Atrial Fibrillation: Cov Tseeb, Txheeb Xyuas, thiab Koj

Zoo Siab

• Sawv daws
• Cov ua rau thiab txaus ntshai
• Cov tsos mob
• Teeb meem
• Kev kuaj mob thiab kev kuaj mob
• Kev Kho Mob
• Kev Tiv Thaiv
• Cov nqi

Atrial fibrillation, tseem hu ua AFib lossis AF, yog lub plawv dhia tsis xwm yeem (arrhythmia) uas tuaj yeem ua rau ntau yam kev mob plawv ntsig txog ntshav xws li ntshav txhaws, mob hlab ntsha hlwb, thiab lub plawv tsis ua haujlwm.

AFib yog ib qho mob hnyav uas tuaj yeem tshwm sim tsis muaj cov cim lossis cov tsos mob tab sis tuaj yeem ua rau muaj kev phom sij ntawm lub neej yog tias tsis kho.

Qhov teeb meem ib txwm ntawm cov leeg nqaij ntawm cov kab mob qaum ntawm lub plawv (atria) feem ntau tso cai rau kev sib koom tes thiab ua kom tiav cov ntshav ntawm cov ntshav hauv lub plawv mus rau hauv nws cov qis dua (lub chaw dim pa).

Nyob rau hauv AFib, txawm li cas los xij, qhov tsis meej lossis hluav taws xob teeb liab ua rau lub atria tau cog lus sai dhau thiab chaotically (fibrillate).

Cov ntshav uas tsis tau tawm ntawm lub atria yuav tsum nyob twj ywm thiab yuav tso ntshav rau ntawd. Txhawm rau kom ua tau zoo ntawm lub siab thiab kom tsis txhob muaj kab mob ntau yam, chav sab qaum thiab qib siab hauv lub siab yuav tsum ua hauj lwm ua ib pab. Qhov ntawd tsis tshwm sim thaum AFib.

AFib tshwm sim ua ntu zus, lossis tej zaum nws yuav ua rau muaj mob tas mus li. Qee zaum, yuav tau muaj kev pab kho mob xwm txheej ceev. Nov yog qhov koj yuav tsum paub:

Sawv daws

AFib yog qhov ib txwm tshwm sim los ntawm kev kuaj mob hauv chaw soj ntsuam.

Kev kwv yees ntawm kev nthuav dav ntawm AFib hauv Tebchaws Asmeskas txog txij li ntawm. Tus lej ntawd yog kwv yees nce mus.

Thoob ntiaj teb, kwv yees tus naj npawb ntawm cov tib neeg nrog AFib hauv 2010 yog 33,5 lab, raws li kev tshawb nrhiav xyoo 2013. Uas yog li ntawm 0.5 feem pua ​​ntawm cov neeg nyob ntiaj teb.

Raws li qhov, kwv yees li 2 feem pua ​​ntawm cov neeg uas hnub nyoog qis dua 65 xyoos muaj AFib, thaum kwv yees li 9 feem pua ​​ntawm cov neeg hnub nyoog 65 thiab laus dua muaj nws.

Raws li a, cov neeg uas tsis txheeb xyuas tias yog neeg tawv dawb muaj tus neeg tsawg dua thiab tshwm sim muaj AFib.

Cov ua rau thiab txaus ntshai

Muaj plaub lub ntsiab ntawm AFib.

Paroxysmal atrial fibrillation yog thaum AFib pib tsis ceeb toom thiab tso tseg tam sim ntawd. Feem ntau ntawm lub sijhawm, hom ntawm AFib pom tseeb ntawm nws tus kheej hauv 24 teev, tab sis nws tuaj yeem siv sijhawm ntev li ib lub lim tiam.

Thaum AFib kav ntev dua li ib lub lim tiam, nws tau hu ua pheej mob atrial fibrillation.

AFib kav ntev tshaj li ib xyoos yam tsis ploj yog qhov ntawd ntev-ntev pheej mob atrial fibrillation.

