Fibrillation Atrial intliziyo: yintoni nokuba njani yingozi?

Ilungu ngqo bazizinhanha apho umsebenzi entliziyweni ithathwa ukubetha ngokuthe ngcembe. Ukuba isigulane kwafunyaniswa fibrillation atrial, ngoko isingqi egxobhekile. siphene ezincinane ezinjalo iquka ezimagqagala igazi ukugcwaliswa atrial. Ngenxa yoko, le ventricles yokusuleleka nokwandisa owahlukeneyo. Ukuphazamiseka eqhelekileyo intliziyo rhythm kunokuba yingozi, njengokuba kulo mzekelo, ukwandisa amathuba okuba nestroke. Kweli nqaku siza kuchaza izinto ezikugulisayo ekhatshwa fibrillation atrial wentliziyo, yintoni na kwaye yintoni ke unyango lwangoku.

ulwazi jikelele

Isantya Intliziyo oluqhelekileyo - yinto nomxokelelwane lonke izifinyezo lwamasebe ezahlukeneyo izihlunu ezingundoqo emzimbeni womntu. Ekuqaleni wasika intendelezo, kwaye uye walandela ventricles. Kwimeko fibrillation atrial, imithambo banokulahlekelwa kukuba nako kwabo luyasuka ngokupheleleyo. Endaweni yoko, ukuba baqalise ngokungakhethiyo kuhanahanisa ie fibrillate. Kungenxa yoko le nto iincwadi uyakwazi ukufumana elinye igama ngenxa yale sifo - fibrillation atrial.

Ukutyhubela iminyaka, le isifo eso rhoqo. Ngokomzekelo, kwiminyaka 40-50, malunga-1% zabemi fibrillation ozinzisiweyo. Noko ke, kwiminyaka engama-60, la manani landa, ngezifo banesifo sele kwi-5%. Xa uphawu eyipasile ubudala 80, iimpawu arrhythmia atrial ibonakala-10% yabemi.

Ezi nkcukacha-manani zicacisiwe yi yokuba ebudaleni kaninzi lukhuni kwemithambo yenhliziyo nodonga intliziyo. Ngaphezu koko, ngokufuthi ukuphuhlisa kwemithambo.

fibrillation Atrial intliziyo; yintoni na kwaye yintoni na ezibangela izifo

Esona sizathu siphambili uphuhliso fibrillation atrial - umsebenzi mgaqweni ekuthiwa njalo-nkqubo Uhanjiso kwentliziyo apho utshintsho ngendlela yokunciphisa ezinye imicu inhliziyo waphawula. Uphuhliso ngezifo ezifana kunegalelo izinto ezininzi. Iingcali umahluko phakathi oonobangela ezesifuba noncardiac of arrhythmia. Iqela lokuqala luquka isifo sentliziyo kunye neempahla abantu abatsha enxulumene ngelixa iintsilelo izixhobo vana, kunye abadala - nezifo ezifana:

• Isifo sentliziyo.
• Cardio.
• iposi engabalulekanga.
• Kwegazi.
• Tachycardia.

Ngokuba izinto non-kwentliziyo ziquka oku kulandelayo:

• Izifo kwinkqubo yonyango.
• zeleka rhoqo.
• Ukunxila okanye amayeza athile kunye notywala.
• Diabetes osegazini.
• amagciwane.
• ukutyeba Severe.

Xa yezonyango, kukho iimeko apho ngezifo kwenzeka ngaphandle kwesizathu. Iingcali zithi kule meko ke ilifa, chaza guquko lwe yemfuza.

picture clinical

Nezikhalazo zezigulane nale Uxilongo inokuba nomahluko kakhulu. Iimpawu fibrillation atrial wentliziyo, hayi kanye mandithi, abawayo yabo ixhomekeke iqondo kozinzo hemodynamic, kwakunye iimpawu ngamnye yesigulana. Ngokuqhelekileyo, le ngezifo lwenzeka ngaphandle iimpawu ezicacileyo, isingqi ukuphazamiseka ibhaqwe kuphela ngexesha kuxilongelwa lwesiqhelo. Ngamanye amaxesha wabonakala bezonyango ukuze ezibonakalayo ezithi ngokubonakalayo kunciphisa umgangatho wobomi. Apha ngezantsi kukho iimpawu eziphambili ngawo umntu kugweba yintoni umntu ongaphilanga ngokwenene.

