Koj puas tau muaj lub siab dhia ceev heev, lossis qeeb heev, lossis tej zaum dhia tsis muaj zog li? Nws yog ib qho ib txwm muaj uas koj yuav ntshai me ntsis thaum koj xav li no. Cov neeg feem coob tau muaj qhov kev paub no rau qee lub sijhawm hauv lawv lub neej. Hauv kev kho mob, peb hu qhov tsis zoo no hauv lub plawv dhia 'Arrhythmia' (hais tias 'arrhythmia'). Yog li ntawd, tsis txhob ntshai, hnub no peb yuav tham txog txhua yam hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.
Arrhythmia yog dab tsi tiag?
Hais yooj yim xwb, arrhythmia yog lub plawv dhia tsis xwm yeem. Qhov no kuj hu ua 'dysrhythmia'.
Xav txog tias peb lub siab zoo li ib tug neeg ntaus nruas hauv ib pab pawg suab paj nruag. Zaj nkauj tsuas yog suab zoo yog tias nws ntaus nruas rau lub suab thiab qhov ceev yog. Tib yam li ntawd rau peb lub siab. Nws yuav tsum ntaus kom raug thiab muaj lub suab zoo. Tsuas yog thaum ntawd nws thiaj li tso tau cov ntshav uas muaj oxygen ntau txaus rau tag nrho lub cev.
Hauv arrhythmia, qhov kev hloov pauv no yuav tshwm sim.
- Tej zaum lub plawv dhia ceev heev .
- Tej zaum lub plawv dhia qeeb heev .
- Los yog nws tuaj yeem ua si tsis tu ncua , tsis muaj ib lub suab nrov.
Cov mob no tuaj yeem pib nyob rau hauv ntau qhov chaw ntawm lub plawv.
Qhov no puas yog ib qho mob hnyav uas yuav tsum ntshai?
Lo lus nug no yog ib qho tsim nyog nug. Muaj ntau hom mob plawv dhia tsis xwm yeem. Qee hom tsis muaj teeb meem thiab tsis tas yuav kho. Txawm li cas los xij, qee hom mob hnyav dua. Lawv tuaj yeem ua rau lub plawv nres tam sim ntawd. Kuj tseem muaj ntau hom mob plawv dhia tsis xwm yeem uas nyob nruab nrab ntawm ob qho no.
Qhov tseem ceeb tshaj plaws yog tsuas yog koj tus kws kho mob thiaj li qhia tau koj tias koj muaj hom mob arrhythmia twg, seb nws puas xav tau kev kho mob, thiab yuav ua li cas yog tias tsim nyog. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab tswv yim los ntawm kws kho mob es tsis txhob kuaj mob koj tus kheej.
Cov hom mob arrhythmia tseem ceeb yog dab tsi?
Cov kws kho mob faib cov kab mob plawv dhia tsis xwm yeem raws li qhov chaw hauv lub plawv uas lawv pib. Cia peb hais yooj yim. Lub plawv muaj plaub chav loj, ob chav nyob rau sab saud thiab ob chav nyob rau hauv qab.
| Hom mob plawv dhia tsis xwm yeem | Hais yooj yim xwb... |
|---|---|
| Kev Mob Plawv Tsis Zoo (Supraventricular Arrhythmias) | Cov no pib nyob rau hauv cov chav sab saud ntawm lub plawv (atria) . 'Supraventricular' txhais tau tias 'saum toj no cov chav sab qis'. |
| Kev mob plawv dhia tsis xwm yeem | Cov no pib nyob rau hauv cov chav qis (ventricles) ntawm lub plawv. |
| Kev mob plawv dhia tsis xwm yeem | Cov no yog tshwm sim los ntawm teeb meem nrog lub plawv lub zog hluav taws xob, ua rau lub plawv dhia qeeb dhau . Cov no tuaj yeem tshwm sim los ntawm teeb meem nrog lub plawv lub pacemaker ntuj (SA node) lossis nrog txoj kev uas nqa cov teeb liab (xws li AV node). |
Atrial Fibrillation yog hom mob arrhythmia uas pom ntau tshaj plaws hauv Sri Lanka thiab thoob plaws ntiaj teb. Nws yog hom Supraventricular.
Ib tug neeg uas muaj mob arrhythmia muaj cov tsos mob li cas?
Muaj ib txhia neeg uas muaj mob plawv dhia tsis xwm yeem yam tsis muaj tsos mob dab tsi li. Peb hu qhov no ua mob plawv dhia tsis xwm yeem uas "tsis muaj tsos mob". Txawm li cas los xij, yog tias muaj tsos mob tshwm sim, tej zaum yuav muaj xws li:
| Cov tsos mob | Nws xav li cas |
|---|---|
| Kev mob plawv dhia ceev | Hnov koj lub plawv dhia ceev, koj lub hauv siab dhia ceev, koj lub hauv siab dhia ceev. |
| Kiv taub hau los yog Lightheadedness | Kiv taub hau los yog vertigo . |
| Cov sijhawm tsaus muag | Cia li poob siab thiab ntog. |
| Ua tsis taus pa | Ua tsis taus pa, zoo li thaum nce ntaiv. |
| Mob hauv siab | Kev hnov mob los yog tsis xis nyob, zoo li nruj hauv siab. |
| Tsis muaj zog los yog qaug zog | Xav tias nkees heev thiab tsis muaj sia nyob yam tsis muaj laj thawj. |
Vim li cas qhov no thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Nws nyuaj rau nrhiav ib qho ua rau muaj mob plawv dhia tsis xwm yeem. Muaj ntau yam ua rau muaj. Cia peb saib cov ua rau tseem ceeb thiab cov yam uas ua rau muaj kev pheej hmoo.
