Atrial fibrillation ka ECG ena. auricular flutter

Kgoreletsego tsa tshebetsong tloaelehileng ea mosebetsi wa pelo ke bothata e potlakileng lefatšeng. Hangata ka ho fetisisa ba ho ntshetsa pele ka botsofali, empa ka etsahala ho batho ba bacha, bana ba. Ha re ntse re tseba ho tloha lipalo-palo, ba bolwetse ea tsamaiso ea pelo le methapo ke e 'ngoe ea lisosa tse ka sehloohong sa lefu. Ka lebaka leo, lingaka li lefatšeng lohle ho batla mekhoa e mecha ea ho thibela mafu a joalo. Ho boetse ke habohlokoa ho thusa fokotsa ntshetsopele ya lefu le ho boloka boemo matšeliso ka nako e telele kamoo ho ka khonehang.

Lilemong tsa morao tjena, ho bonoa ba tsela e sa tloaelehang cardiac e phethahatsoa ho khanneloa thuto ea screening kaofela batho ba baholo baahi, ho sa tsotellehe lilemo. Ka outpatient behela e mong le e le mamello phetha electrocardiography (ECG) le maqhubu a ya 1 ka makhetlo a selemo ho se ditletlebo. Ha lefu lemoha pelo, motho a beha ka lebaka la, 'me lithuto tsa tsohle li tšoaroa khafetsa, kalafo e balletsweng. Boo hangata bakuli ba na le atrial fibrillation ka ECG. Synonyme ya mmuso - atrial fibrillation.

ke eng atrial fibrillation?

Atrial fibrillation - ka ECG mong oa mefuta e atileng ka ho fetisisa ba arrhythmias. Ho ea ka lipalo-palo, ho e hlokomela ka 1-2% ea baahi. Ho ea bohōleng bo itseng morethetho ena meferefere tobaneng le batho ba lilemo tse 40 le ho feta. Ka linako tse ling atrial fibrillation ke asymptomatic, le mamello ha a tseba ho ba teng ha malwetse. Maemong a mang, atrial fibrillation e joalo le bitsoa hore hlokahalang e potlakileng bookelong ba le mamello le phetha mehato e potlakileng. Bolwetse phallo itšetlehile ka sebopeho sa eona 'me boemo kakaretso oa mokuli. Atrial fibrillation (atrial fibrillation) hlaha ka lebaka la ho hyperexcitability ya dinama tse nyenyane tse atrial. Ka lebaka leo, pathological hlaha pelehi pherekano motseng. Hangata ka ho fetisisa, atrial fibrillation amanang le pathologies tse ling cardiac.

Normal ECG: Tlhaloso le tlaleho

Electrocardiography ke mokhoa o ka sehloohong oa diagnosing lefu la pelo. Ho o etsoa maemong a sa ischemia belaela, myocardial infarction, arrhythmias, 'me tse ling tse fapa-fapaneng cardiac malwetse. mokhoa ECG e thehiloe tse khonehang ea holim 'pelo. Ka lebaka la mosebetsi oa motlakase tsa tshekatsheko ho ka ahlola sechaba sa likarolo tse sa tšoaneng tsa myocardium ena. ECG tloaelehile hlokometse ka motho ka mong ka bophelo bo botle. Ho phaella moo, ho na le a 'maloa a pathologies hore ha ba lemoha ke electrocardiography. Leha ho le joalo, boholo ba lefu ngolwa ECG. Hlalosa liphello tsa phuputso e entsoeng hona ka 'na ea e-ba ngaka e ikhethang efe kapa efe leha ho le joalo e kgothaletswa ho etsa decoding cardiologists.

ECG ke mola tshekaletseng le meno le beetsweng. Ho na le 12 e itlhomme pele ho tloha holim 'a tseo e linaoa motlakase di lopolloa. E leq prong ka ECG ke le boikarabelo ba ho tlhotlheletso atrial. Hang e ngolisitsoeng e nyenyane karohano P-Q. O tsebahala ka fana ka kgaso nyakallo atrial septal. Ka mor'a moo, ho na le ke QRS. E tšoauoa ke tsusumetso ea motlakase oa ventricles ena. Lateloa ke nako ea boikhathollo tsa mesifa pelo - repolarization. Ho na le ST karohano le T-tsokoang electrocardiogram tloaelo e mong le elements lokela ho ba le bophara itseng (nako) le bophahamo (molumo). Fetola pontshi bonyane motho a le mong 1 abduction bontša malwetse.

ke atrial fibrillation ka ECG le eng?

Atrial fibrillation - boemong pathological eo ho eona ho Snap pherekano motseng nyakallo ea myocardium ena. Ka tsela eo ho na le ke ho qhala ea morethetho tloaelehileng. Atrial fibrillation e tšoauoa ka sa fetola maqhubu ECG P, ho hlaha f e-maqhubu (di teng pakeng tsa QRS mehahong ka ngata), athe ho tloaelehile P-tsokoang ho ba 1 pele e mong le e nyakallo ventricular. Ho feta moo, ha atrial fibrillation le hlaha kgoreletsego ea morethetho tloaelehile pelo. E o ile a hlokomela ka electrocardiogram e ke 'nete ea hore sebaka se pakeng tsa RR ka etella pele' ngoe ha e lekanang le bophara (nako).

Ho fapana le fibrillation tloha flutter atrial

Ho phaella ho fibrillation atrial, se le seng pelo morethetho khathatsoa ke atrial flutter. The ECG mafu tsena tse peli li fapana. Atrial flutter (Ta) - boemong pathological eo ho eona ho ke keketseho ea bohlokoa ka ho otla ha pelo (200-400 otla ka motsotso). Hangata le hlaha ka mokgwa wa litlhaselo tsa tšohanyetso - paroxysms. Tl e tšoauoa ka tsoelo-pele ea tšohanyetso 'me ho intša qetello. Ho bua ka mefuta e sa tsoaneng ya tachycardia supraventricular. Ha u hlasela ntshetsopele ya le mamello ke ho hlokahala hore ho fana ka thuso boemong ba tšohanyetso. Atrial flutter e fapaneng ho tloha ECG fibrillation hore na pathological nyakallo maqhubu le molumo o moholo (F-maqhubu). Tabeng ena, ho otla ha pelo ntse nepahetse. RR sebaka se pakeng tsa se tšoanang.

Matšoao a fibrillation atrial

Ho na le liforomo tse tharo tsa fibrillation atrial. Ba fapana ka boholo ba ho otla ha pelo. hlaheletseng:

1. Tahisistolicheskoy foromo. The otla ha pelo e 90 otla ka motsotso.
2. Normosistolicheskuyu foromo. ho otla ha pelo ranges ho tloha otla 60 ho ea ho 90 ka motsotso.
3. Bradisistolicheskuyu foromo. batho ba bang ka tlaase ho moo ba tloaelehileng. ho otla ha pelo ka tlase ho otla 60 ka motsotso.

Matšoao a fibrillation atrial itšetlehile ka mosebetsi kamoo phytoteratology ventricular. Ha paroxysm tsa fibrillation atrial a bona quickening tšohanyetso la pulse length ka, ba ikutloa ba sa palpitations, ho thothomela le ho fufuleloa, bokhutšoanyane phefumoloho, bohloko sefubeng, ho tsekela. Ka tachycardia matla, utloe letho khoneha, setorouku ntshetsopeleng ya infarction myocardial. Batho ba bangata ba na le normosistolicheskaya fibrillation atrial. matšoao a Clinical tabeng ena hangata ka ho fetisisa le siyo.

Phekolo ea Atrial Fibrillation

Ho sa tsotellehe 'nete ea hore atrial fibrillation hangata asymptomatic, ho eketsa kotsi ea thrombosis le myocardial infarction. Ka hona, ha atrial fibrillation e hlophisitsweng moemeli antiplatelet. Har'a bona - lithethefatsi "aspirini-cardio", "Tromboass". Ho lokisa bakeng sa ho otla ha pelo tachycardia lithethefatsi balletsweng antiarrhythmic. Hangata ka ho fetisisa, meriana ena "Coronal", "metoprolol", "Amiodarone". Ho kamehla atrial fibrillation kgothaletswa ho buoa.