Koj lub plawv puas dhia ceev dua tam sim ntawd? Cia peb kawm txog qhov '(Atrial Flutter)' no!

Puas muaj tej lub sij hawm koj xav tias koj lub hauv siab dhia ceev heev, tab sis nws dhia tib lub suab? Zoo li lub nruas ntaus ceev, tab sis nws dhia tsis tu ncua. Qhov no qee zaum yuav tshwm sim thaum koj ntxhov siab lossis ntshai. Txawm li cas los xij, yog tias qhov no tshwm sim ntau zaus, lossis yog tias nws muaj lwm yam tsos mob, nws yuav yog ib qho tsos mob ntawm tus mob plawv hu ua '(Atrial Flutter)'. Cia peb saib seb nws yog dab tsi, vim li cas nws thiaj tshwm sim, thiab koj tuaj yeem ua dab tsi txog nws.

"(Atrial Flutter)" yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, '(Atrial Flutter)' yog ib qho mob uas ob lub plawv sab saud, 'atria', pib dhia sai heev, tab sis tib yam nkaus, hauv ib qho qauv tshwj xeeb. Cov kws kho mob hu qhov no ua lub plawv dhia tsis zoo ('supraventricular arrhythmia') uas pib nyob rau hauv cov plawv sab saud.

Xav txog qhov no, thaum peb zaum twj ywm, so, peb lub plawv dhia ntawm 60 thiab 100 zaug hauv ib feeb. Qhov ntawd yog tus nqi ntawm lub plawv noj qab nyob zoo. Tab sis rau ib tus neeg uas muaj "Atrial Flutter", cov sab saud ntawm lub plawv, lub atria, tuaj yeem dhia ceev txog li 250 txog 350 zaug hauv ib feeb! Koj puas xav txog qhov ceev ntawd? Thaum lub atria dhia ceev heev, ob lub chav qis ntawm lub plawv, "ventricles", kuj yuav tsum dhia ceev dua. Qee zaum 150 zaug hauv ib feeb lossis sai dua.

Qhov laj thawj tseem ceeb rau qhov no yog qhov ua haujlwm tsis zoo ntawm cov teeb liab hluav taws xob ntawm lub plawv. Peb lub plawv dhia siv cov teeb liab uas ua haujlwm zoo li cov lus hluav taws xob. Qhov no tshwm sim thaum muaj teeb meem lossis ua haujlwm tsis zoo ntawm cov teeb liab no.

Puas muaj hom mob '(Atrial Flutter)'?

Yog, muaj ntau hom tseem ceeb ntawm '(Atrial Flutter)'. Tus kws kho mob tuaj yeem qhia meej tias nws yog hom twg los ntawm kev saib koj daim '(ECG)', uas yog, daim duab ntawm qhov kev xeem uas ntsuas qhov kev ua haujlwm ntawm lub plawv.

• `Qhov Atrial Flutter Ib Txwm Muaj` (qhov no yog hom uas pom ntau tshaj plaws): Hauv qhov no, cov teeb liab hluav taws xob tsis zoo li qub mus ncig ua ib qho counterclockwise (counterclockwise, zoo li clockwise) hauv lub plawv sab xis.
• `Kev Hloov Pauv Atrial Flutter`: Hauv qhov no, cov teeb liab hluav taws xob mus ncig ua tus qauv clockwise (clockwise) hauv lub plawv sab xis.
• Qhov Atrial Flutter Tsis Zoo Li Qub (qhov no tsis tshua muaj ntau, tshwj xeeb tshaj yog tias koj tsis tau phais plawv lossis ablation ua ntej, uas ua rau qee cov nqaij ntawm lub plawv puas tsuaj): Hauv qhov no, cov teeb liab hluav taws xob tsis zoo tuaj yeem tshwm sim hauv sab laug lossis sab xis atrium. Qee zaum, cov teeb liab no tuaj yeem mus ncig cov nqaij caws pliav uas tshwm sim los ntawm kev phais plawv.

