I-fibrillation ye-Atrial - iimpawu kunye nezindlela zokupheliswa kwayo

Izigulane ezininzi zibuza umbuzo - yintoni i-frillfish? Oku kuphulwa komsebenzi onentsebenziswano yentliziyo, ehamba kunye nefibrillation yefiber muscle ye-atria. I-fibrillation ye-Atrial ibonakaliswa yimiphumo ye-arrivals ekhawulezayo kwaye engavumelekanga, enexesha elinokuthi lifike kuma-350-600 ngomzuzu, ngenxa yoluphi ulwaphulo lwezentsimbi ezithintekayo. Ukuphulwa kwendlela yokuqhekeka kwentliziyo ye-muscle kungakhokelela ekuhlulekeni kokujikeleza kwegazi. I-fibrillation ye-Atrial yindlela eqhelekileyo ye-arrhythmia. Iimbangela ezibangela ukuba kube yi-myocarditis, ukungaphumeleli kwintliziyo, ukunyamekela i-cardiomyopathy, i-cardiosclerosis, ingozi yexinzelelo, njl. Kwakhona, i-fibrillation ye-aric can be developed against the background of thyrotoxicosis, utywala obunxilisayo, i-adrenomimetics kunye ne-carlyac glycosides.

I-fibrillation ye-Atrial ineempawu ezahlukileyo, ngokuxhomekeke ekumeni kwayo (i-paroxysmal, iqhubekayo, i-tachysystolic, ibradiscital) kunye nesimo senhliziyo. Ubonakaliso obunzima kakhulu kwindlela ye-tachysitolytic ye-arrhythmia (intliziyo yesantya ngokukhawuleza, intlungu yentliziyo , i- dyspnea, enyuka ngokunyamekela ngokomzimba), kunye ne-paroxysmal fibrillation ye-atrial, iimpawu zazo zibonakala zibuthathaka, ukuthuthumela, ukuthuthumela, ukwesaba, i-polyuria, ukutyhafaza, ukuphazamiseka. Ngokuqhelekileyo, izigulana zikhalaza ukuphefumula okufutshane kunye nentlungu yentliziyo, ngamanye amaxesha kukho i-anemia yeembrane ezibonakalayo kunye ne-cyanosis yomlomo.

I-fibrillation ye-Atrial: iimpawu kunye nonyango

Ukunyangwa kwesi sifo kuhloswe ukubuyisela isigqi senhliziyo, ukukhusela ukuphindaphinda kwe- fibrillation ye-atrial, ukuthintela uphuhliso lwe-thromboembolism. Kwizonyango zokukhusela ukuphuhliswa kwe-paroxysms ye-arthmia isebenzisa i-quinidine, i-novocaineamide, i-propanorm, i-cordarone. Ukusebenza okungaphantsi kokusebenzisa i-verapamil, i-digoxin, i-anaprilin. Indlela yokusebenza kwayo ijolise ekusebenzeni ngokusemthethweni umsebenzi we-myocardium, ukuphucula impilo yezigulane (ukunciphisa ukuphefumula, ubuthathaka, ukubethelela). Ngenxa yokusebenza ngokwaneleyo kokusetyenziswa kwamachiza, izazi ze-cardiologists zihlala zibala i-cardioversion yamandla kagesi (ukukhutshwa kwamanzi kagesi kummandla wentliziyo ukwenzela ukuphucula isigqi senhliziyo), kunye ne-paroxysms echitheka kwiimeko ezingama-90%. I-fibrillation ye-Atrial, iimpawu zokugqibela ezingaphezu kweentsuku ezimbini, zandisa amathuba okuphuhlisa i-thromboembolism. I-Warfarin imiselwe ukuba inqande ukubunjwa kwe-thrombus. Izigulane ezinokuxilongwa - uhlobo olungapheliyo lwe-fibrillation ye-atrial, khetha i-atenolol, i-egilok, i-concor (i-adrenoblockers), i-diltiazem, i-verapamil, i-digoxin (iintshaba ze-i-calcium ions). Ukusebenza kwonyango kuxhomekeke kwisithuba esifike ngexesha lesifo esasisiseko, esabangela ukuphuhliswa kweengxolo zengqungquthela. Iindlela ezigqithisileyo eziphelisa i-fibrillation ye-agriyo yindlela yokusebenzisa ukwahlukaniswa kwe-RF yemithambo ye-pulmonary. Ukugxilwa kwe-ectopic excitation, ekwasendaweni emilonyeni yeemvini zepulmoni, isuswa kwi-atria. Ukusebenza kwe-radiofrequency isolation kwonyango lwe-fibrillation ye-agriyo malunga ne-60%. Ifom ehlala phantsi okanye ephindaphindiweyo, ukutshatyalaliswa kwee- radiofrequency (burning) ye-node ye-atrioventicular yentliziyo imiselwe ngokumiselwa kwe-pacemaker engunaphakade.

Isiseko sokuthintela okuphambili ngonyango olufanelekileyo ngexesha lwezifo eziyingozi ekuphuhliseni i-fibrillation ye-atrial. Iprophylaxis yesiSekondari ijolise ukunamathela kwiingcebiso zegqirha ngokuphathelele unyango olungapheliyo, ukunciphisa uxinzelelo lwengqondo kunye nokukhathazeka kwengqondo, ukuyeka ukusetyenziswa kwe-nicotin kunye neziyobisi ezinxilisayo.