Puas muaj tej lub sij hawm koj xav tias
koj lub plawv dhia ceev heev, tej lub sij hawm nws dhia ceev heev? Los yog koj puas xav tias nkees los yog kiv taub hau yam tsis muaj laj thawj? Tej zaum tej no yeej yog ib qho zoo li qub. Txawm li cas los xij, tej lub sij hawm lawv kuj yog cov tsos mob ntawm teeb meem nrog kev ua haujlwm ntawm peb lub plawv. Hnub no peb tab tom tham txog ib qho mob zoo li no, Sick Sinus Syndrome (SSS). Tsis txhob txhawj, cia peb nkag siab qhov no yooj yim.
Hais yooj yim xwb, mob Sinus Syndrome (SSS) yog dab tsi?
Xav txog koj lub plawv zoo li lub tshuab hluav taws xob hauv koj lub tsev. Lub tshuab hluav taws xob no xa cov teeb liab hluav taws xob mus rau tag nrho lub plawv kom dhia kom raug. Peb hu lub tshuab hluav taws xob ntuj no hauv peb lub plawv tias yog lub sinus node. Qhov no yog lub plawv
lub pacemaker ntuj.
Mob Sinus Syndrome (SSS) yog ib qho mob uas lub plawv lub pacemaker ntuj, lub sinus node, tsis ua haujlwm zoo. Tom qab ntawd lub plawv lub suab tsis xwm yeem. Qee zaum nws dhia ceev heev, qee zaum nws dhia ceev heev, thiab qee zaum nws tsis dhia ib pliag. Ntau hom kev dhia tsis xwm yeem (arrhythmias) tuaj yeem tshwm sim.
Cov hom SSS tseem ceeb yog dab tsi?
Tus mob no tsis yog tsuas muaj ib hom xwb. Muaj ntau hom mob tseem ceeb raws li kev hloov pauv ntawm lub plawv dhia. Cia peb saib seb lawv yog dab tsi.
| Hom SSS | Ib qho lus piav qhia yooj yim |
|---|
| Sinus Bradycardia | Qhov no txhais tau hais tias lub plawv dhia qeeb dua li qub (tsawg dua 60 lub suab ib feeb). Qhov no yog ib txwm muaj rau cov neeg ncaws pob uas tawm dag zog zoo. Tab sis rau lwm tus, lub plawv yuav tsis muaj peev xwm tso pa oxygen txaus rau lub cev thaum nws dhia ceev heev. |
| Bradycardia-Tachycardia | Qhov no yog ib qho xwm txheej uas ua rau neeg tsis meej pem heev. Qhov uas tshwm sim ntawm no yog lub plawv dhia qeeb qeeb thiab tom qab ntawd rov qab dhia ceev dua . Nws zoo li lub teeb ci ntsa iab. |
| Sinus Arrest/Nres | Qhov tshwm sim ntawm no yog tias lub plawv lub pacemaker ntuj tsis ua haujlwm ib pliag . Uas yog, ib lossis ntau lub plawv dhia tsis ua haujlwm. |
| Kev Tsis Txawj Ntse Chronotropic | Qhov no nyuaj me ntsis. Hais yooj yim xwb, koj lub plawv dhia yuav zoo li qub thaum koj so. Tab sis thaum koj ua si nawv, xws li thaum koj ua si nawv hnyav xws li nce ntaiv, koj lub plawv dhia tsis nce ntau npaum li nws yuav tsum tau ua . |
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Nws nyuaj rau nrhiav ib qho ua rau muaj SSS. Qee zaum, tsis tuaj yeem nrhiav tau qhov ua rau. Tab sis muaj ob peb yam ua rau muaj feem ntau:
- Kev Laus : Thaum peb laus zuj zus, cov nqaij ntawm lub plawv, zoo li lwm qhov ntawm peb lub cev, yuav qaug zog. Qhov no yog qhov laj thawj tseem ceeb.
- Kab mob plawv : Yog tias koj tau muaj mob plawv nres yav dhau los, lossis yog tias koj lub plawv tau raug puas tsuaj los ntawm cov mob xws li ntshav siab lossis kab mob plawv coronary .
- Kev Phais Mob Plawv : Cov nqaij caws pliav uas tsim tom qab phais mob plawv tuaj yeem ua rau lub qhov ntswg sinus puas tsuaj.
- Qee cov tshuaj: Qee cov tshuaj, xws li beta-blockers thiab calcium channel blockers rau cov ntshav siab, tuaj yeem ua rau lub plawv dhia qeeb.
- Lwm yam mob: Kev pw tsaug zog apnea, teeb meem thyroid, thiab qee yam kab mob o kuj tuaj yeem ua rau muaj tus mob no.
- Cov ua rau muaj caj ces: Tsis tshua muaj, SSS kuj tseem tuaj yeem tshwm sim los ntawm kev hloov pauv caj ces uas tau kis mus rau ntau tiam neeg.
Cov tsos mob ntawm qhov no yog dab tsi?
