Jirgin da ake yi na shari'a shine cin zarafin zuciya, yana haifar da mummunar sakamako. Yayin da aka mayar da hankalin mai kwakwalwa ta hanzari a cikin kumburi na sinus ko kuma abin da ke cikin kwayar cutar, mai yaduwar ma'adadium ya ci gaba da rikici, hanzari. Zuciya ta kai 300-600 U / min. Wani suna don pathology shi ne inrial fibrillation. Zai iya ci gaba a matsayin alamar ischemia, angina pectoris, cututtukan zuciya da sauran cututtuka.
Forms of atrial fibrillation
Abun na iya ci gaba da hanyoyi daban-daban. A cikin ra'ayi na gaba, dangane da nau'o'in cuta, fibrillation da kuma jigilar magunguna suna rarrabe. A cikin akwati na farko, ɗayan kungiyoyi na ƙwayoyin zuciya na ƙwayar tsohuwar ƙwayar tsoka, bugun jini ya kasance a matakin 500 na minti daya. Idan an lura da fibrillation, ana iya rage haɓakar haɗin kai. Halin da ake yiwa dan damfara ya kasance daidai da flutter, amma kwantaragin atria ya karu da sauri: har zuwa 200-400 U / min, kusan ba tare da katsewar motsi na myocardium ba. Tsananin haɗin gwanin yana da gajere. A ventricles suna aiki a kan tufafi da hawaye.
Hanya da tsawon lokaci na arrhythmia shine ka'idar da aka raba cutar. Yada irin wannan cututtuka kamar:
- m;
- m;
- paroxysmal arrhythmia .
Sanarwar da ta fi dacewa a kan filastillation
Rashin sabuntawa da nauyin sinus yana haifar da wani nau'i na fibrillation. An kai harin na tsawon shekaru, an bayyana fuskar wannan tsari lokacin da tsawon lokaci zai wuce makonni 2-3 ko fiye. Harkokin aikin likita da ake amfani da su wajen sarrafa rikici ba a aiwatar da su ko kuma suna da wuya. An yi la'akari da yiwuwar kula da arrhythmia. Sakamakon mafi kyau, wadda za a iya cimma tare da taimakon farfado, shine ragewa a zuciya zuwa 60-75 U / min. Marasa lafiya suna rayuwa tare da ganewar asali na shekaru masu yawa kuma suna jin dadi.
Tsarin dakararre mai tsanani
Lokacin da alamun alamun sun ci gaba da fiye da kwanaki bakwai, suna magana ne game da ci gaba da tsauraran matsala (AF). Hakan zai iya komawa baya, ana ci gaba da kai hare hare. Ƙananan ƙananan ƙetare yakan faru ba zato ba, yawan jini yana shiga cikin jiki yana raguwa. Wannan yanayin ba barazanar rai ba, sai dai idan yana tare da wasu cututtuka na zuciya. Wasu lokuta mawuyacin yanayin da ke cikin zuciya, wanda ya wuce shekara guda, ya bambanta, amma ba kamar wani lokaci ba, an yi ƙoƙari don tsoma baki tare da tafarkinsa kuma ya dauki iko da rudani.
Paroxysmal atrial fibrillation
Mafi kyawun nau'i na AF, wanda yanayinsa shine sake dawowa (ba tare da amfani da kwayoyi) na sinus rhythm ba. Wannan shi ne saboda ƙaddamar da tasirin abin da ya haifar, alal misali, ragewa a cikin motsa jiki, aiki na jiki ko kuma ƙarewar halin da ake ciki. Harkokin cutar - cututtuka na fibrillation - za a iya maimaita. Kwanan zuciya na zuciya an rajista a rana ta farko (awa 24-48), wannan shine lokaci mafi kyau don kawar da shi.
