Matenda fibrillation za mtima: ndichiyani ndi mmene n'koopsa?

Mbali mwachindunji kwa kwambiri ntchito za mtima imatengedwa kuti azilandira zimachitika. Ngati wodwala matenda ndi fibrillation matenda, kotero mungoli anawawidwa. Chotero chilema wamng'ono kumatanthauza m'goli kudzazidwa matenda magazi. Chifukwa cha zimenezi, ventricles kutenga komanso kukweza sakanikira. Kusokonezeka kwa mungoli yachibadwa mtima zikhoza kukhala zoopsa, monga mu nkhani iyi, kuwonjezera chiopsezo cha matenda opha ziwalo. M'nkhaniyi tiona ifotokoza zimene zizindikiro limodzi ndi matenda fibrillation mtima, ndichiyani ndipo kodi mankhwala panopa.

zambiri

A mlingo yachibadwa mtima - ndi unyolo wonse wa achidule a m'madipatimenti osiyanasiyana a minofu yaikulu ya thupi. Poyamba kudula atrium, ndi chalitsatira ventricles. Pankhani ya fibrillation matenda, ndi atria kutaya luso lawo kusiya kwathunthu. M'malo mwake, iwo amayamba mosintha mwamantha mwachitsanzo fibrillate. N'chifukwa chake mabuku mungapeze dzina lina la matenda - matenda fibrillation.

Kwa zaka zambiri, matenda anapezeka zambiri. Mwachitsanzo, mu zaka 40-50, 1% ya anthu ndi anatsimikizira fibrillation. Komabe, zaka 60, Chiwerengerochi ndi chinawonjezeka, kudwala amawapeza kale pa 5%. Pamene chilemba apatsira zaka 80, zizindikiro za arrhythmia matenda zingaoneke 10% ya anthu.

Ziŵerengero anafotokoza chifukwa chakuti mu ukalamba zambiri kuumitsa kwa mitsempha inatsekeratu ndi khoma mtima. Komanso, nthawi zambiri kukhala inatsekeratu matenda mtsempha wamagazi.

Matenda fibrillation za mtima: ndichiyani nanga zimayambitsa matenda

Chifukwa chachikulu kukula kwa fibrillation matenda - osasamba ntchito otchedwa dongosolo mtima conduction imene kusintha mu dongosolo la kuchepetsa ena ulusi mtima anaona. Chitukuko cha kudwala ngati kumathandiza zifukwa zambiri. Akatswiri kusiyanitsa zimayambitsa mtima ndi noncardiac wa arrhythmia. Gulu loyamba zikuphatikizapo matenda a mtima ndiponso ziwiya zimene achinyamata ambiri amagwirizana ndi zilema ya zida valavu, ndi okalamba - ndi matenda monga:

• CHD.
• Cardio.
• M'mnyewa wamtima infarction.
• Oopsa.
• Tachycardia.

Chifukwa cha sanali mtima zotsatirazi:

• Matenda a dongosolo endocrine.
• Pafupipafupi nkhawa.
• Kuledzera mankhwala ena ndi mowa.
• Shuga.
• matenda tizilombo.
• Aakulu kunenepa.

Mu yochizira matenda, pali milandu kumene kudwala zinachitika popanda chifukwa chenicheni. Akatswiri amati imeneyi ndi cholowa, kufotokoza masinthidwe a chibadwa.

chithunzi matenda

Kulira kwa odwala matenda izi zikhoza kukhala zosiyana kwambiri. Zizindikiro za matenda fibrillation mtima, kapena kani, mwamphamvu zawo zimadalira mlingo wa Kusakhazikika hemodynamic, komanso maonekedwe munthu wodwala. Monga ulamuliro, ndi kudwala amapezeka popanda zizindikiro zoonekeratu, kayimbidwe kotani chisokonezo wapezeka lokha pa akandiyeze chizolowezi. Nthawi zina mawonetseredwe matenda a kotero yapadera imene kwambiri kumachepetsa khalidwe la moyo. M'munsimu muli zinthu zikuluzikulu zimene munthu angathe kuweruza zimene munthu ali kwenikweni kudwala.

