Mob Tuag Rov Qab Yog Dab Tsi, thiab Puas Muaj Kev Tiv Thaiv?

Zoo Siab

• Mob tuag cia li yog dab tsi?
• Leej twg yuav muaj kev pheej hmoo?
• Dab tsi ua rau nws?
• Cov tsos mob zoo li cas?
• Nws kuaj tau li cas?
• Yuav kho nws li cas?
• Puas tiv thaiv puas tau?
• Cov nqa mus

Mob tuag cia li yog dab tsi?

Tsog tuag tam sid (SDS) yog ib lub caij nyoog hais txog lub plawv rau cov kev mob plawv ua rau muaj mob plawv sai thiab muaj kev tuag.

Qee qhov syndromes no yog tshwm sim ntawm cov teeb meem hauv lub plawv. Lwm tus tuaj yeem yog qhov tshwm sim ntawm qhov tsis xwm yeem nyob hauv kab hluav taws xob. Txhua tus tuaj yeem ua rau poob nthav thiab lub plawv dhia ceev ceev, txawm tias cov neeg tsis muaj mob lwm tus. Ib txhia neeg tuag vim yog ua rau nws.

Cov neeg feem coob tsis paub tias lawv muaj tus mob txog ntua thaum lub plawv mob tuaj.

Feem ntau cov xwm txheej ntawm SDS tsis tau raug kuaj pom tsis raug cai, ob qho tib si. Thaum ib tus neeg mob SDS tag sim neej, tej zaum yuav muab tso rau hauv qhov ua rau mob plawv lossis mob plawv. Tab sis yog tias tus kws saib xyuas mob yuav siv sij hawm kom nkag siab qhov tseeb ua rau, lawv tuaj yeem tshawb pom cov cim ntawm ib qho ntawm cov syndromes ntawm SDS.

Qee qhov kev kwv yees qhia tsawg kawg ntawm cov neeg nrog SDS tsis muaj kev teeb tsa ntawm lub cev, uas yog qhov yooj yim tshaj plaws los txiav txim hauv lub cev nqaij daim tawv. Kev tsis xwm yeem hauv kab hluav taws xob yog qhov nyuaj rau kev pom.

SDS muaj ntau dua rau cov neeg hluas thiab nruab nrab. Hauv cov neeg ntawm lub hnub nyoog no, qhov tsis paub tuag yog qhov paub sai sai cov neeg laus tuag (SADS).

Nws tuaj yeem tshwm sim hauv cov menyuam mos thiab. Cov syndromes no yuav yog ib qho ntawm ntau qhov kev mob uas poob rau hauv lub cev tuag sai li sai tau mob ntsws (SIDS).

Ib qho xwm txheej, Brugada syndrome, kuj tseem tuaj yeem ua rau tsis tos kev tuag thaum tsaus ntuj lawm (SUNDS).

Vim tias SDS feem ntau yog kuaj tsis tau lossis tsis raug kuaj mob txhua yam, nws tsis paub tseeb pes tsawg tus tib neeg muaj tus mob no.

Cov kwv yees kwv yees pom tias 5 ntawm 10,000 leej neeg muaj Brugada syndrome. Lwm qhov mob ntawm SDS, ntev QT syndrome, tej zaum yuav tshwm sim hauv. Luv QT tseem haj yam muaj tsawg. Tsuas yog 70 tus mob ntawm nws tau pom nyob rau ob xyoo dhau los.

Qee zaum nws tuaj yeem paub yog tias koj muaj kev pheej hmoo. Koj kuj tuaj yeem kho kho qhov pib qhov xub thawj ntawm SDS yog tias koj yog.

Cias mus kom ze rau cov kauj ruam uas tuaj yeem coj los soj ntsuam qee cov mob uas cuam tshuam nrog SDS thiab muaj kev tiv thaiv kev mob plawv.

Leej twg yuav muaj kev pheej hmoo?

Cov neeg uas muaj SDS feem ntau pom muaj kev noj qab nyob zoo ua ntej lawv thawj qhov kev mob plawv lossis kev tuag. SDS feem ntau ua rau tsis muaj cov tsos mob tshwm sim. Txawm li cas los xij, muaj qee yam kev pheej hmoo uas ua rau ib tus neeg muaj feem yuav muaj qee qhov xwm txheej cuam tshuam nrog SDS.

Cov kws tshawb nrhiav tau pom cov noob caj noob ces yuav ua rau tus neeg muaj feem phom rau SDS. Yog tias ib tus neeg muaj SADS, piv txwv li, ntawm lawv thawj tus neeg txheeb ze (kwvtij, niam txiv, thiab menyuam) muaj feem yuav muaj tus mob sib thooj.

