ʻO Paroxysmal Atrial Tachycardia (PAT)

Anter

• He aha nā kumu o PAT?
• ʻO wai ka mea ʻino no PAT?
• He aha nā hōʻailona o PAT?
• Pehea e ʻike ʻia ai ka PAT?
• He aha nā hōʻailona no PAT?
• Nā Lapaʻau
• Nā hoʻoponopono nohona
• Hoʻokiʻoki catheter
• He aha nā pilikia e pili ana me PAT?
• Pehea e hiki ai iaʻu ke pale aku iā PAT?
• He aha ka manaʻo lōʻihi?

He aha ka tachycardia paroxysmal atrial?

ʻO Paroxysmal atrial tachycardia kahi ʻano o ka arrhythmia, a i ʻole ke kuʻi puʻuwai ʻole. ʻO Paroxysmal ke kumu o ka hoʻomaka ʻana o ka Episode o arrhythmia a hoʻomaka me ka pau ʻole. Atrial ʻo ia ka mea e hoʻomaka ka arrhythmia i nā keʻena kiʻekiʻe o ka puʻuwai (atria). ʻO ke kumu ʻo Tachycardia ke kuʻi wikiwiki nei ka puʻuwai. Paroxysmal atrial tachycardia (PAT) ʻike ʻia ʻo paroxysmal supraventricular tachycardia (PSVT).

ʻO nā ʻano tachycardia ʻē aʻe e hoʻomaka i ka atria nā:

• fibrillation atrial
• haʻalulu atrial
• Wolff-Parkinson-White maʻi maʻi

Hiki i ka PAT ke hoʻonui i ka puʻuwai o ka puʻuwai o nā mākua mai waena o 60 a me 100 mau paʻi i kēlā me kēia minuke (bpm) a i waena o 130 a me 230 bpm. ʻOi aku ka nui o nā helu naʻau o nā pēpē a me nā keiki ma mua o nā mākua - ma waena o 100 a me 130 bpm. Ke loaʻa iā PAT kahi pēpē a keiki paha, ʻoi aku ka nui o ko lākou puʻuwai ma mua o 220 bpm. ʻO PAT ka ʻano maʻamau o ka tachycardia i nā pēpē a me nā keiki.

I ka hapanui o nā hihia ʻaʻole weliweli ke ola o kēia ʻano, akā hiki ke hōʻoluʻolu ʻole. I nā hihia kakaikahi, hiki i kekahi poʻe me Wolff-Parkinson-White maʻi ke hoʻomohala i ka wikiwiki o ka naʻau e hoʻoweliweli i ke ola.

He aha nā kumu o PAT?

Kū ka PAT ke hoʻomaka nā hōʻailona uila i ke ahi atria o ka puʻuwai me ka maʻamau. Hoʻopili kēia i nā hōʻailona uila i lawe ʻia mai ka pona sinoatrial, ʻo ia ka pacemaker maoli o kou puʻuwai. E wikiwiki kou puʻuwai puʻuwai. Pale kēia i kou puʻuwai mai ka lawa o ka manawa e hoʻopiha i ke koko ma mua o ka pīpī ʻana i ke koko i ke koena o ke kino. A ʻo kahi hopena, ʻaʻole lawa paha ke koko a me ka oxygen i kou kino.

ʻO wai ka mea ʻino no PAT?

ʻOi aku ka makaʻu o nā wahine i ka PAT ma mua o nā kāne. Hiki i kou olakino manaʻo ke hoʻopili i kāu makaʻu no PAT.

Inā luhi maoli ʻoe a i ʻole hopohopo nui kou makaʻala no ka maʻi. Piʻi hoʻi kou makaʻu no PAT inā inu ʻoe i ka nui o ka caffeine a inu waiʻona paha i kēlā me kēia lā.

Loaʻa i nā pilikia puʻuwai ʻē aʻe e like me ka mōʻaukala o ka puʻuwai puʻuwai a i ʻole ka maʻi maʻi mitral e hoʻonui ai i kou makaʻi. ʻO nā keiki i loaʻa i nā maʻi puʻuwai congenital i ka makaʻu nui no PAT.

He aha nā hōʻailona o PAT?

ʻAʻole ʻike kekahi poʻe i nā ʻōuli o PAT, ʻoiai ʻike kekahi i kekahi:

• ʻālohilohi
• ʻūpā
• palpitations, a i ʻole ka hoʻonui ʻia o ka helu o ka naʻau
• angina, a i ʻole nā ​​ʻeha ma ka umauma
• hanu ʻole

I nā hihia maʻamau, hiki i ka PAT ke kumu:

• hopu naʻau
• ʻike ʻole

Pehea e ʻike ʻia ai ka PAT?

Koi paha kāu kauka i kahi electrocardiogram (ECG) e kōkua i ke kuhi PAT. Ana kahi ECG i ka hana uila i kou puʻuwai. E noi kāu kauka iā ʻoe e moe i lalo a laila hoʻopili i kekahi mau electrode i kou umauma, lima, a me nā wāwae. Pono ʻoe e noho mālie a paʻa i kou hanu no kekona kekona. He mea nui ka noho mālie a me ka hoʻomaha. ʻOiai kahi neʻe iki e hiki ke hoʻopili i nā hopena.

Hoʻopili nā uila i kou umauma, lima, a me nā wāwae i nā uea e hoʻouna i ka hana uila o kou puʻuwai i kahi mīkini e paʻi iā lākou ma ke ʻano he mau laina wavy. E nānā kāu kauka i kēia ʻikepili e hoʻoholo inā ʻoi aku ka kiʻekiʻe o ka puʻuwai o kāu puʻuwai ma mua o ka maʻamau a i ʻole kahi meʻa maʻamau.

Hiki paha iā ʻoe ke hana i kēia hōʻike ʻoiai e hana ana i ka haʻuki māmā e ana i nā loli i kou puʻuwai ma lalo o ke koʻikoʻi. E makemake paha kāu kauka e hoʻāʻo i kou kaomi koko.

He paʻakikī paha e hopu i kāu ʻāpana o PAT, no laila makemake paha kāu kauka e hoʻokomo iā ʻoe i kahi nānā Holter. E noi ana kāu kauka i ʻelua a ʻekolu paha mau uila uila i kou umauma, e like me ka ECG. E komo ʻoe i ka hāmeʻa no 24 a 48 mau hola (a ʻoi aku paha) ʻoiai ʻoe e hana nei i kāu hana maʻamau i kēlā me kēia lā, a laila hoʻihoʻi ia i ke kauka. E hoʻopaʻa ka hāmeʻa i nā puʻuwai wikiwiki i hiki iā ʻoe ke kau nei.

He aha nā hōʻailona no PAT?

ʻO ka hapa nui o ka poʻe me PAT ʻaʻole pono ka lāʻau no ko lākou kūlana. Hiki i kāu kauka ke koi aku i ka lāʻau lapaʻau a i ʻole nā ​​lāʻau inā loaʻa pinepine kāu episodes a i ʻole hope no kahi lōʻihi o ka manawa.

Hoʻomaʻalohi nā maneuvers Vagal i ka helu o kou puʻuwai e ka hoʻoulu ʻana i kou aʻa puʻupaʻa. E ʻōlelo paha kāu kauka e hoʻohana nei i kekahi o nā maneuvers vagal aʻe i ka wā o kahi Episode o PAT:

• ka lomilomi sinus carotid, a i ʻole ke noi ʻana i ke kaomi akahai i kou ʻāʻī kahi o nā lālā aʻa o carotid
• ke kau nei i ke kaomi akahai i nā lihilihi paʻa
• manuahi valsalva, a i ʻole kaomi ʻana i kou mau piko ihu me ka hāpai ʻana i loko o kou ihu
• e luʻu reflex, a i ʻole e hoʻohaʻahaʻa i kou alo a i ʻole kino i ka wai anuanu

Nā Lapaʻau

Inā ʻike pinepine ʻoe i nā ʻāpana o PAT a me nā maneuvers i hōʻike ʻia ma luna nei mai hoʻihoʻi i kāu helu puʻuwai maʻamau, hiki i kāu kauka ke kuhikuhi i ka lāʻau. Hiki i kēia mau lāʻau ke komo pū me flecainide (Tambocor) a i ʻole propafenone (Rythmol). Loaʻa lākou i kekahi mau ʻano. Hāʻawi paha kāu kauka iā ʻoe i kahi injection i loko o kā lākou keʻena a i ʻole kahi pill i hiki iā ʻoe ke lawe i ka wā o ka PAT.

Nā hoʻoponopono nohona

Hiki paha i kāu kauka ke koi aku iā ʻoe e hōʻemi i kāu lawe ʻana i ka caffeine a me ka waiʻona, a kū a hoʻemi i ka hoʻohana ʻana i ka paka. Makemake pū lākou e hōʻoia i kou hoʻomaha maha ʻana.

Hoʻokiʻoki catheter

I nā hihia kakaikahi a koʻikoʻi paha, hiki i kāu kauka ke ʻōlelo aʻe e hoʻopau i ka catheter. He hana nonsurgical kēia e hemo ana i kaʻiʻo i ka wahi o ka puʻuwai e hoʻonui ana i ka nui o ka puʻuwai.

I ka wā o ke kaʻina hana, kau kau kauka i kahi catheter e kūʻē i ka wahi o ka ʻāʻī. E hoʻouna lākou i ka ikehu uila-pinepine ma o ka catheter e hana i ka wela i mea e luku ai i ka wahi o ka piʻo kikoʻī.

He aha nā pilikia e pili ana me PAT?

Hoʻololi nā pilikia o PAT me ka helu a me ka lōʻihi o ke kuʻi puʻuwai wikiwiki. Hoʻololi pū kekahi i nā pilikia ma muli o ke ʻano o ka naʻau o kou naʻau.

Hiki paha i kekahi poʻe me PAT ke makaʻu no ka huʻi ʻana o ke koko i hiki ke hopena i ka puʻuwai a i ʻole ka hahau. I kēlā mau hihia, kuhikuhi pinepine nā kauka i nā lāʻau e like me dabigatran (Pradaxa) a i ʻole warfarin (Coumadin). Mālama kēia mau lāʻau i ke koko a hoʻoliʻiliʻi i ka makaʻu o ke kahe koko. I nā hihia maʻamau, hiki i nā pilikia ke komo pū me ka ʻole o ka puʻuwai congestive a me ka cardiomyopathy.

Pehea e hiki ai iaʻu ke pale aku iā PAT?

ʻO ke ala ʻoi loa e pale aku ai i ka PAT e hōʻalo i ka puhipaka, a kaohi i ka inu ʻana i ka wai ʻona a me nā mea inu caffeine. Paipai ʻia ka loaʻa ʻana o ka hoʻoikaika kino mau a me ka maha nui.Ke mālama nei i ka papaʻai olakino a me ka nohona a me ka mālama ʻana i kou kaupaona i kahi pae olakino hiki ke hōʻemi nui i kou makaʻi o PAT.

He aha ka manaʻo lōʻihi?

ʻAʻole PAT kahi kūlana hoʻoweliweli i ke ola. ʻO nā manawa o ka wikiwiki o ka puʻuwai wikiwiki i ʻoi aku ka maikaʻi ʻole ma mua o ka weliweli. ʻO ka nānā no kekahi mea loaʻa iā PAT ka mea maikaʻi.