Zizindikiro za kupha tizilombo toyambitsa matenda zimasiyana kwambiri kwa munthu ndi munthu, komanso ngakhale munthu yemweyo nthawi zosiyana. Ngakhale kuti mafinyria akuwopsa siwowopsya, amatha kukhala ndi mavuto, makamaka, kupwetekedwa-komwe kungalepheretse kapena kupha.
Anthu ena okhala ndi atrial fibrillation alibe zizindikilo konse, ndipo arrhythmia amapezeka kokha pamene dokotala kapena namwino atenga mphamvu zawo kapena amachita electrocardiogram (ECG).
Anthu awa, komabe, ali ochepa. Nthaŵi zambiri, musanayambe kuchiritsidwa mokwanira, matenda opatsirana pogonana ndi okwiya kwambiri, ngati sichikuvutitsa komanso chosasunthika.
Palpitations
Zizindikiro zowonjezereka zogwiritsidwa ntchito ndi fibrification ya atrial ndizopangidwira. "Palpitations" amatanthauza kuzindikira kosazolowereka komanso kosasangalatsa za kugunda kwa mtima. Mu mafinyria a atrial, palpitation imayambitsidwa ndi msanga, wosasinthasintha wa mtima womwe umawoneka ndi dongosololi.
Anthu omwe amatha kupatsidwa mankhwala ophera tizilombo toyambitsa matenda amayamba kudandaula chifukwa cha "kumenyedwa" m'chifuwa, nthawi zambiri kumakhala ndi "kumenyedwa" pamutu, ndipo nthawi zina zimakhala ndi zizindikiro zochepa. Zilonda zomwe zimagwiritsidwa ntchito ndi matenda a atrial zingakhale zokhumudwitsa zokha, kapena zikhoza kusokoneza kwambiri, ndipo kuuma kwawo kungakhale kofiira komanso kumapsa.
Kwa odwala ena kupweteka kwa malungo kungadalire pamalingaliro awo, kaya akhala pansi kapena akugona, momwe amachitira, kaya ali ogona, kapena zinthu zina zingapo.
Nthawi zambiri, palibe mabungwe ena omwe angadziwike.
Palpitation kawirikawiri imachepa kwambiri, ndipo nthawi zambiri imachotsedwa, pamene chifuwa cha mtima pamatenda opatsirana amayamba kuchepetsedwa ndi mankhwala-cholinga chimene chingathe kuchitika mosavuta.
Zizindikiro Zomwe Zimayambitsa Kuperewera kwa Mapangidwe Opanga Atrial
Zomwe zimagwiritsidwa ntchito ndi matenda a atrial zimachepetsa kuchepetsa kuchita masewera olimbitsa thupi, kutopa, mpweya wochepa, komanso ngakhale kutayirira ndi pafupifupi msinkhu uliwonse wochita khama.
Zizindikirozi nthawi zambiri zimagwirizanitsidwa ndi kutaya mtima kwapamwamba komwe kumachitika pamene zipinda zapachipatala sichikhoza kugunda bwino.
Pamene kusokonezeka kwapachirepa kumatayika, kuchuluka kwa magazi omwe amatha kutulutsa ndi mtima uliwonse akhoza kuchepa. Kuchulukanso kwa thupi kumeneku kumachepetsetsa kupirira. Komanso, pamene zipinda zam'nyumba zimasiya kugunda bwino magazi amayamba "kubwerera" m'mapapo, kutulutsa mpweya wochepa. Odwala ambiri omwe ali ndi matenda oopsa a mtima amatha kupuma mokwanira, koma akamayesetsa, pamene mtima ukukakamizika kugwira ntchito mwamphamvu, zizindikiro zingakhale zovuta kwambiri.
Zizindikiro zomwe zimayambitsidwa chifukwa cha kuwonongeka kwa mankhwala opatsirana pogonana zimakhala zovuta kwambiri kwa anthu omwe, kuphatikizapo matenda opatsirana pogonana, amakhala ndi mtima wam'mimba momwe zimakhala "zolimba". kuti mudzaze kwathunthu. Pamene odwala awa amatha kusokoneza ma ARV, ubwino wa mtima ukhoza kugwa kwambiri.
Zinthu zomwe zimapangitsa kuti ziphuphu zikhale zolimba zimaphatikizapo hypertrophic cardiomyopathy , matenda osokoneza bongo , aortic stenosis , komanso matenda aakulu.
Kwa odwala amenewa, kuyambika kwa mankhwala opatsirana pogonana kumabala zizindikiro zomwe zimakhala zovuta kwambiri.
Angina: Mwa anthu omwe ali ndi matenda a mitsempha , mtima wamtima womwe umawoneka ndi matenda a atrial angayambitse angina (kupweteka kwa chifuwa).
