Intra-atrial blockade: ua rau, tsos mob, kuaj mob thiab kho

Cov txheej txheem:

Intra-atrial blockade: ua rau, tsos mob, kuaj mob thiab kho
Intra-atrial blockade: ua rau, tsos mob, kuaj mob thiab kho

Video: Intra-atrial blockade: ua rau, tsos mob, kuaj mob thiab kho

Video: Intra-atrial blockade: ua rau, tsos mob, kuaj mob thiab kho
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Anonim

Intra-atrial blockade yog ib yam mob uas tshwm sim los ntawm kev ua tsis tiav hauv cov txheej txheem ntawm impulse nkag mus rau hauv atria. Qhov no pathology yog ze ze rau cov organic hloov nyob rau hauv lub myocardium. Thaum tsis muaj kev kho kom raug, qhov tshwm sim ntawm qhov tsis xws luag tuaj yeem txaus ntshai tsis yog rau kev noj qab haus huv nkaus xwb, tab sis kuj rau tib neeg lub neej.

Yuav Muaj Teeb Meem

Txhua hom kev thaiv kab mob hauv lub plawv ua rau muaj kev hem thawj loj rau tag nrho cov kab mob. Nyob rau tib lub sijhawm, tus kab mob no tuaj yeem ua rau lwm yam teebmeem kev noj qab haus huv. Yog li, vim tus kab mob no tuaj yeem txhim kho:

  • cardiogenic poob siab - qhov kev pheej hmoo ntawm nws qhov tshwm sim nce ntxiv yog tias ib tus neeg yav dhau los muaj myocardial infarction;
  • oxygen tshaib plab ntawm lub hlwb - thaum muaj hnub nyoog laus, tus mob no tuaj yeem ua rau kev loj hlob ntawm dementia;
  • bradycardia - qhov feem ntau tshwm sim ntawm kev thaiv, uas yog nrog los ntawm kev tsis muaj zog ntawm cov mem tes;
  • arrhythmia - lub plawv tuaj yeem cog lus sib txawv, uas tuaj yeem ua rau muaj lwm yam kab mob;
  • qhov tsis xws luag ntawm lwm yam kabmob - nyob rau hauv daim ntawv mob ntev ntawm kev thaiv kev tiv thaiv keeb kwm yav dhau los ntawm qhov tsis muaj oxygen, lawv raug kev txom nyem kiag litag nrho cov systems;
  • qhov tshwm sim tuag - tuaj yeem tshwm sim hauv qhov xwm txheej hnyav thaum lub sijhawm muaj kev tawm tsam hnyav, tus neeg tsuas tuaj yeem cawm tau los ntawm kev pabcuam thawj zaug.
  • Qhov tshwm sim ntawm intra-atrial blockade
    Qhov tshwm sim ntawm intra-atrial blockade

Vim txoj kev loj hlob

Intra-atrial blockade tshwm tawm tsam keeb kwm yav dhau los ntawm kev nce ntxiv, vim qhov hloov pauv dystrophic tshwm sim hauv atria. Pathology txhim kho nyob rau hauv tus yam ntxwv ntawm xws li:

  • congenital thiab kis tau lub plawv tsis xws luag;
  • Ischemia;
  • scars ntawm atrial ntaub so ntswg;
  • tswj tsis tau glycosides thiab lwm yam tshuaj;
  • mob hauv myocardium.
  • Yog vim li cas rau txoj kev loj hlob ntawm intra-atrial blockade
    Yog vim li cas rau txoj kev loj hlob ntawm intra-atrial blockade

Thaiv tsis yog kab mob ywj pheej. Lawv tshwm sim tawm tsam keeb kwm yav dhau los ntawm ntau cov txheej txheem txawv txav, uas yog nrog los ntawm cov ntshav tsis txaus.

Kev faib tawm

Cov kws kho mob paub qhov txawv ntawm ntau hom kev thaiv kab mob hauv lub plawv:

  • First degree. Nws yog tus cwj pwm los ntawm lub xeev uas cov txheej txheem ntawm kev txais impulses tsis nres, tab sis ua rau pathologically qeeb. Tsis muaj qhov sib txawv hauv kev noj qab haus huv thiab lub xeev ntawm kev noj qab haus huv ntawm tus neeg mob raug sau tseg. Tias yog vim li cas qhov kev kuaj mob ntawm pathology feem ntau tshwm sim los ntawm kev sib tsoo, thaum lub sijhawm txiav txim siab cov txiaj ntsig ntawm ECG tom qab kev kuaj niaj hnub.
  • theem thib ob. Daim duab kho mob hnyav zuj zus, thiab kev ua ntawm impulses raug cuam tshuam loj heev, uas ua rau muaj kev txawv txav hauv kev ua haujlwm ntawm lub plawv.
  • Third degree. Qhov noqhov pom yog pom nrog tag nrho blockades. Tus kab mob yog tus cwj pwm los ntawm kev nres hauv kev khiav ntawm hluav taws xob teeb liab. Thaum tsis muaj kev kho mob tsim nyog, qhov tsis xws luag yuav ua rau muaj kev loj hlob ntawm lub plawv tsis ua hauj lwm, kev tsis zoo nyob rau hauv cov mob thiab txawm tuag.

