka arrhythmia

ʻOiai ʻoi aku ka liʻiliʻi ma mua o kahi ʻāpana o nā kāleka, loaʻa ka ICD i kahi pākiko a me kahi kamepiula liʻiliʻi e nānā i ka helu o kou puʻuwai Hāʻawi ke kamepiula i nā haʻalulu uila liʻiliʻi i kou puʻuwai i kekahi mau manawa. Kōkua kēia i ka mālama ʻana i ka helu o kou puʻuwai.

Hoʻokomo pinepine nā kauka ICD i ka poʻe i loaʻa i nā arrhythmia hoʻoweliweli a me ka mea e makaʻu no ka hopu koke ʻia o ka naʻau, kahi ʻano e kū ai ka puʻuwai. Hiki i nā arrhythmias ke hānau ʻia (kahi mea āu i hānau ʻia ai) a i ʻole kahi hōʻailona o ka maʻi puʻuwai.

ʻIke ʻia nā ICDs me he mea hoʻopili naʻau a i ʻole defibrillators.

No ke aha wau e pono ai i kahi defibrillator cardioverter implantable?

ʻO kou puʻuwai he ʻelua atria (hema a ʻākau ma ke keʻena luna) a ʻelua ventricle (ʻaoʻao hema a ʻākau ma lalo). Hoʻomaʻu kāu ventricle i ke koko mai kou puʻuwai a i ke koena o kou kino. ʻO kēia mau keʻena ʻehā o kāu puʻuwai e ʻaelike i kahi kaʻina manawa e pume i ke koko ma loko o kou kino. Kāhea ʻia kēia mea he rhythm.

ʻElua mau kiko i loko o kou puʻuwai e kāohi i ka mana o kou puʻuwai. Hoʻouna kēlā me kēia pona i kahi impulse uila i ke kaʻina manawa. ʻO kēia impulse ke kumu e ʻaelike ai nā mākala puʻuwai. ʻO ka mua ka ʻaelike atria, a laila ka ʻaelike ventricle. Hana kēia i kahi pauma.

Ke pau ka manawa o kēia mau impulses, ʻaʻole puʻuwai maikaʻi loa kou puʻuwai. ʻO nā pilikia o ka puʻuwai puʻuwai i kāu ventricle weliweli loa no ka mea hiki i kou puʻuwai ke hooki i ka pauma ʻana. Hiki ke make kēia inā ʻaʻole ʻoe e mālama koke i ka lāʻau.

Hiki iā ʻoe ke pōmaikaʻi mai kahi ICD inā loaʻa iā ʻoe:

• kahi mele wikiwiki a weliweli hoʻi i kapa ʻia ʻo ventricular tachycardia
• pauma erratic, i kapa ʻia ʻo quivering a ventricular fibrillation paha
• he puʻuwai nāwaliwali e ka moʻolelo o ka maʻi puʻuwai a i ʻole ka hōʻeha puʻuwai mua
• kahi puʻuwai puʻuwai hoʻonui ʻia a mānoanoa, i kapa ʻia ʻo dilated, a hypertrophic paha, cardiomyopathy
• maʻi kīnā o ka naʻau, e like me ka lōʻihi o QT syndrome, ka mea e haʻalulu ai ka naʻau
• puʻuwai puʻuwai

Pehea e hana ai i kahi implantable cardioverter defibrillator?

ʻO kahi ICD kahi mea liʻiliʻi i hoʻokomo ʻia i kou umauma. ʻO ka ʻāpana nui, i kapa ʻia he generator pulse, paʻa i kahi puʻukū a me kahi kamepiula liʻiliʻi e nānā i kāu mau puʻuwai puʻuwai. Inā wikiwiki wikiwiki kou puʻuwai a i ʻole kaulike ʻole, hāʻawi ka kamepiula i kahi lāʻau uila e hoʻoponopono i ka pilikia.

Kapa ʻia nā kaula i ke alakaʻi mai ka pulse generator i loko o nā wahi kikoʻī o kou puʻuwai. Hāʻawi kēia mau alakaʻi i nā impulses uila i hoʻouna ʻia e ka generator pulse.

Kaukaʻi ʻia i kāu ʻike, hiki i kāu kauka ke koi aku i kekahi o nā ʻano o nā ICD:

• Hoʻouna kahi ICD lumi hoʻokahi i nā hōʻailona uila i ka ventricle ʻākau.
• Hoʻouna kahi ICD lumi lua i nā hōʻailona uila i ka atrium ʻākau a me ka ventricle ʻākau.
• Hoʻouna kahi mea biventricular i nā hōʻailona uila i ka atrium ʻākau a me nā ventricle ʻelua. Hoʻohana nā kauka ia mea no ka poʻe i loaʻa ka puʻuwai puʻuwai.