Ua rau mob arrhythmia
- Kab mob plawv ( kev thaiv cov hlab ntsha hauv lub plawv )
- Ntshav siab
- Kev hloov pauv hauv cov leeg nqaij plawv ('Cardiomyopathy')
- Cov kab mob ntawm lub plawv
- Kev raug mob los ntawm kev mob plawv yav dhau los
- Kev tsis sib npaug ntawm cov electrolyte hauv cov ntshav
- Cov txheej txheem rov zoo tom qab phais plawv
- Lwm yam kab mob (piv txwv li, teeb meem thyroid)
Cov yam uas ua rau muaj kev pheej hmoo ntau ntxiv
- Kev siv cov khoom luam yeeb (haus luam yeeb)
- Haus dej cawv ntau dhau
- Kev haus dej haus thiab khoom noj uas muaj caffeine ntau dhau (tshuaj yej, kas fes, cola)
- Siv cov tshuaj stimulants, xws li qee cov tshuaj mob khaub thuas
- Ntshav siab
- Rog dhau (BMI ntau dua 30)
- Mob ntshav qab zib los yog ntshav qab zib ntau dhau
- Kev pw tsaug zog tsis taus pa thiab kev pw tsaug zog tsis taus pa
Yog tias tsis kho ces yuav muaj tej yam tshwm sim loj heev li cas?
Yog tias tsis kho kom zoo, qee hom mob arrhythmia tuaj yeem ua rau muaj teeb meem loj heev.
- Kev qaug zog ntawm cov leeg nqaij plawv ('Cardiomyopathy'): Thaum lub plawv dhia tsis xwm yeem ntev, cov leeg nqaij plawv yuav qaug zog thiab nws lub peev xwm los nqus ntshav yuav txo qis.
- Lub plawv nres: Qee qhov mob plawv dhia tsis xwm yeem loj heev tuaj yeem ua rau lub plawv nres tam sim ntawd.
- Mob stroke: Hauv qee qhov mob plawv dhia tsis xwm yeem, xws li atrial fibrillation, cov ntshav txhaws tuaj yeem tsim hauv lub plawv. Yog tias cov ntshav txhaws no mus rau lub hlwb thiab thaiv cov hlab ntsha, nws tuaj yeem ua rau tuag tes tuag taw.
Tus kws kho mob yuav kuaj pom qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug txog koj cov tsos mob thiab kuaj koj. Lawv yuav kuaj koj lub plawv dhia thiab mloog koj lub plawv nrog lub stethoscope kom paub seb puas muaj lub plawv dhia tsis xwm yeem.
Tom qab ntawd, yuav muaj ntau yam kev kuaj mob kom paub tseeb tias muaj mob thiab nrhiav qhov ua rau mob.
| Kev Ntsuas | Tsuas yog... |
|---|---|
| ECG (Electrocardiogram) | Ib qho kev kuaj uas sau cov hluav taws xob ntawm lub plawv. Qhov no yog qhov kev kuaj yooj yim tshaj plaws uas siv los kuaj pom qhov mob plawv dhia tsis xwm yeem. |
| Kev kuaj ntshav | Xyuas tej yam xws li cov ntsev hauv lub cev thiab cov tshuaj hormones thyroid. |
| Cov Neeg Saib Xyuas Kev Tawm Mus Los (piv txwv li, Holter monitor) | Muaj ib lub cuab yeej me me uas raug cog rau hauv koj lub cev kom kaw koj lub plawv dhia tas li rau 24 teev lossis ntau dua. |
| Kev kuaj lub plawv (Echocardiogram) | Kev ntsuas lub plawv. Qhov no tuaj yeem saib tej yam xws li qhov loj me, cov duab, thiab kev ua haujlwm ntawm cov qhov valve. |
| Kev Ntsuas Kev Nyuaj Siab | Ua ECG thaum koj tawm dag zog (taug kev saum lub treadmill). Qhov no pab nrhiav pom cov arrhythmias uas tshwm sim thaum tawm dag zog. |
| Kev Kawm Txog Hluav Taws Xob (EPS) | Ib qho kev xeem tshwj xeeb uas kawm txog lub plawv lub zog hluav taws xob kom tob heev. |
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb koj muaj hom mob arrhythmia thiab nws qhov hnyav npaum li cas. Qee zaum tsis tas yuav kho mob. Yog tias xav tau kev kho mob, muaj ntau txoj kev xaiv.
