Puas muaj tej lub sij hawm koj lub plawv dhia ntxiv? Cia peb kawm txog (Premature Junctional Contraction)!

Auj, koj puas tau muaj lub siab dhia ceev heev, lossis koj puas tau pib dhia ceev heev? Los yog koj puas tau xav tias koj lub hauv siab dhia ceev heev? Qee zaum peb xav tias cov no tsuas yog tej yam tsis tau xav txog, tab sis qee zaum tej zaum yuav muaj ib qho laj thawj me me txog kev kho mob tom qab qhov no. Hnub no peb yuav tham txog lub plawv dhia ceev heev, uas hu ua '(Premature Junctional Contraction)' lossis PJC.

Qhov no yog dab tsi (Premature Junctional Contraction)? Cia peb nkag siab yooj yim xwb?

Hais yooj yim xwb, '(Premature Junctional Contraction)' yog lub plawv dhia ntxiv uas tshwm sim ua ntej lub sijhawm teem tseg . Qhov no pib ntawm ib qho chaw tshwj xeeb hauv lub plawv, uas peb hu ua '(Atrioventricular junction)' lossis AV junction. Xav txog, peb lub plawv muaj ob chav nyob rau sab saum toj, uas peb hu ua atria. Muaj ob chav ntxiv hauv qab, uas peb hu ua ventricles. Nruab nrab ntawm cov atria thiab ventricles, kom meej meej, qhov AV junction no nyob hauv nruab nrab ntawm lub plawv. Qhov ntawd yog qhov uas qhov kev dhia ntxiv, thaum ntxov no pib.

PJC yog qhov tseeb tias yog '(Arrhythmia)', uas txhais tau tias lub plawv dhia tsis xwm yeem . Feem ntau, peb lub plawv dhia ntawm ib lub suab tshwj xeeb. Qhov laj thawj rau qhov no yog lub tshuab hluav taws xob me me hauv lub plawv nws tus kheej. Cov teeb liab hluav taws xob no qhia lub plawv kom "nrov tam sim no, nrov tam sim no". Txawm li cas los xij, yog tias muaj qee yam cuam tshuam rau cov teeb liab hluav taws xob no, ces lub plawv dhia tsis xwm yeem. Qhov ntawd yog qhov peb hu ua '(Arrhythmia)'. Ces lub plawv dhia tuaj yeem zoo li no:

• Nws tuaj yeem tsis xwm yeem: uas yog, hla dhau ib lub suab, muaj ib lub suab ntxiv tshwm sim, lossis lub suab tsis zoo li qub.
• Nws tuaj yeem qeeb heev: peb hu nws tias "Bradycardia".
• Nws tuaj yeem dhia ceev heev: qhov no hu ua '(Tachycardia)'.

PJC yog ib feem ntawm pawg uas muaj qhov kev ncaws pob ntxiv ntawd.

Leej twg yuav muaj feem mob Premature Junctional Contractions ntau dua?

Feem ntau, PJC tshwm sim rau cov neeg uas twb muaj mob plawv (mob plawv tsis ua haujlwm) lossis lwm yam kab mob plawv. Txawm li cas los xij, qee zaum PJC kuj tuaj yeem tshwm sim rau cov neeg uas muaj lub plawv noj qab nyob zoo yam tsis muaj kab mob . Yog li ntawd, nws nyuaj rau hais meej tias qhov no tsuas yog tshwm sim rau qee tus neeg xwb.

Cov no (Premature Junctional Contractions) feem ntau tshwm sim li cas?

PJC yog ib qho mob uas tsis tshua muaj ntau dua li lwm hom mob plawv dhia ntxiv. Piv txwv li, '(Premature Atrial Contractions - PACs)' lossis '(Premature Ventricular Contractions - PVCs)' yog cov mob uas pom ntau dua li PJC. Ntawm cov mob plawv dhia tsis zoo, '(Atrial fibrillation - Afib)' yog qhov mob uas pom ntau tshaj plaws.

Qhov no (Premature Junctional Contraction) cuam tshuam rau kuv li cas?

Xav txog seb, koj tsuas tau ib lossis ob lub PJC no tsawg heev xwb. Yog li ntawd tej zaum nws yuav tsis yog teeb meem loj . Tej zaum koj yuav tsis pom nws li.

Tiam sis, qhov PJC noYog tias nws tshwm sim ntau zaus, tas li, ces koj yuav tsum txhawj me ntsis. Vim tias, thaum PJC tshwm sim ntau zaus, nws tuaj yeem hloov mus ua ib qho mob hu ua '(Junctional tachycardia)'. Uas yog, ib qho mob uas lub plawv dhia ceev ceev , pib ntawm AV junction uas peb tau hais ua ntej. '(Junctional tachycardia)' tej zaum yuav xav tau kev kho mob . Piv txwv li, tshuaj tuaj yeem muab los tswj lub plawv dhia thiab coj nws rov qab mus rau lub suab ib txwm.

Dab tsi yog cov ua rau muaj Premature Junctional Contractions?

Muaj ntau yam ua rau muaj PJC. Cia peb saib cov yam tseem ceeb:

• Kev lom ntawm Digitalis: Digitalis (piv txwv li Digoxin, Digitoxin) yog ib yam tshuaj siv los kho qee yam mob plawv xws li lub plawv tsis ua haujlwm thiab arrhythmia. Yog tias koj noj cov tshuaj no ntau dhau, lossis yog tias koj lub cev tsis tuaj yeem tswj nws kom zoo, koj tuaj yeem tsim ib qho mob hu ua kev lom ntawm digitalis. Qhov no yog ib qho ua rau muaj PJC.
• Kev siv caffeine: Kev haus caffeine ntau dhau, uas pom muaj nyob rau hauv kas fes, tshuaj yej, thiab qee yam dej haus muaj zog.
• Kab mob plawv (Coronary artery): Kev thaiv cov hlab ntsha uas muab ntshav mus rau lub plawv.
• Kev haus dej cawv: Ib yam li txhua yam, kev haus dej cawv ntau dhau tsis zoo.
• Kev tsis sib npaug ntawm cov electrolyte hauv lub cev: Kev tsis sib npaug ntawm cov electrolytes hauv lub cev, xws li sodium thiab potassium.
• Hypoxemia: Cov pa oxygen tsawg dua hauv cov ntshav.
• Lub plawv tsis ua haujlwm zoo: Lub plawv tsis muaj peev xwm tso ntshav tau zoo.
• Haus luam yeeb los yog siv cov khoom luam yeeb.

PJC tuaj yeem tshwm sim vim ib lossis ntau yam ntawm cov laj thawj no.

Cov tsos mob ntawm (Premature Junctional Contraction) yog dab tsi?

Yog tias koj tsis tshua muaj PJC, koj yuav tsis muaj tsos mob dab tsi . Txawm li cas los xij, yog tias koj muaj PJC ntau zaus, koj yuav muaj cov hauv qab no:

• Qaug zog: Tsuas yog xav tias qaug zog thiab tsis muaj sia nyob.
• Lightheadedness: Kev xav tias kiv taub hau lossis tsaus muag.
• Lub plawv dhia ceev ceev: Ib qho kev xav tias lub plawv dhia ceev ceev, dhia nrawm, lossis dhia nrawm hauv lub hauv siab.

Nco ntsoov tias, cov tsos mob no tsis tshwm sim rau txhua tus neeg. Tej zaum qee tus neeg yuav tsis muaj ib qho ntawm cov tsos mob no.

Yuav paub li cas (Premature Junctional Contractions)?

Thaum koj qhia rau tus kws kho mob txog koj cov tsos mob, lawv yuav nug koj txog cov tsos mob ntawd ua ntej thiab tom qab ntawd kuaj lub cev. Lawv kuj tseem yuav nug txog:

• Koj keeb kwm kev noj qab haus huv: Tej yam xws li cov mob yav dhau los, seb puas muaj leej twg hauv koj tsev neeg muaj kab mob plawv.
• Koj noj tshuaj dab tsi?Cov tshuaj rau lwm yam kab mob, txawm tias cov vitamins.
• Koj txoj kev ua neej: Tej yam xws li seb koj puas haus luam yeeb, haus cawv, thiab koj haus kas fes ntau npaum li cas.

Cov kev kuaj twg siv los kuaj mob Premature Junctional Contractions?

Yog koj tus kws kho mob xav tias koj muaj mob plawv dhia tsis xwm yeem, lawv feem ntau yuav kom koj ua electrocardiogram (EKG) . Qhov no yog ib qho kev kuaj yooj yim thiab tsis mob. Lawv muab cov ntawv nplaum me me (electrodes) tso rau ntawm koj lub hauv siab thiab sau cov haujlwm hluav taws xob ntawm koj lub plawv, uas yog koj lub plawv dhia.

Thaum koj saib cov txiaj ntsig ntawm EKG, koj yuav pom PJC ua ib qho me me ntxiv ntawm koj lub plawv dhia ib txwm. Txawm li cas los xij, qee zaum, PJC no tuaj yeem "zais" hauv lub plawv dhia ib txwm. Yog tias EKG tsis meej, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv. Piv txwv li:

• Echocardiogram: Qhov no zoo li kev ntsuas ultrasound ntawm lub plawv. Nws tuaj yeem saib cov duab thiab kev ua haujlwm ntawm lub plawv.
• Kev ntsuam xyuas kev ntxhov siab: Qhov no sim seb koj lub plawv ua haujlwm li cas thaum koj tawm dag zog (xws li khiav ntawm lub treadmill).
• Kev kuaj lub rooj qaij: Koj lub plawv dhia thiab ntshav siab raug kuaj xyuas thaum koj pw saum ib lub txaj tshwj xeeb thiab lub txaj raug qaij rau ntau lub kaum sib txawv. Qhov no tseem ceeb rau cov neeg uas tab tom tsaus muag.

