Lub Plawv Nce Ntxiv Vim Kev Sib Txuam Ua Ntej Hauv Dev

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Ventricular Tachycardia hauv dev

Ventricular tachycardia (VT) yog ib qho muaj feem yuav txo tau txoj sia muaj sia ntawm lub plawv uas ua rau lub plawv dhia tsis ua hauj lwm, lub plawv dhia ceev tsis zoo. Ventricular tachycardia tuaj yeem degenerate mus rau ventricular fibrillation, ib qho xwm txheej hauv qhov chaw uas lub ventricles (hauv qab ob lub plawv sib tw) ua rau muaj kev cuam tshuam, cog lus chaotically. Lub xeev no tuaj yeem ua rau asystole - tsis muaj hluav taws xob tsis nco qab hauv lub plawv - thiab tuag tam sim ntawd. VT tuaj yeem yog vim muaj kab mob hauv lub plawv, kab mob metabolic, lossis roj ntsha tsis txaus.

Lub siab muab faib ua plaub chav: ob chav sab saum toj hu ua atria (singular: atrium) thiab chav hauv qab yog hu ua ventricles. Lub siab muaj cov hluav taws xob tswj hluav taws xob uas yog lub luag haujlwm rau kev tswj lub plawv dhia. Lub tshuab hluav taws xob hluav taws xob no ua rau cov hluav taws xob tsis zoo (nthwv dej), uas tawm thoob plaws hauv cov leeg lub plawv, txhawb lub plawv cov leeg mus cog lus thiab thawb ntshav los ntawm cov hlab ntsha sab hauv thiab tawm mus rau hauv lub cev. Ventricular tachycardia cuam tshuam txog kev coj tus cwj pwm tsis txaus ntseeg hauv lub ventricles.

Ventricular tachycardia tej zaum yuav tshwm sim nyob rau hauv cov kev mob hauv lub plawv, raws li cov keeb caj ces tsis tuaj yeem, lossis tuaj yeem yog qhov tshwm sim ntawm qhov mob myocardial cuam tshuam nrog cardiomyopathy (kab mob hauv lub plawv), mob ntshav tseem ceeb, lossis mob myocarditis (mob leeg mob hauv lub plawv). Txog rau hnub tim, tsis muaj ib txoj kev kho mob uas tau paub kom tiv thaiv kev tuag sai sai hauv cov dev uas muaj txoj hlab ntsws ua ke.

Cov tsos mob thiab Hom

• Tsaus muag (syncope)
• Neeg tsis muaj zog
• Kev tawm dag zog siv tsis tau
• Txoj kev tuag
• Tej zaum yuav tsis muaj tsos mob dab tsi
• Txhawb lub plawv dhia
• Cov cim ntawm congestive plawv nres (CHF)

Ua rau

• Cardiomyopathy (mob plawv mob leeg)
• Qhov mob tsis zoo ntawm lub cev (tshwj xeeb tshaj yog subaortic stenosis - txoj kev nqaim ntawm aortic hla)
• Tus kab mob ntsws ntev
• Lub plab zom mov thiab volvulus (lub plab hloov thiab tig mus rau nws tus kheej)
• Kev ua kom mob lub siab
• Kev puas tsuaj rau Digitalis (mob plawv)
• Mob cancer hauv lub plawv
• Myocarditis - mob ntawm cov leeg plawv
• Pancreatitis - mob ua rau ntawm tus txiav

Kev kuaj mob

Yog tias koj tus dev tsis khov, koj tus kws kho mob yuav thov kev kho mob raws li cov tsos mob ua ntej kuaj pom qhov ua rau ntawm ventricular tachycardia. (Saib tshooj lus qhia kev kho mob hauv qab no.) Yog tias koj tus dev nyob ruaj khov, tus kws kho tsiaj pib yuav tsum kuaj koj tus dev tag. Koj yuav tsum tau muab cov keeb kwm kev nyab xeeb ntawm koj tus dev noj qab haus huv, qhov pib ntawm cov tsos mob, thiab muaj xwm txheej uas yuav ua rau muaj tus mob no. Daim ntawv qhia txog ntshav cov ntshav yuav tau ua, suav nrog daim ntawv qhia ntshav tshuaj, suav cov ntshav tiav, tso zis thiab tso ntshav hluav taws xob. Lub ntsuas hluav taws xob yuav qhia tau yog tias muaj hypokalemia thiab hypomagnesemia. Cov ntshav ua haujlwm tuaj yeem ua pov thawj pom kev ua mob pancreatitis thiab hyperthyroidism.

Ib qho ntsuas electrocardiogram (ECG, lossis EKG) tuaj yeem siv los kuaj cov hluav taws xob hauv cov leeg nqaij hauv plawv, thiab yuav qhia txog qhov txawv txav hauv kev ntsuas hluav taws xob (uas ua rau lub siab muaj peev xwm sib cog lus / yeej), thiab ib qho echocardiogram (duab hluav taws xob ua rau. lub siab) yuav ua los kuaj xyuas cov kab mob plawv. Lub ambulatory ntev (portable) electrocardiograph sau cia ntawm lub plawv kev ua hluav taws xob, siv Holter saib xyuas, tuaj yeem siv rau kev kuaj pom kev ua pa tawm mus ib ntus hauv cov neeg mob uas tsis paub txog syncope lossis qhov tsis muaj zog. Lub Holter tuaj yeem siv tau tshwj xeeb tshaj plaws rau tsiaj, vim tias nws tuaj yeem hnav zoo li lub tsho khuam, tso cai rau koj tus dev kev ywj pheej ntawm kev tawm mus ib txwm, uas, thaum coj mus rau hauv tus neeg sau phau ntawv khaws cia (los ntawm tus tsiaj tu) thaum tus saib tseem tab tom hnav, tuaj yeem muab koj tus kws kho tsiaj tau siv kab ntawv rau thaum lub plawv dhia tsis haum yuav luag tshwm sim.

Kev Kho Mob

Yog tias koj tus dev tseem ruaj khov, cov ntsha tsis txaus yuav raug kho qhov siv kua tswj hwm. Echocardiogram thiab siv 24-Holter los tsim kom tau lub hauv paus tseeb ntawm cov khoom siv arrhythmia thiab zoo.

Yog tias koj tus dev tsis khov (tsis ua haujlwm thiab pw, tsis muaj zog, lossis tsaus muag heev), yuav tsum tau kho sai sai hauv tsev kho mob nrog kev tshuaj xyuas ECG txuas mus ntxiv. Thaum lub arrhythmia tswj tau thiab koj tus dev ntshav siab tau ruaj khov, yuav tsum tau noj tshuaj ntawm qhov ncauj. Cov tshuaj yuav ua raws koj tus dev noj qab haus huv tag nrho, thiab koj tus dev zoo siab npaum li cas ntawm kev mob VT thiab ntau npaum li cas nws tshwm sim. Tshuaj kho mob tuaj yeem muab rau txhawm rau yav tom ntej, thiab koj tus dev kev ua haujlwm qib yuav xav kom tsawg. Kev taug qab 24-teev yuav tsum ua kom pom qhov kev ua tau ntawm qhov tshuaj tiv thaiv tsis siv tshuaj tsis haum.

Nyob thiab Tswj

Hmoov tsis zoo, dev uas muaj ventricular tachycardia qee zaum yuav tas sim neej. Cov xwm txheej zoo siab (i.e., cov uas ua rau lub siab nrawm nrawm) yuav tsum muaj kev tiv thaiv kom ua kom tsis txhob ua rau lub ntsej muag ventricular tachycardia rov tshwm sim. Qhov no zoo nkaus li yog qhov tseeb tshwj xeeb hauv kev hais txog Boxer cov tsiaj. Tus kws kho tsiaj yuav teem caij rov qab mus ntsib nrog koj rau koj tus dev raws li qhov tsim nyog.