Atrial fibrillation - Matšoao le mekhoa ea ho felisoa lona

Bakuli ba bangata ba botsa potso e - ke eng atrial fibrillation? Ena ke tlōlo ea contractile mosebetsi oa pelo, e leng e tsamaea le atrial fibrillation tsa likhoele mesifa. Atrial aretmiya tšoauoa ka litakatso tsa ka potlako 'me kamehla atrial motlakase, le maqhubu a ea e ka ba ho fihlela ho 350-600 ka motsotso, a etsa hore khutsufatso ventricular hape tsoeng. Hlophisitsoeng arrhythmias pelo mesifa ho ka etsa hore a sa foleng ho hloleha ho potoloha ha mali. Atrial fibrillation ke mofuta o tloaelehileng haholo oa arrhythmia. Mabaka a ka sehloohong tse bakang eona myocarditis, ha pelo, cardiomyopathy, kardiosklerosis, kgatelelo ya madi, joalo-joalo Atrial fibrillation ka boela ho ntshetsa pele ka semelo sa thyrotoxicosis, botahoa joala, agonists le glycosides cardiac.

Atrial fibrillation na le mefuta e fapaneng ya le matšoao a, haholo-holo itšetlehile ka sebopeho lona (paroxysmal, phehellang, tachysystolic, bradisitolicheskaya) le boemo ba mesifa pelo. Ka ho fetisisa ka ho teba bonahatsa tahisitolicheskaya foromo ya arrhythmia (palpitations pelo, bohloko ba pelo, bokhutšoanyane phefumoloho, e leng eketsa nakong ho ikoetlisa) le paroxysmal atrial fibrillation, matšoao a tse haholo-holo o ile a bontša e le bofokoli, ho fufuleloa, tremor, ho tšoenyeha polyuria, molikoalikoane, ho fainting. Boo hangata bakuli ba tletleba ba bokhutšoanyane phefumoloho le boikutlo ba bohloko ka pelo, ka linako tse ling ho na le khaello ea mali bonahalang mucous lera la, 'me cyanosis ea molomo.

Atrial fibrillation: matšoao a le kalafo

Kalafo ea lefu lena le o ikemiseditse ho tsosolosa pelo ea morethetho, thibelo ea boipheto tsa fibrillation atrial, thibelo ea thromboembolism. Ikatisetsa bongaka, ho thibela ntshetsopele ya paroxysmal arrhythmia sebelisa quinidine, procainamide, propanorm, Cordarone. Sa sebetsa e le tšebeliso ea verapamil, digoxin, propranolol. The mochine oa ketso ea bona e lebisitsoe ho tlwaelegileng a tsa mosebetsi myocardial contractile, ntlafetse bophelo ba bakuli (fokotswa dyspnea, mokhathala, palpitations). Tabeng ea lekana atleha ha tšebeliso ea lithethefatsi e atisa ho e balletsweng ke cardiologists cardioversion motlakase (motlakase tjhajoloha pulse length e sebelisoa sebakeng sa pelo ea ho ntlafatsa morethetho cardiac), le paroxysms nyamela ka 90% ea linyeoe. Atrial fibrillation, matšoao hore phehella bakeng sa matsatsi a fetang 2 eketsa menyetla ea ho ba le thromboembolism. Ho thibela sebopeho sa clots mali balletsweng warfarin. Bakuli ba fumanoa - foleng atrial fibrillation, atenolol, egilok, konkor (blockers), diltiazem, verapamil, digoxin (ba khahlanong le lōna k'halsiamo ions). Katleho ea phekolo e itšetlehile ka ho thehoa ka nako e loketseng ea lefu ipatileng e bakileng ntshetsopele ya arrhythmias. mekhoa khōlō, felisa ea arrhythmia atrial ke tšebeliso ea RF itšehla thajana ea methapong methapo. Leifo ectopic nyakallo, e leng e localized ka melomo ea methapong methapo, e tlosoa atria ena. Bokgoni RF ho itšehla thajana ka kalafo ya arrhythmia atrial ke hoo e ka bang 60%. Ha ka ho sa feleng kapa e iphetang foromo e beuweng seea-le-maqhubu ablation (bo tukang) atrioventikulyarnogo noute pelo le ho thehoa ha ho sa feleng sethusapelo thophothetsa.

Motheo bakeng sa thibelo ya ka sehloohong ke kalafo tsa pele tsa mafu tse kotsi bakeng sa ntshetsopele ya fibrillation atrial. thibelo ea bobeli o ikemiseditse ho ho latelwa le likhothaletso le ngaka mabapi le antiretsedivnoy phekolo, mefokolo ea 'mele' me ho imeloa kelellong-tlhaloganyo maikutlo, teloe bokoali le joala.