Cov tsos mob ntawm '(Atrial Flutter)' yog dab tsi?

Nws yog qhov xav tsis thoob tias qee tus neeg uas muaj Atrial Flutter tsis muaj tsos mob dab tsi . Txawm li cas los xij, ntau tus neeg yuav muaj ib lossis ntau yam ntawm cov hauv qab no:

• Dyspnea: Xav tias ua tsis taus pa lossis ua pa nyuaj.
• Kiv taub hau: Xav tias tig ib ncig thiab sawv tsis taus.
• Kev qaug zog ntawm lub cev: Xav tias nkees heev thiab ua tsis tau dab tsi.
• Lub plawv dhia ceev ceev: Ib qho kev xav tias koj lub plawv dhia ceev ceev thiab nrov nrov los ntawm sab hauv koj lub hauv siab. Ib txhia neeg kuj yuav hnov ​​​​​​qhov no hauv lawv lub caj dab lossis caj pas.
• Lub plawv dhia ceev: Yog tias koj kov koj lub plawv dhia, nws yuav ceev heev.
• Mob hauv siab los yog nruj: Tej zaum yuav zoo li koj lub hauv siab nruj, los yog nws yuav mob.
• Zoo li koj yuav tsaus muag (tsaus muag): Tam sim ntawd koj ob lub qhov muag tig xiav, thiab koj xav tias koj yuav tsaus muag.
• Mob taub hau me ntsis : Ib qho kev xav tias mob taub hau me ntsis thiab tsis tuaj yeem sawv ntsug hauv av.

Cov tsos mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus neeg, lawv tuaj thiab mus, thaum rau lwm tus, lawv yuav tas li.

Vim li cas qhov "(Atrial Flutter)" no thiaj tshwm sim? Dab tsi yog cov ua rau?

Raws li peb tau hais ua ntej lawm, qhov laj thawj tseem ceeb rau qhov no yog tias cov teeb liab hluav taws xob hauv lub atria ntawm lub plawv tau tsim tawm sai thiab ntau zaus. Qhov no yog vim li cas lub atria pib cog lus ntau dhau. Muaj ntau yam laj thawj uas tuaj yeem ua rau qhov no:

• Kev puas tsuaj ntawm lub plawv valve: Thaum cov valve hauv lub plawv tsis kaw lossis qhib kom raug.
• Cov mob plawv uas muaj txij thaum yug los: Ib txhia neeg yug los muaj qee yam teeb meem plawv.
• Kab mob ntawm cov hlab ntsha hauv lub plawv (Coronary artery): Kev nqaim lossis thaiv cov hlab ntsha uas xa ntshav mus rau lub plawv.
• Mob plawv tsis ua haujlwm: Ib qho mob uas lub plawv tsis tuaj yeem tso ntshav txaus rau lub cev.
• Ntshav Siab: Ntshav Siab Nce.
• Mob thyroid ua haujlwm ntau dhau (Hyperthyroidism): Kev tso cov tshuaj hormones thyroid ntau dhau.
• Cov kab mob ntsws: Piv txwv li, COPD.
• Ib qho kev phais plawv tsis ntev los no.

Leej twg muaj feem yuav mob "Atrial Flutter" ntau dua?

Qhov kev pheej hmoo ntawm kev mob "Atrial Flutter" nce ntxiv thaum muaj hnub nyoog. Kuj tseem pom tias cov txiv neej muaj feem yuav mob no ntau dua li cov poj niam.

Tsis tas li ntawd xwb, qee yam mob thiab kev coj cwj pwm kuj tseem tuaj yeem ua rau muaj kev pheej hmoo no:

• Yog koj muaj lwm yam kab mob plawv (piv txwv li, lub plawv tsis ua haujlwm, kab mob valve).
• Ntshav siab.
• Kev ua haujlwm tsis zoo ntawm cov thyroid (tshwj xeeb tshaj yog hyperthyroidism).
• Kab mob ntshav qab zib ('Diabetes Mellitus').
• Cov kab mob ntsws (piv txwv li Kab mob ntsws ntev ntev - 'COPD', 'Pulmonary Embolism').
• Kev haus dej cawv ntau dhau ('Kev siv dej cawv tsis zoo').
• Kev pw tsaug zog tsis taus pa.
• Kev rog dhau.

