ʻO Paroxysmal Supraventricular Tachycardia (PSVT)

Anter

• He aha nā mea pilikia no ka tachycardia supraventricular paroxysmal?
• He aha nā hōʻailona o ka tachycardia supraventricular paroxysmal?
• Pehea e ʻike ʻia ai ka paroxysmal supraventricular tachycardia?
• Pehea e mālama ʻia ai ka paroxysmal supraventricular tachycardia?
• He aha ke kuanaʻike no ka tachycardia supraventricular paroxysmal?
• Nā ʻano: Q&A
• Q:
• A:

He aha ka tachycardia paroxysmal supraventricular?

ʻO nā ʻāpana o ka wikiwiki o ka puʻuwai o ka puʻuwai ʻoi aku ka nui ma mua o ka maʻamau paroxysmal supraventricular tachycardia (PSVT). ʻO PSVT kahi ʻano maʻamau o ka helu o ka puʻuwai maʻamau. Hiki iā ia ke hana i kēlā me kēia makahiki a i ka poʻe ʻaʻohe o lākou ʻano puʻuwai ʻē aʻe.

Hoʻouna pinepine ka piko sinus o ka puʻuwai i nā hōʻailona uila e haʻi i ka mākala puʻuwai i ka manawa e ʻaelike ai. I PSVT, kahi ala uila uila ʻole e hoʻonā i ka puʻuwai e hoʻokuʻi wikiwiki ma mua o ka maʻamau. Hiki ke hoʻopau ʻia nā ʻāpana o ka helu wikiwiki o ka naʻau mai kekahi mau minuke i kekahi mau hola. Hiki i ke kanaka me PSVT ke loaʻa ka helu o ka puʻuwai ma mua o 250 mau paʻi i kēlā me kēia minuke (bpm). Aia kahi helu maʻamau ma waena o 60 a me 100 bpm.

Hiki i PSVT ke hana i nā hōʻailona hōʻoluʻolu ʻole, akā ʻaʻole ia ka hoʻoweliweli pinepine i ke ola. ʻAʻole pono ka hapa nui o ka poʻe i kahi wā lōʻihi no PSVT. Aia kekahi mau lāʻau a me nā kaʻina hana e pono ai i kekahi mau hihia, keu hoʻi kahi e hoʻopilikia ai ʻo PSVT i ka hana puʻuwai.

ʻO ka huaʻōlelo "paroxysmal" ʻo ia hoʻi ke hana ʻia ia mai kēlā me kēia manawa.

He aha nā mea pilikia no ka tachycardia supraventricular paroxysmal?

Hoʻopili ʻo PSVT ma kahi o 1 i kēlā me kēia keiki 2,500. ʻO ia ka ritme puʻuwai pinepine pinepine ʻole i nā keiki hānau hou a me nā pēpē. ʻO Wolff-Parkinson-White Syndrome (WPW) ka ʻano maʻamau o PSVT i nā keiki a me nā pēpē.

ʻOi aku ka maʻamau o PSVT i nā mākua ma lalo o ka makahiki 65. ʻOi aku ka nui o ka nui o nā mākua ma mua o ka makahiki 65 me ka fibrillation atrial (AFib).

I loko o ka puʻuwai maʻamau, kuhikuhi ka piko sinus i nā hōʻailona uila ma o kahi ala kikoʻī. Hoʻoponopono kēia i ke alapine o kāu mau puʻuwai puʻuwai. ʻO kahi ala keu, aia mau i ka tachycardia supraventricular, hiki ke alakaʻi i ka puʻuwai wikiwiki o PSVT.

Aia kekahi mau lāʻau i hana i PSVT hou aʻe. ʻO kahi laʻana, ke lawe ʻia i nā kaona nui, hiki i ka lāʻau lapaʻau digitalis (digoxin) ke alakaʻi i nā ʻāpana o PSVT. Hiki i nā hana aʻe ke hoʻonui i kou makaʻu i ka loaʻa ʻana o kahi ʻāpana o PSVT:

• ʻiʻo ʻana i ka caffeine
• ʻai ʻona ʻana
• puhipaka
• me ka hoʻohana ʻana i nā lāʻau kū ʻole
• ke lawe nei i kekahi mau lāʻau āpau a me nā huehue

He aha nā hōʻailona o ka tachycardia supraventricular paroxysmal?

ʻO nā ʻōuli o PSVT e like me nā ʻōuli o ka hoʻouka hopohopo a hiki ke hoʻopili ʻia:

• palpitations puʻuwai
• he lāʻau wikiwiki
• kahi manaʻo o ke kau a ʻeha paha ma ka umauma
• hopohopo
• pokole o ka hanu

I nā hihia koʻikoʻi hou aʻe, hiki i ka PSVT ke hoʻoluhi a poni hoʻi ma muli o ke kahe o ke koko i ka lolo.

I kekahi manawa, kuhi paha kekahi kanaka i nā ʻōuli o PSVT i ke ʻano me ka puʻuwai puʻuwai. Heʻoiaʻiʻo loa kēia inā ʻo kā lākou PSVT Episode mua. Inā nui ka ʻeha o kou umauma pono ʻoe e hele mau i ka lumi pilikia no ka hoʻāʻo ʻana.

Pehea e ʻike ʻia ai ka paroxysmal supraventricular tachycardia?

Inā loaʻa iā ʻoe kahi mahele o nā puʻuwai wikiwiki i ka wā o ka hoʻokolokolo ʻana, hiki i kāu kauka ke ana i ka helu o kou puʻuwai. Inā kiʻekiʻe loa ia, manaʻo paha lākou iā PSVT.

E hōʻoia iā PSVT, e kauoha kāu kauka i kahi electrocardiogram (EKG). He hili uila kēia o ka puʻuwai. Hiki iā ia ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka pilikia o ka ritmo e hoʻomaka nei i ka helu o kou puʻuwai wikiwiki. ʻO PSVT hoʻokahi wale nō o nā kumu he nui o nā puʻuwai wikiwiki wikiwiki. E kauoha paha kāu kauka i kahi echocardiogram, a i ʻole ultrasound o ka puʻuwai, e loiloi i ka nui, ka neʻe, a me ke ʻano o kou puʻuwai.

Inā loaʻa iā ʻoe kahi puʻuwai puʻuwai a helu ʻole paha, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea i loea i nā pilikia uila o ka puʻuwai. ʻIke ʻia lākou ma ke ʻano he electrophysiologists a i ʻole EP cardiologists. Hana paha lākou i kahi electrophysiology study (EPS). E hoʻopili kēia i nā kaula wili ma o kahi aa i loko o kāu aʻa a i loko o kou puʻuwai. E ʻae kēia i kāu kauka e loiloi i ka mele o kou puʻuwai e ka nānā ʻana i nā ala uila o kou puʻuwai.

E nānā paha kāu kauka i ka helu o kou puʻuwai ma kahi o kahi manawa. I kēia hihia, komo paha ʻoe i kahi monitor Holter no 24 mau hola a ʻoi aku paha. I loko o kēlā manawa, e loaʻa nā mea ʻike i kou umauma a komo i kahi mea liʻiliʻi e hoʻopaʻa i ka helu o kou puʻuwai. E loiloi kāu kauka i nā leo hoʻopaʻa leo e hoʻoholo inā loaʻa iā PSVT a i ʻole kekahi ʻano ʻano o ka mele maʻamau.

Pehea e mālama ʻia ai ka paroxysmal supraventricular tachycardia?

ʻAʻole paha ʻoe e pono ke mālama inā he liʻiliʻi kāu mau hōʻailona a i ʻole inā loaʻa iā ʻoe nā hanana o ka wikiwiki o ka puʻuwai wikiwiki i kekahi manawa. Pono paha ka hoʻomaʻamaʻa inā loaʻa ʻoe i kahi ʻano kumu e alakaʻi ai i ka PSVT a i ʻole nā ​​hōʻailona ʻoi loa e like me ka puʻuwai puʻuwai a i ʻole ka hala ʻana.

Inā loaʻa ka wikiwiki o ka puʻuwai akā ʻaʻole koʻikoʻi kāu mau ʻōuli, hiki i kāu kauka ke hōʻike iā ʻoe i nā ʻenehana e hoʻihoʻi i kāu helu puʻuwai i ka maʻamau. Kapa ʻia ka maneuver ʻo Valsalva. Pili ia i ka pani ʻana o kou waha a pinching i kou ihu ʻoiai ke hoʻāʻo nei e hoʻopā a me ke kanikau me he mea lā ke hoʻāʻo nei ʻoe e loaʻa kahi ʻōpū. E hana ʻoe i kēia ma ka noho ʻana a kūlou ʻana i kou kino i mua.

Hiki iā ʻoe ke hana i kēia maneuver ma ka home. Hiki paha ke hana a 50 pakeneka o ka manawa. Hiki iā ʻoe ke hoʻāʻo i ka puʻu ke noho ʻoe a kūlou i mua. ʻO ka pīpī ʻana i ka wai hau i kou alo kekahi ʻano ʻē aʻe e kōkua i ka hoʻohaʻahaʻa ʻana i ka helu o kou puʻuwai.

Hoʻopili nā mālama ʻana no PSVT i nā lāʻau, e like me flecainide a i ʻole propafenone, e kōkua i ka hoʻoponopono ʻana i kou puʻuwai puʻuwai. ʻO ke kaʻina hana i kapa ʻia ʻo radiofrequency catheter ablasi kahi ala maʻamau e hoʻoponopono mau iā PSVT. Hana ʻia ia i ke ala like me EPS. Hāʻawi ia i kāu kauka e hoʻohana i nā electrodes e hoʻopau i ke ala uila e hoʻopiʻi ana iā PSVT.

Inā ʻaʻole pane kāu PSVT i nā ʻano lāʻau ʻē aʻe, hiki i kāu kauka ke hoʻokomo i kahi pacemaker i loko o kou umauma e hoʻoponopono i ka helu o kou puʻuwai.

He aha ke kuanaʻike no ka tachycardia supraventricular paroxysmal?

ʻAʻole hoʻoweliweli ʻo PSVT i ke ola. Eia nō naʻe, inā he maʻi puʻuwai kāu, hiki i PSVT ke hoʻonui i kāu makaʻu o ka puʻuwai puʻuwai congestive, angina, a i ʻole nā ​​mele ʻē aʻe. E hoʻomanaʻo i kāu nānā i kāu olakino āpau a me nā koho lapaʻau e loaʻa ai.

Nā ʻano: Q&A

Q:

Aia kekahi mau ʻano o ka tachycardia paroxysmal supraventricular?

A:

ʻO ke ʻano o PSVT o ke kanaka e pili ana i ke ala uila i kumu iā ia. ʻElua ʻano nui. Hoʻokumu ʻia hoʻokahi ma nā ala uila uila ʻelua. Hoʻokumu ʻia ka mea ʻē aʻe i kahi ala hou e hoʻopili i ka atrium (ʻaoʻao kiʻekiʻe o ka puʻuwai) i ka ventricle (ʻāpana o ka puʻuwai).

ʻO ke ala uila hoʻokūkū ka mea i ʻike pinepine ʻia ma PSVT. ʻO ke ʻano i hana ʻia e kahi ala hou aʻe ma waena o ka atrium a me ka ventricle e hoʻoemi pinepine ai iā PSVT a pili pinepine ʻia me Wolff-Parkinson-White syndrome (WPW).

ʻO PSVT kekahi o nā ʻano nui o nā manawa o ka puʻuwai ʻoi aku ka wikiwiki ma mua o ka maʻamau i ʻike ʻia ʻo supraventricular tachycardias (SVT). Ma waho aʻe o PSVT, hoʻokomo pū nā mele ʻo SVT i nā ʻano puʻuwai atrial like ʻole ʻokoʻa. ʻO kekahi o ia mau mea e hoʻopili ana i ka flutter atrial, fibrillation atrial (AFib), a me ka tachycardia atrial multifocal atrial (MAT). ʻO ke ʻano o PSVT āu e pili ai, ʻaʻole e pili i kāu lapaʻau ʻana a i ʻole ka nānā.