Sab Nraud Atrial Enlargement: Dab Tsi Ua Rau Nws Thiab Nws Kho Li Cas?

Zoo Siab

• Cov tsos mob ntawm no yog dab tsi?
• Nws kuaj tau li cas?
• Dab tsi ua rau qhov no?
• Tawg (ntshav siab)
• Qhov cuam tshuam ntawm mitral valve
• Kev ua haujlwm ntawm cov ventricle sab laug
• Atrial fibrillation
• Teeb meem ntawm tus mob no
• Yuav kho nws li cas?
• Cov lus qhia txog kev tiv thaiv
• Cov Tswv Yim
  
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Sab laug atrium yog ib qho ntawm plaub lub lag ntawm lub siab. Nws nyob hauv nruab nrab sab sauv ntawm lub plawv thiab sab laug ntawm koj lub cev.

Txoj sab laug atrium tau txais ntshav tshiab los ntshav los ntawm koj lub ntsws. Nws mam li nqus cov ntshav no mus rau sab laug ventricle los ntawm mitral valve. Los ntawm sab laug ventricle, cov ntshav uas muaj cov pa oxygen yog nqus tawm los ntawm aortic valve txhawm rau muab faib rau cov ntaub so ntswg ntawm koj lub cev los ntawm koj txoj kev ncig.

Hauv qee kis, sab laug atrium tuaj yeem nthuav dav. Nyeem rau xyuas seb yog vim li cas qhov no tshwm sim thiab qhov teeb meem tshwm sim tuaj li cas.

Cov tsos mob ntawm no yog dab tsi?

Qee tus neeg mob nrog sab laug atrium yuav tsis ntsib cov tsos mob tshwm sim. Yog tias koj muaj cov tsos mob tshwm sim, lawv yuav suav nrog:

• txog siav
• arrhythmia (lub plawv dhia tsis zoo)
• o tuaj
• mob hauv siab
• tsaus muag

Nws kuaj tau li cas?

Koj tus kws kho mob tuaj yeem kuaj mob ntawm sab laug atrium uas yog siv txoj kev ntsuas hu ua echocardiography. Tus echocardiogram siv lub suab tsis zoo los thaij duab cov qauv ntawm koj lub plawv.

Lub sijhawm mob echocardiogram, koj pw saum ib lub rooj thaum tus kws kho mob muab cov roj xaim me tso rau koj lub hauv siab. Tus kws kho mob hla dhau kev sojntsuam hla koj lub hauv siab. Qhov kev sojntsuam nkag mus rau lub suab vuag uas rov taw ntawm koj lub plawv thiab tom qab ntawv rov qab rau kev sojntsuam. Cov ntaub ntawv rov qab mus rau qhov kev sojntsuam yog tom qab ntawd tig mus rau hauv cov duab uas pom rau ntawm lub vijtsam hauv chav.

Cov xoo CT thiab MRI kuj tseem siv tau rau kev kuaj mob ntawm sab laug txoj kev ua kom zoo.

Dab tsi ua rau qhov no?

Cov xwm txheej hauv qab no tuaj yeem cuam tshuam qhov loj ntawm sab laug atrium:

• Lub hnub nyoog. Nws yog ib qho tseem ceeb kom nco ntsoov tias qhov uas cov laus ib txwm ua tsis yog vim li cas. Hloov chaw, qhov hloov pauv uas tshwm sim rau koj lub cev thaum koj hnub nyoog tuaj yeem cuam tshuam qhov loj ntawm sab laug atrium.
• Tub los ntxhais. Tus txiv neej feem ntau muaj qhov loj dua sab laug atrium dua li poj niam.
• Lub cev loj. Qhov loj me ntawm cov laug atrium nce nrog lub cev loj.

Cov xwm txheej hauv qab no tuaj yeem ua rau kom loj ntawm sab laug atrium:

Tawg (ntshav siab)

Sab laug atrial enlargement feem ntau tshwm sim rau cov neeg muaj ntshav siab. Kev tshuaj xyuas 15 qhov kev tshawb fawb dhau 12 lub xyoo dhau los pom tias sab laug ntawm kev muaj mob yog nyob rau hauv 16 rau 83 feem pua ​​ntawm cov neeg uas tau kho lossis tsis kho ntshav siab. Sim xyaw cov khoom noj no rau hauv koj cov zaub mov yog tias koj muaj tawg.

Qhov cuam tshuam ntawm mitral valve

Ob peb yam uas muaj feem xyuam nrog cov mitral valve tuaj yeem ua rau sab laug ntawm txoj kev loj hlob. The mitral valve txuas rau sab laug atrium mus rau sab laug ventricle.

Hauv cov kab mob mitral stenosis, lub ntsej muag mitral yog nqaim. Qhov no ua rau nws nyuaj rau sab laug ventricle kom tau sau.

Hauv kev ua kom rov zoo, cov ntshav tawm ntawm sab laug txoj leeg thiab rov qab mus rau sab laug atrium. Tus mob no tuaj yeem tshwm sim los ntawm teeb meem kev teeb tsa los yog kev ua haujlwm nrog mitral valve lossis sab laug ventricle.

Hauv ob qho tib si mitral stenosis thiab mitral regurgitation, nws nyuaj rau sab laug atrium kom tso ntshav mus rau sab laug ventricle. Qhov no tuaj yeem ua rau nce ntxiv nyob rau hauv siab nyob rau hauv sab laug atrium, uas nyob rau hauv lem ua rau loj.

Kev ua haujlwm ntawm cov ventricle sab laug

Yog tias muaj teeb meem nrog koj txoj hlab ntsws laug, lub siab ntawm lub atrium laug yuav nce ntxiv kom thiaj li tuaj yeem sau cov leeg ventricle kom raug. Qhov kev nce siab hauv lub siab no tuaj yeem ua rau nce ntawm sab laug atrium. Hauv qhov no, qhov ntau ntawm kev loj hlob ntawm sab laug atrium tuaj yeem qhia qib theem ntawm kev ua tsis zoo ntawm cov hlab ntsws laug.

Atrial fibrillation

Qhov no yog kev tsis txaus ntseeg (lub plawv dhia tsis xwm yeem) uas ua rau muaj kev pheej hmoo mob stroke thiab lub plawv dhia tsis zoo. Hauv cov xwm txheej no, ob chav sab sauv ntawm koj lub siab, lossis atria, yeej tawm ntawm sync nrog ob chav qis dua, lossis ventricles. Atrial fibrillation tuaj yeem tshwm sim qee zaum, lossis nws tuaj yeem ua haujlwm ruaj khov.

Nws tsis meej yog tias atrial fibrillation yog qhov ua lossis qee qhov cuam tshuam ntawm sab laug atrial o.

Teeb meem ntawm tus mob no

Kev nthuav dav ntawm cov laug atrium tau cuam tshuam nrog kev ua haujlwm tsis zoo rau cov kev mob plawv hauv qab no:

• Atrial fibrillation. Qhov no tau cuam tshuam nrog kev tuag ntau dua thiab tau teev npe ua ob qho laj thawj thiab ua kom mob ntawm sab laug ntawm txoj kev ua kom tsis txaus. Ib qho pom tias txhua txhua 5-millimeter nce ntxiv hauv sab laug atrium inch nce qhov kev pheej hmoo ntawm kev txhim kho atrial fibrillation los ntawm 39 feem pua.
• Mob stroke. Hauv ib tus neeg laus dua, qhov nce ntawm sab laug atrium loj tau pom tias tus kheej kev cia siab ntawm thawj zaug ischemic stroke. Kev pheej hmoo ntawm mob hlab ntsha tsub ntxiv yog tias ib tug neeg tseem muaj atrial fibrillation.
• Congestive lub plawv tsis ua haujlwm. Ib tug neeg laus pom hais tias sab laug atrium loj yog kev twv ua ntej ntawm lub siab tsis ua hauj lwm.

