Fibrillation - He aha ka keia? paroxysmal atrial fibrillation

Ua lawe mai anei oe a mau loa aku i kekahi manawa, i ka wa a ka naau ka hoʻomaka 'lakou pepehi ana chaotically? A i 'ole, ma ka mea ku ole, ia ka meheu o ia? Ua hoʻololi i nā hana i ka manao o ka makau a me ka uunu nui,ʻo ia iā mākou manaʻo e pili ana i ka Hike i ka haukapila. Kauka i ka ho'ākāka 'ana no kekahi moku'āina, a me ia no keia mea. Fibrillation - ia mea heʻano o cardiac arrhythmias. Ma cardiology hana i na hihia i ole uncommon, no laila ia mea e pili ana ia e kamaʻilio pū mākou i keia la.

Definition a me ka prevalence

Aia mea he 'epekema ka wehewehena o ka hana ana o ka naau. Fibrillation - ia tachyarrhythmia, a ua hui me ka chaotic pou impulses o atrial haʻawina. Lākou alapine (frequency) i hiki ehiku haneri kui iho oe a no minuke, a ma ka uku papa hoʻolaukahi ka ho'ēmiʻana i ole i ke Akua.

Atrial fibrillation o kekahi o ka loa he ākea pepa o arrhythmias. Reliably ka mea hiki ke nānā 'wale ma ka hopena o ka electrocardiography. Aia mau ano hoailona:ʻaʻohe sinus pāpana, ka helehelena. F-nalu (atrial kolili). Nā Hua Hōʻailona alapine (frequency) hilinaʻi nui ma luna o ka waiwai o ka atrioventricular wahi, a me ka ha awina o ka autonomic ko mākou hopohopo'ōnaehana ma ka hui pu ana, me ka ai '.

Poe akamai i ke kaila o ka maʻi i ke aloha lesions o ka naau Muscle. Chaotic contractions o ka naau alakai i circulatory pilikia a me ka pilikia o ka hanana o ke emboli. O kŰia Ua pili me ka kiʻekiʻe make nei mai o ka maʻi.

Mea Maluna

Aia nō i ke kēia mauʻano o atrial fibrillation:

1. First hōʻike. Oia kaʻike, ua i, ina o ka hoʻomanawanui i ole imi mua 'inikua kōkua no atrial fibrillation.
2. Paroxysmal. Pepehi kolili mau ole aku ma mua o ka hebedoma (IeAUPIIe, IAa IO mau lā) a holo kū kaʻawale.
3. Paakiki. Ho'āhewa wale hoomau no ka oi aku i nā lāʻehiku.
4. Lōʻihi koʻikoʻi. Ka kaua mau umi - malama he umi kumamalua, akā, kauka hoʻoholo ihola e hoihoi i ka pāpana.
5. Loa. Atrial fibrillation ia lŘlŘ a pau ka manawa, akā, ua i lawe mai i ka pāpana o ka hoihoi hou ia ana i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao, a laila e huli ineffective.

E like me ka oolea o atrial fibrillation symptoms e māheleʻia i loko o eha papa:

1. Asymptomatic.
2. Mehana discomfort me disrupting hope.
3. Loa symptoms i aloha ia i ka oluolu ola.
4. Kīnā o ke kino. Ma keia hihia, ke hoʻomanawanui hiki ole lawe malama ana ia ia iho no ka.

Ke kaumaha ma muli o ka alapine (frequency) o ka lāʻau ikiʻai wale kauka maopopo tachy, a me ka normo bradisistolicheskuyu ke ano o ka maʻi.

kamepiula kumumea

naau fibrillation akaka i loko o nā mea maʻi i i ka predisposition ia ia. Ua hiki e ma mua e likeʻole cardiac pilikia:

- hypertension;
- naau ole;
- lilo mitral kiwikā;
- congenital malformations o like etiologies.

An kūlana nui ua pâʻani 'o ia ma ka dilated cardiomyopathy, coronary artery maʻi, maʻi hoʻoʻino maʻi o ka naʻau membranes, e like me hikoko. Paroxysmal atrial fibrillation i loko o kanaka ma lalo o ka makahiki o ke kanaha makahiki e hana ana ma ka hoʻokaʻawale, mai nā maʻi.

Eia hou kekahi, aia no i ka papa inoa o nā pathologies, i like loli i ka hanana o atrial fibrillation, akā, e ka mea, i pili i ka hana o ka mea'ōnaehana mānowai koko'ōnaehana:

- obesity;
- mimikō;
- maʻi obstructive pulmonary maʻi;
- māhuahua ha awina o ka thyroid gland.

Inā ka hoʻomanawanui ua compromised ohana mōʻaukala,ʻo ia hoʻi, i waena o ke kokoke loa hoahanau, he mau kanaka me ka atrial fibrillation, i ka manawa e hōʻike ana i ka maʻi i loko o ka proband, mahuahua ma kanakolu pakeneka.

pathogenesis

Fibrillation - ia mea chaotic twitching o na nāʻiʻo, ma keia hihia o ka naau. Ke aloha maʻi he hoʻonui i ka mall loli ma ka'anatomia o ka naau, a i ka 'aʻe' ana o ka conduction o ka pou impulses. Kēia mea ma muli o ia e hoʻoulu ai dala o connective'aʻaʻa, a mahope fibrosis. Kēia kaʻina progresses, compounding dissociation nā aʻalolo olona, nolaila fibrillation pilikia.

Kauka noonoo mau hypotheses e pili ana malaila paroxysmal ano o keia maʻi. Ka loa, he pono ole i ka kumumanaʻo o ka foci a me ka mau ale. Kekahi kānakaʻepekema makemake e hui pu iho nā XAaOOEN, no ka mea, mea hiki ole ke hoomaopopo i ka pau ana o ka hooponopono kumu o ka maʻi.

E like me ka mea mua kumumanaʻo (mea nui) ma ka myocardium ia lŘlŘ iiiaanoaa o foci o ka uila haʻawina, a i kahi kokoke i na ipu nui, a atrial pa hoʻi. Over manawa, e pili ana i ka holoʻokoʻa 'āpana o ke atria. Ka lua o ka kumumanaʻo postulates ia fibrillation nō i ka hopena o ka chaotic noho'na makaainana i ulu a me ka nui helu o ka excitation uuku nalu.

Symptoms a me Complications

Paroxysmal atrial fibrillation paha e asymptomatic ina hemodynamic haunaele compensated lawa. Nō kāu, e hoomanawanui i ohumu o ka manao o pinepine palpitations, umaumaʻeha a discomfort i loko o ka wahi.

E kū'ē i kēia kāʻei kua, e holumua ai naʻau e hemahema, a ua clinically hoikeia pōniuniu, maʻule hou ihola nō a me ka pokole o ka hanu. I kekahi manawa, ka wā he mea hoouka i loko o nā mea maʻi, a mahuahua nui alapine (frequency) o ke urination. Poe akamai i ke kaila keia i ka mea ulu ma ka helu o natriydiureticheskogo kumuʻiʻo.

Objectively, ma laila e e pana nele, i ka wa o ka helu o ka naau ana aku i ka helu o ka lāʻau ikiʻai wale ale i hoʻopulapula i ka periphery. Inā he asymptomatic ano o fibrillation o ka mua "bele" hiki ia i ka hahau ana.

Loa e kahe ana atrial fibrillation huikau ma ka naau e hemahema, thrombosis o ka nui a me ka uuku o na moku o ka naau a me ka lolo.

lapaʻau '

Atrial fibrillation - he pinepine indiscriminate ka ho'ēmiʻana o cardiomyocytes. Initially, ke kauka 'ohi i ka mōʻaukala o ka maʻi a me ke ola, loaa mai i ka lā o ke kaua mua, i ke alo o ke kamepiula kumumea, e like me aʻo e pili ana i ka lapaʻauʻia i ka hoʻomanawanui lawe i ka manawa. Nā mea maʻi e ole hoi hoohewa aku, no laila, e hōʻike i kēia pathology hoʻohana vocal ki ina hana like. O nā ultrasound, Holter ECG a me kela la i keia ka mālamaʻana. Fibrillation ua hoikeia aku ai e na kēia ho'ākāka hiʻona:

- hele ana o ka nalu P (ʻaʻohe sinus pāpana);
- helehelena. F-ale o atrial fibrillation;
- kaiʻewaʻewaʻanuʻu waena o mau niho R.

Ke ano ki ina hana ke huai ae cardiac comorbidities :. Myocardial infarction, arrhythmia, etc. Ultrasound keia hookolokolo ana ua hana i ka hōʻike a me ka hoopaa i ka ke aloha naʻau maʻi, a me ka myocardial pā mānoanoa ana, i ka buke o ka atria a me ventricles. Eia hou, i ka pale pono hiki parietal thrombi a me ka mea kanu i ka nohona kiwikā.

Eia hou, ma hope o ka Episode mua o atrial fibrillation kauka prescribes ka hoao no thyroid hōmona pae, e hookaawale ia i kona hyperactivity.

anticoagulation

Ma keia wahi i ka mea heluhelu i ka manaʻo o ka mea a pehea he mea atrial fibrillation. Lapaʻau kauoha i kona hoʻopau, a etiological aʻe, a hoohaahaaia iho la symptoms.

Anticoagulants, oa koko thinning ka lapaʻauʻia, ua hōʻike no ka Kāohiʻana o ke koko clots, a nolaila, hahau ana a me ka naau ino. Ka loa, he pono ole i waena o papa palapala - ka "Warfarin" a me ka "Aspirin". I ka manawa o keia pae ana o ai 'ke kauka E hoomanao i ka hoʻomanawanui ka propensity e thrombosis, i ka pilikia o ka ischemia i loko o ka wā e hiki mai kokoke, a ina paha o ka hoʻomanawanui contraindications a hiki i kēia' ano o ka Inc.

He nui no ka hoomanao ana i ka hoʻohana 'ana o anticoagulants mea e pono ai i mau kanaka hoʻoponopono i ka INR (hoʻonohonoho' normalized lākiō). Ua apono 'lawa manawa, e hooki aku i ka lāʻau, a emi i ka pilikia o ke kahe ana ke koko.

pāpana hoʻoholo

Fibrillation o ka naʻau i loko o ka hapanui o na hihia i ke kulana mea reversible. Inā, mai ka hoomaka ana mai o ke kaua i kekahi wahi manawa, he kauka hiki ke hoihoi maʻamau sinus pāpana. Ua hiki ke hana ia me ka directional hookuuia o uilaʻikena a antiarrhythmic ai '.

Initially, ua hoemiia ka naau ana, a ua hoala hou ia hoʻokahi haneri kui iho oe a no minuke. A laila, e pono e lawe i loko, no ka pilikia o ka thromboembolism, no laila, no ekolu pule mamua i ke kaʻina hana, a me ka mahina ma hope o ka hoʻomanawanui ke launa mai anticoagulant Inc. Akā, i kēia mau mea e pono wale nō i loko o ka hanana e hoouka o atrial fibrillation mau lā oi aku elua paha ka lōʻihi like ia hiki ole ke hookupaaia. Inā ka mea, ua ike ia, mai ka hoʻomaka o ka chaotic contractions o ka naau ma ka hora emi o kanaha-ewalu hou, a me ka hoʻomanawanui i ka wi hemodynamic instability, ua lawe mai i ka uku ka ho'ēmiʻana urgently, lawelawe haʻahaʻa hakakino kaumaha heparin.

1. Uila cardioversion. Kēia mea he aho ola hana e pono kaiapuni i loko o ka hoʻomanawanui ka 'inikua moe. Ma kēia defibrillators hookuuia synchronous me ka R-nalu ma luna o ka ECG. Kēia hookaaokoa ae mai o accidental ventricular fibrillation. Hoʻomaka ana me hoʻokahi haneri joules, a ina he pono i ho'ālaʻia kēlā me kēia hope hookuuia i kanalima Joules. Kēia mau-pae kŘkohu. Single-pae hookuuia koke i elua haneri joules, ma waena o nā kulanui i ka eha.
2. Uluwehi O cardioversion. No ka ai 'i ke aloha ia i ka naau pāpana, nā "Procainamide", "Amiodarone", "Nibentan" a me ka "Propafenone".

E pale aku recurrent ho'āhewa wale o atrial fibrillation ma hope o cardioversion hoonohoia ma antiarrhythmic ai ', a me ka hoʻomanawanui e lawe mahina, a he makahiki.

lāʻau ikiʻai wale hoʻoholo

A pau ike ano o atrial fibrillation pū 'aʻe' ana o ka naau kōmi. No laila, ua manaʻo kauka Inc, e hoʻopau i ka symptom. Ua hoʻohana ai 'i ke emi o ka naau kōmi. Mau nā:

- Hoʻokolohua-blockers;
- kalipuna Kanal blockers.

Me ka ineffectiveness o kēia mau laau lapaau lawelawe pūʻulu "Amiodarone" a me "Dronedarone". Oia Inc hiki hōʻemi symptoms o arrhythmia, akā, lawe aku ia loa ia mea,ʻaʻole hiki.

Inā ka iapaau ana mea ineffective, kauka i kekahi manawa, Kamuela i ka catheter ablation. I mea e malama i sinus pāpana, nā mea a pau e inu nei kahua Pono e e kamaʻilio. Me ka radiofrequencyʻimi cardiac surgeon kāhea kahua isolates mai kekahi i kekahi, hikiʻole i ka laha ana o ka pila nalu.

Aia o kekahi papa hana ma i luku ganglion ma waena o ka atrium a me ka ventricle. Kēia hana he pokole transverse naʻau hihia. A laila, i kēia hoomanawanui e kanu pūʻimi hoʻopunipuni introducer o pāpana, a hoʻi i ka helu ana o Kal. Ka mea e like ai o ke ola o ke ahonui holomua markedly, akā, i ka lōʻihi o kona ola ua i loli.

Atrial fibrillation ma hope o cardiacʻoki kino

Paroxysm o atrial fibrillation i hiki hope oʻoki kino ma luna o ka naʻau. 'O kēia kekahi o ka loa pinepine complications pilikia ma hope o ia mau hana. Ke pathophysiology o keia kulana mea okoa mai eʻike i nā mea maʻi maʻamau me ka atrial fibrillation.

Ma waho aʻeo iʻike mau kamepiula kumumea, i ke ahonui o ka ionic dissociation, o ka emi ma ka potasiuma pae, ua hoʻemi koko ka leo, me mechanical poino o ka naau'aʻaʻa, a me ka haanou ana o ka atria. A pau keia hoʻonāukiukiʻana mai o ka ho'ā hope o hoʻonele i loko o ka palapala o ka hoʻokō cascade'ōnaehana reactions. Ua hele mai ke kala o ka hoʻoʻino uao, stimulation o ke aloha o ko mākou hopohopo'ōnaehana, e like me ua hao wale mai'okesaside naoh. A pau keia mea he kāhea ololi no ka hoʻomaka 'ana o atrial fibrillation.

Nolaila, hana maikaʻiʻole o ka lāʻau kū-operative complications hoʻomaka me ka iaea o nā mea a pau o ka luna pilikia. No keia mea, Hoʻokolohua-blockers, "Amiodarone", steroid a me ka 'ole-steroidal Anati-hoʻoʻino ai'.

Forecast a koi

A kanaka ke loaʻa ia i kekahi mea pepehiʻike, e like me "atrial fibrillation". Koi o na kauka i loa na mea a me ka aniani moakaka. He mea pono e alakai i ke ola i ke Aloha Hawaii,ʻai, loaʻa kiʻekiʻe ke koko ma luna o hoʻokahi haneri a me kanaha. Kēia mau uncomplicated hana i pale wale ka hanana o atrial fibrillation, akā, i kōkuaʻole nā naʻau maʻi.

O ka holo ana, ua waiho aku quitting pūnuku puhi a me ka hoemi ka waiʻona hokii. I mea e hooikaika i ka wahi, cardiologists noi e loaa i lawa ka nui o dietary nui momoma nāʻakika, a lawe i nā capsules me ka iʻa aila.

Lapaau ana i mea koʻohune a me ka mea hoʻomaʻi nā mea palahēhē mea e hahai mai ma, a hiki ina ua subjectively oe ia oe iho haha maikai.

Ka pilikia o ka mapuna i loko o kanaka me atrial fibrillation, piʻi pū i ka makahiki o kanalima-elima hapa haneri, a he kanawalu - he iwakalua. hai mai la i kekahi i loko o eono i ka hahau ana ma ka Honua ua mālama i nā mea maʻi a me kaʻike, "atrial fibrillation".