Cov kws kho mob kho cov mob Premature Junctional Contractions li cas?

Thaum kho mob PJC, cov kws kho mob yuav tsum xub nrhiav qhov ua rau mob . Kev kho qhov ua rau mob ntawd yuav pab kho lub plawv dhia li qub. Koj txoj kev npaj kho mob yuav muaj xws li:

• Yog tias koj tab tom noj tshuaj digitalis, xav txog kev txo lossis nce qhov koob tshuaj .
• Muab lwm yam tshuaj los kho tus mob "(Digitalis toxicity)"
• Kho cov mob xws li lub plawv tsis ua haujlwm lossis kab mob coronary artery nrog tshuaj .
• Kev hloov pauv hauv lub neej: Tej yam xws li tso kev haus luam yeeb, txo kev haus cawv lossis haus caffeine.

Qhov tseem ceeb tshaj plaws yog ua raws li cov lus qhia kho mob.

Puas tuaj yeem tiv thaiv tau qhov Premature Junctional Contractions?

Tej zaum yuav tsis yog txhua lub sijhawm uas yuav tiv thaiv tau tus kab mob PJC tag nrho . Txawm li cas los xij, kev ua neej noj qab haus huv thiab mus ntsib koj tus kws kho mob tsis tu ncua tuaj yeem pab kom koj lub plawv noj qab haus huv. Koj tus kws kho mob yuav pom zoo cov hauv qab no:

• Txwv lossis tsum tsis txhob haus cawv: Cov txiv neej yuav tsum tsis txhob haus ntau tshaj ob khob ib hnub. Cov poj niam yuav tsum tsis txhob haus ntau tshaj ib khob ib hnub.
• Txo cov caffeine uas koj tau txais los ntawm cov khoom xws li kas fes thiab cov dej haus muaj zog.
• Tsis txhob haus luam yeeb los yog siv cov khoom luam yeeb.Yog koj twb ua lawm, ces tsum kiag.
• Noj zaub mov zoo uas muaj txiv hmab txiv ntoo, zaub, taum pauv, thiab cov nplej tag nrho.
• Kev tawm dag zog tsis tu ncua xws li kev taug kev.
• Kev tswj kev ntxhov siab .
• Noj tshuaj raws li tau qhia kom tswj tau lwm yam mob.

Cov Kev Mob Ntsws Ua Ntej (Premature Junctional Contractions) kav ntev npaum li cas?

Yog tias kho qhov ua rau mob PJC kom zoo, ces tej zaum yuav zoo dua lossis ploj mus tag , nyob ntawm koj tus mob thiab kev teb rau kev kho mob.

Puas muaj tej yam cuam tshuam mus sij hawm ntev ntawm Premature Junctional Contractions?

Tsis tshua muaj, PJC tsis ua rau lub plawv puas tsuaj . Txawm li cas los xij, yog tias PJC yog los ntawm lwm yam mob plawv, koj yuav tsum mus ntsib koj tus kws kho mob kom koj lub plawv noj qab nyob zoo. Ua li ntawd tuaj yeem pab tiv thaiv lossis txo cov teebmeem mus sij hawm ntev ntawm kab mob plawv.

Thaum twg koj yuav tsum nrhiav kev pab kho mob yog tias koj muaj (Premature Junctional Contractions)?

Yog koj cov tsos mob hloov lossis hnyav zuj zus, nco ntsoov mus ntsib koj tus kws kho mob . Tsis tas li ntawd, yog tias koj pom muaj cov cim qhia tias "Lub plawv tsis ua haujlwm", qhia rau koj tus kws kho mob tam sim ntawd. Cov cim no suav nrog:

• Hnoos qhuav, ua pa nyuaj .
• Tsaus muag .
• Thaum koj ua si lossis ua ib yam dab tsi, koj yuav xav tias koj nkees lossis tsis muaj zog .
• Ua tsis taus pa (dyspnea)
• O ntawm pob luj taws, ceg lossis plab .

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

Zoo, peb tau tham ntau txog '(Premature Junctional Contraction)' tam sim no.

Feem ntau cov mob Premature Junctional Contractions tsis yog ib qho mob loj heev . Qee zaum, txhua yam koj yuav tsum ua yog mus ntsib koj tus kws kho mob kom kuaj xyuas koj lub cev.

Txawm li cas los xij, yog tias qhov ua rau muaj PJC yog lwm yam mob plawv, koj tus kws kho mob yuav pom zoo kom muaj kev kho mob zoo thiab siv tau zoo. Cov neeg feem coob uas muaj PJC nyob lub neej noj qab nyob zoo thiab nquag . Yog li ntawd, tsis txhob ntshai tsis tsim nyog. Tab sis yog tias koj muaj cov tsos mob, tsis txhob hnov ​​​​​​qab nrhiav kev pab kho mob. Xav kom koj noj qab nyob zoo!

Kev Sib Nqus Ua Ntej , Lub Plawv dhia, Lub Plawv dhia ceev, Arrhythmia, AV sib txuas, Kab mob plawv, EKG