Cov teeb meem dab tsi uas tuaj yeem tshwm sim vim yog '(Atrial Flutter)'?

Thaum koj muaj '(Atrial Flutter)', koj lub plawv tsis ua haujlwm zoo. Xav txog nws zoo li txoj kab sib dhos hauv lub hoobkas. Cov ntshav ntws los ntawm ib chav mus rau lwm chav ua ntej tawm hauv lub plawv.

Tiam sis thaum koj muaj '(Atrial Flutter)', nws zoo li thawj qhov chaw ua haujlwm ntawm 'kab sib dhos' no khiav ceev dhau. Vim tias lub atria ntawm lub plawv dhia ceev heev, lawv tsis muaj sijhawm los sau cov ntshav kom raug. Tsis tas li ntawd, tag nrho cov ntshav hauv atria tsis muaj sijhawm txav mus rau cov chav qis dua ('ventricles'). Yog li ntawd , lub cev tsis tau txais cov ntshav txaus.

Qhov no tuaj yeem ua rau muaj ob qho teeb meem tseem ceeb:

1. Kev pheej hmoo ntawm cov ntshav txhaws thiab mob hlwb lossis mob plawv nres: Vim tias tsis muaj sijhawm txaus rau tag nrho cov ntshav ntws los ntawm lub plawv atria, qee cov ntshav tseem nyob hauv lub plawv atria. Cov ntshav no uas nyob hauv ib qho chaw tuaj yeem ua cov ntshav txhaws. Yog tias cov ntshav txhaws no mus rau lub hlwb, lawv tuaj yeem ua rau tuag tes tuag taw, thiab yog tias lawv daig hauv cov hlab ntsha ntawm lub plawv, lawv tuaj yeem ua rau mob plawv nres. Qhov no yog qhov teeb meem txaus ntshai tshaj plaws ntawm '(Atrial Flutter)'.

2. Kab mob plawv thiab lub plawv tsis ua haujlwm: Thaum lub plawv dhia ceev dhau, cov leeg nqaij plawv yuav qaug zog thiab tsis muaj zog. Tsis tas li ntawd, cov chav qis ntawm lub plawv tsis muaj sijhawm txaus, yog li cov ntshav uas lub plawv nqus tau yuav txo qis. Yog tias qhov no txuas ntxiv mus, lub plawv yuav mus rau hauv lub xeev plawv tsis ua haujlwm.

Qhov tseem ceeb tshaj plaws: Atrial Flutter tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim. Yog tias tsis kho kom zoo, nws tuaj yeem ua rau muaj teeb meem loj heev.

Yuav ua li cas koj thiaj paub tias muaj atrial flutter?

Yog tias koj muaj cov tsos mob uas tau hais los saum toj no, tus kws kho mob yuav kuaj koj thiab, yog tias tsim nyog, ua qee qhov kev kuaj mob hauv qab no:

• Electrocardiogram (ECG lossis EKG): Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Nws sau cov haujlwm hluav taws xob ntawm koj lub plawv. Yog tias koj muaj atrial flutter, cov kab ntawm daim duab yuav tshwm sim hauv ib qho qauv tshwj xeeb , zoo li tus qauv sawtooth lossis tus qauv picket fence .
• `Echocardiogram` (Echo): Qhov no zoo li kev luam theej lub plawv. Nws tuaj yeem kuaj xyuas seb puas muaj cov ntshav txhaws hauv lub plawv atria. Nws kuj tseem tuaj yeem kuaj xyuas qhov xwm txheej ntawm cov qhov plawv thiab kev ua haujlwm ntawm cov leeg plawv, ntawm lwm yam.
• Kev kuaj ntshav: Cov kev kuaj no tuaj yeem pab txiav txim siab seb puas muaj cov thyroid caj pas ua haujlwm ntau dhau, qhov tsis sib npaug ntawm cov electrolytes hauv cov ntshav, lossis lwm yam teeb meem.
• Kev ntsuam xyuas kev ua haujlwm ntawm lub ntsws: Cov no yog ua los saib seb lub ntsws ua haujlwm zoo li cas, vim tias qee yam kab mob ntsws kuj tuaj yeem cuam tshuam rau lub plawv dhia.
• "Holter monitor" los yog "Event monitor":Qee zaum thaum koj mus ntsib kws kho mob, lub plawv dhia ceev yuav ploj mus. Yog tias qhov ntawd tshwm sim, koj yuav raug hais kom hnav ib lub cuab yeej me me uas sau koj lub plawv dhia rau ob peb hnub.

Cov kev kho mob rau '(Atrial Flutter)' yog dab tsi?

Thaum kho mob atrial flutter, thawj qhov uas yuav tsum ua yog kho qhov mob uas ua rau nws. Piv txwv li, yog tias muaj teeb meem thyroid, qhov ntawd yuav tsum tau kho. Tsis tas li ntawd, muaj cov kev kho mob tshwj xeeb rau atrial flutter. Cov no suav nrog cov tshuaj thiab cov txheej txheem.

Muaj ntau tus neeg siv tshuaj kho mob los kho qhov teeb meem no. Ib yam li lwm yam tshuaj, tej zaum yuav muaj tej yam tshwm sim tsis zoo, tiam sis feem ntau tej kev pheej hmoo me me piv rau tej txiaj ntsig. Yog tias tshuaj tsis ua haujlwm, koj tus kws kho mob yuav qhia lwm yam kev kho mob.

Cov tshuaj

Cov tshuaj tseem ceeb uas muab rau '(Atrial Flutter)' yog:

• Cov tshuaj txo lub plawv dhia: Cov no suav nrog cov tshuaj hu ua "Calcium channel blockers" thiab "Beta-blockers." Cov no ua haujlwm los ntawm kev tswj lub plawv dhia.
• Cov tshuaj tiv thaiv kev mob plawv dhia tsis xwm yeem: Cov tshuaj no sim nres lub plawv dhia ceev ceev, tsis xwm yeem thiab rov qab mus rau lub plawv dhia li qub.
• Cov tshuaj tiv thaiv kev coagulation lossis cov tshuaj ua kom cov ntshav nyias: Qhov no tseem ceeb heev. Cov tshuaj no yog muab los tiv thaiv cov ntshav txhaws uas tau hais los saum toj no kom tsis txhob tsim thiab ua rau muaj tej yam xws li tuag tes tuag taw.

Cov Txheej Txheem Kho Mob

Yog tias tshuaj xwb tsis txaus, koj tuaj yeem ua tej yam xws li:

• Kev kho plawv dhia: Qhov no suav nrog kev kho lub plawv dhia rov qab mus rau qhov qub, los ntawm kev siv tshuaj lossis los ntawm kev siv hluav taws xob me me rau ntawm lub hauv siab. Qhov no ua tiav hauv qab tshuaj loog, yog li koj yuav tsis hnov ​​​​​​mob dab tsi.
• Kev Tshem Tawm Catheter: Qhov no yog kev kho mob nyuaj me ntsis. Hauv qhov no, ib lub raj nyias nyias (catheter) raug ntxig los ntawm cov hlab ntsha uas mus rau lub plawv, nrhiav thaj chaw me me ntawm cov nqaij hauv lub plawv uas ua rau muaj cov teeb liab hluav taws xob tsis zoo, thiab rhuav tshem nws siv radiofrequency lossis cryoablation. Qhov no nres cov teeb liab tsis zoo.
• Kev Kho Lub Pacemaker lossis Implantable Cardioverter Defibrillator (ICD): Yog tias koj twb muaj lub cuab yeej zoo li no cog rau hauv koj lub plawv lawm, koj tuaj yeem sim tswj lub atrial flutter los ntawm kev hloov nws cov chaw.

