He aha ka Pacemaker? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

He mea liʻiliʻi ka pacemaker, he mea hana i ka pākaukau e kōkua ana i ka hoʻoponopono ʻana i kou puʻuwai ke hana pono ʻole ka ʻōnaehana uila maoli o kou puʻuwai. E noʻonoʻo iā ia he ʻōnaehana kākoʻo e komo i loko e mālama i kou puʻuwai e paʻi ana i kahi pae paʻa a olakino. Ua kōkua kēia mea hana kupaianaha i nā miliona o nā kānaka e ola i nā ola piha a ikaika ma ka hōʻoia ʻana e mālama ana ko lākou puʻuwai i ka wikiwiki kūpono.

He aha ka pacemaker?

He mea lapaʻau ka pacemaker ma kahi o ka nui o ke kelepona paʻa lima liʻiliʻi i waiho ʻia ma lalo o ka ʻili kokoke i kou iwi kola. Loaʻa iā ia kahi mea hana pulse (ke kino nui) a me hoʻokahi a ʻoi aku paha nā uea lahilahi i kapa ʻia he alakaʻi e pili ana i kou puʻuwai. Mālama mau ka mea hana i ka puʻuwai o kou puʻuwai a hoʻouna i nā impulses uila ke pono e mālama i ka puʻuwai maʻamau.

He mea paʻakikī loa nā pacemakers o kēia wā a hiki ke hoʻoponopono i nā pono o kou kino i ka lā. Hiki iā lākou ke ʻike i ka wā e hana ana ʻoe a pono i ka puʻuwai wikiwiki, a laila e lohi i ka wā e hoʻomaha ana ʻoe. Hana mālie ka mea hana ma ke kāʻei hope, e ʻae ana iā ʻoe e hele e pili ana i kāu mau hana i kēlā me kēia lā me ka noʻonoʻo ʻole iā ia.

No ke aha e hana ʻia ai kahi pacemaker?

Hiki i kāu kauka ke ʻōlelo aku i kahi pacemaker inā lohi loa kou puʻuwai, wikiwiki loa, a i ʻole ʻole ma muli o nā pilikia me ka ʻōnaehana uila o kou puʻuwai. ʻO ke kumu maʻamau ʻo bradycardia, ʻo ia hoʻi, lohi ka puʻuwai o kou puʻuwai ma mua o 60 paʻi i kēlā me kēia minuke. Hiki i kēia ke waiho iā ʻoe e luhi, ʻūlū, a i ʻole pōkole o ka hanu no ka mea ʻaʻole e loaʻa ana i kou kino ke koko waiwai oxygen.

Hiki i kekahi mau maʻi puʻuwai ke pōmaikaʻi mai ka lāʻau lapaʻau pacemaker, a ʻo ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e manaʻoʻiʻo hou i ka ʻōlelo. Eia nā kūlana nui e pono ai kahi pacemaker:

• Maʻi sinus syndrome - i ka wā ʻaʻole e hana pono ka mea hoʻokani maoli o kou puʻuwai (ka sinus node)
• Heart block - i ka wā ʻaʻole hiki i nā hōʻailona uila ke hele maʻamau ma kou puʻuwai
• Atrial fibrillation me ka puʻuwai lohi - ka puʻuwai puʻuwai ʻole i kekahi manawa e lohi loa
• Heart failure - i kekahi mau hihia, hiki i nā pacemakers kūikawā ke kōkua i ka hoʻopili ʻana i ka pauma o kou puʻuwai
• Nā hanana fainting (syncope) i hana ʻia e nā puʻuwai puʻuwai lohi

ʻAʻole maʻamau, hoʻohana ʻia nā pacemakers no kekahi mau maʻi genetic e pili ana i ka puʻuwai puʻuwai a i ʻole ma hope o ke ʻoki ʻana i ka puʻuwai i pili paha i ka ʻōnaehana uila o ka puʻuwai. E loiloi pono kāu cardiologist i kāu kūlana kikoʻī e hoʻoholo ai inā he pacemaker ka hopena kūpono iā ʻoe.