• Pain. Kuyaphela obungqingqwa entliziyweni, kwaye nje esifubeni. Akudingeki ukuba kube buhlungu kakhulu. Maxa wambi umntu "prihvatyvaet" uze emva kwemizuzwana embalwa, "lets hamba". Ezinye izigulane ingxelo ukubonakala bashile, ngathi luvo ngqi. Abantu abaninzi musa ukunikela ingqalelo ngenxa kule nomphumela, ukuthatha nje ukuba ubuhlungu ngenxa wayedinwa okanye ntshikilelo.
• Iyangongoza.
• Ukuphelelwa umoya kunye ukubila ngokugqithiseleyo. Le iimpawu eliqhelekileyo of arrhythmia atrial. Isigulane anabo ukuphelelwa kancinane ngumphefumlo emva amandla omzimba kunye ukubila kunye bonke lunokwenzeka ngokwayo, nokuba baphumle.
• Ubuthathaka imisipha.
• echama rhoqo. Le uphawu ixhaphake kakhulu kubantu abadala.
• Imvakalelo yoloyiko ukuphakuzela. Ukuba umntu uqala ukubila ngaphandle kwesizathu kunye gasping, yena ngethuku lemvelo kubonakala ukuba uphaphazele.
• Niphele kunye nesiyezi. Ezi iimpawu zibonisa ukuba umntu egula ngokwenene yaye kufuneka specialist care abanezakhono.

ifomu yezifo

Ngokusekelwe nohlobo sifo? kukhulula:

• Paroxysmal. Ezikwenza zokugula kuvela kwizithuba ezincinane kuthatha iintsuku kungekho angapha kwesibini, basoloko bebodwa.
• ifomu Ukuphikelela. Ukuhlaselwa kuthatha iintsuku ngaphezu ezisixhenxe, wavavanywa kuphela emva kokuba amayeza.
• ifomu Chronic.

On izinga intliziyo ezi ndlela zilandelayo:

• Normosistolichesky (HR 60-90 kwamalungu omzimba).
• Tachysystolic (izinga intliziyo ngaphezu 90 ibetha).
• Bradisistolichesky (izinga intliziyo ngaphantsi kwe-60 ibetha).

uphethwe

kugqirha kuphela ukuqinisekisa esi sifo njengoko fibrillation atrial kwentliziyo. Yintoni na sixelelwa, ngoku lixesha lokuba uthethe iindlela eziphambili kokuxilongwa.

Ukuba ukrokrela ukuba lo gqirha sifo ngokuqhelekileyo onyula misebenzi ilandelayo:

• ECG elinambini kubangela.
• Iyonke test umchamo / igazi ukuchonga ezimbi ezinxulumeneyo.
• Iprofayile kwamadlala kuyimfuneko ukuba ngaphandle ezimbi ndlala.
• test umthwalo. Olu phando ivumela ukuxilonga ischemia kwentliziyo, kwakunye ukhetho unyango wokulawula arrhythmia ezigulo ezondeleyo.
• Radiograph.
• HMEKG.

unyango ngamachiza

Indlela ukunyanga fibrillation atrial zentliziyo? Unyango lwesi sifo ikhethiwe ziingcali kwiimeko zokubhala kwaye kuxhomekeke kwiziphumo zophando, ngenxa apho kunokwenzeka ukuchonga uhlobo kunye nohlobo arrhythmia intliziyo.