1. Cov Tshuaj
Muaj ntau hom tshuaj. Tsis yog txhua yam tshuaj zoo ib yam. Koj tus kws kho mob yuav pab koj nrhiav cov tshuaj thiab qhov ntau npaum li cas rau koj.
- Cov tshuaj tiv thaiv kev mob plawv dhia tsis xwm yeem: Cov tshuaj uas muab los kho lub plawv dhia tsis xwm yeem kom rov qab zoo li qub (sinus rhythm) lossis tiv thaiv kom tsis txhob muaj mob plawv dhia tsis xwm yeem.
- Cov tshuaj tswj lub plawv dhia: Cov tshuaj uas muab los tswj lub plawv dhia ceev.
- Cov tshuaj Anticoagulant/antiplatelet: Cov tshuaj uas muab los txo qhov kev pheej hmoo ntawm cov ntshav txhaws (piv txwv li warfarin, aspirin).
2. Kev Hloov Pauv Txoj Kev Ua Neej
Cov no tseem ceeb heev.
- Tswj cov ntshav siab thiab ntshav qab zib.
- Tso kev haus luam yeeb kiag li.
- Txwv kev haus cawv.
- Txo los yog tsum tsis txhob siv caffeine thiab cov tshuaj stimulants.
- Tswj kom muaj qhov hnyav noj qab nyob zoo.
3. Kev Kho Mob Tshwj Xeeb
- Kev siv lub plawv dhia rov qab (Cardioversion): Kev xa hluav taws xob mus rau lub plawv kom rov qab tau lub plawv dhia li qub.
- Kev Tshem Tawm Catheter: Ib lub raj nyias nyias (catheter) raug xa mus rau hauv cov hlab ntsha hauv ceg lossis caj npab mus rau lub plawv thiab ib feem me me ntawm cov nqaij ntawm lub plawv uas ua rau muaj arrhythmia raug kaw nrog lub zog hluav taws xob siab.
4. Cov khoom siv uas hnav rau ntawm lub cev
- Lub Tshuab Pab Lub Pacemaker Mus Ib Txhis: Ib lub cuab yeej muab rau cov neeg uas lub plawv dhia qeeb heev (bradycardia). Nws xa cov teeb liab hluav taws xob me me los tswj lub plawv dhia kom nyob rau theem ib txwm.
- Lub Tshuab Ua Pa Hluav Taws Xob Rau Lub Plawv (ICD): Qhov no yog ib lub cuab yeej uas saib xyuas lub plawv dhia tas li. Yog tias nws pom tias lub plawv dhia ceev heev, tsis zoo li qub (ventricular tachycardia/fibrillation) uas tuaj yeem ua rau tuag taus, nws yuav xa lub plawv dhia ceev ceev kom rov qab dhia li qub.
5. Kev phais mob
Muaj tej lub sij hawm, tej zaum yuav xav tau kev phais mob los kho qhov mob plawv (kab mob ntawm lub plawv, cov hlab ntsha uas raug thaiv) uas ua rau muaj qhov mob plawv dhia tsis xwm yeem. Txoj kev phais mob Maze yog ib txoj kev phais mob tshwj xeeb rau atrial fibrillation.
Kuv yuav tsum mus ntsib kws kho mob thaum twg? Kuv yuav tsum mus rau ETU thaum twg?
Yog koj muaj mob plawv dhia tsis xwm yeem, nws yog ib qho tseem ceeb uas koj yuav tsum mus rau lub tsev kho mob raws sijhawm thiab mus kuaj mob raws li koj tus kws kho mob hais. Txawm li cas los xij, qee zaum koj yuav tsum nrhiav kev pab kho mob sai dua.
Hu rau koj tus kws kho mob yog tias koj cov tsos mob (piv txwv li, mob hauv siab, kiv taub hau) zuj zus tuaj lossis tshwm sim ntau zaus dua, es tsis txhob tos txog hnub uas koj feem ntau mus rau chaw kho mob.
Cov xwm txheej uas koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd:
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, tsis txhob nkim sijhawm thiab mus rau ETU (Chav Kho Mob Thaum Muaj Xwm Ceev) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd.
- Ua pa nyuaj heev
- Mob hauv siab
- kiv taub hau hnyav heev
- Tsaus muag
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub plawv dhia tsis xwm yeem yog lub plawv dhia tsis xwm yeem. Cov no tsis yog ib txwm mob hnyav, tab sis qee hom tuaj yeem ua rau muaj kev phom sij.
- Yog koj muaj cov tsos mob xws li mob hauv siab, kiv taub hau, ua pa nyuaj, lossis tsis nco qab, nco ntsoov mus ntsib kws kho mob.
- Kev hloov pauv yooj yim ntawm kev ua neej (tso kev haus luam yeeb, txwv kev haus dej cawv, thiab tswj qhov hnyav) tuaj yeem pab tswj tau qhov mob plawv dhia tsis xwm yeem.
- Yog tias koj tau txais tshuaj, tsis txhob tsum noj lossis hloov qhov ntau npaum li cas yam tsis tau koj tus kws kho mob qhia.
- Yog tias muaj xwm txheej ceev (mob hauv siab hnyav, ua pa nyuaj, tsis nco qab), mus rau ETU tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus