Lub plawv dhia tsis xwm yeem tuaj yeem tshwm sim los ntawm ntau yam. Tus mob no hu ua arrhythmia thiab qee zaum tsis ua rau tus neeg muaj teeb meem. Tab sis feem ntau nws cuam tshuam nrog cov kab mob hnyav dua thiab yuav tsum tau kho tshwj xeeb. Qhov txaus ntshai ntawm qhov no yog tias qee tus neeg mob tsis mus ntsib kws kho mob nrog cov tsos mob xws li kev ua txhaum ntawm qhov zaus thiab cov kab mob plawv. Thiab thaum qhov kev xav tsis zoo tshwm sim, lawv sim tshem tawm lawv nrog kev pab ntawm cov tshuaj uas tus kws muag tshuaj lossis cov neeg paub qhia lawv. Tab sis txoj hauv kev no tuaj yeem ua rau muaj teeb meem loj. Nrog rau qhov teeb meem no, nws yog ib qho tsim nyog yuav tau noj tshuaj tshwj xeeb rau kev mob plawv arrhythmias. Cov npe ntawm lawv yog qhov loj heev, yog li koj tsis tuaj yeem xaiv ntawm koj tus kheej. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab seb yuav siv tshuaj twg hauv txhua kis.
Dab tsi yog arrhythmia
Tus mob no tuaj yeem tshwm sim los ntawm ob qho kev cuam tshuam loj hauv kev ua haujlwm ntawm cov hlab plawv lossis endocrine system, thiab ua rau sab nraud. Feem ntau, arrhythmia tshwm sim vim kev ntxhov siab, kev ua haujlwm dhau los, lossis tsis tsim nyogkhoom noj khoom haus. Cov tsos mob dab tsi uas tus neeg mob tau ntsib nrog lub plawv dhia tsis zoo?
- Random heartbeat uas dheev pib thiab xaus. Lub sijhawm nruab nrab ntawm cov neeg ntaus tuaj yeem tsis sib xws. Tus mob no hu ua atrial fibrillation.
- Lub sijhawm nruab nrab ntawm lub plawv dhia ntawm lub sijhawm sib txawv lossis kev sib tw tshwj xeeb yog pom nrog extrasystole.
- Yog qhov teeb meem nyob rau hauv qhov tsis muaj zog ntawm qhov sinus node, tus neeg mob yuav kiv taub hau, tsis muaj zog, thiab lub plawv dhia tsis tu ncua thiab tsis sib xws.
Dab tsi yog tshuaj rau arrhythmia
Tib neeg lub siab yog qhov nyuaj, thiab tsuas yog nrog kev sib koom ua haujlwm ntawm txhua qhov chaw ntawm lub tshuab no, tus neeg xav zoo. Ib qho arrhythmia tuaj yeem tshwm sim nrog vasoconstriction, txawv txav ntawm lub ventricles lossis atria, tsis muaj zog ntawm daim nyias nyias, lossis rau lwm yam laj thawj. Yog li ntawd, tsis muaj ib qho loj-haum-tag nrho kev kho mob rau tus kab mob no. Thiab tsuas yog tus kws kho mob tuaj yeem txiav txim siab seb cov tshuaj twg rau arrhythmia tus neeg mob xav tau. Lawv qhov ntsuas yog nyob ntawm qhov cuam tshuam:
- Cov pab pawg loj tshaj plaws yog cov tshuaj tiv thaiv kab mob. Lawv siv rau arrhythmias cuam tshuam nrog kev ua haujlwm tsis zoo ntawm atria thiab ventricles. Cov txhais tau tias tseem tuaj yeem cuam tshuam qhov ceev ntawm impulse conduction. Cov no yog cov tshuaj ntau tshaj plaws rau kev mob plawv arrhythmias. Lawv cov npe loj heev: piv txwv li, Ritmilen, Novocainamide, Quinidine, Bonnecor thiab lwm yam.
- Adrenergic blockers kuj tau siv ntau zaus. Lawv tswj lub plawvcov leeg thiab txhawb cov ntaub so ntswg nrog oxygen. Cov no yog Anaprilin, Atenolol thiab lwm yam.
- Calcium channel blockers, xws li Verapramil, kuj pab nrog arrhythmias.