umgangatho unyango kumiselwa ngulo iqondo lempumelelo ezi njongo zilandelayo:

• Ukubuyiselwa sinus rhythm.
• Ukuthintela ukuhlasela ezintsha kwixesha elizayo.
• Izinga Heart yolawulo.
• Uthintelo thrombosis ukuthintela kuphuhliso iingxaki.

amachiza antiarrhythmic umbala ( "Amiodarone", "Dofetilide", "Propafenone") ababelwe ukuthintela uhlaselo. Ukukhethwa amayeza ngokukhethekileyo fibrillation atrial intliziyo inika cardiologist ngokusekelwe unobangela ngezifo, inkangeleko yayo kunye ukubakhona kwezifo ezihamba.

Ziyeke iziqephu tachycardia ngohlobo ezingisayo kusetyenziswa amachiza antiarrhythmic eziphethwe yegazi, kwaye cardioversion ebizwa njalo-zombane. Le nto ke ithetha ukusetyenziswa le ombane aphantsi ngamaza ombane ukubuyisela isingqisho yesiqhelo. Le nkqubo lwenziwa kwiyunithi labagula kakhulu.

Kule ezingapheliyo ifomu fibrillation ngokuqhelekileyo kufuna esweni rhoqo kwezinga intliziyo 60 ukuya malunga 90 ibetha ngomzuzu. Kule meko kucetyiswa beta-blocker ( "propranolol", "metoprolol"), glycosides ezesifuba ( "digoxin") kunye bachasene lamajelo calcium olucothayo ( "Diltiazem", "Verapamil").

Basengozini enkulu yokuba amahlwili egazi kuzo zonke iintlobo ngezifo elimisiweyo anticoagulants.

Xa udinga uqhaqho?

unyango Surgical kuyacetyiswa ukuba unyango ngamachiza kunye tablets ezisetyenziswa arrhythmias atrial kwentliziyo musa ukunceda. Xa yezonyango, ezi ndlela zilandelayo namhlanje:

• Radiofrequency ablation lwemithombo fibrillation atrial. Ngeli inkqubo ugqirha femoral kuzisa kumqhubi ngqo entliziyweni. Ngu RF ukubetha lisetyenziswa kuso, yaye ishenxisa imithombo okuba arrhythmia.
• Radiofrequency ablation ye esiludumbo atrioventricular kunye umzila okugunyazisiweyo pacemaker. Ngale ndlela, ubani kufuneka ukubhenela rhoqo xa uxilongo "fibrillation atrial wentliziyo." Yintoni na? Esebenzisa le nkqubo kuyimfuneko ukubhenela xa unyango isiyobisi kuphumelele, oko kukuthi, emva kokuba uthathe iziyobisi akunakwenzeka ukuba ukubuyisela izinga intliziyo. RF ukubetha lutshabalalisa ngqo esiludumbo atrioventricular, kwesincedisi- ifakiwe, ezisa i ukubetha yombane entliziyweni, ukudala i isingqisho okwenziwe eqhelekileyo.
• Ifakela atrial esisa-mshini. Esi sisixhobo esisodwa athungwe kwesikhumba esifubeni eliphezulu. Isuka ukusuka electrode ngqo entliziyweni. Loo isixhobo yenza kube lula ukuba ayeke ngokukhawuleza uhlaselo, kwenzeka xa nesifo fibrillation atrial kwentliziyo.
• uqhaqho Vula-intliziyo. Le ndlela isetyenziswa ubukho bezinye izifo, umzekelo, xa izibhaxu entliziyweni umthambo. Xa ukusebenza loo baziswa ngaxeshanye ukuba imithombo fibrillation atrial kunokwenzeka.

