Arrhythmia ntawm lub plawv - ua rau, tsos mob thiab kho mob

2024 Tus sau: James Gerald | [email protected]. Kawg hloov kho: 2023-12-17 14:08

Arrhythmia yog kev ua txhaum ntawm lub plawv dhia. Nrog rau pawg kab mob no, lub plawv dhia nrawm dua lossis qeeb dua, thiab qee zaum tsuas yog tsis xwm yeem. Feem ntau arrhythmias tsis txaus ntshai. Qee qhov tsis zoo tab sis kho tau yooj yim. Txawm li cas los xij, kuj tseem muaj qhov ua rau tuag taus. Koj yuav tsum paub yuav ua li cas arrhythmia ntawm lub plawv manifests nws tus kheej, nws yog dab tsi thiab yuav kho nws li cas.

Dab tsi yog arrhythmia?

Cov hlab ntsha sinus-atrial nyob ntawm sab xis atrium. Nws yog ib pawg ntawm cov hlab ntsha uas teev cov suab paj nruag ntawm atrial contractions. Nws qhov txuas ntxiv yog pob ntawm Nws, uas tswj kev ua haujlwm ntawm atria thiab lub ntsws. Nws ceg, sab hauv sab laug thiab sab xis ntawm lub plawv, lub hauv ntej thiab tom qab phab ntsa ntawm lub ntsws, thiab tom qab ntawd hloov mus rau Purkinje fibers, uas innervate cais, me me ntawm cov leeg nqaij. Tag nrho cov no ua ke tsim cov kev coj ua ntawm lub plawv.

Arrhythmia - qhov no yog kev ua txhaum ntawm kev ua haujlwm tsis yog ntawm lub plawv nws tus kheej, tab sis hais txog ntawm nws qhov kev coj ua. Piv txwv li, yog tias lub hauv paus ntawm teeb meem nyob hauv qhov sinus-atrial node, lawv tham txog sinus arrhythmia ntawm lub plawv. Nws yog dab tsi thiab yuav kho nws li cas kom pom tseeb los ntawm qhov teeb meem hauv zos, uas tuaj yeem pom ntawm ECG.

Xwm tau muab cov txheej txheem kev tiv thaiv yog tias ib feem me me ntawm kev coj ua pib ua haujlwm tsis txaus: qhov kev xav tsis zoo tuaj yeem hla dhau cov ntaub so ntswg puas, piv txwv li, tom qab mob plawv.

Tab sis qhov zoo li kev nyab xeeb tsis yog ib txwm txaus, thiab qhov no, lub plawv dhia tsis xwm yeem tshwm sim.

Hom arrhythmias thiab lawv qhov sib txawv

Lub plawv dhia txawv txav hu ua tachycardia (lub plawv dhia ntau dua 80 tus neeg dhia ib feeb) lossis bradycardia (lub plawv dhia qis dua 60 ntaus ib feeb). Bradycardia tshwm sim hauv cov neeg muaj kev noj qab haus huv zoo, piv txwv li, hauv kev cob qhia cov neeg ncaws pob thiab cov kws ncaws pob, cov neeg ncaws pob thiab lwm tus neeg ncaws pob uas muaj nuj nqis rau kev ua siab ntev thiab muaj peev xwm ua kom nrawm dua.

Tachycardia - lub cev qhov tshwm sim ntawm lub cev lossis lub siab lub ntsws. Lub plawv dhia ceev nrooj feem ntau qhia tias muaj mob, tab sis qee zaum nws kuj zoo ib yam.

Lub plawv dhia tsis zoo raug faib ua sinus, atrial thiab ventricular, nyob ntawm thaj chaw twg ntawm lub plawv muaj kev ua txhaum ntawm cov teeb liab hluav taws xob thiab, raws li, lub suab sib dhos.

Lub plawv dhia tsis xwm yeem thiab mob paroxysmal. Nrog kev mob plawv tsis tu ncua, kev cuam tshuam feem ntau tsis tseem ceeb lossis kho tau yooj yim nrog tshuaj.

Paroxysmal arrhythmias - Qhov no yog lub plawv nres nrog qhov tseem ceeb, mus txog 150-200 tus neeg ntaus ib feeb, ua rau lub plawv dhia nce ntxiv thiab ua rau lub cev tsis muaj zog ua rau tsis nco qab. Nrog paroxysmal arrhythmias, kev kho mob feem ntau yog qhov tseem ceeb.