Hiki i kahi ICD ke hāʻawi aku i ʻehā mau ʻano o nā hōʻailona uila i kou puʻuwai:

1. Cardioversion. Hāʻawi ʻo Cardioversion i kahi hōʻailona uila ikaika i hiki ke manaʻo e like me ka thump i kou umauma. Hoʻihoʻi ia i nā mele naʻau i ka manawa maʻamau ke ʻike ia i kahi wikiwiki wikiwiki o ka naʻau.
2. Defibrillation. Hoʻouna ʻo Defibrillation i kahi hōʻailona uila ikaika loa e hoʻomaka hou i kou puʻuwai. He ʻeha ka naʻau a hiki ke kīkē iā ʻoe mai kou mau wāwae akā he kekona wale nō ka lōʻihi.
3. Antitachycardia. Hāʻawi ʻo Antitachycardia pacing i kahi pulse haʻahaʻa-ikehu e hoʻihoʻi i kahi puʻuwai wikiwiki. ʻO ka maʻamau, ʻaʻohe ou manaʻo ke kū ka pulse. Eia nō naʻe, ʻike paha ʻoe i kahi lele liʻiliʻi i kou umauma.
4. Bradycardia. Hoʻihoʻi ʻo Bradycardia pacing i ka wikiwiki o ka wikiwiki o ka puʻuwai i lohi loa. I kēia kūlana, hana ka ICD e like me ka pacemaker. ʻO ka poʻe me nā ICD maʻamau ka puʻuwai e hoʻokuʻi wikiwiki. Eia nō naʻe, hiki i ka defibrillation ke hoʻolōʻihi i ka puʻuwai i kahi pae weliweli. Hoʻihoʻi ʻo Bradycardia pacing i ka mele i ka maʻamau.

Pehea wau e hoʻomākaukau ai no ke kaʻina hana?

ʻAʻole pono ʻoe e ʻai a inu paha i kekahi mea ma hope o ke aumoe i ka lā ma mua o kāu kaʻina hana. E noi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau, e like me ka aspirin a i ʻole nā ​​mea e hoʻopilikia i ke kāpili ʻana o ke koko. Ma mua o ke kaʻina hana, e ʻike pono e haʻi aku i kāu kauka e pili ana i nā lāʻau, nā lāʻau ʻoi loa, a me nā mea hoʻopihapiha āu e lawe ai.

ʻAʻole pono ʻoe e haʻalele i ka lawe ʻana i kahi lāʻau me ke kamaʻilio ʻole ʻole ʻana me kāu kauka.

He aha ka hana ma ke kaʻina hana?

Hoʻokomo iki kahi kaʻina implant ICD. ʻO ka maʻa mau ʻoe i loko o kahi keʻena hoʻokolohua electrophysiology ke hoʻopili kahi electrophysiologist i ka hāmeʻa. I ka hapanui o nā hihia, ala ʻoe i ka wā o ke kaʻina hana. Eia nō naʻe, e loaʻa iā ʻoe kahi mea hōʻoluʻolu e hiamoe ai ʻoe a me kahi mea anesthetic kūloko e hoʻopau ai i kou umauma.

Ma hope o ka hana ʻana i nā ʻoki liʻiliʻi, alakaʻi ke kauka i nā alakaʻi ma o ke aa a hoʻopili iā lākou i nā ʻāpana kikoʻī o kou puʻuwai puʻuwai. ʻO kahi mea hana nānā uila X i kapa ʻia ʻo fluoroscope e kōkua i ke alakaʻi ʻana i kāu kauka i kou puʻuwai.

Hoʻopili lākou i ka hopena ʻē aʻe o ke alakaʻi i ka generator pulse. Hana kahi kauka i kahi ʻoki liʻiliʻi a hoʻonoho i ka mea i loko o ka ʻeke o ka ʻili ma kou umauma, pinepine ma lalo o kou poʻohiwi hema.

Hana ke kaʻina hana ma waena o hoʻokahi a ʻekolu mau hola. Ma hope, e noho ʻoe i ka haukapila no 24 mau hola no ka hoʻōla a me ka nānā ʻana. Pono ʻoe e noʻonoʻo pono i loko o ʻehā a ʻeono pule.

