Koj puas tau hnov koj lub plawv dhia thaum koj tseem nyob twj ywm? Qee zaum nws zoo li nws dhia ceev me ntsis, thiab lwm zaus nws zoo li nws dhia qeeb me ntsis. Tshwj xeeb tshaj yog tias koj xav tias koj lub plawv dhia nce me ntsis thaum koj ua pa tob tob, thiab tom qab ntawd qeeb dua thaum koj ua pa tawm qeeb qeeb, koj yuav muaj tus mob hu ua "Sinus Arrhythmia." Tab sis tsis txhob ntshai thaum koj hnov lub npe no. Vim tias "Arrhythmia" ntawm lub npe, uas txhais tau tias "lub plawv dhia tsis xwm yeem," ua rau ntau tus neeg xav tias qhov no yog ib qho mob hnyav. Tab sis qhov tseeb txawv heev. Hauv tsab xov xwm no, peb yuav tham txog nws yog dab tsi tiag tiag, vim li cas nws feem ntau yog ib yam zoo, thiab seb koj puas yuav tsum ntshai nws.
Hais yooj yim xwb, Sinus Arrhythmia yog dab tsi?
Kab mob Sinus arrhythmia yog qhov tsis sib xws hauv lub plawv dhia. Tab sis nws tsis zoo li lwm yam mob plawv txaus ntshai. Hom mob uas peb pom ntau tshaj plaws thiab feem ntau yog thaum lub sijhawm ntawm lub plawv dhia hloov me ntsis nrog txoj kev koj ua pa.
Xav txog nws li no,
- Thaum koj ua pa (Kev Tshoov Siab): Koj lub plawv dhia nce me ntsis.
- Thaum koj ua pa tawm (Expiration): Koj lub plawv dhia qeeb me ntsis dua.
Qhov no zoo li maj mam nqis mus rau ntawm lub accelerator ntawm lub tsheb thiab tom qab ntawd tso tseg. Qhov no yog qhov ib txwm muaj thiab noj qab haus huv . Qhov tseeb, qhov no yog ib qho cim zoo uas koj lub siab noj qab nyob zoo. Nws qhia tau tias kev sib txuas ntawm koj lub siab thiab koj lub paj hlwb ua haujlwm zoo heev. Yog li ntawd, yog tias tus kws kho mob pom qhov no ntawm koj daim ECG, nws yuav tsis txhawj txog nws.
Qhov no txawv li cas ntawm lwm yam teeb meem txaus ntshai ntawm lub plawv dhia?
Muaj coob tus neeg ntshai thaum lawv hnov lo lus "arrhythmia" vim tias muaj ntau yam mob hnyav hu ua lub npe ntawd. Piv txwv li, atrial fibrillation. Tab sis sinus arrhythmia yog ib qho mob txawv kiag li thiab tsis muaj teeb meem dab tsi. Tus kws kho mob tuaj yeem paub qhov txawv ntawm sinus arrhythmia thiab lwm yam mob hnyav los ntawm kev saib koj cov ECG.
Cia peb nkag siab qhov txawv no zoo dua los ntawm lub rooj hauv qab no.
| Lub plawv dhia ceev | Hauv lus yooj yim, qhov no yog dab tsi? |
|---|---|
| Kev mob plawv dhia tsis xwm yeem | Ib qho kev hloov pauv ntawm lub plawv dhia ib txwm muaj, tsis muaj teeb meem dab tsi uas tshwm sim thaum ua pa nkag thiab tawm. Feem ntau tsis muaj tsos mob. |
| Kev mob plawv dhia tsis xwm yeem | Ib qho mob hnyav uas cov chav sab saud ntawm lub plawv (atria) dhia ceev heev thiab tsis sib xws. Cov tsos mob yuav muaj xws li mob hauv siab, qaug zog, thiab kiv taub hau. |
| Atrial Flutter | Lwm yam mob hnyav uas ua rau lub plawv sab saud dhia ceev tab sis muaj qee lub suab. Yuav tsum tau kho mob. |
| Kev mob plawv dhia tsis xwm yeem | Lub plawv dhia qeeb heev. Tej hom mob no yuav tsum tau kho. |
Koj puas pom, puas yog? Txawm hais tias lwm yam mob hnyav heev, nrog rau cov tsos mob thiab tej zaum yuav xav tau kev kho mob, sinus arrhythmia tsis yog ib qho ntawm lawv.
