Lub Plawv Dhia Teeb Meem (Mob Ntshav Thiab Ntaus Nrig) Hauv Miv

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

Atrial Fibrillation thiab Atrial Nruag Nruag Hauv Pob

Muaj plaub lub lag hauv plawv. 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. 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 txiv neej laus lawm tau pom tias muaj kev cuam tshuam rau tus mob no ntau dua.

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 (tshuaj feem ntau siv los kho ntau yam kab mob hauv lub plawv) mob toxicity
• 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 coj keeb kwm ntxaws txog koj tus miv li kev noj qab haus huv, qhov pib ntawm cov tsos mob, thiab cov xwm txheej uas yuav muaj dhau los ntawm tus mob no, tus kws kho tsiaj yuav kuaj xyuas lub cev kom tiav. Cov kev sim hauv chav kuaj yuav suav nrog kev sim ntshav tiav, ib daim ntawv qhia txog biochemical, thiab urinalysis. Nws yog qhov ua tau ntawm cov kev sim no tej zaum yuav tsis qhia tawm ntau cov ntaub ntawv ntsig txog tus kabmob no, tab sis lawv yuav pab tau rau kev nkag mus saib tag nrho ntawm koj tus menyuam kev 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 txog qib nplaim taws lossis fibrillation koj tus miv 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 dhia ceev dhau, koj tus miv yuav raug kho vim hais tias ua rau lub plawv dhia kom qeeb. 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 hlis), cov kev vam meej poob qis raws li. 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 mob zoo ib yam li CHF tam sim no, txoj kev kho yuav tseem coj ncaj qha 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 txog kev noj haus, qoj ib ce, so, noj tshuaj, thiab tswj koj tus miv nyob hauv 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 miv lub cev kom noj qab haus huv thiab hu tus kws kho tsiaj yog tias koj pom muaj cov tsos mob uas zoo li txawv txav. Thaum muaj mob loj xws li CHF, yuav tsum muaj siab cog lus thiab kev saib xyuas zoo rau koj ib feem rau kev kho thiab tswj koj tus miv lub tsev. Khaws cov ntawv sau cia txhua hnub thiab tau nyob hauv kev sib cuag nrog tus kws kho tsiaj thoob plaws lub sijhawm kho yuav pab koj ua raws li koj tus miv txoj kev kawm tau.