Atrial fibrillation kwomwoyo; chii uye sei ngozi?

The zvakananga chezvinonhuwira akaisvonaka basa mwoyo anoonekwa kuti zvishoma kufamba kweropa. Kana murwere nechirwere atrial fibrillation, saka mutinhimira anonetseka. kuremara duku kwakadaro kunosanganisira gogonera zvekupfakira atrial ropa. Somugumisiro, mashoko ventricles nezvirwere uye kuwedzera heterogeneous. Nokuvhiringidzirwa kwomuzvarirwo mwoyo mutinhimira kunogona kuva nengozi, sezvo iri nyaya, kuwedzera pangozi sitiroko. Munyaya ino tichashandisa ichatsanangura chii zviratidzo pamwe atrial fibrillation kwomwoyo, chii uye chii vari achangobuda kurapa.

Vhuṱanzi

A renguva dzose kwemwoyo - ndiwo ngetani yose abbreviations-siyana madhipatimendi huru tsandanyama dzemuviri. Pakutanga kucheka atrium, uye vakatevera ventricles. Kana atrial fibrillation, ivo atria vanorasikirwa kugona kwavo zvizere kutapudza. Asi vanotanga randomly vachadedera kureva fibrillate. Ndokusaka mabhuku unogona kuwana rimwe zita chirwere ichi - atrial fibrillation.

Kwemakore, chirwere ichi chirwere kazhinji. Somuenzaniso, mumakore 40-50, anenge 1% yevanhu akatsinhira fibrillation. Zvisinei, makore 60, nhamba idzi vowanda, zvokurwara kunokwanisa kuonekwa kare panguva 5%. Kana chiratidzo inopfuura makore 80, zviratidzo atrial arrhythmia anogona kuonekwa 10% vemo.

Nhamba idzi zvinotsanangurwa ndechokuti pakukwegura kazhinji achiomesa pamusoro coronary arteries uye mwoyo rusvingo. Uyezve, kazhinji kuva coronary tsinga chirwere.

Atrial fibrillation kwomwoyo; chii uye chii vari zvinokonzera chirwere

Chikonzero chikuru chakaita kuti pave atrial fibrillation - mugari basa kunzi cardiac conduction wemuTesitamende iyo Kuchinja kuitira kuderedza zvimwe cardiac fibers kuchengetwa. Kukura zvokurwara kwakadaro kunoita zvinhu zvakawanda. Nyanzvi kusiyanisa pakati cardiac uye noncardiac zvinokonzera arrhythmia. Boka rokutanga unosanganisira mwoyo chirwere uye midziyo kuti vechidiki vari runonyanya chokuita zvikanganiso vharuvhu midziyo, uye vakwegura - pamwe nezvirwere zvakadai:

• CHD.
• Cardio.
• Myocardial infarction.
• BP.
• Tachycardia.

Vasiri cardiac zvinokonzera zvinosanganisira zvinotevera:

• Hosha yacho kwemakemikari anobudiswa hurongwa.
• Kakawanda mupfungwa.
• Kudhaka vamwe mishonga uye doro.
• Diabetes mellitus.
• Kutapukirwa noutachiona.
• Zvakakomba kufutisa.

In okurapa, pane zviitiko apo zvokurwara kwakaitika pasina chikonzero. Nyanzvi dzinoti iyi mamiriro ezvinhu zviri nhaka, tsanangura mutation majini.

zvekuchipatara mufananidzo

Zvichemo varwere nechirwere ichi angava akasiyana chaizvo. Zviratidzo atrial fibrillation mwoyo, kana kuti, nekuomarara kwavo kunoenderana ukuru hemodynamic kusagadzikana, uyewo pazuva nomumwe zvechadenga murwere. Sezvo kutonga, zvokurwara kunoitika pasina zviratidzo pachena, mutinhimira chainetsa padzakacherechedza chete panguva imwe purogiramu kunoongororwa. Dzimwe nguva zvekuchipatara kuratidzwa saka akasiyana kuti yekudyidzana kunoderedza huri upenyu. Pazasi pane pfungwa zviri izvo munhu anogona kutonga chii munhu chaiye anorwara.

• Pain. The kusagadzikana anogona akafunga mumoyo, uye chete chipfuva. Hazvifaniri hazvo kuva kurwadziwa. Dzimwe nguva munhu "prihvatyvaet" uye shure masekonzi mashoma, "achirega kuenda". Vamwe varwere yakashuma chimiro nezvekufadza, kufanana tsvikinyidza tsinga. Vanhu vazhinji havazivi mari kuti chiratidzo ichi ruremekedzo, kungogeza kuti kusagadzikana nokuda kuneta kana kunetseka.
• Palpitations.
• Kupfupika mweya uye kunyanya vangadikitira. Iri zvakajairika zviratidzo atrial arrhythmia. Murwere anonzwa zvishomanana kupfupika mweya mushure mumuviri nesimba uye vangadikitira uye zvose zvinogona kuitika pamusoro wayo, kunyange panguva yokuzorora.
• Kusimba tsandanyama.
• Kuita weti kakawanda. chiratidzo ichi zvikuru mune vakwegura.
• Kunzwa kutya kana kutya. Kana munhu anotanga ziya pasina chikonzero uye gasping, iye nomuzvarirwo anooneka kutya.
• Kufenda uye dzungu. Zviratidzo izvi anoratidza kuti munhu wacho chaizvo kurwara uye inoda unyanzvi kutarisirwa nyanzvi.

pathological chimiro

Zvichienderana yezvakaita chirwere? kusunungura:

• Paroxysmal. Kudhakwa urwere simuka pamwe zvikamu zviduku pakupedzisira hapana anopfuura maviri mazuva, kazhinji pachavo.
• Persistent chimiro. Kurwisa kwemazuva anopfuura manomwe, akaedzwa chete pashure mishonga.
• Chisingaperi chimiro.

On kwemwoyo ndedzinotevera nzira:

• Normosistolichesky (HR 60-90 kurohwa).
• Tachysystolic (kwemwoyo kupfuura 90 anorova).
• Bradisistolichesky (kwemwoyo asingasviki 60 anorova).

kuongorora chirwere

anokwanisa nyanzvi chete anogona kusimbisa chirwere ichi sezvo atrial fibrillation mwoyo. Chii tinoudzwa, zvino ndiyo nguva yokutaura pamusoro huru nzira nechirwere.

Kana uchifungidzira kuti chiremba uyu chirwere kazhinji anoita mitambo inotevera:

• ECG Twelve anotungamirira.
• Total bvunzo weti / ropa kuziva chokuita pathologies.
• Hormone Profile zvinokosha kuti asava thyroid pathologies.
• Hwehutachiwana. Kudzidza Izvi zvinobvumira rokuongorora cardiac ischemia, uyewo nokudzora kurapwa chingaitwa chisingaperi arrhythmia.
• Radiograph.
• HMEKG.

zvinodhaka kurapa

How kurapa atrial fibrillation mwoyo? Kurapa chirwere ichi anosarudzwa nenyanzvi mune mira ezvinhu uye zvinoenderana ongororo zvabuda, nemhaka iyo zvinokwanisika kuziva mhando uye chimiro cardiac arrhythmia.

kunaka kurapwa kunotemwa chete nokuda mwero kubudirira anotevera zvinangwa:

• Kudzorerwa sinus mutinhimira.
• Kudzivisa kurwiswa vatsva mune ramangwana.
• Kwemwoyo kuzvidzora.
• Kudzivirira thrombosis kudzivirira kukura yematambudziko.

prophylactic antiarrhythmic zvinodhaka ( "Amiodarone", "Dofetilide", "Propafenone") vakanzi kudzivisa kurwiswa. Selection imwe mushonga atrial fibrillation mwoyo zvinopa cardiologist kwakavakirwa mhaka zvokurwara, ayo pakuonekwa uye kuvapo concomitant zvirwere.

Zvokugumisa tachycardia zvomuupenyu kuramba muchimiro vakashandisa zvinodhaka antiarrhythmic kuti achiita nomutsinga, uye vanonzi magetsi cardioversion. Yokupedzisira rinoreva pokushandisa yakaderera voltage magetsi nomunhu kudzorera chakaipa mutinhimira. nzira iyi kuitwa yevanenge.

Mugore chirwere chimiro fibrillation zvinowanzoda kuramba zvichiongororwa mwoyo kwakanyanya pakati 60 uye kusvikira anenge 90 anorova paminiti. Muchiitiko ichi Zvinokurudzirwa Beta-blockers ( "propranolol", "metoprolol"), cardiac glycosides ( "Digoxin") uye mhandu kuti kunonoka karusiyamu migero ( "Diltiazem", "Verapamil").

Pangozi yokuva ropa clots mune kwose zvokurwara yakatarwa anticoagulants.

Kana uchida kuvhiyiwa?

Kuvhiya kurapwa inokurudzirwa kana zvinodhaka kurapa uye mahwendefa anoshandiswa atrial cardiac arrhythmias regai kubatsira. In okurapa, zvinotevera nzira anoshandiswa nhasi:

• Radiofrequency ablation pamusoro atrial fibrillation zvinyorwa. Panguva nzira iyi kuburikidza chiremba femoral kunounza muitisi zvakananga mwoyo. By RF kupomba rinoshandiswa kwazviri, uye izvo hakubvisi vangangodaro zvinopa arrhythmia.
• Radiofrequency ablation of atrioventricular raiva pedyo nebundu pamwe fanira muchibereko pacemaker. By nzira iyi, munhu anofanira kushandisa kakawanda apo nechirwere "atrial fibrillation womwoyo." Chii? Achishandisa nzira akadaro anodiwa kushandisa kana zvinodhaka kurapa riri basa, kureva, pashure kushandisa zvinodhaka hazvibviri normalize mwoyo unodiwa. RF kupomba anoparadza zvakananga mashoko atrioventricular raiva pedyo nebundu, kuti pacemaker iri yakaiswa, inova hurukuro imwe zvemagetsi kupomba pamwoyo, ndinosika ane artificially zvakajairika mutinhimira.
• Kugadzwa atrial cardioverter-defibrillator. Ichi zano rinokosha kuti vasonanidza subcutaneously chokumusoro muchipfuva. It paunobuda kubva electrode zvakananga mwoyo. mudziyo kwakadaro zvinoita kuti pakarepo kumisa kurwiswa, kunoitika apo chirwere akaita atrial fibrillation mwoyo.
• Kuvhiya mwoyo. Nzira iyi inoshandiswa pamberi zvimwe zvirwere, somuenzaniso, zvikuru mwoyo tsinga maronda. Kana zvakadaro kuvhiyiwa kuri mawa kuona zvinogona kuzokonzera atrial fibrillation.

Ngatimbotaura kudya

In kurapwa zvakanaka zvose, kana totaura zvakadaro muviri chinokosha somoyo. Vamwe varwere hakugumiri zvinodhaka kurapa, vanoshandisa yakasiyana mimwezve nzira mhando. Mumwe wavo rinokosha kudya kuti atrial arrhythmia. Chokwadi, kuchinja madyiro havagoni kukurira chirwere pacharo, asi danho iri kunobatsira kuderedza zvekuchipatara zviratidzo. Kana kudya kubatanidza pamwe zvakarurama zvinodhaka mushonga, zvinokwanisika kuti vawane zvibereko zvakaisvonaka. Pasi apa ndizvo zvokudya zvinofanira kusiyiwa pakutanga.

• Doro. Ndicho chikonzero chinonyanya zvinowanzovapo arrhythmias. Kunyange kana munhu ane matambudziko vaduku nemoyo kubva doro zvinofanira achasiyiwa.
• Mafuta uye vaiputa zvokudya. Zvokudya kwakadaro kazhinji chinokurwadzai panowanikwa remafuta akawandisa plaques. Nyanzvi vanokurudzira zvakasimba kusiya kunyange vanhu zvachose utano.
• Spices. Hot inonhuhwira kukanganisa mwoyo. Doctors chifunga kwechinguva kudzitsiva Bole nyoro chisarudzo.
• Munyu neshuga. Munyu chinowedzera mvura chengetedzo mumuviri, uye zvakaipa kwazvo kwazvo basa mwoyo. Uyezve, kungava kupfupika mweya uye kunyanya vangadikitira. Kungwarira kunofanira kuva zvihwitsi. rakawandisa huru shuga iri kudya uye zvokudya kazhinji vasiri normalized achava mhaka zveshuga nezvimwe zvirwere.

Chii unogona kudya? Diet nokuti atrial fibrillation mwoyo rinotarisirwa kuti zvinyorwe zvokudya dzakaonda nyama uye hove, mujenya nemiriwo nemichero, dheri zvigadzirwa. Food nani steamed kana chakabikwa muchoto. Zuva anofanira kanenge 4-5 zvokudya.

Diet hazvirevi yakaoma kudya maronda. Zvakakosha kuti kudya zvine mwero, uye kupa kupfuura zvokudya utano. Chete muchiitiko ichi zvinoita kuti tariro akurumidze kupora uye kusavapo zvakakomba yematambudziko.

Help Traditional Medicine

How kubata atrial fibrillation cardiac nemakwenzi? Pekuhwa- nda nzira mushonga pamwe zvakazara yokutsiva mishonga haina inokurudzirwa. Mishonga infusions, achiporesa richikoshawo sechituso ebetsero matanho.

Kazhinji kudzima imwe kuratidzwa chakakomba zvakakwana kardiopatology (kardiosklerosis, kuremara). Ndokusaka pakutanga chipiwe kurapa zvirwere huru, uye kurapwa kuratidzwa arrhythmias kuderera pachavo kana, mune tsika, kukwanisa mberi mabatiro ayo. Vakawanda Recipes emishonga zvetsika.

• Walnuts nouchi. 100 g yakapwanyika walnuts zvakafanira muna blender. To kunoguma musanganiswa kuwedzera 0.5 L uchi uye sanganisa zvinyoronyoro. muvhenganiswa ichi inokurudzirwa kuti uparadze zuva mumwe spoon kuti mwedzi mumwe.
• Hanyanisi uye womuapuro mumuto. Zviratidzo zviri chirwere vari kuderedzwa zvikuru kana mashed matapiri kudya zuva rinokosha. To kubika unofanira rokutema ari hanyanisi uye mumwe apple. mishonga iyi inofanira kunwiwa kaviri pazuva usina chawadya.
• Potato muto zvakakwana anobatsira pamwe arrhythmia. Mumazuva 14, Zvinokurudzirwa kunwa hafu girazi muto ichi. Izvi zvinoteverwa yokumbozorora vanenge rimwe mwedzi, uye ipapo kunorapwa.

zvinogoneka yematambudziko

Mwoyo chirwere, atrial fibrillation, hazvina ngozi kungofanana ayo zvichibvira matambudziko. Mumwe inonyanya kuzivikanwa sezvo vanonzi cardioembolic sitiroko. mhando iyi abnormality kunoitika pamusoro pakanyorwa munhu runobva basa atria, somugumisiro iyo ropa kungoti haana nguva kunze kwavari. Somugumisiro, izvozvo stagnates uye clots vari aumba. Pashure pfupi anogona kuwana ropa clots nemidziyo ropa uye chinofanira munhumbi zvachose chero nhengo. Zvinoguma kupinda munhu ropa clot muuropi, izvo kazhinji rinopera sitiroko.

The ngozi atrial fibrillation mwoyo? Clinical nekuratidza chirwere chiri vaiona cardiogenic kuvhunduka. Uyu chaizvo kwakakomba kutyora contractile kushanda myocardium. Chirwere rinobatanidza rakapinza rutapudzo zvavaida. In mamiriro ichi chikuru tsandanyama muviri hadzikwanisi kupa zvose munyama uye nhengo ropa, zvinoita kuti kusingarapiki pezvakaitwa mavari.

dziviriro

Kudzivirira kunonyanya zvinoratidza nenguva mabatiro zvirwere zvose anogona kukonzera zvinokosha nokuvhiringidzirwa mwoyo. Zvinonzi Dzakamukurudzirawo kurerutsa matambudziko asina kunaka zvikonzero zviri pamusoro dzemuviri. Izvi zvinosanganisira zvinotevera: kusvuta, kushushikana, doro, kugara chaiko mupfungwa.

Nyanzvi angarayira kuti adzokorore zvokudya zvakakwana. In atrial fibrillation, mwoyo Zvokudya rinofanira kubva pasi-mafuta zvokudya uye kunyanya chirimwa zvokudya. Pfari anogona kutsamwisa disruptions zvinwiwa akadai kofi, doro, tii simba. Kufungisisa chokwadi chokuti kuchinja electrolyte muviri anogona kukonzera matambudziko mwoyo mutinhimira, nyanzvi dzinokurudzira rokuvandudza zvokudya potassium yakawanda uye magnesium zvigadzirwa (uchi, fruit, zucchini, apricots).

Kudzivirira chirwere kunosanganisirawo mwero kurovedza muviri: mangwanani zviitwa, Skiing muchando, vachifamba mupaki, kushambira.

Kana zvichiita, dzivisa mumuviri uye mupfungwa. Vawane rugare rwomumwoyo uye kunoita kurovedza auditory. Kubvisa kunyanya kuzvidya mwoyo anonetsa ezvinhu anogona kutorwa ari chiremba zano sedatives. Nokuti zvakanaka kuva vanofanira kurara maawa masere kana kupfuura pazuva.

Zvakakosha chaizvo kudzora body mass indekisi, indices kuti shuga uye remafuta akawandisa muropa.

mhedziso

Nyaya ino rinopa mashoko "Atrial arrhythmia:. zviratidzo, kurapwa, dziviriro" Zvinosuruvarisa ose gore zvokurwara iyi panoonekwa kakawanda. Panguva Chaiyo kusimbisa nechirwere uye zvakakodzera kurapa zvakagadzirirwa kurerutsa mukana wokuti nemigumisiro. Stay utano!