Lub Plawv Dhia Teeb Meem (Mob Pob Kws Thiab Ntaus Nrig) Hauv Cov Dev

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

Atrial Fibrillation thiab Atrial Nruag Yaj Hauv Cov dev

Tus dev lub plawv tau muab faib ua plaub chav. Ob chav lag luam sab saum toj yog hu ua atria (ib qho: atrium) hos cov chav hauv qab hu ua cov ventricles. Li qub yog muab ntawm txhua tus atrial thiab ventricular nkawm, txhua tus ntawm sab laug thiab sab xis. Lub pob nruab nrab ntawm qhov nruab nrab atrium thiab txoj cai ventricle yog hu ua tricuspid valve, qhov twg qhov valve nruab nrab ntawm sab laug atrium thiab sab laug ventricle yog hu ua mitral valve. Lub siab ua haujlwm nrog qhov tshwj xeeb sib xyaw ua ke ntawm ntau cov qauv ntawm atrial thiab ventricular, uas ua rau muaj cov qauv sib luag.

Hauv ob qho tib si atrial fibrillation thiab atrial flutter no cov lus sib dhos yog cuam tshuam thiab synchronization ploj ntawm lub atria thiab ventricles. Ob qho xwm txheej hais txog qhov teeb meem sib dhos uas yog lub hauv paus hauv qib siab ntawm lub plawv, uas yog, atria. Atrial flutter feem ntau yog ua ntej rau atrial fibrillation. Hauv cov nplaim atrial muaj qhov hluav taws xob tsis txaus ua ntej tshwm sim ntawm atria, uas ua rau lub plawv nrawm dua li lub plawv dhia, tsis tu ncua lossis tsis tu ncua ntawm zaus, whereas hauv atrial fibrillation muaj quivering hom kev cuam tshuam ntawm cov leeg plawv, uas ua rau muaj kev nrawm dua thiab txawv txav plawv lub plawv kev sib tw, kuj tseem hu ua arrhythmia. Hauv atrial fibrillation lub atria yeej chaotically, uas ua rau cov lus ntawm lub raj ntawm ventricle zoo li qub. Atrial fibrillation tuaj yeem tshwm sim nrog lossis tsis muaj mob plawv. Ntawm ib qho hluav taws xob electrocardiogram (ECG), uas ntsuas cov hluav taws xob kev ua haujlwm ntawm lub plawv, ib qho qauv sib txawv tuaj yeem ua rau hauv atrial fibrillation thiab atrial flutter.

Cov tsos mob thiab Hom

Atrial fibrillation yog cais raws qhov tseeb, suav nrog:

• Thawj atrial fibrillation

  Tsis muaj tus kab mob lwm yam cuam tshuam - ua rau tsis qhia kom meej

• Thib ob atrial fibrillation

  Cov mob hnyav hauv qab lub plawv zoo li CHF feem ntau koom nrog

• Paroxysmal atrial fibrillation

  Sijhawm, ntu rov tshwm sim, uas kav mus rau lub sijhawm luv luv (tsawg dua xya hnub), nrog lub siab rov qab los ntawm nws cov lus qub ntawm nws tus kheej

• Lub cev atrial fibrillation

  Arrhythmia kav rau ntau dua 48 teev, tsuas yog teb rau kev kho mob

• Atrial fibrillation li lawm

  Tseem niaj hnub muaj kev kho mob, tsis tuaj yeem kho tau

Cov tsos mob feem ntau yog cuam tshuam nrog tus kab mob lwm yam xws li mob plawv khov kho (CHF). Hauv qab no yog qee qhov kev mob tshwm sim rau atrial fibrillation.