Hiki i ke kauka ke hoʻokomo i kahi ICD surgical ma lalo o ka anesthesia ākea. I kēia hihia, hiki i kou manawa hoʻomaha i ka haukapila ke hala i ʻelima mau lā.

He aha nā pilikia e pili ana i ke kaʻina hana?

E like me kēlā me kēia ʻoki ʻana, hiki i kahi kaʻina implant ICD ke kumu o ke kahe ʻana o ke koko, ʻeha, a me ka maʻi ma ke kahua ʻokiʻoki. Hiki nō hoʻi ke loaʻa i kahi hopena maʻi ʻaʻai i nā lāʻau i loaʻa iā ʻoe i ka wā o ke kaʻina hana.

Kākaʻikahi nā pilikia koʻikoʻi i hōʻike ʻia i kēia kaʻina hana. Eia nō naʻe, hiki iā lākou ke hoʻopili:

• huʻi koko
• poino i kou puʻuwai, nā kiwikā, a i ʻole nā ​​aʻa
• wai kūpuni a puni ka puʻuwai
• maʻi hohola
• hāneʻe hāneʻe

Hiki nō paha i kāu hāmeʻa ke hoʻopūʻiwa i kou puʻuwai i kekahi manawa. ʻOiai pōkole kēia mau mea hōʻeha a ʻaʻole ʻino, ʻike paha ʻoe iā lākou. Inā loaʻa kahi pilikia me ka ICD, pono paha i kāu electrophysiologist e hoʻoponopono hou iā ia.

He aha ka hana ma hope o ke kaʻina hana?

Kaukaʻi ʻia i kāu kūlana, hiki i ka hoʻōla ke lawe i kēlā me kēia wahi mai kekahi mau lā a i kekahi mau pule. Hōʻalo i nā hana hopena kiʻekiʻe a me ka hāpai hāpai kaumaha no ka liʻiliʻi o hoʻokahi mahina ma hope o kāu kaʻina hana.

Hoʻowahāwahā ka ʻAhahui Puʻuwai ʻAmelika i ka hoʻokele ʻana no ʻeono mau mahina ma hope o ke kaʻina implant ICD. Hāʻawi kēia iā ʻoe i kahi manawa e nānā ai inā e haʻalulu kou puʻuwai. Hiki iā ʻoe ke noʻonoʻo i ka hoʻokele inā hele ʻoe i nā wā lōʻihi me ka ʻole o ka haʻalulu (6 a 12 mau mahina) a i ʻole inā ʻaʻole ʻoe e maule i ka pīhoihoi.

He aha ka manaʻo lōʻihi?

ʻO ka loaʻa ʻana o kahi ICD kahi hana paʻa a pau.

Ma hope o kou ola ʻana, e hui pū kāu kauka me ʻoe e polokalamu i kāu hāmeʻa. E hoʻomau ʻoe e launa me kāu kauka e pili ana i kēlā me kēia ʻekolu a ʻeono paha mahina. E mālama pono i nā lāʻau i kuhikuhi ʻia a hoʻohana i ka nohona a me nā loli e kuhikuhi ai kāu kauka.

ʻO nā paila i loko o ka hāmeʻa no ʻelima a ʻehiku mau makahiki paha. Pono ʻoe i kahi hana hou e pani ai i nā paila. Eia naʻe, ua maʻalahi iki kēia hana ma mua o ka mea mua.

Hiki i kekahi mau mea ke hoʻopilikia i ka hana a kāu hāmeʻa, no laila pono ʻoe e hōʻalo iā lākou. Pākuʻi ʻia kēia mau mea:

• ʻōnaehana palekana
• kekahi mau pono olakino, e like me nā mīkini MRI
• nā mea hana mana

Makemake paha ʻoe e lawe i kahi kāleka i loko o kāu pēke a i ʻole e hoʻokomo i kahi kūpeʻe ʻike lapaʻau e ʻōlelo ai i ke ʻano o ka ICD āu.

E hoʻāʻo nō hoʻi ʻoe e mālama i nā kelepona paʻalima a me nā mea lawe lima ʻē aʻe ma kahi o ʻeono iniha ka mamao mai kāu ICD.

E haʻi i kāu kauka inā pilikia ʻoe i kāu hāmeʻa, a kāhea koke aku i kāu kauka inā hāʻawi kahi defibrillator i kahi haʻalulu e hoʻomaka hou i kou puʻuwai.