Tsis yog txhua tus nrog SDS muaj ib ntawm cov noob, txawm li cas los xij. Tsuas yog 15 rau 30 feem pua ​​ntawm cov mob uas paub tseeb tias muaj tus mob Brugada muaj cov gene uas cuam tshuam nrog rau cov mob ntawd.

Lwm yam kev pheej hmoo muaj xws li:

• Poj niam txiv neej. Cov txiv neej feem ntau yuav muaj SDS ntau dua li cov poj niam.
• Kwv Txhiaj. Cov tib neeg los ntawm Nyij Pooj thiab cov tebchaws Esxias yav Qab teb muaj kev pheej hmoo siab heev rau tus mob Brugada.

Ntxiv rau ntawm cov kev phom sij no, qee qhov mob yuav ua rau muaj feem cuam rau SDS, xws li:

• Muaj kev puas siab puas ntsws bipolar. Qee zaum lithium siv los kho kev puas siab puas ntsws bipolar. Cov tshuaj no tuaj yeem ua rau muaj kev mob Brugada syndrome.
• Kab mob plawv. Kab mob rau cov hlab ntsha yog feem ntau cov kab mob sib txuas nrog SDS. Kwv yees li los ntawm tus kab mob rau cov hlab ntshav ua pa tam sim. Thawj qhov cim ntawm tus kabmob yog mob plawv.
• Tshuaj qaug dab peg. Txhua txhua xyoo, kev tuag tshwm sim sai uas tsis muaj kab mob vwm (SUDEP) tshwm sim txog kev kuaj mob vwm. Cov neeg tuag feem ntau tshwm sim sai sai tom qab qaug dab peg.
• Arrhythmias. Lub arrhythmia yog lub plawv dhia tsis xwm yeem lossis cov lus sib dhos. Lub siab kuj tuaj yeem nrawm lossis nrawm dua. Nws kuj tseem yuav muaj tus qauv tsis xwm yeem. Nws tuaj yeem ua rau cov tsos mob xws li tsaus muag lossis kiv taub hau. Txoj kev tuag tam sim ntawd kuj yog ib qho tau.
• Hypertrophic cardiomyopathy. Tus mob no ua rau lub plawv ntsa. Nws tseem tuaj yeem cuam tshuam nrog cov hluav taws xob. Ob leeg tuaj yeem ua rau lub plawv dhia tsis xwm yeem lossis nrawm (lub plawv nres).

Nws tseem ceeb uas yuav tsum nco ntsoov tias txawm hais tias cov kev muaj feem yuav raug cuam tshuam no los, lawv tsis txhais tau tias koj muaj SDS. Txhua tus neeg lub hnub nyoog twg thiab lub xeev muaj kev noj qab haus huv tuaj yeem muaj SDS.

Dab tsi ua rau nws?

Nws tsis paub meej tias ua li cas rau SDS.

Kev hloov cov noob tau txuas rau ntau tus syndromes uas poob qis hauv SDS lub kaus, tab sis tsis yog txhua tus neeg nrog SDS muaj cov noob. Tej zaum muaj lwm cov noob txuas nrog SDS, tab sis lawv tseem tsis tau qhia tawm. Thiab qee qhov SDS ua rau tsis yog caj ces.

Qee cov tshuaj siv tau ua rau cov syndromes uas tuaj yeem ua rau tuag sai. Piv txwv li, QT syndrome ntev ntev tuaj yeem tshwm sim los ntawm kev siv:

• antihistamines
• decongestants
• tshuaj tua kab mob
• tshuaj kho mob
• tshuaj tiv thaiv kab mob
• tshuaj thaiv qhov ncauj

Zoo li no, qee cov neeg uas SDS yuav tsis pom cov tsos mob kom txog rau thaum lawv pib noj cov tshuaj no. Tom qab ntawv, SDA tshuaj tawm yuav tshwm sim.

Cov tsos mob zoo li cas?

Hmoov tsis zoo, thawj cov tsos mob lossis cov cim ntawm SDS tuaj yeem ua rau tuag sai thiab tsis tau npaj txhij.

Txawm li cas los xij, SDS tuaj yeem ua rau cov chij liab liab nram qab no:

• mob hauv siab, tshwj xeeb tshaj yog thaum qoj ib ce
• tsis nco qab
• ua pa nyuaj
• kiv taub hau
• lub plawv palpitations lossis fluttering lawm
• piav tsis tsaus muag, tshwj xeeb tshaj yog thaum qoj ib ce

Yog tias koj lossis koj tus menyuam ntsib cov tsos mob no, nrhiav kev kho kom sai. Tus kws kho mob tuaj yeem ua qhov kev ntsuam xyuas los txiav txim siab qhov twg yuav ua rau muaj cov tsos mob uas tsis tau xav txog.

Nws kuaj tau li cas?

SDS tsuas yog kuaj tau thaum koj mus rau hauv plawv nres sai sai. Ib qho electrocardiogram (ECG lossis EKG) tuaj yeem kuaj mob ntau yam mob syndromes uas tuaj yeem ua rau tuag sai. Qhov kev ntsuas no sau cov hluav taws xob ua haujlwm hauv koj lub siab.

Cov kws kho mob tshwj xeeb muaj peev xwm saib ECG cov txiaj ntsig thiab txheeb xyuas cov teeb meem uas yuav tshwm sim, xws li QT syndrome ntev, QT syndrome luv, mob tsis xwm yeem, mob plawv, thiab lwm yam.

Yog tias ECG tsis paub meej lossis tus kws kho plawv xav tau kev pom zoo ntxiv, lawv kuj tuaj yeem thov daim tawv nqaij echocardiogram. Qhov no yog qhov ntsuas duab hluav taws xob hauv lub plawv. Nrog rau qhov kev sim no, tus kws kho mob tuaj yeem pom koj lub plawv dhia hauv lub sijhawm. Qhov no yuav pab lawv tshawb pom qhov txawv txav ntawm lub cev.

Txhua tus neeg uas muaj tus mob muaj feem nrog SDS yuav tau txais ib qho ntawm cov sim no. Zoo tib yam nkaus, cov neeg uas muaj mob lossis tsev neeg muaj keeb kwm uas pom zoo rau SDS yog qhov muaj peev xwm xav tau ib qho ntawm cov kev ntsuas no.

Txheeb xyuas qhov kev pheej hmoo thaum ntxov yuav tuaj yeem pab koj kawm txog kev tiv thaiv kev ua kom tiav lub plawv nres.

Yuav kho nws li cas?

Yog tias koj lub plawv nres los ntawm SDS, cov neeg teb tuaj yeem ceev tuaj yeem kho koj dua nrog kev ntsuas cawm neeg txoj sia. Cov no suav nrog CPR thiab kev tiv thaiv tus mob.

Tom qab rov ua dua haujlwm, tus kws kho mob tuaj yeem ua qhov phais mob tso rau hauv qhov chaw phais mob cardioverter defibrillator (ICD) yog tias tsim nyog. Cov cuab yeej no tuaj yeem xa cov hluav taws xob mus rau hauv koj lub siab yog tias nws nres dua yav tom ntej.

Tej zaum koj tseem yuav kiv taub hau thiab dhau ntawm qhov tshwm sim, tab sis lub tshuab cog lus tuaj yeem tuaj yeem rov ua koj lub siab.

Tamsis no nws tsis muaj txoj kev khomob rau feem ntau ntawm SDS. Yog tias koj tau txais kev kuaj mob nrog ib ntawm cov kab mob no, koj tuaj yeem ua cov txheej txheem los pab tiv thaiv kev ua kom neeg tuag taus. Qhov no suav nrog kev siv ICD.

Txawm li cas los xij, cov kws kho mob yuag txog kev siv tshuaj rau SDS hauv ib tus neeg uas tsis pom muaj mob dab tsi.

Puas tiv thaiv puas tau?

Kev paub thaum ntxov yog ib theem tseem ceeb rau kev tiv thaiv tus mob ua rau neeg tuag taus.

Yog tias koj muaj keeb kwm tsev neeg SDS, tus kws kho mob tuaj yeem txiav txim siab yog tias koj tseem muaj tus mob uas tuaj yeem ua rau kev tuag ploj mus uas tsis tau npaj cia. Yog koj ua, koj muaj peev xwm nqis tes tiv thaiv kev tuag sai sai. Cov no suav nrog:

• zam kev noj tshuaj uas ua rau muaj kev mob tshwm sim, xws li tshuaj tiv thaiv kab mob siab thiab tshuaj thaiv sodium
• kho mob kub ceev sai
• tawm dag zog nrog kev ceev faj
• xyaum kev ntsuas lub plawv kom zoo, suav nrog kev noj zaub mov zoo
• Tswj kev tshuaj xyuas kom tsis tu ncua nrog koj tus kws kho mob lossis tus kws kho mob tshwj xeeb

Cov nqa mus

Txawm tias SDS feem ntau tsis muaj kev kho tau, koj tuaj yeem ua los tiv thaiv kev tuag sai sai yog tias koj tau txais kev kuaj mob ua ntej muaj kev tuag.

Txais kev kuaj mob tuaj yeem hloov kho lub neej thiab ua rau muaj kev sib txawv. Ntxiv nrog rau kev ua haujlwm nrog koj tus kws kho mob, koj yuav tsum tham nrog tus kws paub txog mob hlwb txog qhov mob thiab koj lub hlwb. Lawv tuaj yeem pab koj ua cov xov xwm thiab cuam tshuam nrog kev hloov pauv ntawm koj li kev noj qab haus huv.