Fibrillation atrial wenhliziyo: kuyini nokuthi kuyingozi?

Uphiko ngqo kakhulu umsebenzi inhliziyo ubhekwa ishayela izinze. Uma isiguli sekutholakele ukuthi sine- fibrillation atrial, ngakho isigqi kuyaphazamiseka. isici ezincane ezinjalo akuhileli engalingani ukugcwaliswa atrial igazi. Ngenxa yalokho, i-ventricles igciwane ekwandiseni heterogeneous. Ukuphazamiseka evamile inhliziyo isigqi kungaba yingozi, njengoba kulokhu, okwandisa ingozi yokushaywa unhlangothi. Kulesi sihloko sizochaza lokho izimpawu ephelezelwa fibrillation atrial wenhliziyo, kuyini futhi yiziphi izindlela zokwelapha zamanje.

ulwazi olujwayelekile

Esejwayelekile kwenhliziyo - kuba lonke uchungechunge izifinyezo eminyangweni kahulumeni ehlukahlukene kwemisipha eyinhloko yomzimba womuntu. Ekuqaleni usike ATRIUM, futhi uye wayilandela ventricles. Endabeni fibrillation atrial, le Atria bangalahlekelwa ukukwazi kwabo inciphe ngokugcwele. Esikhundleni salokho, uqala nemiyalezo cringe ie ishaye. Yingakho izincwadi ungathola elinye igama lesi sifo - fibrillation atrial.

Kule minyaka edlule, lesi sifo sitholakale umuntu kaningi. Ngokwesibonelo, eminyakeni 40-50, mayelana 1% abantu bakuleli batholakale fibrillation baqinisekisa. Nokho, ngo-eminyakeni engu-60, lezi zibalo landa, zokugula sitholakale kakade 5%. Lapho uphawu sihamba engu-80 ubudala, izimpawu arrhythmia atrial kungabonakala nasemkhakheni 10% wesibalo sabantu.

Lezi izibalo zichazwe iqiniso lokuthi lapho sesigugile kaningi lukhuni kwemithambo yegazi yenhliziyo bese udonga inhliziyo. Ngaphezu kwalokho, ngokuvamile ukuthuthukisa yenhliziyo Umthambo isifo.

fibrillation atrial wenhliziyo: kuyini futhi yiziphi izimbangela zezifo

Isizathu esiyinhloko ukuthuthukiswa fibrillation atrial - umsebenzi okungajwayelekile okuthiwa inhliziyo conduction uhlelo lapho ushintsho oda ukunciphisa ezinye Imicu yotshani inhliziyo uyalandelwa. Ukuthuthukiswa zokugula enjalo kunomthelela izinto eziningi. Ochwepheshe ukuhlukanisa phakathi izimbangela zenhliziyo noncardiac ka arrhythmia. Isigaba sokuqala sihlanganisa isifo senhliziyo, ngisho nezitsha ukuthi abantu abasha ogxile elihlobene ne zamehlo apharathasi valve, kanye nasebekhulile - nezifo ezifana:

• CHD.
• Cardio.
• isilethikusebenza.
• Umfutho ophakeme wegazi.
• Tachycardia.

Ukuze yokungabibikho kwezimbangela inhliziyo zihlanganisa lezi ezilandelayo:

• Izifo kohlelo endocrine.
• ukucindezeleka njalo.
• Ukudakwa kunemithi noma amaphilisi owaphuzayo kanye notshwala.
• Ngifundise ngesifo sikashukela.
• izifo ezibangelwa amagciwane.
• ukukhuluphala Sinzima.

Zokwelapha, zikhona izimo lapho zokugula iphutha ngaphandle kwesizathu. Ochwepheshe basikisela ukuthi kulesi simo-ke omkhulu sitholwa njengefa, ukuchaza ngokuguqula izakhi zofuzo.

emitholampilo isithombe

Izikhalazo iziguli nale Ihlahlubo zingase zihluke kakhulu. Izimpawu fibrillation atrial kwenhliziyo, noma kunalokho, ngobubi bawo kuncike degree of nokuntengantenga hemodynamic, kanye izici ngamunye isiguli. Njengoba umthetho, zokugula kwenzeka ngaphandle izimpawu ezisobala, isigqi ukuphazamiseka itholwe ngenkathi kokuhlolwa isimiso kuphela. Ngezinye izikhathi ukubonakaliswa basemtholampilo yahlukana kakhulu kangangokuthi iyehlisa izinga lempilo. Ngezansi izici eziyinhloko eyenza umuntu onganquma okufanele ukwenze lokho umuntu ayikho uyagula ngempela.

• Ubuhlungu. Ukungakhululeki kungenzeka wazizwa enhliziyweni, futhi nje esifubeni. Akudingeki ukuba kube ukwaziswa sebuhlungwini obunzima. Ngezinye izikhathi umuntu "prihvatyvaet" bese ngemva kwemizuzwana embalwa, "isidedele". Ezinye iziguli kubika ukubukeka emizweni, efana izinzwa bagibele. Abantu abaningi bamshaya indiva ngenxa yalokhu uphawu, umane nokuyiphuza imishanguzo kuze kuphele ukungakhululeki ngenxa yokukhathala noma ukucindezeleka.
• Palpitations.
• Iphika ukujuluka ngokweqile. Lena izimpawu lalivamile ka arrhythmia atrial. Isiguli uzizwa uphelelwa kancane umoya ngemva kokuvivinya umzimba futhi ukujuluka futhi zonke singenzeka kwayona, ngisho uphumule.
• Ubuthakathaka bemisipha.
• ukuchama kaningi. Lokhu uphawu landile asebekhulile.
• I babenakho ukwesaba noma ukwethuka. Uma umuntu uqala ujuluke ngaphandle kwesizathu futhi gasping, yena ngokomzwelo wemvelo livela ukwethuka.
• Yokufikelwa nesiyezi. Lezi izimpawu zibonisa ukuthi umuntu ogulayo ngempela futhi udinga ukunakekelwa onekhono onguchwepheshe.

ifomu sokugembula

Kususelwa ubunjalo isifo? ukukhulula:

• Paroxysmal. Neziqubu ukugula engavela ngezikhawu ezincane izinsuku angaphezu kwamabili, ngokuvamile bebodwa.
• ifomu eziphikelelayo. Ukuhlaselwa izinsuku ezingaphezu kweziyisikhombisa, ihlolwe kuphela emva imithi.
• ifomu Okungalapheki.

On kwenhliziyo kukho okulandelayo yilezi:

• Normosistolichesky (HR imivimbo 60-90).
• Tachysystolic (kwenhliziyo okukhulu kuka-90 amabhithi).
• Bradisistolichesky (kwenhliziyo angaphansi kuka-60 amabhithi).

uphethwe

Kuphela nochwepheshe wezokwelapha kungaba ukuqinisekisa lokhu uphethwe njengoba fibrillation atrial zenhliziyo. Kuyini siyatshelwa, manje sekuyisikhathi sokukhuluma ngale izindlela eyinhloko uphethwe.

Uma usola ukuthi lo dokotela isifo ngokuvamile ubeka imisebenzi elandelayo:

• ECG Nambili kuholela.
• Ubude umchamo / kwegazi ukuhlonza pathologies ahlobene.
• Iphrofayela kwama-hormone kuyadingeka ukuba ngakususi yegilo pathologies.
• Layisha test. Lolu cwaningo ivumela ukuxilonga ischemia inhliziyo, kanye ukhetho ukwelashwa ukulawula i arrhythmia ezingamahlalakhona.
• Radiograph.
• HMEKG.

ukwelashwa

Indlela ukwelapha fibrillation atrial senhliziyo? Ukwelashwa yalesi sifo kuyakhethwa ngochwepheshe ezimweni umile futhi kuncike Imiphumela inhlolovo, sibonga ngalo kungenzeka ukuhlonza uhlobo nendlela arrhythmia inhliziyo.

ikhwalithi ukwelashwa kunqunywa kuphela kubona lizinga lekuphumelela nalokhu okulandelayo okuphokophelwe:

• Ukubuyiselwa itheku isigqi.
• Ukuvimbela ukuhlaselwa amasha esikhathini esizayo.
• Kwenhliziyo control.
• Ukuvimbela thrombosis ukuvimbela ukuthuthukiswa yezinkinga.

izidakamizwa prophylactic antiarrhythmic ( "Amiodarone", "Dofetilide", "Propafenone") abelwa ukuvimbela ukuhlaselwa. Ukukhethwa kwe-imithi ethile fibrillation atrial wenhliziyo inikeza wenhliziyo esekelwe imbangela zokugula, ukubukeka kwayo futhi khona izifo concomitant.

Ukuphelisa tachycardia iziqephu ifomu eziphikelelayo esetshenziswa njengoba izidakamizwa antiarrhythmic ukuthi iphathwa ngemithambo yegazi, futhi lokho okubizwa ngokuthi cardioversion kagesi. Lesi sakamuva kusho isicelo-low voltage amaza kagesi ukubuyisela isigqi evamile. Le nqubo wenziwa labagula.

Ngo ezingamahlalakhona ifomu fibrillation ngokuvamile kudinga nokuqapha njalo amazinga inhliziyo phakathi 60 futhi kuze kube ngu-90 ngomzuzu. Kulokhu kutuswa beta-blocker ( "propranolol", "metoprolol"), glycosides inhliziyo ( "Digoxin") futhi abamelene ka kancane iziteshi calcium ( "Diltiazem", "Verapamil").

Basengozini enkulu amahlule zonke izinhlobo zokugula esimisiwe anticoagulants.

Lapho udinga ukuhlinzwa?

ukwelashwa Steel Kunconywa uma ukwelashwa kanye amaphilisi esetshenziswa atrial arrhythmias inhliziyo musa asize. Zokwelapha, izindlela ezilandelayo zisetshenziselwa namuhla:

• Radiofrequency ablation ka atrial fibrillation imithombo. Phakathi nale nqubo ngokusebenzisa udokotela femoral kuletha umqhubi ngqo inhliziyo. Ngu-RF ishayela sisetshenziswa nalokho, futhi okwenza kungabi imithombo cishe arrhythmia.
• Radiofrequency ablation we-node atrioventricular ne yenzeka esiyisibopho elingenalo iwashi lenhliziyo. Ngu le ndlela, umuntu iphendukele kaningi lapho uphethwe "fibrillation atrial zenhliziyo." Kuyini lokhu? Esebenzisa inqubo enjalo kuyadingeka ukuze iphendukele lapho ukwelashwa kuyinto ingaphumeleli, okungukuthi, ngemva kokuthatha imithi akunakwenzeka kujwayeleke ukushaya kwenhliziyo. RF ishayela ebhubhisa ngqo engeyokuqala atrioventricular, pacemaker ifakiwe, okuyinto wethula ishayela kagesi inhliziyo, ukudala i isigqi eyayenziwe evamile.
• Ukufaka atrial cardioverter-ovuselela. Le idivayisi ekhethekile ithungwe phansi kwesikhumba esifubeni engenhla. Isuka kusukela electrode ngqo inhliziyo. idivayisi okunjalo kwenza kube nokwenzeka ukuba ngokushesha ukunqanda ukuhlaselwa, kwenzeka uma isifo efana fibrillation atrial zenhliziyo.
• Ukuhlinzwa okukhulu kwenhliziyo. Le ndlela isetshenziswa khona ezinye izifo, isibonelo, ezinzima inhliziyo Umthambo izilonda. Lapho eyohlinzwa esinjalo ukuchayeka kanyekanye ukuba imithombo okungenzeka fibrillation atrial.

Ake sixoxe umsoco

Ekwelapheni zonke ezinhle, uma kuziwa onjalo umzimba ebalulekile njengoba inhliziyo. Ezinye iziguli azigcini yokwelapha izidakamizwa, basebenzisa olunye uhlobo izindlela ezengeziwe. Omunye wabo ukudla okukhethekile arrhythmia atrial. Yiqiniso, ushintsho emikhubeni yokudla ngeke bakwazi ukumelana kwesifo ngokwaso, kodwa lesi sinyathelo kusiza ukunciphisa izimpawu emtholampilo. Uma ukudla ukuze uxhumane yokwelapha izidakamizwa efanele, kungenzeka ukuthola imiphumela emihle kakhulu. Ngezansi kunezinye ukudla okufanele uyoshiywa kwasekuqaleni.

• Utshwala. Lona yimbangela ejwayelekile kakhulu arrhythmias. Ngisho noma umuntu enezwi izinkinga ezincane ngenhliziyo, kusukela utshwala kufanele uyekwe.
• Okunamafutha kanye nokudla ngabhema. ukudla okunjalo ngokuvamile kwenza abantu bakuphathe nesenzakalo cholesterol zingcwecwe. Ochwepheshe batusa kakhulu ukulahla ngisho abantu engumqemane.
• Izinongo. izinongo Zezıhlabane kuthinte kubathinta inhliziyo. Odokotela ukweluleka isikhashana ukuba esikhundleni saso kungene Bole inketho esithambile.
• Usawoti kanye noshukela. Salt kunomthelela nokugcinwa uketshezi emzimbeni, futhi kubi kakhulu ngomsebenzi omuhle wenhliziyo. Ngaphezu kwalokho, kungase kube iphika ukujuluka ngokweqile. Isexwayiso kumele kube ngoswidi. esiningi ushukela ekudleni kanye nokudla ngokuvamile non-kwesejwayelekile ibe imbangela isifo sikashukela kanye nezinye izifo.

Yini udla? Ukudla fibrillation atrial wenhliziyo senzelwe ukukufaka ekudleni inyama mafutha nenhlanzi, eziningi imifino nezithelo, imikhiqizo yobisi. Ukudla steamed kangcono noma wabhaka kuhhavini. Usuku kumele okungenani 4-5 ukudla.

Ukudla akusho esiqinile Ukudla ukusikeka. Kubalulekile ukudla ngokulinganisela, futhi makudle ukudla okunempilo. Kuphela kulesi simo kungenzeka ukuba nethemba ukululama ngokushesha futhi ungekho sengozini yokuthola izifo.

Usizo Traditional Medicine

Indlela esiphatha ngayo fibrillation atrial izindlela ezivamile inhliziyo? Wenziwa imithi ehlukile nge imithi ngokugcwele esikhundleni is hhayi Kunconywa. infusions Engamakhambi, ephulukisa yesiguli kuphela njengoba izinyathelo asizayo.

Ngokuvamile kulokolokoza ingenye yezindlela uJehova alubonisa ngayo sina kardiopatology ngokwanele (kardiosklerosis, ukukhubazeka). Yingakho kwasekuqaleni kufanele inikwe ukwelapha izifo ezinkulu, futhi kubonakaliswa basemtholampilo arrhythmias wehlise ngokwabo uma, ngokomthetho bakwazi ukuba bathuthuke nokwelashwa kwayo. The zokupheka ezivamile of imithi yendabuko.

• Walnuts noju. 100 g ziyadliwa ochotshoziwe kudingekile in a blender. Ukuze ingxube okuholela engeza 0.5 L uju kanye mix ngobumnene. Le nhlanganisela Kunconywa ukuba kudle nsuku zonke isipuni inyanga eyodwa.
• Onion futhi apula sauce. Izimpawu zesifo ziyancipha kakhulu uma amazambane ecubuziwe ukudla kosuku olukhethekile. Ukupheka ke udinga nquma anyanisi bese omunye apula. Lo muthi kufanele kuthathwe kabili ngelanga esiswini esingenalutho.
• Potato juice kusiza kahle arrhythmia. Ezinsukwini ezingu-14, kutuswa ukuba baphuze isigamu ingilazi yalesi juice. Lokhu kulandelwa ikhefu of inyanga eyodwa, bese uqhubeke nokwelashwa.

yezinkinga kungenzeka

Yona kanye nesifo senhliziyo, fibrillation atrial, akuyona ingozi njengoba yezinkinga zayo kungenzeka. Omunye elaziwa kakhulu njengoba okuthiwa unhlangothi cardioembolic. Lolu hlobo angahlangani kwenzeka ku isizinda kunezinxushunxushu umsebenzi Atria, ngenxa lapho igazi nje akanawo isikhathi waxoshwa kubo. Ngenxa yalokho, it stagnates futhi akhiwa amahlule. Ngemva esifushane ungathola amahlule e imithambo yegazi futhi has ukungena ngokuphelele noma isiphi isitho. Wacabangisisa kwema- ihlule legazi zazisa ubuchopho, ngokuvamile igcina ngemivimbo.

I esiyingozi fibrillation atrial senhliziyo? ukubonakaliswa Clinical sifo futhi kubhekwa ukushaqeka cardiogenic. Lena ngempela ukwephulwa umsebenzi contractile we myocardium. Nokugula kufaka ukunciphisa abukhali ingcindezi. Kuleli zinga imisipha eyinhloko yomzimba ayikwazi ngokugcwele konke ezicutshini futhi zeNhlangano igazi, okuholela izinqubo engelapheki kuzo.

zokuvimbela

Prevention ngokuyinhloko lisikisela ukwelashwa esifike ngesikhathi kuzo zonke izifo ukuthi kungabangela ukuphazamiseka okukhulu kwenhliziyo. It is ibuye Kunconywa ukunciphisa umthelela ezintweni ezingezinhle emzimbeni womuntu. Lezi zihlanganisa lokhu okulandelayo: ukubhema, ukucindezeleka, utshwala, ukucindezeleka bomzimba obungapheli.

Ochwepheshe ukweluleka kubuketa ngokuphelele ukudla. Ngo fibrillation atrial, ekudleni inhliziyo kufanele esekelwe ukudla olunamafutha amancane noma ukudla isitshalo ikakhulukazi. Ukuquleka angase avuse ukuphazamiseka iziphuzo ezifana ikhofi, utshwala, itiye eqinile. Ikhumbula yokuthi ushintsho electrolyte umzimba kungakusiza ukuba unikeze izinkinga ngenhliziyo isigqi, ochwepheshe batusa kakhulu ekucebiseni udle ukudla okune-potassium ne-magnesium imikhiqizo (uju, walnuts, zucchini, amabhilikosi).

Ukuvimbela lesi sifo Kuhilela umsebenzi ngokulinganisela ngokomzimba: umzimba ekuseni, Ukushushuluza ebusika, uhamba epaki, ebhukuda.

Uma kungenzeka, gwema ukucindezeleka ngokomzimba nangokomzwelo. Yokuletha ukuthula kwangaphakathi futhi ikhuthaza ukuqeqeshwa sokuzwa. Ukuqeda ukukhathazeka ngokweqile ezimweni ezicindezelayo zingafundwa kuseluleko sedatives kadokotela. Ukuze isidingo inhlalakahle ukulala amahora ngosuku okungenani eyisishiyagalombili.

Kubalulekile kakhulu ukulawula Inkomba umzimba mass, indices glucose futhi cholesterol egazini.

isiphetho

Lesi sihloko sinikeza ulwazi "arrhythmia atrial:. Izimpawu, ukwelashwa, lokuvikela" Ngeshwa, njalo ngonyaka kule zokugula sitholakale kaningi. isiqinisekiso Esifike Ngesikhathi kwesifo kanye therapy ezifanele zokunciphisa nemiphumela engemihle. Hlala uphilile!