Matenda fibrillation - Zizindikiro ndi njira Kupha ake

odwala ambiri amafunsa funso - Kodi matenda fibrillation? Izi ndi kuphwanya contractile ntchito ya mtima, amene anatsagana ndi matenda fibrillation ulusi minofu. Matenda aretmiya yodziwika ndi zikhumbo mofulumira ndi osasamba matenda magetsi, pafupipafupi zomwe kungakhale kwa 350-600 pa mphindi, kuchititsa chidule yamitsempha yamagazi komanso osasamba. Mwadongosolo arrhythmias mtima minofu kungachititse kuti aakulu kulephera magazi. Matenda fibrillation ndi yofala kwambiri arrhythmia. The zifukwa zimene zimachititsa kuti ali myocarditis, kulephera mtima, cardiomyopathy, kardiosklerosis, matenda oopsa, etc. Matenda fibrillation ungayambenso pa maziko a thyrotoxicosis, kuledzera mowa, agonists ndi glycosides mtima.

Matenda fibrillation ali ndi zizindikiro zosiyanasiyana, makamaka amadalira mawonekedwe ake (paroxysmal, kulimbikira, tachysystolic, bradisitolicheskaya) ndi boma la minofu mtima. Kwambiri kwambiri akuwonetseredwa tahisitolicheskaya mawonekedwe arrhythmia (palpitations mtima, ululu mtima, kufupika kwa mpweya, amene kumawonjezera pa masewera olimbitsa thupi) ndi paroxysmal matenda fibrillation, zizindikiro za amene makamaka chidawoneka kufooka, thukuta, kugwedeza, nkhawa, polyuria, chizungulire, kukomoka. Nthawi zambiri odwala amadandaula kupuma movutikira ndiponso kumva ululu mu mtima, nthawizina pali magazi m'thupi kuonekera mucous zimagwira ntchito zosiyanasiyana, ndi cyanosis cha milomo.

Matenda fibrillation: zizindikiro ndi mankhwala

Chithandizo cha matenda umalimbana kubwezeretsa mtima mungoli, kupewa zisadzachitikenso wa fibrillation matenda, kupewa thromboembolism. Mu yochizira matenda, kuteteza chitukuko cha paroxysmal arrhythmia ntchito quinidine, procainamide, propanorm, Cordarone. Sakhala ogwira ndi ntchito verapamil, digoxin, propranolol. Limagwirira cha zochita zawo imatsogoleredwa pa normalization wa ntchito m'mnyewa wamtima contractile, abwinopo odwala (yafupika dyspnea, kutopa, palpitations). Mu nkhani ya osakwanira mphamvu ya ntchito mankhwala nthawi zambiri zotchulidwa cardiologists cardioversion magetsi (magetsi kumaliseche zimachitika umagwiritsidwa m'chigawo cha mtima kusintha kayendedwe mtima), ndi paroxysms kutha m'zaka 90% ya milandu. Matenda fibrillation, zizindikiro omwe afala masiku opitirira 2 kumawonjezera mwayi kukhala thromboembolism. Pofuna kupewa mapangidwe magazi kuundana Kwalamulidwa warfarin. Odwala matenda - aakulu matenda fibrillation, atenolol, egilok, konkor (blockers), diltiazem, verapamil, digoxin (muzikangana kashiamu ayoni). Mphamvu ya chithandizo kumatengera kukhazikitsidwa yake ya matenda chimapangitsa kuti anayambitsa chitukuko cha arrhythmias. njira kwakukulu, kumatha arrhythmia matenda ndi ntchito RF kudzipatula mitsempha m'mapapo mwanga. Moto ectopic malemeredwe, amene isanafalikire pakamwa pa mitsempha m'mapapo mwanga, atachotsedwa atria lapansi. Mwachangu RF kudzipatula mankhwalawa arrhythmia matenda ndi pafupifupi 60%. Pamene okhazikika kapena kobwereza mawonekedwe Kwalamulidwa wailesi pafupipafupi ablation (woyaka) atrioventikulyarnogo mfundo mtima ndi kukhazikitsidwa kwa mpaka kalekale pacemaker analili.

Maziko kupewa chachikulu mankhwala oyambirira a matenda kuti ndi owopsa kwa chitukuko cha fibrillation matenda. kupewa Secondary umalimbana litsatidwe malangizo adokotala za antiretsedivnoy mankhwala, olumala ndi nkhawa psycho-maganizo, kudziletsa ku chikonga ndi mowa.