Hiki ke loaʻa nā pilikia me nā pacemakers?

He mea hana pākahiko ka pacemaker e kōkua ana i kou puʻuwai e kuʻi i kona ʻano kūlohelohe. E hoʻokomo ke kauka iā ia ma ke ʻoki ma lalo o ka ʻili o ka umauma o ka mea maʻi inā loaʻa iā lākou kahi arrhythmia. He kūlana olakino ia kahi i kūlike ʻole ai kou puʻuwai. Hiki ke lohi loa (ʻoi aku ka maʻamau) a i ʻole wikiwiki loa.

He aha nā ʻano like ʻole o nā pacemakers?

ʻEkolu ʻano o nā pacemakers. Loaʻa iā ia kēia mau mea -

• Pacemaker lumi hoʻokahi – Ke kuhikuhi nei kēia kumu hoʻohālike i nā impulses uila i ka ʻaoʻao ʻākau haʻahaʻa o ka puʻuwai (ventricle ʻākau a i ʻole RV).

• ʻO ka pacemaker pālua keʻena – Hoʻokele ia i nā impulses uila i ka ʻaoʻao haʻahaʻa (RV) a me ka ʻaoʻao luna (atrium ʻākau a i ʻole RA) o ka puʻuwai. nā mea kōkua i ke kaohi ʻana i ka manawa o ka neʻe ʻana (nā ʻūmiʻi) o nā ʻiʻo o kou puʻuwai ma waena o nā keʻena ʻelua.

• Pacemaker biventricular – ʻO ka biventricular pacing, i kapa ʻia hoʻi he cardiac resynchronization therapy, no ka poʻe me ka hāʻule ʻana o ka puʻuwai me nā ʻōnaehana uila ʻē. Hoʻoulu kēia ʻano pacemaker i nā keʻena haʻahaʻa o ka puʻuwai (nā ventricles ʻākau a me hema) e hoʻoikaika i ka puʻuwai e kuʻi maikaʻi.

No ke aha e kuhikuhi ai ke kauka i kahi pacemaker?

ʻO ke kuleana nui o kahi pacemaker ke kōkua i ka hoʻoponopono ʻana i ka hana o kou puʻuwai ma o ka kaohi ʻana i ka puʻuwai. Hiki i kāu kauka ke hoʻokomo iā ia no ka manawa pōkole a mau loa paha, ma muli o ke koʻikoʻi o kou kūlana a me nā pono lapaʻau.

• Inā e paʻi mālie ana kou puʻuwai, ma hope o kahi maʻi hoholainā he nui ka lāʻau lapaʻau, a i ʻole ke ʻoki kino, e kuhikuhi ana kāu kauka i kahi pacemaker no ka manawa pōkole.

• I nā hihia me naau ole a me ka puʻuwai puʻuwai kūpono ʻole (lohi nui), ʻoi aku ka nui o ka manawa e hoʻokomo mau ai ke kauka i kahi pacemaker.

kahea 1860-500-1066 e hoʻopaʻa i kahi manawa

Kou puʻuwai - pehea e paʻi ai?

He ʻōkana nui kou puʻuwai, he ʻiʻo, a hakahaka e noho ana ma waenakonu o kāu ʻōnaehana hoʻopololei koko. He ʻehā ona keʻena -

ʻO nā keʻena ʻelua o luna e komo pū ana me -

• Atrium ʻākau
• Atrium hema

ʻO nā keʻena ʻelua haʻahaʻa e komo pū ana me -

• ʻĀkau ʻākau
• Ventricle hema

Hana pū kēia mau keʻena a pau me ka ʻōnaehana uila o kou puʻuwai e ʻae iā ia e kuʻi kūpono. ʻO kou puʻuwai maʻamau i kēlā me kēia minuke, i ka wā hoʻomaha, mai 60 a 100.

Hoʻoponopono ka ʻōnaehana uila o kou puʻuwai i kou puʻuwai a hoʻomaka ma ka sinus node (kou pacemaker kūlohelohe), e hoʻolaha ana i nā impulses uila i lalo. Hoʻopuka ia i nā ʻūmiʻi i hoʻonohonoho ʻia i loko o nā ʻiʻo o kou puʻuwai, e alakaʻi ana i ka pamu ʻana o ke koko.

Eia naʻe, ma muli o ka ʻelemakule, kekahi mau maʻi puʻuwai e like me maʻi hohola, nā kīnā genetic, a me nā lāʻau lapaʻau, hiki i kou puʻuwai ke kuʻi ma ke ʻano ʻē. I ia mau hihia, hiki i kāu kauka ke ʻōlelo aku i kahi pacemaker.

He pacemaker - pehea e hana ai?

