Wolff-Parkinson-White Syndrome

ʻO ka Wolff-Parkinson-White (WPW) syndrome kahi kūlana o ka naʻau i loaʻa mai ka wā hānau. ʻO ia hoʻi, he kīnā hānau ia o ka naʻau. Loaʻa i nā kānaka me ka WPW syndrome kahi ala hou no nā hōʻailona e hele ai ma waena o nā keʻena luna a me lalo o ka naʻau. Ke kumu kēia i ka wikiwiki o ka naʻau. Hiki i nā loli i ka naʻau ke hoʻopilikia i ka hana ʻana o ka naʻau e like me kāna hana. He mea maʻamau ʻole ka WPW syndrome. ʻO kekahi inoa no ia ʻo ka preexcitation syndrome. ʻAʻole pinepine nā hanana o ka wikiwiki o ka naʻau i ʻike ʻia i ka Wolff-Parkinson-White syndrome he mea weliweli i ke ola. Akā hiki ke loaʻa nā pilikia naʻau koʻikoʻi. I nā manawa kakaikahi, hiki i ka syndrome ke alakaʻi i ka make naʻau koke i nā keiki a me nā ʻōpio. Hiki i ka mālama ʻana i ka WPW syndrome ke komo pū me nā hana kūikawā, nā lāʻau lapaʻau, kahi haʻalulu i ka naʻau a i ʻole kahi kaʻina hana e hoʻopau ai i nā naʻau kūpono ʻole.

ʻO ka helu o ka puʻuwai ka nui o ka hahau ʻana o ka puʻuwai i kēlā me kēia minuke. ʻO ka wikiwiki o ka puʻuwai, ʻo ia hoʻi ka tachycardia (tak-ih-KAHR-dee-uh). ʻO ka hōʻailona maʻamau loa o ka Wolff-Parkinson-White (WPW) syndrome, ʻo ia ka helu o ka puʻuwai ma mua o 100 mau hahau i kēlā me kēia minuke. Ma ka WPW syndrome, hiki ke hoʻomaka koke ka wikiwiki o ka puʻuwai. Hiki paha ke mau i kekahi mau kekona a i ʻole mau hola paha. Hiki ke loaʻa nā hanana i ka wā e hoʻoikaika ai a i ʻole i ka wā e hoʻomaha ai. Hiki i nā hōʻailona ʻē aʻe o ka WPW syndrome ke hilinaʻi i ka wikiwiki o ka puʻuwai a me ka maʻi o ka puʻuwai. No ka laʻana, ʻo ka hahau puʻuwai maʻamau loa i ʻike ʻia me ka WPW syndrome, ʻo ia ka supraventricular tachycardia (SVT). I ka wā o kahi hanana o ka SVT, hahau ka puʻuwai ma kahi o 150 a 220 mau manawa i kēlā me kēia minuke, akā hiki iā ia ke hahau wikiwiki a lohi paha i kekahi manawa. Loaʻa nō hoʻi i kekahi poʻe me ka WPW syndrome kahi maʻi o ka puʻuwai wikiwiki a haunaele hoʻi i kapa ʻia ʻo atrial fibrillation. Ma ke ʻano laulā, ʻo nā hōʻailona o ka WPW syndrome, ʻo ia nā: Hahaʻu puʻuwai wikiwiki, lele a kuʻi paha. ʻEha umauma. Paʻakikī ka hanu. Nāwaliwali a ʻālohilohi paha. Hāʻule. Luhi. Pōkole o ka hanu. Hopohopo. Loaʻa i nā pēpē me ka WPW nā hōʻailona ʻē aʻe, e like me: ʻIli uliuli a hina paha, nā lehelehe a me nā kui. Hiki ke paʻakikī a maʻalahi paha ke ʻike i kēia mau loli ma muli o ke kala o ka ʻili. Hoʻomaha ʻole a huhū paha. Hanu wikiwiki. ʻAʻole ʻai maikaʻi. ʻAʻohe hōʻailona o ka wikiwiki o ka puʻuwai i kekahi poʻe me kahi ala uila keu. ʻO kēia kūlana, ʻo ia ka Wolff-Parkinson-White (WPW) pattern. Hoʻokumu pinepine ʻia ia ma ka manawa i ka wā o kahi hoʻokolohua puʻuwai. Nui nā mea hiki ke hoʻokumu i ka wikiwiki o ka puʻuwai. He mea nui ke kiʻi i kahi ʻike pololei a me ka mālama. I kekahi manawa, ʻaʻohe pilikia o ka wikiwiki o ka puʻuwai. No ka laʻana, hiki ke hoʻonui ʻia ka wikiwiki o ka puʻuwai me ka hoʻoikaika kino. Inā manaʻo ʻoe e hahau wikiwiki ana kou puʻuwai, e hana i kahi kūkā me kahi loea olakino. E kāhea i ka 911 a i ʻole kāu helu pilikia kūloko inā loaʻa iā ʻoe kekahi o nā hōʻailona aʻe ma mua o kekahi mau minuke: Manaʻo o ka wikiwiki a kuʻi paha o ka puʻuwai. Paʻakikī ka hanu. ʻEha umauma.

