Ukushaya inhliziyo kwenhliziyo, ukuhlukumeza esifubeni, i-dyspnea, isizungu , ukuqhuma okungazelelwe-konke lokhu bekuyoba okungenabungozi, uma bekungabonakali ukuhlaselwa kwe-fibrillation ye-atrial. Nguye ovuselela isifo, ukubunjwa nokuhlukaniswa kwe-thrombi enhliziyweni. Imizwa engafanele ye-cardiac ikhuthaza ukubonakala kwezingxenyeni zegazi engxenyeni yesokunxele, ukuhlukaniswa kwabo okuqhubekayo kusukela ezindongeni zemikhumbi. I-fibrillation ye-atrial ngokuvamile iba imbangela eyisisekelo senhliziyo .
I-fibrillation ye-Atrial - ukwelashwa, izidakamizwa
Izindlela zokwelashwa kwe-fibrillation ye-atrial zixhomeke kuhlobo lokubonakaliswa kwesifo. Kukhona ukubonakaliswa okuqhubekayo kwe-fibrillation ye-atrial yenhliziyo, futhi kubonakala ngezikhathi ezithile, okungukuthi, izibhamu ze-paroxysmal arrhythmia.
Incazelo yohlobo lwezokwelapha zesifo esinjalo incike ekuboneni isimo, isimo jikelele somzimba, umlando wesifo kanye nokuxilongwa kwezifo ezivamile ze-satellite. Ukwelashwa kwe-arrhythmia, eqinisweni, kuhlanganisa izidakamizwa ezikhethekile ezihlose ukuqeda izimpawu nokubuyisela ukusebenza okuzinzile kwenhliziyo.
Yonke imikhiqizo namaphilisi ahlukaniswe ngamaqembu amaningana:
- Ukuthinta ngqo isigqi senhliziyo nokubuyiselwa. Isibonelo, i-Ritmol, i-Pronesil, i-Betapace, i-Norepis, njll. Amaphilisi anjalo alawula imvamisa kanye nesigqi sokushaya kwenhliziyo, ngakho-ke uma babelwe kubaluleke kakhulu ukuqapha ushintsho lwezimpawu kanye nenhlalakahle jikelele yesiguli. Njengoba kunezindlela eziningana ezingenzeka emakethe, udokotela ngokuvamile ubeka eyodwa, kodwa ngokungazi kahle kwakhe, uzama enye ikhambi.
- Ilawula ukuvama kwenhliziyo. Leli qembu lihlanganisa i-Lopressol, i-Kalan, i-Lanoxin, njll. Lezi zidakamizwa aziphazamisi isigqi sokushaya kwenhliziyo, kodwa kunciphisa ukuphambana okuphindaphindiwe kwama-ventricles.
- Vimbela ukwakheka nokuhlukaniswa kwezindwangu zegazi. Lezi yi-anticoagulants okuthiwa yi-anticoagulants, ziqokwa udokotela, ngokusekelwe esithombeni esiphezulu sokugeleza kwe-arrhythmia. Uma uthatha amaphilisi anjalo, udinga ukuqapha umsebenzi wabo wegazi ekuhlolweni kwegazi futhi ubeke esikhundleni sabanye uma kwenzeka ungasebenzi.
Ukwelapha kwe-fibrographic atrial paroxysmal
I-paroxysmal fibrillation ye-atrial ibonakala ngokubonakaliswa okungalindelekile. Lokhu kungaba njengokuhlasela okulodwa esikhathini esizayo, kanye nokuphindaphinda ngezikhathi ezithile ukwenyuka okukhulu kwenhliziyo, izinhliziyo zenhliziyo, imizwa yokuthuthumela, ukukhululeka esifubeni, njll.
I-paroxysmal fibrillation ye-atrial ngokuvamile ihilela ukwelashwa okungajwayelekile. Ngalesi sizathu, amaphilisi anqunywe, ngokusekelwe esimweni nasesimweni sesiguli. Noma kunjalo, ngokuvamile ukubonakala kwe-paroxysms kubangelwa izinto ezicacile. Odokotela batusa ngokucophelela ukuqapha nokuhlaziya, okuholela ekuhlelweni nasekuguquleni indlela yabo yokuphila, ngaphandle kokubangela izinto ezivusa amadlingozi (umsebenzi owenziwe ngokweqile, ukubhema, utshwala, ukuhlukumeza ikhofi).
Ukwelashwa kwamanje kwe-fibrillation ye-atrial
Izindlela ezintsha zokwelashwa kwe-fibrillation ye-atrial zihilela ukusebenzisa izindlela ezikhethekile nezinqubo ezingabandakanyi ukungenelela kokuhlinzwa. Izindlela ezinjalo ziphumelela kakhulu kunemithi ejwayelekile, futhi zisiza ngokuhlukumezeka kwamanye amaphilisi nezinto ezithile.
I-electrocardioversion, emva kokugwinya isiguli esisele, iveza izimpendulo futhi ibangele inhliziyo ishintshe isigqi sayo, iholele esimweni esinempilo.
Ukukhishwa kwe-radiation frequency kuvumela ukubunjwa kwezibazi ezithile ngenxa yokucubungula okuncane kanye nokusetshenziswa kwamandla okuvama okuphezulu, okubangela ukuthi ama-ventricle abe nemikhawulo efanele. Le entsha ekwelapheni i-fibrillation ye-atrial ivimba
Ukwelashwa kokuhlinzwa kwe-fibrillation ye-atrial
Ukwelashwa okunjalo kuboniswa phambi kwesifo, ama-blood clots, izifo zenhliziyo ezithinta inhliziyo, ukungasebenzi kwamaphesenti okwelapha wangaphambilini. Ukusebenza kuhlotshaniswa nokuqaliswa kwezicucu ezivimbela ukulinganisa okungalingani okunye nokusabalalisa kwezinguquko ezingavamile. Ngaphezu kwalokho, ngesikhathi sokuhlinzwa, iso le-atrium lesokunxele, okuyinto isakhiwo sokubunjwa nokuvala ama-clots, sinqunywe.