He aha ke kaʻina hana no ka hoʻokomo ʻana i ka pacemaker?

Hana ʻia ka hoʻokomo ʻana i ka pacemaker ma ke ʻano he kaʻina hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hele i ka home i ka lā hoʻokahi. He 1-2 mau hola ke ʻoki a hana ʻia ma lalo o ka anesthesia kūloko, no laila e ala ʻoe akā ʻoluʻolu. E hāʻawi pū kāu kauka iā ʻoe i ka sedation māmā e kōkua iā ʻoe e hoʻomaha i ka wā o ke kaʻina hana.

Hahai ke kaʻina hana i kahi kaʻina hana, i kēlā me kēia ʻanuʻu i hana ʻia e kāu hui lapaʻau i nā manawa he nui ma mua. Eia ka mea e hana ʻia i ka wā o ke ʻoki:

1. Hoʻomaʻemaʻe ʻia kou wahi umauma a hoʻopaʻa ʻia me ka anesthetic kūloko
2. Hana ʻia kahi ʻoki liʻiliʻi (e pili ana i 2-3 iniha) ma lalo o kou iwi kola
3. Hoʻopaʻa pono ʻia nā alakaʻi ma kahi moku koko i kou puʻuwai me ka hoʻohana ʻana i ke alakaʻi X-ray
4. Hoʻokomo ʻia ka mea pacemaker i loko o kahi ʻeke liʻiliʻi i hana ʻia ma lalo o kou ʻili
5. Hoʻopili ʻia nā alakaʻi i ka pacemaker a hoʻāʻo ʻia e hōʻoia i ka hana kūpono
6. Hoʻopaʻa ʻia ka ʻoki me nā humuhumu a i ʻole ke kāpili ʻoki

Ma hope o ke kaʻina hana, e hoʻomaha ʻoe no kekahi mau hola i ka wā e nānā ai ka hui lapaʻau i kou puʻuwai a nānā e hana pono ana nā mea a pau. ʻAʻole nui ka ʻeha o ka hapa nui o nā kānaka, akā, e ʻeha paha ʻoe ma kahi o ka ʻoki ʻana no kekahi mau lā.

Pehea e hoʻomākaukau ai no kāu kaʻina hana pacemaker?

E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e hahai ai ma mua o ka hoʻokomo ʻana i kāu pacemaker, akā maʻalahi ka hoʻomākaukau ʻana. Pono ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no 8-12 mau hola ma mua o ke kaʻina hana, akā hiki iā ʻoe ke lawe i kāu mau lāʻau maʻamau me kahi wai liʻiliʻi ke ʻole i kuhikuhi ʻia.

Hiki i ka hana ʻana i kekahi mau hana maʻalahi ma mua ke kōkua i ka hōʻoia ʻana e holo mālie kāu kaʻina hana a e hōʻemi i nā hopohopo āu e manaʻo nei:

• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana
• E ʻaʻahu i nā lole ʻoluʻolu, ʻaʻole paʻa i mua
• Wehe i nā mea nani a pau, ʻoi aku hoʻi a puni kou ʻāʻī a me ka umauma
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau herbal āu e lawe ai
• E haʻi i kāu hui e pili ana i nā allergies a i ʻole nā ​​hopena i nā lāʻau lapaʻau
• E lawe mai i ka papa inoa o kāu mau lāʻau lapaʻau i kēia manawa a me nā pilina pilikia

Hiki i kāu kauka ke noi iā ʻoe e hooki i kekahi mau lāʻau lapaʻau e like me nā mea hoʻokahe koko i kekahi mau lā ma mua o ke kaʻina hana, akā mai hooki i kekahi lāʻau lapaʻau me ka ʻole o nā ʻōlelo kikoʻī. Inā hopohopo ʻoe, he mea maʻamau loa ia, a aia kāu hui lapaʻau e kākoʻo iā ʻoe a pane i nā nīnau.

