Koj puas muaj tej lub sij hawm koj xav tias koj lub plawv dhia ceev dua li niaj zaus? Los yog koj lub plawv dhia tsis zoo li qub? Tej zaum koj yuav xav tias muaj qee yam txawv txawv, xws li mob hauv koj lub hauv siab? Tej zaum cov no tsis yog cov tsos mob xwb. Niaj hnub no, peb yuav tham txog ib qho mob tshwj xeeb uas cuam tshuam nrog lub plawv dhia uas ua rau muaj cov tsos mob no.
Atrial Arrhythmia yog dab tsi?
Hais yooj yim xwb, mob plawv dhia tsis xwm yeem yog lub plawv dhia tsis xwm yeem. Qhov no tshwm sim thaum cov chav sab saud ntawm lub plawv (hu ua atria ) tsis ua haujlwm sib haum nrog cov chav sab hauv qab ( cov ventricles ). Xav txog nws zoo li txhua tus tswv cuab ntawm pab pawg ntaus nkauj ua ke. Tom qab ntawd yuav ua li cas? Lub plawv pib dhia ceev dhau lossis qeeb dhau. Qhov no ua rau cov ntshav ntws tsis zoo thoob plaws lub cev, uas txhais tau tias cov ntshav ncig tsis zoo .
Cov hom mob plawv dhia ceev tshaj plaws yog dab tsi?
Muaj ntau hom mob no sib txawv. Tej zaum yuav muaj qhov sib txawv me ntsis. Cia peb saib qee hom mob tseem ceeb.
1. Mob plawv dhia tsis xwm yeem (Afib)
Qhov no yog ib hom mob arrhythmia uas pom ntau heev . Hauv Afib , cov chav sab saud ntawm lub plawv (atria) ntaus nrawm heev, tsis sib xws, thiab tsis muaj kev txiav txim. Hauv lwm lo lus, lawv tsuas yog co. Yog tias qhov no tsis kho kom zoo, nws tuaj yeem ua rau muaj cov mob txaus ntshai xws li mob stroke .
2. Txoj Kev Pab Cuam Ntxiv Tachycardia / Bypass Tract Tachycardia
Qhov no yog thaum muaj ib txoj kev hluav taws xob ntxiv tsim los ntawm cov chav sab saud (atria) thiab cov chav sab hauv qab (ventricles) ntawm lub plawv. Feem ntau, cov teeb liab hluav taws xob mus ncig los ntawm qhov hu ua AV node . Txawm li cas los xij, yog tias cov teeb liab hluav taws xob mus ncig sai dhau ntawm txoj kev ntxiv no, lub plawv dhia ceev dhau. Wolff-Parkinson-White syndrome yog ib qho piv txwv zoo ntawm qhov no.
3. Atrial Flutter
Qhov no yog thaum cov teeb liab hluav taws xob hauv cov chav sab saud ntawm lub plawv (atria) ua haujlwm sai dhau. Qhov no ua rau lub atria dhia ceev dhau. Qhov mob no tuaj yeem tshwm sim ua ke nrog kev mob plawv nres, lub plawv tsis ua haujlwm, thiab cov qauv plawv tsis zoo.
4. Lub plawv dhia ceev (AT)
Mob plawv dhia ceev ceev yog lub plawv dhia ceev heev. Hauv AT , lub teeb liab hluav taws xob pib tsis raug qhov chaw hauv cov chav sab saud ntawm lub plawv (atria), ua rau lub plawv dhia ceev ceev.
5. AV Nodal Re-entrant Tachycardia (AVNRT)
Qhov no tshwm sim thaum muaj ntau tshaj ib txoj kev rau cov teeb liab hluav taws xob hla dhau AV node . AVNRT yogParoxysmal Supraventricular Tachycardia (PSVT) yog ib qho mob uas lub plawv dhia ceev tab sis tsis sib xws. Nws tuaj yeem tshwm sim tam sim ntawd thiab tom qab ntawd ploj mus sai li sai tau.
6. Kev Mob Atrial Ua Ntej (PACs)
Qhov no yog thaum lub plawv dhia ua ntej lub sijhawm, uas txhais tau tias nws dhia ua ntej lub sijhawm. Cov no feem ntau tsis muaj teeb meem dab tsi thiab tsis tas yuav kho mob .
Mob plawv dhia tsis xwm yeem (atrial arrhythmia) feem ntau tshwm sim li cas?
Kev mob plawv dhia tsis zoo yeej muaj ntau dua li koj xav . Muaj ntau lab tus tib neeg thoob plaws ntiaj teb raug kev txom nyem los ntawm qee yam mob arrhythmia. Qhov feem ntau ntawm cov no yog atrial fibrillation (Afib), uas peb tau tham txog ua ntej. Cov kev hloov pauv me me, tsis muaj teeb meem hauv lub plawv dhia, lossis PACs (Premature Atrial Contractions) , yog qee yam uas yuav luag txhua tus ntawm peb yuav ntsib qee lub sijhawm hauv peb lub neej.
Vim li cas qhov no thiaj li tshwm sim ntawm lub plawv dhia tsis xwm yeem?
Qhov ua rau muaj tus mob no yog cov teeb liab hluav taws xob tsis zoo uas pib hauv cov chav sab saud ntawm lub plawv (atria). Cov teeb liab tsis zoo no tuaj yeem yog los ntawm noob caj noob ces (txhais tau tias ib tug neeg hauv koj tsev neeg muaj cov teeb liab no thiab koj tuaj yeem tau txais cov teeb liab no thiab), lossis lawv tuaj yeem yog los ntawm lwm yam teeb meem kev noj qab haus huv lossis kab mob plawv.
Vim muaj teeb meem kev noj qab haus huv thiab kab mob plawv:
- Kab mob ntshav tsis txaus (anemia ), uas txhais tau tias tsis muaj cov qe ntshav liab.
- Cardiomyopathy yog ib qho kab mob ntawm cov leeg nqaij plawv.
- Kab mob ntshav qab zib (Diabetes Mellitus) .
- Kev puas tsuaj rau lub plawv los ntawm kev mob plawv nres lossis kev mob plawv yav dhau los.
- Kab mob plawv , kab mob hlab ntsha hauv lub plawv (CAD) , thiab lub plawv tsis ua haujlwm .
- Ntshav siab (Hypertension) .
- Cov kab mob ntsig txog lub ntsws, piv txwv li , Kab mob ntsws ntev ntev (COPD) .
- Cov teeb meem ntawm lub plawv, piv txwv li, kab mob plawv valve .
- Cov teeb meem thyroid, tshwj xeeb tshaj yog hyperthyroidism .
Vim yog yam ntxwv ntawm txoj kev ua neej:
Cov no kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm atrial arrhythmia:
- Kev qhuav dej ntawm lub cev .
- Cov dej haus thiab cov khoom noj uas muaj caffeine (xws li tshuaj yej thiab kas fes).
- Qee tus neeg yuav muaj lub plawv dhia tsis xwm yeem tom qab noj cov khoom noj uas muaj roj ntau, qab zib, lossis carbohydrates ntau.
- Qee cov tshuaj, piv txwv li , pseudoephedrine, uas pom muaj nyob rau hauv qee cov tshuaj kho mob khaub thuas.
- Haus dej cawv ntau dhau .
- Rog dhau thiab rog dhau.
- Kev ntxhov siab thiab kev ntxhov siab heev .
- Kev hloov pauv ntawm cov tshuaj hormones, piv txwv li thaum lub sijhawm hloov cev lossis thaum cev xeeb tub. Lub plawv dhia ceev thaum cev xeeb tub yog ib qho uas pom ntau heev thiab feem ntau tsis ua teeb meem dab tsi.
- Haus luam yeeb thiab siv cov khoom luam yeeb .
Koj yuav paub li cas yog tias koj muaj mob Atrial Arrhythmia? Cov tsos mob yog dab tsi?
Qee zaum tus mob no yuav tshwm sim yam tsis muaj tsos mob. Txawm li cas los xij, ntawm no yog qee cov tsos mob uas pom ntau tshaj plaws:
- Zoo li koj lub plawv dhia ceev heev tab sis ua ib lub suab . Koj lub hauv siab dhia ceev heev, zoo li koj nyuam qhuav khiav.
- Lub plawv dhia tsis xwm yeem . Tej zaum yuav zoo li koj lub plawv dhia tsis tu ncua, tsis dhia ntxiv lawm, dhia ceev dua tam sim ntawd, lossis dhia qeeb dua.
- Mob hauv siab , tsis xis nyob, lossis nruj.
- Ua tsis taus pa .
- Hnov kiv taub hau lossis tsis meej pem.
- Tsaus muag / syncope .
- qaug zog heev , muaj kev xav tias tsis muaj sia nyob.
- Muaj kev xav tias lub plawv dhia ceev ceev hauv lub hauv siab, caj pas, lossis caj dab (lub plawv dhia tsis xwm yeem) .
