Koj puas tau muaj ib zaug xav tias koj lub plawv dhia ceev lossis tsis xwm yeem? Koj puas xav tias ib tug ntses tab tom tawm tsam hauv koj lub hauv siab lossis ib tug npauj npaim ya? Tsis txhob tsuas yog tsis quav ntsej txog tej yam no xwb. Qhov no yuav yog ib qho mob hnyav uas cuam tshuam nrog koj lub plawv dhia. Niaj hnub no peb tab tom tham txog ib qho mob zoo li no, Atrial Fibrillation, lossis AFib raws li peb txhua tus paub.
Hauv lwm lo lus, Atrial Fibrillation (AFib) yog dab tsi?
Zoo, cia peb ua qhov no yooj yim heev. Koj lub plawv muaj plaub lub chav tseem ceeb. Ob lub chav sab saud hu ua atria , thiab ob lub chav sab qis hu ua ventricles . Feem ntau, cov chav no sib zog ua ke, raws li lub teeb liab los ntawm lub plawv lub cev hluav taws xob. Ntawd yog, cov chav sab saud (atria) sib zog thiab tso cov ntshav mus rau hauv cov chav sab qis (ventricles). Tom qab ntawd cov chav sab qis sib zog thiab tso cov ntshav ntawd thoob plaws lub cev. Qhov no yog qhov peb hnov thaum peb lub plawv dhia.
Tiam sis muaj tej yam txawv tshwm sim rau ib tug neeg uas muaj AFib. Es tsis txhob muaj lub teeb liab hluav taws xob los ntawm ib qho chaw mus rau cov chav sab saud ntawm lub plawv (atria), ntau lub teeb liab hluav taws xob ceev ceev pib los ntawm ntau qhov chaw tib lub sijhawm.
Xav txog seb yuav muaj li cas yog tias, es tsis yog ib tus neeg coj suab paj nruag hauv ib pab pawg suab paj nruag, muaj kaum tus neeg coj suab paj nruag ib zaug. Cov neeg ua suab paj nruag yuav tsis paub tias yuav mloog leej twg lossis yuav ua si suab paj nruag twg. Tag nrho cov suab paj nruag yuav tsis zoo, puas yog? Qhov ntawd yog qhov tshwm sim rau cov chav sab saud ntawm lub plawv hauv AFib.
Vim yog cov teeb liab tsis sib haum no, lub plawv atria pib tshee es tsis txhob cog lus kom raug. Yog li ntawd, lawv tsis muaj peev xwm tso ntshav mus rau hauv cov chav qis dua kom raug. Cov chav qis dua (cov hlwb) uas teb rau cov teeb liab tsis sib haum no los ntawm cov chav sab saud kuj pib ntaus tsis sib xws thiab sai. Peb hnov qhov ntaus ntawm cov chav qis dua no ua lub plawv dhia. Yog li nws kuj dhau los ua tsis sib xws thiab sai.
Cov tsos mob ntawm ib tug neeg uas muaj AFib yog dab tsi?
Tsis yog txhua tus neeg uas muaj AFib yuav muaj cov tsos mob, tab sis feem ntau cov neeg yuav muaj ib lossis ntau dua ntawm cov tsos mob hauv qab no:
| Cov tsos mob | Nws xav li cas? (Nws xav li cas) |
|---|---|
| Lub plawv dhia ceev (lub plawv dhia ceev lossis tsis xwm yeem) | Zoo li ib tug npauj npaim ya hauv koj lub hauv siab, zoo li ib tug ntses tab tom tawm tsam, lossis zoo li koj lub plawv dhia ceev dua. |
| Qaug zog heev | Kev qaug zog thiab qaug zog ntau dhau tsis muaj laj thawj. |
| Kiv taub hau / Lightheadedness | Hnov kiv taub hau, qaug zog. |
| Tsaus muag / Ua tsis taus pa | Cia li poob siab thiab ntog. |
| Ua tsis taus pa / ua tsis taus pa | Qhov mob tseem hnov txawm tias thaum taug kev me ntsis lossis ua haujlwm ib txwm. |
| Mob hauv siab / Angina | Xav tias nruj, mob, lossis mob hauv siab. |
Puas yog AFib ib qho mob uas yuav tsum ntshai?