• Galloping lub plawv
• Kev tawm dag zog siv tsis tau
• Neeg tsis muaj zog
• Hnoos
• Dyspnea (Ua pa nyuaj)
• Tachypnea (Cov pa ua pa ceev)
• Qaug zog
• Syncope / Poob nco qab (tsis tshua muaj)

Ua rau

• Tus kab mob mus sij hawm ntev ntawm lub plawv uas cuam tshuam nrog li qub
• Kev nce qib ntawm lub siab
• Cardiomyopathy (mob plawv)
• Congenital mob plawv
• Neoplasia
• Digoxin toxicity (yeeb tshuaj uas nquag siv los kho ntau yam kab mob hauv lub plawv)
• Raws li lub sequel congestive lub plawv tsis ua hauj lwm (CHF)
• Cov teeb meem tseem tuaj yeem tsis paub txog

Kev kuaj mob

Tom qab noj cov ncauj lus ntxaws ntxaws los ntawm koj, suav nrog koj tus dev yav dhau los kev noj qab haus huv keeb kwm thiab qhov pib ntawm cov tsos mob, koj tus kws kho tsiaj yuav ua tiav kev soj ntsuam lub cev. Cov kev kuaj sim muaj xws li ua tiav cov ntshav, nrog daim biochemical profile, ua tiav kev suav cov ntshav, thiab urinalysis. Nws yog qhov ua tau ntawm cov txiaj ntsig ntawm kev sim no yuav tsis qhia tawm ntau cov ntaub ntawv ntsig txog tus kabmob no, tab sis lawv yuav pab tau rau kev nkag mus saib cov duab tag nrho ntawm koj tus dev noj qab haus huv thiab qhia lwm yam kabmob, yog tias muaj. Ntxiv cov cuab yeej kuaj mob muaj xws li echocardiography (ECG), duab xoo hluav taws xob, thiab Doppler xim kom pab tau tus yam ntxwv thiab hom mob hnyav ua mob rau lub plawv.

Kev Kho Mob

Koj tus kws kho tsiaj yuav xub kuaj pom cov qib nplaim taws lossis fibrillation koj tus dev tau ntsib, thiab seb puas muaj kab mob hauv plawv, xws li CHF, uas yog lub luag haujlwm rau lub plawv atrial arrhythmia. Yog lub plawv muaj kev ntaus nrawm dhau, koj tus dev yuav raug kho mob rau kev sib dhos kom maj mam ua. Yog tias tsis muaj tus kab mob pib pom muaj nyob rau tam sim no, txoj kev kho mob yuav tsum ncaj qha rau kev ua haujlwm ntawm lub plawv ntawm lub plawv thiab tau txais qhov ntshav tawm ntawm cov ntshav rov qab los ua ke nrog cov atrioventricular ntawm (AV) ntawm. Yog hais tias fibrillation yog ib qho teeb meem mob (ntau dua plaub lub hlis), qhov ua tiav cov txiaj ntsig poob qis raws li qhov teeb meem thiab qhov tshwm sim rov tshwm sim hauv cov no. Kev siv hluav taws xob los kho hluav taws xob tej zaum yuav raug siv los ua kom lub cev nrawm yog qee kis. Yog tias muaj kab mob hauv plawv zoo ib yam li CHF tam sim no, txoj kev kho mob kuj yuav ua rau nws txoj kev kho mob, nrog rau kev kho lub plawv kom khov.

Nyob thiab Tswj

Ua raws li tus kws kho tsiaj cov lus qhia hais txog kev noj haus, qoj ib ce, so, noj tshuaj, thiab tswj koj tus dev noj qab haus huv tom tsev. Thaum muaj mob atrial fibrillation thawj zaug, muaj peev xwm rov tshwm sim, tshwj xeeb tshaj yog rau cov neeg mob uas muaj mob ntev. Saib xyuas koj tus dev noj qab haus huv thiab hu tus kws kho tsiaj yog tias koj pom muaj cov tsos mob uas zoo li tsis xws li. Thaum muaj mob hnyav xws li CHF, qib siab thiab kev saib xyuas yuav tau rau koj ib feem rau kev kho thiab tswj koj tus dev ntawm kev kho mob hauv tsev. Khaws cia qhov chaw muag mis nyuj ntawm txhua qhov xwm txheej thiab nyob nrog koj tus kws kho tsiaj thoob plaws lub sijhawm kho yuav pab koj ua raws li koj tus dev ua tau zoo thiab pom tias muaj teeb meem sai li sai tau tshwm sim.