He nui nā mea e hiki ke kumu i ka holo wikiwiki ʻana o ka naʻau. He mea nui ka loaʻa ʻana o ka ʻike pololei a me ka mālama koke. I kekahi manawa, ʻaʻole ia he pilikia ka holo wikiwiki ʻana o ka naʻau. Eia kekahi laʻana, hiki ke hoʻonui ʻia ka wikiwiki o ka naʻau me ka hoʻoikaika kino. Inā manaʻo ʻoe e holo wikiwiki ana kou naʻau, e hana i kahi kūkā me kahi limahana mālama ola. E kāhea i ka 911 a i ʻole kāu helu pilikia kūloko inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma mua o kekahi mau minuke: Ka manaʻo o ka holo wikiwiki a i ʻole ka hahau ʻana o ka naʻau. Ka pilikia o ka hanu. ʻEha umauma.

ʻO ka Wolff-Parkinson-White (WPW) syndrome kahi kūlana naʻau i loaʻa mai ka wā hānau. ʻO ia hoʻi, he kīnā naʻau i hānau ʻia. ʻAʻole maopopo i nā mea noiʻi ke kumu o ka hapa nui o nā ʻano kīnā naʻau i hānau ʻia. Hiki paha ke loaʻa ka WPW syndrome me nā kīnā naʻau ʻē aʻe i hānau ʻia, e like me ka Ebstein anomaly. I nā manawa kakaikahi, ua hoʻoili ʻia ka WPW syndrome ma waena o nā ʻohana. Hiki i kāu hui mālama ola ke kapa aku i kēia he WPW syndrome i hoʻoili ʻia a i ʻole familial. Hoʻopili ʻia ia me kahi ʻiʻo naʻau mānoanoa, i kapa ʻia ʻo hypertrophic cardiomyopathy. No ka hoʻomaopopo ʻana i nā kumu o ka WPW syndrome, he mea kōkua paha ke ʻike pehea ka holo maʻamau ʻana o ka naʻau. He ʻehā keʻena o ka naʻau. ʻO nā keʻena ʻelua kiʻekiʻe i kapa ʻia ʻo nā atria. ʻO nā keʻena ʻelua haʻahaʻa i kapa ʻia ʻo nā ventricles. I loko o ke keʻena naʻau ʻākau kiʻekiʻe aia kahi hui o nā sela i kapa ʻia ʻo ka sinus node. Hana ka sinus node i nā hōʻailona e hoʻomaka i kēlā me kēia kuʻi naʻau. Holo nā hōʻailona ma nā keʻena naʻau kiʻekiʻe. A laila, hōʻea nā hōʻailona i kahi hui o nā sela i kapa ʻia ʻo ka atrioventricular (AV) node, kahi e lohi ai lākou maʻamau. A laila hele nā hōʻailona i nā keʻena naʻau haʻahaʻa. I ka naʻau maʻamau, holo maʻamau kēia kaʻina hōʻailona. ʻO ka nui o ka naʻau i ka hoʻomaha ma kahi o 60 a 100 mau kuʻi i kēlā me kēia minuke. I ka WPW syndrome, pili kahi ala uila keu i nā keʻena naʻau kiʻekiʻe a me nā haʻahaʻa, e ʻae ana i nā hōʻailona naʻau e hala i ka AV node. ʻO ka hopena, ʻaʻole lohi nā hōʻailona naʻau. Hoʻonāukiuki ʻia nā hōʻailona, a wikiwiki ka nui o ka naʻau. Hiki i ke ala keu ke hoʻokumu i nā hōʻailona naʻau e hele hope. Hoʻokumu kēia i kahi rhythm naʻau kūpono ʻole.