Atrial fibrillation - Zviratidzo uye nzira kwayo kubviswa

Varwere vakawanda vanobvunza mubvunzo - Chiiko atrial fibrillation? Ichi kutyora contractile kushanda mwoyo, izvo pamwe atrial fibrillation kuti tsandanyama fibers. Atrial aretmiya dzinoratidzwa nokukurumidza uye kutadza atrial magetsi nomunhu, kakawanda izvo zvinogona kusvika 350-600 paminiti, zvichikonzera ventricular marwadzo vasingapindiwo. Enderana arrhythmias pomwoyo kungaita kuti chirwere kweropa kukundikana. Atrial fibrillation ndicho chimiro arrhythmia. The zvikonzero kuti avatambudze vari myocarditis, mwoyo kukundikana, cardiomyopathy, kardiosklerosis, BP, etc. Atrial fibrillation zvinogonawo kuva pamusoro pakanyorwa thyrotoxicosis, doro kudhaka, agonists uye cardiac glycosides.

Atrial fibrillation ane zvakasiyana siyana zviratidzo, zvikurukuru runotsamira chimiro chayo (paroxysmal, kuramba, tachysystolic, bradisitolicheskaya) uye mamiriro mwoyo tsandanyama. The kwakaratidzwa inonyanya kukoshesa tahisitolicheskaya muchimiro arrhythmia (mwoyo palpitations, marwadzo mwoyo, kupfupika mweya, izvo anowedzera panguva yechiitwa) uye paroxysmal atrial fibrillation, zviratidzo izvo Anonyanyowanika pachena muutera, vangadikitira, tremor, kufunganya, polyuria, dzungu, kufenda. Kazhinji varwere vanotsutsumwa kuti kupfupika mweya uye kutekenyedzwa kurwadziwa mumwoyo, dzimwe nguva pane kupererwa neropa inooneka mucous membranes, uye cyanosis kwemiromo.

Atrial fibrillation: Zviratidzo uye kurapwa

Pakurapa chirwere nechinangwa kudzorera mwoyo mutinhimira, kudzivirira dzokororo ine atrial fibrillation, kudzivirira thromboembolism. In okurapa, kudzivirira kukura paroxysmal arrhythmia kushandisa quinidine, procainamide, propanorm, Cordarone. Zvishoma chinobatsira kushandiswa verapamil, digoxin, propranolol. The mashandiro avo chiito chinotungamirwa pamusoro normalization pamusoro myocardial contractile basa, nani utano wevarwere (akaderedza dyspnea, kurukutika, palpitations). Kana kukwana kubudirira kushandisa zvinodhaka rinowanzoshandiswa chairayirwa cardiologists zvemagetsi cardioversion (zvemagetsi zvinoyerera kupomba rinoshandisirwa munzvimbo mwoyo kuvandudza cardiac mutinhimira), pamwe paroxysms inonyangarika muna 90% nyaya. Atrial fibrillation, zviratidzo kuti vanoramba kuti anopfuura 2 mazuva kunowedzera mikana dzichiri thromboembolism. Kudzivirira paumbwe clots ropa waakaudzwa warfarin. Varwere chirwere - chisingaperi atrial fibrillation, atenolol, egilok, konkor (blockers), diltiazem, verapamil, digoxin (mhandu karusiyamu ions). Kubudirira kurapwa kunoenderana nenguva pakagadzwa runotikurudzira chirwere chakaparira kugadzira arrhythmias. Okunyanyisa nzira, hakubvisi atrial arrhythmia ndiko kushandiswa RF voga pakati pulmonary mutsinga. Choto ectopic excitation, riri vemunyika mu miromo pulmonary mutsinga, hwabviswa kubva atria. Kunyatsoshanda RF voga pakurapa atrial arrhythmia iri vanenge 60%. Kana zvachose kana idzokororo chimiro ushandiswe redhiyo Frequency ablation (unopfuta) atrioventikulyarnogo mwoyo raiva pedyo nebundu pakatangwa wechigarire pacemaker kudyara.

Hwaro chikuru kudzivirira ndiwo mangwanani kurapwa kwezvirwere zviri ngozi kukura atrial fibrillation. Secondary kudzivirira nechinangwa zvaidiwa chiremba kunenge pamusoro antiretsedivnoy kurapa, vanorwara uye psycho-mupfungwa, pakuzvinyima chikakananda uye doro.