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

Koj lossis ib tug neeg hauv koj tsev neeg, tshwj xeeb yog ib tug menyuam yaus, puas tau muaj lub plawv dhia ceev heev tam sim ntawd? Los yog koj puas ntshai me ntsis thaum kws kho mob qhia koj lub npe '(Junctional Tachycardia)'? Tsis txhob txhawj. Qhov no yog ib qho mob tsis tshua muaj, tab sis thaum koj nkag siab yooj yim, koj yuav hnov ​​​​​​zoo siab heev. Cia peb tham txog nws kom meej hnub no.

'(Junctional Tachycardia)' yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, '(Junctional Tachycardia)' yog ib qho mob uas lub plawv dhia, uas yog, tus qauv ntawm peb lub plawv dhia, txawv me ntsis, thiab nws tshwm sim sai dua. Yog hais kom meej, qhov tshwm sim ntawm no yog tias lub plawv dhia tsis pib los ntawm qhov chaw zoo, tab sis pib los ntawm qhov chaw sib txawv thiab pib khiav sai dua.

Xav txog seb, peb lub plawv muaj ib lub tshuab hluav taws xob. Qhov no yog qhov uas muab lub plawv lub cim kom dhia thaum lub sijhawm zoo. Feem ntau, lub cim no pib los ntawm ib qho chaw me me hu ua '(Sinoatrial node)' nyob rau sab saum toj ntawm lub plawv. Nws zoo li lub qhov hloov tseem ceeb hauv peb lub tsev. Los ntawm qhov ntawd, cov lus hluav taws xob mus thoob plaws lub plawv thiab ua rau cov leeg nqaij plawv cog lus thiab dhia. Peb hu qhov no '(Normal Sinus Rhythm)'.

Txawm li cas los xij, qee zaum yog tias muaj qee yam tshwm sim rau qhov '(Sinoatrial node)' no, nws yuav tsis ua haujlwm tau zoo. Ib yam li tus neeg ua yeeb yam hloov pauv hauv kev ua yeeb yam thaum tus neeg ua yeeb yam tseem ceeb mob, lwm qhov chaw hauv lub plawv, uas yog, '(Atrioventricular node)' nyob nruab nrab ntawm cov chav sab saud thiab qis ntawm lub plawv (qhov no kuj tseem hu ua "qhov sib txuas" ntawm lub plawv), yuav ua lub luag haujlwm pib lub plawv dhia. Ua li no, lub plawv dhia sai sai pib ntawm qhov sib txuas ntawm lub plawv hu ua '(Junctional Tachycardia)'.

Feem ntau, thaum peb so, peb lub plawv dhia ntawm 60 thiab 100 zaug hauv ib feeb. Txawm li cas los xij, rau ib tus neeg uas muaj "Junctional Tachycardia", lub plawv dhia ntau dua 100 zaug hauv ib feeb, qee zaum nrawm dua.

Cov hom mob '(Junctional Tachycardia)' yog dab tsi?

Qhov kev ua tsis taus pa ntawm lub plawv no tuaj yeem tshwm sim tau ob txoj hauv kev tseem ceeb.

1. Mob plawv dhia ceev thawj zaug los yog mob plawv yug los (Junctional Tachycardia)

Qhov no yog hom mob tsawg tshaj plaws. Ib txhia menyuam yaus muaj tus mob no thaum yug los. Yog tias qhov no tshwm sim, cov chav qis ('ventricles') ntawm tus menyuam lub plawv tuaj yeem dhia ceev heev, kwv yees li 200 txog 250 zaug hauv ib feeb. Qhov no yog ib qho mob hnyav heev.

2. Kev phais mob theem ob lossis tom qab phais (Junctional Tachycardia)

Qhov no yog hom mob uas feem ntau tshwm sim. Nws tuaj yeem tshwm sim, tshwj xeeb tshaj yog rau cov menyuam yaus uas muaj teeb meem plawv txij thaum yug los tom qab phais mob kom kho nws. Piv txwv li, qee tus menyuam mos uas tau phais mob plawv hu ua Tetralogy of Fallot yuav muaj tus mob no. Nws tuaj yeem tshwm sim ntawm 5% thiab 11% ntawm cov menyuam uas tau phais mob.

Puas yog '(Junctional Tachycardia)' ib '(SVT)'?

Yog lawm, (Junctional Tachycardia) yog ib hom (SVT). (SVT) sawv cev rau (Supraventricular Tachycardia). Ntawd yog, lub plawv dhia ceev uas pib hauv cov chav sab saud ntawm lub plawv (saum toj ntawm Ventricles).

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Junctional Tachycardia tsis tshua muaj rau cov neeg laus. Txawm li cas los xij, nws feem ntau tshwm sim rau cov menyuam mos thiab cov menyuam yaus. Raws li tau hais ua ntej, nws tuaj yeem tshwm sim vim yog qhov ua rau yug los (uas tsis tshua muaj) lossis tom qab phais plawv.

Cov tsos mob yog dab tsi? Peb yuav paub lawv li cas?

Qee zaum tus mob no yuav tshwm sim yam tsis muaj tsos mob. Tab sis yog tias cov tsos mob tshwm sim, lawv tuaj yeem suav nrog:

• Lub plawv dhia ceev : Tej zaum yuav zoo li muaj ib tug neeg khiav hauv koj lub hauv siab, lossis zoo li koj lub plawv dhia ib lossis ob zaug.
• Kiv taub hau : Tej zaum koj yuav kiv taub hau thiab muaj teeb meem sawv ntsug.
• Tsaus muag : Tej zaum koj yuav tsis nco qab thiab ntog tam sim ntawd.
• Xav tias nkees heev : Tej zaum koj yuav xav tias nkees heev uas koj ua tsis tau dab tsi.

Yog tias muaj cov tsos mob no, tshwj xeeb tshaj yog rau ib tug menyuam yaus, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Dab tsi yog cov ua rau muaj '(Junctional Tachycardia)'?

Muaj ntau yam ua rau lub plawv "Sinoatrial node" tsis ua haujlwm zoo. Qhov no yog vim li cas "Junctional Tachycardia" thiaj tshwm sim.

Piv txwv li, qhov mob no tuaj yeem tshwm sim vim yog qhov tshuaj lom ntawm cov tshuaj '(Digoxin)' (cov npe lag luam 'Cardoxin®' lossis 'Digitek®').

Nov yog ob peb yam laj thawj ntxiv:

• Myocarditis : Kev o ntawm cov leeg nqaij plawv.
• Mob plawv nres.
• Kev hloov lub plawv valve lossis lwm yam kev phais plawv.
• Kab mob plawv yug los : Qhov no yog ib qho tsis tshua muaj.
• Kev rho catheter yog kev kho mob rau lwm yam teeb meem plawv dhia tsis xwm yeem.
• Kab mob Lyme .

Yuav ua li cas thiaj paub txog '(Junctional Tachycardia)'?

Qhov kev kuaj tseem ceeb los kuaj mob no yog '(Electrocardiogram - ECG)'. Qhov no sau cov haujlwm hluav taws xob ntawm lub plawv. Ib tug neeg uas muaj '(Junctional Tachycardia)' yuav muaj 'P wave' 'tsis muaj nyob rau hauv 'ECG'. 'P wave' ' no yog lub cim qhia tias lub plawv pib dhia los ntawm '(Sinoatrial node).'

Ntxiv rau qhov ECG, koj tus kws kho mob yuav coj koj cov keeb kwm kho mob tag nrho. Nws kuj tseem yuav xaj kom kuaj ntxiv, xws li kuaj ntshav thiab echocardiogram, uas yog kev siv ultrasound ntawm lub plawv.

Yuav kho li cas?

