Arrhythmia yog qhov ua txhaum ntawm qhov zaus thiab lub plawv dhia. Vim li no, cov kab mob thiab ntau yam kab mob nyob rau hauv lub autonomic, endocrine, electrolyte thiab lwm yam qauv ntawm lub cev tuaj yeem tsim. Feem ntau muaj cov kab mob metabolic uas tshwm sim los ntawm arrhythmia ntawm lub plawv. Kev kho mob yuav tsum ceev thiab ua tau zoo li sai tau. Tus kab mob no yog tus cwj pwm los ntawm qhov tseeb hais tias lub atherosclerosis ntawm contraction ntawm lub plawv cov leeg hloov. Feem ntau, cov mem tes yuav tsum nyob nruab nrab ntawm 60 thiab 90 neeg ntaus ib feeb. Lub plawv tuaj yeem qeeb lossis nrawm. Qhov no yog qhov yuav hu ua arrhythmia.
Kev tshwm sim
Nws tseem ceeb heev kom nkag siab tias yog vim li cas lub plawv arrhythmia tshwm sim. Kev poob siab lossis teeb meem anatomical tuaj yeem ua rau nws. Feem ntau, teeb meem nrog cov qauv ntawm lub cev yog cov tsos mob ntawm tus kab mob.
Yog tias peb xav txog cov kab mob uas ua rau lub plawv arrhythmia, kev kho mob uas peb yuav xav txog ntxiv, ces cov hauv qab no yuav tsum tau sau tseg:
- Kev cuam tshuam kev phais, lwm yam,myocarditis, nrog rau kab mob plawv, feem ntau harbiners ntawm tus kab mob.
- Yog tias peb xav txog qhov ua rau muaj kev cuam tshuam rau kev ua haujlwm ntawm lub plawv, nws yuav tsum raug sau tseg tias kev nyuaj siab thiab kev ntxhov siab, kev ua haujlwm ntawm lub cev ntau, teeb meem metabolic, lwm yam, kub siab, teeb meem nrog cov thyroid caj pas, kab mob fungal, menopause, "cov teeb meem" nrog lub hlwb, nrog rau kev siv cawv ntau dhau, caffeine, tshuaj thiab lwm yam.
Muaj idiopathic arrhythmia uas qhov ua rau tsis tuaj yeem txiav txim tau.
Kev faib kab mob
Muaj ntau hom mob plawv arrhythmias (tseem muaj ntau hom kev kho mob) nyob ntawm qhov zaus ntawm lub plawv.
Muaj sinus arrhythmia, bradycardia thiab tachycardia.
Thawj yog ib qho xwm txheej uas lub plawv contractions muaj qhov txawv txav. Hom no tshwm sim hauv cov menyuam yaus thiab cov tub ntxhais hluas. Tej zaum yuav cuam tshuam nrog kev ua pa. Piv txwv li, thaum nqus tau, lub plawv pib nrawm dua, thaum exhaling - qeeb.
Sinus-type tachycardia yog ib yam mob uas tus neeg lub plawv dhia ntau tshaj 190 neeg ntaus ib feeb.
Hauv bradycardia, lub plawv dhia qis qis dua 55 ntaus. Qee zaum qhov no tshwm sim nyob rau hauv qhov kev txiav txim ntawm tus qauv hauv cov neeg uas ua si kis las thaum lub sijhawm so.
Tseem tseem muaj paroxysmal atrial fibrillation (kev kho mob ntawm cov kab mob no nyuaj) thiab tachycardia. Raws li yav tas los, ntawm no peb tab tom tham txog kev ua haujlwm ceev heev ntawm lub siab. NtawmCov mem tes no yuav ncav cuag 140 mus rau 240 neeg ntaus ib feeb. Cov kab mob no tshwm sim spontaneously thiab tseem ploj mus sai sai.
Raws li rau atrial fibrillation, cov tsos mob thiab kev kho mob ntawm tus kab mob no nyuaj heev. Ntawm no peb tab tom tham txog qhov txaus ntshai tshwm sim. Ib tug neeg yuav muaj pallor, tawm hws, tsis muaj zog, thiab fainting. Nyob rau hauv cov ntaub ntawv no, lub mem tes nce mus txog 240 thaum muaj kev tawm tsam, vim li cas, raws li txoj cai, yog impulses nyob rau hauv lub atria, uas yog superfluous. Qhov no ua rau lub plawv cov leeg ua haujlwm nrawm heev.
Extrasystole yog tus neeg lub plawv cov leeg mob ua ntej ntxov. Ib tug neeg tuaj yeem hnov nws manifestation raws li ib tug fading, los yog ib tug intensified thawb. Nws nyob ntawm hom arrhythmia saum toj no uas tus kws kho mob xaiv kev kho mob.
Symptomatics
Thaum tus neeg muaj arrhythmia, cov tsos mob thiab kev kho mob yuav txawv. Qhov no yog vim lub fact tias ib qho teeb meem nrog lub atherosclerosis ntawm lub plawv yuav cuam tshuam rau lub paj hlwb, intracardiac thiab lub raum. Cov cim tseem ceeb ntawm arrhythmia yuav tsum raug hu ua kev xav ntawm palpitations lossis cov tsos ntawm kev cuam tshuam hauv kev ua haujlwm ntawm lub plawv, thiab fading kuj tshwm sim. Qee zaum muaj kiv taub hau, qaug zog, qaug zog, ua tsis taus pa, thiab lwm yam.
Nyob ntawm daim ntawv ntawm lub plawv arrhythmia (qhov ua rau thiab kev kho mob txawv), cov tsos mob kuj txawv. Yog hais tias ib tug neeg xav tias lub plawv dhia tsis tu ncua, ces nws muaj atrial fibrillation. Yog tias muaj qhov tsis xis nyob, thiab fading kuj hnov, ces peb tab tom tham txog sinus arrhythmia. Yog hais txogextrasystole, tus neeg mob yuav yws yws tias nws hnov mob hauv plawv lossis fading.
Yog ib tug neeg hnov lub plawv dhia, ces nws muaj sinus tachycardia. Yog tias peb tab tom tham txog paroxysmal tachycardia, ces, raws li txoj cai, muaj cov tsos mob me me. Tsuas muaj qhov nce siab ntawm lub plawv dhia: los ntawm 140 mus rau 220 neeg ntaus ib feeb.
Yog ib tug neeg muaj qaug zog thiab kiv taub hau, ces peb tuaj yeem tham txog sinus bradycardia. Qee lub sij hawm kuj muaj "tsis ntsiag to" arrhythmias (lawv ua rau thiab kev kho mob nyuaj), uas tsis muaj tsos mob. Raws li txoj cai, cov teeb meem no raug kuaj pom los ntawm lub sijhawm ntawm electrocardiography lossis thaum kuaj.
Diagnosis
Yog tias muaj laj thawj xav tias ib tus neeg muaj arrhythmia, tus kws kho mob yuav xaj kom kuaj lub plawv. Qhov no yuav tso cai rau koj kom paub tsis tsuas yog hom kab mob xwb, tab sis kuj tseem ua rau nws.
Cov hau kev tseem ceeb yog mloog thaj tsam ntawm lub plawv, nrog rau electrocardiography. Yog hais tias pathology tsis tas mus li, ces kev saib xyuas tshwj xeeb yog nqa tawm. Nws tau ua hauv tsev kho mob. Ua li no, ib ncig ntawm lub moos kho cov txheej txheem ntawm lub plawv dhia. Siv cov sensors tshwj xeeb.
Qee zaus kev tshawb fawb tsis txaus, yog li tus kws kho mob tuaj yeem ua rau qhov tshwm sim ntawm arrhythmia los ntawm kev dag ntxias. Rau qhov no, kev ntsuam xyuas tau ua tiav: cov no yog kev tawm dag zog lub cev, kev sim nrog lub rooj inclined, nrog rau kev kawm electrophysiological. Nyob ntawm cov txiaj ntsig ntawm kev kuaj mob tau txais, ib txoj hauv kev kho atrial fibrillation lossis pathology ntawm lwm daim ntawv raug nthuav tawm.
Kev kho mob
Yog tias kuaj pom arrhythmia thaum lub sijhawm kuaj mob, nws yog qhov tsim nyog los txiav txim siab cov tsos mob, hom thiab ua rau ua ntej muab tshuaj kho. Txhawm rau rov ua haujlwm lub plawv zoo li qub, qee zaum yuav tsum tau hloov kho. Qhov no yuav tshem tawm cov kab mob uas ua rau arrhythmia. Hauv lwm qhov xwm txheej, kev kho tshuaj lossis kev phais mob yog tsim nyog, uas tau muab tshuaj tom qab electrocardiogram. Atrial fibrillation tuaj yeem kho tau ob txoj hauv kev.
Thaum siv tshuaj kho mob, siv ntau hom blockers. Yog tias peb tab tom tham txog kev cuam tshuam kev phais, ces nws yog qhov tsim nyog nyob rau theem ntawm kev ua haujlwm ntawm lub plawv degradation. Hauv qhov no, ob peb txheej txheem raug muab.
tuaj yeem ua tau catheter ablation, ua pacing, kuj ntxig cov cog. Txhawm rau kho arrhythmia, koj yuav tsum hu rau tus kws kho plawv. Nws tsis pom zoo kom siv cov tshuaj ntawm koj tus kheej, vim nws nyuaj heev los txheeb xyuas hauv tsev seb hom arrhythmia tus neeg muaj, tshwj xeeb tshaj yog thaum nws los kho flickering arrhythmia ntawm lub plawv. Hauv cov theem me me, koj tuaj yeem kho tau raws li kev saib xyuas ntawm tus kws kho mob, mus ntsib nws ob peb zaug hauv ib lub lis piam. Yog tias peb tab tom tham txog qhov xwm txheej hnyav, tom qab ntawd nws txoj kev kho mob yuav tshwm sim hauv tsev kho mob. Tus kws kho mob xaiv txoj kev kho raws li kev kuaj mob. Rau kev kho mob plawv arrhythmia, ntsiav tshuaj tau sau ua ntej.
Kho nrog cov txheej txheem ib txwm
Raws li txoj cai, txhawm rau tshem tawm arrhythmia los ntawm cov txheej txheem ib txwm siv, siv lub tshuab pacemaker tshwj xeeb. Nws yuav tsum tau ntsia tsuas yog tias ib tug neeg muaj sinus arrhythmia los yog lwm yam uas lub mem tes poob mus rau 40 neeg ntaus los yog tsawg dua. Yog tias tsis muaj kev kho mob tshwj xeeb ntawm bradycardia, kev kho mob dav dav yog tsim nyog. Tsis tas yuav phais mob ceev ntawm no.
Qee zaum, nrog atrial fibrillation, cov tsos mob tuaj yeem ua rau paroxysmal, qee zaum mus tas li. Nws tag nrho yog nyob ntawm seb qhov kev sib dhos puas tawg. Tam sim no tsis tshua muaj kev tawm tsam yog yooj yim heev kom nres. Yuav kom tshem tau cov kab mob mus tas li, koj yuav tsum mus ntsib kws kho mob, vim qhov no tuaj yeem ua rau mob stroke. Txhawm rau tiv thaiv kev tawm tsam, siv "Quinidine" lossis "Novocainamide". Nyob rau hauv xyoo tas los no, ntau cov tshuaj nthuav tawm tau tsim los uas tso cai rau koj kom tsis txhob qaug dab peg thiab ua rau tus neeg mob. Nyob rau tib lub sijhawm, tus neeg yuav tsum tau txais kev pab hauv thawj 48 teev, txwv tsis pub cov ntshav txhaws thiab lwm yam teeb meem tshwm sim. Txoj kev yooj yim tshaj plaws ntawm kev kho mob plawv arrhythmia yuav tsum yog nyob rau hauv txhua tus neeg cov khoom pab thawj zaug.
Kev hem lub neej yog kev mob plab tachycardia. Nrog rau nws, koj yuav tsum tau mus ntsib kws kho mob sai sai, vim tias qhov chaw kho mob tuaj yeem tuag. Hauv qhov no, tsuas yog cov tshuaj tshwj xeeb yuav pab tau. Nws yog ib qho tsim nyog yuav tsum muab tus neeg mob tso rau ntawm qhov chaw tawv, thiab yog tias ntuav, ces tig nws lub taub hau mus rau sab. Tom ntej no, koj yuav tsum xyuas seb nws puas ua pa, thiab yog tias tsis yog, tom qab ntawd pib ua pa ua pa. Ua ntej lub tsheb thauj neeg mob tuaj txog, koj tuaj yeem siv lwm txoj kev kho mob rau lub plawv arrhythmia.
Kev Tiv Thaiv
Yog tias ib tus neeg twb paub txog cov kab mob xws li arrhythmia, koj yuav tsum nkag siab tias nws tsis muaj txiaj ntsig los kho nws yog tias tsis ua raws li kev tiv thaiv. Koj yuav tsum tau ua txhua hnub ua haujlwm thaum sawv ntxov, saib xyuas qib qab zib, koj yuav tsum ua tib zoo saib xyuas koj lub siab.
Nws yog qhov tsim nyog yuav tsum tso tus cwj pwm tsis zoo, saib xyuas koj qhov hnyav, thiab ua raws li qhov kev txiav txim ntawm tus qauv. Koj yuav tsum tau ua kom muaj kev thaj yeeb nyab xeeb thiab txawm tias txoj hauv kev ntawm lub neej, tsis muaj kev cuam tshuam rau kev xav. Koj kuj yuav tsum tau ntxiv cov khoom ntuj rau koj cov zaub mov uas yuav ua rau koj zoo dua. Yog tias ib tug neeg muaj thawj cov tsos mob ntawm arrhythmia, koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd. Hauv qhov no, qhov teeb meem yuav tsis tshwm sim, tus mob yuav tsis mob zuj zus. Tsuas yog ua raws li kev tiv thaiv kev tiv thaiv, tus neeg yuav tsis mob, thiab nws yuav tsis tas yuav paub txog kev kho atrial fibrillation, ua rau thiab cov tsos mob ntawm nws tshwm sim.
kev kho neeg zoo
Ntau zaus, kev txiav txim siab kho mob plawv arrhythmia nrog kev kho pej xeem yog tshwm sim los ntawm tus neeg mob tsis tau txais txiaj ntsig nrog kev kho tshuaj ib txwm muaj.
Nws yuav tsum tau muab sau tseg tias thaum kuaj pom zoo li no, cov tshuaj pej xeem yuav tsum tau siv ua ke nrog tshuaj. Tsuas yog nyob rau hauv rooj plaub no lawv yuav ua rau muaj txiaj ntsig zoo. Tshuaj ntsuab yuav ua kom cov txheej txheem kho kom zoo, tab sis lawv tsis muaj peev xwm kho tau tib neeg.
- YKoj tuaj yeem siv valerian, hawthorn thiab motherwort hauv ib lub decoction. Nws yog tsim nyog los brew qhov sib tov, muab tso rau hauv lub tub yees rau ob hnub. Cov tshuaj yuav tsum tau noj ib teaspoon 30 feeb ua ntej nojzaub mov. Qhov no yuav tso cai rau koj tshem tawm qhov ua rau atrial fibrillation thaum kho.
- Nws yog qhov tsim nyog rau ncuav 30 hawthorn berries thiab tawm rau 15 feeb hauv dej npau npau. Lub decoction yuav tsum tau noj nyob rau hauv sib npaug feem nyob rau hauv ib hnub.
- Nws yog ib qho tsim nyog yuav tau txiav ib nrab ib kilogram ntawm txiv qaub, ncuav zib mu, sib tov tag nrho cov muaj pes tsawg leeg. Noj ib tablespoon thaum sawv ntxov thiab yav tsaus ntuj.
- Koj yuav tsum tau boil dej, ntxiv ib phau ntawm tshuaj ntsuab rau lub plawv thiab adonis rau nws, koj yuav tsum tau noj cov resulting sib tov tsis pub tshaj 5 feeb, thiab tshaj kub tsawg. Strained broth yuav tsum muab cia rau hauv lub tub yees. Koj yuav tsum noj 3 zaug hauv ib hnub, ib diav.
Arrhythmia hauv menyuam yaus
Nyob rau hauv cov menyuam yaus, cov tsos mob ntawm atrial fibrillation (kev kho mob nyuaj heev) yog vim qhov tseeb tias lawv cov qauv ntawm impulse kis tau tus mob hloov. Cov laj thawj yuav tsum tau saib xyuas kom zoo txhawm rau txhawm rau kho tus menyuam kom tiav. Raws li txoj cai, nyob rau hauv lub xub ntiag ntawm arrhythmia nyob rau hauv ib tug hluas, tachycardia tshwm sim nyob rau hauv lub ventricles, atrial flutter, feem ntau atrial fibrillation tsim. Supraventricular tachycardia tshwm sim, thiab tom qab ntawd, raws li txoj cai, kuaj pom tus mob uas cov hluav taws xob impulses tuaj txog ntawm lub ventricle sai dua li qhov lawv yuav tsum tau ua. Qee zaum atrial contractions tuaj yeem tshwm sim. Nws yog hais txog ib qho arrhythmia, uas yog txuam nrog lub atria.
Raws li cov kab mob ntawm lub plab, ntawm no tus menyuam yuav hnov mob tsis xwm yeem, tachycardia nyob rau hauv lub ventricles, uas cov teeb liab tuaj txog ntawm qhov sib txawv ceev, nrog rau kev ntaus ntxiv.lub siab thaum ntxov.
Yog tus me nyuam muaj bradycardia, ces nws muaj teeb meem nrog lub plawv dhia qeeb, thiab kuj yuav muaj kev ncua lossis tsis muaj hluav taws xob nkag mus rau hauv lub ventricle.
Nws yuav tsum tau muab sau tseg tias cov tsos mob ntawm lub plawv arrhythmia, ua rau thiab kev kho mob yog nyob ntawm tus me nyuam kom loj hlob. Yog hais tias peb tham txog cov me nyuam loj, ces lawv tus kheej yuav tau hais txog kiv taub hau, los yog tshee nyob rau hauv lub cheeb tsam ntawm lub plawv. Rau cov me nyuam mos thiab cov me nyuam me, yuav tsum tau saib xyuas rau qhov tseeb tias arrhythmia ua rau chim siab, pallor thiab tsis qab los noj mov.
Cov tsos mob ntawm arrhythmia uas tshwm sim rau txhua tus menyuam yaus yog mob hauv siab, ua tsis taus pa, tsis pom kev, lub plawv dhia thiab teeb meem mem tes, thiab qaug zog thiab qaug zog.
Yog tias qhov arrhythmia tshwm sim thaum menyuam yaus, yog li, raws li txoj cai, nws ua rau kis kab mob, tshuaj, ua npaws, lossis tsuas yog qhov kub thiab txias. Yog hais tias peb tham txog tej yam loj, nws yuav tsum tau muab sau tseg congenital malformations. Raws li txoj cai, hauv cov menyuam yaus, arrhythmia daws tsis muaj teeb meem. Txawm li cas los xij, yog tias lub suab hloov pauv txawm tias thaum so, tsis muaj kev tawm dag zog lub cev, ces cov niam txiv yuav tsum sab laj nrog kws kho mob.
Arrhythmia hauv cov hluas
Yog tias qhov arrhythmia tshwm sim hauv cov tub ntxhais hluas, raws li txoj cai, peb tab tom tham txog qhov ntswg qhov ntswg, txawm tias lwm hom tuaj yeem tshwm sim. Nws yuav tsum tau muab sau tseg tias nyob rau hauv lub hnub nyoog no tus me nyuam lub cev hloov heev, uas yog vim li cas kev ua txhaum cai tshwm sim. Yog li ntawd, xws li ib tug tshwm sim yog heev tsis tshua muaj ib tug pathology, raws li txoj cai, nwsploj thaum lub sij hawm. Txawm li cas los xij, qhov no tsis txhais hais tias arrhythmia yuav tsum tsis saib xyuas. Yog tias peb tab tom tham txog thawj theem, tus menyuam yuav tsum tau kuaj xyuas ib ntus los ntawm tus kws kho mob uas yuav saib xyuas lub zog ntawm lub arrhythmia. Yog tias cov tsos mob tsis ploj hauv ib xyoos lossis 2 xyoos, ces cov tub ntxhais hluas yuav tsum tau kho. Nrog atrial fibrillation ntawm lub plawv, nws yog qhov zoo dua tsis siv cov tshuaj pej xeem.
Ntau heev thaum hluas tshwm sim bradycardia. Qhov no yog vim lub fact tias lub paj hlwb tsis tau txais oxygen nyob rau hauv ib tug npaum li cas, vim hais tias ntawm no, kev mloog, kev kawm ntawv tsis zoo, cov tshuaj tiv thaiv tus nqi txo, ib tug neeg tsis tuaj yeem ua si kis las. Cov ua rau lub hnub nyoog no tsis yog ib txwm muaj teeb meem nrog cov hlab plawv. Cov kab mob no tuaj yeem ua rau muaj kev ntxhov siab, ntxhov siab, nrog rau kev hloov pauv hauv cov tshuaj hormonal. Yog hais tias ib tug me nyuam tau kuaj pom muaj vegetovascular dystonia, ces, raws li txoj cai, qhov no yog kho kom zoo los ntawm kev hu rau cov kws kho mob hlwb thiab muab tshuaj sedatives.
Arrhythmia hauv poj niam
Nws yuav tsum tau muab sau tseg tias cov poj niam feem ntau muaj teeb meem plawv. Tshwj xeeb tshaj yog thaum nws los txog rau arrhythmias. Ntxiv mus, qhov ua rau thiab cov tsos mob yog kiag li nyob ntawm ntau yam. Cov poj niam feem ntau muaj tachycardia, teeb meem nrog lub plawv ntawm lub plawv, thiab lwm yam. Cov ua rau yog ventricular tachycardia, supraventricular tachycardia, thiab ntxov dhau atrial contractions. Nws yuav tsum nco ntsoov tias qhov teeb meem zoo li no yog cov tsos mob, tsis yog kev kuaj mob. Qee zaum arrhythmia tuaj yeem tshwm sim litus kab mob ywj pheej, txawm li cas los xij, nrog kev tshuaj xyuas ntev, koj tuaj yeem pom tias nws muaj ntau yam kab mob.
Nws yog ib qho tsim nyog yuav tsum ua tib zoo kuaj tus kab mob txhawm rau txhawm rau tshem tawm tag nrho cov teeb meem loj. Yog hais tias peb tham txog ib tug poj niam cev xeeb tub, ces arrhythmia nyob rau hauv cov ntaub ntawv no feem ntau tshwm sim vim kev hloov nyob rau hauv hormonal keeb kwm yav dhau. Hauv ib tug poj niam, qib ntawm gonadotropin, nrog rau cov tshuaj estrogen, nce. Vim li no, muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub siab.
Arrhythmia hauv txiv neej
Txawm hais tias poj niam muaj cov tshuaj hormonal tsis ruaj khov, cov txiv neej tseem muaj cov kab mob no ntau dua 2 zaug.
Ntau zaus lawv muaj qhov thaiv, carotid sinus syndrome, teeb meem atrial thiab lwm yam. Cov laj thawj tuaj yeem cuam tshuam nrog kev rog dhau, nquag haus dej cawv ntau dhau, haus luam yeeb, noj zaub mov tsis zoo, tsis saib xyuas lub cev. Yog hais tias ib tug txiv neej muaj ib tug kab mob txuam nrog lub plawv, ces nws muaj peev xwm tsim ib tug arrhythmia. Qhov tseeb yog, nws yog qhov hnyav heev. Qhov no tuaj yeem ua rau lub plawv nres lossis qeeb hauv lub teeb liab ntawm lub pob mus rau ventricles. Yog tias, tom qab noj mov, ib qho arrhythmia tshwm, ces nws tuaj yeem hais nrog qhov tshwm sim zoo uas yog qhov ua rau lub siab ntawm daim ntawv ntawm lub plab. Nyob rau hauv rooj plaub no, ib tug neeg yuav muaj lub siab ntawm lub plawv thiab nyob rau tib lub sij hawm squeezing lub plab. Tsis tas li ntawd, yog tias ib tug txiv neej muaj ntshav siab thiab cov thyroid ua haujlwm ntau dhau lawm, feem ntau nws yuav tsim muaj arrhythmia.
Zoo kawg
Txhawm rau tiv thaiv koj tus kheej ntawm teeb meem nrogarrhythmia, nws yog ib qho tsim nyog yuav tau coj lub neej noj qab haus huv, noj txoj cai thiab tawm dag zog, thiab tsis txhob ntxhov siab. Koj yuav tsum tso tseg txhua tus cwj pwm phem.
