ʻO ka mea maʻamau,ʻaʻole mākou e hoʻolohe, inā e liuliu ke poʻo a hoʻonui pinepineʻia ka puʻuwai. "ʻO ka waiwai, ka wā, makaʻu wau, hauʻoli wau," - manaʻo mākou. ʻO kaʻoiaʻiʻo, he mau hōʻailona o ka arrhythmia āpau - ka uhakiʻia o ka puʻuwai o ka naʻau. Ma hope o lākou, e peʻe ana paha i nā pilikia nui. ʻO nā kumu a me nāʻano o nā arrhythmias cardiac e likeʻole. A no ka pilikiaʻana i kēia pilikia.
Hoʻopiʻi ka hapa o ka'anikoki i nā pulupula elekana e hoʻonāuki i ka hoʻoikaika o ka naʻau. ʻO kaʻoihana elela o ka'īpī hapa ka mea maʻamau i ka hana o nā pūnaewele'ē aʻe i loko o ka puʻuwai. Inā ma lalo o ka hopena o nā maʻi a me nā meaʻinoʻole e hanaʻia ai ka hana o ka "pacemaker",ʻikeʻia nā kumu hou o nā pulina ma nā wahi o ka myocardium, e hoʻomaka nei e paio me ka hoʻopaleʻana paha i ka puka komo. ʻO kēia ke kumu o ka pihoihoi o ka puʻuwai -ʻo kahi arrhythmia,ʻo kekahi mauʻano he kanalima. ʻO nāʻano maʻamau o ka arrhythmia maʻamau:
- kaʻili a me ke kaheʻana i ke ahi;
- extrasystole;
- paroxysmal tachycardia -ʻaʻole paʻakikī ka puʻuwai i nā manawa, akā i nā hopena (paroxysms). Ināʻaʻole i hoʻokōʻia ka ECG i ka wā o kahi hoʻoukaʻana, e hōʻike ana ia i kahi hauʻoli maʻamau;
- ka pale o ka puʻuwai.
Inā makemakeʻoe e hoʻopolohua i ka hana o ka puʻuwai, palpitations, kīʻole i ka puʻuwai, nāwaliwali, nāhuehue, nāwaliwali, ponoʻoe e hele i ke kālai lāʻau.
He aha ka mea e haki ai i ke kani?
ʻO ka mea nui loa,ʻo ka hoʻokumuʻana i keʻano o ka arrhythmia o ka naʻau wale nō, akāʻo kāna kumu hoʻi. Ma hope o nā mea a pau,ʻaʻohe maʻi o ka arrhythmia he maʻi, akā he hōʻailona, hōʻike o nā maʻi. Eia hou, inā ua hala kekahi kaua nui, akāʻaʻole i hoʻopauʻia ka kumu, hiki iā ia ke holomua a'ōlelo hou. I loko o ka lā, kokoke i nā kānaka olakino a pau e hiki ke alakaʻiʻia i ka hanu o ka naʻau haʻahaʻa, he palekana, a no kaʻikeʻole paha. Akā ma nāʻano pilikino ka uluʻana o ka nui o ia mau hapa,ʻoiai ke kumuʻole o kēia meaʻaʻole maopopo. ʻO ka hapa pinepine:
- maʻi maʻi;
ka maʻi o ka maʻi ischemic;
- ka nui o ke koko;
- nā maʻi dystrophic a me nā maʻi inflammatory o ka maʻi paʻakikī (me ka hōʻawaʻona);
- Keʻano o keʻano o keʻano me keʻano o keʻano me keʻano o keʻano o ka maʻi a me nā maʻi (ka maʻiʻeha, kaʻeha o ke poʻo, ka maʻi thyroid, ka pale paʻakai paʻakai).
ʻO ka hoʻokēʻai koko.
Inā piʻi ka naʻau,ʻaʻole hiki ke koko i nā'ōpū i piha. ʻO ka lolo ke maʻalahi loa i ka "pōloli":ʻo ka hopena, aia ka'ākau a me ka nāwaliwali. Loaʻa i nā arrhythmias hiki ke alakaʻi i ka hōʻailona o ka myocardial, ka hōʻeuʻeu o angina pectoris, edema pulmonary, ka uluʻana o ka pōʻino naʻauʻole. ʻO ka hopena,ʻo kekahiʻano o ka arrhythmia e pōpilikia i ke ola. Akā, he mea maʻamau.
E kaupaona mākou i nā pilikia.
Pehea e mālama ai i ka arrhythmia? Me he mea la he pupule ka hana - e mālama! Eia naʻe, loaʻa nā hopena āpauʻole i kēlā me kēia lāʻau lapaʻau antiarrhythmic. ʻO ka hapanui pinepine hiki iā lākou ke hoʻonāukiuki i kahi arrhythmia maʻamau, kekahi manawaʻoi aku kaʻoi aku. No laila,ʻoi aku ka maikaʻi o ka heleʻana i nā lāʻau lapaʻau i ka hopena o nā hōʻeha koʻikoʻi. ʻO kahiʻano maikaʻi o ka mālamaʻana a me ka mālamaʻana, he hanu hanuʻano likeʻole a me ka'ā'ī. Inā lōʻihi ka lāʻau o arrhythmia, e kuhikuhi ana i nā lāʻau no ka manawa lōʻihi, ua hoʻomaha nā kauka lapaʻau no ka nui o nā hopena. ʻO ka kuhi nui loa,ʻo ia ke lawe i kāu lāʻau a iʻole ma ka'ōlelo aʻo a ka hoalauna (ʻoiai inā kōkuaʻia). Ma hope o nā mea a pau, like ka arrhythmia waho i nā kānakaʻelua (aiʻole ka mea hoʻokahi i nā manawa likeʻole o ke ola!) Manaʻoʻia kekahiʻano'ē aʻe.
Me ke kōkuaʻana o nā mea hoʻokipa kūikawā,ʻo ka hana o ka puʻuwai ka mana o ka lolo. Hoʻokaʻaʻike nā halihali i nāʻike i ka lolo e pili ana i nā hana mana o ke kino. Hoʻoponopono ka lolo i ka ikaika a me ka puʻuwai o ka naʻau ma muli o kaʻike i loaʻa. ʻO ia, hāʻawi i ke kauoha "i ka mea hoʻokele o ka wiki" ma o nā mea i loaʻa i nā kānakū ma nā aʻalolo:
- acetylcholine i loko o ka pūnaewele nalu parasympathetic e ho'ēmi i ka naʻau;
- Hoʻoulaʻia ka norepinephrine i loko o ka pūnaʻi aloha e ka leo. I ka wā pōloli, ua huaʻia ka nui o nā norepinephrine, aʻo ia hoʻi ka mea e hiki ai ke hana i ka arrhythmia.
ʻO keʻanoʻike pono loa o ka hōʻailonaʻana he mauʻano likeʻole o ka electrocardiography:
1. ka electrocardiogram maʻamau (ECG);
2. no ka hōʻoia pihaʻana o ka arrhythmias eʻike nei (i loko o nā lā) moʻolelo - mālama ECG ma keʻano Holter. Ke paʻa neiʻoe i ke kino o nā mea liʻiliʻi, a ke komo neiʻoe i ka hana maʻamau i ka lā a pau. Ma hope o kēlā,ʻike ke kauka i ka cardiogram no kekahi lā - hiki iāʻoe ke nānā i nā loli i ka leo o ka lā, e hilinaʻi ana i kāuʻoihana, kūlana a me nā mea likeʻole. Ma ke ala, i kahi kanaka olakino, keʻano o ka pulse o ke kinona hewa e like me ka pono o ke kino: mai 45-60 manawa i hoʻokahi minuke i ka pō ma ka moe i 130-160 ma nā kaumaha kaumaha.
E like me kāu eʻike ai, nui nā kumu a me nāʻano o ka arrhythmia āpau. ʻAʻole hiki ke loaʻa i kaʻike pono'ī a me ka lāʻau pono'ī. Inā manaʻoʻoe he pilikia meʻoe a iʻole nā mea aloha iāʻoe, mai hoʻomakaʻoe i ka maʻi. E aʻo i ke kauka a hahai i kāna mau'ōlelo.