Kulephera kwa mtima: Kwa odwala omwe ali ndi mtima wolephera , kuwonjezera kwa kuchepa kwa mtima kumabweretsa zizindikiro zowopsa kwambiri-makamaka, kupuma pang'ono, kufooka, ndi kutupa m'milingo.
Kawirikawiri, kutentha kwapachiyero kungachititse mtima kusalimba pokhapokha. Chigamulo chilichonse chomwe chimapangitsa mtima kugunda mofulumira kwa milungu ingapo kapena miyezi ingapo kumayambitsa mtima wa minofu kuti ufooke, ndipo ukhoza kutsogolera mtima.
Mwamwayi, vutoli, lomwe limatchedwa "kutayika mtima kwa mtima wa tachycardia," ndilosawoneka kawirikawiri chifukwa cha matenda a atrial fibrillation.
Syncope: Syncope , kapena chidziwitso cha kutaya chidziwitso, sichizoloŵezi mu mafilimu a atrial. Pamene syncope ikuchitika, ndi chitsimikizo champhamvu kuti wodwalayo akhoza kukhala ndi matenda odwala matenda a sinus , kapena matenda a sinus syndrome (SSS) .
SSS ndi matenda aakulu a magetsi a mtima, omwe amawonetseredwa ndi chiwombankhanga cha mtima chomwe chimapepuka (chotchedwa bradycardia) chomwe chimapereka zizindikilo za kumutu ndi kufooka.
Matenda a atrial amapezeka kwa odwala omwe ali ndi SSS. Mwanjira inayake, matenda opatsirana pogonana "amateteza" odwala omwe ali ndi SSS, chifukwa amachititsa kuti muyambe kuyenda mofulumira kwambiri pofuna kupewa zizindikiro za bradycardia. Komabe, ngati mankhwala ophera tizilombo toyambitsa matenda ndi paroxysmal (monga momwe amachitira nthawi zambiri), pamene amatha nthawi zambiri nthawi yayitali kwambiri asanatulukire odwala matenda a sinus. Kupuma kwa nthawi yayitali kusanthana kwa mtima ndikomene kumapangitsa syncope.
Kuchiza SSS kumafuna kugwiritsa ntchito pacemaker yosatha . Ngati mankhwala a atrial akupezekapo, kotero kuti asapangitse mavuto ambiri ndi bradycardia, pachipatalachi nthawi zambiri amayenera kuikidwa asanayambe kuyesayesa kuti asamalidwe.
Pokhapokha ngati SSS ilipo, syncope sichinthu chovuta kukhala ndi matenda opatsirana pogonana.
Kukwapulidwa: Zochepa zosawerengeka-ndipo zotsatira zowopsyeza kwambiri zokhudzana ndi matenda a atrial ndi stroke. Zowonjezereka zowopsa kwa stroke ndi chifukwa chenicheni chomwe nthawi zonse kuli kofunika kuti muganizire mosamalitsa chithandizo chabwino kwambiri cha atrial fibrillation-ngakhale pamene matenda a atrial fibrillation amavomerezedwa bwino ndipo zikuwoneka kuti sakuchititsa mavuto enaake.
Odwala ena adzakhala ndi kachilombo koyambitsa matenda osokoneza bongo popanda chizindikiro chilichonse, kufikira atadwala sitiroko. Pambuyo pa kupwetekedwa kokha, amapeza kuti ali ndi matenda oopsa.
Umboni waposachedwapa umasonyeza kuti "kugwidwa" kwapachilombo kotereku kumakhala kofala kwambiri kuposa momwe wina aliyense anadziwira, ndipo matenda osokoneza bongo angadziwe kuti ndi ovuta kwambiri chifukwa cha " cryptogenic stroke ".
Mawu Ochokera
N'zosakayikitsa kuti adokotala adzakuuzani za zizindikiro zomwe zili pamwambapa panthawi yanu. Yesetsani kukhala omveka bwino pamene mukugawana mbiri yanu yachipatala ndi dokotala wanu. Kuphatikizika, zosavuta kuzizira, kupuma pang'ono, kupweteka pachifuwa, kapena zizindikiro za kupweteka kapena kutuluka-izi ndi zizindikiro zomwe muyenera kuzidziwitsa dokotala wanu, komanso zomwe zimayambitsa zizindikirozi.
Nkhani yeniyeni ya zomwe mukukumana nazo zidzakuthandizani dokotala wanu kuti azindikire bwino matenda anu ndikukonzekera njira yothandizira. Zolinga ziwiri pakuchiza matenda opatsirana pogonana ndizomwe zimapewa kupweteka komanso kuyang'anira zizindikiro kuti mukhale ndi moyo wabwino.
> Chitsime:
> 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.