Matenda a fibrillation: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira
• Ndizovuta ziti zomwe zingabuke

Matenda a Atrial amadziwika ndi kusokonekera kwa magwiridwe antchito amagetsi mu atria yamtima, komwe kumayambitsa kusintha kwa kugunda kwa mtima, komwe kumakhala kosafulumira komanso mwachangu, kufikira kumenyedwa kwa 175 pamphindi, zomwe zitha kuwonjezera chiopsezo cha sitiroko, mtima kulephera kapena mavuto ena amtima .

Matenda a Atrial amatha kukhala opatsirana, amapezeka pokhapokha pakuyesedwa kwamayendedwe, kapena amayambitsa zizindikilo monga kupindika, kupuma movutikira, chizungulire komanso kumva kufooka.

Chithandizochi chimasinthika kwambiri ndipo chimadalira munthuyo, zizindikilo ndi zizindikilo zomwe amapereka ndi zomwe zimayambitsa matenda a atrial fibrillation.

Zizindikiro zazikulu

Kwa anthu ena, fibrillation singawonetse zizindikiro zilizonse, komabe, nthawi zina, zimatha kuchitika:

• Kupindika;
• Kugunda kwamtima kosasintha;
• Kufooka ndi kutopa msanga;
• Chizungulire;
• Kupuma pang'ono;
• Kupweteka pachifuwa.

Nthawi zambiri, matendawa amapangidwa kudzera mu electrocardiogram, koma nthawi zina, adokotala amatha kuwonetsa echocardiogram, kuyesa magazi kuti awone ngati pali zovuta ndi chithokomiro, kapena X-ray pachifuwa, kuti aone kukula kwa dera lamtima .

Zomwe zingayambitse

Matenda a Atrial nthawi zina amakhala opanda chifukwa chodziwika, komabe, nthawi zambiri amapezeka chifukwa cha kupindika kwa mtima kapena kuvulala.

Kuphatikiza apo, zina mwazimene zimalimbikitsa kuyika kwa atrial fibrillation ndi matenda oopsa, mbiri yamatenda am'mbuyomu, matenda amtima, matenda obadwa nawo, hyperthyroidism, kugwiritsa ntchito mankhwala ena, kumwa tiyi kapena khofi, mowa kapena fodya, kudwala matenda am'mapapo, postoperative Kuchita opaleshoni yapamtima yaposachedwa, matenda opatsirana ndi ma virus, kupsinjika kapena kudwala matenda obanika kutulo, mwachitsanzo.

Nthawi zina, chiopsezo chovutika ndi matenda a atrial chitha kuwonjezeka, monga okalamba komanso anthu omwe amamwa mowa mwauchidakwa komanso zotsekemera.

Momwe mankhwalawa amachitikira

Chithandizochi chimadalira mtundu wa hemodynamic wa munthu ndipo pomwe arrhythmia idayamba, komabe, sizovuta nthawi zonse kudziwa nthawi yoyambira, zomwe zimapangitsa kuti njirayo ndi chithandizo chikhale chovuta.

Zolinga zamankhwala ndikuwongolera kugunda kwa mtima ndikuletsa magazi kuundana kuti achepetse chiwopsezo chodwala matenda opha ziwalo. Kutengera ndi nthawi yomwe arrhythmia imayamba komanso matenda amthupi a munthu, kufooka kwa mpweya kumafunikira, pomwe kugwedezeka kumachitika kuti mtima ubwerere ndikubwezeretsanso muyeso wabwinobwino, atakhala pansi.

Kuphatikiza apo, adotolo amatha kupatsa mankhwala osokoneza bongo, omwe amasinthiratu kufooka kwa odwala okhazikika ndipo amathanso kugwiritsidwa ntchito atasinthidwa kuti ateteze zochitika zina. Zitsanzo za antiarrhythmic agents ndi amiodarone ndi propagandone, mwachitsanzo. Ma Beta blockers ndi ma calcium channel blockers amathanso kugwiritsidwa ntchito kuwongolera kugunda kwa mtima ndikupewa kutsekemera kwamatenda. Pofuna kupewa mapangidwe a clot, dokotala amatha kupereka mankhwala opatsirana pogonana ndi ma platelet inhibitors.

Ndikofunikanso kuchita masewera olimbitsa thupi nthawi zonse, kuchepetsa kuthamanga kwa magazi, kupewa mowa mopitirira muyeso, tiyi kapena khofi kapena ndudu, kuchepetsa mafuta m'thupi, kuchepetsa kudya kwa shuga ndikukhala wonenepa.

Ndizovuta ziti zomwe zingabuke

Nthawi zambiri, kutsekemera kwamatenda sikuwopseza moyo, koma nthawi zina, kumatha kubweretsa zovuta kapena kufunikira chithandizo chadzidzidzi.

Matenda a Atrial amatha kupangitsa kuti magazi apange magazi mkati mwa mtima, omwe amayenda kupita ku ziwalo zina, zomwe zimatha kuyambitsa kutseguka kwa magazi, ndikupangitsa ischemia. Akapita kuubongo, amatha kulepheretsa mtsempha wamaubongo ndikupangitsa sitiroko, ngozi yomwe imakhalapo imaposa nthawi 5 mwa anthu omwe amadwala matenda am'magazi.

Kuphatikiza apo, kufooka kwamatenda ndikofala, kumatha kuyambitsa mtima. Popeza mavutowa ndi akulu, ndikofunikira kuti chithandizo chichitike mwachangu.