Cikakken Cikin Girar Daji na Ƙarshe - Dalili
Atrial fibrillation yana sa zuciya ya yi aiki ba tare da wani abu ba. Bayan sake dawowa da dama da dama (2-3), yawancin abin da ke faruwa a duniya ya haifar da fibrillation. Atrial fibrillation yana hade da pathologies da ke inganta ci gaban arrhythmia, kuma zai iya faruwa a cikin mutane na kowane zamani: har zuwa kashi 40 cikin lokuta na lalata da kuma har zuwa kashi 25 cikin dari. Sakamakon hare-haren, a matsayin mai mulkin, cututtuka na jini da ƙwayar zuciya:
- ciwon zuciya ;
- zuciya rashin nasara ;
- ischemia;
- hauhawar jini ;
- atherosclerosis;
- ciwon zuciya ;
- raunuka rheumatic.
Sauran abubuwan da ake haifar da fibrillation. Wadannan sun hada da cututtuka marasa cututtuka wanda ke rushe aiki na babban tsoka, da sauran masu haɗari:
- cututtuka na huhu;
- endocrine cuta;
- ciwon sukari mellitus;
- nauyi;
- shan barasa;
- yanayin damuwa;
- karfi aiki;
- shan wasu kwayoyi;
- rashin potassium;
- dashi.
Atrial fibrillation - bayyanar cututtuka
Dangane da irin wannan cuta, fasalin yanayin myocardium da kuma lafiyar jiki a gaba ɗaya, fibrillation da ke tattare da kwayoyin halitta yana nuna kanta a hanyoyi daban-daban. Hoton hoton yana bambanta daga ragowar mai juyayi zuwa bayyanar cututtuka na cutar. Kwayar cututtuka bazai kiyaye su ba, misali, tare da paroxysmal arrhythmia. Amma duk da haka, a matsayin jagora, bayyanuwar farko na cutar ta bayyana: ciwo a gefen hagu na kirji da rashin ƙarfi na numfashi, wanda ba ya daina kuma hutawa. Mafi mahimmanci, alamun waɗannan alamu sun nuna cewa akwai alamar zuciya na zuciya, alamun bayyanar halayya ne.
Babban bayyanar cututtuka suna da wuya a jituwa tare da wasu yanayi, musamman idan mutum ya fuskanci wannan fiye da sau ɗaya. Sauran alamu na rushewa:
- Zuciyar zuciya;
- ƙara karuwa;
- numbness na wata gabar jiki;
- shakatawa;
- bugun jini na veins;
- tremor;
- faɗuwa ;
- rashin ƙarfi cikin jiki duka;
- urination mai yawa da kuma amfani;
- hare-haren tsoro, jin tsoro.
Attack of atrial fibrillation
Kwayoyin cututtuka na fibrillation mai tsanani zai iya zama wanda ba a gane ba, kuma mai haƙuri ya koyi game da ilimin bincikensa kawai bayan ya gwada likita. Rikici ya fara ba zato ba tsammani kuma ya sake maimaita cikin rayuwa. Tsawon lokaci da kuma tsawon nau'i na launi ga kowane mutum, ana nuna cututtuka a hanyoyi daban-daban. A cikin al'amuran al'ada, akwai rauni, rawar jiki, tsokanar zuciya, tsoro. Tare da ƙaruwa mai ƙarfi a cikin zuciya, lalacewa, rashin hankali, da kuma raɗaɗi na iya faruwa.
Tashi tare da fibrillation
Ɗaya daga cikin hanyoyin da wanda aka gano shine fibrillation (na yau da kullum ko a'a) ana bincikar shi shine faɗakarwa na bugun jini. Mai haƙuri yana da rashi: atrium ba ya aiki, ventricles ba su da isasshen lokaci don cika nauyin jini. Yawan zuciyar damuwa a cikin ma'auni ba daidai yake da bugun jini ba. Idan akwai fashewa na atria, alamun alamun alamun da aka ambata a sama an kara su ne ta hanyar arrhythmias ba bisa ka'ida ba-hanzari.
Menene haɗari na fibrillation?
Duk wani cututtukan zuciya na zuciya yana fama da rikitarwa. A cikin yanayin shari'ar da ake fuskanta, mafi yawan haɗari masu haɗari shine cututtukan zuciya da nakasa zuciya. Mitral stenosis yana haifar da shinge na budewa na thrombus wanda ba zai yiwu ba, wanda zai haifar da kamacciyar zuciya. 15% na barkewar ischemic faruwa saboda arrhythmia. Barazanar cewa rayuwar rai da ke tattare da rayuwa ta rayuwa ta haifar da kwakwalwa, kwakwalwa na zuciya, cardiomyopathy (danƙaƙa).
Atrial fibrillation - magani
Lokacin da aka gano alamar bincike, ana kula da wannan magani bisa ga maganin likita don hana magungunan maimaitawa, da daidaita yanayin zuciya, rike nauyin sinus, da hana thromboembolism. Ba'a warkar da wariyar launin fata ba, amma ana sarrafawa, kuma likitoci suna ƙoƙari su kare marasa lafiya daga sake dawowa, mayar da juyayi na zuciya. Kafin zalunta da filaye, kana buƙatar gano dalilin cututtuka da kuma kawar da masu haɗari, da kuma kawar da bayyanar cututtuka na bayyanar cutar.
Atrial fibrillation - maganin asibiti
Idan akwai fibrillation, to me zan yi? Dabarun maganin an tabbatar da asali, wanda, dangane da abubuwan da ke haifar da cututtuka, ya haɗa da shawarwari na waɗannan kwararrun kamar:
- arrhythmologist;
- da neuropathologist;
- masanin ilimin lissafi;
- endocrinologist;
- cardiosurgeon.
Sun rubuta karin magani. Manufofin farfadowa na gaba: don inganta yanayin rayuwar mai haƙuri, don ƙara yawan lokacinta tare da wannan ganewar, don rage yawan asibiti. Dole ne a kawar da cututtukan cututtuka ko a hana su, ƙwaƙwalwar zuciya da raguwa da aka ɗauka karkashin iko. Tare da AF za ku iya zama, amma likitoci ya kamata su inganta farfadowa.
Shirye-shiryen don filastillation
Shin zai yiwu kuma yadda zamu bi da fibrillation na zuciya tare da taimakon magunguna? Conservative kiwon lafiya far aka yi amfani yadda ya kamata (10-15%). A wasu lokutta masu tsanani - halayen paroxysmal arrhythmia - an dakatar da novocaineamide, cordarone, quinidine ko parapanorm. Ana daukar magunguna a cikin intravenously ko magana, amma dole ne a bayar da taimako a wannan lokaci, kuma yawan matsa lamba ana kulawa kullum. Makircin magani tare da wasu magunguna kamar haka:
- Don rage jinkirin zuciya da kuma taimakawa marasa lafiya bayyanar, ana amfani da shirye-shiryen beta-blocker kungiyar: Carvedilol, Proprorol, Pindolol, Anaprilin, da sauransu.
- Cordanon, Quinidine, Allapinin sun cire nauyin ƙwayoyin zuciya.
- Glycosides sun daidaita aikin na myocardium (Digoxin, Korglikon, Celanid).
- Harshen thrombi ya hana Warfarin da Pradax da macogulants Enoxaparin, Heparin, Fondaparinux.
- Drugs cewa dilute jini - dezagreganty - suna wakilci irin wannan kwayoyi kamar Aspirin Cardio, Cardiomagnolo , TromboAss, da dai sauransu.
Ablation na zuciya tare da atrial fibrillation
Idan maganin miyagun ƙwayoyi bai ba da sakamako ba, za a iya yin aiki tare. Cigaban catheter wata hanyar likita ne wanda tasiri na arrhythmia ya rushe ta hanyar tasiri na jiki. Wannan aiki ba abu ne mai matukar damuwa ba, tun da yake baya buƙatar buɗewa na kirji - an sanya kananan ƙwayoyin kuma an saka wani catheter wanda ya shiga cikin myocardium. Ana iya yin tasiri a kan raunuka a hanyoyi da dama: ta hanyar sanyi, sunadarai, laser, tashar lantarki, makamashi na raƙuman radiyo (RFA) tare da fibrillation.
Akwai nau'o'in ablation (hallaka) kamar:
- duban dan tayi;
- laser;
- radiofrequency (cauterization na ƙwanƙwasa mai amfani da na'urar lantarki);
- cryodestruction;
- electrodestruction.
Atrial fibrillation - aiki
A wasu lokuta, ba zai yiwu a kawar da arrhythmia ba tare da aiki ba. Don tallafawa halin kirki na zuciya yana taimaka wa mai kwakwalwa - na'urar da ta dace a karkashin fata na fata a kusa da kashin. Ta hanyar ƙwallon ƙafa, an haɗa da na'urar lantarki da shi kuma ya shiga cikin cikin zuciya. Na'urar ta haifar da hankalin da ke tilasta tsohuwar ƙwayar zuciya don kwangila a madaidaiciya madaidaiciya, fibrillation da kuma ventricular fibrillation blocking.
Wata hanyar da aka yi amfani da ita a cikin ganewar asali na fibrillation mai tsanani shine aikin "labyrinth". Ayyukansa shi ne kawar da rashin daidaituwa a cikin zuciya, tilasta wajan shafukan yanar gizo don yin watsi da tsari. Sigin na lantarki yana yaduwa tare da hanyar da aka nuna - abin da ake kira "labyrinth", wanda aka kafa ta hanyar samuwar scars a kan zuciya nama. An yi cututtuka ba kawai ta hanyar ɓacin rai ba, amma kuma ta hanyar ablation da aka bayyana a sama: RFA (moxibustion) da cryodestruction (daskarewa).
Atrial fibrillation - magani tare da mutãne magunguna
Ko da kuwa rashin tsananin cututtukan zuciya, ana iya gyarawa tare da taimakon magungunan magani - tare da maganin miyagun kwayoyi ko dabam, misali, a matsayin matakan tsaro. Idan akwai filastillation, za a yi amfani da magungunan gargajiya tare da taka tsantsan, a karkashin kulawar likita. Wannan magani yana da wani nau'i mai mahimmanci.
Hanyoyi masu kyau suna dogara ne akan kyawawan haɓakar wasu tsire-tsire. A magani na ganye, ya kamata ku kula da kwayoyi wanda zai iya rage saukar da jini da kuma hana bayyanar cututtuka na arrhythmia. Mafi shahararrun kuma tasiri:
- Hawthorn wani magani mai ban mamaki ne na gida don kawar da arrhythmias. A cire wannan shuka za a iya hade da valerian ko motherwort.
- Jiko na dill tsaba shi ne kayan aiki mai inganci wanda ya rage yawancin pathology.
- Kayan ado na berries na Kalina yana daidaita yanayin hawan jini, yana da tasiri akan tasoshin. Wani lokaci dauka da zuma.
- Yarrow (ruhun ruhu na ganye) yana sha sau biyu a rana a cikin teaspoon, rage hadarin jini.
Atrial fibrillation - hangen nesa na rayuwa
Cututtuka na cardiac, waɗanda suke da rikitarwa ta hanyar arrhythmia, ƙara yawan hadarin ƙwayar cuta fiye da sau 1.5. Saboda haka, marasa lafiya da wannan cuta suna da sha'awar wannan tambaya: yawancin mutane suna tare da ganewar asali na fibrillation? Sanarwar ta dogara ne akan irin abubuwan da ke haifar da cututtuka, da samuwa da kuma yiwuwar rikicewa, jihar myocardium da ventricles. Mafi haɗari na arrhythmias - wanda zai haifar da ci gaban ci gaban zuciya. Suna lalacewa ta hanyar lalacewa mai tsanani, misali, ciwon zuciya. Irin wadannan matsalolin suna haɗuwa da cututtukan zuciya, amma tsinkayensu yana da cikakkiyar mutum.
Duk wani bayyanar cututtuka da ke nuna rashin daidaito cikin zuciya kada a manta. Tare da AF, babban tsoka yana fara rawar jiki, yana rawar jiki da sauri, ba bisa ka'ida ba. Haɗakarwa ba ta wuce minti daya ba, amma ya kamata faɗakarwa. Atrial fibrillation ne cuta na yau da kullum wanda ke faruwa a 2% na dukkan mutane. Amma wata cuta mai tsanani za a iya bincikarsa da kuma bi da shi. Maganin zamani yana samar da fasaha masu mahimmanci da fasaha a yaki da arrhythmia.