Kev kho mob nyob ntawm seb qhov ua rau muaj mob thiab koj cov tsos mob. Yog tias lub plawv dhia tsis zoo pib tom qab phais plawv, koj tus kws kho mob yuav:

• Kho qhov tsis sib npaug ntawm cov electrolytes hauv lub cev.
• Xyuas seb koj puas muaj kub taub hau thiab, yog tias muaj, kho nws.
• Sau tshuaj kom lub plawv dhia qeeb.

Muaj lwm yam kev kho mob:

• Cov tshuaj uas yuav pab kom lub plawv dhia qeeb lossis rov qab mus rau qhov qub, xws li '(Amiodarone)' (cov npe lag luam 'Cordarone®' lossis 'Pacerone®'), yuav muab tau.
• Cov txheej txheem kho mob hu ua (Catheter ablation) lossis (Cryoablation) yog ib qho. Hauv qhov no, ib lub catheter raug ntxig rau hauv thaj chaw ntawm lub plawv uas ua rau muaj cov teeb liab hluav taws xob tsis sib xws thiab rhuav tshem thaj chaw ntawd. (Cryoablation) yog ib txoj kev uas siv qhov txias heev.
• Overdrive atrial pacing: Ib qho kev sim kho lub plawv dhia kom rov qab zoo li qub los ntawm kev siv cov khoom siv sab nraud, xws li lub pacemaker.

Puas muaj teeb meem dab tsi thaum kho mob?

Tom qab kev kho mob '(Catheter ablation)', qee zaum qhov kev dhia tsis zoo no tuaj yeem rov qab los. Tsis tas li ntawd, nrog '(Catheter ablation)' rau cov neeg laus, muaj kev pheej hmoo ntawm '(Atrioventricular block)' (uas yog, kev thaiv ntawm tus neeg txuas tom ntej uas nqa lub teeb liab hluav taws xob tom qab '(Sinoatrial node)'). Vim tias qhov kev pheej hmoo no tsawg, cov kws kho mob qee zaum siv txoj kev '(Cryoablation)'. Yog tias kev kho mob '(Ablation)' tsis ua tiav tom qab ob zaug, koj kuj tseem yuav tsum muaj '(Pacemaker)' (lub cuab yeej me me uas tswj lub plawv dhia) cog rau hauv.

Yuav siv sijhawm ntev npaum li cas los kho kom rov zoo los ntawm cov kev kho mob no?

Feem ntau, tom qab rho catheter tawm, koj tuaj yeem mus tsev thiab rov ua koj cov dej num ib txwm tam sim ntawd. Txawm li cas los xij, koj yuav tsum tos ob peb hnub ua ntej ua tej yam kev ua ub ua no hnyav. Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog qhov no.

Puas muaj peev xwm txo tau qhov kev pheej hmoo ntawm '(Junctional Tachycardia)'?

Cov kws kho mob tuaj yeem txo qhov kev pheej hmoo ntawm kev mob Junctional Tachycardia los ntawm kev muab qee yam tshuaj ua ntej lossis thaum lub sijhawm phais. Piv txwv li:

• (Magnesium)
• (Propranolol) (cov npe lag luam Inderal®XL lossis InnoPran®XL)
• (Dexmedetomidine) (Qhov no qee zaum siv thaum lub sijhawm phais plawv rau cov menyuam yaus)

Ib tug neeg uas muaj '(Junctional Tachycardia)' yuav xav tau dab tsi?

Thaum nrhiav tau thiab kho qhov ua rau muaj qhov teeb meem no lawm, cov tsos mob yuav maj mam zoo zuj zus. Txawm li cas los xij, koj yuav tsum tau nyob hauv tsev kho mob kom txog thaum koj tus mob "Junctional Tachycardia" zoo zuj zus.

Qhov tshwm sim ('Outlook') ntawm qhov xwm txheej no txawv ntawm ib hom mus rau ib hom.

• Mob plawv dhia ceev los yog mob plawv yug los (Junctional Tachycardia)Tus mob no nyuaj kho. Nws kuj tseem tuaj yeem ua rau muaj cov mob hnyav xws li '(Lub plawv tsis ua haujlwm)' (lub plawv tsis ua haujlwm), '(Lub plawv thaiv tag nrho)' (lub plawv thaiv tag nrho cov teeb liab hluav taws xob), thiab '(Ventricular fibrillation)' (lub plawv dhia tsis tswj tau). Yog tias tsis kho, muaj 9% feem pua ​​ntawm kev tuag. Txawm li cas los xij, yog tias lub suab no pib tom qab rau lub hlis thawj zaug ntawm lub neej, qhov tshwm sim zoo dua.
• Feem ntau qhov mob plawv dhia ceev heev tom qab phais lossis tom qab phais, tab sis feem ntau yuav ploj mus li ntawm ib lub lim tiam. Nws tuaj yeem ua rau cov ntshav qis, kiv taub hau, thiab tsis nco qab.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Koj yuav tsum mus ntsib koj tus kws kho mob kom tau teem caij ntsib kws kho mob tom qab ob lub lis piam tom qab koj tawm hauv tsev kho mob. Koj kuj tseem yuav tsum tau txais kev kho mob rau qhov mob uas ua rau muaj tus kab mob junctional tachycardia.

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

Yog tias koj tau muaj catheter ablation, nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob hauv qab no ntawm qhov chaw ntxig catheter (feem ntau yog qhov chaw mos):

• Yog tias nws mam li swell.
• Yog tias qhov ntshav tsis nres txawm tias tom qab nias thiab tuav nws lawm los xij.

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

Thaum koj pom tias koj lossis koj tus menyuam muaj tus mob no, nws yog ib qho ib txwm muaj ntau cov lus nug. Tsis txhob ntshai nug koj tus kws kho mob txog cov no:

• Kuv/kuv tus menyuam muaj hom Junctional Tachycardia twg?
• Kev kho mob zoo tshaj plaws rau kuv tus mob yog dab tsi?
• Puas muaj feem uas kuv cov menyuam yaus lwm tus yuav muaj tus mob no thiab?

Yog tias koj tus menyuam muaj Junctional Tachycardia, nug koj tus kws kho mob txog cov tsos mob thiab nkag siab txog lawv. Tom qab ntawd, yog tias muaj qee yam zoo li no tshwm sim dua, koj tuaj yeem paub nws sai sai. Tsis txhob ntshai nug cov lus nug txog kev kho mob uas koj tus menyuam tau txais thiab cov kev pheej hmoo koom nrog. Kev paub txog txhua yam no yuav pab koj txiav txim siab zoo tshaj plaws rau koj tus menyuam txoj kev noj qab haus huv.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Tsis txhob ntshai thaum koj hnov ​​lub npe '(Junctional Tachycardia)'. Qhov no yog teeb meem nrog lub plawv dhia, tab sis:

• Qhov no tuaj yeem nrhiav tau. Qhov no tuaj yeem nrhiav tau los ntawm kev kuaj xws li 'ECG'.
• Muaj kev kho mob. Nyob ntawm seb ua rau muaj dab tsi, nws tuaj yeem tswj tau los ntawm kev siv tshuaj lossis cov txheej txheem zoo li "(Ablation)"
• Hom uas tshwm sim, tshwj xeeb tshaj yog tom qab phais, feem ntau yog ib ntus xwb. Nws yuav zoo dua li ob peb hnub.
• Tham nrog koj tus kws kho mob yam qhib siab. Tham nrog koj tus kws kho mob txog tag nrho koj cov lus nug thiab kev ntshai thiab xav tias xis nyob.

Qhov tseem ceeb tshaj plaws yog nco ntsoov tias koj tsis nyob ib leeg. Cov kws kho mob thiab cov neeg ua haujlwm kho mob yeej ib txwm npaj txhij los pab koj.

Xav kom koj thiab koj tsev neeg muaj kev noj qab haus huv zoo!

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