• Ululu. The kusamva akhoza mumtima, ndipo monga mu chifuwa. Iwo sayenera kukhala ululu. Nthawi zina "prihvatyvaet" ndiyeno pambuyo masekondi angapo, "amalola kupita". Odwala ena lipoti maonekedwe a zomverera, ngati mitsempha othinana. Anthu ambiri samapereka chidwi chifukwa chizindikiro ichi, chabe cholanda chifukwa kusapeza chifukwa mavuto kapena nkhawa.
• Palpitations.
• Kufupika kwa mpweya ndi thukuta kwambiri. Izi ndi zizindikiro zofala za arrhythmia matenda. Wodwala akumva ndi kufupika pang'ono mpweya pambuyo zofuna kukhetsa thukuta ndi thukuta ndi onse angayambe lokha, ngakhale pa mpumulo.
• Kufooka mwa minofu.
• Pafupipafupi pokodza. Chizindikiro chimenechi ndi ambiri okalamba.
• Kumverera mantha kapena mantha. Ngati munthu ayamba thukuta popanda chifukwa chenicheni ndipo gasping, iye mwachibadwa limapezeka mantha.
• Akukomoka ndi chizungulire. Zizindikiro izi zikusonyeza kuti munthu ali kudwala kwenikweni ndipo amafunika chisamaliro aluso katswiri.

mawonekedwe pathological

Potengera chikhalidwe cha matenda? kumasula:

• Paroxysmal. Akulimbana ndi matenda uka ndi intervals yaing'ono lolimba oposa awiri masiku, nthawi zambiri paokha.
• Lekeza mawonekedwe. Kuukira kwa masiku oposa asanu ndi awiri, anayesedwa pokhapokha mankhwala.
• Matenda mawonekedwe.

Pa mlingo mtima ndi mungachite zotsatirazi:

• Normosistolichesky (HR 60-90 zikwapu).
• Tachysystolic (kugunda kwa mtima kuposa 90 kumenyedwa).
• Bradisistolichesky (kugunda kwa mtima zosakwana 60 kumenyedwa).

matenda

Only ndi dokotala wodziwa otsimikiza matenda ichi monga matenda fibrillation za mtima. Kodi izo tikuuzidwa, tsopano ndi nthawi yolankhula za njira zikuluzikulu za matenda.

Ngati mukukayikira kuti dokotala matenda zambiri amawaika ntchito zotsatirazi:

• ECG khumi amatsogolera.
• Total mkodzo / magazi mayeso kudziwa pathologies ofanana.
• Mahomoni mbiri m'pofunika kuti achotse chithokomiro pathologies.
• Katundu mayeso. phunziro Zimenezi zimathandiza matenda mtima ischemia, komanso ulamuliro mankhwala njira kwa arrhythmia aakulu.
• Radiograph.
• HMEKG.

mankhwala

Kodi kuchiza matenda fibrillation za mtima? Chithandizo cha matenda osankhidwa ndi akatswiri mu zinthu n'kupuma ndipo zimadalira zotsatira kafukufuku, chifukwa zomwe n'zotheka kudziwa mtundu ndi mtundu wa arrhythmia mtima.

khalidwe la mankhwala anatsimikiza potsatira mlingo wa kukwaniritsa zolinga izi:

• Kubwezeretsa nkusani mungoli.
• Kupewa kuukira latsopano m'tsogolo.
• kugunda kwa mtima kulamulira.
• Kupewa thrombosis kupewa chitukuko cha matendawo.

mankhwala prophylactic antiarrhythmic ( "Amiodarone", "Dofetilide", "Propafenone") amapatsidwa kuteteza kuukira. Kusankha mankhwala makamaka matenda fibrillation mtima amapereka cardiologist ndi zochokera chifukwa cha kudwala, maonekedwe ake ndi kukhalapo kwa matenda concomitant.

Kutsirizitsa nkhani tachycardia mu mawonekedwe kulimbikira ntchito ngati mankhwala antiarrhythmic amene kutumikiridwa m'nsinga, ndi otchedwa magetsi cardioversion. Yotsirizira imasonyeza mmene tingagwiritsire ntchito otsika voteji zikhumbo magetsi kubwezeretsa kayendedwe yachibadwa. njirayi imagwiridwa mu odwala mwakayakaya.

Mu aakulu mawonekedwe fibrillation kumafunika polojekiti zonse wamitengo mtima pakati pa 60 mpaka 90 kumenyedwa pa mphindi. Pankhaniyi bwino beta-blockers ( "propranolol", "metoprolol"), glycosides mtima ( "Digoxin") ndi muzikangana wa pang'onopang'ono kashiamu njira ( "Diltiazem", "Verapamil").

Pa chiopsezo magazi kuundana m'njira zonse kudwala yoikidwiratu anticoagulants.

Pamene muyenera opaleshoni?