AFib uas txuas ntxiv txawm hais tias kev kho mob hu ua atrial fibrillation tas li.

Kev tsis zoo lossis kev puas tsuaj rau lub plawv tus qauv yog qhov tshwm sim feem ntau ntawm atrial fibrillation. Koj yuav tsis zoo los tsim AFib yog tias koj muaj:

• ntshav siab
• kev mob plawv, lub plawv tsis zoo, lossis lub plawv dhia
• rheumatic mob plawv lossis mob pericarditis
• hyperthyroidism
• rog dhau
• mob ntshav qab zib lossis mob metabolic syndrome
• mob ntsws lossis mob raum
• pw apnea
• tsev neeg keeb kwm ntawm AFib

AFib tseem muaj feem cuam tshuam rau kev tuag ntau ntxiv hauv cov tib neeg uas muaj lwm yam kev mob plawv thiab cov txheej txheem, nrog rau lub plawv tsis ua haujlwm thiab mob hlab ntsha tawg.

Kev coj ua kuj tseem tuaj yeem ua rau muaj kev pheej hmoo rau AFib. Cov no suav nrog kev haus caffeine thiab haus cawv tsis zoo. Cov teeb meem kev ntxhov siab siab lossis cov mob hlwb yuav dhau los ua ib qho laj thawj hauv AFib.

Txoj kev pheej hmoo ntawm kev tsim AFib nce nrog lub hnub nyoog. Hais txog ntawm cov neeg mob AFib muaj hnub nyoog 65 thiab 85. Tus kis tau mob ntawm AFib muaj ntau dua rau cov txiv neej. Txawm li cas los xij, txij li cov poj niam nyob ntev dua li tus txiv neej, tag nrho tus txiv neej thiab poj niam nrog AFib yog qhov sib npaug.

Txawm hais tias cov neeg ntawm cov caj ces hauv European muaj atrial fibrillation ntawm, kev tshawb fawb pom tau tias ntau yam ntawm nws muaj teeb meem - suav nrog mob stroke, mob plawv, thiab mob plawv tsis ua haujlwm - muaj ntau dua ntawm cov neeg Asmeskas cov neeg Asmeskas.

Cov tsos mob

Koj tsis tas yuav muaj cov tsos mob ntawm AFib, tab sis qee qhov tsos mob tshwm sim suav nrog lub plawv tsaig thiab ua pa siav.

Lwm cov tsos mob tuaj yeem suav nrog:

• lub plawv dhia tsis xwm yeem
• lightheadedness lossis kiv taub hau
• faintness lossis tsis meej pem
• qaug zog heev
• hauv siab tsis xis nyob lossis mob

Teeb meem

Muaj kev paub ntau ntxiv tias atrial fibrillation feem ntau tsis paub tab sis nws yog ib qho mob hnyav.

Txawm hais tias koj muaj cov tsos mob los yog tsis, AFib tso koj qhov kev pheej hmoo mob stroke ntau dua. Raws li American Heart Association, yog tias koj muaj AFib, koj yuav tsum muaj 5 zaug feem ntau yuav muaj mob stroke ntau dua li lwm tus uas tsis muaj nws.

Yog tias koj lub plawv dhia sai dhau, nws yuav ua rau lub plawv tsis ua haujlwm. AFib tuaj yeem ua rau ntshav txhaws hauv koj lub siab. Cov clog tuaj yeem taug kev hauv cov hlab ntshav, thaum kawg ua rau txhaws.

Kev tshawb nrhiav pom tau tias cov poj niam mob AFib muaj kev pheej hmoo mob stroke thiab tuag ntau dua li tus txiv neej nrog AFib.

Kev kuaj mob thiab kev kuaj mob

Kev soj ntsuam yuav yog ib feem ntawm koj kev saib xyuas ib txwm muaj yog koj muaj 65 xyoo lossis laus dua, lossis koj muaj lwm yam kev pheej hmoo. Yog tias koj muaj cov tsos mob ntawm AFib, mus ntsib koj tus kws kho mob.

Kev kuaj mob yuav suav nrog ntsuas hluav taws xob (EKG lossis ECG) txhawm rau tshuaj xyuas koj lub plawv hluav taws xob. Ib qho kev sim ntxiv uas tuaj yeem pab tau yog Holter saib, lub zog ECG uas tuaj yeem saib xyuas koj lub siab lub ntsws ob peb hnub.

Tus echocardiogram yog lwm qhov kev kuaj mob tsis zoo uas tuaj yeem tsim cov duab ntawm koj lub siab, yog li koj tus kws kho mob tuaj yeem nrhiav qhov txawv txav.

Koj tus kws kho mob kuj tseem yuav kuaj cov ntshav mus kuaj rau tus neeg mob uas yuav ua rau koj cov tsos mob, xws li muaj teeb meem thyroid. Kev xoo hluav taws xob hauv siab tuaj yeem kho koj tus kws kho mob saib zoo dua hauv koj lub siab thiab lub ntsws seb puas muaj qhov tshwm sim pom tseeb rau koj cov tsos mob.

Kev Kho Mob

AFib raug kho nrog kev hloov pauv hauv lub neej, tshuaj, txheej txheem thiab phais mob kom pab tiv thaiv cov ntshav txhaws, plawv dhia qeeb, lossis rov qab lub plawv rov qab zoo.

Yog tias koj muaj mob atrial fibrillation, koj tus kws kho mob tseem yuav saib xyuas cov kab mob uas yuav ua rau nws thiab soj ntsuam koj txoj kev pheej hmoo ntawm kev tsim tau cov ntshav txhaws.

Kev kho rau AFib tuaj yeem suav nrog:

• tshuaj kho mob lub plawv lub suab thiab tus nqi
• Kev noj tshuaj ntshav kom tiv thaiv cov ntshav txhaws ntawm kev tsim thiab txo kev pheej hmoo mob ntshav qab zib
• kev phais mob
• kev noj qab haus huv lub neej pauv kom tswj tau cov hauv paus phom sij

Lwm yam tshuaj noj kuj tseem tuaj yeem pab ua kom lub plawv dhia tau zoo. Cov no suav nrog beta blockers (metoprolol, atenolol), calcium channel blockers (diltiazem, verapamil), thiab digitalis (digoxin).

Yog tias cov tshuaj no ua tsis tau zoo, lwm cov tshuaj tuaj yeem pab ua kom lub plawv dhia ceev. Cov tshuaj no xav kom muaj kev ceev faj kom zoo thiab saib xyuas:

• amiodarone (Cordarone, Pacerone)
• dofetilide (Tikosyn)
• flecainide (Tambocor)
• ibutilide (Hloov)
• propafenone (Rythmol)
• sotalol (Betapace, Tshauv)
• disopyramide (Norpace)
• procainamide (Procan, Procapan, Pronestyl)

Lub plawv atherosclerosis yeej tseem tuaj yeem rov qab siv lub zog siv qis zog hauv cov txheej txheem hu ua hluav taws xob cardioversion. Yog tias qhov ntawd tsis ua haujlwm, koj tus kws kho mob yuav sim ua qee yam hu ua ablation, uas ua haujlwm los ntawm qhov caws pliav lossis rhuav tshem cov ntaub so ntswg hauv koj lub siab los cuam tshuam cov teeb meem hluav taws xob ua teeb meem ua rau lub cev tsis tuaj.

Atrioventricular nloog ablation yog lwm txoj kev xaiv. Hauv cov txheej txheem no, radiowave ntau zaus siv tau rhuav tshem ib feem ntawm cov ntaub so ntswg. Hauv kev ua li ntawd, atria tsis tuaj yeem xa hluav taws xob tsis zoo.

Tus neeg tswj lub tshuab ua kom lub ventricles ntaus zoo li ib txwm. Kev phais qho yog ib qho kev xaiv uas feem ntau tseg rau cov neeg uas twb xav tau qee yam kev phais plawv. Kev txiav me me raug tsim nyob rau hauv atria kom cov teeb liab hluav taws xob tsis tuaj yeem tsis tuaj yeem hla.