Makhe sithethe ngokudla

Xa unyango konke okulungileyo, xa kufikwa kwiqumrhu ezibalulekileyo ezifana intliziyo. Ezinye izigulane zingaphelelanga unyango ngamachiza, zisebenzisa uhlobo olwahlukileyo iindlela ezongezelelweyo. Enye yazo ukutya ekhethekileyo arrhythmia atrial. Kakade ke, lo ukutshintsha ngokuphawulekayo kwendlela otya ngeke bakwazi ukumelana sifo, kodwa eli nyathelo inceda ukwehlisa iimpawu zonyango. Ukuba ukudla connect with unyango ngamachiza oluchanekileyo, unako ukufumana iziphumo ezigqwesileyo. Zidweliswe apha ngezantsi ukutya ekufuneka ushiywe kwindawo yokuqala.

• Utywala. Oku ngoyena nobangela oqhelekileyo arrhythmias. Nokuba umntu iingxaki ezincinane ngentliziyo, ukususela neziselo ezinxilisayo kufuneka ukuba uyekwe.
• Okunamafutha kunye nokudla ndatshaya. ukutya okunjalo kudla kudale isenzeko umonakalo cholesterol. Iingcali Sazisa ngamandla ukushiya kokuba abantu usempilweni ngokupheleleyo.
• Izinongo. Hot ubulawu kakubi kuchaphazela intliziyo. Oogqirha icebise ukuba elithile endaweni kubo Bole ukhetho ethambileyo.
• Ityuwa neswekile. Ityuwa inegalelo ukugcinwa fluid emzimbeni, kwaye oko kubi kakhulu ngomsebenzi ogqwesileyo entliziyweni. Ukongeza, kusenokubakho ukuphelelwa umoya ukubila ngokugqithiseleyo. Isilumkiso kufuneka kunye iilekese. izixa ezikhulu eswekile ekutyeni kunye nesondlo zidla non-nganye ezinga malungu abantu ukuba imzisele seswekile kunye nezinye izifo.

Yintoni na ukuba ungadli? Diet for fibrillation atrial intliziyo ijonge ukubandakanya kwi ezityiwa inyama angamarhoqorhoqo, nentlanzi, kukutya imifuno kunye neziqhamo, iimveliso zobisi. Ukutya iyabiliswa ngcono okanye okuphekiweyo eziko. Usuku kufuneka ibe izidlo ubuncinane 4-5.

Ukutya ayithethi ukuba i ntlanga engqongqo ukudla. Kubalulekile ukuba lidle, uze unike kukhethwa ukuba ukutya okunempilo. Kuphela kule meko kunokwenzeka ukuba nethemba khona ibuyambo ekhawulezileyo kunye nokungabikho iingxaki ezinzulu.

Help Traditional Medicine

Indlela yokuphatha fibrillation atrial iindlela inhliziyo zemveli? Wenziwa angakhetha kunye iyeza replacement epheleleyo ayikhuthazwa. infusions esintu, ephilisa esihlobene kuphela njengoko amanyathelo abancedisayo.

Amaxesha amaninzi yokudanyaza yenye ngokubonakala kardiopatology kakhulu ngokwaneleyo (kardiosklerosis, iziphene). Yiyo loo nto kule ndawo yokuqala kufuneka inikwe ekunyangeni izifo, kunye kubonakaliswa kwezonyango arrhythmias ukuncipha ngokwabo ukuba, xa kusenziwa, abe nako ukwenza inkqubela ngonyango. Zokupheka uqhelekileyo amayeza emveli.

• Walnuts nobusi. 100 g Anut otyunyuziweyo yimfuneko a blender. Ukuba umxube ngenxa dibanisa 0.5 L ubusi axutywe kakuhle. Lo mxube Kucetyiswa ukuba kudliwe ngemihla icephe inyanga enye.
• Itswele kunye apple sauce. Iimpawu zesi sifo uncipha kakhulu ukuba iitapile ezicujiweyo ukutya imini ekhethekileyo. Ukuze uyose kufuneka ndize ndicande itswele kunye apile omnye. Olu nyango kufuneka athathwe kabini ngemini ungatyanga.
• juice Potato inceda ngokugqibeleleyo kunye arrhythmia. Kwiintsuku ezili-14, kucetyiswa ukuba usele isiqingatha iglasi le ijusi. Oku kulandelwa ikhefu malunga nenyanga, uze uqhubeke unyango.

