ʻO nā mea kūponoʻole i ka laweʻana i nā manaʻo uila: Wolff Parkinson White Syndrome
ʻO ka maʻi maʻi ʻo Wolff Parkinson White kahi maʻi maʻi puʻuwai ma muli o ka hoʻoili ʻole ʻia o ka manaʻo uila ma waena o ka atria a me nā ventricles e hiki ai ke hoʻoulu i ka tachyarrhythmias a me ka palpitations.
ʻO Wolff-Parkinson-White Syndrome e hōʻike ana iā ia iho me ka tachyarrhythmias kahi e ʻike ai ka mea maʻi i ka palpitation puʻuwai nui, i kekahi mau hihia e pili ana me ka maule, dizziness, ka ʻeha o ka umauma, ka paʻakikī o ka hanu.
I loko o kēia maʻi maʻi, aia kahi puʻupuʻu kōkua, ʻo Kent's bundle, e hoʻopili ai i ka atrium a me ka ventricle; ma kēia ala i ka wā e hoʻopuehu ʻia ai ka puʻupuʻu uila mai ka node sinus i ka paia atrial ma mua o ka hiki ʻana i ka node atrioventricular, e kiʻi ka pūʻolo o Kent i nā hōʻailona uila e hana ana i ka ʻaelike ventricle he mau milliseconds ma mua o ka mea maʻamau, e hana ana i ka ventricular pre-excitation.
ʻO ka tachycardia i loko o Wolff-Parkinson-White Syndrome he atrioventricular reentrant, ke ʻike ʻia e ka puʻuwai wikiwiki ʻole a ua helu ʻia ka tachycardia ma ke ʻano he supraventicular.
ʻO ka atrial fibrillation kahi maʻi maʻi i hōʻike ʻia e ka wikiwiki a me ka hoʻokaʻawale ʻole ʻana o ka atria, i hoʻoulu ʻia e nā mana uila mai nā ʻiʻo myocardial muscle a, ma lalo o nā kūlana maʻamau, mahalo i ke alo o ka atrioventricular node, "hoʻopili ʻia" a hoʻouna ʻia i nā mea liʻiliʻi i ka ventricles ka mea ʻaʻole e ʻae koke kēia mau mea e like me ka atria.
ʻO ka loaʻa ʻana o ka pūʻolo o Kent e ʻae i ka ʻohi ʻana i nā atrial impulses me ka ʻole o kahi kānana ma o ka hoʻouna ʻana i nā hōʻailona uila o ka ʻoki ʻana i nā ventricles, e hoʻonui ana i ke alapine e hoʻomaka ai i kahi tachyarrhythmia hiki ke make.
ʻO ka poʻe i hoʻopilikia nui ʻia he poʻe ʻōpio olakino, no laila he puʻuwai ʻaʻole pono ka maʻi, ka poʻe e hoʻopiʻi nei i nā manawa o ka tachycardia i kekahi manawa, aʻo nā mea ʻē aʻe ʻaʻole lākou e aʻo i kekahi pilikia.
ʻO ka maʻi maʻi maʻi ʻo Wolff Parkinson White
Ua ʻike ʻia ʻo Wolff Parkinson White me kahi electrocardiogram.
Hiki i ka poʻe i hoʻopilikia ʻia e kēia pathology ke loaʻa i ka make puʻuwai puʻuwai, ma muli o ka hoʻolaha kiʻekiʻe o ka arrhythmia atrial i nā ventricles.
Pehea e mālama ʻia ai ka maʻi ʻo Wolff-Parkinson-White?
Pono e mālama ʻia nā maʻi maʻi Wolff Parkinson White i loaʻa i ka tachyarrhythmias me:
- Vagal manoeuvres, i mea e hoemi i ka naau, ina ka mea maʻi i aʻo pololei hiki ke hana i keia maneuver autonomously.
- ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pale ai i ka hoʻokele ʻana ma o ka node atrioventricular ma ka hoʻopau ʻana i kekahi o nā lima arrhythmia. ʻO nā lāʻau lapaʻau pono e ʻalo ʻia inā loaʻa ka atrial fibrillation no ka mea i kekahi manawa hiki iā lākou ke hoʻonui i ka alapine o ka hoʻouna ʻana i nā ventricle ma o ke ala kōkua e hopena ai i ka ventricular fibrillation.
- ʻO ka cardioversion uila, kahi kaʻina hana e "reset" ai ka hoʻokele uila o ka puʻuwai e ka defibrillator, i mea e hoʻihoʻi ai i ka puʻuwai maʻamau.
Manaʻo ʻia ʻo Ablation ka hopena paʻa i ka hihia o ka hoʻihoʻi pinepine ʻana.
He kaʻina hana liʻiliʻi loa ia e hiki ai iā ʻoe ke hoʻopau i nā ala uila anomali, i kēia hihia ʻo ia nā pūʻolo o Kent.
ʻIke ʻo ia i ka luku hapa ʻana o ke ala kōkua, ma ka hoʻopau ʻana i ka catheter, ʻo ia hoʻi ka hāʻawi ʻana i ka ikehu ma kahi alapine kikoʻī ma o ka catheter i hoʻokomo ʻia i loko o ka puʻuwai; ua holomua ma luna o 95% o nā hihia.
He mea pono loa ka Ablation i nā poʻe maʻi ʻōpio i koi ʻia e lawe i nā lāʻau antiarrhythmic no ke ola.
E heluhelu pū nō hoʻi
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ʻO Wolff-Parkinson-White Syndrome: He aha ia a pehea e mālama ai
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