Koj lub plawv puas dhia qeeb qeeb? Cia peb tham txog bradyarrhythmia!

Puas muaj tej lub sij hawm koj xav tias koj lub plawv dhia qeeb dhau me ntsis? Los yog koj puas cia li nkees, kiv taub hau, thiab tej zaum ua tsis taus pa? Tej zaum qhov no yog vim koj lub plawv dhia qeeb dhau me ntsis, uas txhais tau tias koj lub plawv dhia qeeb qeeb. Hnub no peb yuav tham txog qhov mob zoo li no, uas hauv kev kho mob hu ua bradyarrhythmia.

Bradyarhythmia yog dab tsi tiag?

Hais yooj yim xwb, bradyarrhythmia yog lub plawv dhia tsis xwm yeem, txhais tau tias koj lub plawv dhia qeeb dhau. Feem ntau, tus neeg laus noj qab haus huv lub plawv dhia ntawm 60 thiab 100 zaug ib feeb thaum so. Txawm li cas los xij, tus neeg uas muaj bradyarrhythmia muaj lub plawv dhia qeeb dua 60 zaug ib feeb.

Tam sim no tej zaum koj yuav xav tias, "Auj, yog li kuv lub plawv dhia ceev heev, puas yog ib qho kab mob?" Nws tsis yog li ntawd tas li. Cov neeg noj qab haus huv, cov tub ntxhais hluas, cov neeg ncaws pob, uas tawm dag zog zoo, muaj lub plawv dhia qeeb me ntsis. Nws yog ib qho cim ntawm lawv txoj kev noj qab haus huv. Thiab txawm tias thaum peb tsaug zog, peb lub plawv dhia qeeb me ntsis. Qhov ntawd yog qhov ib txwm muaj.

Txawm li cas los xij, bradyarrhythmia yog ib qho mob uas lub plawv dhia tsis xwm yeem thiab qeeb vim yog mob, kab mob plawv, lossis qhov tsis zoo ntawm lub plawv lub zog hluav taws xob . Qhov ntawd yog qhov peb yuav tsum txhawj xeeb txog.

Qhov txawv ntawm Bradyarrhythmia thiab Bradycardia yog dab tsi?

Ob lo lus no zoo li me ntsis zoo sib xws, puas yog? Ob lo lus no hais txog kev qeeb ntawm lub plawv dhia.

• Bradycardia tsuas yog lub plawv dhia thaum so tsawg dua 60 zaus hauv ib feeb. Qhov no tuaj yeem tshwm sim rau cov neeg noj qab haus huv, raws li tau hais ua ntej.
• Kab mob plawv dhia qeeb qeeb yog ib qho mob uas lub plawv dhia qeeb vim yog lub plawv dhia tsis xwm yeem (arrhythmia) . Yog vim muaj teeb meem, lub plawv dhia tsis zoo, ua rau lub plawv dhia qeeb.

Koj puas nkag siab qhov txawv? Muaj qhov txawv ntawm lub plawv dhia qeeb xwb thiab lub plawv dhia qeeb vim muaj teeb meem plawv dhia.

Cov hom mob bradyarrhythmia tseem ceeb yog dab tsi?

Kab mob plawv dhia tsis xwm yeem muaj ntau hom. Yog li ntawd, muaj ntau hom nyob ntawm seb cov teeb meem plawv ua rau muaj li cas. Txhua hom ua rau lub plawv dhia qeeb qeeb. Cia peb saib cov hom tseem ceeb.

1. Kev ua haujlwm tsis zoo ntawm cov hlab ntsha hauv lub qhov ntswg

Qhov no qee zaum hu ua mob sinus syndrome . Koj puas tau hnov ​​​​tias lub plawv muaj lub tshuab ua pacemaker ntuj? Nws hu ua sinoatrial node lossis SA node.Yog li ntawd, ib yam li lub qhov hloov teeb hauv peb lub tsev, lub teeb liab hluav taws xob uas ua rau lub plawv dhia pib ntawm no. Yog li ntawd, yog tias lub sinus node tsis ua haujlwm zoo, yog tias nws tsis tuaj yeem xa cov teeb liab hluav taws xob kom raug, lub plawv dhia qeeb qeeb.

• Qee cov kab mob, xws li hypothyroidism, tuaj yeem ua rau lub sinus node tsis ua haujlwm zoo.
• Los yog qhov mob no tuaj yeem tshwm sim thaum koj laus zuj zus. Qee zaum, tsis tuaj yeem nrhiav tau qhov ua rau muaj qhov mob no.

2. Lub plawv thaiv

Zoo li muaj tsheb sib tsoo ntawm txoj kev. Yog tias muaj kev thaiv txoj kev ntawm lub plawv cov teeb liab hluav taws xob, cov teeb liab ntawd yuav tsis mus ncig zoo. Qhov kev thaiv no tuaj yeem ua rau cov teeb liab hluav taws xob nres tag nrho, qeeb qeeb, lossis txawm tias dhia tsis dhau ib lub plawv dhia. Qhov no hu ua lub plawv thaiv .

3. Kab mob plawv dhia tsis zoo/mob plawv dhia ceev

Qhov no nyuaj me ntsis. Qhov uas tshwm sim ntawm no yog tias lub plawv qee zaum dhia qeeb heev (bradycardia) thiab qee zaum nrawm heev (tachycardia) vim yog qhov ua haujlwm tsis zoo hauv lub sinus node. Qhov no txhais tau tias lub plawv dhia qeeb thiab nrawm. Ib qho mob hu ua atrial fibrillation (AFib) yog ib qho piv txwv ntawm hom mob no.

Vim li cas thiaj muaj bradyarrhythmia? Dab tsi yog cov ua rau?

Feem ntau, cov teeb meem plawv dhia tsis zoo no, suav nrog bradyarrhythmia, yog tshwm sim los ntawm kab mob plawv lossis kev puas tsuaj rau lub plawv. Cia peb saib qee qhov ua rau tseem ceeb:

• Kev hloov pauv hauv lub plawv lub zog hluav taws xob thaum nws laus zuj zus: Ib yam li lub tshuab, muaj qhov yuam kev me me tshwm sim thaum nws laus zuj zus.
• Kab mob plawv (Coronary artery disease): Qhov no txhais tau tias cov hlab ntsha uas muab ntshav mus rau lub plawv raug thaiv.
• Cov teeb meem plawv.
• Qee cov tshuaj siv rau kab mob plawv: Piv txwv li, cov tshuaj xws li beta-blockers .
• Kev tsis sib npaug ntawm cov txheej txheem metabolic hauv lub cev: Raws li tau hais ua ntej, kev ua haujlwm ntawm thyroid txo qis (Hypothyroidism) .
• Xwm txheej lossis kev puas tsuaj rau lub plawv: Piv txwv li, vim yog mob plawv nres.

Cov tsos mob ntawm ib tus neeg uas muaj Bradyarhythmia yog dab tsi?

Thaum lub plawv dhia qeeb qeeb, yuav ua li cas? Cov ntshav thiab cov pa oxygen uas mus rau tag nrho lub cev, tshwj xeeb tshaj yog lub hlwb, yuav txo qis. Qhov ntawd yog qhov ua rau muaj cov tsos mob no.

Xav txog qhov no, yog tias koj ua kom lub twj tso dej qeeb qeeb, nws yuav ua rau lub tank puv qeeb qeeb. Thaum lub plawv dhia qeeb, nws tso cov ntshav tsawg dua thoob plaws lub cev.

Saib seb koj puas xav tias tej no thiab:

• Kiv taub hau.
• Tsis tshua muaj, tsaus muag (syncope).
• Xav tias nkees txhua lub sijhawm (Qaug zog).
• Ua pa nyuaj, zoo li koj ua tsis taus pa (ua pa luv).
• Tsis muaj zog.

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, tshwj xeeb tshaj yog tias lawv tshwm sim ntau zaus, koj yuav tsum mus ntsib kws kho mob.

Tus kws kho mob yuav kuaj mob bradyarrhythmia li cas kom raug?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob ua ntej thiab tom qab ntawd kuaj koj lub cev. Yuav kom paub tseeb tias koj puas muaj teeb meem plawv dhia, yuav ntsuas thiab saib xyuas koj lub plawv dhia. Qhov no yuav suav nrog ib lossis ntau qhov kev kuaj hauv qab no:

• Kev kuaj ECG (Electrocardiography - EKG/ECG): Qhov no feem ntau yog thawj zaug uas koj ua. Nws sau cov hluav taws xob ntawm lub plawv. Nws yog ib qho kev kuaj uas tsis mob thiab ua tau hauv ob peb feeb xwb.
• 24- lossis 48-teev ECG (Lub cuab yeej ECG nqa tau): Qee zaum, qhov teeb meem ntawm lub plawv dhia yuav tsis pom tseeb thaum koj mus ntsib kws kho mob. Yog li ntawd, koj yuav raug hais kom hnav lub cuab yeej me me (xws li Holter monitor) rau 24 lossis 48 teev. Qhov no tuaj yeem sau koj lub plawv dhia tas li thaum koj ua koj tej haujlwm txhua hnub.
• Kev xeem kev ntxhov siab ntawm kev tawm dag zog: Hauv qhov kev xeem no, koj yuav tsum khiav lossis taug kev ntawm lub treadmill, ua rau koj lub plawv dhia ceev dua, thiab tom qab ntawd saib seb koj lub plawv dhia hloov pauv li cas thaum lub sijhawm ntawd.
• Kev kuaj lub plawv Echo (Echo): Qhov no zoo li kev luam theej lub plawv. Nws tuaj yeem saib tej yam xws li cov qhov plawv, cov chav ntshav ntws li cas, thiab cov duab ntawm lub plawv.
• Kev kuaj hluav taws xob (kev kawm EP): Qhov no yog kev kuaj uas nyuaj dua. Nws pab kom paub meej tias lub plawv lub zog ua haujlwm li cas.

Cov kev kuaj no yog cov uas pab tus kws kho mob txiav txim siab seb koj puas muaj mob bradyarrhythmia, yog tias muaj, nws yog hom twg, thiab yog vim li cas.

Yuav kho tus mob Bradyarhythmia li cas? Yuav tswj nws li cas?

Tsis txhob txhawj, muaj kev kho rau qhov mob no. Kev kho mob nyob ntawm seb qhov ua rau muaj bradyarrhythmia thiab nws hnyav npaum li cas.

• Kev Kho Mob Qhov Mob Tseem Ceeb: Qee zaum qhov no yog los ntawm lwm yam mob. Piv txwv li, yog tias nws yog vim lub qog thyroid tsis ua haujlwm zoo (hypothyroidism) , kev kho mob ntawd tuaj yeem pab kom lub plawv dhia rov qab mus rau qhov qub.
• Kev cog lub tshuab pacemaker: Yog tias bradyarrhythmia yog los ntawm kev hloov pauv hauv lub plawv lub zog hluav taws xob, koj tus kws kho mob yuav pom zoo kom siv lub tshuab pacemaker.Tej zaum yuav pom zoo kom siv lub tshuab pacemaker. Qhov no yog ib lub cuab yeej hluav taws xob me me uas xa cov teeb liab hluav taws xob mus rau lub plawv, pab kom nws dhia ceev thiab zoo. Nws zoo li ib qho kev pab sab nraud thaum lub plawv lub tshuab pacemaker tsis ua haujlwm.

Peb ua tau dab tsi los tiv thaiv qhov mob bradyarrhythmia no?

Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj tej yam uas peb ua tau los txo qhov kev pheej hmoo.

• Tau txais kev kho mob kom zoo rau cov mob hauv qab no: Piv txwv li, nws yog ib qho tseem ceeb kom tswj tau tej yam xws li teeb meem thyroid, ntshav siab, thiab ntshav qab zib.
• Ua kom koj lub siab noj qab nyob zoo: Qhov no yog qhov tseem ceeb tshaj plaws.
• Ua raws li kev noj zaub mov zoo: Noj cov khoom noj uas tsis muaj roj, ntsev, thiab qab zib, thiab muaj txiv hmab txiv ntoo thiab zaub ntau.
• Txwv kev haus cawv: Zoo tshaj plaws yog kom txo nws ntau li ntau tau.
• Tswj koj qhov hnyav kom noj qab nyob zoo: Tswj koj qhov hnyav kom haum rau koj qhov siab.
• Ua kom lub cev muaj zog: Kev taug kev thiab kev tawm dag zog tsawg kawg 30 feeb hauv ib hnub yog qhov zoo heev.
• Tsis txhob haus luam yeeb thiab siv cov khoom luam yeeb kiag li.

Los ntawm kev ua raws li cov kauj ruam no, koj tuaj yeem tiv thaiv koj tus kheej tsis yog los ntawm bradyarrhythmia xwb, tab sis kuj tseem muaj ntau lwm yam kab mob.

Tus neeg uas muaj Bradyarhythmia zoo li cas lawm? (Kev kwv yees)

Qhov no yog ib lo lus nug uas ntau tus neeg nug. Yog tias tsis kho, bradyarrhythmia tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj heev. Nws kuj tseem tuaj yeem ua rau muaj xwm txheej vim yog tej yam xws li kiv taub hau thiab tsaus muag.

Txawm li cas los xij, nrog kev kho mob zoo, koj tuaj yeem rov qab kho koj lub plawv dhia, txo qhov kev pheej hmoo ntawm cov teeb meem, thiab ua neej nyob li qub. Yog vim li cas nws thiaj li tseem ceeb kom mus ntsib kws kho mob sai li sai tau yog tias koj muaj cov tsos mob.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum tham nrog kws kho mob txog nws:

• Mob hauv siab los yog tsis xis nyob.
• Ua pa nyuaj.
• Kiv taub hau los yog tsaus muag.
• Tsaus muag.
• Yog koj xav tias koj nkees heev.

Yog tias muaj ib qho ntawm cov no tshwm sim ntau zaus, nco ntsoov nrhiav kev pab kho mob.

Cov lus nug tseem ceeb uas yuav nug tus kws kho mob yog dab tsi?

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no kom nkag siab meej txog koj tus mob:

• Kuv yuav paub li cas yog tias kuv lub plawv dhia qis heev?
• Puas yog kuv lub plawv dhia qis txaus ua rau muaj teeb meem kev noj qab haus huv?
• Kuv puas yuav tsum tau noj tshuaj kom tswj tau qhov teeb meem plawv dhia no?
• Kuv puas yuav tsum tau siv lub tshuab pacemaker los kho kuv lub plawv dhia?

Nws yog ib qho tseem ceeb heev uas yuav tsum nug cov lus nug zoo li no kom nkag siab zoo dua txog koj qhov xwm txheej.

Yog li ntawd, cia peb nco ntsoov qhov peb tau tham txog ua ib qho kev xaus lus (Cov Lus Qhia Coj Mus Tsev)

Bradyarrhythmia yog lub plawv dhia tsis xwm yeem, txhais tau tias lub plawv dhia tsawg dua 60 zaug hauv ib feeb. Qhov no tuaj yeem tshwm sim los ntawm ntau yam, suav nrog hnub nyoog, kab mob plawv, thiab qee yam tshuaj. Cov tsos mob tuaj yeem suav nrog kiv taub hau, qaug zog, thiab ua tsis taus pa.

Qhov zoo tshaj plaws uas yuav tsum ua rau tus mob no yog mus kuaj mob kom zoo, nrhiav qhov ua rau mob, thiab kho mob kom zoo (xws li siv tshuaj lossis siv lub tshuab pacemaker). Ces koj mam li rov qab kho koj lub plawv dhia thiab ua neej noj qab nyob zoo. Yog li ntawd, yog tias koj muaj cov tsos mob zoo li no, tsis txhob ntshai mus ntsib kws kho mob. Ces koj thiaj li paub txhua yam kom zoo thiab ua qhov tsim nyog.

Lub plawv dhia tsis xwm yeem, lub plawv dhia qeeb, lub plawv dhia qeeb, lub plawv dhia tsis xwm yeem, lub plawv dhia tsis xwm yeem, lub plawv dhia ceev, lub tshuab pacemaker, kiv taub hau