Atrial fibrillation na ECG. auricular flutter

Emeghasịkwa nke kwesịrị ịrụ ọrụ nke obi ọrụ bụ ihe ngwa ngwa nsogbu n'ụwa. Ọtụtụ mgbe ha na agadi, ma nwere ike ime na-eto eto, ụmụ. Dị ka anyị maara si ọnụ ọgụgụ, daa ọrịa nke obi usoro bụ otu n'ime ndị na-eduga na-akpata ọnwụ. Ya mere, ndị dọkịta n'ụwa nile na-achọ ọhụrụ ụzọ nke mgbochi nke ndị dị otú ahụ ọrịa. Ọ dịkwa mkpa iji nyere nwayọọ mmepe nke ọrịa na mmezi nke ala ụgwọ dị ka ogologo dị ka o kwere.

Na-adịbeghị anya, n'ihi na nchọpụta nke gbasara obi abnormalities a rụrụ a echetakwa ọmụmụ dum okenye bi, n'agbanyeghị afọ ole. Na ihe outpatient mwube ọ bụla ndidi ịrụ electrocardiography (ECG) na a ugboro ole nke 1 ugboro n'afọ na-enweghị mkpesa. Ọ bụrụ na achọpụtara ọrịa obi, ọrịa a onye na-etinye na akaụntụ, na niile na-eduzi ọmụmụ ihe mgbe mgbe, na usoro ọgwụgwọ kenyere. Ọtụtụ mgbe ọrịa atrial fibrillation on ECG. Okwu ọzọ nke ala - atrial fibrillation.

Gịnị bụ atrial fibrillation?

Atrial fibrillation - na ECG otu n'ime ndị kasị ahụkarị ụdị arrhythmias. Dị ka ọnụ ọgụgụ, ọ na-hụrụ 1-2% nke ndị bi. Ruo n'ókè dị ukwuu nke a n'afọ iri na ụma na-enwe nsogbu chere ihu ndị mmadụ 40 afọ na ndị okenye. Mgbe ụfọdụ, atrial fibrillation bụ asymptomatic, na ọrịa abụghị maara nke ọnụnọ nke daa ọrịa. Mgbe ụfọdụ, atrial fibrillation na otú akpọ na chọrọ ngwa ngwa ụlọ ọgwụ nke ndidi na-arụ ihe ngwa ngwa jikoro. Pathology eruba na-adabere na ya udi na izugbe ọnọdụ nke onye ọrịa. Atrial fibrillation (atrial fibrillation) ime n'ihi hyperexcitability nke atrial anụ ahụ. N'ihi ya, enweghị nchịkwa apụta jupụtara contractions. Ọtụtụ mgbe, atrial fibrillation jikọtara ndị ọzọ gbasara obi pathologies.

Nkịtị ECG: nkọwa na transcript

Electrocardiography bụ isi usoro nke Ịchọpụta Otú Nsogbu ọrịa obi. Ọ na-rụrụ ke ikpe nke-enyo enyo ischemia, myocardial infarction, arrhythmias, na iche iche ndị ọzọ gbasara obi daa ọrịa. ECG usoro dabeere na potentials nke obi n'elu. N'ihi na ọkụ ọrụ nke nwale nwere ike ikpe ikpe na steeti akụkụ dị iche iche nke myocardium. Nkịtị ECG hụrụ ike ndị mmadụ n'otu n'otu. Ke adianade do, e nwere ndị a ọnụ ọgụgụ nke pathologies na-adịghị achọpụtara site electrocardiography. O sina dị, nnukwu ọrịa dere na ECG. Kọwaa ihe ndị a nnyocha e mere na ike a dọkịta ọ bụla ọpụrụiche o ya na-atụ aro ịrụ nyopụta cardiologists.

ECG bụ a kwụ n'ahịrị na ezé na ohere mpere. E nwere 12 edu n'elu nke eletriki pulses na-anapụta. p prong na ECG bụ maka atrial mmalite. N'otu oge, ọ na-aha a obere nkeji P-Q. Ọ e ji mara ndị mkpuchi excitation atrial septal. Ọzọ, e nwere QRS. Ọ e ji ọkụ mmalite nke ventricles. Sotere oge nke ntụrụndụ nke obi muscle - repolarization. Ọ mejupụtara nke ST nkeji na T-efegharị efegharị ngwá Nọmalị ọ bụla mmewere ga nwere ihe ụfọdụ na obosara (oge) na ịdị elu (njupụta). Gbanwee dịkarịa ala otu egosi na 1 mgbatị egosi daa ọrịa.

Gịnị bụ atrial fibrillation na ECG?

Atrial fibrillation - a-enweghị nchịkwa na ọnọdụ nke snap jupụtara excitation nke myocardium. N'ihi ya, ọ a-emeghasịkwa nke nkịtị n'afọ iri na ụma. Atrial fibrillation e ji mgbanwe ke ECG P mmiri na ebili mmiri, kama na-egosi f-ebili mmiri (ha na-emi odude n'etiti QRS okụre na nnukwu quantities), ebe ndị nkịtị P-efegharị efegharị na-1 n'ihu onye ọ bụla ventricular excitation. Ọzọkwa, mgbe atrial fibrillation emee emeghasịkwa nke nkịtị obi n'afọ iri na ụma. Ọ na-ghọtara na ihe ngwá site eziokwu na anya n'etiti RR n'otu ụzọ anaghị tụnyere obosara (oge).

N'adịghị ka fibrillation si atrial flutter

Ke adianade atrial fibrillation, a nkịtị obi n'afọ iri na ụma nsogbu bụ atrial flutter. The ECG abụọ ndị a ọrịa dị iche. Atrial flutter (TA) - a-enweghị nchịkwa na ọnọdụ bụ nke a dị ịrịba ama-abawanye na obi ọnụego (200-400 gafere kwa nkeji). Ọ na-emekarị emee n'ụdị mberede ọgụ - paroxysms. TP e ji mberede development na onwe-nchupu. Ọ na-ezo aka iche supraventricular tachycardia. Mgbe ị na-na-awakpo na mmepe nke ọrịa dị mkpa iji nye mberede aka. Atrial flutter bụ dị iche iche si ECG fibrillation nwere enweghị nchịkwa excitation ugboro na nnukwu njupụta (F-ebili mmiri). Na nke a, na obi ọnụego na-anọgide ziri ezi. RR anya n'etiti otu.

Mgbaàmà nke atrial fibrillation

E nwere atọ iche nke atrial fibrillation. Ha dị iche na size nke obi ọnụego. na-akwanyere ùgwù:

1. Tahisistolicheskoy ụdị. The obi ọnụego 90 gafere kwa nkeji.
2. Normosistolicheskuyu ụdị. Obi ọnụego àmà site 60 ruo 90 gafere kwa nkeji.
3. Bradisistolicheskuyu ụdị. Naa nkịtị ndị ọzọ. Obi ọnụego-erughị afọ 60 gafere kwa nkeji.

Mgbaàmà nke atrial fibrillation adabere na otú mkpọchị ventricular ọrụ. Mgbe a paroxysm nke atrial fibrillation hụrụ a mberede quickening nke usu, mmetụta nke palpitations, ịma jijiji na sweating, mkpụmkpụ nke ume, obi mgbu, dizziness. Na oké tachycardia, na o kwere omume amagh onwe, ọrịa strok mmepe nke myocardial infarction. A ọtụtụ ndị e normosistolicheskaya atrial fibrillation. Clinical mgbaàmà na nke a na-akacha anọghị.

Ọgwụgwọ nke Atrial Fibrillation

N'agbanyeghị eziokwu na atrial fibrillation bụ mgbe asymptomatic, ọ enwekwu ihe ize ndụ nke thrombosis na myocardial infarction. Ya mere, mgbe atrial fibrillation na-kenyere antiplatelet n'ụlọnga. Otu n'ime ha - ọgwụ ọjọọ "Ịṅụ Ọgwụ Aspirin-cardio", "Tromboass". Iji gbazie maka obi ọnụego tachycardia kenyere antiarrhythmic ọgwụ ọjọọ. Ọtụtụ mgbe, nke a ọgwụ "Coronal", "metoprolol", "Amiodarone". Mgbe mgbe nile atrial fibrillation atụ aro ịwa ahụ.