Opaleshoni mankhwala tikulimbikitsidwa ngati mankhwala ndipo azimwa mapiritsi omwe ndi arrhythmias matenda mtima sititenga. Mu yochizira matenda, njira zotsatirazi ntchito lero:

• Radiofrequency ablation magwero matenda fibrillation. Pa njirayi mwa dokotala femoral kumabweretsa wochititsa mwachindunji mtima. Ndi RF zimachitika umagwiritsidwa thereto, ndi amene kumatha magwero mwina wa arrhythmia.
• Radiofrequency ablation wa mfundo atrioventricular ndi implantation kuvomerezedwa pacemaker. Mwa njira imeneyi, munthu amachita zambiri pamene matendawa "matenda fibrillation za mtima." Ndi chiyani icho? Kudzera mwa ndondomeko ndi zimenezi n'kofunika amachita pamene mankhwala ndi operewera, ndiko kuti, pambuyo kumwa mankhwala sikutheka matenda mlingo mtima. RF zimachitika wawononga mwachindunji ndi mfundo atrioventricular, pacemaker waikidwa, amene akukamba ndi zimachitika magetsi mtima, kukonza mungoli chongopeka yachibadwa.
• Khazikitsa matenda cardioverter-Makina amenewa. Izi ndi chipangizo wapadera kuti sewn subcutaneously pamtima chapamwamba. Iwo anachoka ku elekitirodi mwachindunji mtima. Chotero chipangizo limachititsa kusiya nthawi yomweyo kumuukira, kumachitika pamene matenda monga matenda fibrillation za mtima.
• opaleshoni yotsegula mtima. Njira ntchito pamaso pa matenda ena, mwachitsanzo, mu zotupa aakulu mtima mtsempha wamagazi. Pamene opareshoni ngati ndi kukhudzana munthawi yomweyo wambili zotheka wa fibrillation matenda.

Tiyeni tikambirane za zakudya

Mankhwalawa zabwino zonse, pamene izo zifika ku thupi ofunika kwambiri monga mtima. Odwala ena suthera mankhwala, ntchito mtundu wina wa njira zina. Mmodzi wa iwo ndi kudya zakudya zapadera kwa arrhythmia matenda. Kumene, kusintha kadyedwe sangathe kugonjetsa matenda palokha, koma stepi ino kumathandiza kuchepetsa zizindikiro matenda. Ngati zakudya kulumikiza ndi mankhwala zolondola mankhwala, n'zotheka kupeza zotsatira zabwino. Ili pansipa ndi zakudya ayenera anasiya mu malo oyamba.

• Mowa. Ichi ndi chifukwa ambiri arrhythmias. Ngakhale ngati munthu ali ndi mavuto ang'onoang'ono ndi mtima, ku mowa kuti adzasiyidwa.
• Mafuta ndi zakudya kusuta. chakudya nthawi zambiri amakwiya zosayembekezereka wa mafuta m'thupi mipukutuyi. Akatswiri mwamphamvu amalangiza kuisiya ngakhale wathanzi kwathunthu anthu.
• Zonunkhira. Hot zonunkhira kusokoneza mtima. Madokotala amalangiza kwa nthawi kutibwezera Bole zofewa mwina.
• Mchere ndi shuga. Salt kumathandiza kuti posungira madzimadzi mu thupi, ndipo icho chili choipa kwambiri pa ntchito zabwino za mtima. Komanso, pangakhale kufupika kwa mpweya ndi thukuta kwambiri. Chenjezo ayenera kukhala ndi maswiti. yambiri shuga mu zakudya ndi thanzi kawirikawiri sanali dekhetsa kukhala chifukwa cha matenda a shuga ndi matenda ena.

Kodi inu kudya? Kudya matenda fibrillation za mtima cholinga monga mu zakudya nyama Taphunzira ndi nsomba zambiri masamba ndi zipatso, mkaka. Chakudya bwino steamed kapena yophikidwa mu uvuni. Tsiku ayenera kukhala osachepera 4-5 chakudya.

Zakudya sizikutanthauza okhwima zakudya mabala. Nkofunika kudya amtengo, ndi kupereka mmalo zakudya zathanzi. Only mu nkhani iyi n'zotheka kuyembekezera kuchira mwamsanga ndipo pakalibe mavuto aakulu.

Thandizo Traditional Medicine

Kodi kuchiza matenda fibrillation mtima njira za makolo? Mwina mankhwala njira ndi mankhwala zonse m'malo ali osavomerezeka. Mankhwala infusions, machiritso zofunikira basi monga miyeso wothandiza.

Nthawi zambiri kukulowa mawonekedwe imodzi kardiopatology kwambiri moti (kardiosklerosis zonga). N'chifukwa chake mu malo oyamba ayenera kuperekedwa mankhwala a matenda aakulu, ndi mawonetseredwe matenda a arrhythmias ndichepe okha ngati, mu kuchita, athe patsogolo mankhwala ake. The maphikidwe ambiri mankhwala.

• Walnuts ndi uchi. 100 ga mtedza wosweka zofunika mu blender ndi. Kuti osakaniza chifukwa kuwonjezera 0,5 L uchi ndi kusakaniza pang'onopang'ono. osakaniza akulimbikitsidwa kudya tsiku supuni ya mwezi umodzi.
• Anyezi ndi msuzi apulo. Zizindikiro za matenda yafupika kwambiri ngati mbatata yosenda kudya tsiku lapadera. Kuphika izo muyenera kuwaza anyezi ndi apulo limodzi. mankhwala ayenera kumwedwa kawiri tsiku chopanda kanthu m'mimba.
• Mbatata madzi mwangwiro amawathandiza arrhythmia. Pasanathe masiku 14, Ndi bwino kumwa chikho theka la madzi izi. Pamakhala yopuma mwezi, kenako kupitiriza mankhwala.

zosokonezeka zotheka

The kwambiri matenda a mtima, matenda fibrillation, si oopsa ngati mavuto ake n'kotheka. Mmodzi wa Ambiri anazindikira monga otchedwa cardioembolic sitiroko. Mtundu uwu wa chosayenerera limapezeka pa maziko a wachisokonezo ntchito atria, chifukwa cha mwazi wa alibe nthawi kutulutsa iwo. Motero, izo stagnates ndi kuundana anapanga. Patapita nthawi yochepa angathe kutenga magazi kuundana mu zotengera magazi ndipo ali kudutsa kwathunthu mu chiwalo chilichonse. Anaganizira malowedwe a magazi aumirira ku ubongo zomwe nthawi zambiri umatha ndi sitiroko a.

The owopsa matenda fibrillation za mtima? Chipatala chiwonetsero cha matenda nazonso ankaona cardiogenic mantha. Ichi ndithu ndi kuphwanya mwakhama contractile ntchito ya myocardium lapansi. Matenda kumatanthauza kuchepetsa zakuthwa kuthamanga. Mmenemonso minofu chachikulu cha thupi angathe kupereka zimakhala onse ndi ziwalo za magazi, imbaenda kuna njira sizingasinthe mu iwo.

kupewa

Kuteteza kwenikweni zikutanthauza mankhwala yake ya matenda onse zomwe zingachititse kusokonezeka kwambiri za mtima. Izo analimbikitsanso kuchepetsa zotsatira za zinthu zoipa m'thupi la munthu. Izi ndi izi: kusuta, nkhawa, mowa, nthawi zonse thupi nkhawa.

Akatswiri kuti abwereze kwathunthu chakudya. Mu fibrillation matenda, zakudya mtima zikhazikitsidwe zakudya otsika-mafuta ndi makamaka chomera zakudya. Khunyu imfayo disruptions zakumwa monga khofi, mowa, amphamvu tiyi. Mogwirizana chakuti kusintha kagayidwe electrolyte zimachititsa kuti mavuto ndi mungoli mtima, akatswiri amalangiza zathu zakudya wolemera potaziyamu ndi magnesium mankhwala (uchi, walnuts, zukini, apricots).

Kupewa matenda kumaphatikizapo zolimbitsa thupi ntchito: m'mawa kokoka, kutsetsereka m'nyengo yozizira, akuyenda pabwalopo, kusambira.

Ngati n'kotheka, kupeŵa nkhawa ndi mavuto. Mtendere wamumtima ndi kulimbikitsa maphunziro Makutu. Kuthetsa nkhawa kwambiri ndi mavuto angathe kumwedwa pa malangizo a dokotala wa mankhwala. Pakuti bwino kukhala kufunika kugona maola osachepera asanu pa tsiku.

Nkofunika kulamulira thupi misa index, akalozera shuga ndi mafuta m'thupi m'magazi.

Pomaliza

Nkhaniyi ili ndi mfundo zokhudza "matenda arrhythmia:. zizindikiro, chithandizo, kupewa" Mwatsoka, chaka chilichonse kudwala izi amawapeza zambiri. Panthawi yake chitsimikiziro cha matenda ndi mankhwala oyenerera cholinga kuchepetsa mosavuta mavuto. Khalani wathanzi!