Pehea e heluhelu ai i kāu hana pacemaker?

E nānā mau ʻia kāu pacemaker ma o ke kaʻina hana i kapa ʻia ʻo ka nīnau a i ʻole ka nānā ʻana, ʻaʻole ʻeha a ʻaʻole invasive. I loko o kēia mau nānā ʻana, hoʻohana kāu kauka i kahi mea hana kūikawā i kapa ʻia he programmer e kamaʻilio me kāu pacemaker a nānā i kāna hana. Hana pinepine kēia i kēlā me kēia 3-6 mahina, ma muli o kāu kūlana.

Hāʻawi ke kaʻina hana nānā i ka ʻike waiwai e pili ana i ka hana o kou puʻuwai a me ka hana o kāu pacemaker. E nānā kāu kauka i kekahi mau mea nui i kēia mau kipa:

• Ke ola o ka pākaukau a me ka lōʻihi e koe ana (ʻo ka pākaukau pacemaker e mau ana ma waena o 7-15 mau makahiki)
• Pehea ka pinepine o ka pacemaker i ka pacing i kou puʻuwai
• ʻO ka puʻuwai maoli o kou puʻuwai a me nā ʻano hana ʻole
• Hana alakaʻi a me nā ana uila
• ʻO nā ʻike i mālama ʻia e pili ana i nā arrhythmias a i ʻole nā puʻuwai puʻuwai ʻokoʻa

Nui nā pacemaker hou e hāʻawi pū ana i ka nānā mamao, ʻo ia hoʻi hiki iā lākou ke hoʻouna i ka ʻike i ke keʻena o kāu kauka mai kou home. Hāʻawi kēia ʻenehana i ka nānā pinepine ʻana me ka ʻole o ka pono e kipa hou aku i ka lāʻau lapaʻau, e hāʻawi ana iā ʻoe a me kāu kauka i ka maluhia o ka noʻonoʻo.

Pehea e noho ai me kāu pacemaker?

ʻO ka noho ʻana me ka pacemaker ʻaʻole ia he manaʻo e haʻalele i nā hana āu e aloha ai, ʻoiai aia kekahi mau mea e pono ai e noʻonoʻo. ʻO ka hapa nui o nā kānaka e ʻike i ka wā i ola ai lākou mai ke kaʻina hana hoʻokomo, hiki iā lākou ke hoʻi i kahi kokoke i kā lākou hana maʻamau. ʻO ka ʻoiaʻiʻo, nui ka poʻe e manaʻo i ka ikaika ma mua o ka loaʻa ʻana o kā lākou pacemaker no ka mea ke paʻi nei ko lākou puʻuwai i kēia manawa.

Aia kekahi mau alakaʻi kōkua e hahai ai e kōkua iā ʻoe e ola palekana a me ka hilinaʻi me kāu pacemaker:

• E pale i ka hoʻopili lōʻihi ʻana me nā māla magnetic ikaika (e like me nā mīkini MRI, ʻoiai ua kūpono kekahi mau pacemaker hou i ka MRI)
• E mālama i nā kelepona paʻalima ma kahi o 6 iniha mai kāu pacemaker
• E hōʻike i nā mea mālama ola e pili ana i kāu pacemaker ma mua o nā kaʻina hana
• E lawe i kāu kāleka ʻike pacemaker me ʻoe i nā manawa a pau
• E pale i nā haʻuki pili kiʻekiʻe e hiki ke hōʻino i ka mea hana
• E makaʻala i kekahi mau ʻōnaehana palekana a me nā mea ʻike metala

Ua palekana ka hapa nui o nā mea hana hale, me nā microwaves, e hoʻohana me ka pacemaker. Hiki iā ʻoe ke hoʻokele, hele, hoʻoikaika kino, a hana maʻamau, ʻoiai paha e ʻōlelo aku kāu kauka e kali i kekahi mau pule ma hope o ke kanu ʻana ma mua o ka hāpai ʻana i nā mea kaumaha a i ʻole ka hāpai ʻana i kou lima ma luna o kou poʻo ma ka ʻaoʻao kahi i waiho ʻia ai ka pacemaker.

