Aibrial fibrillation: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau
• He aha nā pilikia e ala aʻe

Hoʻohālikelike ʻia ka fibrillation atrial e kahi disorganization o ka hana uila i ka atria o ka puʻuwai, kahi e hoʻololi ai i ka puʻuwai, e lilo i mea maʻamau a wikiwiki hoʻi, e hiki ana i 175 mau kī i kēlā me kēia minuke, i hoʻonui ai i ka hopena o ka hahau, nā puʻuwai puʻuwai a i ʻole nā ​​pilikia puʻuwai ʻē aʻe. .

Hiki i ka fibrillation Atrial ke asymptomat, ʻike wale ʻia i ka wā o nā hoʻokolohua maʻamau, a i ʻole ke kumu ʻana i nā ʻōuli e like me ka palpitations, ka hanu ʻana o ka hanu, ka lī ʻana a me ka manaʻo nāwaliwali.

He loli loa ka mālama ʻana a e hilinaʻi ʻia i ke kanaka, nā hōʻailona a me nā ʻōuli āna i hōʻike ai a me nā kumu i ke kumu o ka fibrillation atrial.

Nā hōʻailona nui a me nā ʻōuli

I kekahi poʻe, ʻaʻole hiki i ka fibrillation ke hōʻike i kekahi mau ʻōuli, eia nō naʻe, i kekahi mau manawa, hiki mai paha:

• Palpitations;
• Puʻuwai puʻuwai maikaʻi ʻole;
• Ka nāwaliwali a me ka luhi wikiwiki;
• Puʻupuʻu;
• Hanu pōkole;
• ʻEha ʻeha.

ʻO ka maʻamau, hana ʻia ke kuhi ma o ka electrocardiogram, akā i kekahi mau manawa, hiki i ke kauka ke hōʻike i kahi echocardiogram, nā hoʻokolohua koko e ʻike inā aia kekahi mau pilikia me ka thyroid, a me X-ray i ka umauma, e nānā i ka nui o ka wahi o ka naʻau. .

Nā kumu kūpono

ʻAʻohe kumu i ʻike ʻia ʻo Atrial fibrillation i kekahi manawa, akā naʻe, i ka hapanui o nā hihia ua kū ʻia ia ma muli o nā kīnā o ka puʻuwai a i ʻole nā ​​ʻeha.

Hoʻohui ʻia, kekahi mau kumu ʻē aʻe i makemake i ke kau ʻana o ka fibrillation atrial ka hypertension, ka mōʻaukala o ka puʻuwai mua, ka maʻi puʻuwau coronary, nā maʻi kūlohelohe, hyperthyroidism, ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, ka ʻai ʻana i ka caffeine, ka waiʻona a paka paha, e ʻeha nei i nā pilikia o ka hake ʻoki puʻuwai hou loa, nā maʻi viral, stress a i ʻole ka ʻehaʻeha ʻana mai ka waenoe moe, no ka laʻana.

I kekahi mau hihia, hiki ke hoʻonui ʻia ka makaʻu o ka ʻeha ʻana o ka fibrillation atrial, e like me ka poʻe ʻelemākule a me ka poʻe e hoʻohana nui ana i ka waiʻona a me kekahi mau mea hoʻonāukiuki.

Pehea e hana ai i ka lāʻau

E hilinaʻi ka mālama ʻana i nā kūlana hemodynamic o ke kanaka a i ka wā i hoʻomaka ai ka arrhythmia, akā naʻe, ʻaʻole maʻalahi ka wehewehe ʻana i ka manawa o ka hoʻomaka ʻana, kahi mea paʻakikī i ke ala a me ka mālama ʻana.

ʻO nā pahuhopu o ka mālama ʻana e normalize i ka helu o ka puʻuwai a pale i nā kahe koko mai ka hana ʻana i mea e hōʻemi ai i ka pilikia o ka ʻeha. Kaukaʻi ʻia i ka manawa o ka hoʻomaka ʻana o ka arrhythmia a me ke kūlana olakino o ke kanaka, pono paha ka defibrillation, kahi e hana ʻia ai kahi haʻalulu i mea e hoʻonohonoho hou ai i ka helu o ka puʻuwai a hoʻihoʻi iā ia i ka rhythm maʻamau, ma lalo o ka sedation.

Eia hou, hiki i ke kauka ke kuhikuhi i nā lāʻau antiarrhythmic, i hoʻohuli i ka fibrillation atrial i nā mea maʻi paʻa a hiki ke hoʻohana ʻia ma hope o ka hoʻohuli ʻana e pale i nā hanana hou aʻe. ʻO nā laʻana o nā ʻohana antiarrhythmic ʻo amiodarone a me propaganda, ʻo kahi laʻana. Hiki ke hoʻohana ʻia nā pale block Beta a me nā kahakaha kanal kalepona e mālama i ka helu o ka puʻuwai a pale i ka fibrillation atrial. No ka pale ʻana i ka hoʻokumu ʻana i ka ʻōpala, hiki i ke kauka ke kuhikuhi i nā anticoagulants a me nā mea hoʻohālua platelet.

He mea nui nō hoʻi e hoʻomaʻamaʻa i ka hana hoʻoikaika kino maʻamau, kaohi i ke kahe o ke koko, pale i ka ʻalekohola nui, caffeine a i ʻole mau ʻāpaka paha, kaohi i ke kō, e hoʻoliʻiliʻi i ka ʻai kō a mālama i kahi kaupaona olakino.

He aha nā pilikia e ala aʻe

ʻO ka maʻamau, ʻaʻohe mea hoʻoweliweli ke ola atrial fibrillation, akā i kekahi mau hihia, hiki iā ia ke alakaʻi i nā pilikia a i ʻole ke koi pilikia e koi ʻia.

Hiki i ka fibrillation atrial ke alakaʻi i ka hoʻokumu ʻia ʻana o nā kahe o ke koko ma loko o ka puʻuwai, e holo ai i nā mea ʻē aʻe, i hiki ke hana i ka paʻa ʻana o ke kahe o ke koko, i ka hopena o ka ischemia. Inā hele lākou i ka lolo, hiki iā lākou ke ālai i ke aʻa cerebral a hana i kahi hahau, ʻo ka hopena o kēia hanana ma kahi o 5 mau manawa i ʻoi aku i ka poʻe i ʻeha i ka fibrillation atrial.

Hoʻohui ʻia, inā maʻamau ka hana ʻana o ka atrial fibrillation, hiki i ia mea ke kumu i ka holo pono ʻole o ka naʻau. Ma muli o ke koʻikoʻi o kēia mau pilikia, he mea nui ia e mālama ʻia i ka wā hiki loa.