Yog. AFib yog ib qho mob hnyav uas koj yuav tsum txhawj xeeb txog. Nws yog ib qho mob hnyav txawm tias koj muaj cov tsos mob lossis tsis muaj. Vim tias thaum lub plawv dhia tsis zoo, cov ntshav tuaj yeem sib sau ua ke hauv lub plawv, tshwj xeeb tshaj yog hauv lub atria, thiab cov ntshav txhaws yuav tshwm sim ntau dua.
Yog tias cov ntshav txhaws tawg thiab daig hauv cov hlab ntsha uas mus rau lub hlwb, nws tuaj yeem ua rau mob stroke . Nws kuj tseem tuaj yeem ua rau lub plawv tsis muaj zog dhau sijhawm, ua rau muaj cov mob xws li lub plawv tsis ua haujlwm . Yog li ntawd, yog tias koj muaj cov tsos mob ntawm AFib, mus ntsib koj tus kws kho mob tam sim ntawd.
Nrhiav kev pab kho mob tam sim ntawd!
Yog tias cov hauv qab no tshwm sim rau koj, tsis txhob ncua sijhawm. Hu rau 1990 Ambulance Service tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws:
* Yog tias koj mob hauv siab heev .
* Yog tias nws nyuaj heev rau ua pa .
* Yog tias koj tsis nco qab los yog xav tsis nco qab.
Cov ua rau thiab cov yam uas ua rau AFib yog dab tsi?
Tsis muaj ib qho ua rau AFib. Muaj ntau yam ua rau thiab tej yam uas yuav ua rau muaj qhov no.
Cov laj thawj tseem ceeb
- Lwm yam mob plawv: Yog tias koj twb muaj mob plawv nres, mob plawv valve, mob plawv tsis ua haujlwm, lossis mob plawv coronary artery, koj qhov kev pheej hmoo ntawm AFib ntau dua.
- Lwm yam mob: Cov mob xws li ntshav siab, rog dhau, ntshav qab zib, hyperthyroidism, mob raum ntev, thiab pw tsaug zog tsis taus pa tuaj yeem ua rau AFib.
- Cov yam ntxwv ntawm caj ces: AFib feem ntau khiav hauv tsev neeg, txhais tau tias muaj kev cuam tshuam los ntawm caj ces ('genetic variants').
- Phais plawv: Ib txhia neeg tuaj yeem tsim AFib txawm tias tom qab phais plawv rau lwm qhov laj thawj.
Lwm yam uas ua rau muaj kev pheej hmoo ntxiv
- Kev laus: Qhov kev pheej hmoo ntawm kev tsim AFib maj mam nce ntxiv tom qab hnub nyoog 65 xyoos.
- Kev haus dej cawv ntau dhau: Haus dej cawv ntau dua li qhov pom zoo, tshwj xeeb tshaj yog haus dej cawv ntau dhau, ua rau muaj kev pheej hmoo ntawm AFib ntau ntxiv.
- Tsis muaj kev tawm dag zog lub cev: Tsis tau tawm dag zog txaus txhua hnub kuj yog ib qho ua rau muaj kev pheej hmoo.
- Kev tawm dag zog ntau dhau: Tsis txhob xav tsis thoob, ntau dhau ntawm txhua yam tsis zoo, thiab txawm tias ntau teev ntawm kev tawm dag zog hnyav ib hnub ntau xyoo tuaj yeem ua rau muaj kev pheej hmoo ntawm AFib rau qee tus neeg.
Tus kws kho mob yuav kuaj mob AFib li cas kom raug?
Thaum koj mus ntsib kws kho mob, lawv yuav nug txog koj cov tsos mob thiab kuaj koj. Kev kuaj tseem ceeb los xyuas kom meej tias AFib yog ECG (Electrocardiogram) .
- Kev kuaj ECG (EKG): Qhov no yog kev sau cov hluav taws xob ntawm koj lub plawv. Tus kws kho mob tuaj yeem qhia tau yog tias koj lub plawv dhia tsis xwm yeem lossis yog tias koj muaj AFib.
Tsis tas li ntawd xwb, tus kws kho mob yuav pom zoo kom ua ntau yam kev kuaj ntxiv.
- Kev kuaj ntshav: Xyuas tej yam xws li cov theem ntawm cov tshuaj hormones hauv cov thyroid thiab kev ua haujlwm ntawm lub raum.
- Echocardiogram (Echo): Qhov no zoo li kev luam theej lub plawv. Nws pab kom nkag siab zoo dua txog qhov loj ntawm cov chav plawv, kev ua haujlwm ntawm cov valve, thiab lub plawv lub peev xwm nqus dej.
- Holter Saib Xyuas: Qee zaum AFib tsis nyob ntawd tas li. Nws tuaj thiab mus. Hauv cov xwm txheej zoo li no, ib lub cuab yeej me me uas txuas rau koj lub cev rau 24 lossis 48 teev tas li sau koj cov ECG. Qhov no saib xyuas koj lub plawv dhia thaum koj ua koj cov haujlwm hauv tsev ib txwm muaj.
Cov theem ntawm AFib yog dab tsi?
AFib yog ib yam mob uas tuaj yeem zuj zus tuaj raws sijhawm, yog li cov kws kho mob tau muab faib ua ntau theem.
Theem 1: Muaj feem yuav mob AFib
Cov neeg no tsis muaj AFib, tab sis lawv muaj cov yam ntxwv xws li ntshav siab, ntshav qab zib, thiab rog dhau.
Theem 2: Pre-AFib
Cov neeg no tseem tsis tau muaj AFib. Tab sis ECG lossis Echo kuaj qhia txog kev hloov pauv me me hauv lub plawv. Cov no qhia txog kev pheej hmoo siab dua ntawm kev mob AFib.
Theem 3: AFib xwm txheej (AFib)
Lub sijhawm uas ECG lees paub tias muaj AFib. Qhov no kuj muab faib ua ntau ntu.
- Paroxysmal AFib: AFib tshwm sim thiab feem ntau ploj mus nws tus kheej yam tsis tau kev kho mob, feem ntau tsis pub dhau 7 hnub (feem ntau tsis pub dhau 24-48 teev).
- AFib uas nyob ntev: AFib kav ntev tshaj 7 hnub thiab yuav tsum tau kev kho mob kom tsis txhob muaj.
- AFib uas nyob ntev mus tas li: AFib kav ntev tshaj ib xyoos.
- Kev rho tawm AFib ua tiav: AFib raug tswj tom qab phais lossis lwm yam kev kho mob.
Theem 4: AFib tas mus li
Thaum lub sijhawm no, tus neeg mob thiab tus kws kho mob txiav txim siab ua ke tias lawv yuav tsis sim kho qhov mob AFib. Lub hom phiaj tseem ceeb yog tswj lub plawv dhia thiab tiv thaiv cov ntshav txhaws.
Cov kev kho mob rau AFib yog dab tsi?
Muaj peb lub hom phiaj tseem ceeb ntawm kev kho mob AFib:
1. Tswj lub plawv dhia.
2. Kho lub plawv dhia kom zoo.
3. Tiv thaiv cov teeb meem xws li mob stroke.
Muaj ntau txoj kev kho mob rau qhov no.
1. Kev Hloov Pauv Txoj Kev Ua Neej
Qhov no yog lub hauv paus.
- Tswj qhov hnyav kom noj qab nyob zoo: Yog tias koj rog dhau, nws yog ib qho tseem ceeb kom poob phaus.
- Txwv kev haus dej cawv thiab tsis txhob haus luam yeeb: Cov no ua rau muaj kev pheej hmoo thiab cov tsos mob ntawm AFib.
- Kev tawm dag zog tsis tu ncua: Ua cov kev tawm dag zog uas tsim nyog rau koj, raws li koj tus kws kho mob qhia.
- Kev tswj cov kab mob xws li ntshav siab thiab ntshav qab zib: Nws yog ib qho tseem ceeb heev uas yuav tsum tswj cov kab mob no kom zoo.
2. Tshuaj
Tus kws kho mob yuav sau ntau hom tshuaj nyob ntawm koj tus mob.
- Cov tshuaj uas tswj lub plawv dhia:Cov no pab kom lub plawv dhia qeeb (piv txwv li `Metoprolol`, `Diltiazem`).
- Cov tshuaj uas tswj lub plawv dhia: Cov no pab kom lub plawv dhia tsis xwm yeem rov qab mus rau lub plawv dhia li qub ('sinus rhythm') (piv txwv li 'Amiodarone').
- Cov Tshuaj Anticoagulants / Cov Tshuaj Ua Rau Ntshav Tsis Txhob Qhuav: Qhov no tseem ceeb heev . Cov tshuaj no yog sau tseg kom txo qhov kev pheej hmoo ntawm kev mob stroke. 'Warfarin' yog ib hom tshuaj qub. Cov tshuaj tshiab ('DOACs') xws li 'Apixaban' thiab 'Rivaroxaban' kuj siv dav tam sim no. Tsis txhob tsum cov tshuaj no lossis hloov cov tshuaj yam tsis tau koj tus kws kho mob qhia.
3. Kev kho mob tshem tawm (Kev tshem tawm rau AFib)
Yog tias AFib nyuaj rau tswj nrog tshuaj, koj tus kws kho mob yuav pom zoo kom kho qhov no.
- Kev Siv Tshuaj Tua Kab Mob: Hauv qhov no, ib lub raj nyias nyias (catheter) raug ntxig los ntawm cov hlab ntsha hauv qhov chaw mos mus rau hauv lub plawv kom nrhiav tau cov chaw hauv lub plawv uas xa cov teeb liab hluav taws xob tsis sib xws uas ua rau AFib thiab tom qab ntawd tshem tawm lawv siv cua sov lossis txias heev.
- Kev Kho Mob Maze: Qhov no ua tiav nrog kev phais plawv qhib. Cov qhov me me raug ua rau hauv lub atria ntawm lub plawv los tsim ib qho qauv uas tiv thaiv cov teeb liab hluav taws xob tsis sib xws los ntawm kev mus los.
4. Lwm Cov Txheej Txheem
- Kev Kho Mob Plawv: Ib txoj kev kho mob uas kho lub plawv kom rov qab dhia zoo li qub sai sai, txawm tias yog thaum muaj xwm txheej ceev lossis npaj tseg, los ntawm kev siv hluav taws xob los tsoo lub hauv siab lossis muab tshuaj rau.
- Kev Kaw Lub Plawv Sab laug (LAA): Muaj ib lub cuab yeej me me uas raug ntxig rau hauv kom kaw qhov chaw zoo li lub hnab me me ntawm lub plawv uas feem ntau yuav muaj cov ntshav txhaws. Qhov no yuav haum rau cov neeg uas tsis tuaj yeem noj cov tshuaj ua kom cov ntshav nyias.
Yuav ua li cas thiaj nyob tau nrog AFib? Puas kho tau tag nrho?
Kev kho mob tuaj yeem tiv thaiv AFib kom tsis txhob tshwm sim lossis rov qab kho lub plawv dhia. Tab sis AFib yog ib qho mob uas kho tsis tau mus ib txhis . Txawm tias cov tsos mob ploj mus tom qab kev kho mob, lawv tuaj yeem rov qab los. Yog vim li cas nws thiaj li tseem ceeb kom sib txuas lus nrog koj tus kws kho mob, mus kuaj mob tsis tu ncua, thiab noj koj cov tshuaj raws nraim li tau qhia.
Thaum nws los txog rau lub neej ntev rau ib tus neeg uas muaj AFib, nws yog qhov tseeb tias qee qhov kev tshawb fawb tau qhia tias cov neeg uas muaj AFib yuav muaj lub neej luv dua li cov pej xeem feem ntau. Tab sis qhov ntawd tsuas yog ib qho kev suav xwb. Yog tias koj ua haujlwm nrog koj tus kws kho mob, hloov pauv koj txoj kev ua neej, noj koj cov tshuaj kom raug, thiab tswj hwm qhov mob no zoo, koj kuj tuaj yeem ua neej ntev thiab noj qab nyob zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Atrial Fibrillation (AFib) yog ib qho mob hnyav uas lub plawv dhia tsis xwm yeem. Tsis txhob tsis quav ntsej nws zoo li lwm yam xwb.
- Yog koj muaj cov tsos mob xws li mob hauv siab, qaug zog heev, lossis kiv taub hau, nco ntsoov mus ntsib kws kho mob.
- Mob hauv siab hnyav, ua pa nyuaj, lossis tsis nco qab yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.
- Qhov kev pheej hmoo tseem ceeb ntawm AFib yog mob stroke. Yuav kom tiv thaiv qhov no, siv cov tshuaj uas tau sau tseg raws nraim li tau sau tseg.
- Yog tias koj hloov koj txoj kev ua neej, noj tshuaj, thiab lwm yam kev kho mob, ces AFib yuav zoo thiab koj yuav ua neej tau ib yam li qub.
- Koj tus kws kho mob paub koj tus mob zoo tshaj plaws. Ib txwm nrog nws tham thiab ua raws li nws cov lus qhia.
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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