Atrial fibrillation: nws yog dab tsi, cov tsos mob thiab kev kho mob

Zoo Siab

• Cov cim tseem ceeb thiab cov tsos mob
• Cov teeb meem muaj peev xwm
• Yuav kho tus mob li cas
• Yam teeb meem dab tsi tuaj yeem tshwm sim

Atrial fibrillation yog tus cwj pwm ntawm kev tsis tuaj yeem siv hluav taws xob kev ua haujlwm hauv lub atria ntawm lub plawv, uas ua rau muaj kev hloov lub plawv dhia, uas dhau los ua tsis xwm yeem thiab sai dua, nce mus txog 175 neeg ntaus ib feeb, uas yuav ua rau muaj kev pheej hmoo mob stroke, lub plawv tsis ua lossis lwm tus mob plawv Cov.

Atrial fibrillation tuaj yeem ua rau asymptomatic, tsuas yog pom thaum lub sijhawm soj ntsuam ib txwm muaj, lossis ua rau cov tsos mob xws li mob hauv lub plab, ua pa ceev, kiv taub hau thiab zoo nkaus li qaug zog.

Cov kev kho mob yog qhov txawv txav thiab yuav nyob ntawm tus neeg, cov cim thiab cov tsos mob uas nws nthuav tawm thiab cov laj thawj uas yog nyob rau hauv keeb kwm ntawm atrial fibrillation.

Cov cim tseem ceeb thiab cov tsos mob

Hauv qee tus neeg, fibrillation yuav tsis pom cov tsos mob, txawm li cas los xij, hauv qee kis, nws yuav tshwm sim:

• Palpitations;
• Lub plawv dhia tsis xwm yeem;
• Tsis muaj zog thiab nkees nrawm;
• Kiv taub hau;
• Ua tsis taus pa luv;
• Kev mob hauv siab.

Feem ntau, kev kuaj mob yog tsim los ntawm electrocardiogram, tab sis qee qhov xwm txheej, tus kws kho mob yuav qhia tus mob echocardiogram, kuaj ntshav seb puas muaj teeb meem nrog cov qog, lossis Xoo hluav taws xob mus rau lub hauv siab, txhawm rau ntsuas qhov loj ntawm thaj chaw ntawm lub plawv. Cov.

Cov teeb meem muaj peev xwm

Atrial fibrillation qee zaum tsis muaj neeg paub, vim li cas los xij, feem ntau nws tshwm sim vim kev mob plawv lossis kev raug mob.

Ntxiv rau, qee qhov lwm yam ua rau pom zoo rau kev teeb tsa ntawm atrial fibrillation yog kub siab, keeb kwm ntawm kev mob plawv dhau los, mob plawv, mob ntshav qab zib, hyperthyroidism, kev siv qee yam tshuaj, haus caffeine, haus dej cawv lossis haus luam yeeb, kev txom nyem los ntawm teeb meem ntsws, postoperative Piv txwv phais plawv tsis ntev los no, kis kab mob, ntxhov siab lossis raug mob los ntawm kev pw tsaug zog apnea, piv txwv.

Muaj qee kis, txoj kev pheej hmoo ntawm kev txom nyem los ntawm atrial fibrillation yuav ntau zog, zoo li hauv cov neeg laus thiab cov neeg haus cawv ntau dhau thiab qee qhov stimulants.

Yuav kho tus mob li cas

Txoj kev kho yuav yog nyob ntawm tus neeg lub hemodynamic tej yam kev mob thiab thaum lub arrhythmia pib, txawm li cas los xij, nws tsis yooj yim los qhia lub sijhawm ntawm qhov pib, uas ua rau txoj kev ua thiab kev kho qee qhov nyuaj.

Lub hom phiaj ntawm kev kho mob yog txhawm rau lub plawv dhia thiab tswj kev tiv thaiv cov ntshav txhaws txhaws txhawm rau txhawm rau txo qhov kev pheej hmoo ntawm mob hlab ntsha tawg. Nyob ntawm lub sijhawm pib ntawm lub arrhythmia thiab tus neeg mob, qhov kev tiv thaiv kab mob yuav tsim nyog, qhov twg poob siab yog ua kom rov ua dua lub plawv dhia thiab xa rov qab mus rau lub suab sib xws, nyob rau hauv kev ua kom loog.

Tsis tas li ntawd, tus kws kho mob tuaj yeem sau tshuaj noj tshuaj antiarrhythmic, uas thim rov qab atrial fibrillation hauv cov neeg mob ruaj khov thiab tseem tuaj yeem siv tom qab thim rov qab los tiv thaiv cov xwm txheej ntxiv. Piv txwv ntawm cov neeg ua haujlwm antiarrhythmic yog amiodarone thiab propagandone, piv txwv. Beta blockers thiab calcium channel blockers tseem tuaj yeem siv los tswj lub plawv dhia thiab tiv thaiv atrial fibrillation. Txog kev tiv thaiv cov leeg ntshav, tus kws kho mob tuaj yeem sau tshuaj cov tshuaj anticoagulants thiab platelet inhibitors.

Nws tseem yog ib qho tseem ceeb rau kev tawm dag zog kom ib ce muaj zog tsis tu ncua, tswj ntshav siab, zam dhau cawv, caffeine lossis luam yeeb, tswj cov cholesterol, txo kev noj qab zib thiab tswj lub cev kom yuag.

Yam teeb meem dab tsi tuaj yeem tshwm sim

Feem ntau, atrial fibrillation tsis yog kev phom sij txog lub neej, tab sis qee qhov xwm txheej, nws tuaj yeem ua rau muaj kev phom sij lossis txawm tias kev kho mob thaum muaj xwm ceev yuav tsum ua.

Atrial fibrillation tuaj yeem ua rau cov ntshav txhaws nyob hauv lub siab, uas khiav mus rau lwm qhov hauv nruab nrog, uas tuaj yeem ua rau txhaws ntawm cov ntshav ntws, ua rau ischemia. Yog tias lawv mus rau lub hlwb, lawv tuaj yeem ua rau mob hlwb thiab ua rau cov hlab ntsha tawg, qhov kev pheej hmoo ntawm qhov tshwm sim yog kwv yees li 5 npaug ntau dua rau cov neeg uas mob atrial fibrillation.

Tsis tas li ntawd, thaum atrial fibrillation muaj ntau heev, nws tuaj yeem ua rau lub plawv tsis ua haujlwm. Raws li cov kev mob hnyav no loj, nws tseem ceeb heev uas yuav tsum tau kho sai li sai tau.