He aha nā mea pilikia no ka pono o ka pacemaker?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke hoʻomohala i nā pilikia o ka puʻuwai e koi ai i ka pacemaker, ʻoiai ʻo ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo e pono maoli ana ʻoe i hoʻokahi. ʻO ka makahiki ka mea nui loa, no ka mea, e loli maoli ana ka ʻōnaehana uila o ka puʻuwai i ka manawa, a ʻo ka hapa nui o nā kānaka e loaʻa ana i nā pacemakers ma luna o 65.

ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe a me kāu kauka e nānā pono i ke olakino o kou puʻuwai:

• ʻO ka makahiki kiʻekiʻe (hoʻonui nui ka pilikia ma hope o 65)
• Nā puʻuwai ma mua a i ʻole nā maʻi puʻuwai
• Ke koko kiʻekiʻe i mālama ʻole ʻia
• Diabetes, ʻoi aku ka paʻakikī o ke kō koko
• ʻO ka mōʻaukala ʻohana o nā maʻi puʻuwai
• Nā lāʻau lapaʻau e hiki ke hoʻopilikia i ka puʻuwai
• Sleep apnea a i ʻole nā maʻi hanu ʻē aʻe
• Nā maʻi thyroid

Ua hānau ʻia kekahi poʻe me nā kūlana e pili ana i ka ʻōnaehana uila o ko lākou puʻuwai, a ʻo nā mea ʻē aʻe e hoʻomohala i nā pilikia ma hope o ke ola ma muli o ka ʻaʻahu a me ka waimaka, nā maʻi, a i ʻole nā kūlana olakino ʻē aʻe. ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ka nui o kēia mau mea pilikia ma o nā koho ola olakino a me ka mālama olakino kūpono.

He aha nā pilikia hiki ke loaʻa i ke kanu ʻana i ka pacemaker?

ʻOiai he palekana loa ka hoʻokomo ʻana i ka pacemaker, e like me nā hana lapaʻau ʻē aʻe, aia kekahi mau pilikia. He kakaikahi nā pilikia koʻikoʻi, e kū ana ma lalo o 1% o nā hana, akā he mea nui e hoʻomaopopo i ka mea e nānā ai. ʻO ka hapa nui o nā kānaka e ʻike wale i nā hopena ʻaoʻao liʻiliʻi a me ka manawa pōkole e hoʻoponopono koke ʻia me ka mālama kūpono.

ʻO nā pilikia maʻamau ka mea maʻamau a maʻalahi hoʻi e mālama ʻia, ʻoiai he mea maʻamau ʻole nā pilikia koʻikoʻi:

• Maʻi ma kahi o ka ʻoki (e kū ana ma kahi o 1-2% o nā hihia)
• Ke kahe ʻana o ke koko a i ʻole ka ʻeha a puni ka ʻeke pacemaker
• Hoʻoneʻe ʻia ke alakaʻi (neʻe ke uea mai kona kūlana i manaʻo ʻia)
• Ka hopena maʻi i nā lāʻau lapaʻau a i ʻole nā mea i hoʻohana ʻia
• Ua hāʻule ka māmā (pneumothorax) - he kakaikahi loa akā pono e mālama koke ʻia
• Nā koko koko a i ʻole ka pōʻino i nā kīʻaha koko
• ʻAʻole hana pono ka pacemaker a i ʻole nā pilikia uila

E nānā pono kāu hui lapaʻau iā ʻoe i ka wā a ma hope o ke kaʻina hana e hopu i nā pilikia hiki ke hiki i ka wā mua. ʻO ka hapa nui o nā pilikia, inā loaʻa, hiki ke mālama pono ʻia me ka ʻole o nā hopena lōʻihi i kou olakino a i ʻole ka hana o kāu pacemaker.