Tshuaj cuam tshuam rau daim nyias nyias ntawm lub siab
Cov tshuaj no yog siv rau lub plawv thiab atrial arrhythmia los yog ua txhaum ntawm qhov ceev ntawm lub impulse. Qhov no yog ib pawg ntawm cov tshuaj uas nws kim heev, lawv tau sau ntau zaus. Tab sis koj tuaj yeem coj lawv tsuas yog raws li kev pom zoo ntawm tus kws kho mob tom qab kev kuaj mob. Tom qab tag nrho, yog tias tus neeg mob lub arrhythmia yog tshwm sim los ntawm lwm yam laj thawj, cov tshuaj no tuaj yeem ua mob rau nws. Tsis tas li ntawd, nyob rau hauv cov chav kawm ntawm cov tshuaj no, ntau pab pawg kuj txawv nyob ntawm seb qhov tshwm sim:
- Tshuaj uas tsis cuam tshuam rau lub plawv dhia: "Lidocaine", "Tocainide", "Phenytoin" thiab lwm yam. Piv txwv li, Meksiletin yog siv rau extrasystole. Ntxiv mus, nws muaj txiaj ntsig tsis yog rau kev kho mob nkaus xwb, tab sis kuj tiv thaiv.
- Tshuaj uas tsuas yog qeeb me ntsis ntawm lub zog: Novocainamide, Aymalin, Norpace thiab lwm yam. Nrog tachycardia, fibrillation thiab atrial flutter, Quinidine feem ntau yog tshuaj. Thiab txhawm rau kho cov kev sib dhos nrog extrasystoles thiab kev tawm tsam ntawm arrhythmia, Ritmilen tau sau tseg. Cov tshuaj no kuj siv tau los tiv thaiv.
- Cov tshuaj no feem ntau yog siv hauv tsev kho mob hauv cov hlab ntsha. Lawv maj mam txo qhov conduction ntawm impulse, yog li ntawd, yog siv tsis raugtej zaum yuav txaus ntshai. Cov no yog cov tshuaj xws li Flecainide, Ritmonorm, Bonnecor, Allapinin.
Beta blockers
Ntxiv rau kev tswj lub plawv dhia, lawv txo cov ntshav siab thiab txhim kho cov pa oxygen rau cov ntaub so ntswg. Cov kws kho mob feem ntau sau cov tshuaj no rau lub plawv arrhythmias. Lawv daim ntawv teev npe tsis loj heev, tab sis lawv xav tau hauv khw muag tshuaj. Tom qab tag nrho, ntau ntawm lawv yuav tsum tau noj rau lub sijhawm ntev los txhawb kev ua haujlwm ntawm atria thiab ventricles, nrog rau atrial fibrillation thiab tachycardia. Feem ntau, Atenolol, Betalok, Acebutalol, Vasocardin, Anaprilin, Pindolol thiab lwm yam yog muab.
Calcium channel blockers
Qee zaum, qhov ntau dhau ntawm cov ntxhia no rau ntawm phab ntsa ntawm cov hlab ntsha ntawm lub plawv thiab hauv nws cov leeg ua rau lub suab tsis ua haujlwm. Yog li ntawd, cov tshuaj kuj feem ntau siv los thaiv nws cov kev tso tawm thiab nkag mus rau hauv hlwb. Lawv ua rau qeeb qeeb ntawm cov neeg ntaus thiab tswj kev ua haujlwm ntawm lub plawv cov leeg. Cov tshuaj no yog siv rau extrasystole, tachycardia, atrial flutter. Cov nto moo tshaj plaws ntawm lawv yog Verapramil, Diltiazem thiab lawv cov analogues.
Yuav siv tshuaj dab tsi
Muaj lwm yam tshuaj rau mob plawv arrhythmias. Qhov zoo tshaj plaws ntawm lawv yog kws kho mob tau sau tseg thiab feem ntau tsuas yog siv hauv tsev kho mob xwb. Cov no yog Ibutilide, Kordaron, Sotalol, uas thaiv kev tso cov poov tshuaj los ntawm cov hlwb. Tom qab tag nrho, nws feem ntau yog vim tsis muaj cov ntxhia no ua rau kev ua haujlwm ntawm lub siab cuam tshuam.
Yuav ua li cas lwm yam tshuaj siv rau arrhythmias:
- mob plawv glycosides, xws li Digoxin;
- ATF;
- cov khoom uas muaj magnesium lossis potassium: Magne B6, Panangin;
- "Captopril";
- statins.
Yog tias qhov hloov pauv hauv lub plawv tsis tshua muaj thiab tsuas yog tom qab ntxhov siab lossis lub cev kev ntxhov siab, koj tuaj yeem noj tshuaj ntsuab zoo. Nws tso cai rau haus Valocordin, Glycine, Novopassit, Motherwort, Valerian, Persen rau qee lub sijhawm ntawm koj tus kheej.
Tshuaj rau atrial fibrillation
Cov npe tshuaj no feem ntau paub tsuas yog cov kws kho mob xwb. Tom qab tag nrho, tus mob no yog heev txaus ntshai thiab hnyav hem lub neej ntawm tus neeg mob. Yog li ntawd, nws yog qhov tsim nyog rau kev kho tus kheej. Tus kws kho mob sau cov tshuaj kom raug tsuas yog tom qab kuaj xyuas thiab txiav txim siab txog qhov ua rau muaj tus kab mob. Feem ntau, kev kho mob yog complex, nrog rau ntau yam tshuaj rau lub plawv arrhythmias. Lawv cov npe yog qhov dav, tab sis tsuas yog ib tus kws tshaj lij tuaj yeem xaiv txoj cai. Feem ntau, Verapramil, Digoxin thiab Veroshpiron raug tshuaj. Siv rau atrial fibrillation thiab cov tshuaj xws li:
- blockers: Vasocardin, Metoprolol, Acebutalol;
- membrane stabilizing tus neeg sawv cev: Novocainamide, Aymalin;
- sodium channel blockers, xws li Allapinin.
Tshuaj rau arrhythmia: cov lus qhia rau kev siv
Feem ntau, qhov ntau npaum li cas thiab lub sijhawm ntawm kev kho mob yog muab los ntawm tus kws kho mob. Feem ntau koj yuav tsum tau haus cov ntsiav tshuaj 2-3 zaug hauv ib hnubhauv 1-3 lub hlis. Tom qab ntawd muaj kev so, tom qab ntawd koj tuaj yeem kho ntxiv. Qhov tseem ceeb tshaj plaws yog tsis txhob hla kev noj tshuaj thiab haus cov tshuaj tib lub sijhawm. Nws yuav tsum nco ntsoov tias cov tshuaj loj no yuav tsum tsis txhob pib tsuas yog siv me me xwb, tab sis tseem ceeb heev kom tshem tawm cov kev kho mob maj mam.
Contraindications thiab phiv ntawm cov tshuaj no
Nws yog ib qho tsim nyog yuav tsum ua tib zoo kawm cov lus qhia rau nws ua ntej siv cov tshuaj, txawm tias tus kws kho mob tau sau tseg. Feem ntau, tag nrho cov tshuaj hauv plawv muaj tib yam kev mob tshwm sim:
- xeev siab, mob plab;
- qaug zog, kiv taub hau, tshee tes;
- insomnia;
- bradycardia;
- kev nyuaj siab;
- tawv nqaij ua xua.
Tab sis qee pawg tshuaj yuav ua haujlwm txawv. Piv txwv li, blockers yog contraindicated nyob rau hauv cov neeg mob uas muaj bronchial hawb pob, raws li lawv nqaim lub bronchi.
Cov tshuaj tiv thaiv kab mob feem ntau tsis raug sau rau:
- myocardial infarction;
- exacerbation of bronchial hawb pob;
- siab siab;
- mob raum lossis siab tsis ua haujlwm;
- qhia bradycardia;
- acidosis;
- -cardiosclerosis.
Txoj cai xaiv tshuaj rau arrhythmias
Qhov tseem ceeb uas yuav tsum tau saib xyuas yog tias cov tshuaj no yuav tsum tsis txhob noj yam tsis tau sab laj nrog kws kho mob. Txawm tias zoo li tsis muaj teeb meem tshuaj ntsuab tuaj yeem muaj kev phiv loj heev. Tab sis cov neeg mob tseem xav taupaub xaiv cov tshuaj rau lub plawv arrhythmia. Tom qab tag nrho, tag nrho cov tshuaj muaj nyob rau hauv ntau yam: tee, ntsiav tshuaj, tsiav tshuaj los yog txhaj tshuaj. Ntawm koj tus kheej hauv tsev, nws yog qhov zoo tshaj plaws los noj tshuaj, thiab yog tias muaj teeb meem nrog lub plab, ces tshuaj ntsiav. Tus neeg mob tuaj yeem xaiv ib qho ntawm cov analogues uas muaj tib yam khoom siv. Feem ntau koj tuaj yeem pom cov tshuaj pheej yig dua nrog cov txiaj ntsig zoo sib xws. Piv txwv li, es tsis txhob "Panangin" - "Asparkam". Tab sis thaum muaj mob hnyav, nws yog qhov zoo dua mus ntsib kws kho mob.
Arrhythmia tshuaj xyuas
Feem ntau, cov neeg mob tsis muaj kev phiv tshuaj thaum noj cov tshuaj. Yog tias tag nrho cov lus pom zoo ntawm tus kws kho mob tau ua raws thiab qhov ua rau arrhythmia raug tshem tawm, tus kab mob tuaj yeem kho tau tag nrho. Tab sis thaum muaj hnub nyoog laus, qee zaum koj yuav tsum noj tshuaj tas li. Thiab cov neeg mob yws tias lawv tsis nco qab txog nws los ntawm kev hla tshuaj. Thiab ntau cov tshuaj hauv lub plawv, thaum txiav tawm sai sai, ua rau muaj kev cuam tshuam tsis zoo. Feem ntau, kev tshuaj xyuas zoo tshaj plaws rau cov tshuaj no rau arrhythmia: "Veroshpiron", "Panangin", "Anaprilin", "Ritmonorm" thiab lwm yam.
