11 Cov tsos mob tseem ceeb ntawm tus mob plawv dhia tsis xwm yeem

Zoo Siab

• Leej twg ntxim nyiam tshaj plaws txog lub cev tsis raws siab xav
• Yuav kuaj li cas
• Kev ntsuam xyuas los kuaj mob arrhythmia
• Yuav kho tus mob li cas
• Yuav tiv thaiv tus mob plawv li cas

Cov tsos mob ntawm tus mob plawv dhia tsis xwm yeem suav nrog lub siab lub plawv dhia lossis dhia thiab tuaj yeem tshwm sim rau cov neeg muaj lub plawv lossis cov neeg uas muaj mob plawv, xws li ntshav siab lossis lub plawv tsis ua haujlwm.

Arrhythmia tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis nws muaj ntau dua rau cov neeg laus thiab feem ntau, nws tau txheeb xyuas hauv kev sim niaj zaus thiab tsis yog tsos mob. Txawm li cas los xij, hauv qee kis, cov tsos mob ntawm palpitation tuaj yeem nrog qhov kev xav ua kom tsis muaj zog, kiv taub hau, mob siab, ua tsis taus pa, mob hauv siab, pallor lossis tawm hws txias, piv txwv li, taw qhia cov teeb meem mob plawv hnyav dua.

Thaum koj muaj cov tsos mob uas ua rau koj xav tias tsis tuaj yeem ua haujlwm, nws tseem ceeb uas yuav tsum tau nrhiav kev pab kho mob tam sim ntawd lossis mus rau chav kho mob maj nrawm ze tshaj plaws. Ntxiv rau, nws yog ib qho tseem ceeb kom sab laj txog tus kws kho plawv txhawm rau kev taug qab thiab kev kho kom haum, tiv thaiv kev nyuaj.

Cov tsos mob tseem ceeb uas yuav qhia tau tus mob plawv dhia tsis ua hauj lwm yog:

1. Lub plawv palpitation;
2. Lub plawv sib tw lossis qeeb;
3. Kev mob hauv siab;
4. Ua tsis taus pa;
5. Hnov cov leeg hauv lub caj pas;
6. Nkees nkees;
7. Txoj kev xav ntawm tsis muaj zog;
8. Kiv taub hau lossis tsaus muag;
9. Nqa;
10. Ntxhov Siab;
11. Ua fws hws.

Yog tias koj muaj cov tsos mob no, koj yuav tsum nrhiav kev pab kho mob sai li sai tau lossis chav kho mob ze tshaj plaws

Kuaj rau lwm cov paib uas tuaj yeem qhia txog teeb meem plawv.

Leej twg ntxim nyiam tshaj plaws txog lub cev tsis raws siab xav

Piv txwv, mob plawv tuaj yeem tshwm sim yam tsis muaj laj thawj lossis dhau los ntawm txheej txheem kev laus lub cev. Txawm li cas los xij, qee yam tseem ceeb tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob plawv dhia tsis xwm yeem thiab suav nrog:

• Kab mob xws li atherosclerosis, infarction lossis lub plawv tsis ua haujlwm;
• Tau muaj kev phais mob plawv yav dhau los;
• Kev kub siab;
• Cov kab mob yug ntawm lub siab;
• Cov teeb meem cov thyroid, xws li hyperthyroidism;
• Mob ntshav qab zib, tshwj xeeb tshaj yog thaum nws tsis tswj xyuas, muaj ntshav qab zib cov ntshav ib txwm nyob;
• Pw tsaug zog apnea;
• Tshuaj lom neeg tsis txaus ntseeg nyob rau hauv cov ntshav xws li hloov pauv hauv cov concentration ntawm cov poov tshuaj, sodium, magnesium thiab calcium;
• Siv cov tshuaj xws li digitalis lossis salbutamol lossis tshuaj kho mob npaws uas muaj phenylephrine, piv txwv;
• Kab mob Chagas;
• Kev Mob Hlav;
• Haus luam yeeb;
• Ntau dhau kev noj fes ntawm kas fes.

Ntxiv rau, kev haus cawv ntau dhau los yog siv tshuaj yeeb ntawm kev tsim txom, xws li cocaine lossis amphetamines, tuaj yeem hloov lub plawv dhia thiab nce kev pheej hmoo ntawm lub plawv dhia tsis xwm yeem.

Yuav kuaj li cas

Kev kuaj mob ntawm lub plawv dhia tsis ua haujlwm yog tsim los ntawm tus kws kho plawv kho mob txog keeb kwm kev mob nkeeg thiab cov tsos mob, nrog rau kev siv tshuaj los yog tshuaj ntawm kev tsim txom.

Kev ntsuam xyuas los kuaj mob arrhythmia

Ntxiv nrog rau kev tshuaj ntsuam xyuas mob, qee qhov kev sim tshuaj kuaj mob uas yog qhov tseem ceeb kom paub meej tias kev kuaj mob thiab txheeb xyuas qhov ua rau cov tsis tuaj yeem mob yuav raug yuam:

• Electrocardiogram;
• Kuaj ntshav xws li suav cov ntshav, ntshav seb magnesium, calcium, sodium thiab potassium;
• Kev soj ntsuam cov ntshav troponin ntau ntau txhawm rau txheeb xyuas cov mob plawv;
• Kev kuaj mob thyroid;
• Kev sim tshuaj;
• 24-teev daim ntaub thaiv.

Lwm yam kev xeem uas tuaj yeem hais yog echocardiography, piv txwv li mob hlab plawv lossis hluav taws xob nuclear scintigraphy, piv txwv.

Yuav kho tus mob li cas

Kev kho mob ntawm arrhythmia yuav nyob ntawm cov tsos mob, qhov mob hnyav thiab qhov kev pheej hmoo ntawm cov teeb meem ntawm lub tsis xws luag. Feem ntau, ua rau muaj mob me me, kev kho yuav suav nrog kev taw qhia yooj yim, hloov kev ua neej, kev kho mob ib hlis ib zaug, lossis tsum tsis kho cov tshuaj uas ua rau lub cev tsis tuaj yeem.

Piv txwv ntau dua qhov mob plawv dhia tsis xwm yeem, kev kho mob tuaj yeem ua nrog cov tshuaj kho mob los ntawm kws kho mob lossis phais mob, piv txwv. Saib cov ncauj lus kom ntxaws ntxiv ntawm kev kho mob plawv dhia tsis meej.

Yuav tiv thaiv tus mob plawv li cas

Tej yam hauv lub neej hloov pauv tuaj yeem pab tiv thaiv kev txhim kho tus mob plawv dhia xws li:

• Ua kom muaj kev noj qab haus huv thiab muaj txiaj ntsig;
• Tawm kev tawm dag zog lub cev;
• Poob ceeb thawj thaum rog lossis rog dhau;
• Zam kev haus luam yeeb;
• Txo kev haus cawv ntau ntxiv;
• Tsis txhob siv cov tshuaj uas muaj cov tshuaj txhawb plawv, xws li phenylephrine.

Ntxiv rau, nws yog ib qho tseem ceeb kom tsis txhob muaj cov xwm txheej uas tuaj yeem ua rau ntxhov siab thiab ntxhov siab, txhawm rau tiv thaiv kev pheej hmoo ntawm lub plawv dhia tsis xwm yeem lossis lwm yam teeb meem hauv lub plawv. Pom cov lus qhia yuav ua li cas txo kev ntxhov siab.

Ntawm peb podcast, Dr. Ricardo Alckmin qhia meej txog cov kev tsis ntseeg txog lub plawv dhia tsis meej: