Koj puas tau muaj ib zaug uas koj lub plawv dhia ceev dua yam tsis muaj laj thawj, lossis koj xav tias koj lub plawv dhia ceev npaum li npauj npaim hauv koj lub hauv siab? Tej yam kev hloov pauv ntawm lub plawv dhia (lub plawv dhia tsis xwm yeem) no qee zaum yog ib yam uas yuav tsum txhawj xeeb txog. Niaj hnub no, peb yuav tham txog kev kho mob tshwj xeeb uas cov kws kho mob siv los kho cov hom kev plawv dhia tsis xwm yeem no.
Hais yooj yim xwb, Chemical Cardioversion yog dab tsi?
Hais yooj yim xwb, kev siv tshuaj kho plawv yog kev siv tshuaj los kho koj lub plawv dhia ceev lossis tsis xwm yeem rov qab mus rau qhov qub. Kev kho mob no yuav ua tau zoo li cas nyob ntawm seb ua rau koj lub plawv dhia tsis xwm yeem li cas, nws tau tshwm sim ntev npaum li cas, thiab hom tshuaj uas koj tus kws kho mob xaiv.
Peb kuj hu qhov no ua Pharmacologic Cardioversion. Cov tshuaj uas muab thaum lub sijhawm kho mob no ua ntau yam tseem ceeb:
- Nws ua rau koj cov hlab ntsha so.
- Muab kev so rau cov leeg nqaij ntawm lub plawv.
- Txo qhov kev ua haujlwm ntawm lub plawv.
- Nws tswj qhov ceev uas cov teeb liab hluav taws xob qhia rau lub plawv dhia.
Xav txog peb lub siab zoo li ib lub tsev uas muaj ib lub voj voog hluav taws xob nyuaj heev. Nws muaj ib lub qhov hloov tseem ceeb, uas hauv kev kho mob peb hu ua lub sinoatrial node. Lub teeb liab hluav taws xob uas ua rau lub plawv dhia pib ntawm qhov ntawd. Tom qab ntawd lub teeb liab ntawd mus dhau cov chav sab saud ntawm lub plawv (Atria) thiab mus txog lwm qhov chaw sib tshuam (Atrioventricular node). Thaum kawg, lub teeb liab no mus txog cov chav sab qis ntawm lub plawv (Ventricles). Yog tias muaj qhov yuam kev hauv txoj kev teeb liab no, lub plawv dhia tuaj yeem raug cuam tshuam.
Thaum lub plawv dhia tsis xwm yeem, nws tsis nqus cov ntshav txaus thoob plaws hauv lub cev. Txhua lub cell hauv peb lub cev, tshwj xeeb tshaj yog lub hlwb, xav tau cov pa oxygen tas li los ntawm cov ntshav. Thaum cov ntshav ntws tsis zoo li no, koj tuaj yeem muaj cov tsos mob xws li kiv taub hau, qaug zog, ua tsis taus pa, thiab mob hauv siab .
Vim li cas thiaj siv txoj kev kho mob no thiab rau cov kab mob twg?
Yog tias koj lub plawv dhia ceev dhau los yog tsis xwm yeem, tej zaum koj yuav xav tau kev kho mob plawv. Muaj ntau yam ua rau koj lub plawv dhia tsis xwm yeem.
- Qee cov tshuaj uas koj siv
- Cov mob sib kis xws li mob ntsws
- Mob plawv nres
- Kev hloov pauv ntawm cov qauv ntawm lub plawv
- Kev mob ntsws embolism
- Kev mob plawv tsis ua haujlwm
- Cov kab mob ntsws xws li COPD lossis Emphysema
Kev siv tshuaj kho mob plawv (Chemical Cardioversion) feem ntau yog siv los kho cov mob plawv dhia tsis xwm yeem hauv qab no:
| Lub npe ntawm tus mob (Lus Askiv) | Piav qhia yooj yim |
|---|---|
| Atrial Fibrillation (Afib) | Atrial fibrillation yog ib qho mob uas cov chav sab saud ntawm lub plawv dhia ceev heev thiab tsis sib xws. Qhov no yog qhov mob plawv dhia tsis sib xws uas pom ntau tshaj plaws. |
| Atrial Flutter | Cov chav sab saud ntawm lub plawv dhia ceev dua tab sis me ntsis ntxiv tsis tu ncua dua li thaum muaj fibrillation. |
| Kev mob plawv dhia ceev heev (SVT) | Lub plawv dhia ceev heev uas pib saum cov chav hauv qab ntawm lub plawv. |
| Lub plawv dhia ceev (VT) | Lub plawv dhia ceev ceev uas pib hauv cov chav qis ntawm lub plawv. Qhov no qee zaum tuaj yeem ua rau muaj kev phom sij. |
Ua ntej kev kho mob muaj dab tsi tshwm sim?
Koj tus kws kho mob yuav txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj (tshuaj lossis hluav taws xob cardioversion). Yog tias koj cov ntshav siab qis heev, koj tus kws kho mob yuav xaiv hluav taws xob cardioversion.
- Khoom Noj thiab Haus: Koj yuav raug qhia kom tsis txhob noj lossis haus dej li 8 teev ua ntej kev kho mob no.
- Kev Ntsuas: Yog tias koj lub plawv dhia tsis xwm yeem (atrial arrhythmia) ntau tshaj ob hnub, koj tus kws kho mob yuav ua qhov kev ntsuas hu ua Transesophageal Echocardiogram (TEE) . Qhov no yog los xyuas seb puas muaj cov ntshav txhaws hauv lub plawv. Qhov no tuaj yeem ua rau mob stroke yog tias cov ntshav txhaws tawg thaum lub sijhawm kho mob.
- Tshuaj: Yuav luag txhua yam tshuaj uas koj noj, suav nrog cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj, cov vitamins, thiab txawm tias cov tshuaj Sinhala.Koj yuav tsum qhia rau koj tus kws kho mob. Tej zaum koj yuav raug hais kom pib noj cov tshuaj anticoagulants peb lub lis piam ua ntej kev kho mob kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Kev kho mob no feem ntau ua nyob rau hauv chav saib xyuas mob hnyav (ICU) ntawm tsev kho mob lossis hauv chav tshwj xeeb uas tau teem tseg rau nws. Qhov no yog vim muaj kev pheej hmoo me me ntawm lwm hom kev dhia tsis xwm yeem thaum muab tshuaj, yog li koj yuav tsum tau saib xyuas ze.
Koj tsis nyob ib leeg lub sijhawm no. Cov kws kho mob thiab cov kws tu mob nyob ntawm koj ib sab, saib xyuas koj cov ntshav siab thiab koj lub plawv dhia (ECG) tas li. Txhua yam khoom siv tsim nyog (xws li lub tshuab defibrillator) tau npaj txhij rau thaum muaj xwm txheej ceev.
Cov tshuaj no muab rau koj ua ib lub tshuaj uas koj nqos los yog los ntawm kev txhaj tshuaj IV rau hauv cov leeg ntshav hauv koj txhais caj npab . Qee zaum, yog tias thawj koob tshuaj tsis ua haujlwm, yuav muab lwm koob tshuaj rau koj.
Cov tshuaj siv feem ntau
Cov tshuaj uas koj muab rau koj yuav txawv nyob ntawm koj tus mob. Qee cov tshuaj uas siv ntau tshaj plaws yog:
- Amiodarone (Cordarone®)
- Procainamide
- Ibutilide
- Flecainide
- Propafenone (Rythmol®)
- Sotalol (Betapace®)
- Cov tshuaj beta-blockers xws li metoprolol (Lopressor®)
- Cov tshuaj calcium channel blockers xws li diltiazem (Cardizem®)
- Adenosine (Adenocard®)
Cov txiaj ntsig thiab qhov tsis zoo ntawm kev kho mob yog dab tsi?
Koj yuav raug khaws cia rau hauv tsev kho mob kom soj ntsuam li 24 txog 48 teev tom qab kho mob. Ib txhia neeg yuav xav tias nkees me ntsis lossis tsis xis nyob los ntawm cov tshuaj no.
Cov txiaj ntsig:
- Lub plawv dhia rov qab mus rau qhov qub.
- Cov tsos mob xws li kiv taub hau thiab qaug zog raug txo qis.
- Nws siv tau ua lwm txoj hauv kev rau kev siv hluav taws xob cardioversion.
Kev Pheej Hmoo thiab Teeb Meem:
- Lub plawv dhia tsis xwm yeem tshiab pib los yog lub plawv dhia qub zuj zus tuaj.
- Cov ntshav txhaws tuaj yeem tawg thiab ua rau mob stroke .
- Cov kev mob tshwm sim xws li xeev siab thiab qaug zog.
- Qee cov tshuaj yuav siv sijhawm ntau lub hlis los ua haujlwm.
- Yog tias txoj kev kho mob no tsis ua tiav, koj yuav tsum tau siv lwm yam kev kho mob xws li kev kho mob electroconvulsive lossis catheter ablation.
- Cov tshuaj tsis ua haujlwm zoo ib yam rau txhua tus. Qee zaum, qhov ua tiav mus sij hawm ntev yog li 50%.
Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob txawv txawv hauv qab no tom qab siv tshuaj chemical cardioversion, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd:Los yog hu rau lub tsheb thauj neeg mob ntawm 1990. Tsis txhob xav tias qhov no tsis tseem ceeb.
- Lub plawv dhia ceev
- kiv taub hau hnyav heev
- Mob taub hau me ntsis
- Kev qaug zog ntawm lub cev
- Tawm hws sai sai
- Mob hauv siab
- Ua pa nyuaj
- Cov tsos mob ntawm kev ua xua xws li khaus
Noj tag nrho cov tshuaj uas koj tus kws kho mob sau ntawv kom noj, ua ntej thiab tom qab kho mob, raws nraim thiab raws sijhawm. Yog tias koj muaj lus nug dab tsi, tsis txhob ntshai nug koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kho mob plawv siv tshuaj lom neeg yog ib txoj kev kho mob uas siv cov tshuaj los kho lub plawv dhia tsis xwm yeem kom rov qab zoo li qub.
- Tsuas yog koj tus kws kho mob thiaj li txiav txim siab tau seb qhov kev kho mob no puas yog rau koj.
- Qhov no ua tiav hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm kws kho mob nruj, yog li tsis tas yuav ntshai.
- Txawm hais tias qhov no muab ntau yam txiaj ntsig, nws kuj tseem tuaj yeem ua rau muaj qee qhov kev pheej hmoo thiab cov kev mob tshwm sim.
- Yog tias koj muaj cov tsos mob xws li mob hauv siab, kiv taub hau heev, lossis ua pa nyuaj tom qab kho mob, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob 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