Leej twg yuav pom qhov xwm txheej no tshaj plaws?
Txawm hais tias nws tuaj yeem tshwm sim rau cov neeg txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov menyuam yaus noj qab haus huv thiab cov tub ntxhais hluas . Qhov tseeb, cov kws kho mob menyuam yaus feem ntau pom nws ntawm ECGs ntawm cov menyuam yaus.
Qhov no yog vim hais tias lub paj hlwb autonomic ntawm cov tub ntxhais hluas thiab cov menyuam yaus - lub cev uas tswj cov khoom uas peb tswj tsis tau, xws li lub plawv dhia thiab kev ua pa - yog qhov ua haujlwm heev. Qhov no txhais tau tias cov hlab ntsha uas tswj kev ua pa thiab lub plawv dhia yog rhiab heev thiab teb sai. Qhov no yog vim li cas koj thiaj pom qhov sib txawv no hauv lawv lub plawv dhia. Qhov mob no feem ntau txo qis maj mam thaum peb laus zuj zus.
Qhov tseem ceeb tshaj plaws yog tias pom tus mob no hauv ib tus neeg hluas, noj qab haus huv txhais tau tias tsis muaj teeb meem nrog lawv lub plawv, thiab nws ua haujlwm noj qab haus huv.
Dab tsi yog cov ua rau muaj sinus arrhythmia?
Cov kws kho mob faib qhov mob no ua ntau pawg tseem ceeb raws li cov ua rau muaj. Cia peb saib seb lawv yog dab tsi.
1. Hom ua los ntawm kev ua pa (Respiratory Sinus Arrhythmia)
Qhov no yog hom mob uas feem ntau thiab ib txwm muaj uas peb tau tham txog txog tam sim no. Nws yog vim koj ua pa xwb. Yog tias peb saib ntau ntxiv txog qhov xwm txheej, lub sijhawm ntawm ib lub plawv dhia thiab lub sijhawm tom ntej ntawm ECG hu ua PP interval. Feem ntau, lub sijhawm no yuav tsum zoo ib yam. Tab sis thaum ib tus neeg uas muaj tus mob no ua pa tawm, lub sijhawm ntawm ob lub plawv dhia no yuav ntev dua 0.16 vib nas this. Tus kws kho mob paub qhov no los ntawm kev pom qhov sib txawv no ntawm ECG.
2. Hom tsis muaj feem cuam tshuam nrog kev ua pa (Nonrespiratory Sinus Arrhythmia)
Qhov no tsis tshua muaj. Txawm hais tias hom ECG no zoo ib yam li hom ib txwm uas tau hais ua ntej, nws tsis yog los ntawm kev ua pa. Feem ntau nws pom vim yog lwm yam mob hauv qab.
- Txhua qhov xwm txheej rau lub taub hau lossis caj dab.
- Noj tshuaj kho mob plawv ntau dhau, xws li Digoxin (Digoxin - Digitek®).
- Muaj lwm yam kab mob plawv.
Txawm hais tias qhov no tuaj yeem pom los ntawm ECG, tus kws kho mob tsuas yog yuav xaus lus txog qhov no los ntawm kev saib koj keeb kwm kev kho mob thiab lwm yam tsos mob.
3. Kab mob Ventriculophasic Sinus Arrhythmia
Qhov no kuj yog ib hom tshwj xeeb thiab tsis tshua muaj uas tsuas yog pom tau los ntawm kev kuaj ECG xwb. Feem ntau pom muaj nyob rau hauv cov neeg uas muaj teeb meem nrog txoj kev uas lub plawv cov teeb liab hluav taws xob mus ncig, xws li theem peb AV thaiv. Qhov no nyuaj me ntsis, yog li koj tus kws kho mob yuav piav qhia rau koj los ntawm kev saib ECG.
