Atrial fibrillation - Cov tsos mob thiab cov hau kev ntawm nws cov tshem tawm

Muaj ntau cov neeg mob nug cov lus nug - Yuav ua li cas yog atrial fibrillation? Qhov no yog ib tug ua txhaum ntawm lub contractile muaj nuj nqi ntawm lub plawv, uas yog nrog atrial fibrillation ntawm nqaij fibers. Atrial aretmiya yus sai thiab lus atrial hluav taws xob impulses, lub zaus ntawm uas yuav ua tau mus 350-600 ib feeb, yuav ua ventricular contraction kuj lus. Systematic arrhythmias lub plawv mob yuav ua tau kom mob plawv tsis ua hauj lwm. Atrial fibrillation yog lub feem ntau ntau daim ntawv ntawm arrhythmia. Lub ntsiab yog vim li cas uas ua rau nws yog myocarditis, lub plawv tsis ua hauj lwm, cardiomyopathy, kardiosklerosis, kub siab, thiab lwm yam Atrial fibrillation kuj los muaj kev nyob rau hauv keeb kwm yav dhau ntawm thyrotoxicosis, haus dej cawv qaug cawv, agonists thiab mob glycosides.

Atrial fibrillation muaj ib tug ntau yam ntawm cov tsos mob, lom zem ntau nyob rau nws zoo lawm (paroxysmal, pheej, tachysystolic, bradisitolicheskaya) thiab lub xeev ntawm cov kev mob plawv. Qhov tseem tiag manifested tahisitolicheskaya daim ntawv ntawm arrhythmia (lub plawv palpitations, lub plawv mob, ua tsis taus pa, uas tsub kom lub sij hawm ce) thiab paroxysmal atrial fibrillation, cov tsos mob ntawm uas yog mas manifested raws li tsis muaj zog, tawm hws, co, ntxhov siab vim, polyuria, kiv taub hau, tsaus muag. Feem ntau cov neeg mob tsis txaus siab ntawm tsis taus pa thiab lub nov ntawm nqaij tawv ntawm qhov mob nyob rau hauv lub plawv, tej zaum kuj yog anemia pom txheej week, thiab cyanosis ntawm ob daim di ncauj.

Atrial fibrillation: cov tsos mob thiab kev kho mob

Kev kho mob ntawm tus kab mob yog aimed ntawm es lub plawv atherosclerosis, kev tiv thaiv ntawm kev rov muaj dua ntawm atrial fibrillation, kev tiv thaiv ntawm thromboembolism. Nyob rau hauv kev kho mob xyaum, kom tsis txhob loj hlob ntawm paroxysmal arrhythmia siv quinidine, procainamide, propanorm, Cordarone. Tsawg zoo yog txoj kev siv cov verapamil, digoxin, propranolol. Lub mechanism ntawm lawv txiav txim yog hais rau normalization ntawm myocardial contractile kev ua si, zoo noj qab haus huv ntawm cov neeg mob (txo dyspnea, qaug zog, palpitations). Nyob rau hauv cov ntaub ntawv ntawm txaus los khi cov hauj lwm zoo ntawm kev siv cov tshuaj no feem ntau yog cov kws kho qhov cardiologists hluav taws xob cardioversion (hluav taws xob paug mem tes yog thov nyob rau hauv lub cheeb tsam ntawm lub plawv los txhim kho lub plawv atherosclerosis), nrog paroxysms ploj nyob rau hauv 90% ntawm cov neeg. Atrial fibrillation, cov tsos mob uas mob rau ntau tshaj li 2 hnub tsub kom tau txoj kev tsim thromboembolism. Yuav kom tiv thaiv lub tsim ntawm cov ntshav txhaws tshuaj warfarin. Cov neeg mob thiaj paub hais tias - mob atrial fibrillation, atenolol, egilok, konkor (blockers), diltiazem, verapamil, digoxin (antagonists calcium ions). Cov hauj lwm zoo ntawm kev kho mob nyob rau hauv lub raws sij hawm tsim ntawm lwm yam kab mob uas tshwm sim los ntawm txoj kev loj hlob ntawm arrhythmias. Radical txoj kev, eliminates lub atrial arrhythmia yog siv cov RF rho tawm ntawm lub pulmonary leeg. Qhov cub ectopic excitation, uas yog ib ncig nyob rau hauv lub qhov ncauj ntawm lub pulmonary leeg, yog muab tshem tawm los ntawm lub atria. Efficiency RF rho tawm nyob rau hauv cov kev kho mob ntawm atrial arrhythmia yog kwv yees li 60%. Thaum ib txhis los recurrent daim ntawv kho xov tooj cua zaus ablation (mob) atrioventikulyarnogo lub plawv ntawm nrog lub tsev lag luam ntawm ib tug mus tas pacemaker cog.

Lub hauv paus rau thawj kev tiv thaiv yog kho thaum ntxov ntawm cov kab mob uas txaus ntshai rau txoj kev loj hlob ntawm atrial fibrillation. Secondary kev tiv thaiv yog aimed ntawm kev ua raws cai nrog tus kws kho mob pom zoo hais txog antiretsedivnoy txoj kev kho, lub cev cov kev txwv thiab psycho-kev nyuaj siab, tsis pub ib nicotine thiab dej caw.