I ka manawa hea wau e ʻike ai i ke kauka no nā hopohopo pacemaker?

ʻOiai ʻo ka hapa nui o nā kānaka me nā pacemakers e ola me ka ʻole o nā pilikia, aia kekahi mau hōʻailona e pono ai ʻoe e hoʻopili koke i kāu kauka. Hiki i kēia mau hōʻailona hōʻailona ke hōʻike i kahi pilikia me kāu pacemaker, kāu puʻuwai puʻuwai, a i ʻole ke kaʻina hana hoʻōla ma hope o ke kanu ʻana.

He mea nui e ʻimi i ka lāʻau lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​no ka mea, hiki i ka hana mua ke pale i nā pilikia koʻikoʻi:

• Ka wili, ka nāwaliwali, a i ʻole nā hanana kokoke i ka nāwaliwali
• ʻEha o ka umauma a i ʻole ka pōkole hanu ʻokoʻa
• Ka pehu ʻana, ka ʻulaʻula, a i ʻole ka wai mai kahi o ka ʻoki
• Ka wela a i ʻole nā hōʻailona o ka maʻi
• ʻO ka hū ʻaʻole e pau (hiki ke hōʻike i ka hoʻoneʻe ʻia o ke alakaʻi)
• Ka manaʻo e hei ana kou puʻuwai a i ʻole e paʻi ʻole ana
• Ka ʻū ʻana o ka ʻiʻo i kou umauma, lima, a i ʻole ka diaphragm
• Ka luhi nui a i ʻole ka nāwaliwali

Mai kānalua e kelepona i kāu kauka inā ʻaʻole maikaʻi kekahi mea, ʻoiai inā ʻaʻole ʻoe maopopo inā pili ia i kāu pacemaker. Makemake kāu hui mālama ola e nānā iā ʻoe me ka pono ʻole ma mua o ka nalo ʻana i kekahi mea nui. E hoʻomanaʻo, aia lākou ma laila e kākoʻo iā ʻoe i kāu huakaʻi pacemaker.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā pacemakers

Q1: He maikaʻi anei ka pacemaker no ka maʻi puʻuwai?

ʻAe, hiki i kekahi mau ʻano pacemakers ke kōkua nui i ka poʻe me ka maʻi puʻuwai. Hiki i kahi ʻano kūikawā i kapa ʻia he cardiac resynchronization therapy (CRT) pacemaker, a i ʻole biventricular pacemaker, ke kōkua i ka hoʻopili ʻana i ka pauma ʻana o nā keʻena o kou puʻuwai. Hiki i kēia ke hoʻomaikaʻi i ka pono o kou puʻuwai a hoʻemi i nā hōʻailona e like me ka pōkole hanu a me ka luhi.

Eia naʻe, ʻaʻole pono nā mea a pau me ka maʻi puʻuwai i ka pacemaker. E loiloi kāu kauka i kāu ʻano maʻi puʻuwai, kāu mau hōʻailona, a me ka maikaʻi o ka hana ʻana o kou puʻuwai e hoʻoholo ai inā e pōmaikaʻi ʻoe i kēia lapaʻau.

Q2: Pono mau ka puʻuwai lohi i ka pacemaker?

ʻAʻole pono. Pono ka puʻuwai lohi (bradycardia) i ka pacemaker inā e hana ana i nā hōʻailona a i ʻole nā pilikia olakino. Loaʻa i kekahi poʻe ka puʻuwai lohi, ʻoi aku ka poʻe haʻuki, a maikaʻi loa. ʻO ke kī inā ke pale nei kou puʻuwai lohi i kou kino mai ka loaʻa ʻana o ka oxygen a me nā meaʻai e pono ai.

E noʻonoʻo kāu kauka i kāu mau hōʻailona, ke olakino holoʻokoʻa, a me ke ʻano o ka hopena o ka puʻuwai lohi i kou ola i kēlā me kēia lā ma mua o ka ʻōlelo ʻana i kahi pacemaker. I kekahi manawa, hiki i ka hoʻoponopono ʻana i nā lāʻau lapaʻau a i ʻole ka mālama ʻana i nā maʻi i lalo ke hoʻoponopono i ka pilikia me ka ʻole o ka pono i kahi mea hana.

Q3: Hiki iaʻu ke hoʻoikaika kino me ka pacemaker?

ʻOiaʻiʻo nō! ʻO ka ʻoiaʻiʻo, ua paipai ʻia ka hoʻoikaika kino maʻamau a he mea maikaʻi ia no ka poʻe me nā pacemaker. Ua hoʻolālā ʻia kāu pacemaker e hoʻoponopono i kāu pae hana, e hoʻonui ana i kou puʻuwai i ka wā e hana ana ʻoe a e hoʻolohi ana i ka wā e hoʻomaha ai ʻoe. Nui ka poʻe i ʻike e hiki iā lākou ke hoʻoikaika kino me ka ʻoluʻolu ma hope o ka loaʻa ʻana o kahi pacemaker no ka mea e mālama ana ko lākou puʻuwai i kahi puʻuwai paʻa.

E hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i ka wā e hiki ai iā ʻoe ke hoʻomaka hou i ka hoʻoikaika kino ma hope o ke kanu ʻana a me nā ʻano hana maikaʻi loa iā ʻoe. Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana hoʻoikaika kino maʻamau i loko o kekahi mau pule, ʻoiai pono e pale ʻia nā haʻuki pili kiʻekiʻe.

Q4: Pehea ka lōʻihi o ka pākaukau pacemaker?

ʻO ka maʻamau, e mau ana nā pākaukau pacemaker hou ma waena o 7 a me 15 mau makahiki, ma muli o ka pinepine o ka pono o kāu pacemaker e hoʻokē i kou puʻuwai a me ke ʻano o ka mea hana āu. Inā lohi loa kou puʻuwai a hana pinepine kāu pacemaker, ʻaʻole paha e lōʻihi ka pākaukau e like me ka mea nona ka pacemaker e hana wale ana i kekahi manawa.

E nānā kāu kauka i ke ola o kāu pākaukau i ka wā o nā loiloi maʻamau a e hoʻolālā no ka hoʻololi ʻana ma mua o ka pau ʻana o ka pākaukau. ʻOi aku ka maʻalahi o ke kaʻina hana pani ma mua o ke kanu mua ʻana no ka mea ʻaʻole pono e hoʻololi pinepine ʻia nā alakaʻi.

Q5: E hiki anei iaʻu ke manaʻo i ka hana ʻana o kaʻu pacemaker?

ʻAʻole manaʻo ka hapa nui o nā kānaka i ka hana ʻana o kā lākou pacemaker ma hope o ka maʻa ʻana. Hiki paha iā ʻoe ke ʻike i ka puʻupuʻu liʻiliʻi ma lalo o kou ʻili kahi e noho ai ka mea hana, ʻoiai inā he lahilahi ʻoe, akā he liʻiliʻi loa nā impulse uila e manaʻo ai. Hōʻike kekahi poʻe i ka manaʻo ʻoi aku ka ikaika a me ka luhi ʻole no ka mea e paʻi ana ko lākou puʻuwai me ka maikaʻi.

I nā pule mua ma hope o ke kanu ʻana, hiki paha iā ʻoe ke ʻike hou aku i ka mea hana i ka wā e hoʻoponopono ai kou kino a hoʻōla ka ʻoki. Inā manaʻo ʻoe i nā manaʻo ʻokoʻa e like me ka ʻū ʻana o ka ʻiʻo a i ʻole nā hiccups ʻaʻole e pau, e kelepona i kāu kauka, no ka mea, hiki i kēia ke hōʻike i ka pono o ka hoʻoponopono ʻana i ka mea hana.