Ua ib feem ntawm txoj kev kho koj, lawv yuav qhia kom koj noj zaub mov zoo ua kom lub plawv muaj zog. Kev tawm dag zog kom tawm hws yog ib feem tseem ceeb ntawm kev noj qab haus huv lub plawv, yog li nug koj tus kws kho mob tias kev qoj ib ce zoo li cas rau koj.

Mus ntsib koj tus kws kho mob tsis tu ncua txhawm rau saib xyuas mob. Koj yuav tsum tsis txhob haus luam yeeb thiab.

Kev Tiv Thaiv

Koj tsis tuaj yeem tiv thaiv AFib nkaus, tab sis muaj qee yam koj tuaj yeem ua kom koj lub siab noj qab nyob zoo.

Siv zog tswj kom koj cov ntshav siab, ntshav qab zib cov qib, triglyceride qib, thiab qhov hnyav nyob rau hauv ib txwm muaj.

Cov ntaub ntawv qhia tau hais tias cov neeg rog thiab rog dhau los ntawm cov neeg muaj mob AFib uas tau xaiv rau qhov kev poob phaus thiab kev ua rau muaj kev phom sij muaj tsawg dua kev mus pw hauv tsev kho mob, kev kho plawv, thiab cov txheej txheem txo qis dua lawv cov neeg ua haujlwm tsis kam tso npe.

Lwmyam pauv hloov ntawm kev ua neej koj tuaj yeem suav nrog:

• tswj kev noj zaub mov kom tsis muaj roj cholesterol, cov rog rog, thiab cov rog pauv
• noj zaub, txiv hmab txiv ntoo thiab nplej ntau ntau
• ua kom tawm dag zog txhua hnub
• txiav kev haus luam yeeb
• haus cawv kom tsawg
• zam kev haus caffeine yog tias nws ua rau koj AFib
• noj tag nrho koj cov tshuaj raws li daim ntawv qhia lossis koj tus kws kho mob cov lus qhia
• nug koj tus kws kho mob ua ntej yuav ntxiv cov tshuaj noj uas yuav tom khw lossis cov tshuaj ntxiv rau koj qhov kev tsim kho
• kev teem sijhawm mus ntsib nrog koj tus kws kho mob
• ceeb toom mob hauv siab, ua pa nyuaj, lossis lwm yam tsos mob rau koj tus kws kho mob kom sai
• saib xyuas thiab kho lwm yam mob

Cov nqi

AFib yog tus mob kim heev. Tag nrho tus nqi rau AFib hauv Tebchaws Asmeskas tau los txog ze $ 26 txhiab daus las hauv ib lub xyoo.

Kev rhuav tshem, qhov no yog $ 6 txhiab nyiaj rau kev saib xyuas tshwj xeeb los kho AFib, $ 9.9 txhiab nyiaj txhawm rau kho lwm yam kab mob plawv thiab muaj kev phom sij, thiab $ 10.1 nphom los kho cov teeb meem kev noj qab haus huv tsis muaj mob.

, ntau tshaj 750,000 tsev kho mob tshwm sim txhua xyoo vim hais tias ntawm AFib. Tus mob no tseem ua rau muaj ze li ntawm 130,000 tus neeg tuag txhua xyoo.

CDC tshaj tawm hais tias qhov kev tuag ntawm AFib yog qhov pib lossis qhov tseem ceeb ua rau ploj tuag tau nce ntau tshaj li ob xyoo lawm.

Kev tshawb nrhiav tsis ntev los no txog Medicare cov neeg mob nyob nruab nrab ntawm 1998 txog 2014 pom tias cov neeg mob atrial fibrillation zoo dua yuav tsum tau mus pw hauv tsev kho mob (37.5 feem pua ​​vs. 17.5 feem pua) thiab ntau dua yuav tuag thaum pw hauv tsev kho mob (2.1 feem pua ​​vs. 0.1 feem pua) dua li zoo sib xws cov neeg tsis muaj AFib.