Yuav kho nws li cas?

Thaum sab laug ntawm kev ua haujlwm tsis txaus siab tau tshwm sim, kev kho mob yauv nyob ib puag ncig los daws qhov teeb meem uas ua rau nws.

Kev kho mob ntshav siab tuaj yeem kho txoj hauv kev no:

• noj tshuaj, xws li beta-blockers, calcium channel blockers, alpha-beta-blockers, thiab diuretics
• noj zaub mov kom zoo rau lub plawv
• txwv ntsev
• ua lub cev nquag thiab tswj lub cev yuag
• txo kev haus dej haus cawv
• tswj kev ntxhov siab

Kev kho rau cov kab mob mitral tuaj yeem suav nrog:

• cov lus sib dhos thiab tus nqi tswj kev noj tshuaj
• tshuaj kho mob
• cov tshuaj tiv thaiv anticoagulant los tiv thaiv cov ntshav txhaws
• phais kev cuam tshuam los yog mitral valve hloov nyob rau hauv cov mob loj

Koj tus kws kho mob yuav pom zoo kom phais yog tias koj muaj mitral regurgitation nrog cov tsos mob. Lawv tseem yuav qhia koj kom muaj kev phais mob yog tias koj tsis muaj cov tsos mob tab sis muaj pov thawj ntawm sab laug ventricle kawg.

Muaj ntau txoj hauv kev tuaj yeem kho tus mob atrial fibrillation. Qee qhov ntawm no tuaj yeem suav nrog:

• cov lus sib dhos thiab tus nqi tswj kev noj tshuaj
• noj tshuaj anticoagulant los txo cov ntshav txhaws
• hluav taws xob cardioversion tus txheej txheem kom xaiv hluav taws xob lub siab thaum tshuaj kho tsis tau zoo
• Kev ua kom mob ntsws ntshav sai thaum muaj tshuaj kho tsis raug thawb los yog siv tau
• Kev ntsuas lub qes qes ua kom lub plawv dhia qeeb

Cov lus qhia txog kev tiv thaiv

Muaj ntau txoj hauv kev los txo koj txoj kev pheej hmoo ntawm kev loj hlob sab laug atrial o thiab nws cov teeb meem nyuaj.

Cov Tswv Yim

• Ua kom ntshav siab thiab ntshav siab tswj tau.
• Noj zaub mov kom zoo rau lub plawv.
• Zam txhob haus cawv thiab cov khoom lag luam luam yeeb.
• Muaj lub neej nquag.
• Sim ua kom poob ceeb thawj yog tias koj rog dhau sijhawm.
• Txo kev ntxhov siab, vim tias qhov no tuaj yeem ua rau muaj teeb meem nrog lub plawv dhia.
• Qhia rau koj tus kws kho mob paub yog tias koj muaj keeb kwm muaj mob plawv lossis mob plawv.

Qhov tshwm sim yog dab tsi?

Muaj ntau txoj hauv kev kho mob rau cov mob uas ua rau mob rau sab laug. Cov no suav cov tshuaj noj thiab kev ua neej pauv hloov mus rau kev phais mob. Nws tseem ceeb uas yuav tsum nco ntsoov tias kev kho tus mob no yuav tsum ua ke nrog kev kho tus mob uas tshwm sim.

Thaum kuaj pom tias muaj cov hlab ntsha sab laug, koj yuav muaj kev pheej hmoo ntxiv rau cov hlab plawv yog tias koj tsis ua ntsuas los tswj cov mob xws li ntshav siab thiab tsis tuaj yeem tswj tau.

Yog tias koj muaj tsev neeg muaj keeb kwm mob plawv plawv lossis mob plawv, nco ntsoov qhia rau koj tus kws kho mob paub kom lawv tuaj yeem saib xyuas koj lub plawv kev noj qab haus huv.