I-fibrillation ye-atrial - izimpawu nezindlela zokuqedwa kwayo

Iziguli eziningi zibuza lo mbuzo - yini i-fibrillation ye-atrial? Lokhu kuphulwa komsebenzi osebenza ngokuvumelana nenhliziyo, okuhambisana ne-fibrillation yezintambo ze-muscle ze-atria. I-fibrillation ye-atrial ibonakala ngokushayela okusheshayo nokungajwayelekile komgogodla we-atrial, okuyinto imvamisa yayo ingafika ku-350-600 ngomzuzu, ngenxa yalokho ukuphikisana kwe-ventricular nakho okungavamile. Ukwephulwa okwesimiso sokulinganisa kwe-muscle yenhliziyo kungaholela ekuhlulekeni okungahleliwe kwe- circulatory. I-fibrillation ye-atrial iyindlela ejwayelekile kakhulu yokuhlelwa kwe-arrhythmia. Izimbangela eziyinhloko ezibangela ukuba kube yi-myocarditis, ukuhluleka kwenhliziyo, ukushaya inhliziyo, ukushaya inhliziyo, isifo somfutho wegazi, njll. Futhi, i-fibrillation ye-atrial ingakhula ngokumelene nesizinda se-thyrotoxicosis, ubuthi obudakayo, i-adrenomimetics ne- glycosides yenhliziyo.

I-fibrillation ye-atrial inezimpawu ezahlukahlukene, ikakhulukazi kuye ngokuthi isimo sayo (i-paroxysmal, iphikelela, i-tachysystolic, i-bradiscital) kanye nesimo senhliziyo. Ukubonakaliswa okunzima kunazo zonke kohlobo lwe-tachysitolytic ye-arrhythmia (ukushaya kwenhliziyo okusheshayo, ubuhlungu benhliziyo, i- dyspnea, ekhushulwa ngokuzikhandla ngokomzimba), kanye ne-paroxysmal fibrillation ye-atrial, izimpawu zazo ezibonakala ikakhulu njengobuthakathaka, ukuthuthumela, ukuthuthumela, ukwesaba, ukuvota, ukuzondwa, ukuphelelwa amandla. Ngokuvamile, iziguli zikhononda ngokuphefumula nokuzwa ubuhlungu enhliziyweni, ngezinye izikhathi kukhona i-anemia ye-membrane ebonakalayo ne-cyanosis yezindebe.

I-fibrillation ye-Atrial: izimpawu kanye nokwelapha

Ukwelashwa kwalesi sifo kuhloswe ukubuyisela isigqi senhliziyo, ukuvimbela ukuphindaphinda kwe -fibrillation ye-atrial, ukuvimbela ukuthuthukiswa kwe-thromboembolism. Ezokwelapha ukuvimbela ukuthuthukiswa kwe-paroxysms ye-arrhythmia isebenzisa i-quinidine, i-novocaineamide, i-propanorm, i-cordarone. Ukusebenza okuncane kakhulu ukusebenzisa i-verapamil, i-digoxin, i-anaprilin. Indlela yokwenza kwabo ihloswe ngokujwayelekile ukwenza umsebenzi wokusebenza we-myocardium, ukuthuthukisa impilo yeziguli (ukunciphisa ukuphefumula, ubuthakathaka, ukuguquka). Ngokusebenza okwanele kokusetshenziswa kwemithi, izazi ze-cardiologists zivame ukuhlinzeka nge-cardioversion kagesi (ukukhishwa kwamandla kagesi okuphambene nenhliziyo ukuze kuthuthukiswe isigqi senhliziyo), futhi ama-paroxysms ayanyamalala ngamacala angu-90%. I-fibrillation e-atrial, izimpawu ezingaphezu kwezinsuku ezimbili, kwandisa amathuba okuthuthukisa i-thromboembolism. I-Warfarin inqunyelwe ukuvimbela ukwakheka kwe-thrombus. Iziguli ezixilongwa - uhlobo olungapheli lwe-fibrillation ye-atrial, khetha i-atenolol, i-egilok, i-concor (adrenoblockers), i-diltiazem, i-verapamil, i-digoxin (i-antagonists ye-calcium ions). Ukuphumelela kokwelashwa kuxhomeke ekusungulweni okwesikhashana kwesifo esiyinkimbinkimbi, okubangele ukuthuthukiswa kokuphazamiseka kwesigqi. Izindlela ezinkulu eziqeda ukucubungula nge-atrial ukusebenzisa i-RF ukuhlukaniswa kwemifino yamaphalonda. Ukugxila kwe-ectopic excitation, okutholakala emlonyeni wemithanga ye-pulmonary, isuswa ku-atria. Ukusebenza kwe-radiofrequency isolation ekwelapheni kwe-fibrillation ye-atrial kungu-60%. Ngefomu elihlala njalo noma eliphindaphindiwe, ukukhishwa kwe-radiofrequency (ukushisa) kwe-node ye-atrioventicular yenhliziyo inqunywe ngokufakwa kwe-pacemaker ehlala njalo.

Isisekelo sokuvimbela okuyinhloko ukuphathwa kwezifo eziyisikhathi eziyingozi ekuthuthukiseni ukufabulisa kwe-atrial. I-prophylaxis yesibili ihlose ukunamathela ezincomeni zodokotela mayelana nokwelashwa okungaqashiwe, ukunciphisa ukucindezeleka ngokomzimba nangokwengqondo-ngokomzwelo, ukugwema ukusebenzisa i-nicotine neziphuzo ezidakayo.