iingxaki kunokwenzeka

Isifo sentliziyo kanye, fibrillation atrial, akukho Kuyingozi iingxaki zayo kunokwenzeka. Enye kakhulu ngokubanzi njengoko nobetho ekuthiwa-cardioembolic. Olu hlobo engeyoyesiqhelo kwenzeka kwisiqalo yomsebenzi imithambo umbhodamo, ngenxa apho igazi nje akanaxesha ukubakhupha kubo. Ngenxa yoko, oko stagnates kwaye kwasekwa egazi. Emva kwexesha elifutshane ixesha ukufumana egazi egazini imithambo yegazi kwaye kufuneka angene ngokupheleleyo naliphi na iziko. Wacingisisa kwii-ihlwili legazi ebuchotsheni, nto leyo edla siphela ngesibetho.

Le yingozi fibrillation atrial zentliziyo? kubonakaliswa kwezonyango sifo kwakhona ingqalelo umothuko cardiogenic. Oku kunika umdla kakhulu ukwaphulwa komGaqo umsebenzi contractile le myocardium. Isifo ibandakanya unciphiso elibukhali ndinyanzelekile. Kule meko umsipha engundoqo umzimba awukwazi wonibonelela kuzo zonke ancedisana amalungu kwegazi, nto leyo ekhokelela iinkqubo ezingenakulungiseka kuzo.

ukuvimbela

Prevention ngokuyintloko ibonisa unyango ngexesha zonke izifo ezinokubangela uphazamiseko ebonakalayo kwentliziyo. Kukwacetyiswa kwakhona ukuba ukunciphisa ifuthe yeemeko elibi emzimbeni womntu. Ezi ziquka oku kulandelayo: ukutshaya, ntshikilelo, ukuselwa kotywala, ntshikilelo rhoqo emzimbeni.

Iingcali ukucebisa ukuhlaziya ngokupheleleyo ukutya. Xa fibrillation atrial, ekutyeni intliziyo kufuneka zisekelwe ukutya ephantsi-fat kwaye uninzi ukutya izityalo. Zesifo ukuze bandiqumbise ukuphazamiseka iziselo ezifana ikofu, utywala, iti olomeleleyo. Kuthathelwa ingqalelo into yokuba utshintsho electrolyte yokucolwa inokuba negalelo kwiingxaki kunye nesingqisho ngentliziyo, iingcali Siyaleza zityebise ukudla okune potassium nezinki iimveliso (yobusi, walnuts, zucchini, iiapilkosi).

Uthintelo esi sifo kuhlanganisa umsebenzi ngokulinganisela: imithambo kusasa, Ukuskiya ebusika, behamba epakini, zokudada.

Ukuba kunokwenzeka, xiphephana emzimbeni nasengqondweni. Azuze uxolo lwengqondo ikhuthaza uqeqesho eziviwayo. Ukuphelisa ixhala ngokugqithisileyo kwiimeko ezibangela ingasiwa kwi nadlamkisayo iingcebiso kagqirha. Kuba imfuneko kakuhle ukuba ukulala iiyure ezisibhozo ngosuku.

Kubaluleke kakhulu ukuba ukulawula isalathisi ubunzima bomzimba, indices glucose kunye cholesterol egazini.

isiphelo

Eli nqaku inika ulwazi "arrhythmia Atrial:. Iimpawu, unyango, uthintelo" Ngelishwa, minyaka yonke le ngezifo banesifo rhoqo. ukuqinisekisa ngexesha uxilongo kunye nonyango olufanelekileyo eyenzelwe ukunciphisa amathuba neziphumo ezibi. Hlala uphilile!