Feem ntau hom arrhythmias yog extrasystoles thiab atrial fibrillation.

Extrasystole - Qhov no yog qhov kev cog lus ntxiv ntawm atria lossis ventricles, uas, raws li txoj cai, tsis xav tau kev kho mob thiab tsis muaj asymptomatic.

Atrial fibrillation - qhov no yog kev ua haujlwm tsis sib xws ntawm atrial myocardiocytes, vim qhov atria tsis tuaj yeem sib cog lus ib txwm muaj. Vim li ntawd, kev ua haujlwm ntawm lub ventricles raug cuam tshuam, cov ntshav ncig raug kev txom nyem.

Ua

Muaj ntau yam laj thawj rau kev mob plawv tsis zoo. Nov yog qee qhov ntawm lawv:

• kab mob plawv: ischemic plawv kab mob, myocardial dystrophy, kab mob hauv lub nruab nrog cev;
• lub cev qhuav dej, tsis txaus electrolyte;
• tsis muaj oxygen;
• raug mob hauv siab;
• osteochondrosis ntawm ncauj tsev menyuam thiab thoracic nqaj qaum;
• overexcitation ntawm vagus paj vim cov kab mob ntawm txoj hnyuv loj;
• ncua sij hawm myocardial infarction;
• ntshav siab;
• hyperthyroidism;
• ntshav qab zib;
• haus luam yeeb;
• haus cawv;
• kev tsim txom ntawm kas fes;
• kev nyuaj siab;
• kev siv qee yam tshuaj, suav nrog cov tshuaj raws li tshuaj ntsuab;
• kev tsis haum tshuaj;
• txheej txheem kuaj mob.

Cov tsos mob

Feem ntau, arrhythmias yog asymptomatic thiab tau kuaj pom thaum kuaj mob tas li. Nrog rau txoj hauv kev no, kuaj pom lub plawv dhia tsis zoo, uas yog qhov txaus ntshai rau tus neeg mob lub neej, yog li koj yuav tsum tsis txhob quav ntsej cov lus qhia ntawm ECG, txawm tias tus neeg lub siab tsis thab.

Tus kws kho mob zoo yuav nrhiav pom qhov laj thawj xa tus neeg mob mus rau lub plawv dhia, nws tau hais qhia, piv txwv li, tom qab kis mob ua pa hnyav nrog qhov kub siab.

Yog tias lub plawv dhia tsis zoo los ntawm tus neeg, nws cov tsos mob hauv tus neeg laus yog raws li hauv qab no:

• kev xav ntawm kev cuam tshuam hauv koj lub plawv dhia;
• nrawm lossis qeeb lub plawv dhia;
• mob hauv siab;
• ua tsis taus pa;
• ntshai;
• qaug zog, kiv taub hau, tsaus muag.

Qhov hnyav ntawm cov tsos mob feem ntau tsis cuam tshuam txog kev phom sij txaus ntshai hauv ib tus neeg.

Cov tshuaj twg raug sau tseg rau kev mob plawv tsis zoo?

Yog li, koj tau kuaj pom tias mob plawv tsis zoo. Nws yog dab tsi thiab yuav kho nws li cas hauv tsev? Thiab nws puas tuaj yeem kho tus mob arrhythmia hauv tsev feem ntau? Nws yog ib qho tseem ceeb kom nkag siab tias mus ntsib kws kho mob thiab kuaj mob tas yuav tsis hloov kev kho mob hauv tsev.

Nyob rau xyoo tas los no, txoj hauv kev rau kev kho mob arrhythmias tau hloov pauv ntau. Ib txhia ntawm lawv xav tau kev kho mob, thiab qee qhov yog qhov rov qab. Ua ntej tshaj plaws, qhov no siv rau extrasystoles. Lawv raug kho hauv cov xwm txheej hauv qab no:

• yog tias extrasystoles tshwm sim ntau dua 10 zaug hauv ib teev thiab ua rau hemodynamic cuam tshuam;
• yog tias tus neeg mob hnov kev cuam tshuam hauv kev ua haujlwm ntawm lub plawv;
• yog tias muaj EchoCG cov ntaub ntawv rau kev ua tsis zoo hauv lub xeev ua haujlwm ntawm myocardium.

Extrasystoles - nws yog dab tsi? Cov no yog kev cog lus ntxiv ntawm atria, lub plawv, lossis txhua qhov ntawm lub plawv. Lawv cuam tshuam nrog kev pheej hmoo ntawm kev txhim kho atrial fibrillation thiab mob plawv sai sai.