Feem ntau cov neeg uas muaj SSS
tsis muaj tsos mob dab tsi li . Los yog cov tsos mob yuav tsis pom tseeb heev uas tsis pom. Txawm li cas los xij, yog tias muaj cov tsos mob tshwm sim, lawv yuav suav nrog:
- Kev qaug zog
- kiv taub hauLos yog xav tias lub taub hau tsis muaj zog
- Tsaus muag
- Ua pa nyuaj, ua pa luv luv (Xav tias ua tsis taus pa)
- Mob hauv siab los yog tsis xis nyob
- Kev nco tsis zoo, kev tsis meej pem
- Lub plawv dhia qeeb heev
- Lub plawv dhia ceev
Tseem Ceeb: Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, thov tsis txhob tsis quav ntsej lawv. Nco ntsoov mus ntsib koj tus kws kho mob kom tau lus qhia. Tej zaum hloov ib qho ntawm cov tshuaj uas koj noj yuav daws tau qhov teeb meem.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Koj tus kws kho mob yuav nug koj txog koj cov tsos mob ua ntej. Vim tias cov tsos mob ntawm SSS zoo ib yam li lwm yam kab mob, yuav tsum tau kuaj ntau zaus kom paub tseeb tias mob.
- Kev kuaj hluav taws xob (Electrocardiogram - ECG): Qhov no yog qhov kev kuaj yooj yim tshaj plaws. Kev ua haujlwm hluav taws xob ntawm koj lub plawv raug kaw ua ib daim duab kab. Koj kuj tseem yuav raug hais kom ua ECG thaum koj tawm dag zog (Treadmill Test).
- Holter Monitor: Ib qho ECG tsuas qhia koj lub plawv dhia thaum lub sijhawm ntawd xwb. Tab sis kev hloov pauv ntawm lub suab ntawm SSS tshwm sim los ntawm ib lub sijhawm mus rau ib lub sijhawm. Yog li ntawd, ib lub tshuab me me txuas rau koj lub cev txuas ntxiv sau koj lub plawv dhia li ntawm 24 lossis 48 teev.
- Kev Saib Xyuas Kev Tshwm Sim: Yog tias Holter monitor tsis pom kev hloov pauv ntawm lub plawv dhia, yuav muaj kev saib xyuas kev tshwm sim uas siv tau rau ob peb lub lis piam.
- Kev Kawm Txog Hluav Taws Xob (Electrophysiology Study - EPS): Qhov no yog ib qho kev xeem tshwj xeeb uas cuam tshuam txog kev xa cov xov hlau nyias nyias mus tob rau hauv lub plawv, kos duab txoj kev hluav taws xob ntawm lub plawv, thiab nrhiav qhov chaw tseeb ntawm qhov teeb meem.
Koj ua dab tsi li kev kho mob?
Kev kho mob nyob ntawm seb koj muaj hom SSS li cas, qhov hnyav ntawm koj cov tsos mob, thiab lwm yam mob uas koj muaj.
| Txoj kev kho mob | Kev piav qhia |
|---|
| Hloov cov tshuaj | Yog tias qhov teeb meem yog los ntawm cov tshuaj uas koj noj, koj tuaj yeem daws qhov teeb meem los ntawm kev tham nrog koj tus kws kho mob thiab hloov cov tshuaj lossis txo qhov ntau npaum li cas. |
| Kev cog lub tshuab pacemaker | Muaj coob tus neeg uas muaj SSS thaum kawg xav tau lub tshuab pacemaker. Qhov no yog ib lub cuab yeej me me heev. Nws raug muab tso rau hauv qab daim tawv nqaij, hauv qab pob txha caj dab, thaum lub sijhawm phais me me. Nws ntes tau thaum lub plawv dhia qeeb dhau thiab xa cov teeb liab hluav taws xob mus rau lub plawv kom nws dhia raws li qhov nrawm. |
| Cov Tshuaj Ua Kom Ntshav Tsis Txhob Qhuav | Vim tias qhov kev pheej hmoo ntawm cov ntshav txhaws hauv lub plawv siab dua rau cov mob xws li Bradycardia-Tachycardia, cov tshuaj no yuav raug sau tseg kom tiv thaiv cov mob xws li mob stroke. |
| Kev kho mob ablation | Tswj lub plawv dhia ceev ceev, nrhiav qhov chaw ntawm cov teeb liab hluav taws xob tsis sib xws hauv lub plawv, thiab siv kev kho mob tshwj xeeb uas tua lawv. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob Sinus Syndrome (SSS) yog lub plawv dhia tsis xwm yeem uas tshwm sim los ntawm lub plawv lub pacemaker ntuj (sinus node) tsis ua haujlwm zoo.
- Tej zaum yuav muaj cov tsos mob xws li kiv taub hau, qaug zog heev, thiab pw tsis tsaug zog. Txawm li cas los xij, ntau tus neeg yuav tsis muaj tsos mob dab tsi li.
- Yog koj muaj cov tsos mob no, tsis txhob ntshai lossis tsis quav ntsej lawv, thiab mus ntsib koj tus kws kho mob.
- Muaj kev kho mob (xws li lub tshuab pab kom lub plawv dhia ceev, tshuaj). Koj tus kws kho mob yuav txiav txim siab seb yuav kho li cas uas haum rau koj tus mob tshaj plaws.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua kom koj lub plawv noj qab haus huv los ntawm kev tsis txhob haus luam yeeb, tswj cov roj cholesterol thiab ntshav siab, noj zaub mov zoo, thiab tawm dag zog.
Mob Sinus Syndrome, SSS, lub plawv dhia ceev, lub plawv dhia ceev, lub tshuab pacemaker, kiv taub hau, bradycardia, tachycardia, kab mob plawv, kab mob plawv, lub tshuab pacemaker, arrhythmia, mob hauv siab
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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