Symptomatics

Kev tshwm sim ntawm tus kab mob yog txiav txim siab los ntawm qhov kev cuam tshuam ntawm impulses muaj zog npaum li cas. Thawj qib ntawm pathology yog tus cwj pwm los ntawm cov tsos mob me me, yuav luag tsis pom qhov tshwm sim. Nyob rau theem no, qhov thaiv tsis cuam tshuam rau kev ua haujlwm ntawm lub plawv. Thaum xub thawj, ib tug neeg yuav tsis paub txog qhov muaj teeb meem li cas. Nrog rau kev hloov ntawm tus kab mob mus rau theem ob, cov tsos mob hauv qab no tau sau tseg:

  • qaug zog, qaug zog;
  • kiv taub hau;
  • fainting;
  • txo kev ua haujlwm.
  • Cov tsos mob ntawm intra-atrial blockade
    Cov tsos mob ntawm intra-atrial blockade

Lub plawv dhia li cas nrog tus kab mob no? Thaum tsiv mus rau theem ob, tus neeg mob yuav ntsib teeb meem xws li arrhythmia, uas yog, lub plawv dhia ntau dhau. Nws yog qhov cim no uas yog ib qho ntawm cov tsos mob tseem ceeb uas ib tus tuaj yeem xav tias muaj kev txhim kho ntawm kev thaiv.

Yog tias cov tsos mob tshwm sim, koj yuav tsum mus ntsib kws kho plawv tam sim ntawd.

Intra-atrial thaiv ntawm ECG - nws yog dab tsi?

Yog tias koj pom thawj cov tsos mob ntawm pathology, koj yuav tsum mus ntsib tsev kho mob tam sim ntawd thiab mus ntsib kws kho mob tshwj xeeb. Thaum lub sij hawm teem tseg, tus kws kho plawv yuav ua tib zoo tshuaj xyuas tus neeg mob, sau tag nrho cov ntaub ntawv kho mob uas tsim nyog, ntsuas lub xeev tam sim no ntawm kev noj qab haus huv thiab kuaj xyuas concomitant.kev phem. Cov neeg uas muaj cov kab mob caj ces rau kev thaiv yuav tsum qhia lawv tus kws kho mob txog qhov no.

Tom qab ua keeb kwm thiab kuaj lub cev, tus kws kho plawv muab tus neeg mob xa mus rau kev kuaj ntxiv:

  • echocardiography;
  • electrocardiogram;
  • 24-teev Holter saib xyuas.
  • ECG cov cim qhia ntawm intra-atrial blockade
    ECG cov cim qhia ntawm intra-atrial blockade

Tus neeg lub siab ua haujlwm li cas thaum thaiv? Nrog xws li ib tug tsis xws luag, lub atherosclerosis ntawm contractions mus stray tawm tsam keeb kwm yav dhau ntawm ib feem tau txais ntawm impulses nyob rau hauv lub atria. Los ntawm kev soj ntsuam txhua hnub, nws tuaj yeem txiav txim siab qib ntawm kev nce qib ntawm pathology.

Tsis tas li ntawd, thaum lub sijhawm saib xyuas, cov kws kho mob sim nrhiav seb dab tsi ua rau tus kabmob no.

ECG cov cim qhia ntawm intra-atrial blockade yog qhov nce ntawm lub sijhawm P nthwv dej.

Ntau zaus, txhawm rau paub meej qhov kev kuaj mob, cov kws kho mob kuj tau sau tshuaj angiography, kuaj electrophysiological thiab kuaj kuaj rau cov neeg mob. Txhawm rau txheeb xyuas qhov txawv txav ntawm ischemic, coronary angiography yog ua. Nrog nws cov kev pab, koj tuaj yeem soj ntsuam kom meej txog cov xwm txheej ntawm cov hlab ntsha coronary thiab nkag siab raws nraim qhov twg thiab lawv nyob qhov twg. Hauv cov txheej txheem ntawm kev tshawb fawb, tus kws tshaj lij tuaj yeem txiav txim siab tsis yog tsuas yog cov yam ntxwv ntawm qhov tsis xws luag, tab sis kuj tseem muaj qhov tshwm sim ntxiv.

Kev kho mob

Intra-atrial blockade raug tshem tawm ntau txoj hauv kev. Cov txheej txheem ntawm kev kho mob yog xaiv coj mus rau hauv tus account lub degree ntawm kev loj hlob ntawm pathological txheej txheem. Kev kho mob rau kev thaiv nyob rau hauv lub atrium yog tsom rau kev tshem tawm thawj qhov ua rau muaj qhov tsis xws luag.

Yog kuaj tau ua ntejdegree, ces kev kho tshwj xeeb tsis tshua siv. Hauv qee qhov xwm txheej, rau kev rov qab los, nws yog qhov txaus los tshem tawm qee yam tshuaj uas tuaj yeem ua rau muaj qhov tsis xws luag. Kev txhim kho tseem ceeb hauv tus neeg mob tus mob tuaj yeem ua tiav los ntawm kev kho cov kab mob ntawm cov hlab plawv.

Kev kho mob ntawm intra-atrial blockade
Kev kho mob ntawm intra-atrial blockade

Yog hais tias pathology tau provoked los ntawm siab excitation ntawm lub paj hlwb vagus, ces Atropine feem ntau yog siv rau hauv kev kho mob. Cov tshuaj yog txhaj rau hauv qab ntawm daim tawv nqaij los yog noj raws li ib ntsiav tshuaj.

Txhawm rau tiv thaiv kev txhim kho ntxiv ntawm kev thaiv, tus neeg mob raug sau tseg:

  • "Ephedrine" thiab nws cov analogues;
  • adenosine triphosphoric acid, "Inosine", trimetazidine.

Nyob rau theem siab ntawm tus kab mob, kev kho tshuaj yuav ua tsis tau zoo, vim nws yog lub hom phiaj tseem ceeb ntawm kev tswj lub siab ua haujlwm.

Kev kho mob ntawm intra-atrial blockade
Kev kho mob ntawm intra-atrial blockade

Txoj Kev Kho Mob

Ua ntej pib kho, nws yuav tsum tsis suav nrog kev siv tshuaj tiv thaiv kab mob, tshuaj ntsev ntsev, plawv glycosides thiab lwm yam tshuaj muaj zog.

Yog hais tias thaum lub sij hawm thaiv tus neeg mob muaj asystole thiab ib tug muaj zog deterioration nyob rau hauv nws cov kev mob, ces nyob rau hauv kev kho mob yog tas li los yog ib ntus stimulation ntawm lub atria. Nyob rau hauv cov ntaub ntawv no, ib tug tshwj xeeb pacemaker yog implanted, uas tsim lub impulses uas ploj lawm thiab normalizes cov kev ua ntawm lub myocardium. Txhawm rau nruab cov cuab yeej no, cov kws kho mobnyob rau hauv cov xwm txheej zoo li no:

  • mob plawv tsis ua hauj lwm;
  • tsis txaus ntshav ntws hauv cov hlab ntsha ntawm lub hlwb;
  • txo qhov zaus ntawm kev cog lus mus rau qhov qub;
  • nce kev pheej hmoo ntawm lub plawv nres.
  • Cov lus qhia rau kev teeb tsa lub pacemaker rau intra-atrial blockade
    Cov lus qhia rau kev teeb tsa lub pacemaker rau intra-atrial blockade

Yog hais tias tus kab mob yog asymptomatic, koj tuaj yeem suav rau qhov txiaj ntsig zoo. Txawm hais tias kev vam meej tuaj yeem ua tiav hauv cov xwm txheej hnyav los ntawm kev hloov lub cev noj qab haus huv.

Kev Tiv Thaiv

Raws li qhov tseeb tias feem ntau cov tsos mob ntawm intra-atrial blockade yog vim muaj kev cuam tshuam ntawm cov txheej txheem txawv txav tshwm sim hauv cov hlab ntsha thiab lub plawv, txoj cai tseem ceeb ntawm kev tiv thaiv txhais tau tias kev kuaj mob raws sij hawm thiab kev kho mob tsim nyog ntawm cov no. kab mob.

Cov neeg uas muaj keeb kwm muaj mob plawv yuav tsum ua raws li cov lus qhia no:

  • Ua tib zoo saib xyuas cov tshuaj noj kom tsis txhob muaj kev phom sij hauv lub cev;
  • ceev faj txoj kev ua neej nyob tsis muaj chaw;
  • muab cawv thiab luam yeeb;
  • replenish your diet with he althy food.

Los ntawm txoj kev, nws yog cov khoom noj kom zoo uas ua rau nws tuaj yeem txo qhov kev pheej hmoo ntawm qhov tsis xws luag. Nyob rau tib lub sijhawm, nws tseem ceeb heev kom tsis suav cov khoom noj muaj roj thiab kib, nrog rau txhua yam khoom noj kaus poom los ntawm cov ntawv qhia zaub mov. Nws yog qhov pab tau kom taug kev ntau li ntau tau. Yog tias muaj tsev neeg keeb kwm ntawm cov kab mob ntawm cov hlab plawv, ces koj yuav tsum tau mus ntsib kws kho plawv thiab mus ntsib kws kho mob.electrocardiogram.

Tiav

Tag nrho cov lus pom zoo saum toj no siv feem ntau rau cov neeg txheeb ze uas tau kis cov kab mob ischemic, mob myocardial infarction, nrog rau kev phais plawv.

Thiab nco ntsoov tias thaum thawj cov tsos mob ntawm pathology, koj yuav tsum tau teem caij nrog tus kws kho mob tam sim ntawd thiab tsis txhob ncua sijhawm nrog kev kuaj mob. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem xaiv cov tshuaj tsim nyog uas yuav pab tswj lub siab ua haujlwm ib txwm muaj.

Pom zoo: