Lub Plawv Cov Plawv Vim Muaj Ntau Dhau Los Ua Ntej Cov Cuam Tshuam Hauv Cov Menyuam

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

Ventricular Tachycardia hauv Miv

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. Qhov no tuaj yeem yog vim mob rau lub plawv mob ntshav qab zib, kab mob metabolic, lossis roj ntsha tsis txaus. 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.

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 hauv cov miv uas muaj kev cuam tshuam nrog ventricular tachycardia arrhythmias.

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 ventricle)
• Qhov mob tsis zoo ntawm lub cev (tshwj xeeb tshaj yog subaortic stenosis - txoj kev nqaim ntawm aortic hla)
• Tus kab mob ntsws ntev
• Kev puas tsuaj rau Digitalis (mob plawv)
• Hyperthyroidism - ua rau lub qog ua haujlwm thyroid caj pas
• 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 miv tsis ruaj 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 khomob hauv qab no.) Yog tias koj tus miv nyob ruaj khov, koj tus kws kho tsiaj yuav pib kuaj ib ce ntawm koj tus miv. Koj yuav tsum tau muab cov keeb kwm kev nyab xeeb ntawm koj tus miv 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 rau tsiaj, vim tias nws tuaj yeem hnav zoo li tsho khuam, tso cai rau tus tsiaj ywj pheej ntawm kev txav mus los, uas, thaum coj mus rau hauv tus neeg sau phau ntawv khaws cia (los ntawm tus tsiaj saib xyuas) 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 miv nyob ruaj khov, qhov ntsuas hluav taws xob tsis zoo yuav raug kho qhov siv dej tswj hwm. Echocardiogram thiab siv 24-Holter los tsim kom tau lub hauv paus tseeb ntawm cov khoom siv arrhythmia thiab zoo.

Yog tias tus miv 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 ntxiv mus. Thaum lub arrhythmia tswj tau thiab koj tus miv cov ntshav siab tau ruaj khov, yuav tsum tau noj tshuaj ntawm qhov ncauj. Cov tshuaj yuav ua raws koj tus miv noj qab haus huv tag nrho, thiab koj tus miv puas tuaj yeem tiv taus siab rau ntu ntawm VT thiab nquag muaj li cas. Tshuaj kho mob tuaj yeem raug muab rau txhawm rau ntu yav tom ntej. 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, miv nrog ventricular tachycardia qee zaum tuaj yeem tuag sai. Tus kws kho tsiaj yuav teem caij rov qab mus ntsib nrog koj kom koj tus miv yog qhov tsim nyog yuav tau ua kom tsis txhob muaj qhov tshwm sim no.