Mosiyana ndi matenda osokoneza bongo omwe amachitidwa ndi matenda ambiri, palibe chinsinsi chodziŵira kuti mankhwalawa amawopsa. Kupeza bwinobwino matendawa kumangokhala kuwona arrhythmia pa electrocardiogram (ECG) .
Mayesero Kuti Azindikire A-Fib
Ngati muli ndi matenda a atrial pamene mukuyamba thandizo lachipatala, matendawa adzaonekera mwamsanga pamene ECG ikuchitidwa.
Kumbali inayi, mungakhale ndi mafinya a paroxysmal (intermittent) , omwe ali ndi zizindikiro zomwe zimabwera ndi kupita, ndipo ECG ku ofesi ya dokotala ikhoza kukhala yachibadwa. Pano, kuyang'anira ambulatory (kuvala zojambula za ECG masiku angapo kapena masabata angapo) kudzatha kuvumbulutsa vuto. Chinyengo ndikuonetsetsa kuti kufufuza kukupitirirabe mpaka pakadutsa gawo limodzi la zizindikiro.
N'zotheka kuti musakhale ndi zizindikiritso zozindikiritsa, ndipo arrhythmia ingadziwike ngati "kupeza kosayembekezereka," ku ofesi ya ECG, kapena panthawi ya kuyesedwa kwapanikiro kapena kufufuza kufufuza zomwe zikuchitika chifukwa china.
Koma mwa njira imodzi, kuyerekezera kugwiritsira ntchito mankhwala opatsirana pogonana ndi nkhani yokwatira arrhythmia pa ECG.
Kufufuza Zokhudzana ndi Matenda a M'thupi
Katemera wodwalayo atapezeka, ntchito yeniyeni imayamba.
Monga sitepe yotsatira, dokotala wanu adzachita kaye kafukufuku wamankhwala kuti adziwe wanu arrhythmia ndi zifukwa zomwe zingayambitse zonse mwatheka.
Muyenera kumudziwa bwino dokotala wanu mbiri yakale. Onetsetsani kuti mumamuuza za zizindikiro zilizonse zomwe mwakhala nazo zomwe zingagwirizanitsidwe ndi matenda opatsirana pogwiritsira ntchito mankhwala oopsa, kupopera mosavuta, mpweya wochepa, kupweteka pachifuwa, kapena zochitika zapang'onopang'ono kapena kutuluka.
Yesetsani kukumbukira zochitika kapena makhalidwe omwe akuwoneka akubweretsa pa zizindikiro zanu-monga kuchita masewera olimbitsa thupi, kukwiya mtima, kugona molakwika, kapena kumwa mowa.
Dokotala wanu adzakufunsani za zizindikiro zirizonse zomwe zingasonyeze kuti zimayambitsa matenda a mtima kapena m'mapapo, ndipo adzafufuza bwinobwino mwakufunafuna zina zowonjezera (mwachitsanzo, kupezeka kwa magazi). Dokotala wanu ayenera kusamala kwambiri kuti ayang'ane zowonongeka zomwe zimayambitsa matenda a atrial, popeza kuchitira izi zikhoza kuchititsa kuti arrrthmia isabwererenso. Zotsatira zowonongeka zimaphatikizapo hyperthyroidism , embolus embolus, pericarditis , ndi njira zothandizira posachedwapa.
Ndipo musakhumudwe ngati dokotala wanu akukufunsani kangapo za mowa. Mankhwala opatsirana pogonana angayambidwe ndi kumwa mowa-mwa anthu ena, ngakhale ngakhale pang'ono mowa amatha kuchita. Chifukwa chakumwa ndi chimodzi mwa zifukwa zochepa zowonongeka zowonongeka kwa thupi, nkofunika kuti dokotala wanu ayang'ane mosamala mbali iyi ya mbiri yanu.
Kuyesedwa kwina
Kuyezetsa magazi: Kuwonjezera pa kuyezetsa magazi kwabwino (kuphatikizapo shuga wambiri wa magazi kuti ayang'ane zizindikiro za shuga), ndikofunika kuti dokotala wanu ayesedwe mayeso a chithokomiro.
Makamaka kwa anthu achikulire, mavuto a chithokomiro angathe kukhalapo popanda zizindikiro zapachiyambi.
ECG: Kuphatikizapo kupereka chithandizo cha matenda a atrial fibrillation, ECG ikhoza kupereka ndondomeko yofunikira yokhudza kupezeka kapena kupezeka kwa matenda a mtima.
Echocardiogram: Cholinga cha echocardiogram chiyenera kuchitidwa kuti chifufuze ma valve a mtima ndi zipinda, kuyang'ana kachiwiri kuti zizindikiro za matenda a mtima. Zingakhalenso zofunikira kupanga echocardiogram (TEE), yomwe inachititsa kuti transducer ya echo ipitsidwe (kugunda chubu) kumbuyo kwa mtima. The TEE ikhoza kukhala yothandiza pofufuza magazi m'magazi atrium musanachite cardioversion.
(Tidzakambirana za matenda a mtima pambuyo pake).
Kuyesa kupanikizika: Sitiyenera kuyesa matenda opatsirana pogonana, koma zingakhale zothandiza ngati mbiri yanu yachipatala kapena zizindikiro zanu zikusonyeza kukhalapo kwa matenda a mitsempha.
Mutadziwa zonsezi, ndi nthawi yoti inu ndi dokotala wanu muyambe kukambirana za mankhwala opatsirana pogonana .
> Zotsatira:
> January CT, Wann LS, Alpert JS, et al. 2014 AHA / ACC / HRS chitsogozo cha odwala omwe ali ndi matenda a atrial: lipoti la American College of Cardiology / American Heart Association Task Force pamakhalidwe abwino ndi Heart Rhythm Society. Circulation 2014; 130: e199.