Puas yog koj lub plawv dhia qeeb qeeb qee zaum mus rau hauv txoj kev txawv txawv? Cia peb tham txog 'Idioventricular Rhythm'!

Puas muaj tej lub sij hawm koj xav tias koj lub plawv dhia txawv me ntsis? Tej zaum nws dhia ceev dhau me ntsis, lossis nws zoo li nws dhia txawv txawv heev? Tsis txhob txhawj, feem ntau cov no tsis yog teeb meem loj. Txawm li cas los xij, nws yog ib qho tseem ceeb rau koj kom paub txog qhov mob no uas peb yuav tham txog hnub no, hu ua 'Idioventricular Rhythm'.

'Idioventricular Rhythm' yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, "Idioventricular Rhythm" yog lub plawv dhia qeeb qeeb uas cov chav qis ntawm koj lub plawv, "ventricles" , ntaus qeeb dua li qub. Xav txog nws, "natural pacemaker" lossis "sinoatrial node", nyob hauv cov chav sab saud ntawm peb lub plawv. Yog tias lub pacemaker no tsis ua haujlwm zoo, cov hlwb hauv qab ntawm lub plawv xav tias, "Okay, cia peb ua kom lub plawv dhia." Tab sis, lawv tsuas ua tau kom nws dhia qeeb qeeb me ntsis xwb.

Feem ntau, hauv qhov "Idioventricular Rhythm" no, lub plawv dhia tsawg dua 50 zaug hauv ib feeb .

Txawm li cas los xij, muaj lwm qhov sib txawv me me, nws hu ua 'Accelerated Idioventricular Rhythm (AIVR).' Ces lub plawv dhia yog ntawm 50 thiab 110 lub suab ib feeb. Qhov no txawv ntawm qhov mob hu ua 'Ventricular Tachycardia' (Ventricular Tachycardia), qhov twg lub plawv dhia sai dua (ntau dua 100 lub suab ib feeb), puas yog?

Qhov no yuav tsum tsis txhob raug yuam kev nrog lwm yam teeb meem plawv dhia, puas yog?

Yog, muaj ntau lwm yam mob ntsig txog lub plawv dhia ceev. Yog li ntawd, qhov 'Idioventricular Rhythm' no tuaj yeem tsis meej pem nrog lwm qhov. Qhov ntawd yog 'Junctional Rhythm'.

• Idioventricular Rhythm: Qhov no pib hauv cov chav qis dua ntawm lub plawv, cov ventricles.
• Lub plawv dhia sib txuas: Qhov no pib ntawm qhov sib txuas ntawm cov chav sab saud thiab qis ntawm lub plawv (cuam tshuam nrog AV node).

Koj puas pom qhov txawv? Txawm hais tias ob lub suab pib tsis yog qhov chaw hauv lub plawv los, ob lub ntsiab lus pib txawv.

Leej twg yuav raug cuam tshuam los ntawm qhov xwm txheej no tshaj?

Txawm hais tias leej twg los yeej muaj peev xwm muaj tus mob hu ua "Idioventricular Rhythm," tab sis qee tus neeg yuav muaj tus mob no ntau dua. Lawv yog:

• Cov neeg uas muaj lub plawv thaiv tag nrho lossis hnyav heev.
• Cov neeg uas muaj teeb meem nrog lub plawv lub pacemaker, xws li 'sinus arrest' lossis 'sinoatrial nodal block'.
• Cov neeg uas tau muaj 'mob plawv nres'.
• Cov neeg uas siv qee yam tshuaj (tshwj xeeb tshaj yog cov rau kab mob plawv) thiab cov tshuaj yeeb tsis raug cai.
• Tsis tshua muaj, nws kuj tuaj yeem tshwm sim rau cov neeg uas muaj teeb meem plawv txij thaum yug los.

Qee zaum qhov Accelerated Idioventricular Rhythm (AIVR) tuaj yeem tshwm sim rau cov neeg ncaws pob noj qab haus huv. Txawm li cas los xij, nws feem ntau pom muaj nyob rau hauv cov neeg uas muaj lwm yam mob plawv, xws li:

• Ischemic cardiomyopathy (ICM) yog qhov ua rau cov leeg nqaij plawv tsis muaj zog vim yog kev thaiv cov hlab ntsha uas pub rau lub plawv.
• 'Kab mob plawv Rheumatic' (kev puas tsuaj rau cov hlab plawv tom qab muaj kab mob hauv caj pas).
• Dilated cardiomyopathy (dilated cardiomyopathy - cov leeg nqaij plawv yuav qaug zog thiab loj hlob).
• 'Acute coronary syndromes' (acute coronary syndromes - kev cuam tshuam tam sim ntawd ntawm cov ntshav mus rau lub plawv).
• 'Acute myocarditis' (mob plawv o/o ntawm cov leeg nqaij).

Cov tsos mob yog dab tsi? Los yog koj tsis hnov ​​dab tsi li?

Nov yog qhov tseeb uas xav tsis thoob! Feem ntau, cov neeg uas muaj 'Idioventricular Rhythm' tsis muaj tsos mob dab tsi li . Yog lawm, nws yog qhov tseeb. Xav txog seb, qee tus neeg tsis paub tias lawv muaj tus mob no, thiab nws raug tshawb pom los ntawm txoj hmoo thaum lawv muaj 'ECG' ua rau lwm yam.

Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob. Yog tias lawv ua, lawv yuav muaj:

• Qaug zog: Tej zaum koj tsuas xav tias qaug zog xwb.
• Kiv taub hau: Tej zaum koj yuav xav tias koj lub taub hau tig thiab koj yuav xav tias koj poob koj qhov sib npaug.
• Tsaus muag/Poob siab: Tej tus neeg yuav poob siab thiab ntog tam sim ntawd. Qhov no yog ib qho cim qhia loj dua.
• Lub plawv dhia ceev: Tej zaum koj yuav hnov ​​koj lub plawv dhia ceev dua, zoo li nws dhia nrov nrov hauv koj lub hauv siab.

Nco ntsoov tias, tsis yog txhua tus neeg muaj cov tsos mob no. Txawm li cas los xij, yog tias koj muaj cov tsos mob no ntau zaus, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob.

Vim li cas qhov 'Accelerated Idioventricular Rhythm (AIVR)' no thiaj tshwm sim? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau muaj 'Accelerated Idioventricular Rhythm (AIVR)' uas peb tau tham ua ntej, uas yog ib qho mob uas lub plawv dhia ntawm tus nqi ntawm 50-110 lub plawv dhia ib feeb. Cov no yog:

• Myocarditis (mob ntawm cov leeg plawv).
• Tom qab mob plawv nres.
• Qee hom 'cardiomyopathies' (cardiomyopathy - kab mob ntawm cov leeg plawv).
• Tom qab ua kom lub plawv rov qab muaj zog (piv txwv li, tom qab muaj mob plawv nres, thaum ua kom lub plawv rov qab muaj zog nrog 'CPR').
• Cov electrolyte potassium ntau heev hauv lub cev.
• Kev lom los ntawm kev noj tshuaj kho mob plawv 'Digoxin (Digitek® lossis Cardoxin®)' ntau dhau.

Tus kws kho mob nrhiav tau qhov no li cas?

Yog koj muaj cov tsos mob no, lossis vim lwm yam, thaum koj mus ntsib kws kho mob, nws yuav xub kuaj koj kom meej ('kev kuaj lub cev'). Tom qab ntawd nws yuav nug txog koj keeb kwm kev kho mob thiab keeb kwm tsev neeg.

Ntxiv rau, cov kev ntsuam xyuas hauv qab no tuaj yeem ua tau los txiav txim siab seb qhov mob 'Idioventricular Rhythm' no puas muaj tseeb:

• Electrocardiogram (ECG/EKG): Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Nws sau cov haujlwm hluav taws xob ntawm lub plawv. Hauv Idioventricular Rhythm, ECG qhia tias cov chav hauv qab ntawm lub plawv dhia tsis tu ncua, tab sis cov chav sab saud (atria) tsis sib xws lossis tsis muaj.
• `Holter monitor`: Qhov no zoo li lub tshuab `ECG` me me. Tab sis koj yuav tsum hnav nws li 24 lossis 48 teev. Nws tuaj yeem saib xyuas seb koj lub plawv dhia hloov li cas thaum koj ua koj cov dej num txhua hnub. Qee zaum, cov kev dhia tsis zoo no yuav tsis tshwm sim thaum lub sijhawm luv luv uas nws siv los ua `ECG`.

Cov kev kho mob no yog dab tsi? Qhov no puas yog ib yam dab tsi uas yuav tsum ntshai tiag?

Nov yog xov xwm zoo! Rau cov neeg feem coob, tus mob hu ua "Idioventricular Rhythm" tsis yog qhov txaus ntshai ("benign") thiab tsis xav tau kev kho mob tshwj xeeb. Feem ntau, nws tsuas ploj mus nws tus kheej xwb.

Txawm li cas los xij, yog tias koj tus kws kho mob txiav txim siab kho nws, nws feem ntau yuav yog los ntawm kev kho qhov teeb meem tseem ceeb uas ua rau muaj tus mob. Piv txwv li:

• Yog tias qhov mob no yog los ntawm ib yam tshuaj, tsum lossis hloov cov tshuaj ntawd.
• Yog tias muaj teeb meem nrog kev ua haujlwm ntawm lub plawv (piv txwv li, lub plawv thaiv), kho nws.

Tam sim no, yog tias 'Accelerated Idioventricular Rhythm (AIVR)' tseem muaj, thiab koj cov ntshav siab kuj txo qis, ces tus kws kho mob tuaj yeem ua cov hauv qab no kom rov qab kho lub plawv dhia li qub:

• Muab cov tshuaj xws li 'Atropine (Atreza® lossis Sal-Tropine®)' lossis 'isoproterenol'.
• Siv ib lub cuab yeej tshwj xeeb (piv txwv li, lub tshuab pacemaker ib ntus) los kho lub suab ntawm cov chav sab saud ntawm lub plawv.

Peb ua tau dab tsi los txo qhov kev pheej hmoo no?

Txawm hais tias Idioventricular Rhythm tsis muaj teeb meem rau feem ntau, qhov kev pheej hmoo ntawm kev muaj cov mob zoo li no tuaj yeem txo qis me ntsis los ntawm kev ua cov kauj ruam los ua kom peb lub siab noj qab haus huv.

• Ua si nawv tsis tu ncua thiab noj zaub mov zoo rau lub plawv (tsis txhob noj roj, ntsev, thiab qab zib, thiab noj txiv hmab txiv ntoo thiab zaub ntau).
• Sim ua kom koj lub cev cov electrolyte (tshwj xeeb tshaj yog potassium) nyob li qub . Kev noj zaub mov kom zoo yog qhov tseem ceeb rau qhov no.

Yog koj muaj 'Idioventricular Rhythm', yuav ua li cas?

Dua li no, rau feem ntau ntawm cov neeg, qhov no tsis yog ib qho mob txaus ntshai thiab yuav ploj mus yam tsis tas kho. Txawm li cas los xij, yog tias koj lub plawv dhia tsis tu ncua thiab lub plawv dhia tsis zoo no tseem nyob tsis rov qab mus rau qhov qub, koj yuav tsum nrhiav kev kho mob.

Thaum twg koj yuav tsum nrhiav kev pab kho mob?

Feem ntau, koj tsis tas yuav ua dab tsi tshwj xeeb rau 'Idioventricular Rhythm'. Nws yuav ploj mus nws tus kheej. Txawm li cas los xij, yog tias qhov mob no tsis zoo dua nws tus kheej thiab koj muaj cov tsos mob xws li tsaus muag, mus ntsib kws kho mob tam sim ntawd.

Qhov tseem ceeb tshaj plaws: Yog tias koj xav tias koj muaj cov tsos mob ntawm 'Plawv Nres' (piv txwv li mob hnyav hauv nruab nrab ntawm lub hauv siab, ua pa nyuaj, ntuav, tawm hws ntau dhau), hu rau 1990 tam sim ntawd thiab hu rau lub tsheb thauj neeg mob!

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

Yog koj tus kws kho mob hais rau koj tias koj muaj "Idioventricular Rhythm", nws yog ib lub tswv yim zoo los nug cov lus nug no:

• "Kws kho mob, koj puas qhia tau kuv tias yog vim li cas kuv lub plawv dhia tsis xwm yeem?"
• Yog tias kuv xav tau kev kho mob rau qhov no, qhov kev kho mob zoo tshaj plaws rau kuv yog dab tsi?

Txawm hais tias 'Idioventricular Rhythm' feem ntau tsis yog teeb meem loj, tab sis lwm yam kev dhia ntawm lub plawv tsis zoo kuj tuaj yeem ua rau muaj kev phom sij. Yog li ntawd, yog tias koj hnov ​​​​​​lub plawv dhia txawv txawv, yog tias koj muaj tej yam xws li kiv taub hau, mus ntsib kws kho mob yam tsis ncua. Yog tias koj tus kws kho mob hais kom koj pib lossis tsum tsis txhob noj tshuaj, ua raws li cov lus qhia ntawd. Tsis tas li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus kuaj 'ua raws li' raws li hnub teem tseg.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li cia peb rov qhia koj txog qee cov ntsiab lus tseem ceeb los ntawm qhov peb tau tham txog:

• Idioventricular Rhythm yog lub plawv dhia uas pib hauv cov chav qis (cells) ntawm lub plawv thiab feem ntau qeeb.
• Feem ntau, qhov no tsis yog ib qho mob txaus ntshai, thiab ntau tus neeg tsis txawm qhia cov tsos mob.
• Txawm li cas los xij, yog tias qhov mob no tseem muaj cov tsos mob xws li xeev siab , koj yuav tsum nrhiav kev pab kho mob.
• Kev kho mob feem ntau daws qhov teeb meem uas ua rau nws tshwm sim, thiab qee zaum tuaj yeem tswj hwm nrog tshuaj.
• Ua raws li koj tus kws kho mob cov lus qhia thiab mus ntsib kws kho mob raws sijhawm.

Nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj lub siab. Kuv vam tias cov ntaub ntawv no yuav pab tau koj!

Idioventricular Rhythm, lub plawv dhia ceev, lub plawv dhia qeeb, Accelerated Idioventricular Rhythm, cov tsos mob ntawm tus kab mob plawv, ECG, Holter monitor