Puas muaj teeb meem dab tsi thaum kho mob?

Tsis tshua muaj teeb meem me me tuaj yeem tshwm sim los ntawm kev kho mob zoo li "(Catheter Ablation)". Piv txwv li:

• Kev kis kab mob
• Los ntshav
• Kev puas tsuaj rau cov hlab ntsha
• Cov ntshav txhaws
• Mob stroke (tsis tshua muaj)

Txawm li cas los xij, cov kev pheej hmoo no feem ntau tsis tshua muaj. Koj tus kws kho mob yuav piav qhia qhov no rau koj kom meej.

Kev kho mob no zoo npaum li cas?

• `Kev hloov pauv lub plawv`: Qhov no muaj feem ua tiav ntawm 70% thiab 90%. Qhov ntawd txhais tau tias 70-90 ntawm 100 tus neeg yuav muaj lawv lub plawv dhia rov qab mus rau qhov qub.
• Kev Tshem Tawm Catheter: Rau qee tus neeg, qhov kev pheej hmoo ntawm atrial flutter rov qab los tom qab kev tshem tawm catheter yog tsawg dua 5%. Txawm li cas los xij, qhov kev vam meej no tuaj yeem sib txawv nyob ntawm hom atrial flutter thiab tus neeg mob tus mob. Hauv cov xwm txheej nyuaj xws li atypical atrial flutter, qhov kev vam meej tuaj yeem siab txog 70%.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Tom qab phais tshem cov qog, feem ntau koj yuav tsum ceev faj me ntsis rau thawj lub lim tiam. Lawv yuav qhia koj kom tsis txhob ua dab tsi xws li tsa cov hnyav lossis tsav tsheb li ib lub lim tiam. Tom qab ntawd, koj maj mam rov qab mus ua tej yam li qub.

Puas tiv thaiv tau Atrial Flutter?

Qee yam uas ua rau muaj kev pheej hmoo, xws li hnub nyoog, tsis tuaj yeem tswj tau. Txawm li cas los xij, tej yam xws li kev txwv kev haus dej cawv tuaj yeem pab txo qhov kev pheej hmoo no. Nws tseem ceeb heev kom tau txais kev kho mob kom zoo rau lwm yam mob uas tuaj yeem ua rau lub plawv dhia tsis xwm yeem (xws li ntshav siab, ntshav qab zib, thiab teeb meem thyroid).

Yog tias kuv muaj '(Atrial Flutter)', kuv yuav tsum xav li cas?

Atrial Flutter yog ib yam mob uas feem ntau nyuaj kho kom zoo thiab muaj feem yuav mob hnyav xws li mob stroke, yog li koj yuav tsum mus ntsib koj tus kws kho mob kom tau teem caij mus ntsib kws kho mob thoob plaws koj lub neej. Nws yog ib qho tseem ceeb uas yuav tsum tsis txhob ncua cov sijhawm teem caij no, vim Atrial Flutter yuav rov tshwm sim dua. Qhov no tuaj yeem ua rau qee tus neeg raug mus pw hauv tsev kho mob ntau zaus.

Kuv yuav tsum saib xyuas kuv tus kheej li cas?

• Qhov tseem ceeb tshaj plaws yog kom koj mus ntsib kws kho mob raws sijhawm. Txhua xyoo, koj tus kws kho mob yuav soj ntsuam koj qhov kev pheej hmoo ntawm kev mob stroke, suav nrog koj cov mob lwm yam. Yog tias koj qhov kev pheej hmoo siab, koj yuav raug hais kom txuas ntxiv noj cov tshuaj anticoagulants.
• Noj cov tshuaj raws sijhawm.
• Hloov pauv txoj kev ua neej kom noj qab nyob zoo (piv txwv li, tso kev haus luam yeeb, txo kev haus cawv, noj zaub mov zoo, thiab tawm dag zog).

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua. Lub sijhawm no, yog tias koj muaj kev tsis haum tshuaj rau ib yam tshuaj twg uas koj tau muab rau koj, lossis yog tias koj cov tsos mob hloov pauv, hnyav zuj zus, lossis yog tias koj muaj cov tsos mob tshiab, mus ntsib koj tus kws kho mob tam sim ntawd.

Kuv yuav tsum mus rau chav kho mob ceev (ER) thaum twg?

Yog tias koj lub plawv dhia ceev dua 150 zaus ib feeb (uas koj tuaj yeem hnov ​​los ntawm kev saib koj lub plawv dhia) thaum koj so, koj yuav tsum nrhiav kev kho mob tam sim ntawd, thiab yog tias tsim nyog, mus rau chav kho mob ceev. Tsis tas li ntawd, yog tias koj mob hauv siab hnyav, ua pa nyuaj heev, lossis tsis nco qab, koj yuav tsum mus rau tsev kho mob tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Tej zaum koj yuav xav txog kev nug cov lus nug zoo li no thaum ntsib nrog tus kws kho mob:

• Kuv puas muaj '(Atrial Flutter)' lossis lwm hom kev mob plawv dhia tsis zoo?
• Kev kho mob zoo tshaj plaws rau kuv yog dab tsi? Qhov zoo thiab qhov tsis zoo yog dab tsi?
• Kuv muaj feem yuav mob stroke npaum li cas? Kuv yuav ua li cas thiaj li txo tau qhov no?
• Kuv yuav tsum txhawj xeeb txog cov tsos mob twg?
• Kuv yuav tsum hloov dab tsi hauv kuv txoj kev ua neej?

Puas yog '(Atrial Flutter)' txaus ntshai?

Atrial Flutter tsis yog ib yam mob uas ua rau tuag taus, tab sis nws yog ib yam mob loj heev. Raws li peb tau tham ua ntej lawm, yog tias tsis kho, nws tuaj yeem ua rau muaj teeb meem uas ua rau tuag taus, xws li mob hlwb, mob plawv nres, lossis mob plawv tsis ua haujlwm.

Nws yog ib qho ib txwm muaj uas koj yuav tsis xis nyob thaum koj lub plawv dhia ceev dhau. Tab sis tsis txhob txhawj, koj tus kws kho mob tuaj yeem muab kev kho mob zoo rau '(Atrial Flutter)'. Cov kev kho mob no tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim cov teeb meem txaus ntshai no. Yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob thiab ua raws li nws cov lus qhia. Koj tus kws kho mob yuav pab koj txiav txim siab txog kev kho mob zoo tshaj plaws rau koj tus mob.

Yog li ntawd, peb yuav tsum nco ntsoov dab tsi ntawm zaj dab neeg no?

• Atrial flutter yog ib qho mob uas cov chav sab saud ntawm lub plawv dhia ceev heev, tab sis hauv ib qho qauv tshwj xeeb.
• Tej yam tsos mob yuav muaj xws li ua pa luv luv, kiv taub hau, thiab mob hauv siab. Tej zaum ib txhia neeg yuav tsis muaj tsos mob dab tsi li.
• Qhov txaus ntshai tshaj plaws yog qhov kev pheej hmoo ntawm cov ntshav txhaws thiab ua rau muaj tej yam xws li mob stroke .
• Qhov no tuaj yeem pom tau yooj yim nrog ECG.
• Muaj kev kho mob zoo li tshuaj thiab "(Ablation)".
• Txawm tias tom qab kho mob lawm los, nws tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom tau saib xyuas thoob plaws hauv koj lub neej.
• Yog tias koj lub plawv dhia thaum so ntau dua 150 zaus ib feeb, nrhiav kev pab kho mob tam sim ntawd.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob. Nws yuav piav qhia txhua yam rau koj kom meej.

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