Kuv yuav nrhiav qhov no li cas? Puas yuav tsum tau kho?
Feem ntau, qhov mob sinus arrhythmia yog pom los ntawm txoj hmoo. Koj tus kws kho mob yuav pom nws thaum lub sijhawm kuaj electrocardiogram (EKG) uas koj ua rau lwm yam laj thawj, tej zaum yog kev kuaj mob niaj hnub lossis ua ntej phais. Koj paub, qhov kev kuaj uas sau cov haujlwm hluav taws xob ntawm koj lub plawv los ntawm kev lo cov ntawv nplaum me me rau ntawm koj lub hauv siab, caj npab, thiab ceg, uas hu ua EKG.
Tam sim no cia peb los rau lo lus nug tseem ceeb tshaj plaws: Qhov no puas xav tau kev kho mob?
Qhov xov xwm zoo yog tias qhov mob ua pa tsis taus pa, uas yog ib qho mob uas feem ntau cuam tshuam nrog kev ua pa , tsis tas yuav kho mob vim nws tsis yog ib yam kab mob.
Txawm hais tias muaj ob hom kab mob (Nonrespiratory thiab Ventriculophasic), feem ntau lawv tsis raug kho ncaj qha. Hloov chaw, cov kws kho mob kho qhov mob tseem ceeb uas ua rau lawv (xws li kab mob plawv lossis tshuaj ntau dhau).
Yog li qhov no puas txaus ntshai? Kuv puas yuav mob hauv siab?
Qhov no yog lo lus nug loj tshaj plaws uas txhua tus neeg xav txog. Thaum twg muaj ib yam dab tsi hu ua "tsis xwm yeem" ntawm ECG, peb ntshai heev.
Tiam sis, tsis yog. Kab mob ua pa tsis taus pa tsis yog ib yam mob uas pom ntau. Qhov tseeb, nws yog ib qho cim zoo uas qhia tias koj lub plawv noj qab nyob zoo, hloov kho tau zoo rau ib puag ncig, thiab ua haujlwm tau zoo. Kab mob no tsis tuaj yeem tiv thaiv tau, thiab tsis tas yuav tiv thaiv nws.
Ib qho tseem ceeb ntxiv uas yuav tsum nco ntsoov yog tias qhov mob sinus arrhythmia tsis ua rau mob hauv siab. Yog tias koj muaj cov tsos mob xws li mob hauv siab, ua tsis taus pa, qaug zog, lossis kiv taub hau, nws yuav yog lwm yam uas tsis yog sinus arrhythmia. Yog li, yog tias koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv. Mus ntsib koj tus kws kho mob tam sim ntawd.
Yog li, lub sijhawm tom ntej koj tus kws kho mob hais tias koj muaj sinus arrhythmia ntawm koj lub ECG, tsis txhob ntshai. Nws yuav yog xov xwm zoo txog koj lub plawv noj qab nyob zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Sinus arrhythmia yog kev hloov pauv ntawm lub plawv dhia nrog kev ua pa. Qhov no tsis yog kab mob hauv feem ntau, tab sis yog ib qho mob ib txwm muaj .
- Qhov no feem ntau tshwm sim ntawm cov menyuam yaus thiab cov tub ntxhais hluas noj qab nyob zoo , thiab suav tias yog ib qho cim zoo ntawm lub plawv noj qab nyob zoo.
- Kab mob sinus arrhythmia ib txwm tsis muaj tsos mob thiab tsis tas yuav kho mob dab tsi .
- Tus mob no kuaj tau los ntawm kev kuaj EKG . Feem ntau pom muaj thaum ua EKG rau lwm yam laj thawj.
- Yog koj muaj cov tsos mob xws li mob hauv siab, ua tsis taus pa, lub plawv dhia ceev, lossis tsaus muag, tsis txhob tsis quav ntsej vim nws yog sinus arrhythmia. Mus ntsib koj tus kws 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