Atrial fibrillation - paug tawm

Atrial fibrillation lossis flutter yog ib hom kev pheej hmoo ntawm lub plawv dhia. Lub plawv atherosclerosis yog ceev thiab feem ntau tsis meej. Koj nyob hauv tsev khomob los kho tus mob no.

Tej zaum koj tau nyob hauv tsev kho mob vim tias koj muaj atrial fibrillation. Tus mob no tshwm sim thaum koj lub siab ntaus yam tsis xwm yeem thiab ceev dua li ib txwm. Tej zaum koj tau tsim cov teebmeem no thaum koj nyob hauv tsev kho mob rau lub plawv nres, phais plawv, lossis lwm yam mob hnyav xws li mob ntsws lossis mob raug mob.

Cov kev kho koj yuav tau txais muaj:

• Cov Ntsej Muag
• Cardioversion (qhov no yog qhov txheej txheem ua kom hloov lub suab ntawm koj lub plawv rov qab rau qhov qub. Nws tuaj yeem ua tau nrog tshuaj lossis hluav taws xob.)
• Mob ablation

Koj yuav tau muab tshuaj rau koj hloov kho lub plawv dhia lossis txo kom qeeb. Ib txhia yog:

• Beta blockers, xws li metoprolol (Lopressor, Toprol-XL) lossis atenolol (Senormin, Tenormin)
• Cov calcium blockers, xws li diltiazem (Cardizem, Tiazac) lossis verapamil (Calan, Verelan)
• Digoxin
• Antiarrhythmics (cov tshuaj uas tswj lub plawv mob), xws li amiodarone (Cordarone, Pacerone) lossis sotalol (Betapace)

Yuav tsum sau koj cov tshuaj noj ua ntej koj mus tsev. Koj yuav tsum noj koj cov tshuaj raws li koj tus kws kho mob tau hais kom koj ua.

• Qhia koj tus kws kho mob txog lwm yam tshuaj koj siv nrog rau cov tshuaj tsis yuav tom khw, tshuaj ntsuab, lossis tshuaj ntxiv. Nug yog hais tias nws yog li cas mus noj no. Thiab, qhia koj tus kws kho mob yog tias koj noj tshuaj tiv thaiv kab mob.
• Tsis txhob tsum tsis noj ib yam tshuaj twg uas tsis tau xub tham nrog koj tus kws kho mob. TSIS TXHOB ncua ib koob tshuaj tshwj tsis yog tias lawv tau qhia rau koj.

Koj yuav tau noj tshuaj aspirin lossis clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), heparin, lossis lwm cov ntshav ua kom ntshav qab zib xws li apixiban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) ua kom koj cov ntshav txhaws.

Yog tias koj noj ib qho ntshav thinner:

• Koj yuav tsum tau saib xyuas seb puas los ntshav los yog doog ntshav, thiab qhia rau koj tus kws kho mob paub yog tias nws tshwm sim.
• Qhia tus kws kho hniav, kws muag tshuaj, thiab lwm tus kws muab kev pab uas koj tau noj cov tshuaj no.
• Koj yuav tsum tau kuaj ntshav ntxiv ntxiv kom paub tseeb tias koj cov tshuaj muaj tseeb yog tias koj noj tshuaj warfarin.

Txwv txiav koj haus cawv ntau npaum li cas. Nug koj tus kws kho mob thaum dej haus tau, thiab nyab xeeb npaum li cas.

TSIS TXHOB haus luam yeeb. Yog koj haus luam yeeb, koj tus kws kho mob tuaj yeem pab koj txiav luam yeeb.

Ua raws li lub siab noj zaub mov zoo.

• Zam kev ua kom qab ntsev thiab rog.
• Txav deb ntawm cov khw noj mov vas nthiv.
• Koj tus kws kho mob tuaj yeem xa koj mus rau tus kws qhia noj zaub mov, uas tuaj yeem pab koj npaj hom phiaj kev noj zaub mov zoo.
• Yog tias koj noj tshuaj warfarin, TSIS TXHOB hloov pauv koj cov zaub mov noj lossis noj cov vitamins tsis muaj kev kuaj xyuas nrog koj tus kws kho mob.

Sim ua kom tsis txhob muaj kev ntxhov siab.

• Qhia rau koj tus kws khomob yog koj muaj kev ntxhov siab lossis tu siab.
• Tham nrog tus kws sab laj tej zaum yuav pab tau.

Kawm seb yuav kuaj koj cov mem tes li cas, thiab xyuas txhua hnub.

• Nws yog qhov zoo dua rau koj tus kheej lub plawv dhia dua li siv tshuab.
• Lub tshuab yuav tsis tshua muaj tseeb vim tias atrial fibrillation.

Txwv txiav cov khoom noj uas muaj caffeine koj haus (pom hauv kas fes, tshuaj yej, dej haus, thiab lwm yam dej haus.)

TSIS TXHOB siv yeeb dawb, amphetamines, lossis lwm yam tshuaj txhaum cai. Lawv yuav ua rau koj lub plawv dhia ceev dua, thiab ua rau koj lub plawv puas.

Hu rau kev pab thaum muaj xwm ceev yog koj xav tias:

• Mob, siab, nruj, lossis hnyav rau hauv koj lub hauv siab, caj npab, caj dab, lossis puab tsaig
• Ua tsis taus pa
• Roj pleev xim los yog kem plab
• Tawm hws, los sis yog tias koj plam xim
• Teeb
• Lub plawv dhia ceev, lub plawv dhia tsis xwm yeem, lossis koj lub plawv dhia ceev tsis xis
• Loog lossis tsis muaj zog ntawm koj lub ntsej muag, caj npab lossis ceg
• Plooj lossis hnov ​​tsis pom kev
• Cov teeb meem hais lus lossis nkag siab kev hais lus
• Kiv taub hau, poob ntawm seem, lossis ntog
• Mob taub hau heev
• Ntshav

Auricular fibrillation - paug; A-fib - paug; AF - kev tso tawm; Afib - kev tso tawm

Lub Ib Hlis CT, Wann LS, Alpert JS, li al. 2014 AHA / ACC / HRS cov lus qhia rau kev tswj hwm cov neeg mob atrial fibrillation: ib daim ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia thiab Lub Zej Zog Lub Plawv. J Am Coll CardiolCov. Xyoo 2014; 64 (21): e1-76. PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

Morady F, Zipes DP. Atrial fibrillation: cov kab mob kev saib xyuas, kev ua haujlwm, thiab kev tswj hwm. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: chap 38.

Zimetbaum P. Cardiac arrhythmias nrog keeb kwm supraventricular. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 64.

• Arrhythmias
• Atrial fibrillation lossis plhws
• Cov txheej txheem txo qis plhu
• Lub plawv ua zog
• Lub ischemic nres

• Antiplatelet tshuaj - P2Y12 inhibitors
• Cov tshuaj aspirin thiab kab mob plawv
• Cov roj khov thiab txoj kev ua neej
• Roj Cholesterol - tshuaj kho mob
• Tswj koj cov ntshav siab
• Noj tshuaj warfarin (Coumadin, Jantoven) - dab tsi yuav nug koj tus kws kho mob
• Noj warfarin (Coumadin)

• Atrial Fibrillation