- O (edema) ntawm ob txhais ceg, tshwj xeeb tshaj yog ob txhais ceg, pob luj taws, thiab taw .
Cov kws kho mob kuaj mob li cas?
Tom qab koj mloog koj cov tsos mob thiab mloog koj lub plawv, koj tus kws kho mob yuav xub xaj kom kuaj ntshav . Qhov no feem ntau yog kev suav ntshav tag nrho (CBC) . Qhov no kuaj seb puas muaj ntshav tsis txaus, tsis txaus cov vitamins, lossis teeb meem thyroid.
Tom qab ntawd, qhov kev kuaj tom ntej uas koj yuav tsum tau ua yog electrocardiogram (EKG lossis ECG) . Qhov no suav nrog kev txuas ntau yam sensors rau koj daim tawv nqaij kom sau koj lub plawv lub zog hluav taws xob, lossis lub plawv dhia. Qhov no tuaj yeem ua tiav hauv chaw ua haujlwm ntawm kws kho mob thiab siv sijhawm li 15 feeb.
Xav txog tias koj lub plawv dhia tsis xwm yeem thaum koj mus ntsib kws kho mob. Yog tias qhov ntawd yog qhov tseeb, nws yuav tsis raug sau tseg rau ntawm EKG. Hauv qhov xwm txheej zoo li no, tus kws kho mob yuav hais kom koj siv lub cuab yeej saib xyuas kev taug kev , piv txwv li , lub cuab yeej saib xyuas Holter . Qhov no yog lub cuab yeej me me, nqa tau. Koj yuav tsum hnav nws li ib lub lim tiam. Thaum lub sijhawm no, koj lub plawv dhia thiab txhua yam tsis xwm yeem yuav raug sau tseg rau ntawm nws.
Cov kev kho mob rau atrial arrhythmia yog dab tsi?
Yog tias koj raug kuaj pom tias muaj arrhythmia, koj yuav raug xa mus rau tus kws kho mob plawv.Kev kho mob yog txiav txim siab raws li koj txoj kev noj qab haus huv tag nrho thiab hom arrhythmia.
Kev hloov pauv hauv kev ua neej thiab kev noj zaub mov:
Muaj ntau hom arrhythmia uas tuaj yeem tswj tau nrog cov kev hloov pauv yooj yim no:
- Tsum lossis txwv tsis pub haus dej cawv, caffeine, thiab qee yam tshuaj (piv txwv li, tshuaj mob khaub thuas uas muaj pseudoephedrine).
- Haus dej ntau ntau kom tsis txhob qhuav dej.
- Thov kev pab kom txo tau kev ntxhov siab thiab kev ntxhov siab, xyaum ua kom lub cev so thiab ua pa tob .
- Yog tias koj rog dhau, kev poob phaus thiab tswj kom koj lub cev noj qab nyob zoo yog qhov tseem ceeb .
- Tsum tsis txhob haus luam yeeb thiab siv cov khoom luam yeeb kiag li .
Kev kho mob:
Muaj tej hom mob plawv dhia tsis xwm yeem yuav tsum tau kev kho mob ntxiv rau kev hloov pauv txoj kev ua neej. Yog tias koj muaj ntau tshaj ib hom mob plawv dhia tsis xwm yeem, tej zaum koj yuav xav tau ntau tshaj ib txoj kev kho mob. Nov yog qee cov kev kho mob tseem ceeb:
- Kev Tshem Tawm Catheter: Qhov no tsis loj npaum li kev phais. Nws rhuav tshem ib daim nqaij me me hauv lub plawv uas xa cov teeb liab hluav taws xob tsis sib xws. Qhov no nres lub plawv dhia tsis sib xws.
- Cov Khoom Siv: Qee zaum yuav tsum tau muab ib lub khoom siv xws li lub tshuab implantable cardioverter-defibrillator (ICD) , subcutaneous ICD, lossis pacemaker tso rau hauv lub plawv kom tswj tau lub plawv dhia.
- Kev Siv Hluav Taws Xob Rau Lub Plawv: Qhov no suav nrog kev siv hluav taws xob los tsoo lub plawv (jolts) kom ruaj ntseg, nres lub plawv dhia tsis zoo thiab rov qab ua kom nws dhia zoo li qub.
- Cov Tshuaj: Muaj cov tshuaj uas muab rau kom lub plawv dhia tsis tu ncua lossis tiv thaiv kev tsis sib xws (cov tshuaj arrhythmia). Tsis tas li ntawd, cov neeg uas muaj Afib kuj yuav tau txais cov tshuaj thinning ntshav kom txo qhov kev pheej hmoo ntawm kev mob stroke.