Tau ntev nws tau ntseeg tias kev tshem tawm ntawm extrasystoles nrog kev pab ntawm cov tshuaj txo kev pheej hmoo ntawm kev tuag los ntawm kev mob plawv, tab sis tsis ntev los no tau pom tias cov txiaj ntsig tsuas yog qhov txawv: thaum siv cov tshuaj antiarrhythmic nrog extrasystoles, kev tuag yog ntau dua 2 zaug siab dua yam tsis muaj lawv, txawm hais tias extrasystoles raug txwv los ntawm lawv OK.

Yog li ntawd, extrasystoles tsis tau kho txhua yog tias tus neeg mob tsis muaj tsos mob, tab sis lawv tus mob raug saib xyuas, echocardiography tau ua ob zaug hauv ib xyoos.

Yuav kho tus mob arrhythmia li cas? Nrog extrasystoles, kev hloov pauv hauv lub neej feem ntau pab tau zoo: tsis kam haus kas fes, tshuaj yej muaj zog, haus luam yeeb thiab cawv, poob phaus, tawm dag zog. Thiab tsuas yog qhov no tsis pab, β-blockers tau sau tseg lossis, yog tias lub plawv tsis hloov pauv, chav kawm I tshuaj tiv thaiv kab mob plawv.

Nws yog ib qho tseem ceeb kom nco ntsoov tias hauv qee qhov xwm txheej, piv txwv li, nce plaub npaug ntawm tag nrho cov ventricular extrasystoles, ventricular tachycardia thiab ventricular fibrillation, cov tshuaj tiv thaiv kab mob muaj lub plawv dhia.

Nrog extrasystoles, cov tshuaj psychotropic pab tau zoo, uas muaj qhov ua kom zoo thiab so kom txaus. Yog tias nws yog qhov tsim nyog txhawm rau kho extrasystoles, nws ua rau pom kev pib nrog lawv.

Muaj ib txoj kev phais mob rau kho tus mob arrhythmias: catheter ablation ntawm thaj tsam ntawm myocardium uas muaj kev mob siab rau tshwm sim. Txawm li cas los xij, txoj kev no tsis yog ib txwm pom.

Thaum sau cov tshuaj rau lub plawv dhia tsis xwm yeem, tus kws kho mob yuav tsum txheeb xyuas qhov sib piv ntawm qhov ua rau muaj kev phom sij rau qhov txiaj ntsig xav tau: qee qhov kev phiv los ntawm cov tshuaj no muaj kev phom sij ntau dua li extrasystoles.

Nyob rau hauv cov ntaub ntawv ntawm atrial fibrillation, ntawm qhov tod tes, cov tshuaj antiarrhythmic tau sau tseg. Lawv yuav tsum raug xaiv ib tus zuj zus, thiab nws tsis tuaj yeem kwv yees tias cov tshuaj twg yuav haum rau tus neeg mob. Cov tshuaj pab tau 60-80% ntawm qaug dab peg, qee zaum yuav tsum tau txhaj tshuaj. Yog tias lawv tsis ua haujlwm, muaj cov txheej txheem khoos phis tawj los daws qhov qaug dab peg, tab sis lawv tau siv nruj hauv tsev kho mob.

Piv txwv li, hluav taws xob cardioversion yog ib txoj hauv kev uas tus neeg mob tso rau hauv tshuaj loog luv, thiab ntawm qee qhov taw tes, kev sib cog lus tsis sib xws ntawm atrial myocardiocytes raug tshem tawm siv hluav taws xob tawm. Vim li ntawd, lub plawv ib txwm rov zoo li qub.

Tam sim no, cov kws kho mob cardioverters tau hloov pauv tau nquag siv thiab siv - cov cuab yeej uas txiav txim siab tias tus neeg muaj kev tawm tsam atrial fibrillation thiab nres nws.

Folk zaub mov txawv rau arrhythmia

Yuav kho tus mob arrhythmia nrog kev kho neeg pej xeem yog paub zoo. Qhov tseem ceeb ntawm no yog tsis ua mob: txoj cai "hauv qee qhov xwm txheej tshuaj tiv thaiv kab mob ua rau lub plawv dhia" ua haujlwm ntawm no ib yam.

Ib diav ntawm qhuav lub duav duav tau tawg, nchuav nrog 2 khob dej npau thiab rhaub hauv dej da dej li 10 feeb, lim, zib ntab ntxiv. Haus ib nrab khob 2 r / d ua ntej noj mov.

Noj cov apricots qhuav, raisins thiab walnuts hauv qhov kwv yees sib npaug sib npaug thiab zom. Ntxiv 5 dia zib ntab thiab me ntsis txiv qaub kua txiv rau 200 g ntawm qhov sib tov thiab do kom txog thaum du. Noj 2 diav tom qab noj tshais rau ib hlis.

Ib diav ntawm txiv qaub balm yog brewed hauv 500 ml ntawm cov dej npau, infused rau 20 feeb, qaug cawv hauv ib nrab khob 3 r / d.

Hawthorn, valerian, motherwort hauv cov tshuaj pej xeem tsis yog ib txwm hais kom haus cawv. Lawv tau brewed, feem ntau ua cov tshuaj tshiab. Hauv hawthorn, ob leeg txiv hmab txiv ntoo thiab nplooj tuaj yeem siv tau.

Txoj kev lis ntshav ntawm dej tso cai rau koj tso tseg ethyl cawv, uas tsis zoo rau lub plawv. Sib tov cov tshuaj ntsuab motherwort, txiv hmab txiv ntoo hawthorn thiab cov hauv paus valerian hauv qhov sib npaug sib npaug, muab tso rau hauv lub thermos thiab ncuav dej npau npau hauv qhov sib piv ntawm 1:10 (rau txhua 10 grams ntawm kev sib xyaw, 100 ml dej). Nws siv sijhawm sau ntau: lawv hloov tshuaj yej. Ua ntej siv, koj tuaj yeem ntxiv zib ntab rau haus - tau kawg, yog tias tsis muaj ntshav qab zib mellitus. Cov tshuaj muaj pes tsawg leeg ntawm zib ntab muaj txiaj ntsig zoo rau lub plawv.

Ib phau ntawm valerian paus, mint thiab chamomile tshuaj ntsuab kuj tau npaj. Nws tseem tsis tau meej meej tias nws cuam tshuam rau lub plawv lossis kho lub paj hlwb, tab sis txawm tias muaj kev tawm tsam tshwm sim txhua hnub, cov khoom sau no pab tau zoo.

Vim li cas arrhythmia txaus ntshai - kev kwv yees, qhov tshwm sim

Ob qhov tshwm sim txaus ntshai ntawm arrhythmias yog mob stroke, pulmonary embolism, thiab congestive plawv tsis ua haujlwm.

Kev mob hlab ntsha tawg raws li qhov tsim nyog ntawm atrial fibrillation tsim raws li hauv qab no. Atrial fibrillation tsis tuaj yeem hloov pauv ntshav mus rau lub plawv, nws nyob qis qis, thiab cov ntawv txhaws, uas tig mus ua ntshav khov. Ib qho thrombus lossis ib feem ntawm nws tuaj yeem nkag mus rau hauv cov hlab ntshav thiab thaiv lub nkoj hauv txhua lub cev, suav nrog lub hlwb thiab lub ntsws, uas ua rau ischemic stroke - kev tuag ntawm cov nqaij mos uas tsis muaj ntshav txaus.

Congestive plawv tsis ua hauj lwm nrog arrhythmias tshwm sim vim tsis ua haujlwm ntawm lub plawv tsis ua haujlwm.

Kev tiv thaiv kab mob

Kev tiv thaiv arrhythmias yog qhov tseem ceeb ntawm kev tswj ntshav siab, hyperthyroidism thiab ntshav qab zib mellitus, kev tsis lees paub tus cwj pwm tsis zoo, kev saib xyuas hauv kev siv kas fes thiab cawv, tso lub cev qoj ib ce.

Qhov kev tawm dag zog pom zoo los ntawm Dr. Bubnovsky pab tau zoo. Lawv ntxiv dag zog rau cov leeg, uas koom nrog hauv kev ncig ntshav, yog li ua rau lub plawv zoo dua.

Cov tshuaj Potassium thiab magnesium kuj tseem txo qis qhov tshwm sim ntawm kev txhim kho arrhythmias. Tab sis qhov tseem ceeb tshaj plaws tiv thaiv kab mob plawv yog kev zam kev ntxhov siab. Yog tias koj lub neej muaj cov kev paub tsis zoo, cov tshuaj ntsuab me me yuav pab tau.