Hoʻohālike kahi pacemaker i ke kaʻina hana o ka ʻōnaehana uila maoli o kou puʻuwai. Loaʻa iā ia ʻelua mau ʻāpana -

• Mea hana pulse - He ʻāpana metala liʻiliʻi ia e pili ana i kahi kaapuni uila a me kahi pila. Hoʻopuka ka mea hana pulse i nā impulses uila e hoʻoponopono i kou mau puʻuwai.
• Nā electrodes (nā alakaʻi) – He mau uea palupalu a palupalu kēia a kāu kauka e hoʻokomo ai i loko o kou ʻiʻo puʻuwai. Pono paha ʻoe i hoʻokahi a ʻekolu paha o kēia mau alakaʻi, ma muli o kāu mau pono. Lawe kēia mau alakaʻi i nā impulses mai ka mea hana i kou ʻiʻo puʻuwai (puʻuwai) a ʻike pū i ka hana uila o kou puʻuwai.

ʻO kekahi mau ʻoiaʻiʻo e pili ana i nā pacemakers

• Inā he pacemaker kāu, e hana wale nō ia ke pono ʻoe. Inā loaʻa iā ʻoe ka bradycardia (ʻoi aku ka lohi o kou puʻuwai ma mua o ka maʻamau), e hoʻouna kāu pacemaker i nā hōʻailona i kou puʻuwai e mālama i ka wikiwiki kūpono.
• Hele mai nā mea hana pacemaker o kēia au hou me nā mea ʻike. ʻIke kēia mau mea ʻike i kou wikiwiki hanu a hōʻailona i kāu pacemaker e hoʻonui i ka wikiwiki o kou puʻuwai i ka wā e pono ai, ʻoiai i ka wā e hoʻoikaika kino ana.
• Ua hāʻawi kekahi kino i ʻae ʻia ma ʻAmelika Hui Pū ʻIa i kahi hōʻailona ʻōmaʻomaʻo i ʻelua mau mea hana pacemaker ʻaʻohe kēpau e hele pololei ana i loko o kou puʻuwai. No ka mea, ʻaʻohe electrodes o kēia mau pacemakers, hiki i kēia mau mea ke kōkua i ka ho'ōla wikiwiki ʻana a hoʻēmi i kekahi mau pilikia olakino. ʻOiai e hana palekana a maikaʻi kēia mau mea hana, ʻaʻole i aʻo ʻia ko lākou hopena lōʻihi.

Hiki ke loaʻa nā pilikia me nā pacemakers?

ʻAe, he mea maʻamau nā pilikia me nā pacemakers. Aia ʻelua mau ʻano kumu o ka mea like, ʻo ia hoʻi -

Nā pilikia o ke kaʻina hana

• ʻO ka hematoma pocket a i ʻole ke kahe koko – I ka hapa nui o ka poʻe e hana ana i kahi ʻoki hoʻokomo pacemaker, he mea maʻamau ke kahe ʻana o ke koko. Eia nō naʻe, haʻahaʻa ka pilikia o ka hematoma (ke kahe ʻana o ke koko ma waho o nā kīʻaha koko). Inā ʻoe e lawe ana i ka lāʻau anticoagulant, hiki iā ʻoe ke kahe hou aʻe ke koko, akā ʻaʻohe mea e hopohopo ai.
• Hemothorax – ʻO ia kekahi o nā pilikia koʻikoʻi o ke kaʻina hana o ka loaʻa ʻana o kahi pacemaker. Eia nō naʻe, he mea kākaʻikahi ia.
• Pneumothorax  – ʻO ka Pneumothorax a i ʻole nā ​​māmā hiolo he pilikia ia o ka loaʻa ʻana o kahi pacemaker cardiac artificial. Hana ʻia ia i ka wā o ke kaʻina hana a i ʻole i loko o nā lā ʻelua mua (48 mau hola) o ke ʻoki ʻana.

Nā pilikia laulā

• ʻAʻa koko hohonu thrombosis (DVT) a me ka phlebitis – ʻO kēia mau kūlana (nā ʻōpū koko i loko o nā aʻa) he mea maʻamau me ka hoʻokomo ʻana o ka pacemaker.
• Ka hoʻohemo ʻana o ke kēpau – He pilikia ʻē aʻe ia o ka loaʻa ʻana o kahi pacemaker hiki ke hoʻonui i kou ʻeha. Eia kekahi, pono paha e hana hou ʻia e pale aku i ke alakaʻi mai ka neʻe ʻana.
• Hana hewa o ka pacemaker – Kū mai ia i ka wā e hana ʻole ai kāu pacemaker e like me ka mea i manaʻo ʻia. Hiki ke hana ia ma muli o nā kumu he nui, e hoʻomaka ana mai ka hāʻule ʻana o ka hāmeʻa a hiki i nā loli i ka rhythm maoli o kou puʻuwai.
• Ka puka ʻana o ka myocardial – ʻOiai he mea kakaikahi, hiki i ka perforation myocardial ke alakaʻi i nā pilikia olakino koʻikoʻi. Pōkole o ka hanu a me pākī ʻo ia kekahi o nā hōʻailona maʻamau.
• Tricuspid regurgitation – He mea hiki paha ke hana ʻia ma muli o ka hōʻino ʻia ʻana o ka valve tricuspid i ka wā o ke kaʻina hana.
• ʻO ka maʻi pacemaker - Inā e ʻoi aku ka ʻino o kou mau hōʻailona ma hope o ka loaʻa ʻana o kahi pacemaker, a hōʻike mālie ʻoe i nā hōʻailona a me nā ʻōuli o CHF (congestive heart failure), ua ʻike ʻia ia he pacemaker syndrome. Hana nui ia ma muli o ka nalowale o ka synchronization ma waena o ka atria a me nā ventricles (atrioventricular synchrony) o kou puʻuwai.

Pehea e hoʻomākaukau ai no ke kaʻina hana hoʻokomo ʻana i kahi pacemaker?

Aia kekahi mau kumu ma hope o ka puʻuwai puʻuwai kūpono ʻole. No laila, e hana kāu kauka i kekahi mau hoʻokolohua e ʻike mua i ke kumu o kou kūlana. ʻO nā hoʻokolohua e komo pū ana me kēia mau mea - 

• ECG a i ʻole Electrocardiogram – He hana ia ʻaʻole invasive kahi e kau ai kāu kauka i nā pads sensor i hoʻopili ʻia me nā uea ma kou mau lālā a i ʻole ka umauma e ana i nā impulses uila o kou puʻuwai.
• Echocardiogram – He hana hoʻopilikia ʻole nō hoʻi ia. Hoʻohana ia i nā nalu kani e nānā i ka hana o kou puʻuwai.
• Nānā Holter – He hoa liʻiliʻi ia o kahi electrocardiogram. Kōkua ia i ka ʻike ʻana i nā ʻano kūlike ʻole i ka manawa o kou puʻuwai. Pono ʻoe e komo i ka mea nānā no hoʻokahi a ʻelua paha lā a hoʻomau i kāu mau hana maʻamau. E hoʻopaʻa ka mea hana i nā hana uila āpau o kou puʻuwai i kēia manawa.
• Hōʻaʻo koʻikoʻi – ʻIke wale ʻia kekahi mau maʻi puʻuwai ke hoʻoikaika kino ʻoe. Ma kēia hoʻokolohua, e hana kāu kauka i kahi electrocardiogram ma mua pono a ma hope o ka hoʻoikaika kino ʻana, me ka holo ʻana i kahi paikikala hoʻoikaika kino a i ʻole ka hoʻomaʻamaʻa ʻana ma ka treadmill.

He aha nā pilikia o ka loaʻa ʻana o kahi pacemaker?

ʻO kekahi o nā pilikia maʻamau o ka loaʻa ʻana o kahi pacemaker e hoʻokomo pū -

• Ka maʻi ma kahi o ke kau ʻana o ka pacemaker
• Ka hopena maʻi i ka anesthesia i ka wā o ke ʻoki ʻana
• ʻO ka palapū a i ʻole ka pehu ʻana ma kahi o ka implant pulse generator
• Ka hōʻino ʻana i nā aʻalolo kūloko (kokoke i ka implant) a me nā kīʻaha koko

Ke Kaʻina Hana Hoʻokomo Pacemaker - Ma mua, I ka wā, a Ma hope

Ma mua o ke kaʻina hana

He mau hola ka lōʻihi o ke ʻoki ʻana i ka pacemaker. Ma mua o ke kaʻina hana, e hoʻomaʻemaʻe kāu kauka i kou umauma me kahi mea hoʻomaʻemaʻe. A laila, e hoʻomaʻemaʻe ʻo ia i kahi o nā ʻoki me ke kōkua o ka anesthesia kūloko.

Ma ke kaʻina hana

• I ka wā o ke ʻoki ʻana, e hoʻokomo kāu kauka i nā uaea insulated (hoʻokahi a ʻoi aku paha) i loko o kahi vein nui e kokoke ana a ma lalo paha o kou iwi collarbone a alakaʻi iā ia i kahi o ke kanu ʻana me ke kōkua o ke kiʻi X-ray.
• A laila e hoʻopaʻa kāu kauka i ke kikowaena o kēlā me kēia uea (me kekahi ʻaoʻao o ke uea i hoʻopaʻa ʻia i ka mea hana pulse) i ke kūlana kūpono i loko o kou puʻuwai.

Ma hope o ka ʻoki ʻana

• Ma hope o ka pau ʻana o kāu ʻoki kino, ʻoi aku ka nui o kou noho ʻana ma ke keʻena mālama ola no hoʻokahi a ʻelua paha lā. Na kāu kauka e hoʻonohonoho/hoʻolālā i kāu pacemaker e like me kāu mau koi pacing.
• Mai hoʻokele i ka home ma kāu iho. E kāhea aku i kahi lālā o ka ʻohana, hoaaloha, a i ʻole ka mea hoʻokele no ia mea like.
• Hiki i kāu kauka ke nānā i kāu pacemaker mamao.
• ʻO ka mea nui loa, e noi aku kāu kauka iā ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole e hana i nā hoʻoikaika kino ikaika no hoʻokahi mahina a i ʻole.
• Inā loaʻa iā ʻoe ka ʻeha a i ʻole ka ʻoluʻolu ʻole, e hoʻokaʻaʻike aku i kāu kauka. Hiki iā ia ke ʻōlelo aku e lawe i nā lāʻau lapaʻau e like me ka ibuprofen a i ʻole acetaminophen.

He aha nā hana palekana e pono ai ʻoe e hana me kahi pacemaker?

ʻOiai ʻaʻole paha e pau ka hana ʻana o kāu pacemaker ma muli o ke komo ʻana o ka uila, he manaʻo maikaʻi ia e makaʻala a lawe i nā hana palekana e pono ai. E nānā i kēia mau hana palekana -

• Ke hoʻohana nei i kahi kelepona paʻalima – He palekana ke hoʻohana ʻana i ke kelepona paʻalima ke loaʻa iā ʻoe kahi pacemaker. Eia nō naʻe, e hōʻoia e mālama iā ia ma kahi mamao o 15 kenimika a i ʻole 6 ʻīniha mai ka hāmeʻa. Eia kekahi, e hōʻoia ʻaʻole e waiho i kāu kelepona i loko o ka ʻeke o kou pālule. A e paʻa i ke kelepona ma ka ʻaoʻao ʻē aʻe o kāu implant i ka wā e kamaʻilio ana.
• Ke hele nei ma o kahi mea ʻike hao – ʻAʻole e hoʻopilikia kāu hāmeʻa i ka hele ʻana no nā nānā palekana ma o kahi mea ʻike metala ma kahi hale kūʻai kūʻai a i ʻole ke kahua mokulele. Eia nō naʻe, ma muli o nā ʻāpana metala o kāu pacemaker, hiki ke kani. ʻO kekahi o nā mea maikaʻi loa e pale aku ai i nā pilikia hiki ke lawe pū me kahi kāleka ʻike e heluhelu ana ke kau nei ʻoe i kahi pacemaker.
• Ke hana nei i nā kaʻina hana lapaʻau – E hōʻoia i kāu mau kauka a pau, me kāu kauka niho, e pili ana i kāu pacemaker. ʻO kekahi mau lāʻau lapaʻau a me nā kaʻina hana diagnostic e like me MRI, hiki i ka radiation, electrocautery, a me nā CT scan ke hoʻopilikia i kāu hāmeʻa.
• Ke kokoke nei i nā lako hana kaumaha – He mea koʻikoʻi e mālama i kahi mamao ma ka liʻiliʻi he 2 kapuaʻi mai nā mea hoʻololi uila kiʻekiʻe, nā mea hana wili, a pēlā aku.

E hoʻokaʻaʻike aku i kāu kauka!

ʻO ka pila o kāu pacemaker e mau ana no 5 a 15 mau makahiki. E hōʻoia e kipa aku i kāu kauka ma kahi manawa o 3 a 6 mau mahina.

Nā nīnau i nīnau pinepineʻia (FAQ)

1. E ʻike ʻia anei kāu pacemaker ma o kou lole?

   ʻAʻole, ʻaʻole e ʻike ʻia kāu pacemaker no ka mea ua hoʻokomo kāu kauka iā ia ma lalo o ka ʻili o kou ʻili. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi puʻupuʻu iki.

2. Hiki iā ʻoe ke komo i nā mea hoʻonani a puni kou ʻāʻī?

   ʻAe, ʻoiaʻiʻo, hiki iā ʻoe ke kau i ka lei a i ʻole kekahi mea hoʻonani ʻē aʻe a puni kou ʻāʻī. ʻAʻole ia e hoʻopilikia i kāu pacemaker.

kahea 1860-500-1066 e hoʻopaʻa i kahi manawa