Yuav ua li cas kom txo tau qhov kev pheej hmoo ntawm atrial arrhythmia?
Tej zaum yuav tsis muaj peev xwm tiv thaiv qhov no tag nrho, tab sis peb tuaj yeem txo peb qhov kev pheej hmoo los ntawm kev noj qab haus huv thiab txiav txim siab ntse.
- Ua raws li kev noj zaub mov zoo rau lub plawv .
- Ua kom koj lub cev muaj zog thiab ua kom koj lub cev nquag .
- Yog tias koj rog dhau, kev poob phaus thiab tswj kom koj lub cev noj qab nyob zoo yog qhov tseem ceeb .
- Yog koj muaj ntshav siab (hypertension), tswj nws.
- Kev tswj cov roj cholesterol .
- Tham nrog koj tus kws kho mob thiab npaj siab tso kev haus luam yeeb thiab siv cov khoom luam yeeb.
Yog koj muaj kab mob plawv lossis lwm yam teeb meem kev noj qab haus huv uas ua rau koj muaj feem yuav mob plawv dhia tsis xwm yeem no, nrog koj tus kws kho mob tham txog qhov no. Nws yuav piav qhia txog lwm yam uas koj ua tau.
Yuav ua li cas rau ib tus neeg uas muaj Atrial Arrhythmia? (Outlook)
Qhov no yeej nyob ntawm ntau yam. Hom mob plawv dhia tsis xwm yeem uas koj muaj thiab koj txoj kev noj qab haus huv tag nrho tuaj yeem ua lub luag haujlwm. Ntau tus neeg tuaj yeem tswj hwm lawv cov tsos mob nrog kev hloov pauv hauv lub neej thiab kev noj zaub mov. Kev kho mob rau mob plawv dhia tsis xwm yeem tuaj yeem pab koj ua lub neej noj qab haus huv zoo dua . Qhov tseem ceeb tshaj plaws yog mus ntsib koj tus kws kho mob tsis tu ncua kom kuaj xyuas koj lub plawv kev noj qab haus huv thiab ua haujlwm nrog nws kom noj qab haus huv.
Thaum twg koj yuav tsum mus ntsib kws kho mob txog qhov mob atrial arrhythmia?
Yog tias koj muaj kev txhawj xeeb txog koj lub plawv dhia, lossis yog tias koj muaj ib qho ntawm cov tsos mob uas peb tau tham txog, nco ntsoov mus ntsib kws kho mob . Yog tias koj twb paub tias koj muaj mob plawv dhia tsis xwm yeem, mus ntsib koj tus kws kho mob plawv tsis tu ncua.
Cov tsos mob uas yuav tsum tau kev saib xyuas sai sai:
Yog koj muaj cov tsos mob no , nrhiav kev pab kho mob tam sim ntawd :
- Mob hauv siab .
- Muaj kev tsaus muag ntau zaus .
- Qaug zog lossis qaug zog tam sim ntawd lossis tsis paub meej .
- O ntawm koj ob txhais ceg, ko taw lossis pob luj taws .
- Ua pa tsis tau zoo .
Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Qee zaum mob plawv dhia tsis xwm yeem ua rau muaj teeb meem kev noj qab haus huv loj, xws li mob hlwb (stroke). Tab sis qhov xov xwm zoo yog tias qhov mob no tuaj yeem tswj tau zoo nrog kev kho mob kom zoo thiab kev hloov pauv hauv lub neej .
Yog tias koj muaj cov tsos mob ntawm arrhythmia, tshwj xeeb tshaj yog tias koj muaj keeb kwm ntawm kab mob plawv lossis mob nkeeg xws li ntshav siab, tsis txhob ncua mus ntsib kws kho mob . Los ntawm kev ua raws li kev noj zaub mov zoo rau lub plawv thiab ua kom koj lub cev nquag, koj tuaj yeem txo koj qhov kev pheej hmoo ntawm arrhythmia thiab tswj kev noj qab haus huv zoo dua . Nco ntsoov, koj lub plawv yog koj cov khoom muaj nqis tshaj plaws!
' Atrial arrhythmia, lub plawv dhia tsis zoo, lub plawv dhia, kab mob plawv, atrial fibrillation, kev noj qab haus huv ntawm lub plawv, lub plawv dhia tsis xwm yeem











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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