Atrial fibrillation

Chimwe chezvinhu vakasangana arrhythmia muvanhu - atrial fibrillation. Kuwanda kwayo ndiko 0.5% kubva zvachose kwevanhu. Prognostic kukosha chirwere ichi Uyewo guru. Kuvapo kwakaita atrial fibrillation kunowedzera vanourayiswa wevarwere kaviri, zvichienzaniswa vanhu vasina kutyorwa conductivity chaitika. The koshesa zera vanhu vanotambura zvachose chimiro chirwere - vakwegura. Paroxysmal atrial fibrillation zvikuru nevanhu vechiduku.

Two marudzi chirwere: paroxysmal (paroxysmal) uye kuramba. kokutanga chirwere arrhythmia kurwiswa hadziuyi voga kana tichibatsirwa kurapwa. Kurapa chimiro ichi chirwere rinotungamirirwa kuzadzisa uye kuramba hwandaiva kwemwoyo. Persistent atrial fibrillation kunogona kuitazve akatotanga kuzomukazve ambotaurwa zvokurwara kana wokutanga wakaiswa fibrillation. It rwakatora mazuva manomwe, uye akamira nezvinodhaka.

zvikonzero

Atrial fibrillation kunoitika pamusoro yaitwa zvirwere kumwoyo. Chinonyanya kakawanda chirwere inotungamirira kukura arrhythmia anoreva nechirwere chemwoyo (50-60% wevarwere), BP (40-50%), coronary tsinga yokunzvenga kusonanidzwa (5%), chenjera myocardial infarction. Fibrillation rinowanzoberekera vanhu vanoshungurudza doro. Muchiitiko ichi hwapedyo chidhakwa cardiomyopathy, izvo chinokurwadzai nechitarisiko arrhythmia. Zvirwere uye zvinetso mvura-electrolyte muviri uye zvinobatsira kuti chidzoke chirwere.

budiriro mashandiro

Atrial fibrillation kunoitika pamwe kutyora rworuboshwe atrium mwoyo. In mativi myocardium ane dzakananga rokuchinja nemagetsi pulses kuti zvinoshingaira kunokonzera arrhythmia. Munguva atrial fibrillation kurwisa vakachengeta disorganization zvose zvemagetsi urongwa (asynchronous, ita mhirizhonga, murombo asina kuzvironga cardiac tsandanyama fibers). It kuumbwa paminiti kusvika 700 pulses, kuti vafukidze mapoka maduku fibers, iyo kuzvirega zvichikanganisa kwomuzvarirwo systolic marwadzo. chete chikamu kupomba akasungwa ari myocardium. Zvisinei, zviri kuva tachycardia, riri pamwe chete arrhythmia.

zviratidzo

Atrial fibrillation kunoratidzwa anotevera zviratidzo: kunzwa Kuvhiringidza uye palpitations, kusagadzikana kana kurwadziwa mumwoyo, utera, dzungu, muchipfuva tightness, kupfupika kufema kunoitika kunyange zororo, kurukutika, izvo anomhanya kwenguva refu.

Mune zvimwe zviitiko, chirwere kunoratidzwa ne kunotoda mufananidzo zvinodzimwa. Muchiitiko chino, varwere havanzwi hwokufananidzira disruptions ose cardiac basa, kunopindirana utano harungaputswi yakaderera kwemwoyo. Zvisinei, pasina kurapwa, kwakadai arrhythmia anogona chokuita kukura yematambudziko. Izvi zvinosanganisira mwoyo chirwere, cerebrovascular chirwere, iyo inotungamirira sitiroko, intestinal infarction. Zvinonzi kwakaratidza kuti richengetedzwe atrial fibrillation kwemakore kunotungamirira vasanyanye rezvedzidzo basa. Naizvozvo kukosha chirwere nzira, chinonyanya kukosha unova kwemwoyo unonzi, electrocardiograph. It kana ichi maitiro kuchinja vakachengeta arrhythmia: pasina P chinozunguzirwa kuna QRS zvakaoma pathological chinozunguzirwa dzakaonekwa pachinzvimbo f, vari akasiyana saizi, chimiro. Dzavo nguva inosvika 700 paminiti. Cardiologist, kana Detective kuchinja kwakadaro nechivimbo anogona kuisa kuongorora chirwere ichi.